TW201410213A - Auxiliary material for assisting ultrasound-guided manual medicine injection in treating plantar fasciitis - Google Patents

Auxiliary material for assisting ultrasound-guided manual medicine injection in treating plantar fasciitis Download PDF

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Publication number
TW201410213A
TW201410213A TW101133008A TW101133008A TW201410213A TW 201410213 A TW201410213 A TW 201410213A TW 101133008 A TW101133008 A TW 101133008A TW 101133008 A TW101133008 A TW 101133008A TW 201410213 A TW201410213 A TW 201410213A
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Taiwan
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guiding
quick release
seat
plantar fasciitis
injection
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TW101133008A
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Chinese (zh)
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TWI462730B (en
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Jian-Min Chen
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Chang Gung Medical Foundation Chang Gung Memorial Hospital At Chiayi
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/42Details of probe positioning or probe attachment to the patient
    • A61B8/4209Details of probe positioning or probe attachment to the patient by using holders, e.g. positioning frames

Abstract

The present invention provides an auxiliary material for assisting ultrasound-guided manual medicine injection in treating plantar fasciitis. The auxiliary material includes a base, a guide holder, a quick release positioning component and a protractor. The base is provided for placing and positioning the ultrasonic probe, the guide holder is pivotally disposed beside the base in such a way that it is horizontally movable relative to the base and vertically rotatable about a pivoting axis, and is provided with a guide groove for coaxially placing the syringe for injection as it is moved along the axial direction. Through the design of the guide holder that is movable relative to the base and rotatable for positioning, the pivoting axis position and angle of the guide holder recorded after the initial injection treatment can be used as the basis for every subsequent injection, accordingly, it takes only one injection to allow the needle to penetrate right into a predetermined treatment site, and the patients do not need to bear the pain of repeated needle insertions.

Description

輔助超音波導引手動藥物注射治療足底筋膜炎的輔材 Auxiliary ultrasound guided manual drug injection for the treatment of plantar fasciitis

本發明是有關於一種輔材,特別是指一種用以輔助超音波導引手動藥物注射的輔材。 The invention relates to an auxiliary material, in particular to an auxiliary material for assisting ultrasonic guided manual drug injection.

足底筋膜炎是引起足跟疼痛最主要的原因,早期進行藥物注射治療時,是採用壓痛點注射方式,是以手觸壓足底,壓到病患痛點時再對該痛點進行注射,所以經常無法準確打到足底筋膜,反而常引起足底脂肪墊變薄,導致足底筋膜炎反覆發作的併發症。 Plantar fasciitis is the most important cause of heel pain. In the early stage of drug injection, the tender point injection method is used. The foot is pressed against the sole of the foot and pressed to the pain point of the patient. Injection, so often can not accurately hit the plantar fascia, but often cause the foot fat pad thinning, leading to complications of the recurrence of plantar fasciitis.

目前常用來評估足底筋膜的客觀工具為即時高解像的超音波影像。足底筋膜炎一開始的治療通常是以保守療法為主,如果保守治療沒有成功,接下來往往就會開始進行將類固醇注射到足底筋膜進行治療的方式。在注射治療過程中,注射位置太高,則容易注射到足底筋膜上方的脂肪墊裡,注射位置太低,則容易打到足底筋膜下方的跟骨,但如果可以讓藥物精準的注射到足底筋膜內,就能夠產生相當好且維持長久的療效, The objective tool currently used to evaluate the plantar fascia is an ultra-sound image of an instant high resolution. The initial treatment of plantar fasciitis is usually based on conservative treatment. If conservative treatment is not successful, the next step is to start the treatment of steroid injection into the plantar fascia. During the injection treatment, if the injection position is too high, it is easy to inject into the fat pad above the plantar fascia. If the injection position is too low, it is easy to hit the calcaneus below the plantar fascia, but if the drug can be accurately Injection into the plantar fascia produces a good and long-lasting effect.

如圖1所示,前述治療過程通常會以超音波協助導引注射方向,目前的作法是使患者腳掌面100朝上,並將超音波探頭200置於腳掌面100而位在足底筋膜101上方,然後將注射器201的針頭自足後跟102插入,並利用超音波影像輔助確認注射器201之針頭是否位在正下方,以確認針頭是否產生歪斜。 As shown in Figure 1, the aforementioned treatment process usually assists in guiding the direction of the injection with ultrasound. The current practice is to place the patient's foot surface 100 upward and place the ultrasonic probe 200 on the sole 100 in the plantar fascia. Above 101, the needle of the syringe 201 is then inserted into the heel 102, and the ultrasonic image is used to assist in confirming whether the needle of the syringe 201 is positioned directly below to confirm whether the needle is skewed.

此方式雖可以使針頭清楚顯示在超音波影像中,進而將針頭逐漸導引到足底筋膜101,然而,在整個注射過程中,醫護人員得要一手握持超音波探頭200而另一手握持注射器201,在時間壓力與病人會疼痛的情況下,很容易有針頭偏斜情況,所以要維持針頭一直都在超音波探頭正下方,其實是有難度的。且經常因為無法一次就將針頭刺入預定治療部位,而得反覆針刺,且在下次治療時,又得再憑經驗重新反覆插針嘗試。除了在注射操作上相當不便外,每次治療時,病患經常得重新承受反覆針刺的痛苦。 This method allows the needle to be clearly displayed in the ultrasound image, thereby gradually guiding the needle to the plantar fascia 101. However, during the entire injection process, the medical staff has to hold the ultrasonic probe 200 in one hand and the other hand. With the syringe 201, it is easy to have a needle deflection when the time pressure and the patient are in pain, so it is difficult to maintain the needle always under the ultrasonic probe. And often because the needle can not be pierced into the predetermined treatment site at a time, it is necessary to repeat the acupuncture, and in the next treatment, and then have to re-repeated the needle by experience. In addition to the considerable inconvenience of the injection operation, the patient often has to suffer the pain of repeated acupuncture at each treatment.

由此可見,在目前足底筋膜炎之藥物注射治療過程中,此位操作超音波探頭200與進行注射之醫護人員的技術扮演著重要關鍵,而技術的熟練是需要長時間累積經驗的,然而這對病患而言並非好事。因此,對於目前足底筋膜炎的藥物注射治療方式確實有改善之必要。 It can be seen that in the current drug injection treatment of plantar fasciitis, the operation of the ultrasonic probe 200 and the technology of the medical personnel who perform the injection plays an important role, and the skill of the technique requires a long time to accumulate experience. However, this is not a good thing for the patient. Therefore, there is indeed a need for improvement in the current drug injection treatment for plantar fasciitis.

因此,本發明之目的,即在提供一種可準確輔助超音波導引手動藥物注射治療足底筋膜炎的輔材。 Accordingly, it is an object of the present invention to provide an auxiliary material which can accurately assist with ultrasonic guided manual drug injection for the treatment of plantar fasciitis.

於是,本發明輔助超音波導引手動藥物注射治療足底筋膜炎的輔材,適用於疊靠在一朝上之腳掌面上,並搭配一超音波探頭與一注射針筒使用,該輔材包含一基座,及分別安裝於該基座之一導引座、一快拆定位組件與一量角器。 Therefore, the auxiliary ultrasonic guided artificial drug injection of the present invention is used for the treatment of plantar fasciitis, and is suitable for stacking on a palm face of an upward direction, and is used with an ultrasonic probe and a syringe. The material comprises a base and a guiding seat respectively mounted on the base, a quick release positioning component and a protractor.

該基座包括一具有一底部開口並可供所述超音波探頭置入定位而朝該底側開口發射接收超音波之中空的座體部 ,及至少一自該座體部往左延伸的安裝部。該導引座是可相對該安裝部左右調移與繞一樞轉軸心上下調轉樞擺地設置在該安裝部旁側,且具有一左右貫穿的導引長溝,該導引長溝可供所述注射針筒同軸設置且沿其軸向移動。該快拆定位組件是可左右調移定位地安裝樞設在該安裝部上並與該導引座組接,且可在一驅使該導引座無法相對該安裝部上下樞轉與調移地緊迫靠抵於該安裝部之迫緊位置,與一使該導引座鬆離該安裝部而可相對該安裝部左右調移與調轉樞擺的鬆開位置間變化。該量角器是可量測該導引座相對該安裝部上下樞擺角度地同軸樞設在該快拆定位組件,並可隨該快拆定位組件左右位移。 The base includes a hollow body portion having a bottom opening and being positionable by the ultrasonic probe to transmit and receive ultrasonic waves toward the bottom side opening And at least one mounting portion extending from the body to the left. The guiding seat is disposed on the side of the mounting portion and is pivotally disposed on the side of the mounting portion, and has a guiding long groove extending through the left and right sides of the pivoting axis. The syringe is coaxially disposed and moves along its axial direction. The quick-release positioning assembly is pivotally mounted on the mounting portion and coupled to the guiding portion, and can be driven to pivot up and down relative to the mounting portion. Pressing against the pressing position of the mounting portion, and changing the releasing position of the mounting portion from the mounting portion to the right and left of the mounting portion. The protractor is measurably coaxially disposed on the quick-release positioning component with respect to the pivoting angle of the mounting portion, and is displaceable with the quick-release positioning component.

本發明之功效:透過該導引座可相對基座調移與調轉定位的設計,使得醫護人員在初次注射治療後的每一次後續注射治療時,都可根據初次治療時所記錄之該導引座的樞轉軸心位置與角度,使注射針一次就可插置預定治療部位,病患不需再承受反覆插針的痛苦。 The effect of the invention: through the guiding seat, the design of the positioning and the positioning of the positioning relative to the pedestal enables the medical staff to follow the guidance recorded during the initial treatment in each subsequent injection treatment after the initial injection treatment. The position and angle of the pivot axis of the seat allows the needle to be inserted into the predetermined treatment site once, and the patient does not need to suffer the pain of repeatedly inserting the needle.

有關本發明之前述及其他技術內容、特點與功效,在以下配合參考圖式之兩個較佳實施例的詳細說明中,將可清楚的呈現。 The above and other technical contents, features and advantages of the present invention will be apparent from the following detailed description of the preferred embodiments of the invention.

在本發明被詳細描述之前,要注意的是,在以下的說明內容中,類似的元件是以相同的編號來表示。 Before the present invention is described in detail, it is noted that in the following description, similar elements are denoted by the same reference numerals.

如圖2、3、6所示,本發明輔助超音波導引手動藥物注射治療足底筋膜炎的輔材的第一較佳實施例,適用於搭 配一超音波探頭900與一注射針筒901使用,而用以輔助進行足底筋膜炎的藥物注射治療。必須注意的是,在以下各實施例關於方位的描述,是以圖6之左右側定義為左右向。 As shown in Figures 2, 3 and 6, the first preferred embodiment of the auxiliary ultrasound-guided manual drug injection for treating plantar fasciitis is suitable for use in An ultrasonic probe 900 is used with an injection syringe 901 to assist in the drug injection treatment of plantar fasciitis. It should be noted that the descriptions of the orientations in the following embodiments are defined as left and right directions on the left and right sides of FIG.

該輔材包含一基座3、一可上下樞擺與調移地樞設於該基座3的導引座4、一可左右調移地安裝在該基座3前側之量角器5、一用以將該導引座4與該量角器5安裝於該基座3的快拆式快拆定位組件6,及一可左右調移地安裝於該基座3之定位件7。 The auxiliary material comprises a base 3, a guiding seat 4 pivotally pivotally and pivotally disposed on the base 3, and a protractor 5 mounted on the front side of the base 3 for shifting left and right. The quick-release quick-release positioning assembly 6 for mounting the guide seat 4 and the protractor 5 to the base 3 and a positioning member 7 movably mounted to the base 3 are disposed.

該基座3包括一上下貫穿之中空管柱狀的座體部31,及二前後間隔平行地分別自該座體部31左側一體往左延伸之直立片狀的安裝部32。該座體部31可供所述超音波探頭900往下置入其內部,而可供超音波探頭900朝其底部開口311往下發射與偵測超音波,且其前、後外側面近底緣部位分別凹設有一左右延伸之調移槽310。該等安裝部32分別具有一前後貫穿且左右延伸之樞接溝槽320,該基座3還具有一左右延伸地設置於該座體部31前側面與前側安裝部32的前側面,且位於調移槽310與樞接溝槽320下方之尺規刻度33。 The base 3 includes a hollow tubular column-shaped seat portion 31 that penetrates vertically, and two erect-like mounting portions 32 that extend in parallel from the left side of the seat portion 31 to the left. The body portion 31 can be placed into the interior of the ultrasonic probe 900, and the ultrasonic probe 900 can be used to emit and detect ultrasonic waves toward the bottom opening 311 thereof, and the front and rear outer sides thereof are near the bottom. The edge portions are respectively recessed with a left and right extending transfer groove 310. Each of the mounting portions 32 has a pivoting groove 320 extending through the front and the rear and extending left and right. The base 3 further has a front side extending from the front side and the front side mounting portion 32 of the seat portion 31. The shift groove 310 and the ruler scale 33 below the pivot groove 320 are adjusted.

如圖3、4、6所示,該導引座4是透過該快拆定位組件6而可拆離地安裝在該等安裝部32間,並可相對該等安裝部32左右調移定位與繞其樞轉軸心40上下樞擺調轉定位。該導引座4具有一左右延伸之塊體部41,及二分別自該座體部41右端部位頂面往上突伸的樞接部42,且該塊體 部41頂面凹設有一左右延伸貫穿且介於該等樞接部42間的導引長溝410,該導引長溝410可供所述注射針筒901沿其長度方向嵌入限位,並導引該注射針筒901可沿其軸向左右位移。在本實施例中,該導引溝槽410之凹陷深度可使嵌置之注射針筒901軸心與其樞轉軸心40正交。 As shown in FIGS. 3, 4 and 6, the guide seat 4 is detachably mounted between the mounting portions 32 through the quick-release positioning assembly 6, and can be positioned and moved relative to the mounting portions 32. The pivot axis 40 is pivoted up and down around its pivot axis 40. The guiding seat 4 has a block portion 41 extending from the left and right, and two pivoting portions 42 respectively protruding upward from the top surface of the right end portion of the seat portion 41, and the block body The top surface of the portion 41 is recessed with a guiding long groove 410 extending between the pivoting portions 42 and extending between the pivoting portions 42. The guiding long groove 410 allows the injection syringe 901 to be embedded in the limit along the length thereof. The syringe barrel 901 is displaceable left and right along its axial direction. In the present embodiment, the recessed depth of the guiding groove 410 can make the axis of the inserted syringe cylinder 901 orthogonal to its pivot axis 40.

在本實施例中,該導引長溝410是凹設於該塊體部41頂面,且凹陷深度小於該注射針筒901直徑,而使該注射針筒901可局部露出導引長溝410上方,以方便使用者手指觸碰推移。但實施時,該導引長溝410亦可設計成左右延伸貫穿該塊體部41之穿孔狀,且其凹陷深度不以小於注射針筒901直徑為必要。 In this embodiment, the guiding long groove 410 is recessed on the top surface of the block portion 41, and the recessed depth is smaller than the diameter of the injection syringe 901, so that the injection syringe 901 can be partially exposed above the guiding long groove 410. In order to facilitate the user's finger touch and move. However, in practice, the guide long groove 410 can also be designed to have a perforated shape extending left and right through the block portion 41, and the depth of the recess is not smaller than the diameter of the injection syringe 901.

該量角器5是透過該快拆定位組件6而可相對該基座3左右調移與樞轉地安裝在前方安裝部32的前側,在本實施例中,該量角器5左半部近外周緣部位設置有量角刻度50,而其圓心部位設有一與該樞轉軸心40同軸之中心孔51。 The protractor 5 is pivotally mounted to the front side of the front mounting portion 32 relative to the base 3 through the quick release positioning assembly 6. In the present embodiment, the left and right peripheral portions of the left half of the protractor 5 are A quantum scale 50 is provided, and a central hole 51 coaxial with the pivot axis 40 is provided at a center portion thereof.

如圖3、5、6所示,該快拆定位組件6包括二前後間隔地分別安裝在該等安裝部32與該等樞接部42間的快拆定位器61,每一快拆定位器61包括一嵌裝固定於該對應之樞接部32中的固定螺帽611、一前後延伸且用以穿設於對應之樞接溝槽320中並螺設於該固定螺帽611的快拆螺桿612,及一樞設於該快拆螺桿612末端並可相對該快拆螺桿612在一迫緊位置與一鬆開位置間樞擺變化的快拆撥桿613,其中,該快拆螺桿612直徑小於該樞接溝槽320的上下側孔徑,而可沿樞接溝槽320位移。 As shown in FIG. 3, FIG. 5 and FIG. 6, the quick release positioning assembly 6 includes two quick release locators 61 respectively installed between the mounting portions 32 and the pivoting portions 42 at intervals. The fastening nut 611 includes a fixing nut 611 that is fixedly mounted in the corresponding pivoting portion 32, and a quick release that extends forward and backward and is inserted into the corresponding pivoting groove 320 and screwed to the fixing nut 611. a screw 612, and a quick release lever 613 pivotally disposed at an end of the quick release screw 612 and pivoting relative to the quick release screw 612 between a pressing position and a release position, wherein the quick release screw 612 has a diameter It is smaller than the upper and lower side apertures of the pivoting groove 320 and is displaceable along the pivoting groove 320.

該等快拆定位器61用以將該導引座4與該量角器5安裝定位於該基座3時,是將該導引座4設置於該等安裝部32間,而將該量角器5直立靠抵於前側安裝部32的前側面,再將其中一快拆定位器61之快拆螺桿612往後依序貫穿該量角器5之中心孔51與前側安裝部32之樞接溝槽320,並穿設於該導引座4之前側樞接部42,而螺鎖於對應之固定螺帽611,另一快拆定位器61則是以其快拆螺桿612往前貫穿後側安裝部32之樞接溝槽320,而穿設於該導引座4之後側樞接部42,並螺接於固定螺帽611。此時,該導引座4與該量角器5即已安裝完成。 When the quick release positioner 61 is used to mount the guide seat 4 and the protractor 5 to the base 3, the guide seat 4 is disposed between the mounting portions 32, and the protractor 5 is erected. Abutting against the front side of the front side mounting portion 32, the quick release screw 612 of one of the quick release positioners 61 is sequentially passed through the center hole 51 of the protractor 5 and the pivoting groove 320 of the front side mounting portion 32, and The first pivoting portion 42 is inserted through the guiding seat 4 and is screwed to the corresponding fixing nut 611. The other quick-release positioning device 61 is inserted through the quick-release screw 612 to the rear mounting portion 32. The pivoting groove 320 is inserted through the rear side pivoting portion 42 of the guiding seat 4 and screwed to the fixing nut 611. At this time, the guide seat 4 and the protractor 5 are already installed.

當該等快拆定位器61之快拆撥桿613擺靠向該基座3而位於該迫緊位置時,如圖2實線所示之快拆撥桿613,會驅使該導引座4無法調移與調轉地固定於該等安裝部32間,當要調移導引座4時,僅需將快拆撥桿613扳末端擺離該基座3而位於該鬆開位置,如圖2假想線所示之快拆撥桿613。由於該等快拆定位器61為習知構件,因此不再詳述。 When the quick release lever 613 of the quick release positioner 61 is placed against the base 3 and is in the pressing position, the quick release lever 613 shown in the solid line of FIG. 2 drives the guide seat 4 When the guide seat 4 is to be transferred, it is only necessary to swing the end of the quick release lever 613 from the base 3 to be in the release position, as shown in the figure. 2 Quick release lever 613 shown by the imaginary line. Since the quick release positioners 61 are conventional components, they will not be described in detail.

該定位件7為一扁平金屬桿條彎折製成之C型扣件,具有一前後延伸地靠抵於該座體部31底部開口下方之定位段71,及二分別自該定位段71前、後端往上延伸並相向彎折而分別扣抵於該等調移槽310中的嵌置段72,該定位件7可沿該等調移槽310長度方向左右調移,且該定位段71可於超音波探頭900往下量取超音波影像時,因慧星尾巴(comet-tail)效應而在超音波影像中產生一上下延伸之影像( 圖未示),而可用以標註待藥物注射治療的足底筋膜炎部位。 The positioning member 7 is a C-shaped fastener formed by bending a flat metal bar, and has a positioning portion 71 extending forwardly and downwardly against the bottom opening of the seat portion 31, and two from the positioning portion 71 respectively. The rear end is extended upwardly and bent toward the insertion section 72 of the transfer slot 310, and the positioning member 7 can be moved to the left and right along the length direction of the transfer slot 310, and the positioning section is 71 can generate an image of the top and bottom extension in the ultrasonic image due to the comet-tail effect when the ultrasonic probe image is measured downward by the ultrasonic probe 900 ( The figure is not shown, but can be used to mark the site of the plantar fasciitis to be treated by drug injection.

本發明輔材初次用於輔助足底筋膜炎的藥物注射治療時,是將該基座3往下疊置於病患之腳掌面,且使該座體部31底部開口311位於足跟部上方,再將該超音波探頭900往下置入該座體部31中,而靠抵於病患腳掌面,並開始量取足跟部之超音波影像。此時,可根據測得之超音波影像標示出脂肪墊、足底筋膜與跟骨位置,並相對該基座部31左右調移該定位件7,使該定位件7在超音波影像中因慧星尾巴效應產生之直立條狀影像對準該足底筋膜預定注射位置,此時,醫護人員可先根據該基座3之尺規刻度33記錄該定位件7的位置。 When the auxiliary material of the present invention is used for the first time to assist the medicine for the treatment of plantar fasciitis, the pedestal 3 is placed on the sole of the patient's foot, and the bottom opening 311 of the body portion 31 is located at the heel portion. Above, the ultrasonic probe 900 is placed down into the body portion 31, and is pressed against the patient's foot surface, and the ultrasonic image of the heel portion is measured. At this time, the position of the fat pad, the plantar fascia and the calcaneus can be marked according to the measured ultrasonic image, and the positioning member 7 is transferred to the left and right of the base portion 31, so that the positioning member 7 is in the ultrasonic image. The upright strip image generated by the comet tail effect is aligned with the predetermined injection position of the plantar fascia. At this time, the medical staff can first record the position of the positioning member 7 according to the ruler scale 33 of the base 3.

接著,可先鬆開該等快拆定位器61,並沿該等樞接溝槽320左右調移與上下樞擺調轉該導引座4,使放置於該導引座4之導引長溝410中的注射針筒901的軸向大致朝向預定注射藥物的足底筋膜部位,然後,將該等快拆定位器61調整至迫緊位置,將該導引座4定位於該基座3上。接著,沿該導引長溝410軸向逐漸往下推移該注射針筒901,使注射針902往下刺入足跟部中。在注射過程中,可根據該超音波影像得知注射針902之刺入深度與位置,並可透過該輔材穩住該注射針902的刺入方向,注射針902不會產生偏移。 Then, the quick release positioners 61 can be loosened first, and the guide seats 4 can be transferred to the left and right pivots along the pivotal grooves 320 to guide the long grooves 410 placed on the guide seats 4 . The axial direction of the injection syringe 901 is substantially toward the plantar fascia portion of the predetermined injection of the drug, and then the quick release positioner 61 is adjusted to the pressing position, and the guide seat 4 is positioned on the base 3 . Next, the injection syringe 901 is gradually moved downward along the guide long groove 410, and the injection needle 902 is inserted downward into the heel portion. During the injection process, the penetration depth and position of the injection needle 902 can be known from the ultrasound image, and the direction of penetration of the injection needle 902 can be stabilized by the auxiliary material, and the injection needle 902 does not shift.

若發現目前的導引座4角度與位置無法使注射針902刺入預定注射藥物部位時,醫護人員可先根據該基座3之 尺規刻度33與該量角器5的量角刻度50,得知目前該導引座4之樞轉軸心40位置與仰角角度,進而判斷出後續該左右調移與上下調轉該導引座4的幅度,可於拔針後,重新相對該基座3調移與調轉該導引座4後,再次沿該導引座4之導引長溝410軸向往下推移該注射針筒901,使注射針902再次插入足跟部,通常即可將注射針902準確刺入待注射藥物的部位。此時,醫護人員可根據該尺規刻度33與該量角刻度50記錄下導引座4樞轉軸心40位置與仰角,並記錄該病患後腳跟後緣相對於該尺規刻度33的位置。 If it is found that the current guide seat 4 angle and position cannot cause the injection needle 902 to penetrate the predetermined injection site, the medical staff can first according to the base 3 The ruler scale 33 and the protractor scale 50 of the protractor 5 are used to know the position of the pivot axis 40 of the guide seat 4 and the elevation angle, thereby determining the subsequent amplitude of the left and right shift and up and down of the guide seat 4. After the needle is removed, the guide base 4 is repositioned and rotated relative to the base 3, and the injection needle barrel 901 is again moved downward along the guide long groove 410 of the guide seat 4 to make the injection needle 902. Once the heel is inserted again, the needle 902 can usually be accurately inserted into the site where the drug is to be injected. At this time, the medical staff can record the position and elevation angle of the pivot axis 40 of the guiding seat 4 according to the scale 33 and the angular scale 50, and record the position of the rear edge of the heel relative to the scale 33 of the patient. .

完成上述初次藥物注射治療後,待該位病患下次要再進行注射治療時,醫護人員可直接根據初次注射治療時所紀錄之導引座4樞轉軸心40位置與角度及該定位件7位置,直接將定位件7與導引座4調整定位後,再根據該病患後腳跟後緣相對於該尺規刻度33的位置,將該輔材疊靠定位於病患腳掌面,即可將該注射針筒901沿該導引座4之導引長溝410往下推移進行藥物注射,並配合超音波影像,就可再次快速準確地將注射針902刺入預定治療部位,可完全避免再次治療時仍得反覆嘗試插針的情況,相當方便實用。 After completing the above-mentioned initial drug injection treatment, when the patient is to be injected again next time, the medical staff can directly view the position and angle of the pivot axis 40 and the positioning member 7 according to the position of the guide seat 4 recorded during the initial injection treatment. Position, directly adjust the positioning member 7 and the guiding seat 4, and then according to the position of the rear edge of the patient's rear heel relative to the scale 33, the auxiliary material is positioned on the patient's foot surface. The injection syringe 901 is pushed down along the guiding long groove 410 of the guiding seat 4 for drug injection, and with the ultrasonic image, the injection needle 902 can be quickly and accurately penetrated into the predetermined treatment site again, which can completely avoid again. It is still convenient and practical to try to insert the needle repeatedly during treatment.

在本實施例中,將該定位件7設置在該座體部31底邊,而位在該超音波探頭900下方的目的,在於利用其會在超音波影像中因彗星尾巴效應而產生上下延伸之條狀影像的特性,藉由該條狀影像標指出足底筋膜的位置,以方便確認注射針之插入。但實施時,僅根據該超音波影像應該 就足以辨識出足底筋膜、跟骨,及插入之注射針位置,所以並不以設置該定位件7為必要。此外,本實施例之定位件7是呈扁平條狀,但實施時也可以是圓形條狀。 In this embodiment, the positioning member 7 is disposed at the bottom edge of the seat portion 31, and the purpose of being positioned below the ultrasonic probe 900 is that it can be extended up and down in the ultrasonic image due to the comet tail effect. The characteristics of the strip image indicate the position of the plantar fascia by the strip image to facilitate confirmation of the insertion of the needle. But when implemented, only based on the ultrasound image should It is sufficient to identify the plantar fascia, the calcaneus, and the position of the inserted needle, so it is not necessary to provide the positioning member 7. Further, the positioning member 7 of the present embodiment has a flat strip shape, but may be a circular strip shape when implemented.

另外,必須說明的是,在本實施例中,該基座3設置有兩個安裝部32,該導引座4是透過兩個快拆定位器61而安裝在該等安裝部32間,但實施時,該基座3可僅設置一個安裝部32,而該快拆定位組件6也可僅設置一個快拆定位器61,並以該快拆定位器61將該導引座4與該量角器5安裝在該安裝部32前、後側,同樣可用以定位與量測導引座4之樞轉軸心40位置與角度。 In addition, in the present embodiment, the base 3 is provided with two mounting portions 32 that are mounted between the mounting portions 32 through the two quick-release locators 61, but In practice, the base 3 may be provided with only one mounting portion 32, and the quick release positioning assembly 6 may also be provided with only one quick release positioner 61, and the guide seat 4 and the protractor are fastened by the quick release positioner 61. 5 is mounted on the front and rear sides of the mounting portion 32, and can also be used to position and measure the position and angle of the pivot axis 40 of the guide seat 4.

如圖7、8所示,本發明輔助超音波導引手動藥物注射治療足底筋膜炎的輔材的第二較佳實施例,與第一較佳實施例差異處在於:另外增設有可根據腳掌寬度進行該基座3設置位置之定位的結構。為方便說明,以下將僅就本實施例與第一較佳實施例差異處進行描述。 As shown in FIGS. 7 and 8, the second preferred embodiment of the assisted ultrasonic guided manual drug injection for the treatment of plantar fasciitis is different from the first preferred embodiment in that: The structure in which the position of the base 3 is positioned is performed according to the width of the sole. For convenience of description, only the differences between the present embodiment and the first preferred embodiment will be described below.

在本實施例中,該基座3之座體部31的右側壁312近底端處穿設有二上下間隔且前後貫穿之條狀軌孔313,該輔材還包括二前後相向地分別插設於該座體部31之該等軌孔313中的伸縮尺8,該等伸縮尺8分別具有一可前後滑移地插置於對應之軌孔313中的尺規段81,及一自該尺規段81末端往下彎折而分別外露於該座體部31前、後側的限位段82,該尺規段81頂面設有長度刻度810。 In the present embodiment, the right side wall 312 of the base portion 31 of the base 3 is provided with two strip-shaped rail holes 313 spaced apart from each other at the near bottom end. The auxiliary material further includes two front and rear facing holes. The telescopic scales 8 are disposed in the rail holes 313 of the seat portion 31, and the telescopic scales 8 respectively have a ruler segment 81 which is inserted into the corresponding rail hole 313 so as to be slip-slidable back and forth, and The end of the ruler segment 81 is bent downward and exposed to the limiting portion 82 on the front and rear sides of the seat portion 31. The top surface of the ruled segment 81 is provided with a length scale 810.

本實施例之輔材的使用方式大致與第一較佳實施例相同,但可於將該輔材放置在腳掌面前,先將該等伸縮尺8 前後相背局部拉引出該基座3外,並於該基座3靠抵於腳掌面後,驅使該等伸縮尺8之限位段82前後相向位移靠近,而前後相向夾抵於腳掌邊。然後,可於完成注射治療,而根據該尺規刻度33與該量角器5量取導引座4樞轉軸心位置與樞轉角度、該定位件7位置,及後腳跟後緣位置的同時,再根據該等伸縮尺8對準該座體部31前、後側邊緣的刻度,記錄該等伸縮尺8延伸出基座3外的長度。 The auxiliary material of the embodiment is used in the same manner as the first preferred embodiment, but the auxiliary material can be placed in front of the sole of the foot, and the elastic scale 8 is first used. The front and rear portions are pulled out to the outside of the base 3, and after the base 3 abuts against the sole surface of the foot, the limit segments 82 of the telescopic scales 8 are driven to face forward and backward, and the front and rear faces are opposite to each other. Then, the injection treatment can be completed, and the pivoting axis position and the pivoting angle of the guiding seat 4, the positioning position of the positioning member 7, and the rear edge position of the rear heel are measured according to the scale 33 and the protractor 5, and then The lengths of the telescopic scales 8 extending beyond the base 3 are recorded by aligning the scales 8 with respect to the scales of the front and rear side edges of the seat portion 31.

藉此設計,當再次對病患進行藥物注射以治療足底筋膜炎時,可進一步根據初次注射治療時所紀錄之該等伸縮尺8往外延伸出基座3外的長度,將該等伸縮尺8前後調移定位,並將靠抵於腳掌面之基座3調移至該等伸縮尺8之限位段82同時靠抵於腳掌邊緣的位置,而可方便該基座3之設置定位,將有助於進一步提高注射準確度。 According to the design, when the patient is again injected with a drug to treat plantar fasciitis, the length of the telescopic scale 8 which is recorded at the time of the initial injection treatment is extended to the outside of the base 3, and the telescopic expansion is performed. The ruler 8 is positioned and moved forward and backward, and the base 3 that is pressed against the sole of the foot is transferred to the limit segment 82 of the telescopic ruler 8 and simultaneously abuts against the edge of the sole of the foot, so that the positioning of the base 3 can be facilitated. Will help to further improve the accuracy of the injection.

在本實施例中,該等伸縮尺8是插設在不同之軌孔313中,但實施時,該等伸縮尺8也可插設在同一軌孔313內。 In the present embodiment, the telescopic scales 8 are inserted into different rail holes 313, but in implementation, the telescopic scales 8 can also be inserted into the same rail hole 313.

綜上所述,透過該導引座4可相對基座3調移與調轉定位的設計,使得醫護人員在進行足底筋膜炎的藥物注射治療時,只可能在初次注射治療時會發生重複插針的情況,在初次注射治療後的每一次後續注射治療時,都可根據初次治療時所記錄之該導引座4的樞轉軸心40位置與角度、後腳跟後緣位置,及該等伸縮尺8突伸長度,使該輔材可準確設置定位,且注射針902一次就可插置預定治療部位,病患不需再承受反覆插針的痛苦。且可進一步搭配該 定位件7的設置,在超音波影像中直接標示出預定注射治療位置,方便醫護人員確認注射針802插入位置,已可大幅改善以往足底筋膜炎進行藥物注射治療時的缺點,相當方便實用。因此,確實可達到本發明之目的。 In summary, the design of the guiding and positioning of the pedestal 3 relative to the pedestal 3 allows the medical staff to perform repeated injections of the plantar fasciitis. In the case of a pin, at each subsequent injection treatment after the initial injection treatment, the position and angle of the pivot axis 40 of the guide seat 4, the position of the trailing edge of the rear heel, and the like are recorded according to the initial treatment. The expansion of the telescopic ruler 8 enables the auxiliary material to be accurately positioned, and the injection needle 902 can be inserted into the predetermined treatment site at a time, and the patient does not need to suffer the repeated insertion of the needle. And can be further matched with the The setting of the positioning member 7 directly indicates the predetermined injection treatment position in the ultrasonic image, so that the medical staff can confirm the insertion position of the injection needle 802, which can greatly improve the shortcomings of the previous plantar fasciitis for drug injection treatment, and is quite convenient and practical. . Therefore, the object of the present invention can be achieved.

惟以上所述者,僅為本發明之較佳實施例而已,當不能以此限定本發明實施之範圍,即大凡依本發明申請專利範圍及發明說明內容所作之簡單的等效變化與修飾,皆仍屬本發明專利涵蓋之範圍內。 The above is only the preferred embodiment of the present invention, and the scope of the invention is not limited thereto, that is, the simple equivalent changes and modifications made by the scope of the invention and the description of the invention are All remain within the scope of the invention patent.

3‧‧‧基座 3‧‧‧Base

31‧‧‧座體部 31‧‧‧ body

310‧‧‧調移槽 310‧‧‧Transfer trough

311‧‧‧底部開口 311‧‧‧ bottom opening

312‧‧‧右側壁 312‧‧‧ right wall

313‧‧‧軌孔 313‧‧ ‧ rail hole

32‧‧‧安裝部 32‧‧‧Installation Department

320‧‧‧樞接溝槽 320‧‧‧ pivot trench

33‧‧‧尺規刻度 33‧‧‧ ruler scale

4‧‧‧導引座 4‧‧‧ Guide seat

40‧‧‧樞轉軸心 40‧‧‧ pivot axis

41‧‧‧塊體部 41‧‧‧Block body

410‧‧‧導引長溝 410‧‧‧Guide the long ditch

42‧‧‧樞接部 42‧‧‧ pivotal department

5‧‧‧量角器 5‧‧‧Protractor

50‧‧‧量角刻度 50‧‧‧Angular scale

51‧‧‧中心孔 51‧‧‧ center hole

6‧‧‧快拆定位組件 6‧‧‧Quick release positioning assembly

61‧‧‧快拆定位器 61‧‧‧Quick release locator

611‧‧‧固定螺帽 611‧‧‧fixed nuts

612‧‧‧快拆螺桿 612‧‧‧ quick release screw

613‧‧‧快拆撥桿 613‧‧‧Quick release lever

7‧‧‧定位件 7‧‧‧ Positioning parts

71‧‧‧定位段 71‧‧‧ positioning segment

72‧‧‧嵌置段 72‧‧‧ embedded section

8‧‧‧伸縮尺 8‧‧‧Retractable ruler

81‧‧‧尺規段 81‧‧‧ ruled section

810‧‧‧長度刻度 810‧‧‧ length scale

82‧‧‧限位段 82‧‧‧Limited paragraph

900‧‧‧超音波探頭 900‧‧‧Ultrasonic probe

901‧‧‧注射針筒 901‧‧‧Injection syringe

902‧‧‧注射針 902‧‧‧Injection needle

圖1是習知以超音波輔助進行足底筋膜炎之藥物注射治療時的操作示意圖;圖2是本發明輔助超音波導引手動藥物注射治療足底筋膜炎的輔材之第一較佳實施例的立體圖;圖3是該第一較佳實施例的立體分解圖;圖4是該第一較佳實施例之左側視剖面圖;圖5是該第一較佳實施例之前側視圖;圖6是該第一較佳實施例之前側視剖面圖,並示意說明該較佳實施例搭配一超音波探頭使用時的情況;圖7是本發明輔助超音波導引手動藥物注射治療足底筋膜炎的輔材之第二較佳實施例的立體圖;及圖8是該第二較佳實施例之右側視圖。 FIG. 1 is a schematic view showing the operation of ultrasonic injection assisted injection therapy for plantar fasciitis; FIG. 2 is the first comparison of the auxiliary ultrasound-guided manual drug injection for the treatment of plantar fasciitis. 3 is an exploded perspective view of the first preferred embodiment; FIG. 4 is a left side cross-sectional view of the first preferred embodiment; and FIG. 5 is a front side view of the first preferred embodiment. Figure 6 is a front cross-sectional view of the first preferred embodiment, and schematically illustrates the case where the preferred embodiment is used with an ultrasonic probe; Figure 7 is an auxiliary ultrasonic guided manual drug injection for treating the foot of the present invention; A perspective view of a second preferred embodiment of the fascia auxiliaries; and Fig. 8 is a right side view of the second preferred embodiment.

3‧‧‧基座 3‧‧‧Base

31‧‧‧座體部 31‧‧‧ body

310‧‧‧調移槽 310‧‧‧Transfer trough

32‧‧‧安裝部 32‧‧‧Installation Department

320‧‧‧樞接溝槽 320‧‧‧ pivot trench

33‧‧‧尺規刻度 33‧‧‧ ruler scale

4‧‧‧導引座 4‧‧‧ Guide seat

41‧‧‧塊體部 41‧‧‧Block body

410‧‧‧導引長溝 410‧‧‧Guide the long ditch

42‧‧‧樞接部 42‧‧‧ pivotal department

5‧‧‧量角器 5‧‧‧Protractor

50‧‧‧量角刻度 50‧‧‧Angular scale

6‧‧‧快拆定位組件 6‧‧‧Quick release positioning assembly

61‧‧‧快拆定位器 61‧‧‧Quick release locator

612‧‧‧快拆螺桿 612‧‧‧ quick release screw

613‧‧‧快拆撥桿 613‧‧‧Quick release lever

7‧‧‧定位件 7‧‧‧ Positioning parts

Claims (11)

一種輔助超音波導引手動藥物注射治療足底筋膜炎的輔材,適用於疊靠在一朝上之腳掌面上,並搭配一超音波探頭與一注射針筒使用,該輔材包含:一基座,包括一具有一底部開口並可供所述超音波探頭置入定位而朝該底側開口發射接收超音波之中空的座體部,及至少一自該座體部往左延伸的安裝部;一導引座,可相對該安裝部左右調移與繞一樞轉軸心上下調轉樞擺地設置在該安裝部旁側,且具有一左右貫穿的導引長溝,該導引長溝可供所述注射針筒同軸設置且沿其軸向移動;一快拆定位組件,可左右調移定位地安裝樞設在該安裝部上並與該導引座組接,且可在一驅使該導引座無法相對該安裝部上下樞轉與調移地緊迫靠抵於該安裝部之迫緊位置,與一使該導引座鬆離該安裝部而可相對該安裝部左右調移與調轉樞擺的鬆開位置間變化;及一量角器,可用以量測該導引座相對該安裝部上下樞擺角度地同軸樞設在該快拆定位組件,並可隨該快拆定位組件左右位移。 An auxiliary ultrasonic guided manual drug injection for the treatment of plantar fasciitis, which is suitable for stacking on an upwardly facing sole of the foot, and is used with an ultrasonic probe and a syringe, the auxiliary material comprising: a pedestal comprising a hollow body portion having a bottom opening for positioning the ultrasonic probe to transmit and receive ultrasonic waves toward the bottom side opening, and at least one extending from the body portion to the left a guiding portion; a guiding seat is disposed on the side of the mounting portion with respect to the pivoting axis about a pivoting axis, and has a guiding long groove extending through the left and right. Providing the injection needle cylinder coaxially disposed and moving along the axial direction thereof; a quick release positioning assembly is pivotally mounted on the mounting portion and coupled to the guide seat, and can be driven The guiding seat can not be pivoted and moved up and down relative to the mounting portion to abut against the pressing position of the mounting portion, and the guiding portion can be loosened and rotated relative to the mounting portion. a change in the release position of the pivot; and a protractor, Used to measure the relative guide seat of the swing pivotally mounting the upper and lower angularly disposed coaxially pivoted in the quick release positioning assembly, and may vary around the quick release assembly is positioned displaced. 根據申請專利範圍第1項所述之輔助超音波導引手動藥物注射治療足底筋膜炎的輔材,其中,該基座包括二前後間隔地分別自該座體部往左沿伸之安裝部,該導引座是可左右位移與上下調轉樞擺地設置於該等安裝部相向側間,且該等安裝部分別具有一前後貫穿且左右延伸之 之樞接溝槽,該快拆定位組件包括二可左右位移且前後相向地分別貫穿樞設在該等安裝部之樞接溝槽中,並分別與該導引座組接的快拆定位器,且其中一快拆定位器是穿設於該量角器中心部位。 According to the auxiliary ultrasonic guided manual drug injection according to the first aspect of the patent application, the auxiliary material for the treatment of plantar fasciitis, wherein the base comprises two mounting portions which are spaced apart from the body to the left. The guiding seat is disposed between the opposite sides of the mounting portions with the left and right displacement and the up and down rotation pivoting, and the mounting portions respectively have a front and rear through and extend left and right The quick-release positioning assembly includes two quick-release positioners that are vertically displaceable and face-to-face and respectively respectively pivotally disposed in the pivotal grooves of the mounting portions and respectively coupled to the guiding seats And one of the quick release positioners is disposed at the center of the protractor. 根據申請專利範圍第2項所述之輔助超音波導引手動藥物注射治療足底筋膜炎的輔材,每一快拆定位器具有一安裝固定在該導引座的固定螺帽、一可左右調移與樞轉地穿設於對應之安裝部的樞接溝槽中並螺接安裝於該固定螺帽的快拆螺桿,及一樞設於該快拆螺桿末端的快拆撥桿,且該快拆撥桿可相對該快拆螺桿樞擺,而使該快拆定位器自該鬆開位置變化至迫使對應之安裝部與該導引座相向迫緊靠抵定位的迫緊位置。 According to the auxiliary ultrasonic guided manual drug injection according to the second aspect of the patent application, the auxiliary material of the plantar fasciitis is treated, and each quick release locator has a fixing nut fixed to the guiding seat, and one can be left and right. And a quick release screw pivotally mounted in the pivotal groove of the corresponding mounting portion and screwed to the fixed nut, and a quick release lever pivoted at the end of the quick release screw, and The quick release lever is pivotable relative to the quick release screw, and the quick release positioner is changed from the release position to a pressing position for forcing the corresponding mounting portion to abut against the guide seat. 根據申請專利範圍第3項所述之輔助超音波導引手動藥物注射治療足底筋膜炎的輔材,其中,該導引座具有一左右延伸之塊體部,及二前後間隔地分別自該塊體部往上突伸的樞接部,該導引長溝是左右貫穿地凹設於該塊體部頂面且介該等樞接部間,該等固定螺帽是同軸地分別安裝固定在該等樞接部。 According to the auxiliary ultrasonic guided manual drug injection according to Item 3 of the patent application, the auxiliary material for the treatment of plantar fasciitis, wherein the guiding seat has a block body extending left and right, and the two are separated from each other. a pivoting portion protruding upwardly from the block body, the guiding long groove is recessed from the top surface of the block body and is interposed between the pivoting portions, and the fixing nuts are respectively fixed and fixed coaxially At the pivotal connections. 根據申請專利範圍第1或4項所述之輔助超音波導引手動藥物注射治療足底筋膜炎的輔材,其中,該導引座之導引長溝的凹陷深度會使安裝在該導引長溝中之注射針筒的軸心與其樞轉軸心呈正交。 Auxiliary ultrasonic guided manual drug injection according to claim 1 or 4 of the patent application for the treatment of plantar fasciitis, wherein the depth of the guiding groove of the guiding groove is installed in the guiding The axis of the syringe in the long groove is orthogonal to its pivot axis. 根據申請專利範圍第5項所述之輔助超音波導引手動藥物注射治療足底筋膜炎的輔材,其中,該導引長溝之凹 陷深度小於該注射針筒之直徑。 According to the auxiliary ultrasonic guided manual drug injection described in item 5 of the patent application, the auxiliary material of the plantar fasciitis is treated, wherein the guide groove is concave The depth of depression is less than the diameter of the syringe. 根據申請專利範圍第1或2項所述之輔助超音波導引手動藥物注射治療足底筋膜炎的輔材,其中,該基座還具有一左右延伸設置在該座體部與該安裝部前側面,而可用以量測該導引座之樞轉軸心位置的尺規刻度。 Auxiliary material for treating plantar fasciitis according to the auxiliary ultrasonic guided manual drug injection according to claim 1 or 2, wherein the base further has a left and right extension extending on the seat body and the mounting portion The front side can be used to measure the scale of the pivot axis position of the guide seat. 根據申請專利範圍第1或2項所述之輔助超音波導引手動藥物注射治療足底筋膜炎的輔材,還包含一可左右調移地安裝在該座體部之金屬材質的定位件,且該定位件是前後延伸地局部外露在該座體部之底部開口下方,而位在所述超音波探頭的超音波發射方向上。 According to the auxiliary ultrasonic guided manual drug injection according to claim 1 or 2, the auxiliary material for the treatment of plantar fasciitis further comprises a metal positioning member which can be attached to the body of the seat. And the positioning member is partially exposed to the bottom of the bottom portion of the body portion, and is located in the ultrasonic wave emitting direction of the ultrasonic probe. 根據申請專利範圍第8項所述之輔助超音波導引手動藥物注射治療足底筋膜炎的輔材,其中,該座體部之前、後外側面分別凹設有一左右延伸之調移槽,該定位件具有二分別嵌置在該等調移槽中並可沿該等調移槽左右調移之嵌置段,及一前後延伸外露於該座體部之底部開口的定位段。 According to the eighth aspect of the patent application, the auxiliary ultrasonic guided manual drug injection is used for the treatment of plantar fasciitis, wherein the front and rear outer sides of the body are respectively concavely arranged with a left and right extending transfer groove. The positioning member has two insertion sections respectively embedded in the transfer grooves and movable to the left and right along the transfer grooves, and a positioning segment extending forwardly and outwardly exposed to the bottom opening of the base portion. 根據申請專利範圍第8項所述之輔助超音波導引手動藥物注射治療足底筋膜炎的輔材,其中,該基座還具有一左右延伸設置在該座體部與該安裝部前側面,而可用以量測該導引座之樞轉軸心位置與該定位件位置的尺規刻度。 The auxiliary ultrasonic guided manual drug injection according to the eighth aspect of the patent application for the treatment of plantar fasciitis, wherein the base further has a left and right extension extending on the seat body and the front side of the mounting portion And can be used to measure the pivot axis position of the guide seat and the ruler scale of the position of the positioning member. 根據申請專利範圍第1項所述之輔助超音波導引手動藥物注射治療足底筋膜炎的輔材,還包含二可前後位移地分別插設於該座體部前、後側之伸縮尺,該等伸縮尺分 別具有一可前後位移突伸出座體部外地插設於該座體部中且頂面設置有長度刻度的尺規段,及一自該尺規段末端往下彎折而分別外露於該座體部前、後側的限位段。 According to the auxiliary ultrasonic guided manual drug injection described in Item 1 of the patent application, the auxiliary material for the treatment of plantar fasciitis includes a telescopic ruler which can be inserted into the front and rear sides of the body portion. , the scales The utility model has a ruler segment which is inserted into the body portion and has a length scale on the top surface, and a bending section which is bent downward from the end of the ruled segment and respectively exposed to the ruler segment The limit section on the front and rear sides of the seat.
TW101133008A 2012-09-10 2012-09-10 Auxiliary material for assisting ultrasound-guided manual medicine injection in treating plantar fasciitis TW201410213A (en)

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