WO2017206166A1 - 一种穿刺架 - Google Patents

一种穿刺架 Download PDF

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Publication number
WO2017206166A1
WO2017206166A1 PCT/CN2016/084675 CN2016084675W WO2017206166A1 WO 2017206166 A1 WO2017206166 A1 WO 2017206166A1 CN 2016084675 W CN2016084675 W CN 2016084675W WO 2017206166 A1 WO2017206166 A1 WO 2017206166A1
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WO
WIPO (PCT)
Prior art keywords
rotating
puncture frame
connecting member
needle
frame body
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Application number
PCT/CN2016/084675
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English (en)
French (fr)
Inventor
王沁
Original Assignee
王沁
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Publication date
Application filed by 王沁 filed Critical 王沁
Priority to PCT/CN2016/084675 priority Critical patent/WO2017206166A1/zh
Publication of WO2017206166A1 publication Critical patent/WO2017206166A1/zh

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles

Definitions

  • the invention relates to the technical field of interventional ultrasound tools, in particular to a puncture frame for freely adjusting the angle of the needle.
  • the external puncture frame is generally divided into two types in the control of the needle angle: 1.
  • the needle is inserted along the fixed angle direction set by the probe software; 2.
  • the needle is inserted at a free angle. Both types of needle insertion are used in clinical B-ultrasound surgery, but the above two types of needle insertion methods have the following defects:
  • the needle insertion mode is set along the fixed angle direction set by the probe software.
  • the fixed angle set on the software cannot meet the needle insertion requirements of all clinical operations;
  • the free angle needle insertion method currently used is a U-shaped open slot on the puncture frame.
  • the puncture needle swings freely in the U-shaped open slot.
  • the B-ultrasound image is used to determine the need for surgery.
  • the angle of freedom but because the angle of the needle swing does not have any limit in the U-shaped groove, when the doctor chooses the appropriate angle, the needle direction needs to be controlled by hand, so that the angular offset during the needle insertion process cannot be ensured.
  • Many B-ultrasounds in this way require an adjustment of the angle of the needle during the needle insertion process, which increases the risk of surgery and the pain of the patient during surgery.
  • the fixed angle set in the software cannot meet the needle insertion requirements of all clinical operations, and the free angle needle insertion mode currently used is U type.
  • the puncture frame of the open groove structure is prone to deviation in the angle of the needle in the operation, sometimes requires multiple needles, the operation risk is large, and the technical defect of the patient is increased.
  • the present invention provides a needle angle that can be adjusted freely and can be self-locked.
  • the needle insertion angle of the needle can avoid the problem that the needle angle is easily offset during the puncture operation, can achieve rapid positioning, reduce the risk of B-ultrasound surgery, and reduce the pain of the patient being repeatedly needled due to inaccurate needle in B-ultrasound operation. the goal of.
  • a puncture frame comprising a puncture frame body and an adjustment positioning device and a rotating needle holder assembly disposed on the puncture frame body;
  • the adjustment positioning device comprises a first connecting member and a second connecting member, the first connecting member Rotating connection with the second connecting member;
  • the adjustment positioning device is connected to the puncture frame body through the first connecting member, and is connected to the rotating needle holder assembly through the second connecting member.
  • the puncture frame adopts a mechanical linkage structure and has a self-locking function; the adjustment needle angle is free, convenient and accurate; and the angle adjustment is continuous without a jump.
  • the piercing frame body has a connecting portion at one end, and the connecting portion is provided with a stepped hole and a T-shaped guide rail.
  • the connecting portion is further provided with a first rotating hole.
  • the first connecting member comprises a thumb screw and a slider
  • the thumb screw is provided with a screw
  • the sliding block is provided with a threaded hole matched with the screw.
  • one end of the screw near the head of the thumb screw is provided with a hook that cooperates with the stepped hole, and the hook can be placed in the stepped hole.
  • the end of the screw near the head of the thumb screw is further provided with a U-shaped groove.
  • the slider is provided with a T-shaped guide groove that cooperates with the T-shaped guide rail, and the T-shaped guide rail can be placed in the T-shaped guide groove.
  • the slider is provided with a rotating arm, and the rotating arm is provided with a second rotating hole.
  • one end of the second connecting member is provided with a second rotating shaft that cooperates with the second rotating hole, and the other end is provided with a third rotating shaft.
  • one end of the rotating needle holder assembly is provided with a first rotating shaft that cooperates with the first rotating hole, and the bottom portion is provided with a third rotating hole that cooperates with the third rotating shaft.
  • the rotary needle holder assembly is simultaneously rotatable relative to the piercing frame body and the second connector.
  • the utility model has the beneficial effects that the puncture frame can drive the slider to slide up and down along the T-shaped guide rail on the puncture frame body by rotating the thumb screw, and the second connecting member connected thereto is pushed during the sliding process of the slider up and down.
  • the rotating needle holder assembly locks at the desired angle.
  • FIG. 1 is an exploded view of a puncture frame according to an embodiment of the present invention
  • FIG. 2 is a schematic structural view of a puncture frame body according to an embodiment of the present invention.
  • Figure 3 is a front elevational view of the puncture frame of the embodiment of the present invention.
  • FIG. 4 is a top plan view of a puncture frame according to an embodiment of the present invention.
  • Fig. 5 is a cross-sectional view taken along line A-A of Fig. 4;
  • 1-piercing frame body 11-joint portion; 111-stepped hole; 112-T-shaped guide rail; 113-first rotating hole; 2-adjustment positioning device; 21-first connecting member; 211-thumb screw; ; 2112 - hook; 2113-U groove; 212-slider; 2121-threaded hole; 2121-T-shaped guide groove; 2123-rotating arm; 21231-second rotating hole; 22-second connecting piece; Second rotating shaft; 222-third rotating shaft; 3-rotating needle holder assembly; 31-rotating needle holder body; 311-first rotating shaft; 312-third rotating hole; 32-sliding frame; ; 4 fixed device.
  • a puncture frame provided by an embodiment of the present invention includes a puncture frame body 1 for fixing an ultrasonic B-ultrasound probe, and an adjustment positioning device 2 and a rotation device disposed on the puncture frame body 1
  • the adjustment positioning device 2 includes a first connecting member 21 and a second connecting member 22, and the first connecting member 21 is rotatably connected to the second connecting member 22;
  • the adjustment positioning device 2 is connected to the puncture frame body 1 via the first connecting member 21, and is connected to the rotating needle holder assembly 3 via the second connecting member 22.
  • the embodiment of the present invention provides a puncture frame.
  • the puncture frame body 1 has a connecting portion 11 at one end thereof, and the connecting portion 11 is provided with a stepped hole 111 and a T-shaped guide rail 112.
  • the connecting portion 11 is further provided with a first rotating hole 113.
  • the first connecting member 21 includes a thumb screw 211 and a slider 212.
  • the thumb screw 211 is provided with a screw 2111.
  • the slider 212 is provided with a threaded hole 2112 that cooperates with the screw 2111.
  • One end of the screw 2111 near the head of the thumb screw 211 is provided with a hook 2112 that cooperates with the stepped hole 111, and the hook 2112 can be placed in the stepped hole 111.
  • An end of the screw 2111 near the head of the thumb screw 211 is further provided with a U-shaped groove 2113 for loading the hook 2112 on the thumb screw 211 into the stepped hole 111 of the puncture frame body 1.
  • the slider 212 is provided with a T-shaped guide groove 2122 that cooperates with the T-shaped guide rail 112, and the T-shaped guide rail 112 can be placed in the T-shaped guide groove 2122.
  • the slider 212 is provided with a rotating arm 2123, and the rotating arm 2123 is provided with a second rotating hole 21231.
  • One end of the second connecting member 22 is provided with a second rotating shaft 221 that cooperates with the second rotating hole 21231, and the other end is provided with a third rotating shaft 222.
  • a rotary needle holder assembly 3 includes a rotary needle holder body 31 and a carriage 32 detachably mounted on the rotary needle holder body 31; wherein the carriage 32 A puncture needle groove 321 is provided in the upper opening.
  • One end of the rotating needle holder body 31 is provided with a first rotating shaft 311 that cooperates with the first rotating hole 113.
  • the bottom of the rotating needle holder body 31 is further provided with a third rotating shaft 222.
  • the invention provides a puncture frame, which further comprises a fixing device 4 connected to the puncture frame body 1.
  • the embodiment of the invention provides a puncture frame, which comprises a thumb screw 211, a puncture frame body 1, a slider 212, a second connecting member 22, a rotating needle holder assembly 3 and the like.
  • the working principle is as follows:
  • the hook 2112 on the thumb screw 211 can cooperate with the stepped hole 111 on the puncture frame body 1, and the thumb screw 211 is fixed on the puncture frame body 1.
  • the thumb screw 211 is provided with a screw 2111 on the slider 212.
  • the threaded holes 2121 are matched, and the piercing frame body 1 is provided with a stepped hole 111 and two T-shaped guide rails 112.
  • the T-shaped guide rail 112 can cooperate with the T-shaped guide groove 2122 on the slider 212 so that the slider 212 can be along the T
  • the guide rail 112 slides up and down so that the doctor can control the up and down sliding of the slider 212 by turning the thumb screw 211.
  • a second rotating hole 21231 is further disposed on the slider 212.
  • the second connecting member 22 is provided with two second rotating shafts 221 and two third rotating shafts 222, and the second connecting member 22 passes through the second rotating shaft 221 and the second rotating hole 21231 on the slider 212, and The third rotating shaft 222 and the rotating needle frame body
  • the engagement of the third rotation hole 312 at the lower side of the 31 causes the rotation of the second connecting member 22 with respect to the slider 212 and the rotating needle holder body 31.
  • the rotating needle holder body 31 is further provided with a first rotating shaft 311.
  • the first rotating shaft 311 cooperates with the first rotating hole 113 provided on the puncture frame body 1, so that the entire rotating needle holder assembly 3 can be wound around the puncture frame body 1.
  • the first rotating hole 113 is rotated, thereby achieving the purpose of adjusting the needle angle.
  • the invention provides a puncture frame, and the specific use method is as follows: when the puncture frame is used, the puncture frame is first mounted on the ultrasonic B-ultrasound probe, and then the slider 212 is pushed along the puncture frame body 1 by rotating the thumb screw 211.
  • the T-shaped guide rail 112 slides up and down, and the slider 212 pushes the second connecting member 22 to move up and down and rotate in the process of sliding up and down.
  • the second connecting member 22 in motion further drives the rotating needle holder assembly 3 around.
  • the first rotating hole 113 on the puncture frame body 1 is rotated to adjust the needle insertion angle.
  • the rotation of the thumb screw is stopped, and the rotating needle holder assembly 3 is self-locked at a desired angular position.

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Abstract

一种穿刺架,包括穿刺架体(1)以及设于所述穿刺架体(1)上的调节定位装置(2)与旋转针架组件(3);所述调节定位装置(2)包括第一连接件(21)及第二连接件(22),所述第一连接件(21)与所述第二连接件(22)转动连接;其中,所述调节定位装置(2)通过所述第一连接件(21)与所述穿刺架体(1)相连接,通过所述第二连接件(22)与所述旋转针架组件(3)相连接。该穿刺架的有益效果为:1、操作简单方便,易上手;2、调节进针角度自由、方便、精准;3、确定任意需要的进针角度后,可以实现自锁(即锁定在需要的进针角度);4、角度调整连续无跳段。

Description

一种穿刺架 技术领域
本发明涉及介入性超声学工具的技术领域,具体涉及一种自由调节进针角度的穿刺架。
背景技术
目前使用的体外穿刺架,在控制进针角度方式上一般分为两种:1、沿着探头软件设定的固定角度方向进针;2、自由角度进针。两种进针方式在临床B超手术中都有被使用,但是上述两种进针方式分别存在以下缺陷:
1、沿着探头软件设定的固定角度方向进针方式,软件上设定的固定角度不能满足所有临床手术的进针需求;
2、目前使用的自由角度进针方式,是穿刺架上设有U型的开口槽,穿刺针在U型的开口槽中自由的摆动,医生使用时会根据B超影像来确定手术时需要选择的自由角度,但由于针的摆动角度在U型槽中没有任何的限位,所以当医生选择到合适的角度后,需要徒手控制进针方向,保证不了进针过程中的角度偏移,因此很多采用此种方式的B超手术在进针过程中发生角度偏差时,需要重新调整扎针角度,增加手术的风险和病人手术中的痛苦。
发明内容
为解决现有技术中的沿着探头软件设定的固定角度方向进针方式,软件上设定的固定角度不能满足所有临床手术的进针需求以及目前使用的自由角度进针方式是采用U型开口槽结构的穿刺架在手术中扎针角度容易出现偏差,有时需要多次扎针,手术风险大、增加病人痛苦的技术缺陷,本发明提供一种可以自由调节进针角度并且可以自锁于所需的进针角度的穿刺架,能够避免穿刺手术中扎针角度容易偏移的问题,能够达到快速定位,降低B超手术风险,降低病人在B超手术中因扎针不准而被多次扎针的痛苦的目的。
为实现上述目的,本发明采用的技术方案为:
一种穿刺架,包括穿刺架体以及设于所述穿刺架体上的调节定位装置与旋转针架组件;所述调节定位装置包括第一连接件及第二连接件,所述第一连接件与所述第二连接件转动连接;其中,
所述调节定位装置通过所述第一连接件与所述穿刺架体相连接,通过所述第二连接件与所述旋转针架组件相连接。
该穿刺架采用机械连杆结构,并且带自锁功能;调节进针角度自由、方便、精准;且角度调整连续无跳段。
优选的,所述穿刺架体一端具有连接部,所述连接部上设有阶梯孔和T型导轨。
优选的,所述连接部上还设有第一旋转孔。
优选的,所述第一连接件包括拇指螺丝及滑块,所述拇指螺丝上设有螺杆,所述滑块上设有与所述螺杆相配合的螺纹孔。拇指螺丝及滑块之间采用螺纹连接方式,可以方便调节拇指螺丝与滑块的相对位置关系,进而达到方便调节进针角度的目的。
优选的,所述螺杆上靠近拇指螺丝的头部的一端设有与所述阶梯孔相配合的卡勾,所述卡勾可置于所述阶梯孔内。
优选的,所述螺杆上靠近拇指螺丝的头部的一端还设有U型槽。
优选的,所述滑块上设有与所述T型导轨相配合的T型导槽,所述T型导轨可置于所述T型导槽内。
优选的,所述滑块上设有旋转臂,所述旋转臂上设有第二旋转孔。
优选的,所述第二连接件的一端设有与所述第二旋转孔相配合的第二旋转轴,另一端设有第三旋转轴。
优选的,所述旋转针架组件一端设有与所述第一旋转孔相配合的第一旋转轴,底部设有与所述第三旋转轴相配合的第三旋转孔。使得所述旋转针架组件可以同时相对于所述穿刺架体及所述第二连接件转动。
本发明的有益效果为:该穿刺架可以通过转动拇指螺丝来带动滑块沿着穿刺架体上的T型导轨上下滑动,滑块上下滑动的过程中会推动与之连接的第二连接件完成上下滑动和旋转两个动作,进而带动旋转针架组件同时相对于所述第二连接件和穿刺架体转动,最终达到调节进针角度的目的。而且当医生停止转动拇指螺丝,达到需要的进针角度后,旋转针架组件会锁定在所需的特定角度。由上可知,该穿刺架具有以下优点:
1、操作简单方便,易上手;
2、调节进针角度自由、方便、精准;
3、确定任意需要的进针角度后,可以实现自锁(即锁定在需要的进针角度);
4、角度调整连续无跳段。
附图说明
图1为本发明实施例的穿刺架的爆炸图;
图2为本发明实施例的穿刺架体的结构示意图;
图3为本发明实施例的穿刺架的主视图;
图4为本发明实施例的穿刺架的俯视图;
图5为图4的A-A向剖视图。
图中,
1-穿刺架体;11-连接部;111-阶梯孔;112-T型导轨;113-第一旋转孔;2-调节定位装置;21-第一连接件;211-拇指螺丝;2111-螺杆;2112-卡勾;2113-U型槽;212-滑块;2121-螺纹孔;2122-T型导槽;2123-旋转臂;21231-第二旋转孔;22-第二连接件;221-第二旋转轴;222-第三旋转轴;3-旋转针架组件;31-旋转针架本体;311-第一旋转轴;312-第三旋转孔;32-滑动架;321-穿刺针槽;4-固定装置。
具体实施方式
下面结合附图对本发明的结构进行详细解释说明。
如图1至图5所示,本发明实施例提供的一种穿刺架,包括用于固定超声波B超探头的穿刺架体1以及设于所述穿刺架体1上的调节定位装置2与旋转针架组件3;所述调节定位装置2包括第一连接件21及第二连接件22,所述第一连接件21与所述第二连接件22转动连接;其中,
所述调节定位装置2通过所述第一连接件21与所述穿刺架体1相连接,通过所述第二连接件22与所述旋转针架组件3相连接。
本发明实施例提供的一种穿刺架,所述穿刺架体1一端具有连接部11,所述连接部11上设有阶梯孔111和T型导轨112。所述连接部11上还设有第一旋转孔113。
所述第一连接件21包括拇指螺丝211及滑块212,所述拇指螺丝211上设有螺杆2111,所述滑块212上设有与所述螺杆2111相配合的螺纹孔2121。
所述螺杆2111上靠近拇指螺丝211的头部的一端设有与所述阶梯孔111相配合的卡勾2112,所述卡勾2112可置于所述阶梯孔111内。所述螺杆2111上靠近拇指螺丝211的头部的一端还设有U型槽2113,以便于将拇指螺丝211上的卡勾2112装入所述穿刺架体1的阶梯孔111 内。
所述滑块212上设有与所述T型导轨112相配合的T型导槽2122,所述T型导轨112可置于所述T型导槽2122内。所述滑块212上设有旋转臂2123,所述旋转臂2123上设有第二旋转孔21231。
所述第二连接件22的一端设有与所述第二旋转孔21231相配合的第二旋转轴221,另一端设有第三旋转轴222。
本发明实施例提供的一种穿刺架,所述旋转针架组件3包括旋转针架本体31以及可拆卸地安装于所述旋转针架本体31上的滑动架32;其中,所述滑动架32上开设有穿刺针槽321。所述旋转针架本体31一端设有与所述第一旋转孔113相配合的第一旋转轴311,所述旋转针架本体31底部还设有与所述第三旋转轴222相配合的第三旋转孔312。
本发明提供的一种穿刺架,还包括与所述穿刺架体1相连接的固定装置4。
本发明实施例提供的一种穿刺架,其包括拇指螺丝211,穿刺架体1,滑块212,第二连接件22,旋转针架组件3等构件,其工作原理如下:
拇指螺丝211上的卡勾2112可以与穿刺架体1上的阶梯孔111相配合,将拇指螺丝211固定在穿刺架体1上,拇指螺丝211上设有螺杆2111,其与滑块212上的螺纹孔2121相配合,同时穿刺架体1上设有阶梯孔111和两个T型导轨112,T型导轨112可以与滑块212上的T型导槽2122配合使得滑块212可以沿着T型导轨112上下滑动,使医生可以通过转动拇指螺丝211来控制滑块212的上下滑动。滑块212上还设有第二旋转孔21231。第二连接件22上设有两个第二旋转轴221和两个第三旋转轴222,第二连接件22通过第二旋转轴221与滑块212上的第二旋转孔21231的配合,以及第三旋转轴222与旋转针架本体 31下方的第三旋转孔312的配合,实现第二连接件22相对滑块212及旋转针架本体31的转动。旋转针架本体31上还设有第一旋转轴311,第一旋转轴311与穿刺架体1上设有的第一旋转孔113配合,可以使整个旋转针架组件3绕着穿刺架体1上的第一旋转孔113旋转,进而实现调节进针角度的目的。当停止转动拇指螺丝211,使其达到选定的角度后,旋转针架组件会自锁在所需角度。
本发明提供的一种穿刺架,具体使用方法如下:在使用穿刺架时,先将穿刺架安装在超声波B超探头上,然后通过转动拇指螺丝211来推动滑块212沿着穿刺架体1上的T型导轨112上下滑动,滑块212在上下滑动的过程中会推动第二连接件22做上下及旋转两个运动,运动中的第二连接件22进而又带动旋转针架组件3绕着穿刺架体1上的第一旋转孔113旋转来调节进针角度,当调节到合适角度后,停止转动拇指螺丝,此时旋转针架组件3会自锁在需要的角度位置。
以上仅为本发明的较佳实施例而已,并不用以限制本发明,凡在本发明实质内容上所作的任何修改、等同替换和简单改进等,均应包含在本发明的保护范围之内。

Claims (10)

  1. 一种穿刺架,其特征在于,包括穿刺架体(1)以及设于所述穿刺架体(1)上的调节定位装置(2)与旋转针架组件(3);
    所述调节定位装置(2)包括第一连接件(21)及第二连接件(22),所述第一连接件(21)与所述第二连接件(22)转动连接;其中,
    所述调节定位装置(2)通过所述第一连接件(21)与所述穿刺架体(1)相连接,通过所述第二连接件(22)与所述旋转针架组件(3)相连接。
  2. 根据权利要求1所述的穿刺架,其特征在于,所述穿刺架体(1)一端具有连接部(11),所述连接部(11)上设有阶梯孔(111)和T型导轨(112)。
  3. 根据权利要求2所述的穿刺架,其特征在于,所述连接部(11)上还设有第一旋转孔(113)。
  4. 根据权利要求3所述的穿刺架,其特征在于,所述第一连接件(21)包括拇指螺丝(211)及滑块(212),所述拇指螺丝(211)上设有螺杆(2111),所述滑块(212)上设有与所述螺杆(2111)相配合的螺纹孔(2121)。
  5. 根据权利要求4所述的穿刺架,其特征在于,所述螺杆(2111)上靠近拇指螺丝(211)的头部的一端设有与所述阶梯孔(111)相配合的卡勾(2112),所述卡勾(2112)可置于所述阶梯孔(111)内。
  6. 根据权利要求5所述的穿刺架,其特征在于,所述螺杆(2111)上靠近拇指螺丝(211)的头部的一端还设有U型槽(2113)。
  7. 根据权利要求4所述的穿刺架,其特征在于,所述滑块(212) 上设有与所述T型导轨(112)相配合的T型导槽(2122),所述T型导轨(112)可置于所述T型导槽(2122)内。
  8. 根据权利要求4所述的穿刺架,其特征在于,所述滑块(212)上设有旋转臂(2123),所述旋转臂(2123)上设有第二旋转孔(21231)。
  9. 根据权利要求8所述的穿刺架,其特征在于,所述第二连接件(22)的一端设有与所述第二旋转孔(21231)相配合的第二旋转轴(221),另一端设有第三旋转轴(222)。
  10. 根据权利要求9所述的穿刺架,其特征在于,所述旋转针架组件(3)一端设有与所述第一旋转孔(113)相配合的第一旋转轴(311),底部设有与所述第三旋转轴(222)相配合的第三旋转孔(312)。
PCT/CN2016/084675 2016-06-03 2016-06-03 一种穿刺架 WO2017206166A1 (zh)

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