WO2021243601A1 - 一种适配器、针槽板组件、穿刺支架及活检装置 - Google Patents
一种适配器、针槽板组件、穿刺支架及活检装置 Download PDFInfo
- Publication number
- WO2021243601A1 WO2021243601A1 PCT/CN2020/094142 CN2020094142W WO2021243601A1 WO 2021243601 A1 WO2021243601 A1 WO 2021243601A1 CN 2020094142 W CN2020094142 W CN 2020094142W WO 2021243601 A1 WO2021243601 A1 WO 2021243601A1
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- WIPO (PCT)
- Prior art keywords
- needle
- needle groove
- groove plate
- puncture
- adapter
- Prior art date
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
Definitions
- the invention relates to the technical field of medical supplies, in particular to an adapter, a needle groove plate assembly, a puncture support and a biopsy device.
- prostate biopsy is generally used for the detection and investigation of prostate diseases.
- ultrasound biopsy a small amount of tissue samples need to be taken from different parts of the prostate to achieve the purpose of clear diagnosis.
- the biopsy is less traumatic and has a high accuracy rate. It has a wide range of clinical applications.
- Commonly used biopsy sampling methods are transrectal route and transperineal route; among them, transrectal route has some disadvantages, mainly including: 1. Ultrasound probe and puncture stent reach the position of prostate through rectal entrance, and bacteria in the rectum can easily cause high Risk of infection; 2. There is a certain blind spot due to the limited puncture position. Therefore, transperineal puncture is the current mainstream method of prostate biopsy, which has the advantages of aseptic operation, low risk of infection, and comprehensive sampling.
- the present invention proposes an adapter, a needle groove plate assembly, a puncture support and a biopsy device, which have the advantages of simple structure, low cost, flexible and convenient operation, and the ability to fix different types of puncture needles and puncture supports during surgery.
- an adapter has a hollow structure and includes a coaxial and sequentially connected needle inlet portion, a connecting portion, and a mating portion; the mating portion is used to insert a needle groove
- the outer surface of the mating part is cylindrical; the inner surface of the needle inlet part is cylindrical or conical; the inner surface of the connecting part is cylindrical or conical; The inner surface is cylindrical or conical.
- the outer surface of the needle entry part is a cylindrical surface or a conical surface
- the outer surface of the connecting part is a cylindrical surface or a conical surface
- the cylindrical surface is a cylindrical surface
- the conical surface is a conical surface
- the needle insertion part, the connecting part and the matching part are all made of elastic material.
- a needle groove plate assembly including a needle groove plate and an adapter, wherein the needle groove plate includes a needle groove arm and a clamping assembly, and a plurality of parallel groove arms are provided on the needle groove arm. Needle hole, a plurality of needle holes are distributed along the height direction of the needle groove arm, and pass through the needle groove arm along the width direction of the needle groove arm; the clamping component is located at the bottom of the needle groove arm and is used to connect the puncture bracket; the matching part At least partially inserted into the needle hole.
- a plurality of beams are arranged in parallel along the height direction of the needle groove arm, and the needle hole is a gap between the plurality of beams.
- the width of the entrance into the piercing hole from the radial direction of the piercing hole is smaller than the inner diameter of the piercing hole.
- the clamping assembly includes a protruding structure and two plug-in arms, wherein: the two plug-in arms are arranged on the edge of the bottom of the needle groove arm along the width direction of the needle groove arm;
- the protruding structure is arranged on the bottom surface of the needle groove arm and is located between the two plug-in arms, and the protruding structure has a third inclined surface and a third straight end surface.
- a puncture support including the needle groove plate assembly.
- a biopsy device including an ultrasonic probe, a puncture support and a biopsy needle, and the puncture support is provided with the needle groove plate assembly.
- the puncture needle or the coaxial needle is inserted through the needle part, the connecting part and the matching part in sequence, and the puncture needle or the coaxial needle protruding from the matching part is placed on the needle groove plate. In the puncture hole, the puncture needle or coaxial needle is fixed on the puncture support.
- Figure 1 is a schematic diagram of the structure of the biopsy device provided by the present invention.
- Figure 2 is a schematic diagram of the structure of the adapter provided by the present invention.
- Figure 3 is a schematic cross-sectional view of the adapter provided by the present invention.
- Figure 4 is a schematic diagram of the structure of a needle groove plate with a half-pack of needle holes
- FIG. 5 is a schematic view of the structure of FIG. 4 from another perspective
- Figure 6 is a schematic diagram of the structure of the bottom of the needle groove plate
- Figure 7 is a schematic diagram of the structure of a needle groove plate with a full package of needle holes
- FIG. 8 is a schematic view of the structure of FIG. 7 from another perspective
- Figure 9 is a schematic diagram of the structure of the main part
- Figure 10 is a schematic diagram of the structure of the mating part
- Figure 11 is a structural diagram of the top buckle of the mating part
- Figure 12 is a schematic diagram of the bottom protrusion of the mating part
- Figure 13 is a schematic diagram of the structure of the main body part and the mating part when assembled
- Figure 14 is a schematic diagram of the structure of the main body part and the mating part after being assembled.
- FIG 1 is a schematic structural diagram of a biopsy device provided by an embodiment of the present invention.
- the biopsy device provided by the present invention includes a puncture support 4, a puncture needle 2, an ultrasound probe 3, and a needle is provided on the puncture support 4 Slot plate 5;
- the puncture needle 2 penetrates the adapter 1, and the part of the puncture needle 2 extending out of the adapter 1 is placed in the needle hole of the needle groove plate 5.
- the present invention provides an adapter.
- the adapter has a hollow structure and includes a needle inlet portion 11, a connecting portion 12, and a matching portion 13 that are coaxially and sequentially connected; the matching portion 13 is used for inserting into the needle hole on the needle groove plate, so
- the outer surface of the mating portion 13 should be a cylindrical surface.
- the outer surface shapes of the two can be selected from a cylindrical surface and a tapered surface respectively, preferably a cylindrical surface or a conical surface.
- the inner surfaces of the needle entry portion 11, the connecting portion 12, and the mating portion 13 can be selected from a cylindrical surface and a conical surface, respectively, preferably a cylindrical surface or a conical surface.
- the three can be an integral connection or a detachable connection. And these three can be made of elastic materials, such as TPU, EPDM, rubber and other materials.
- FIG. 2 is a schematic structural diagram of an adapter provided by an embodiment of the present invention.
- the adapter 1 provided by the present invention includes a needle inlet portion 11, a connecting portion 12, and a matching portion 13, which are sequentially connected.
- the needle inlet portion 11, The connecting portion 12 and the mating portion 13 penetrate each other, and the needle entry portion 11, the connecting portion 12 and the mating portion 13 are coaxial.
- the needle entry portion 11, the connecting portion 12 and the mating portion 13 are integrally connected.
- FIG. 3 is a schematic cross-sectional view of an adapter provided by an embodiment of the present invention.
- the needle inlet portion 11 is a hollow cylindrical structure, and the inner diameter of the needle inlet portion 11 gradually decreases in the axial direction approaching the connecting portion 12 .
- the internal channel of the needle inlet 11 may be a conical channel.
- the tip of the puncture needle is close to the end of the needle inlet 11 with a smaller inner diameter, which is beneficial to fix the puncture needle.
- the mating portion 13 has a hollow cylindrical structure, and the inner diameter of the mating portion 13 is set to an equal diameter.
- the mating portion 13 can also be inserted into the needle hole of the needle groove plate 5, thereby facilitating maintaining the coaxial needle or puncture Stability and directionality of the needle.
- the coaxial needle or the puncture needle and the puncture support are stable and not loose, which is further conducive to the safety and accuracy of the puncture operation.
- the outer diameter of the matching portion 13 is smaller than the outer diameter of the needle insertion portion 11, and the inner diameter of the matching portion 13 is equal to the minimum inner diameter of the needle insertion portion 11.
- the first end of the connecting portion 12 is connected to the needle insertion portion 11, and the outer diameter of the first end of the connecting portion 12 is equal to the outer diameter of the needle insertion portion 11.
- the second end of the connecting part 12 is connected to the mating part 13, and the outer diameter of the second end of the connecting part 12 is equal to the outer diameter of the mating part 13.
- the inner diameter of the connecting portion 12 is set to be an equal diameter, and the inner diameter of the connecting portion 12 is equal to the inner diameter of the mating portion 13.
- the inner diameters of the needle inlet portion 11, the connecting portion 12, and the mating portion 13 can all be within a certain size range Floating changes, so although the puncture needles or coaxial needles produced by different manufacturers have slight differences in diameter, they can all be matched with the adapter 1 stably and without shaking. Therefore, during use, the puncture needles or coaxial needles with different sizes produced by different manufacturers can be firmly matched with the adaptor 1, and the adaptor 1 can be firmly matched with the needle path of the puncture support provided on the puncture support, so as to achieve indirectly. Therefore, the puncture needle or the coaxial needle is firmly matched with the puncture support, and the puncture needle or the coaxial needle is not loosened during the needle insertion or withdrawal process.
- Fig. 4 is a schematic structural diagram of a needle groove plate with a half-pack of needle holes
- Fig. 5 is a schematic structural diagram from another perspective of Fig. 4
- Fig. 6 is a schematic structural diagram of the bottom of the needle groove plate
- the board 5 includes a needle groove arm 51 and two plug arms 52.
- the needle groove arm 51 is provided with a depth mark 511 and a specification mark 512.
- the two plug arms 52 are arranged in the needle groove along the width direction of the needle groove arm 51.
- the bottom surface of the needle groove arm 51 is provided with a protruding structure 520, and the protruding structure 520 is located between the two insertion arms 52.
- the protruding structure 520 includes a third inclined surface 521 and a third straight end surface 522.
- the piercing hole 513 is a fully enclosed hole or a semi-enclosed hole, wherein, on the side wall of the needle groove arm 51, a plurality of beams are arranged in parallel along the height direction of the needle groove arm 51, and the plurality of beams The gap between them forms a semi-closed hole; or, the piercing hole 513 is a hole with a complete inner wall that penetrates the needle groove plate 5, and the hole is a fully closed hole.
- the pin hole 513 in the pin groove plate 5 is a semi-closed hole
- Fig. 7 is a schematic structural diagram of the pin groove plate with all pin holes
- Fig. 8 is another view of Fig.
- FIGS. 7 and 8 Schematic diagram of the structure; the needle hole 513 in the needle groove plate 5 in FIGS. 7 and 8 is a fully enclosed hole.
- the position of the needle hole 513 corresponds to the position of the depth mark 511 one-to-one, and conforms to the needle insertion route set by the software in the ultrasound machine; the size of the needle hole 513 maintains a one-to-one correspondence with the specification mark 512; the model of the needle hole 513 It can be selected according to actual needs.
- the puncture needle or biopsy needle can be quickly moved out of the opening in the puncture hole 513 in parallel, and then The ultrasound probe and puncture stent can be quickly removed, and the puncture needle can be left alone in the human body for administration or treatment.
- FIG. 9 is a schematic structural diagram of the main part;
- Figure 10 is a schematic structural diagram of the mating part;
- Figure 11 is a schematic structural diagram of the top buckle of the mating part;
- Figure 12 is a schematic structural diagram of the bottom of the mating part; as shown in Figures 9-12 ,
- the needle groove plate 5 can further adopt a split structure, that is, the needle groove arm 51 includes a main body part 53 and a mating part 54.
- the mating surface of the mating part 54 is provided with a groove 5131, and the mating surface of the main part 53 is mated with the mating part 54 Form a closed hole.
- the main body part 53 and the mating part 54 are connected by a connecting assembly;
- the connecting assembly includes a hole 531 at the top of the main part 53 and a buckle 541 at the top of the mating part 54.
- the buckle 541 includes a first mating surface perpendicular to the mating part 54 Flat plate 5411, the free end of the first flat plate 5411 is connected to the second flat plate 5412 arranged parallel to the first flat plate 5411, the first flat plate 5411 and the second flat plate 5412 form a U-shaped structure, and the free end of the second flat plate 5412 extends to protrude from the mating part 54.
- the surface is a plane away from the mating surface of the mating portion 54.
- the upper surface of the second flat plate 5412 is provided with a convex structure 542.
- the convex structure 542 has a fourth inclined surface 5421 and a fourth straight end surface 5422;
- the bottom is provided with a docking platform 532 that is docked with the bottom of the mating portion 54, the docking platform 532 is provided with a groove 533, and the bottom of the mating portion 54 is provided with a protrusion 543 for inserting into the groove 533.
- Figure 13 is a schematic diagram of the structure of the main body part and the mating part assembling
- Figure 14 is a schematic diagram of the structure of the body part and the mating part assembled; as shown in Figure 13, when the body part 53 and the mating part 54 are assembled, the protrusion 543 is first Insert into the groove 533, move the mating part 54 with the center points of the protrusion 543 and the groove 533, so that the mating surface of the mating part 54 fits the mating surface of the main body part 53, wherein, during the movement, the buckle 541 is inserted into Into the hole 531, the second plate 5412 can be deformed downward (squeeze deformation or manual pressing deformation), and can be automatically reset, so that the protruding structure 542 will automatically reset after passing through the hole 531, and finally the fourth finger end surface 5422 will be pressed against Connecting to the hole 531 forms an assembly structure as shown in FIG.
- the needle groove plate 5 adopts a split structure, and when used, different types of matching parts 54 can be assembled with the main body part 53 to form different types of needle groove plates 5 to meet different usage requirements in biopsy operations.
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Abstract
Description
Claims (10)
- 一种适配器,其特征在于,该适配器为中空结构,包括同轴且依次连接的进针部、连接部以及配合部;所述配合部用于插入针槽板上的穿针孔,配合部的外表面为柱面;所述进针部的内表面为柱面或锥面;所述连接部的内表面为柱面或锥面;所述配合部的内表面为柱面或锥面。
- 根据权利要求1所述的适配器,其特征在于,所述进针部的外表面为柱面或锥面;所述连接部的外表面为柱面或锥面。
- 根据权利要求1所述的适配器,其特征在于,所述柱面为圆柱面,并且/或者,所述锥面为圆锥面。
- 根据权利要求1至3中任一项所述的适配器,其特征在于,所述进针部、连接部以及配合部均为弹性材质制成。
- 一种针槽板组件,其特征在于,包括针槽板和权利要求1至4中任一项所述的适配器,其中,所述针槽板包括针槽臂和卡接组件,针槽臂上设有多个平行的穿针孔,多个穿针孔沿针槽臂的高度方向分布,并且沿针槽臂宽度方向贯通针槽臂;卡接组件位于针槽臂的底部,用于连接穿刺支架;所述配合部的外径小于所述穿针孔的内径。
- 根据权利要求5所述的针槽板组件,其特征在于,在所述针槽臂的侧壁上,沿所述针槽臂的高度方向平行地设置有多个梁,所述穿针孔为所述多个梁之间的空隙。
- 根据权利要求5所述的针槽板组件,其特征在于,从所述穿针孔的径向进入穿针孔的入口的宽度小于所述穿针孔的内径。
- 根据权利要求5所述的针槽板组件,其特征在于,所述卡接组件包括凸起结构和两个插接臂,其中:两个所述插接臂沿所述针槽臂的宽度方向设置在所述针槽臂的底部的边缘;所述凸起结构设置在所述针槽臂的底面,并且位于两个所述插接臂之间,所述凸起结构具有第三斜面和第三直端面。
- 一种穿刺支架,其特征在于,包括如权利要求5至8中任一项所述的针槽板组件。
- 一种活检装置,其特征在于,包括超声探头、穿刺支架以及活检针,所述穿刺支架上设置有权利要求5至8中任一项所述的针槽板组件。
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Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4576175A (en) * | 1983-09-06 | 1986-03-18 | Moshe Epstein | Biopsy attachment for ultrasonic probe |
WO2006129084A1 (en) * | 2005-05-31 | 2006-12-07 | Greater Glasgow Health Board (North Glasgow University Hospital Division) | Clip for ultrasound probe |
CN105902301A (zh) * | 2016-04-05 | 2016-08-31 | 苏州市立普医疗科技有限公司 | 一种双面针槽板、架体及穿刺架 |
US20190059854A1 (en) * | 2017-08-22 | 2019-02-28 | Boehringer Technologies, Lp | Needle guide for ultrasound probe |
EP3508135A1 (en) * | 2018-01-04 | 2019-07-10 | Koninklijke Philips N.V. | Calibration block, calibration system and calibration method |
CN111107802A (zh) * | 2017-09-22 | 2020-05-05 | 科里斯公司 | 器械引导设备 |
-
2020
- 2020-06-03 WO PCT/CN2020/094142 patent/WO2021243601A1/zh active Application Filing
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4576175A (en) * | 1983-09-06 | 1986-03-18 | Moshe Epstein | Biopsy attachment for ultrasonic probe |
WO2006129084A1 (en) * | 2005-05-31 | 2006-12-07 | Greater Glasgow Health Board (North Glasgow University Hospital Division) | Clip for ultrasound probe |
CN105902301A (zh) * | 2016-04-05 | 2016-08-31 | 苏州市立普医疗科技有限公司 | 一种双面针槽板、架体及穿刺架 |
US20190059854A1 (en) * | 2017-08-22 | 2019-02-28 | Boehringer Technologies, Lp | Needle guide for ultrasound probe |
CN111107802A (zh) * | 2017-09-22 | 2020-05-05 | 科里斯公司 | 器械引导设备 |
EP3508135A1 (en) * | 2018-01-04 | 2019-07-10 | Koninklijke Philips N.V. | Calibration block, calibration system and calibration method |
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