CN105496520B - A kind of individuation hip joint percutaneous puncture guider - Google Patents

A kind of individuation hip joint percutaneous puncture guider Download PDF

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Publication number
CN105496520B
CN105496520B CN201610005608.2A CN201610005608A CN105496520B CN 105496520 B CN105496520 B CN 105496520B CN 201610005608 A CN201610005608 A CN 201610005608A CN 105496520 B CN105496520 B CN 105496520B
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Prior art keywords
hole
hip joint
individuation
oriented
percutaneous puncture
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CN105496520A (en
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孙立
刘腾
田晓滨
杨勤
杨先腾
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Hubei Joye 3d High Tech Co Ltd
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Hubei Joye 3d High Tech Co Ltd
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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
    • A61B17/3403Needle locating or guiding means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3494Trocars; Puncturing needles with safety means for protection against accidental cutting or pricking, e.g. limiting insertion depth, pressure sensors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • A61B2017/3405Needle locating or guiding means using mechanical guide means
    • A61B2017/3407Needle locating or guiding means using mechanical guide means including a base for support on the body

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Pathology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)

Abstract

The present invention relates to a kind of individuation hip joint percutaneous puncture guider and its application method, including the guiding body to match with human hip, the both ends for being oriented to body are respectively equipped with the first through hole corresponding with human body both sides greater trochanter of femur, it is oriented in the middle part of body and is provided with two the second through holes corresponding with the pubis of both sides at human body pubic symphysis, being oriented to each second through hole on body, extension is provided with assisted parts obliquely laterally, and third through-hole corresponding with human body bilateral anterior inferior spine is respectively equipped with two assisted parts, first through hole, the border of second through hole and third through-hole forms U-shaped groove, and it is oriented to body and is provided with least one lead.The hip joint percutaneous puncture guider and its application method of the present invention, it can facilitate and avoid big blood vessel important around hip joint when carrying out puncture for treating to human hip, ensure the accuracy and security punctured, improve therapeutic efficiency, alleviate the pain of patient, it is simple in construction, there are preferable reliability and stability.

Description

A kind of individuation hip joint percutaneous puncture guider
Technical field
The present invention relates to technical field of medical instruments, more particularly to a kind of individuation hip joint percutaneous puncture guider.
Background technology
Human hip has metastable bony structure, is one of main weight-bearing joints of human body, and its position exists deeply, Around important structure it is more, be frequently-occurring disease joint clinically, Osteoarthritis, rheumatoid coxitis, strong easily occur The hip joint diseases such as straightforward backbone inflammatory coxitis, can cause the pain and dysfunction of hip joint, and state of an illness progressive adds Weight, then it can have a strong impact on the quality of life of patient, disability rate height.Early metaphase has no clear and definite treatment method, late surgery at present Treatment is mainly joint replacement.There is no for early metaphase needs or is not resistant to the hip joint disease patient of operation, clinically hip ArthrocentesiS takes liquid laboratory examination, the aspiration biopsy of sclerotin is the important hand of current diagnosis and treatment around drug-injection in treatment and hip joint Section.Around there are important nerve and blood vessel, repeatedly wearing repeatedly easily occurs in traditional piercing method because hip joint position is deep The problems such as thorn, injured nerve blood vessel.
The content of the invention
The technical problems to be solved by the invention are to be directed to above-mentioned the deficiencies in the prior art, there is provided a kind of individuation hip joint Percutaneous puncture guider.
The technical scheme that the present invention solves above-mentioned technical problem is as follows:
According to one aspect of the present invention, there is provided a kind of individuation hip joint percutaneous puncture guider, including with human body The guiding body that hip joint matches, the both ends for being oriented to body are extended to human hip both sides rear, and the guiding The both ends of body are respectively equipped with the first through hole corresponding with human body both sides greater trochanter of femur, and two are provided with the middle part of the guiding body Individual the second through hole corresponding with the pubis of both sides at human body pubic symphysis, each second through hole is outside on the guiding body Skew back is upwardly extended provided with assisted parts, and is respectively equipped with two assisted parts and human body bilateral anterior inferior spine the corresponding 3rd Through hole, the border of the first through hole, the second through hole and third through-hole forms U-shaped groove, and the guiding body is provided with extremely A few lead positioned when puncturing to pricker.
On the basis of above-mentioned technical proposal, the present invention can also do following improvement:
Further:The body that is oriented to includes the left guide plate being mutually symmetrical and right guide plate, and the left guide plate is buckled with right guide plate Conjunction forms the guiding body, and the lead is located on the left guide plate and/or right guide plate.
The above-mentioned further beneficial effect of scheme is:By the above-mentioned means, on the one hand, can in actual production process incite somebody to action The left guide plate and right guide plate are fabricated separately, and accelerate the shaping speed of product;On the other hand, can by above-mentioned separation design To be convenient for carrying, shift, and it is more convenient when wearing.
Further:The thickness for being oriented to body is 2-5mm.
The above-mentioned further beneficial effect of scheme is:By controlling the guiding body, on the one hand can wearing When, the guiding body will not be inconvenient to bend because thickness is too thick, with the hip joint with patient to matching, another aspect, no Preferably support fixation can not be had because the thickness of the guiding body is too thin, and held in bending overshoot repeatedly Easy to wear, service life is shorter.
Further:The guiding body uses elastomeric material.
The above-mentioned further beneficial effect of scheme is:By using elastomeric material can allow it is described guiding body root Arbitrarily change shape according to actual demand and with the hip joint of patient to matching, strengthen the versatility for being oriented to body.
Further:The guiding body uses TPE material.
The above-mentioned further beneficial effect of scheme is:TPE material can not only meet actually using During the guiding body can arbitrarily change the elastic demand of shape, and harm will not be also produced to health, it is green Colour circle is protected, nontoxic pollution-free.
Further:The middle part border relative constriction for being oriented to body simultaneously forms X-type.
The above-mentioned further beneficial effect of scheme is:The overall strong of the guiding body can be reduced through the above way Degree so that be more prone to change its shape in actual use and with the hip joint of patient to matching, while may be used also To save raw material, cost is reduced.
Further:Two first through hole, two second through holes and two third through-holes are along vertical side It is arranged on to axially symmetric on the guiding body.
The above-mentioned further beneficial effect of scheme is:By being symmetrical arranged, on the one hand, more meet human skeleton structure, More matched when wearing, on the other hand so that described to be oriented to body more symmetrically stress, stability when enhancing is worn And reliability.
Further:Also include elastic webbing, the elastic webbing is in X-type, and four terminations of the elastic webbing respectively with it is described Two first through hole being oriented on body and the border of two third through-holes connect one to one.
The above-mentioned further beneficial effect of scheme is:By the elastic webbing, described be oriented to originally can be aided in when wearing Body is fixed on patient body-surface, prevents from causing puncture to misplace in favorite outer come off of puncture process, punctures, increase repeatedly so as to cause Stability and reliability in strong actual mechanical process, reduce in puncture process beyond and risk.
According to another aspect of the present invention, there is provided a kind of user of individuation hip joint percutaneous puncture guider Method, comprise the following steps:
Step 1:The left guide plate and right guide plate are fastened to form guiding body each other, and by the body that is oriented to from human body Front side is at its hip joint;
Step 2:The first through hole, the second through hole and third through-hole are respectively aligned to human body both sides greater trochanter of femur, shame Bone and anterior inferior spine are simultaneously worn;
Step 3:Change the shape for being oriented to body along the hip joint of human body, make itself and the body surface at human hip Fitting completely, and corresponding part stretches into the first through hole, second respectively for human body both sides greater trochanter of femur, pubis and anterior inferior spine Through hole and third through-hole;
Step 4:Pricker from the first through hole, the second through hole and/or third through-hole inserting needle and is pierced at body foci, And the pricker is positioned away from human body one end by the lead and fixed, carry out successive treatment or sampling.
On the basis of above-mentioned technical proposal, the present invention can also do following improvement:
Further:During wearing, the part being oriented on body between two second through holes and the underbelly of human body paste Close.
The above-mentioned further beneficial effect of scheme is:More comfortable, stability when can cause to wear through the above way More preferably, the experience of patient is enhanced, helps to obtain preferable therapeutic effect.
The beneficial effects of the invention are as follows:A kind of individuation hip joint percutaneous puncture guider of the present invention and its user Method, patient body-surface can be preferably fixed on through human body skin in clinical practice, can facilitate and be worn to human hip Big blood vessel important around hip joint is avoided during thorn treatment, to ensure the accuracy and security that puncture, prevents traditional puncture side Easily occur the defects of puncturing repeatedly, injured nerve blood vessel in method, improve therapeutic efficiency, alleviate the pain of patient, structure Simply, cost is cheap, has preferable reliability and stability, is highly suitable for promoting the use of a large area in clinic.
Brief description of the drawings
Fig. 1 is a kind of individuation hip joint percutaneous puncture guide structure schematic diagram of the present invention;
Fig. 2 is a kind of left guide plate structure schematic diagram of individuation hip joint percutaneous puncture guider of the present invention;
Fig. 3 is a kind of right guide plate structure schematic diagram of individuation hip joint percutaneous puncture guider of the present invention;
Fig. 4 is a kind of application method flow chart of individuation hip joint percutaneous puncture guider of the present invention.
In accompanying drawing, the list of parts representated by each label is as follows:
1st, it is oriented to body, 2, first through hole, the 3, second through hole, 4, assisted parts, 5, third through-hole, 6, lead;
11st, left guide plate, 12, right guide plate.
Embodiment
The principle and feature of the present invention are described below in conjunction with accompanying drawing, the given examples are served only to explain the present invention, and It is non-to be used to limit the scope of the present invention.
Embodiment one, a kind of individuation hip joint percutaneous puncture guider, below in conjunction with Fig. 1,2,3 pairs of the invention one Kind individuation hip joint percutaneous puncture guider is described in detail.
As shown in figure 1, a kind of individuation hip joint percutaneous puncture guide structure schematic diagram, including with human hip phase The guiding body 1 of matching, the both ends for being oriented to body 1 are extended to human hip both sides rear, and the guiding body 1 Both ends are respectively equipped with the first through hole 2 corresponding with human body both sides greater trochanter of femur, the middle part of guiding body 1 be provided with two with Second through hole 3 corresponding to the pubis of both sides at human body pubic symphysis, each second through hole 3 is outside on the guiding body 1 Skew back is upwardly extended provided with assisted parts 4, and corresponding with human body bilateral anterior inferior spine is respectively equipped with two assisted parts 4 Three through holes 5, the border of the first through hole 2, the second through hole 3 and third through-hole 5 form U-shaped groove, and on the guiding body 1 The lead 6 positioned during provided with least one puncture to pricker.During wearing, the guiding body 1 is worn on front side of human body Wear to hip joint, and human body both sides greater trochanter of femur, pubis and anterior inferior spine corresponding part stretch into the first through hole 2, Two through holes 3 and third through-hole 5 as the guiding body 1 body surface fixing point and positioned, it is logical from described second during puncture The inserting needle of hole 3 is simultaneously pierced into human femur under loading neck junction.
Preferably, more reinforcements are provided with around the lead 6, to ensure the fastness of the lead 6, are prevented Pricker dystopy is only caused due to the loosening of lead 6 in puncture process, so as to influence therapeutic effect.
It need to be noted that, the position of the lead 6 can be correspondingly arranged according to the affected area of human body, here Any restriction is done not to this, and the quantity of the lead 6 can also be configured according to the specific focus situation of human body, For example human hip has that puncture for treating is needed at two, then then two leads 6 can be set on the guiding body 1, Puncture for treating is carried out to each affected area respectively.
In the present embodiment, as shown in Figure 2,3, the left guide plate 11 and right guide plate 12 for being oriented to body 1 and including being mutually symmetrical, The left guide plate 11 and right guide plate 12, which fasten, forms the guiding body 1, and the lead 6 be located at the left guide plate 11 with/ Or on right guide plate 12.Here, the left guide plate 11 fastens fastening by buckling piece completely with right guide plate 12.Buckling piece can be slotting Pin, buckle etc..By the above-mentioned means, on the one hand, the left guide plate and right guide plate can separately be made in actual production process Make, accelerate the shaping speed of product;On the other hand, by above-mentioned separation design, it can be convenient for carrying, shift, and wear It is more convenient when wearing.
In the present embodiment, the thickness for being oriented to body 1 is 2-5mm.By controlling the guiding body 1, on the one hand may be used With cause wear when, it is described guiding body 1 will not be inconvenient to bend because thickness is too thick, with the hip joint with patient to Match somebody with somebody, on the other hand, preferably support fixation, and anti-will not be had because the thickness of the guiding body 1 is too thin Easily worn in multiple bending overshoot, service life is shorter.
Preferably, the thickness for being oriented to body 1 is 3-4mm.When it is described guiding body 1 thickness be 3-4mm, use effect Fruit is optimal, and not only fixed effect is preferable, and is easier to bend, and use is more convenient.
In the present embodiment, the guiding body 1 uses elastomeric material.It can cause the guiding by using elastomeric material Body 1 can arbitrarily change shape and lead to the hip joint of patient to matching, the enhancing guiding body 1 according to the actual requirements The property used.
Preferably, the guiding body 1 uses TPE material.TPE material has rubber The high resiliency of glue, high intensity, high resilience, again have can injection molding feature, there is environment-protecting and non-poisonous safety, hardness range Extensively, there are excellent coloring, soft-touch, weatherability, fatigue resistance and temperature tolerance, processing characteristics is superior, can be with without vulcanization Recycling reduces cost, it is even more important that TPE has the splendid transparency and glossiness, facilitates medical personnel accurately to grasp Make, in addition, can not only meet that the guiding body 1 in actual use can arbitrarily change shape using TPE material Elastic demand, and will not also to health produce harm, green, nontoxic pollution-free.
Preferably, it is described be oriented to body 1 middle part border relative constriction and form X-type, and dress when, the guiding body Part on 1 between two second through holes 3 is bonded with the underbelly of human body.Described be oriented to originally can be reduced through the above way The bulk strength of body 1 so that it is more prone to change its shape in actual use and with the hip joint of patient to matching, and And raw material can also be saved simultaneously, reduce cost.
Preferably, two described 2, two second through holes 3 of first through hole and two third through-holes 5 are along vertical Direction is axially symmetricly set on the guiding body 1.By being symmetrical arranged, on the one hand, more meet human skeleton structure, More matched during wearing, on the other hand so that described to be oriented to the more symmetrically stress of body 1, stability when enhancing is worn And reliability.
Specifically, during actual wear, the processing that first carried out disinfection to the guider is needed, is then leaned on front side of patient The hip joint portion of nearly patient, change the shape for being oriented to body 1 along the hip joint of patient, with the body surface at human hip Fitting completely, complete to wear, and check its firmness, it is ensured that it will not come off easily, then carry out puncture for treating processing again. After use, the guiding body 1 is removed, and changes its shape so that the whole guiding body 1 into plane, this Shi Suoshu is oriented to body 1 in a plane, and then carry out disinfection processing., can be by multiple guiders in storage Placement is stacked gradually, can so save space, convenient storage and transhipment.
Preferably, a kind of individuation hip joint percutaneous puncture guider of the invention also includes elastic webbing, the elastic webbing In X-type, and four terminations of the elastic webbing respectively with two first through hole 2 on the guiding body 1 and two institutes The border for stating third through-hole 5 connects one to one.By the elastic webbing, the guiding body 1 can be aided in solid when wearing Patient body-surface is scheduled on, prevents from causing puncture to misplace in favorite outer come off of puncture process, punctures, enhance repeatedly so as to cause Stability and reliability in actual mechanical process, reduce in puncture process beyond and risk.
Certainly, a kind of individuation hip joint percutaneous puncture guider of the invention can make different sizes, to meet not With the patient of bone build.
Embodiment two, a kind of application method of individuation hip joint percutaneous puncture guider, below in conjunction with Fig. 4 to this hair A kind of application method of bright individuation hip joint percutaneous puncture guider is described in detail.
As shown in figure 4, a kind of application method of individuation hip joint percutaneous puncture guider, comprises the following steps:
Step 1:The left guide plate 11 and right guide plate 12 are fastened into formation each other and are oriented to body 1, and body 1 is oriented to by described On front side of from human body at its hip joint;
Step 2:By the first through hole 2, the second through hole 3 and third through-hole 5 be respectively aligned to human body both sides greater trochanter of femur, Pubis and anterior inferior spine are simultaneously worn;
Step 3:Change the shape for being oriented to body 1 along the hip joint of human body, make itself and the body at human hip Table is bonded completely, and human body both sides greater trochanter of femur, pubis and anterior inferior spine respectively corresponding part stretch into the first through hole 2, Second through hole 3 and third through-hole 5;
Step 4:Pricker from the first through hole 2, the second through hole 3 and/or the inserting needle of third through-hole 5 and is pierced into body foci Place, and the pricker is positioned into fixation away from human body one end by the lead 6, carry out successive treatment or sampling.
In the present embodiment, during wearing, the part being oriented on body 1 between two second through holes 3 and human body Underbelly is bonded.More comfortable when can cause to wear through the above way, stability is more preferable, enhances the experience of patient, helps In the preferable therapeutic effect of acquirement.
Treatment is finished, and the guiding body 1 is removed, and by the left guide plate 11 and the right guide plate of the guiding body 1 12 separation, then carry out disinfection processing, and so follow-up carrying transfer is more convenient.
A kind of individuation hip joint percutaneous puncture guider and its application method of the present invention, can be through people in clinical practice Body skin is preferably fixed on patient body-surface, can facilitate and be avoided when carrying out puncture for treating to human hip around hip joint Important big blood vessel, to ensure the accuracy and security that puncture, prevent from easily occurring puncturing repeatedly in traditional piercing method, damage The defects of intravascular of overtaxing one's nerves, therapeutic efficiency is improved, alleviate the pain of patient, simple in construction, cost is cheap, has preferable Reliability and stability, it is highly suitable for promoting the use of a large area in clinic.
The foregoing is only presently preferred embodiments of the present invention, be not intended to limit the invention, it is all the present invention spirit and Within principle, any modification, equivalent substitution and improvements made etc., it should be included in the scope of the protection.

Claims (8)

  1. A kind of 1. individuation hip joint percutaneous puncture guider, it is characterised in that:Including the guiding to match with human hip Body (1), the both ends for being oriented to body (1) are extended to human hip both sides rear, and the both ends for being oriented to body (1) Be respectively equipped with the first through hole (2) corresponding with human body both sides greater trochanter of femur, be provided with the middle part of the guiding body (1) two with Second through hole (3) corresponding to the pubis of both sides at human body pubic symphysis, it is described to be oriented to each second through hole on body (1) (3) laterally obliquely extension be provided with assisted parts (4), and be respectively equipped with two assisted parts (4) with before human body bilateral ilium Third through-hole (5) corresponding to lower spine, the border of the first through hole (2), the second through hole (3) and third through-hole (5) form U-shaped recessed Groove, and the guiding body (1) is provided with the lead (6) positioned during at least one puncture to pricker.
  2. A kind of 2. individuation hip joint percutaneous puncture guider according to claim 1, it is characterised in that:The guiding body (1) the left guide plate (11) and right guide plate (12) being mutually symmetrical are included, the left guide plate (11) fastens with right guide plate (12) and forms institute State and be oriented to body (1), and the lead (6) is located on the left guide plate (11) and/or right guide plate (12).
  3. A kind of 3. individuation hip joint percutaneous puncture guider according to claim 1, it is characterised in that:The guiding body (1) thickness is 2-5mm.
  4. A kind of 4. individuation hip joint percutaneous puncture guider according to claim 1, it is characterised in that:The guiding body (1) elastomeric material is used.
  5. A kind of 5. individuation hip joint percutaneous puncture guider according to claim 4, it is characterised in that:The guiding body (1) TPE material is used.
  6. 6. according to a kind of any one of claim 1 to 5 individuation hip joint percutaneous puncture guider, it is characterised in that:Institute State the middle part border relative constriction for being oriented to body (1) and form X-type.
  7. 7. according to a kind of any one of claim 1 to 5 individuation hip joint percutaneous puncture guider, it is characterised in that:Two The individual first through hole (2), two second through holes (3) and two third through-holes (5) are vertically axially right Title is arranged on the guiding body (1).
  8. A kind of 8. individuation hip joint percutaneous puncture guider according to claim 7, it is characterised in that:Also include elasticity Band, the elastic webbing are in X-type, and four terminations of the elastic webbing respectively with two on the guiding body (1) described the The border of one through hole (2) and two third through-holes (5) connects one to one.
CN201610005608.2A 2016-01-05 2016-01-05 A kind of individuation hip joint percutaneous puncture guider Active CN105496520B (en)

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CN105496520B true CN105496520B (en) 2018-01-19

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Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113244518B (en) * 2021-07-06 2021-10-08 真实维度科技控股(珠海)有限公司 Non-coplanar puncture template based on multi-point positioning

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CN201279141Y (en) * 2008-11-04 2009-07-29 袁相晋 CT led skull puncture solid spacer
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CN104161574A (en) * 2014-08-29 2014-11-26 杭州三坛医疗科技有限公司 Biopsy puncture auxiliary locator
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CN104287815A (en) * 2014-06-16 2015-01-21 南通舟可信息科技有限公司 3D printing percutaneous vertebral pedicle guide plate, preparation method of 3D printing percutaneous vertebral pedicle guide plate, and using method of 3D printing percutaneous vertebral pedicle guide plate
CN204863422U (en) * 2015-08-20 2015-12-16 首都医科大学附属北京友谊医院 Percutaneous pedicle of vertebral arch deflector that 3D printed
CN205286490U (en) * 2016-01-05 2016-06-08 湖北嘉一三维高科股份有限公司 Individuation hip joint percutaneous aspiration director

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Publication number Priority date Publication date Assignee Title
DE4010573A1 (en) * 1989-04-13 1990-10-18 Siemens Ag Guide template for needle - is used during perineum puncture and has holes arranged on lines radiating from common point
CN2922803Y (en) * 2006-04-27 2007-07-18 石海祥 Cerebral hemorrhage puncturing navigation positioner
CN201279141Y (en) * 2008-11-04 2009-07-29 袁相晋 CT led skull puncture solid spacer
CN103263290A (en) * 2013-05-28 2013-08-28 河北医科大学第三医院 Screw implantation sighting device
CN104287815A (en) * 2014-06-16 2015-01-21 南通舟可信息科技有限公司 3D printing percutaneous vertebral pedicle guide plate, preparation method of 3D printing percutaneous vertebral pedicle guide plate, and using method of 3D printing percutaneous vertebral pedicle guide plate
CN104161574A (en) * 2014-08-29 2014-11-26 杭州三坛医疗科技有限公司 Biopsy puncture auxiliary locator
CN204072394U (en) * 2014-09-10 2015-01-07 西藏德康医疗器械有限公司 A kind of acetabular bone guide plate
CN204863422U (en) * 2015-08-20 2015-12-16 首都医科大学附属北京友谊医院 Percutaneous pedicle of vertebral arch deflector that 3D printed
CN205286490U (en) * 2016-01-05 2016-06-08 湖北嘉一三维高科股份有限公司 Individuation hip joint percutaneous aspiration director

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