CN105963001A - Brain puncture guiding device - Google Patents
Brain puncture guiding device Download PDFInfo
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- CN105963001A CN105963001A CN201610528179.7A CN201610528179A CN105963001A CN 105963001 A CN105963001 A CN 105963001A CN 201610528179 A CN201610528179 A CN 201610528179A CN 105963001 A CN105963001 A CN 105963001A
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- guide pipe
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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
- A61B17/3403—Needle locating or guiding means
-
- 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
- A61B17/3415—Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
-
- 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
- A61B17/3462—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals
-
- 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
- A61B17/3403—Needle locating or guiding means
- A61B2017/3405—Needle locating or guiding means using mechanical guide means
- A61B2017/3407—Needle 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)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Pathology (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
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- Veterinary Medicine (AREA)
- Gastroenterology & Hepatology (AREA)
- Magnetic Resonance Imaging Apparatus (AREA)
Abstract
The invention provides a brain puncture guiding device and relates to the technical field of medical instruments. The brain puncture guiding device aims at solving the technical problem that the puncture function of an existing brain puncture guiding device is single. The brain puncture guiding device comprises an operating part and two positioning parts, and the two positioning parts are connected to the two ends of the operating part respectively. The operating part is provided with a middle line positioning rod, and the axis of the middle line positioning rod passes through a region defined by the operating part and the positioning parts. The operating part is provided with a cavity and a guide tube, the guide tube penetrates through the cavity, the guide tube is movably connected with the operating part, and the guide tube can slide along the cavity and can swing in the extension direction of the cavity around the joint of the guide tube and the cavity. The positioning parts are provided with lateral positioning rods for positioning and clamping the head of a patient, and the lateral positioning rods can move relative to the positioning parts in the axis direction of the lateral positioning rods. The brain puncture guiding device can be applied to the brain puncture operation process, can meet the requirements of multiple brain puncture operations, and is easy to operate.
Description
Technical field
The present invention relates to technical field of medical instruments, especially relate to a kind of brain guiding puncture device.
Background technology
Brain puncture technique is a kind of technology that neurosurgery is conventional, is punctured can be diagnosed and treat by brain
Relevant neurosurgery related disease.In brain piercing process, conventional brain piercing method is that free-hand use is worn
Pricker punctures, and doctor needs with oneself subjective sensation, hold puncture needle in piercing process position and
Angle, even the doctor of the high age and service seniority is also difficult to find that puncture position accurately, is still more primary doctor
Raw, therefore, often occur that puncture angle exists the situation of deviation.
The hospital complete at armarium can use the instrument such as stereotactic apparatus, intraoperative ultrasound, navigator
Device assists and carries out brain puncture procedure, although these instruments can reach higher precision, but these
Instrument price is expensive and operating process is the most loaded down with trivial details.
For overcoming drawbacks described above, relevant scholar designs easy brain guiding puncture device, and these brains are worn
Thorn guide has been merely able to the puncture of the ventricles of the brain, it is impossible to carry out the pathological changes beyond the ventricles of the brain (such as: go out
Blood or tumor) puncture, it is impossible to meet the needs of multiple brain puncturing operation, accordingly, there exist puncture merit
The defect that energy is single.
Summary of the invention
It is an object of the invention to provide a kind of brain guiding puncture device, to solve prior art exists
Brain guiding puncture device puncture function singleness technical problem.
For reaching above-mentioned purpose, the technical scheme is that and be achieved in that:
The brain guiding puncture device that the present invention provides includes: operating portion and two location divisions, described in two
Location division is connected to the two ends of described operating portion；
Described operating portion is provided with center line location bar, and the axis of described center line location bar is through described operation
The region that portion surrounds with described location division, described operating portion is provided with cavity and guide pipe, described guiding
Pipe surrounds through described cavity, the axis of described guide pipe through described operating portion and described location division
Region, described guide pipe is flexibly connected with described operating portion, and described guide pipe can slide along described cavity
And can be around the junction of described guide pipe and described cavity along the bearing of trend swing of described cavity；
Described location division is provided with location, the side bar for positioning and clamp patients head, described side
Location bar can move along its axis direction relative to described location division.
Preferably, being provided with slide block in described cavity, described guide pipe is by described slide block and described behaviour
The portion that makees connects, and described slide block drives described guide pipe to move relative to described operating portion and around it with described behaviour
The axis rotation that the portion that makees is vertical.
Further, described center line location is flexibly connected with described operating portion, described center line position bar and
Described operating portion is flexibly connected for center line location and clamps various sizes of described patients head.
Preferably, described location division is provided with the screwed hole for installing location, described side bar, described
It is provided with, on the bar of location, side, the external screw thread coordinated with described screwed hole.
Further, the quantity of described screwed hole is multiple, and multiple described screwed holes are along described location division
Length direction be spaced.
Further, the two ends of described operating portion are provided with for clamping the fixing of described patients head
Bar, described fixing bar threadeds with described operating portion, described fixing bar can the most described operating portion to
The regional movement that described operating portion surrounds with described location division.
Preferably, described guide pipe is provided with sending the laser instrument of laser rays, described laser instrument
The described operating portion of sensing of the axis of the direction of the laser rays sent and described guide pipe and described location
The direction in the region that portion surrounds is identical.
Further, the region surrounded with described location division away from described operating portion of described guide pipe
One end is provided with extension tube.
Preferably, the side of location, described side bar is provided with a plurality of graduation mark, a plurality of described graduation mark
All parallel with the end face of location, described side bar.
Further, described operating portion is provided with for described brain guiding puncture device is installed in one's hands
Fixed mechanism on art bed, described fixed mechanism includes: head rod, the second connecting rod, the 3rd
Connecting rod, for clamp described operation table the first chuck and for connect described operating portion second folder
Head, described head rod is connected with described first chuck and described second connecting rod respectively, and described
Two connecting rods link with described head rod and described 3rd connecting rod respectively, described 3rd connecting rod
It is connected with described second connecting rod and described second chuck respectively.
When the brain guiding puncture device using the present invention to provide, perform the operation if carried out ventricular puncture, first
First stick at left tragus, auris dextra screen and the geisoma midpoint of patient CT (CT scan,
English full name: Computed Tomography) display labelling, puncture hands if carried out intracerebral hematoma
Art, sticks CT in hematoma at patients head two side subpoint and geisoma midpoint and shows labelling, then
Utilize CT machine that patients head is scanned, do the oblique coronal reconstruction of CT, then available with left ear
Screen and auris dextra screen or two side subpoints and median sagittal line are oblique with the oblique coronalplane intersection point labelling of puncture
Coronalplane CT scheme, and will rebuild after CT Fig. 1: 1 print, the CT figure printed determines brain
Puncture path.
Then brain guiding puncture device is placed on CT figure, when carrying out ventricular puncture, by two
The end face of location, side bar is relative with the left tragus on CT figure and auris dextra screen labelling point respectively and is affixed,
Carry out intracerebral hematoma puncture time, by two sides location bars end face respectively with hematoma two side subpoint
Being affixed, the length of location division is stretched out in one end away from the scalp on CT figure of location, record side bar；
The end face that center line positions bar is relative with puncturing oblique coronalplane intersection point with median sagittal line；Adjust guide pipe
Position in cavity and angle, make the length direction of guide pipe overlap with brain puncture path on CT figure,
And the end face being directed to pipe is affixed with the scalp on CT figure, measure guide pipe position in cavity also
Record；Measure the brain puncture target spot distance (i.e. paracentesis depth) to puncture path Yu skull surface intersection point
And record.
During ventricular puncture operation, brain guiding puncture device is placed into patients head, makes side position bar
End face relative with the left tragus of patient and auris dextra screen respectively, carry out intracerebral hematoma puncture time, side is fixed
Position bar is relative at two side subpoints with hematoma respectively, and center line location bar is with median sagittal line with puncture tiltedly
The intersection point of coronalplane is relative, make location, side bar the one end away from patient's scalp stretch out location division
Length is equal with the length stretching out location division time on CT figure.Now guide pipe and patient's scalp
Contact point is scalp point of puncture；At scalp point of puncture, patient's scalp, guide pipe is cut after local anesthesia
It is cranium hole point with the contact point of skull, takes off brain guiding puncture device, carry out boring through cranium hole point and open cranium,
Cut dura mater；Reappose brain guiding puncture device by preceding method, determine cortex by guide pipe
Point of puncture, and cut in cortex point of puncture coagulation, then make puncture needle enter patient's head along guide pipe
Portion, inserts drainage tube, is fixed on by drainage tube at skull, takes off brain guiding puncture device, completes brain
Puncturing operation.
Compared with existing precision instrument, the brain guiding puncture apparatus structure that the present invention provides is simple, one-tenth
This is low and easy to operate；Compared with the existing brain guiding puncture device that can be only done ventricular puncture, this
Guide pipe in the brain guiding puncture device that invention provides can be around the edge, junction of guide pipe Yu cavity
The bearing of trend of cavity swings, and makes guide pipe disclosure satisfy that the requirement of puncture path of different angles, enters
And the brain guiding puncture device enabling the present invention to provide is applied to multiple brain and punctures situation, range of application
More extensive.
Accompanying drawing explanation
In order to be illustrated more clearly that the specific embodiment of the invention or technical scheme of the prior art, under
The accompanying drawing used required in detailed description of the invention or description of the prior art will be briefly described by face,
It should be evident that the accompanying drawing in describing below is some embodiments of the present invention, general for this area
From the point of view of logical technical staff, on the premise of not paying creative work, it is also possible to obtain according to these accompanying drawings
Obtain other accompanying drawing.
The structural representation of the brain guiding puncture device that Fig. 1 provides for the embodiment of the present invention；
The company of the guide pipe in the brain guiding puncture device that Fig. 2 provides for the embodiment of the present invention and slide block
Connect schematic diagram；
Fig. 3 is patient crown schematic diagram；
The structure of the fixed mechanism in the brain guiding puncture device that Fig. 4 provides for the embodiment of the present invention is shown
It is intended to.
Reference:
1-operating portion；11-center line location bar；12-arcuate guide hole；
13-slide block；131-bolt；132-screw rod；
14-guide pipe；15-fixes bar；16-extension tube；
2-location division；Location, 21-side bar；31-the first chuck；
311-the first fishbolt；312-the second fishbolt；32-the second chuck；
321-the 3rd fishbolt；33-head rod；34-the second connecting rod；
35-the 3rd connecting rod；351-the 4th fishbolt；The left tragus of L-；
R-auris dextra screen；Q-median sagittal line and the oblique coronalplane intersection point of puncture；H-scalp point of puncture.
Detailed description of the invention
Below in conjunction with accompanying drawing, technical scheme is clearly and completely described, it is clear that
Described embodiment is a part of embodiment of the present invention rather than whole embodiments.Based on this
Embodiment in bright, those of ordinary skill in the art are obtained under not making creative work premise
Every other embodiment, broadly fall into the scope of protection of the invention.
In describing the invention, it should be noted that term " " center ", " on ", D score, " left ",
Orientation or the position relationship of the instruction such as " right ", " vertically ", " level ", " interior ", " outward " are based on attached
Orientation shown in figure or position relationship, be for only for ease of description the present invention and simplify describe rather than
Instruction or the hint device of indication or element must have specific orientation, with specific azimuth configuration and
Operation, is therefore not considered as limiting the invention.Additionally, term " first ", " second ",
" the 3rd " is only used for describing purpose, and it is not intended that indicate or hint relative importance.
In describing the invention, it should be noted that unless otherwise clearly defined and limited, art
Language " is installed ", " being connected ", " connection " should be interpreted broadly, and connects, also for example, it may be fixing
Can be to removably connect, or be integrally connected；Can be to be mechanically connected, it is also possible to be electrical connection；
Can be to be joined directly together, it is also possible to be indirectly connected to by intermediary, can be two element internals
Connection.For the ordinary skill in the art, can understand that above-mentioned term is at this with concrete condition
Concrete meaning in invention.
The structural representation of the brain guiding puncture device that Fig. 1 provides for the embodiment of the present invention, such as Fig. 1 institute
Showing, the brain guiding puncture device that the embodiment of the present invention provides includes: operating portion 1 and two location divisions 2,
Two location divisions 2 are connected to the two ends of operating portion 1；Operating portion 1 is provided with center line location bar
11, the region that the axis of center line location bar 11 surrounds with location division 2 through operating portion 1, operating portion
1 is provided with cavity and guide pipe 14, and guide pipe 14 is through cavity, and the axis of guide pipe 14 is through behaviour
Making the region that portion 1 surrounds with location division 2, guide pipe 14 is flexibly connected with operating portion 1, guide pipe
14 can slide along cavity and can put along the bearing of trend of cavity around the junction of guide pipe 14 and cavity
Dynamic；Location division 2 is provided with location, the side bar 21 for positioning and clamp patients head, and side is fixed
Position bar 21 can move along its axis direction relative localization portion 2.
So that brain guiding puncture device is more fitted with patients head, as it is shown in figure 1, operating portion
1 is arcuation, and two location divisions 2 are cuboid, and two location divisions 2 are connected to operating portion 1
Two ends, specifically, operating portion 1 and two location divisions 2 can be structure as a whole, at operating portion 1
Middle part is provided with center line location bar 11, and one end of center line location bar 11 is positioned at operating portion 1 and location division
2 regions surrounded；Operating portion 1 can arrange one or two cavitys, when operating portion 1 is arranged
When having a cavity, the middle part of cavity is provided with contiguous block, center line location bar 11 by contiguous block with
Operating portion 1 connects, and contiguous block inwall with cavity can be connected by the way of bonding；When operating portion 1
When being provided with two cavitys, center line location bar 11 is arranged on the middle part of operating portion 1, and two cavitys divide
It is not positioned at the both sides of center line location bar 11；Arcuate guide hole 12 it is provided with on the sidewall of cavity, empty
Intracavity is provided with guide pipe 14, and one end of guide pipe 14 is positioned at operating portion 1 and location division 2 surrounds district
Territory, guide pipe 14 is provided with for being directed to the connection assist that pipe 14 is arranged in cavity, auxiliary
Help connector to be positioned at cavity, and can in cavity arcuately pilot hole 12 move, and wear around it
The axis crossing arcuate guide hole 12 rotates, and then drives guide pipe 14 move in cavity and wear around it
The axis crossing arcuate guide hole 12 rotates.
Two location divisions 2 are arranged on the two ends of operating portion 1, and two location divisions 2 are provided with side
Location bar 21, the axis of location, two sides bar 21 all surrounds through operating portion 1 and location division 2
Region, during brain puncturing operation, for make the end face of location, side bar 21 respectively with the left side of patient
The contact area of tragus L and auris dextra screen R is bigger, further, and the axle of location, two sides bar 21
Line is all vertical with the length direction of location division 2, and location division 2 is provided with location, installation side bar 21
Connecting hole, location, two sides bar 21 can be along its axis direction relative localization portion in connecting hole
2 move.
When the brain guiding puncture device using the embodiment of the present invention to provide, if carried out ventricular puncture hands
Art, first left tragus L as shown in Figure 3, auris dextra screen R and geisoma midpoint patient stick CT
(CT scan, English full name: Computed Tomography) display labelling,
If carried out clot puncturing operation in brain, in hematoma at patients head two side subpoint and geisoma midpoint
Stick CT and show labelling, then utilize CT machine that patients head is scanned, do the oblique coronalplane of CT
Rebuild, then available with left tragus L and auris dextra screen R or two side subpoints and median sagittal line with
Puncture oblique coronalplane intersection point Q labelling oblique coronalplane CT figure, and will rebuild after CT Fig. 1: 1 print,
The CT figure printed determines brain puncture path.
Then brain guiding puncture device is placed on CT figure, when carrying out ventricular puncture, by two
The end face of location, side bar 21 is relative also with the left tragus L on CT figure and auris dextra screen R labelling point respectively
Be affixed, carry out intracerebral hematoma puncture time, by two sides location bars 21 end face respectively with hematoma two
Side subpoint is affixed, and it is fixed that one end away from the scalp on CT figure of location, record side bar 21 is stretched out
The length in position portion 2；The end face that center line positions bar 11 is handed over puncturing oblique coronalplane with median sagittal line
Q is relative for point；Adjust the guide pipe 14 position in cavity and angle, make the length side of guide pipe 14
Overlap to brain puncture path on CT figure, and be directed to the end face of pipe 14 and the scalp phase on CT figure
Patch, measures the guide pipe 14 position in cavity record；Measure brain puncture target spot to puncture path
Distance (i.e. paracentesis depth) record with skull surface intersection point.
During ventricular puncture operation, brain guiding puncture device is placed into patients head, makes side position bar
The end face of 21 is relative with the left tragus L of patient and auris dextra screen R respectively, when carrying out intracerebral hematoma puncture,
Location, side bar 21 is relative at two side subpoints with hematoma respectively, and center line location bar 11 is vowed with center
Shape line is relative with the intersection point Q puncturing oblique coronalplane, make side position bar 21 away from patient's scalp
The length stretching out location division 2 of one end is equal with the length stretching out location division 2 time on CT figure.
Now guide pipe 14 is scalp point of puncture H with the contact point of patient's scalp；At scalp after local anesthesia
Cutting patient's scalp at point of puncture H, guide pipe 14 is cranium hole point with the contact point of skull, takes off brain
Guiding puncture device, carries out boring through cranium hole point and opens cranium, cut dura mater；Reappose by preceding method
Brain guiding puncture device, determines cortex point of puncture by guide pipe 14, and at cortex point of puncture
Coagulation is cut, and then makes puncture needle enter patients head along guide pipe 14, inserts drainage tube, will draw
Flow tube is fixed at skull, takes off brain guiding puncture device, completes brain puncturing operation.
Compared with existing precision instrument, the brain guiding puncture apparatus structure letter that the embodiment of the present invention provides
Single, low cost and easy to operate；With the existing brain guiding puncture device phase that can be only done ventricular puncture
Ratio, the guide pipe 14 in the brain guiding puncture device that the embodiment of the present invention provides can be around guide pipe 14
Swing along the bearing of trend of cavity with the junction of cavity, make guide pipe 14 disclosure satisfy that different angles
The requirement of puncture path, and then the brain guiding puncture device enabling the embodiment of the present invention to provide applies
Puncturing situation in multiple brain, range of application is more extensive.
In order to adjust position and the angle of guide pipe 14 more easily, in the present embodiment, auxiliary is even
Fitting selects slide block 13, as in figure 2 it is shown, the quantity of slide block 13 is two, two slide blocks 13 are equal
In cavity and be positioned at center line location bar 11 both sides.It is provided with the first through hole on slide block 13, guides
Pipe 14 is through the first through hole, and one end of guide pipe 14 is positioned at the district that operating portion 1 surrounds with location division 2
Territory.Slide block 13 is connected with operating portion 1 by a bolt 131 and a screw rod 132, slide block 13
The sidewall contact with cavity two faces on be provided with screwed hole, the respectively first screwed hole and
Two screwed holes, the axis of the first screwed hole and the dead in line of the second screwed hole, the second screwed hole and use
Communicating in the first through hole through guide pipe 14, bolt 131 passes through first through arcuate guide hole 12
Screwed hole is connected with slide block 13, and screw rod 132 passes through the second screwed hole and cunning through arcuate guide hole 12
Block 13 connects；When screw rod 132 near guide pipe 14 direction motion time, screw rod 132 with lead
It is directed to pipe 14 is clamped in the first through hole to the end face of pipe 14 contact and the inwall of the first through hole, anti-
Only guide pipe 14 slides in the first through hole；One end being positioned at outside cavity of screw rod 132 is provided with spiral shell
Mother, adjusting nut moves to the position near cavity, the end face contacted with operating portion 1 of nut and cunning
Operating portion 1 is clamped by the end face of the contact internal walls with cavity of block 13, makes slide block 13 and operating portion 1
Between cannot produce relative motion, and then play the effect being installed in cavity by slide block 13, prevent
Slide block 13 slides in cavity.Slide block 13 is connected with operating portion 1 by bolt 131 and screw rod 132,
And the axis of the first screwed hole and the dead in line of the second screwed hole, therefore, slide block 13 can be around
The axis of one screwed hole and the axis of the second screwed hole rotate, and then drive guide pipe 14 relatively to operate
Portion 1 rotates.When needing position and the angle adjusting guide pipe 14, the spiral shell on rotary screw 132
Mother or screw rod 132 so that it is move to the direction away from operating portion 1, make screw rod 132 arcuately lead
Move band movable slider 13 to hole 12 to move in cavity, and then drive guide pipe 14 to move, simultaneously
Slide block 13 also can rotate around the axis of screw rod 132, and then drives guide pipe 14 to rotate；Guide pipe
The position of 14 and angle meet when requiring, rotate nut or screw rod 132, make nut near operating portion
The direction motion of 1, is clamped in slide block 13 in cavity；Need to adjust guide pipe 14 at operating portion 1
During the extension elongation in the region surrounded with location division 2, rotary screw 132, make screw rod 132 to away from
The direction motion of guide pipe 14 is directed to pipe 14 and unclamps, stretching out from slide block 13 of guide pipe 14
After length meets needs, rotary screw 132, make screw rod 132 near the direction of guide pipe 14 fortune
Dynamic it be directed to pipe 14 and clamp.It is directed to pipe 14 by slide block 13 be connected in cavity, convenient adjustment
The position of guide pipe 14, angle and stretch out the length of slide block 13.
The brain guiding puncture device that the embodiment of the present invention provides can be applicable to the brain of different patient and punctures hands
During art, the head sizes of different patients is different, in order to preferably meet the needs of different patient,
Making center line location bar 11 be flexibly connected with operating portion 1, center line location bar 11 can be along its axial direction
Move relative to operating portion 1, specifically, the middle part of operating portion 1 is provided with center line screwed hole, center line
Being provided with the external screw thread coordinated with center line screwed hole on the bar 11 of location, center line location bar 11 passes through center line
Screwed hole is connected with operating portion 1, positions bar 11 by rotation center line, can change center line location bar 11
Length in the region that operating portion 1 and location division 2 surround.In ventricular puncture operation process, adjust
The length in the region that operating portion 1 and location division 2 surround of whole center line location bar 11, it is ensured that two
The end face left tragus L and auris dextra screen R with patient respectively of location, individual side bar 21 is affixed, in brain
During hematoma puncture, it is ensured that the end face of location, two sides bar 21 respectively with hematoma in head both sides
The index point of projection is affixed；The most also ensure simultaneously the end face of center line location bar 11 and median sagittal line with tiltedly
Intersection point Q is relative for coronalplane.
Adjust extension elongation (in the present embodiment, the extension elongation of location, side bar 21 for convenience
It is the length stretching out the region that operating portion 1 surrounds with location division 2), as a kind of embodiment,
Two location divisions 2 are provided with screwed hole, the referred to as the 3rd screwed hole, the 3rd screwed hole axial
Direction is vertical with the length direction of location division 2, and location, side bar 21 is provided with and the 3rd screwed hole
The external screw thread coordinated, location, side bar 21 is connected with location division 2 by the 3rd screwed hole.Wear at brain
During needle-holding hand art, by rotating location, side bar 21, thus it is possible to vary stretching out of side location bar 21
Length.Arranging the 3rd screwed hole on location division 2, conveniently adjust location, side bar 21 stretches out length
Degree, the movement of location, side bar 21 also is able to meet and the patient that head sizes is different is carried out brain puncture
The needs of operation.
In order to preferably different from head sizes patients matches, two location divisions 2 are respectively provided with
Having multiple screwed hole, the most multiple 3rd screwed holes, multiple 3rd screwed holes are along the length side of location division 2
Arranging to interval, the axis of multiple 3rd screwed holes is all vertical with the length direction of location division 2；It is full
Foot carries out brain puncturing operation to the patient that head sizes is different, ensures the intensity of location division 2 simultaneously, enters
One step ground, is provided with four the 3rd screwed holes on two location divisions 2, four the 3rd screwed holes
Axis is in the same plane, and the distance of the axis of adjacent two the 3rd screwed holes is equal, four the 3rd
The axis direction of screwed hole is all vertical with the length direction of location division 2.At ventricular puncture operation process
In, according to head dummy and the size of patient, side is positioned bar 21 and passes suitable 3rd screwed hole,
The end face making location, side bar 21 is relative with left tragus L and auris dextra screen R respectively, wears at intracerebral hematoma
During thorn, then make the mark that the end face of location, side bar 21 projects in head two side respectively with hematoma
Will point is relative.Location division 2 arranges multiple 3rd screwed hole, enables brain guiding puncture device to answer
For different patients are carried out brain puncturing operation, expand the range of brain guiding puncture device.
In order to more easily brain guiding puncture device be fixed to the head of patient, the above-mentioned multiple 3rd
Location, side bar 21 it is provided with, in ventricular puncture operation process, according to trouble in screwed hole
The head dummy of person and size, select the left ear of location, the side bar 21 in suitable 3rd screwed hole and patient
Screen L contacts with auris dextra screen R, in intracerebral hematoma piercing process, in selecting suitable 3rd screwed hole
Location, side bar 21 contacts at the index point of head two lateral projection with hematoma, it is not necessary to by other the 3rd spiral shells
Location, side bar 21 in pit takes out and is installed in suitable 3rd screwed hole again, makes fixing brain wear
Sting the more convenient to operate of guide.
During brain puncturing operation, brain guiding puncture device may produce mobile at the head of patient
And affect puncture precision, in order to prevent the distribution of above-mentioned phenomenon raw, it is provided with at the two ends of operating portion 1
For clamping the fixing bar 15 of patients head, for the needs of preferably full different patients, fixing bar
15 can operating portion 1 surrounds with location division 2 to operating portion 1 relatively regional movement.Specifically,
As it is shown in figure 1, be provided with the 4th screwed hole at the two ends of operating portion 1, if through operating portion 1
The tangent plane of the intersection point of the axis of arc-shaped edges and the 4th screwed hole is the first tangent plane, the axis of the 4th screwed hole
Direction is vertical with the first tangent plane, and fixing bar 15 is provided with the external screw thread coordinated with the 4th screwed hole,
Fixing bar 15 is connected with operating portion 1 by the 4th screwed hole.During brain puncturing operation, pass through
Rotate fixing bar 15, make fixing bar 15 near the motion of the direction of patients head, two fixing bars 15
Coordinate with center line location bar 11 and location, two sides bar 21 and the head of patient is clamped；Brain punctures hands
After art terminates, rotate fixing bar 15, make fixing bar 15 move to the direction away from patients head, will
The head of patient unclamps.Fixing bar 15 is set at the two ends of operating portion 1, makes brain guiding puncture device
It is connected more firm with the head of patient, it is ensured that the precision of brain puncturing operation.
In order to be directed to the axis trimming of pipe 14 more easily to the position overlapped with brain puncture path
Put, guide pipe 14 is provided with sending the laser instrument of laser rays, the laser that laser instrument sends
The side in the region that the point operation portion 1 of the axis of the direction of line and guide pipe 14 surrounds with location division 2
To identical, laser instrument can by bonding or threaded by the way of be connected with guide pipe 14, laser
The luminous end of device is near one end contacted with patients head of guide pipe 14.Adjust before brain puncturing operation
When the axis direction of whole guide pipe 14 overlaps with the brain puncture path on CT figure, laser instrument can be opened,
Make the laser rays that laser instrument sends through the top of CT figure, adjust position and the angle of guide pipe 14,
Because laser instrument is fixed on guide pipe 14, guide pipe 14 drives laser instrument to move and rotates, and works as laser
When the laser rays that device sends is identical with the brain puncture path direction on CT figure, stop adjusting guide pipe 14,
Because the direction of the laser rays that laser instrument sends and the point operation portion 1 of the axis of guide pipe 14 are with fixed
The direction in the region that position portion 2 surrounds is identical, so the axis direction of guide pipe 14 and the brain on CT figure
Puncture path direction is identical.Guide pipe 14 arranges laser instrument, the laser sent by laser instrument
Line judges that the axis direction of guide pipe 14 is the most identical with the puncture path direction on CT figure, makes leading
To the adjustment of pipe 14 more conveniently and quickly.
After puncture conduit is entered patients head along brain puncture path, need drainage tube is inserted patient's
Head carries out drainage procedure, and drainage tube major part is made up of silica gel hose, is exiting puncture catheter procedure
In, drainage tube may be taken out of because there is frictional force, causing the change of drainage tube position.For preventing
This kind of situation occurs, is provided with extension tube 16 on guide pipe 14, as in figure 2 it is shown, extension tube 16
The one end being connected with guide pipe 14 is pipe, extension tube 16 from the one end away from guide pipe 14 to leaning on
Being semicanal at nearly guide pipe 14, extension tube 16 can be made up of the hard material such as metal material or plastics,
The mode that extension tube 16 can be threaded connection is connected with guide pipe 14.As it is shown in figure 1, extension tube
16 one end away from patients head being positioned at guide pipe 14, the axis of extension tube 16 and guide pipe 14
Dead in line.During brain puncturing operation, conduit will be punctured by extension tube 16 and guide pipe
After 14 are punctured to patients head, drainage tube is made to enter the head of patient along puncture needle, in order to ensure hands
Art is carried out in aseptic environment, utilizes the fixation clamp after sterilization that drainage tube is fixed to extension tube 16
The one end away from guide pipe 14, then take out puncturing conduit from the head of patient, at skull
Interim fixing drainage tube, opens the fixation clamp in extension tube 16, will puncture conduit from from slide block 13
Take out, make drainage tube pass the first through hole on slide block 13, and by its through skin separately stab mouth draw,
Fixing, finally take off brain guiding puncture device, complete brain puncturing operation.One end at guide pipe 14
Extension tube 16 is set, makes, in exiting puncture catheter procedure, to cause because drainage tube is carried over
Drainage tube position change.
Extension tube 16 and guide pipe 14 can by clamping or threaded by the way of connect, with clamping
Comparing, threaded more stable, therefore, in the present embodiment, extension tube 16 is led to guide pipe 14
Cross threaded mode to connect.Guide pipe 14 is provided with external screw thread, the inside of extension tube 16
It is provided with the female thread that the external screw thread with guide pipe 14 coordinates.When brain puncturing operation, by extension tube
16 are installed on guide pipe 14, puncture conduit and drainage tube all through extension tube 16 and guide pipe 14
Enter the head of patient；Need to be directed to pipe 14 when taking out from slide block 13, can be extended by rotation
Pipe 16 or guide pipe 14, make extension tube 16 separate with guide pipe 14, is directed to pipe 14 from cunning
Take out in block 13.The mode making extension tube 16 be threaded connection with guide pipe 14 is connected, and increases
While the stability of the connection of extension tube 16 and guide pipe 14, it is possible to facilitate extension tube 16 and lead
Separation to pipe 14.
For convenience brain guiding puncture device is placed on patients head, needs the side that will originally have good positioning
Fang Dingwei bar 21 moves to the direction in the region surrounded with location division 2 away from operating portion 1, is worn by brain
Thorn guide be placed on patients head upper after, then side positioned bar 21 move to initial position.
Moving back to initial position to side be positioned bar 21, can survey before the bar 21 of location, mobile side
The extension elongation of location, amount side bar 21, after brain guiding puncture device is placed into patients head, will
Location, side bar 21 moves back to initial position, is controlled by the extension elongation measuring location, side bar 21
The position of location, side processed bar 21.
Owing to aforesaid way needs the extension elongation of location, repetitive measurement side bar 21, therefore there is behaviour
Make the defect that step is more and operation is complex, in order to measure location, side bar 21 more easily
Extension elongation, it is preferable that side location bar 21 side on be provided with graduation mark.Specifically,
The side of location, side bar 21 is provided with a plurality of graduation mark, and a plurality of graduation mark all positions bar with side
The end face of 21 is parallel, and a plurality of graduation mark is evenly distributed on the side of location, side bar 21, adjacent quarter
Distance between degree line is 1mm, is marked with the distance of its correspondence every five graduation marks.Puncture at brain
In operation process, before brain guiding puncture device is placed into patients head, location, record side bar
Which bar graduation mark on 21 aligns with the side of location division 2, is then determined the side originally having good positioning
Position bar 21 moves to the direction in the region surrounded with location division 2 away from operating portion 1, is punctured by brain and draws
Lead device be placed on patients head upper after, make the original and side of location division 2 on the bar 21 of location, side
The graduation mark of alignment side with location division 2 again aligns, and makes location, side bar 21 return to initially
Position.Outer wall at location, side bar 21 arranges graduation mark, the position of location, convenient record side bar 21
Put.
When being fixed to be installed to patients head by brain guiding puncture device, doctor punctures at adjustment brain and draws
When leading position and the angle of device, also it is subjected to the gravity of brain guiding puncture device, thus gives and adjust
Operation is made troubles, and therefore, is additionally provided with for being installed by brain guiding puncture device on operating portion 1
Fixed mechanism on operation table, fixed mechanism at least include two can tumbler in relative rotation,
Can be in relative rotation in two tumblers in fixed mechanism, one is connected with operation table, another
Being connected with operating portion 1, fixed mechanism can drive operating portion 1 to move and around the head rotation of patient.
When carrying out brain puncturing operation, on patient's recumbency operation table, brain guiding puncture device passes through fixed mechanism
It is arranged on operation table, when brain guiding puncture device is installed to patients head, makes the head position of patient
In the region that operating portion 1 and location division 2 surround, fixed mechanism bears the weight of brain guiding puncture device
Power, doctor only need to adjust the angle of brain guiding puncture device, makes brain guiding puncture device meet needs
The requirement of position, makes the more convenient operation of adjustment brain guiding puncture device.
Fixed mechanism is for being installed to operation table by brain guiding puncture device, in the present embodiment, Gu
Determine mechanism to include: head rod the 33, second connecting rod the 34, the 3rd connecting rod 35, be used for clamping
First chuck 31 of operation table and the second chuck 32 for attended operation portion 1.As shown in Figure 4,
Specifically, one end of head rod 33 is connected with the first chuck 31, head rod 33 remote
Hinged with one end of the second connecting rod 34 from one end of the first chuck 31, the second connecting rod 34 remote
Hinged with one end of the 3rd connecting rod 35 from one end of head rod 33, the 3rd connecting rod 35
One end away from the second connecting rod 34 is connected with the second chuck 32.First chuck 31 is for by whole
Fixed mechanism is installed to the head of a bed of operation table, the second chuck 32 for in brain guiding puncture device
Operating portion 1 connects.Specifically, the head of a bed of operation table is provided with railing, and the first chuck 31 is arranged
Having opening, when connecting, railing is positioned at opening, and the side of the sidewall of opening is provided with the first clamping
Bolt 311, when the first fishbolt 311 is in time moving near the direction of opening, the first fishbolt
Railing is clamped by the face contacted with railing of 311 and the inwall contacted with railing of opening；First chuck
The second through hole passed for head rod 33, the sidewall of the first chuck 31 it is additionally provided with on 31
On be provided with the opening communicated with the second through hole, the length of opening equal to the length of the second through hole, second
The second fishbolt 312 for clamping head rod 33 it is additionally provided with on the sidewall of through hole, the
The length direction of two fishbolts 312 is vertical with the length direction of the second through hole, when the second fishbolt
312 in time moving near the direction of head rod 33, the second fishbolt 312 and the second through hole
Inwall head rod 33 is clamped.Second connecting rod 34 and the junction of the 3rd connecting rod 35
Being provided with the 4th fishbolt 351, the 4th fishbolt 351 is provided with binding nut, second even
The pin joint of extension bar 34 and the 3rd connecting rod 35 is positioned at nut and the clamping spiral shell of the 4th fishbolt 351
Between mother, the angle between the second connecting rod 34 and the 3rd connecting rod 35 meets when requiring, can lead to
Cross rotation the 4th fishbolt 351, make the 4th fishbolt 351 move to the position near pin joint,
Second connecting rod 34 and the 3rd connecting rod 35 are pressed from both sides by nut and the binding nut of the 4th fishbolt 351
Tightly, prevent from producing relative rotation between the second connecting rod 34 and the 3rd connecting rod 35；Second chuck
32 link with the 3rd connecting rod 35, and the second chuck 32 is provided with opening, and the side of opening is arranged
There is the 3rd fishbolt 321, when the 3rd fishbolt 321 is in time moving near the direction of opening, the
The face contacted with operating portion 1 of three fishbolts 321 and the inwall contacted with operating portion 1 of opening will
Operating portion 1 clamps.
When carrying out brain puncturing operation, the railing of the head of a bed is made to be positioned at the opening of the first chuck 31, with
Time make head rod 33 be positioned at the top of the first chuck 31, rotate the first fishbolt 311, make
First fishbolt 311 moves to the direction of the railing in opening, the first fishbolt 311
With the inwall contacted with railing of railing contact surface and opening, railing is clamped, it is achieved fixed mechanism is pacified
Install on the railing of the head of a bed；Simultaneously, it is possible to adjust the height of head rod 33, by adjusting the
The lower end of one connecting rod 33 extension elongation from the lower end of the second through hole adjusts head rod 33
Highly, when head rod 33 is positioned at suitably height, rotates the second fishbolt 312, make
Head rod 33, near the motion of the direction of head rod 33, is pressed from both sides by the second fishbolt 312
Tight in the second through hole；Brain guiding puncture device is hung on the hook of the second chuck 32, because of each
Connect by the way of hinged between connecting rod, and between the second chuck 32 and the 3rd connecting rod 35
Connect by the way of hinged, when the second connecting rod 34 is at the junction point of its head rod 33
Trunnion axis rotates, the 3rd connecting rod 35 around its with the junction point of the second connecting rod 34 at trunnion axis turn
Time dynamic, the vertical position of the second chuck 32 can be changed, and then change the vertical of brain guiding puncture device
Position；When second connecting rod 34 vertical axes at the junction point of its head rod 33 rotates,
The horizontal level of the second chuck 32 can be changed, and then change the horizontal level of brain guiding puncture device；
When second chuck 32 trunnion axis at its junction point with the 3rd connecting rod 35 or vertical axes rotate,
Brain guiding puncture device can be made around the head rotation of patient.By the first chuck 31, fixed mechanism is pacified
Install on the railing of the head of a bed, connect brain guiding puncture device by the second chuck 32, and each is even
Connect by the way of hinged between extension bar, it is possible to make fixed mechanism bear the weight of brain guiding puncture device
Power, is also convenient for making brain guiding puncture device move and around the head rotation of patient simultaneously.
Last it is noted that various embodiments above is only in order to illustrate technical scheme, rather than
It is limited；Although the present invention being described in detail with reference to foregoing embodiments, this area
Those of ordinary skill is it is understood that the technical scheme described in foregoing embodiments still can be entered by it
Row amendment, or the most some or all of technical characteristic is carried out equivalent；And these amendment or
Person replaces, and does not make the essence of appropriate technical solution depart from the model of various embodiments of the present invention technical scheme
Enclose.
Claims (10)
1. a brain guiding puncture device, it is characterised in that including: operating portion and two location divisions,
Two described location divisions are connected to the two ends of described operating portion；
Described operating portion is provided with center line location bar, and the axis of described center line location bar is through described operation
The region that portion surrounds with described location division, described operating portion is provided with cavity and guide pipe, described guiding
Pipe surrounds through described cavity, the axis of described guide pipe through described operating portion and described location division
Region, described guide pipe is flexibly connected with described operating portion, and described guide pipe can slide along described cavity
And can be around the junction of described guide pipe and described cavity along the bearing of trend swing of described cavity；
Described location division is provided with location, the side bar for positioning and clamp patients head, described side
Location bar can move along its axis direction relative to described location division.
Brain guiding puncture device the most according to claim 1, it is characterised in that in described cavity
Being provided with slide block, described guide pipe is connected with described operating portion by described slide block, and described slide block drives
Described guide pipe moves relative to described operating portion and rotates with the axis vertical with described operating portion around it.
Brain guiding puncture device the most according to claim 1, it is characterised in that described center line is fixed
Position bar is flexibly connected with described operating portion for center line location and clamps various sizes of described patient's head
Portion.
Brain guiding puncture device the most according to claim 1, it is characterised in that described location division
It is provided with the screwed hole for installing location, described side bar, location, described side bar is provided with and institute
State the external screw thread that screwed hole coordinates.
Brain guiding puncture device the most according to claim 4, it is characterised in that described screw thread
The quantity in hole is multiple, and multiple described screwed holes are spaced along the length direction of described location division.
Brain guiding puncture device the most according to claim 1, it is characterised in that described operation
The two ends in portion are provided with the fixing bar for clamping described patients head, described fixing bar and described behaviour
Make portion threaded, described fixing bar can the most described operating portion to described operating portion and described location division
The regional movement surrounded.
Brain guiding puncture device the most according to claim 1, it is characterised in that described guiding
The axis of laser instrument, the direction of the laser rays that described laser instrument sends and described guide pipe it is provided with on pipe
Point to described operating portion identical with the direction in the region that described location division surrounds.
Brain guiding puncture device the most according to claim 1, it is characterised in that described guide pipe
The one end in the region surrounded with described location division away from described operating portion be provided with extension tube.
Brain guiding puncture device the most according to claim 1, it is characterised in that described side
The side of location bar is provided with a plurality of graduation mark, and a plurality of described graduation mark all positions bar with described side
End face is parallel.
Brain guiding puncture device the most according to claim 1, it is characterised in that described operation
The fixed mechanism for being installed on operation table by described brain guiding puncture device it is provided with in portion, described
Fixed mechanism includes: head rod, the second connecting rod, the 3rd connecting rod, be used for clamping described hands
First chuck of art bed and for connecting the second chuck of described operating portion, described head rod is respectively
Being connected with described first chuck and described second connecting rod, described second connecting rod is respectively with described first
Connecting rod and described 3rd connecting rod hinge joint, described 3rd connecting rod respectively with described second connecting rod and
Described second chuck connects.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610528179.7A CN105963001A (en) | 2016-07-06 | 2016-07-06 | Brain puncture guiding device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610528179.7A CN105963001A (en) | 2016-07-06 | 2016-07-06 | Brain puncture guiding device |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN105963001A true CN105963001A (en) | 2016-09-28 |
Family
ID=56954687
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610528179.7A Pending CN105963001A (en) | 2016-07-06 | 2016-07-06 | Brain puncture guiding device |
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| CN (1) | CN105963001A (en) |
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| CN106937877A (en) * | 2016-12-23 | 2017-07-11 | 任玉娥 | A kind of application method of guide device |
| CN107536628A (en) * | 2017-10-11 | 2018-01-05 | 北京柏惠维康科技有限公司 | Sampler |
| CN109464176A (en) * | 2018-11-21 | 2019-03-15 | 自贡市第四人民医院(自贡市急救中心) | A kind of ventricular puncture head rest device |
| CN109984825A (en) * | 2019-04-02 | 2019-07-09 | 芜湖市第二人民医院 | One kind puncturing intervention guiding mechanism for CT |
| CN110123423A (en) * | 2019-04-26 | 2019-08-16 | 潘拓 | Backbone target center placed channel molding machine |
| CN110141318A (en) * | 2019-05-29 | 2019-08-20 | 北京万特福医疗器械有限公司 | A kind of neurosurgery Minimally Invasive Surgery non-frame location instrument |
| CN110269979A (en) * | 2019-06-21 | 2019-09-24 | 重庆医药高等专科学校 | A kind of acupoint injection therapy device for treating trigeminal neuralgia |
| CN112773505A (en) * | 2020-12-31 | 2021-05-11 | 深圳市萨米医疗中心 | Nerve accurate navigation device and method based on image data |
| CN113288364A (en) * | 2021-06-01 | 2021-08-24 | 伍国锋 | Guiding method and puncture guiding instrument based on plane circular theory craniocerebral focus |
| CN114948260A (en) * | 2021-06-01 | 2022-08-30 | 首都医科大学附属北京友谊医院 | Positioning device and positioning method for orthopedic implant nail hole intraosseous channel |
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| CN113288364A (en) * | 2021-06-01 | 2021-08-24 | 伍国锋 | Guiding method and puncture guiding instrument based on plane circular theory craniocerebral focus |
| CN114948260A (en) * | 2021-06-01 | 2022-08-30 | 首都医科大学附属北京友谊医院 | Positioning device and positioning method for orthopedic implant nail hole intraosseous channel |
| CN113288364B (en) * | 2021-06-01 | 2023-03-21 | 伍国锋 | Guiding method and puncture guiding instrument based on plane circular theory craniocerebral focus |
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