CN105105827A - Three-dimensional folding light-assembled PTED (Percutaneous Transforaminal Endoscopic Discectomy) puncture locator - Google Patents
Three-dimensional folding light-assembled PTED (Percutaneous Transforaminal Endoscopic Discectomy) puncture locator Download PDFInfo
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- CN105105827A CN105105827A CN201510482847.2A CN201510482847A CN105105827A CN 105105827 A CN105105827 A CN 105105827A CN 201510482847 A CN201510482847 A CN 201510482847A CN 105105827 A CN105105827 A CN 105105827A
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- ring
- crossbeam
- grafting
- puncture
- horizontal beam
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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
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B2017/564—Methods for bone or joint treatment
Abstract
The invention relates to a three-dimensional folding light-assembled PTED (Percutaneous Transforaminal Endoscopic Discectomy) puncture locator which comprises a vertical beam, a beam, horizontal beams and sleeves, wherein the vertical beam is fixed at the edge of a hospital bed by a lateral positioning block and can move along the edge of the hospital bed; the beam is arranged on the vertical beam by a beam fixing block; the beam can move up and down on the vertical beam by the beam fixing block; two horizontal beam fixing blocks are arranged on the beam; two horizontal beams are provided; one ends of the horizontal beams are arranged on the beam by the horizontal beam fixing blocks and can move along the beam; sleeve rings are arranged at the other ends of the horizontal beams; the sleeves are inserted into the sleeve rings and can move up and down along the sleeve rings; puncture needle positioning rings for positioning a puncture needle are arranged at the end parts of the sleeves. Compared with the prior art, the puncture locator disclosed by the invention can be folded, can obviously reduce perspective times and a radiation dosage, is convenient to use and is hopeful to reduce the threshold of learning a PTED operation.
Description
Technical field
The present invention relates to a kind of puncture locator, especially relate to a kind of three-dimensional Foldable light assembling foramen intervertebrale lens puncture locator.
Background technology
Percutaneous puncture transforaminal spinal column endoscopic technic (foramen intervertebrale lens) is regarded as minimally invasive spine surgical truly.But localised puncture is the necessary step of foramen intervertebrale lens accurately, if locate inaccurate, just certainly will cause the destruction of unnecessary spinal column rear structure, thus increase damage.Previously without any positioner, only have by perspective repeatedly could the implantation direction of clear and definite guide pin, the degree of depth.This simple method of sensation that relies on is not accurate enough, often needs the surgical experience enriched, then coordinates repeatedly to have an X-rayed and just can complete, and both increases operating time, under making again medical personnel and patient repeatedly be exposed to x-ray radiation.
Chinese patent CN203303150U discloses a kind of lathe frame of foramen intervertebrale lens operation puncturing localizer, and it comprises the column that base, base are arranged, and column is provided with the wheel foot frame of band Universal pulley.By packing up or put down universal wheel foot when this lathe frame uses, substantially increase degree of accuracy and the mobility of foramen intervertebrale lens puncture locator.But above-mentioned lathe frame vibrational power flow is comparatively complicated, and it is comparatively large to take up space, and is not easy to contraction and deposits.
Chinese patent CN202821642U discloses a kind of puncture locator, comprises support, for support being fixed on the pedestal on sick bed; Described support comprises a cross bar, a montant and a brace, and wherein cross bar one end is fixed with montant one end and mutually vertical; Also comprise a slide block that can slide on cross bar, one end of described brace is connected with slide block by bearing pin, and brace can rotate around bearing pin; On described bearing pin, cover has the driving gear that can rotate with brace; Described slide block is also provided with the driven gear engaged with driving gear, described driven gear has the pilot hole that radial direction runs through; The extended line of described pilot hole and brace are along cross bar axial symmetry.There is the puncture locator of said structure, can not need to carry out puncturing in human body under image documentation equipment location, reduce the generation of site of puncture infection and other complication.And reduce the harm of X-ray to doctor and patient.But the mode by arranging driving gear and driven gear in above-mentioned localizer comes localised puncture direction, and position fixing process is comparatively complicated.
Therefore need to research and develop a kind of foramen intervertebrale lens puncture locator, to improve positional accuracy, shorten operating time, reduce the radiation of medical personnel.
Summary of the invention
Object of the present invention is exactly provide to overcome defect that above-mentioned prior art exists that a kind of easy removal is assembled, stored collapsed is convenient, locate the high three-dimensional Foldable light assembling foramen intervertebrale lens puncture locator of simple precision.
Object of the present invention can be achieved through the following technical solutions:
A kind of three-dimensional Foldable light assembling foramen intervertebrale lens puncture locator, comprise vertical beam and crossbeam, described vertical beam is fixed on beside sickbed along upper by position, side locating piece, and can along beside sickbed along mobile, described crossbeam is arranged on vertical beam by crossbeam fixed block, and described crossbeam moves up and down on vertical beam by crossbeam fixed block; Also comprise horizontal beam and sleeve pipe, described crossbeam is provided with two horizontal beam fixed blocks, described horizontal beam is provided with two, one end of described horizontal beam is arranged on crossbeam by horizontal beam fixed block, and can along cross beam movement, the described horizontal beam other end is provided with sleeve ring, and described sleeve pipe is plugged in sleeve ring, and can move up and down along sleeve ring; The end of described sleeve pipe is provided with the puncture needle locating ring for positioning puncture needle.
Described crossbeam fixed block comprises one and is set in retainer ring on vertical beam and a grafting ring for grafting crossbeam, described retainer ring and grafting ring are equipped with for fastening bolt, be rotational structure between described retainer ring and grafting ring, make described crossbeam can be rotated to the position overlapped with vertical beam.
Described horizontal beam fixed block comprises one and is set in retainer ring on crossbeam and a grafting ring for grafting horizontal beam, described retainer ring and grafting ring are equipped with for fastening bolt, be rotational structure between described retainer ring and grafting ring, make described horizontal beam can be rotated to the position overlapped with crossbeam.
Described crossbeam offers the probe interface for grafting Vertical dimension probe away from one end of vertical beam; Described vertical beam is provided with for the probe retainer ring of grafting level to probe.
Described crossbeam fixed block, puncture needle locating ring, probe interface and probe retainer ring position are provided with sensor.
The top of one of them sleeve pipe arranges the puncture needle locating ring being used for positioning puncture needle, and the bottom of another sleeve pipe arranges the puncture needle locating ring being used for positioning puncture needle.
Described horizontal beam and sleeve pipe are provided with scale.
Described sleeve ring is provided with the bolt for fastening sleeve pipe.
Described position, side locating piece is provided with the bolt for fastening vertical beam.
When foramen intervertebrale lens puncture locator of the present invention uses, first by position, side locating piece, vertical beam is arranged on the bedstead of sick bed, and can move along bedstead, then respectively crossbeam, horizontal beam and sleeve pipe are installed, and make crossbeam vertical with vertical beam, horizontal beam and beam vertical, sleeve pipe is vertical with horizontal beam.Then probe is arranged on respectively on probe interface and probe retainer ring, and the probe making to be arranged on probe interface place straight down, and the probe level being arranged on probe retainer ring place is arranged.Position, mobile side locating piece, makes vertical beam and upper all component thereof move together, until be arranged on the probe at probe retainer ring place and the good labelling of leaning to one side of the prior labelling of body surface coincides, then lock side position locating piece, fixes the position of vertical beam.Move horizontally crossbeam again, the probe upper labelling that prior labelling is good with body surface being straight down arranged on probe interface place is coincided, then lock crossbeam fixed block, crossbeam position is maintained static.
Finally, according to the puncture route of setting, the position of adjustment horizontal beam and sleeve pipe, when puncture needle is plugged on puncture needle locating ring, puncture needle points to labelling of the leaning to one side body surface point of puncture (point of puncture can according to formulae discovery obtain, also can in advance as required set) corresponding with upper labelling according to set angle.In adjustment puncture route process, key position point can be determined fast by the sensor arranged, and then quick and precisely adjust puncture route.
Compared with prior art, it is good that the three-dimensional Foldable light assembling foramen intervertebrale lens puncture locator that the present invention designs is applied to clinical effectiveness.Previous experiments research shows, and compared with conventional mapping methods, this puncture locator obviously can reduce number of times and the radiation dose of perspective, and easy to use, is expected to the threshold reducing foramen intervertebrale lens operation study.
This puncture locator can be assembled by easy removal, and stored collapsed is very convenient, does not hinder original narrow operative space.In addition, under employing X-ray examination, developing material does not make, and can avoid the artifact of fluoroscopy during operation.Based on the localised puncture principle of point-line-surface one, any one sections of lumbar vertebra can be applied to without dead angle, the problem of waist 5 sacrum 1 sections height crista iliaca difficulty puncture can be solved.
Accompanying drawing explanation
Fig. 1 is the present invention's three-dimensional Foldable light assembling foramen intervertebrale lens puncture locator schematic perspective view one;
Fig. 2 is the present invention's three-dimensional Foldable light assembling foramen intervertebrale lens puncture locator schematic perspective view two;
Fig. 3 is the structural representation of crossbeam fixed block or horizontal beam fixed block.
Number in the figure: 1 is vertical beam, 2 is crossbeam, and 3 is horizontal beam, and 4 is sleeve pipe, 5 is position, side locating piece, and 6 is crossbeam fixed block, and 7 is horizontal beam fixed block, 8 is sleeve ring, and 9 is puncture needle, and 10 is puncture needle locating ring, 11 is retainer ring, and 12 is grafting ring, and 13 is probe interface, 14 is probe retainer ring, and 15 is sensor, and 16 is bedstead, 17 is probe, and 18 is labelling of leaning to one side, and 19 is upper labelling.
Detailed description of the invention
Below in conjunction with the drawings and specific embodiments, the present invention is described in detail.
Embodiment
A kind of three-dimensional Foldable light assembling foramen intervertebrale lens puncture locator, as shown in Figure 1 and Figure 2, comprise vertical beam 1 and crossbeam 2, vertical beam 1 is fixed on beside sickbed along upper by position, side locating piece 5, and can along beside sickbed along mobile, crossbeam 2 is arranged on vertical beam 1 by crossbeam fixed block 6, and crossbeam 2 moves up and down on vertical beam 1 by crossbeam fixed block 6; Also comprise horizontal beam 3 and sleeve pipe 4, crossbeam 2 is provided with two horizontal beam fixed blocks 7, horizontal beam 3 is provided with two, one end of horizontal beam 3 is arranged on crossbeam 2 by horizontal beam fixed block 7, and can move along crossbeam 2, horizontal beam 3 other end is provided with sleeve ring 8, and sleeve pipe 4 is plugged in sleeve ring 8, and can move up and down along sleeve ring 8; The top of one of them sleeve pipe 4 arranges the puncture needle locating ring 10 being used for positioning puncture needle 9, and the bottom of another sleeve pipe 4 arranges the puncture needle locating ring 10 being used for positioning puncture needle 9.Crossbeam 2 offers the probe interface 13 for grafting Vertical dimension probe away from one end of vertical beam 1; Vertical beam 1 is provided with for the probe retainer ring 14 of grafting level to probe.Crossbeam fixed block 6, puncture needle locating ring 10, probe interface 13 and probe retainer ring 14 position are provided with sensor 15.Horizontal beam 3 and sleeve pipe 4 are provided with scale.Sleeve ring 8 is provided with the bolt for fastening sleeve pipe 4.Position, side locating piece 5 is provided with the bolt for fastening vertical beam 1.
As shown in Figure 3, crossbeam fixed block 6 comprises one and is set in retainer ring 11 on vertical beam 1 and a grafting ring 12 for grafting crossbeam 2, retainer ring 11 and grafting ring 12 are equipped with for fastening bolt, be rotational structure between retainer ring 11 and grafting ring 12, make crossbeam 2 can be rotated to the position overlapped with vertical beam 1.Horizontal beam fixed block 7 comprises one and is set in retainer ring 11 on crossbeam 2 and a grafting ring 12 for grafting horizontal beam 3, retainer ring 11 and grafting ring 12 are equipped with for fastening bolt, be rotational structure between retainer ring 11 and grafting ring 12, make horizontal beam 3 can be rotated to the position overlapped with crossbeam 2.
When this foramen intervertebrale lens puncture locator uses, first by position, side locating piece 5, vertical beam 1 is arranged on the bedstead 16 of sick bed, and can move along bedstead 16, then respectively crossbeam 2, horizontal beam 3 and sleeve pipe 4 are installed, and make crossbeam 2 vertical with vertical beam 1, horizontal beam 3 is vertical with crossbeam 2, and sleeve pipe 4 is vertical with horizontal beam 3.Then probe 17 is arranged on respectively probe interface 13 with on probe retainer ring 14, and the probe making to be arranged on probe interface 13 place straight down, and the probe 17 being arranged on probe retainer ring 14 place is horizontally disposed with.Position, mobile side locating piece 5, vertical beam 1 and upper all component thereof are moved together, until the probe 17 being arranged on probe retainer ring 14 place the lean to one side labelling 18 good with the prior labelling of body surface coincides, then lock side position locating piece 5, fixes the position of vertical beam 1.Move horizontally crossbeam 2 again, the probe 17 upper labelling 19 that prior labelling is good with body surface being straight down arranged on probe interface 13 place is coincided, then lock crossbeam fixed block 6, crossbeam 2 position is maintained static.
Finally, according to the puncture route of setting, the position of adjustment horizontal beam 3 and sleeve pipe 4, when puncture needle 9 is plugged on puncture needle locating ring 1, puncture needle 9 points to labelling 18 of the leaning to one side body surface point of puncture (point of puncture can according to formulae discovery obtain, also can in advance as required set) corresponding with upper labelling 19 according to set angle.In adjustment puncture route process, key position point can be determined fast by the sensor arranged, and then quick and precisely adjust puncture route.
Compared with prior art, it is good that the three-dimensional Foldable light assembling foramen intervertebrale lens puncture locator that the present invention designs is applied to clinical effectiveness.Previous experiments research shows, and compared with conventional mapping methods, this puncture locator obviously can reduce number of times and the radiation dose of perspective, and easy to use, is expected to the threshold reducing foramen intervertebrale lens operation study.
Above-mentioned is can understand and use invention for ease of those skilled in the art to the description of embodiment.Person skilled in the art obviously easily can make various amendment to these embodiments, and General Principle described herein is applied in other embodiments and need not through performing creative labour.Therefore, the invention is not restricted to above-described embodiment, those skilled in the art, according to announcement of the present invention, do not depart from improvement that scope makes and amendment all should within protection scope of the present invention.
Claims (9)
1. a three-dimensional Foldable light assembling foramen intervertebrale lens puncture locator, comprise vertical beam (1) and crossbeam (2), described vertical beam (1) is fixed on beside sickbed along upper by position, side locating piece (5), and can along beside sickbed along mobile, described crossbeam (2) is arranged on vertical beam (1) by crossbeam fixed block (6), and described crossbeam (2) moves up and down on vertical beam (1) by crossbeam fixed block (6); It is characterized in that, also comprise horizontal beam (3) and sleeve pipe (4), described crossbeam (2) is provided with two horizontal beam fixed blocks (7), described horizontal beam (3) is provided with two, one end of described horizontal beam (3) is arranged on crossbeam (2) by horizontal beam fixed block (7), and can be mobile along crossbeam (2), described horizontal beam (3) other end is provided with sleeve ring (8), described sleeve pipe (4) is plugged in sleeve ring (8), and can move up and down along sleeve ring (8); The end of described sleeve pipe (4) is provided with the puncture needle locating ring (10) for positioning puncture needle (9).
2. one according to claim 1 three-dimensional Foldable light assembling foramen intervertebrale lens puncture locator, it is characterized in that, described crossbeam fixed block (6) comprises one and is set in retainer ring (11) on vertical beam (1) and a grafting ring (12) for grafting crossbeam (2), described retainer ring (11) and grafting ring (12) are equipped with for fastening bolt, be rotational structure between described retainer ring (11) and grafting ring (12), described crossbeam (2) is made to can be rotated to the position overlapped with vertical beam (1).
3. one according to claim 1 three-dimensional Foldable light assembling foramen intervertebrale lens puncture locator, it is characterized in that, described horizontal beam fixed block (7) comprises one and is set in retainer ring (11) on crossbeam (2) and a grafting ring (12) for grafting horizontal beam (3), described retainer ring (11) and grafting ring (12) are equipped with for fastening bolt, be rotational structure between described retainer ring (11) and grafting ring (12), described horizontal beam (3) is made to can be rotated to the position overlapped with crossbeam (2).
4. one according to claim 1 three-dimensional Foldable light assembling foramen intervertebrale lens puncture locator, it is characterized in that, described crossbeam (2) offers the probe interface (13) for grafting Vertical dimension probe away from one end of vertical beam (1); Described vertical beam (1) is provided with for the probe retainer ring (14) of grafting level to probe.
5. one according to claim 4 three-dimensional Foldable light assembling foramen intervertebrale lens puncture locator, it is characterized in that, described crossbeam fixed block (6), puncture needle locating ring (10), probe interface (13) and probe retainer ring (14) position are provided with sensor (15).
6. one according to claim 1 three-dimensional Foldable light assembling foramen intervertebrale lens puncture locator, it is characterized in that, the top of one of them sleeve pipe (4) arranges the puncture needle locating ring (10) being used for positioning puncture needle (9), and the bottom of another sleeve pipe (4) arranges the puncture needle locating ring (10) being used for positioning puncture needle (9).
7. one according to claim 1 three-dimensional Foldable light assembling foramen intervertebrale lens puncture locator, is characterized in that, described horizontal beam (3) and sleeve pipe (4) are provided with scale.
8. one according to claim 1 three-dimensional Foldable light assembling foramen intervertebrale lens puncture locator, is characterized in that, described sleeve ring (8) is provided with the bolt for fastening sleeve pipe (4).
9. one according to claim 1 three-dimensional Foldable light assembling foramen intervertebrale lens puncture locator, is characterized in that, described position, side locating piece (5) is provided with the bolt for fastening vertical beam (1).
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510482847.2A CN105105827B (en) | 2015-08-07 | 2015-08-07 | Three-dimensional Foldable light assembles foramen intervertebrale lens puncture locator |
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| CN201510482847.2A CN105105827B (en) | 2015-08-07 | 2015-08-07 | Three-dimensional Foldable light assembles foramen intervertebrale lens puncture locator |
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| CN105105827A true CN105105827A (en) | 2015-12-02 |
| CN105105827B CN105105827B (en) | 2017-11-07 |
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Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN105708528A (en) * | 2016-04-15 | 2016-06-29 | 南京医科大学第一附属医院 | Intervertebral foramen puncture guide device |
| CN105832427A (en) * | 2016-03-18 | 2016-08-10 | 南京鼓楼医院 | In-vitro laser alignment guidance system for minimally invasive intracranial hematoma cleaning operation and positioning method |
| CN108283514A (en) * | 2018-03-22 | 2018-07-17 | 袁峰 | A kind of three-dimensional intervertebral foramen guider |
| CN109171903A (en) * | 2018-09-17 | 2019-01-11 | 宝鸡市中医医院 | Foramen intervertebrale lens puncture locator |
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Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105832427A (en) * | 2016-03-18 | 2016-08-10 | 南京鼓楼医院 | In-vitro laser alignment guidance system for minimally invasive intracranial hematoma cleaning operation and positioning method |
| CN105832427B (en) * | 2016-03-18 | 2019-01-18 | 南京鼓楼医院 | The external laser alignment guidance system of intracranial hematoma microscopic wound dissection and localization method |
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| CN108283514A (en) * | 2018-03-22 | 2018-07-17 | 袁峰 | A kind of three-dimensional intervertebral foramen guider |
| CN109171903A (en) * | 2018-09-17 | 2019-01-11 | 宝鸡市中医医院 | Foramen intervertebrale lens puncture locator |
| CN109171903B (en) * | 2018-09-17 | 2020-12-29 | 宝鸡市中医医院 | Intervertebral foramen mirror puncture locator |
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| CN105105827B (en) | 2017-11-07 |
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