CN105125285B - Movable three-dimensional rocker arc-shaped guide spinal puncture assistor and use method of movable three-dimensional rocker arc-shaped guide spinal puncture assistor - Google Patents
Movable three-dimensional rocker arc-shaped guide spinal puncture assistor and use method of movable three-dimensional rocker arc-shaped guide spinal puncture assistor Download PDFInfo
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- CN105125285B CN105125285B CN201510378745.6A CN201510378745A CN105125285B CN 105125285 B CN105125285 B CN 105125285B CN 201510378745 A CN201510378745 A CN 201510378745A CN 105125285 B CN105125285 B CN 105125285B
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- rocking bar
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Abstract
The invention relates to a movable three-dimensional rocker arc-shaped guide spinal puncture assistor, which comprises a ground movable support part, a three-dimensional rocker regulating part and an arc-shaped angle guide puncture part, wherein bottom feet of the ground movable support part are rolling wheels with brakes; a vertical rod which is sleeved by a round tube and is used for maintaining the integral balance is arranged above the ground movable support part; the three-dimensional rocker regulating part is of a three-dimensional regulating structure consisting of three rockers with screw threads and three extension rods, and also comprises a horizontal calibrator and a horizontal locking spanner; the arc-shaped angle guide puncture part comprises a 1/4 circular-arc rail with an angle, a rocker, two infrared fixed point instruments, a guide rod and a needle guide device; the rocker can realize 360-degree vertical rotation through regulating the circular-arc rail; the guide rail slides along the circular-arc rail; and the needle guide device can be dismounted for disinfection. The movable three-dimensional rocker arc-shaped guide spinal puncture assistor has the advantages that the puncture accuracy is high; the perspective time is short; the number of perspective times is small; the quantity of X-ray radiation received by medical care personnel and patients is low; the needle guide device can be disinfected and repeatedly used; and high molecular materials are radiotransparent, and the like. Therefore the movable three-dimensional rocker arc-shaped guide spinal puncture assistor can be widely applied to spinal surgeries such as intervertebral aperture mirror positioning puncture, epidural anesthesia, spinal tumor biopsy and spinal abscess puncture drainage.
Description
Technical field
The invention belongs to technical field of medical instruments, more particularly to a kind of movable three-dimensional rocking bar arcuate guide spinal column puncture
Assistor and its using method.
Background technology
Accurately localised puncture is the necessary step of many spinal operations, if positioning is inaccurate, certainly will just cause need not
The destruction of the spinal column rear structure wanted, so as to increase damage.Especially the localised puncture of 5 sacrum of waist, 1 sections is because crista iliaca and transverse process
Stop seems particularly difficult, does not previously have any positioner, only by the implantation of the clear and definite guide pin of perspective ability repeatedly
Direction, depth.It is this simple not accurate enough by the method felt, abundant surgical experience is generally required, then is coordinated repeatedly saturating
Depending on can just complete；Both operating time had been increased, and medical personnel and patient is repeatedly exposed under x-ray radiation again.
The content of the invention
It is an object of the invention to provide a kind of movable three-dimensional rocking bar arcuate guide spinal column puncture aid and its use
Method, to make the Needle localization of spinal operation more accurate, shortens operating time, reduces the radiation of medical personnel, and we design
Movable three-dimensional rocking bar arcuate guide spinal column puncture aid is simultaneously applied to clinic.
A kind of movable three-dimensional rocking bar arcuate guide spinal column puncture aid proposed by the present invention, including removable of ground
Support part point, three-dimensional rocker regulation part, curved angle ultrasonic puncture part, wherein：
The removable support section in ground includes footing, vertical bar and cylinder, and described vertical bar one end is fixed on footing, institute
State cylinder to be placed on below vertical bar, for maintaining assistor whole machine balancing；
Three-dimensional rocker adjusts part by three threaded rocking bars, three extension rods, a horizontal alignment instrument and horizontal locks
Spanner is constituted；3rd extension rod one end connects the vertical bar other end, and the 3rd extension rod is provided with level with vertical bar junction
Locking spanner, the 3rd extension rod other end connect second extension rod one end and first extension rod one end respectively, the 3rd extension rod and
Second extension rod horizontal positioned, the first extension rod are disposed vertically, and the 3rd extension rod, the second extension rod and the first extension rod are mutual
Between be arranged vertically, the first extension rod connect the 5th rocking bar, drive which to make oscilaltion campaign, the second extension rod by the 5th rocking bar
Connect the 3rd rocking bar, drive which to move forward and backward as horizontal direction by the 3rd rocking bar, the 3rd extension rod connects the 4th rocking bar, passes through
4th rocking bar drives which to make horizontal direction side-to-side movement；The horizontal alignment instrument is located on the 3rd extension rod, the horizontal alignment
Instrument is used to adjust horizontal equilibrium, locks its horizontality by horizontal lock spanner；
Curved angle ultrasonic puncture part includes arc orbit, and the first rocking bar, the second rocking bar, guide rod and acuductor are described
Arc orbit is 1/4 circular arc, which is provided with scale, and the arc orbit connects the second rocking bar, adjusts circular arc by the second rocking bar
Realize that 360 degree vertically rotate, circular arc one end is provided with infrared level fixed point apparatus, the other end is provided with the vertical fixed point apparatus of infrared ray, institute
State guide rod to be located on arc orbit by guide rod slide block, the guide rod slide block connects the first rocking bar, and the guide rod is by leading
Bar slide block can slide on arc orbit under the drive of the first rocking bar, and guide rod is provided with acuductor, the inserting needle of the acuductor
Mouth can be puncture needle directly by being punctured to up to puncture impact point.
In the present invention, the footing of the removable support section in the ground carries the roller that arbitrarily can be moved, and can be regularly
The brake gear in face.
In the present invention, described the first rocking bar, the second rocking bar, the 3rd rocking bar, the 4th rocking bar, the 5th rocking bar, first extend
Bar, the second extension rod and the 3rd extension rod are by nonvisualized macromolecular material composition under X-ray examination.
In the present invention, described horizontal alignment instrument can keep the ginseng of horizontal level as adjustment three-dimensional rocker adjustment portion point
Examine, while locking horizontal level using horizontal lock spanner.
The using method of movable three-dimensional rocking bar arcuate guide spinal column puncture aid proposed by the present invention, concrete steps are such as
Under：
Had an X-rayed according to forward and backward position and side position, it is determined that projection of the impact point in body surface dorsal part and side is punctured, and with marker
Labelling, the vertical fixed point apparatus of infrared level fixed point apparatus and infrared ray for then adjusting spinal puncture assistor are directed at two body surface markings
Point, punctures impact point as 1/4 circular arc round dot to determine, adjusts arc orbit according to different operated levels and vertically rotates to appropriate angle
Degree, while the guide rod adjusted on arc orbit slides into appropriate location along arc orbit and fixes, now puncture needle can be from guide pin
The inserting needle mouth of device directly reaches puncture impact point.
The beneficial effects of the present invention is：
There is the present invention puncture accuracy height, short perspective time, few perspective number of times, medical personnel and patient to receive x-ray radiation
Amount is low, and acuductor can be sterilized recycling, the advantages of macromolecular material X-ray examination does not develop, thus can be widely applied to intervertebral
The spinal operations such as aperture mirror localised puncture, epidural anesthesia, tumor of spine biopsy, spinal abscess puncture drainage.
Description of the drawings
Fig. 1 is positive side position of the present invention analysis diagram.
Fig. 2 is illustrated for plan structure of the present invention.
Fig. 3 is illustrated for Facad structure of the present invention.
Fig. 4 is illustrated for backside structure of the present invention.
Label in figure：1 is roller, and 2 is metallic cylinder, and 3 is vertical bar, and 4 is infrared level fixed point apparatus, and 5 is infrared ray
Vertical fixed point apparatus, 6 is arc orbit, and 7 is the first rocking bar, and 8 is acuductor, and 9 is guide rod, and 10 is the second rocking bar, and 11 shake for the 3rd
Bar, 12 be the 4th rocking bar, 13 be the 5th rocking bar, 14 be the first extension rod, 15 be the second extension rod, 16 be the 3rd extension rod, 17
For horizontal alignment instrument, 18 horizontal lock spanners.
Specific embodiment
Accompanying drawing is combined below by embodiment and further illustrates the present invention.
Embodiment 1：As Figure 1-Figure 4, the removable support section in ground includes the footing with roller 1,2 and of cylinder
Vertical bar 3,3 one end of the vertical bar are fixed on footing, and the cylinder 2 is placed on below vertical bar 3, for maintaining assistor whole
Body is balanced；Three-dimensional rocker adjusts part by the 3rd rocking bar 11, the 4th rocking bar 12, the 5th rocking bar 13, the first extension rod 14, and second prolongs
Stock 15, the 3rd extension rod 16, horizontal alignment instrument 17 and horizontal lock spanner 18 are constituted.The connection of 3rd extension rod, 16 one end is vertical
3 other end of bar, the 3rd extension rod 16 are provided with horizontal lock spanner 18 with 3 junction of vertical bar, and the 3rd extension rod 16 is another
End connects 14 one end of 15 one end of the second extension rod and the first extension rod respectively, and the 3rd extension rod 16 and 15 level of the second extension rod are put
Put, the first extension rod 14 is disposed vertically, and the 3rd extension rod 16,14 mutual vertical cloth of the second extension rod 15 and the first extension rod
Put, the first extension rod 14 connects the 5th rocking bar 13, drive which to make oscilaltion campaign, the second extension rod 15 by the 5th rocking bar 13
Connect the 3rd rocking bar 11, drive which to move forward and backward as horizontal direction by the 3rd rocking bar 11, the connection of the 3rd extension rod 16 the 4th is shaken
Bar 12, drives which to make horizontal direction side-to-side movement by the 4th rocking bar 12；The horizontal alignment instrument 17 is located at the 3rd extension rod 16
On；Curved angle ultrasonic puncture part includes arc orbit 6, and the first rocking bar 7, the second rocking bar 10, guide rod 9 and acuductor 8 are described
Arc orbit 6 is 1/4 circular arc, which is provided with scale, and the arc orbit 6 is connected the second rocking bar 8, adjusted by the second rocking bar 8
Arc orbit 6 is made 360 degree and is vertically rotated, and 6 one end of arc orbit is provided with infrared level fixed point apparatus 4, and the other end is provided with infrared ray
Vertical fixed point apparatus 6,9 one end of the guide rod are located on arc orbit 6 by 9 slide block of guide rod, and 9 slide block of guide rod connection first is shaken
Bar 7, the guide rod 9 can be slided on arc orbit 6 under the drive of the first rocking bar 7 by guide rod slide block, and 9 other end of guide rod is provided with
Acuductor 8, the inserting needle mouth of the acuductor 8 is that puncture needle directly passes through to be punctured to up to puncture impact point.
Said apparatus operation is as follows：
（It is applied to the puncture of 5 sacrum of waist, 1 foramen intervertebrale lens）：
（1）Enjoin the parallel operating-table major axis prostrate of patient, by existing epidermis localizer invest the back side of patient's body surface with
Side, then absorbs the anteroposterior position and lateral projection of standard with C arm machine, determines and puncture impact point on anteroposterior film and lateral projection,
Then patient body surface dorsal part and side with marker labelling, while draw in patient's body surface puncturing impact point homonymy transverse process
General shape；In addition, it is out of shape to draw crista iliaca by touch patient's body surface；
（2）Spinal puncture assistor is moved to into the appropriate position by operating-table, ridge is fixed by the brake above bottom roller 1
Post puncture aid；Needed for balance single unit system；
（3）The 5th rocking bar 13 of appropriate shake, is capable of achieving 14 oscilaltion of the first extension rod, in the same manner, shakes the 3rd rocking bar 11
With the 4th rocking bar 12, the 3rd extension rod 16 is capable of achieving in left and right directions, the second extension rod 15 is moved in fore-and-aft direction, until arc
Angle ultrasonic puncture part reaches and is satisfied with position；If it is necessary, reference levels prover 17 can adjust horizontal equilibrium, while with
Horizontal lock spanner 18 locks horizontality；
（4）Shake step（3）3rd rocking bar 11, the 4th rocking bar 12, the 5th rocking bar 13 make infrared level fixed respectively
4 accurate alignment patients back skin-marker of point instrument, the skin-marker of the vertical alignment patient of fixed point apparatus 5 side of infrared ray, this
When puncture impact point and be always 1/4 arc orbit round dot of spinal puncture assistor；
（5）The good acuductor 8 of autoclave sterilization is loaded onto on guide rod 9, transverse process position according to drawn by body surface and
Ilium ridge is out of shape, and the second rocking bar 10 of shake makes that arc orbit 6 is overall vertically to be rotated to appropriate angle and fix, leading on sliding guide 9
Bar slide block is fixed to the appropriate location on arc orbit 6, while adjust length by the first rocking bar 7 shaken on guide rod 9 to make to lead
Pin device 8 is close proximity to patient's sites；
（6）Now puncture needle can be reached by the guide pinhole on acuductor 8 and puncture impact point.
Claims (4)
1. a kind of movable three-dimensional rocking bar arcuate guide spinal column puncture aid, including ground may move support section, three-dimensional and shake
Bar adjusts part and curved angle ultrasonic puncture part, it is characterised in that：
The removable support section in ground includes footing, vertical bar and cylinder, and described vertical bar one end is fixed on footing, the circle
Jacket casing below vertical bar, for maintaining assistor whole machine balancing；
Three-dimensional rocker adjusts part by three threaded rocking bars, three extension rods, a horizontal alignment instrument and horizontal lock spanners
Composition, the 3rd extension rod one end connection vertical bar other end, the 3rd extension rod are provided with horizontal lock with vertical bar junction
Spanner, the 3rd extension rod other end connect second extension rod one end and first extension rod one end, the 3rd extension rod and second respectively
Extension rod horizontal positioned, the first extension rod are disposed vertically, and the 3rd extension rod, the second extension rod and the first extension rod hang down each other
Straight to arrange, the first extension rod connects the 5th rocking bar, drives which to make oscilaltion campaign, the connection of the second extension rod by the 5th rocking bar
3rd rocking bar, drives which to move forward and backward as horizontal direction by the 3rd rocking bar, and the 3rd extension rod connects the 4th rocking bar, by the 4th
Rocking bar drives which to make horizontal direction side-to-side movement；The horizontal alignment instrument is located on the 3rd extension rod, and the horizontal alignment instrument is used
In adjustment horizontal equilibrium, its horizontality is locked by horizontal lock spanner；
Curved angle ultrasonic puncture part includes arc orbit, the first rocking bar, the second rocking bar, guide rod and acuductor, the circular arc
Track is 1/4 circular arc, which is provided with scale, and the arc orbit connects the second rocking bar, adjusts arc orbit by the second rocking bar
Make 360 degree vertically to rotate, arc orbit one end is provided with infrared level fixed point apparatus, and the other end is provided with the vertical fixed point apparatus of infrared ray,
The guide rod is located on arc orbit by guide rod slide block, and the guide rod slide block connects the first rocking bar, and the guide rod passes through
Guide rod slide block can slide on arc orbit under the drive of the first rocking bar, and the guide rod other end is provided with acuductor, the acuductor
Inserting needle mouth is puncture needle directly by being punctured to up to puncture impact point.
2. movable three-dimensional rocking bar arcuate guide spinal column puncture aid according to claim 1, it is characterised in that described
The footing of the removable support section in ground with the roller that arbitrarily can be moved, and can fixed bottom boundary brake gear.
3. movable three-dimensional rocking bar arcuate guide spinal column puncture aid according to claim 1, it is characterised in that described
The first rocking bar, the second rocking bar, the 3rd rocking bar, the 4th rocking bar, the 5th rocking bar, the first extension rod, the second extension rod and the 3rd prolong
Stock is by nonvisualized macromolecular material composition under X-ray examination.
4. movable three-dimensional rocking bar arcuate guide spinal column puncture aid according to claim 1, it is characterised in that described
Horizontal alignment instrument the reference of horizontal level can be kept as adjustment three-dimensional rocker adjustment portion point, while utilizing horizontal lock spanner
Locking horizontal level.
Priority Applications (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510378745.6A CN105125285B (en) | 2015-07-02 | 2015-07-02 | Movable three-dimensional rocker arc-shaped guide spinal puncture assistor and use method of movable three-dimensional rocker arc-shaped guide spinal puncture assistor |
| CN201680000494.0A CN105916463B (en) | 2015-07-02 | 2016-01-05 | Detachably assemble arc-shaped precise positioning equipment |
| PCT/CN2016/070142 WO2017000538A1 (en) | 2015-07-02 | 2016-01-05 | Arc-shaped precise positioning device capable of being assembled and disassembled |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510378745.6A CN105125285B (en) | 2015-07-02 | 2015-07-02 | Movable three-dimensional rocker arc-shaped guide spinal puncture assistor and use method of movable three-dimensional rocker arc-shaped guide spinal puncture assistor |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN105125285A CN105125285A (en) | 2015-12-09 |
| CN105125285B true CN105125285B (en) | 2017-05-03 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201510378745.6A Expired - Fee Related CN105125285B (en) | 2015-07-02 | 2015-07-02 | Movable three-dimensional rocker arc-shaped guide spinal puncture assistor and use method of movable three-dimensional rocker arc-shaped guide spinal puncture assistor |
Country Status (1)
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| CN (1) | CN105125285B (en) |
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| WO2017000538A1 (en) * | 2015-07-02 | 2017-01-05 | 贺石生 | Arc-shaped precise positioning device capable of being assembled and disassembled |
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| CN113229904B (en) * | 2021-06-28 | 2022-05-20 | 真实维度科技控股(珠海)有限公司 | Space positioning guide device based on C-shaped arm machine puncture |
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Effective date of registration: 20200201 Address after: 200 000 No. 301 Yanzhong Road, Jing'an District, Shanghai Patentee after: SUZHOU BIOWISETECH Co.,Ltd. Address before: 301 spine surgery, building 16, building 2, Shanghai Tenth People's Hospital, Yanchang Road, Shanghai, Zhabei District 200072, China Patentee before: He Shisheng |
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