CN105496520A - Individual hip joint percutaneous puncture guider and using method thereof - Google Patents

Individual hip joint percutaneous puncture guider and using method thereof Download PDF

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Publication number
CN105496520A
CN105496520A CN201610005608.2A CN201610005608A CN105496520A CN 105496520 A CN105496520 A CN 105496520A CN 201610005608 A CN201610005608 A CN 201610005608A CN 105496520 A CN105496520 A CN 105496520A
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CN
China
Prior art keywords
hip joint
hole
guiding body
described guiding
percutaneous puncture
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Granted
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CN201610005608.2A
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Chinese (zh)
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CN105496520B (en
Inventor
孙立
刘腾
田晓滨
杨勤
杨先腾
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Hubei Joye 3d High Tech Co Ltd
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Hubei Joye 3d High Tech Co Ltd
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Priority to CN201610005608.2A priority Critical patent/CN105496520B/en
Publication of CN105496520A publication Critical patent/CN105496520A/en
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3494Trocars; Puncturing needles with safety means for protection against accidental cutting or pricking, e.g. limiting insertion depth, pressure sensors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • A61B2017/3405Needle locating or guiding means using mechanical guide means
    • A61B2017/3407Needle locating or guiding means using mechanical guide means including a base for support on the body

Abstract

The invention relates to an individual hip joint percutaneous puncture guider and a using method thereof. The guider comprises a guiding body matched with the hip joint of a human body; two ends of the guiding body are respectively provided with first through holes corresponding to femoral great trochanters on two sides of a human body; two second through holes corresponding to pubes on two sides of the pubic joint of a human body are formed in the middle of the guiding body; each second through hole on the guiding body outward and obliquely upward extends to form an auxiliary part; third through holes corresponding to anterior inferior spines on two sides of a human body are formed in the two auxiliary parts; U-shaped grooves are formed in boundaries of the first, second and three through holes; and at least one guide post is arranged on the guiding body. The hip joint percutaneous puncture guider and the using method thereof can be used for conveniently avoiding important great vessels around the hip joint during puncture treatment on the hip joint of a human body, so that the accuracy and safety of puncture can be guaranteed, the treatment efficiency can be improved, and pains of patients can be relieved. The individual hip joint percutaneous puncture guider has a simple structure, and has relatively good reliability and stability.

Description

A kind of individuation hip joint percutaneous puncture guider and using method thereof
Technical field
The present invention relates to technical field of medical instruments, particularly relate to a kind of individuation hip joint percutaneous puncture guider and using method thereof.
Background technology
Human hip has metastable bone structure, it is one of main weight-bearing joints of human body, its position exists deeply, structure important is around many, is frequently-occurring disease joint clinically, easily occurs the hip joint diseases such as osteoarthritis, rheumatoid coxitis, rigid spine inflammatory coxitis, pain and the dysfunction of hip joint can be caused, state of an illness Progressive symmetric erythrokeratodermia increases the weight of, then can have a strong impact on the quality of life of patient, disability rate is high.Current early metaphase there is no clear and definite Therapeutic Method, and late surgery treatment is mainly joint replacement.There is no for early metaphase and to need or can not the hip joint disease patient of tolerate surgery, the important means that the aspiration biopsy of sclerotin around liquid laboratory examination, drug-injection in treatment and hip joint is current diagnosis and treatment is got in hip joint puncture clinically.Because hip joint position exists deeply, having important nerve and blood vessel around, easily there is repeatedly the problem such as repeated localised puncture, injured nerve blood vessel in traditional piercing method.
Summary of the invention
Technical problem to be solved by this invention is for above-mentioned the deficiencies in the prior art, provides a kind of individuation hip joint percutaneous puncture guider and using method thereof.
The technical scheme that the present invention solves the problems of the technologies described above is as follows:
According to one aspect of the present invention, provide a kind of individuation hip joint percutaneous puncture guider, comprise the guiding body matched with human hip, extend to human hip two proceeds posterolateral in the two ends of described guiding body, and the two ends of described guiding body are respectively equipped with first through hole corresponding with human body both sides greater trochanter of femur, two second through holes corresponding with the pubis of both sides, human body pubic symphysis place are provided with in the middle part of described guiding body, on described guiding body, the extension obliquely laterally of each described second through hole is provided with assisted parts, and two described assisted parts are respectively equipped with the third through-hole corresponding with human body bilateral anterior inferior iliac spine, described first through hole, the border of the second through hole and third through-hole forms U-shaped groove, and described guiding body is provided with the lead positioned pricker when at least one punctures.
On the basis of technique scheme, the present invention can also do following improvement:
Further: described guiding body comprises the left guide plate and right guide plate that are mutually symmetrical, described left guide plate and right guide plate fasten and form described guiding body, and described lead is positioned on described left guide plate and/or right guide plate.
The beneficial effect of above-mentioned further scheme is: by the way, on the one hand, described left guide plate and right guide plate separately can be made, accelerate the shaping speed of product in actual production process; On the other hand, by above-mentioned separation design, can be convenient for carrying, shift, and convenient when wearing.
Further: the thickness of described guiding body is 2-5mm.
The beneficial effect of above-mentioned further scheme is: by controlling described guiding body, can make when wearing on the one hand, described guiding body can not be inconvenient to bend because thickness is too thick, with with the hip joint of patient to mating, on the other hand, can not due to the thickness of described guiding body too thin not having support fixation preferably, and easily wear and tear in bending overshoot repeatedly, service life is shorter.
Further: described guiding body adopts elastomeric material.
The beneficial effect of above-mentioned further scheme is: described guiding body can be made can to change shape arbitrarily according to the actual requirements by adopting elastomeric material and with the hip joint of patient to mating, strengthen the versatility of described guiding body.
Further: described guiding body adopts TPE material.
The beneficial effect of above-mentioned further scheme is: TPE material's described guiding body that not only can meet in actual use can change arbitrarily the elastic demand of shape, and harm can not be produced to health, environmental protection, nontoxic pollution-free.
Further: border, the middle part relative constriction of described guiding body also forms X-type.
The beneficial effect of above-mentioned further scheme is: the bulk strength that can reduce described guiding body by the way, make to be more prone in actual use change its shape and with the hip joint of patient to mating, and can also raw material be saved simultaneously, reduce costs.
Further: two described first through holes, two described second through holes and two described third through-holes are all vertically axially symmetricly set on described guiding body.
The beneficial effect of above-mentioned further scheme is: by being symmetrical arranged, on the one hand, more meeting human skeleton structure, more mating when wearing, and on the other hand, makes described guiding body stressed more symmetrically, strengthens stability when wearing and reliability.
Further: also to comprise elastic webbing, described elastic webbing is X-type, and four of described elastic webbing terminations connect one to one with the border of described first through hole of two on described guiding body and two described third through-holes respectively.
The beneficial effect of above-mentioned further scheme is: by described elastic webbing, described guiding body can be assisted patient body-surface is fixed on when wearing, prevent accidental in piercing process from causing puncture to occur dislocation, thus cause repeated localised puncture, enhance the stability in actual mechanical process and reliability, reduce in piercing process beyond and risk.
According to another aspect of the present invention, provide a kind of using method of individuation hip joint percutaneous puncture guider, comprise the following steps:
Step 1: described left guide plate and right guide plate are fastened each other and forms the body that leads, and by described guiding body its hip joint close on front side of human body;
Step 2: described first through hole, the second through hole and third through-hole are aimed at human body both sides greater trochanter of femur, pubis and anterior inferior iliac spine respectively and wears;
Step 3: the hip joint along human body changes the shape of described guiding body, the body surface at itself and human hip place is fitted completely, and human body both sides greater trochanter of femur, pubis and anterior inferior iliac spine respectively corresponding part stretch into described first through hole, the second through hole and third through-hole;
Step 4: pricker is thrust body foci from described first through hole, the second through hole and/or third through-hole inserting needle, and described pricker is fixing by described lead location away from human body one end, carry out successive treatment or sampling.
On the basis of technique scheme, the present invention can also do following improvement:
Further: when wearing, the part on described guiding body between two described second through holes is fitted with the lower abdomen of human body.
The beneficial effect of above-mentioned further scheme is: more comfortable when can make by the way to wear, and stability is better, enhances the experience of patient, contributes to obtaining good therapeutic effect.
The invention has the beneficial effects as follows: a kind of individuation hip joint percutaneous puncture guider of the present invention and using method thereof, patient body-surface can be fixed on preferably through human body skin in clinical practice, conveniently can avoid trunk important around hip joint when carrying out puncture for treating to human hip, to guarantee accuracy and the safety of puncture, prevent from easily occurring repeated localised puncture in traditional piercing method, the defects such as injured nerve blood vessel, improve therapeutic efficiency, alleviate the misery of patient, structure is simple, with low cost, there are good reliability and stability, be highly suitable for clinical middle spread to use.
Accompanying drawing explanation
Fig. 1 is a kind of individuation hip joint percutaneous puncture guide structure schematic diagram of the present invention;
Fig. 2 is the left guide plate structure schematic diagram of a kind of individuation hip joint percutaneous puncture guider of the present invention;
Fig. 3 is the right guide plate structure schematic diagram of a kind of individuation hip joint percutaneous puncture guider of the present invention;
Fig. 4 is the using method flow chart of a kind of individuation hip joint percutaneous puncture guider of the present invention.
In accompanying drawing, the list of parts representated by each label is as follows:
1, lead body, the 2, first through hole, the 3, second through hole, and 4, assisted parts, 5, third through-hole, 6, lead;
11, left guide plate, 12, right guide plate.
Detailed description of the invention
Be described principle of the present invention and feature below in conjunction with accompanying drawing, example, only for explaining the present invention, is not intended to limit scope of the present invention.
Embodiment one, a kind of individuation hip joint percutaneous puncture guider, be described in detail to a kind of individuation hip joint percutaneous puncture guider of the present invention below in conjunction with Fig. 1,2,3.
As shown in Figure 1, a kind of individuation hip joint percutaneous puncture guide structure schematic diagram, comprise the guiding body 1 matched with human hip, extend to human hip two proceeds posterolateral in the two ends of described guiding body 1, and the two ends of described guiding body 1 are respectively equipped with first through hole 2 corresponding with human body both sides greater trochanter of femur, two second through holes 3 corresponding with the pubis of both sides, human body pubic symphysis place are provided with in the middle part of described guiding body 1, on described guiding body 1, the extension obliquely laterally of each described second through hole 3 is provided with assisted parts 4, and two described assisted parts 4 are respectively equipped with the third through-hole 5 corresponding with human body bilateral anterior inferior iliac spine, described first through hole 2, the border of the second through hole 3 and third through-hole 5 forms U-shaped groove, and described guiding body 1 is provided with the lead 6 positioned pricker when at least one punctures.When wearing, described guiding body 1 is worn to hip joint on front side of human body, and human body both sides greater trochanter of femur, pubis and anterior inferior iliac spine corresponding part stretch into described first through hole 2, second through hole 3 and third through-hole 5 as the body surface fixing point of described guiding body 1 positions, during puncture, thrust human femur under loading neck junction from described second through hole 3 inserting needle.
Preferably, the surrounding of described lead 6 is provided with many reinforcements, to ensure the fastness of described lead 6, prevents from causing pricker dystopy due to loosening of lead 6 in piercing process, thus affects therapeutic effect.
Here it may be noted that, the position of described lead 6 can be carried out correspondence according to the affected area of human body and be arranged, here this is not done to any restriction, and the quantity of described lead 6 also can be arranged according to the concrete focus situation of human body, such as human hip has two places to need puncture for treating, so then two leads 6 can be set on described guiding body 1, respectively puncture for treating be carried out to each affected area.
In the present embodiment, as shown in Figure 2,3, described guiding body 1 comprises the left guide plate 11 and right guide plate 12 that are mutually symmetrical, and described left guide plate 11 fastens with right guide plate 12 and forms described guiding body 1, and described lead 6 is positioned on described left guide plate 11 and/or right guide plate 12.Here, described left guide plate 11 fastens fastening with right guide plate 12 by buckling piece completely.Buckling piece can be latch, buckle etc.By the way, on the one hand, in actual production process, described left guide plate and right guide plate separately can be made, accelerate the shaping speed of product; On the other hand, by above-mentioned separation design, can be convenient for carrying, shift, and convenient when wearing.
In the present embodiment, the thickness of described guiding body 1 is 2-5mm.By controlling described guiding body 1, can make when wearing on the one hand, described guiding body 1 can not be inconvenient to bend because thickness is too thick, with with the hip joint of patient to mating, on the other hand, can not due to the thickness of described guiding body 1 too thin not having support fixation preferably, and easily wear and tear in bending overshoot repeatedly, service life is shorter.
Preferably, the thickness of described guiding body 1 is 3-4mm.When the thickness of described guiding body 1 is 3-4mm, result of use is best, and not only fixed effect is better, and than being easier to bending, uses more convenient.
In the present embodiment, described guiding body 1 adopts elastomeric material.Described guiding body 1 can be made can to change shape arbitrarily according to the actual requirements by adopting elastomeric material and with the hip joint of patient to mating, strengthen the versatility of described guiding body 1.
Preferably, described guiding body 1 adopts TPE material.TPE material has the high resiliency of rubber, high strength, high resilience, having again can the feature of injection molding, there is environment-protecting asepsis safety, hardness range is wide, there is excellent coloring, soft-touch, weatherability, fatigue resistance and temperature tolerance, processing characteristics is superior, need not sulfur, can recycle and reduce costs, what is more important, TPE has the splendid transparency and glossiness, facilitate medical personnel's exact operations, in addition, adopt the TPE material described guiding body 1 that not only can meet in actual use can change arbitrarily the elastic demand of shape, and harm can not be produced to health, environmental protection, nontoxic pollution-free.
Preferably, border, the middle part relative constriction of described guiding body 1 also forms X-type, and when dressing, the part on described guiding body 1 between two described second through holes 3 is fitted with the lower abdomen of human body.The bulk strength of described guiding body 1 can being reduced by the way, making to be more prone in actual use change its shape and with the hip joint of patient to mating, and can also raw material be saved simultaneously, reduce costs.
Preferably, two described second through holes 3 of described first through hole 2, two and two described third through-holes 5 are all vertically axially symmetricly set on described guiding body 1.By being symmetrical arranged, on the one hand, more meeting human skeleton structure, more mating when wearing, on the other hand, make described guiding body 1 stressed more symmetrically, strengthen stability when wearing and reliability.
Particularly, in actual wear process, need first to described guider disinfection, then on front side of patient near the hip joint portion of patient, the hip joint along patient changes the shape of described guiding body 1, fits completely with the body surface at human hip place, complete and wear, and check its firmness, guarantee that it can not come off easily, and then carry out puncture for treating process.After finishing using, taken off by described guiding body 1, and change its shape, make whole described guiding body 1 one-tenth plane, now described guiding body 1 is positioned at plane, then a disinfection.When depositing, multiple described guider can be stacked gradually placement, can space be saved like this, convenient storage and transhipment.
Preferably, a kind of individuation hip joint percutaneous puncture guider of the present invention also comprises elastic webbing, described elastic webbing is X-type, and the border of described first through hole 2 and two described third through-holes 5 connects one to one with two on described guiding body 1 respectively in four of described elastic webbing terminations.By described elastic webbing, described guiding body 1 can be assisted patient body-surface is fixed on when wearing, prevent accidental in piercing process from causing puncture to occur dislocation, thus cause repeated localised puncture, enhance the stability in actual mechanical process and reliability, reduce in piercing process beyond and risk.
Certainly, a kind of individuation hip joint percutaneous puncture guider of the present invention can make different size, with the patient of satisfied different skeleton build.
The using method of embodiment two, a kind of individuation hip joint percutaneous puncture guider, is described in detail to the using method of a kind of individuation hip joint percutaneous puncture guider of the present invention below in conjunction with Fig. 4.
As shown in Figure 4, a kind of using method of individuation hip joint percutaneous puncture guider, comprises the following steps:
Step 1: described left guide plate 11 is fastened each other with right guide plate 12 and forms the body 1 that leads, and by described guiding body 1 its hip joint close on front side of human body;
Step 2: described first through hole 2, second through hole 3 and third through-hole 5 are aimed at human body both sides greater trochanter of femur, pubis and anterior inferior iliac spine respectively and worn;
Step 3: the hip joint along human body changes the shape of described guiding body 1, the body surface at itself and human hip place is fitted completely, and human body both sides greater trochanter of femur, pubis and anterior inferior iliac spine respectively corresponding part stretch into described first through hole 2, second through hole 3 and third through-hole 5;
Step 4: pricker is thrust body foci from described first through hole 2, second through hole 3 and/or third through-hole 5 inserting needle, and described pricker is located fixing away from human body one end by described lead 6, carry out successive treatment or sampling.
In the present embodiment, when wearing, the part on described guiding body 1 between two described second through holes 3 is fitted with the lower abdomen of human body.More comfortable when can make by the way to wear, stability is better, enhances the experience of patient, contributes to obtaining good therapeutic effect.
Treat complete, described guiding body 1 taken off, and the described left guide plate 11 of described guiding body 1 is separated with right guide plate 12, then disinfection, follow-up like this carry transfer convenient.
A kind of individuation hip joint percutaneous puncture guider of the present invention and using method thereof, patient body-surface can be fixed on preferably through human body skin in clinical practice, conveniently can avoid trunk important around hip joint when carrying out puncture for treating to human hip, to guarantee accuracy and the safety of puncture, prevent from easily occurring repeated localised puncture in traditional piercing method, the defects such as injured nerve blood vessel, improve therapeutic efficiency, alleviate the misery of patient, structure is simple, with low cost, there are good reliability and stability, be highly suitable for clinical middle spread to use.
The foregoing is only preferred embodiment of the present invention, not in order to limit the present invention, within the spirit and principles in the present invention all, any amendment done, equivalent replacement, improvement etc., all should be included within protection scope of the present invention.

Claims (10)

1. an individuation hip joint percutaneous puncture guider, it is characterized in that: comprise the guiding body (1) matched with human hip, extend to human hip two proceeds posterolateral in the two ends of described guiding body (1), and the two ends of described guiding body (1) are respectively equipped with first through hole (2) corresponding with human body both sides greater trochanter of femur, described guiding body (1) middle part is provided with two second through holes (3) corresponding with the pubis of both sides, human body pubic symphysis place, upper each described second through hole (3) of described guiding body (1) laterally extension is obliquely provided with assisted parts (4), and two described assisted parts (4) are respectively equipped with the third through-hole (5) corresponding with human body bilateral anterior inferior iliac spine, described first through hole (2), the border of the second through hole (3) and third through-hole (5) forms U-shaped groove, and described guiding body (1) is provided with the lead (6) positioned pricker when at least one punctures.
2. a kind of individuation hip joint percutaneous puncture guider according to claim 1, it is characterized in that: described guiding body (1) comprises the left guide plate (11) and right guide plate (12) that are mutually symmetrical, described left guide plate (11) and right guide plate (12) fasten and form described guiding body (1), and described lead (6) is positioned on described left guide plate (11) and/or right guide plate (12).
3. a kind of individuation hip joint percutaneous puncture guider according to claim 1, is characterized in that: the thickness of described guiding body (1) is 2-5mm.
4. a kind of individuation hip joint percutaneous puncture guider according to claim 1, is characterized in that: described guiding body (1) adopts elastomeric material.
5. a kind of individuation hip joint percutaneous puncture guider according to claim 4, is characterized in that: described guiding body (1) adopts TPE material.
6. a kind of individuation hip joint percutaneous puncture guider according to any one of claim 1 to 5, is characterized in that: border, the middle part relative constriction of described guiding body (1) also forms X-type.
7. a kind of individuation hip joint percutaneous puncture guider according to any one of claim 1 to 5, is characterized in that: two described first through holes (2), two described second through holes (3) and two described third through-holes (5) are all vertically axially symmetricly set on described guiding body (1).
8. a kind of individuation hip joint percutaneous puncture guider according to claim 7, it is characterized in that: also comprise elastic webbing, described elastic webbing is X-type, and four of described elastic webbing terminations connect one to one with the border of described first through hole (2) of two on described guiding body (1) and two described third through-holes (5) respectively.
9. the using method of individuation hip joint percutaneous puncture guider as described in any one of claim 1 to 8, is characterized in that, comprise the following steps:
Step 1: described left guide plate (11) and right guide plate (12) are fastened each other and forms the body (1) that leads, and by described guiding body (1) its hip joint close on front side of human body;
Step 2: described first through hole (2), the second through hole (3) and third through-hole (5) are aimed at human body both sides greater trochanter of femur, pubis and anterior inferior iliac spine respectively and wears;
Step 3: the hip joint along human body changes the shape of described guiding body (1), the body surface at itself and human hip place is fitted completely, and human body both sides greater trochanter of femur, pubis and anterior inferior iliac spine respectively corresponding part stretch into described first through hole (2), the second through hole (3) and third through-hole (5);
Step 4: pricker is thrust body foci from described first through hole (2), the second through hole (3) and/or third through-hole (5) inserting needle, and described pricker is fixing by described lead (6) location away from human body one end, carry out successive treatment or sampling.
10. a using method for individuation hip joint percutaneous puncture guider as claimed in claim 9, is characterized in that; When wearing, the part between upper two described second through holes (3) of described guiding body (1) is fitted with the lower abdomen of human body.
CN201610005608.2A 2016-01-05 2016-01-05 A kind of individuation hip joint percutaneous puncture guider Active CN105496520B (en)

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CN113244518A (en) * 2021-07-06 2021-08-13 真实维度科技控股(珠海)有限公司 Non-coplanar puncture template based on multi-point positioning

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DE4010573A1 (en) * 1989-04-13 1990-10-18 Siemens Ag Guide template for needle - is used during perineum puncture and has holes arranged on lines radiating from common point
CN2922803Y (en) * 2006-04-27 2007-07-18 石海祥 Cerebral hemorrhage puncturing navigation positioner
US20080132942A1 (en) * 2006-12-04 2008-06-05 Gregory Paul Mueller Suture and method for using same
CN201279141Y (en) * 2008-11-04 2009-07-29 袁相晋 CT led skull puncture solid spacer
CN103263290A (en) * 2013-05-28 2013-08-28 河北医科大学第三医院 Screw implantation sighting device
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113244518A (en) * 2021-07-06 2021-08-13 真实维度科技控股(珠海)有限公司 Non-coplanar puncture template based on multi-point positioning
CN113244518B (en) * 2021-07-06 2021-10-08 真实维度科技控股(珠海)有限公司 Non-coplanar puncture template based on multi-point positioning

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