CN102614023B - Puncture positioning guide device for percutaneous nephrolithotomy - Google Patents
Puncture positioning guide device for percutaneous nephrolithotomy Download PDFInfo
- Publication number
- CN102614023B CN102614023B CN2012101162131A CN201210116213A CN102614023B CN 102614023 B CN102614023 B CN 102614023B CN 2012101162131 A CN2012101162131 A CN 2012101162131A CN 201210116213 A CN201210116213 A CN 201210116213A CN 102614023 B CN102614023 B CN 102614023B
- Authority
- CN
- China
- Prior art keywords
- groove
- protractor
- puncture
- square
- percutaneous nephrolithotomy
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
Images
Abstract
The invention relates to medical appliances, in particular to a puncture positioning guide device for percutaneous nephrolithotomy, which consists of a try square, a protractor and a semi-groove-shaped pointer, and is characterized in that: a level gauge is installed on a long arm of the try square, and a groove a is arranged on a short arm. The circle center of the protractor is retained, a hole is drilled at the circle center, the semi-groove-shaped pointer is installed at the hole, and a puncture needle can be arranged in the semi-groove-shaped pointer; and a groove b is arranged at the bottom edge of the protractor, the level gauge is installed on the protractor, and a connecting piece is used for penetrating through the grooves a and b to connect the protractor and the try square together. The protractor can move left and right along the groove thereof, and also can move up and down along the groove on the short arm of the try square. The puncture positioning guide device is convenient and quick to use, can greatly improve the safety, accuracy and efficiency of surgery, can prevent or obviously reduce the X-rays and computed tomography (CT)-rays which are required by positioning, and has a better social effect.
Description
Technical field
The present invention relates to technical field of medical instruments, specifically puncture orientation direction device for a kind of percutaneous nephrolithotomy.
Background technology
At present, when doing percutaneous renal puncture, often adopt: x-ray localised puncture, B ultrasonic localised puncture and CT localised puncture, wherein during the x-ray localised puncture, vertical-horizontal perspective calculus when the patient is prostrate, then face toward the direction of calculus, the angle that relies on the operator ceaselessly to regulate itself and horizontal plane is punctured, the two dimensional image that fluorescent screen just shows, can not show paracentesis depth and puncture direction, need adjust paracentesis depth and puncture direction during puncture, repeated localised puncture easily causes intraoperative hemorrhage, increases patient's misery; The B ultrasonic localised puncture is after puncture needle is inserted, because the direction of fascia dilator and the angle of horizontal plane are also unknown, it carries out dilation procedure also relatively blindly, easily leads to the failure, though the direction that can measure the degree of depth and dynamically observe syringe needle, but due to the monitor demonstration is also two dimensional image, in practical operation, operation easier is large, needs higher technology just can complete percutaneous renal puncture, and the very difficult kidney postcolon of finding of above-mentioned two kinds of percutaneous renal punctures, therefore can not prevent its damage.Although the more above-mentioned two kinds of percutaneous renal punctures of CT localised puncture are accurate, but also there are the degree of depth and the not wield drawback of direction of puncture, and CT is as a kind of disease examination equipment, can not take for a long time, affect its use, and CT Room does not reach aseptic requirement, it is impossible obviously at CT Room, completing operation.On the other hand, no matter take which kind of mode, the operating time is long, and operator and patient will accept a lot of x radiation xs, if it is inaccurate to puncture, must repeatable operation, and just more increased patient's misery.
What the Chinese patent that application number is 200520128984.8 disclosed that a kind of scale by three measuring distances and protractor form measures point of puncture to calculus body surface projection point horizontal and vertical distance in the PCNL technique under the X ray guiding, and can reflect point of puncture arrive calculus apart from and puncture needle or fascia dilator and horizontal sextant angle apart from angle measurement equipment.The Chinese patent that application number is 201020596523.4 discloses a kind of accurate positioning handling frame used for percutaneous nephroscope set be comprised of scale, protractor, sliding rail, puncture track four parts.The Chinese patent that application number is 200520128986.7 discloses the direction of the indication puncture needle in PCNL technique that is comprised of protractor, level indicator, two retainer rings or fascia dilator and in the orientation angle indicator of the angle of horizontal plane.The Chinese patent that application number is 200720079898.1 discloses the percutaneous kidney puncture expanding device with indicator be comprised of puncture needle or fascia dilator and angle display.Above four patents are all not identical with the present invention, and structure the most important thing is that than the present invention complexity their use all is based on the use under x-ray, harmful for patient and medical personnel's health.
The Chinese patent that application number is 201120066569.X discloses the CT positioning percutaneous kidney puncture rack be comprised of horizon rule, L-type slide calliper rule and horizontal slip guider.The most approaching with the present invention, but documents is the instrument of handled easily when the up fistulation of CT machine.Weak point is there is no protractor and level indicator in its design, human body back is imagined as to level, is science not too in fact.
Summary of the invention
The objective of the invention is to solve the deficiencies in the prior art, after a kind of disengaging CT machine is provided, the image data of CT scan of take is foundation, and the information such as the target that will puncture, angle, pathway pre-determine.By guide of the present invention, these information are converted into to the guide data of practical operation, use separately guide can reach accurate puncture fistula-building and complete rubble and get the stone operation.Operation is oversimplified, do not needed high-precision and expensive equipment.This guide simply, easily and fast, accurately.
Technical scheme of the present invention realizes in the following manner, puncture orientation direction device for a kind of percutaneous nephrolithotomy, comprise a square, one 90 tolerance hornwork, one and half flute profile pointers, is characterized in that, on square long-armed, level indicator is installed, and opens a groove a on the square galianconism, and hole at the circle centre position of protractor, at this place, one and half flute profile pointers are installed; Open again a groove b at 5-15cm place, distance protractor base, level indicator is installed on protractor, by connector, pass groove a and groove b links together protractor and square.Connector can be bolt.Groove a on the square galianconism is long is 2.5-7.5cm, and wide is 0.1-0.3 cm.Groove b on protractor is long is 3-9cm, and wide is 0.1-0.3 cm.Protractor can move left and right along the groove b of self, also can move up and down along the groove a of square galianconism.Can put into puncture needle in half flute profile pointer.
During use, the long-armed patient back aspect that is placed on of guide square is passed through on the mark line of labelling grid labelling, make to be the level of state, reach up and down by the groove a on the square galianconism with apart from the groove b at 5-15cm place, protractor base the protractor that horizontally slips, the center of circle of protractor is touched by CT and the common definite point of puncture M of labelling grid, and the level indicator on protractor is the level of state, the angle beta that half flute profile pointer to computer on the adjustment amount hornwork has been measured is also fixing, and the groove inserting needle of puncture needle being put into to half flute profile pointer gets final product.This percutaneous nephrolithotomy can be performed the operation for percutaneous nephrolithotomy stone with puncture orientation direction device.
The present invention compared with prior art has following advantage:
1. can puncture exactly and get stone, success rate improves greatly.
2. make patient's damage reduce to minimum, saved running cost, there is good clinical expansion and practical value.
3. simple in structure, easy to operate, greatly reduced the quantity that operator and patient receive ray, make doctor, patient all obtain effective protection.
4. technology is easily grasped, and a lot of hospitals can carry out rapidly, make the patient better be treated.
In addition, also by guide for clinical, observed in the upper Renal Ureteral Stones of 180 example (190 example operations, wherein 10 people be the bilateral calculus) wherein male 118 examples, female's 62 examples, 40 years old mean age (16-68) year old totally.156 examples are pyelolithiasis or casting mold calculus, and 24 examples are proximal ureteral calculus, and 10 examples are the Bilateral Renal calculus, synchronous surgical therapy.Concrete result of use is as shown in table 1.
The statistics of the routine case service condition of table 1 190
The accompanying drawing explanation
Accompanying drawing 2 is schematic diagrams of square of the present invention.
Accompanying drawing 3 is schematic diagrams of protractor of the present invention.
Labelling in accompanying drawing means respectively
1. connector, 2. protractor, 3. half flute profile pointer, 4. square is long-armed, 5. level indicator, 6. square galianconism, 7. groove a, 8. groove b, 9. round dot.
The specific embodiment
Below in conjunction with accompanying drawing, percutaneous nephrolithotomy of the present invention is described in detail below with puncture orientation direction device
As shown in accompanying drawing 1-3, puncture orientation direction device for percutaneous nephrolithotomy of the present invention, its structure is puncture orientation direction device for a kind of percutaneous nephrolithotomy, comprise a square, 2, one half flute profile pointers 3 of 90 tolerance hornworks, it is characterized in that square long-armed 4 on level indicator 5 is installed, open a groove a7 on square galianconism 6, and, in the 9 places boring of the center of circle of protractor 2, at this place, one and half flute profile pointers 3 are installed; Open again a groove b8 at distance protractor 2 10cm places, base, level indicator 5 is installed on protractor 2, protractor 2 and square are linked together through groove a7 and groove b8 by connector 1.Groove a7 on square galianconism 6 is long is 5cm, and wide is 0.2cm.Groove b8 on protractor 2 is long is 6cm, and wide is 0.2 cm.Protractor 2 can move left and right along the groove b8 of self, also can move up and down along the groove a7 of square galianconism 6.Half flute profile pointer 3 is interior can put into puncture needle.
While being to use, long-armed 4 of the guide square are placed on patient back aspect by the mark line of labelling grid labelling, make to be the level of state, reach up and down by the groove a7 on square galianconism 6 with apart from the groove b8 at protractor 2 10cm places, base the protractor 2 that horizontally slips, the round dot of protractor 2 is touched by CT and the common definite point of puncture M of labelling grid, and the level indicator 5 on protractor 2 is the level of state, the angle beta that half flute profile pointer 3 to computer on adjustment amount hornwork 2 has been measured is also fixing, and the groove inserting needle of puncture needle being put into to half flute profile pointer 3 gets final product.This percutaneous nephrolithotomy can be performed the operation for percutaneous nephrolithotomy stone with puncture orientation direction device.
As shown in accompanying drawing 1-3, puncture orientation direction device for percutaneous nephrolithotomy of the present invention, its structure is puncture orientation direction device for a kind of percutaneous nephrolithotomy, comprise a square, 2, one half flute profile pointers 3 of 90 tolerance hornworks, it is characterized in that square long-armed 4 on level indicator 5 is installed, open a groove a7 on square galianconism 6, and, in the 9 places boring of the center of circle of protractor 2, at this place, one and half flute profile pointers 3 are installed; Open again a groove b8 at distance protractor 2 15cm places, base, level indicator 5 is installed on protractor 2, by bolt, pass groove a7 and groove b8 links together protractor 2 and square.Groove a7 on square galianconism 6 is long is 7.5cm, and wide is 0.3cm.Groove b8 on protractor 2 is long is 9cm, and wide is 0.3 cm.Protractor 2 can move left and right along the groove b8 of self, also can move up and down along the groove a7 of square galianconism 6.Half flute profile pointer 3 is interior can put into puncture needle.
While being to use, long-armed 4 of the guide square are placed on patient back aspect by the mark line of labelling grid labelling, make to be the level of state, reach up and down by the groove a7 on square galianconism 6 with apart from the groove b8 at protractor 2 15cm places, base the protractor 2 that horizontally slips, the round dot of protractor 2 is touched by CT and the common definite point of puncture M of labelling grid, and the level indicator 5 on protractor 2 is the level of state, the angle beta that half flute profile pointer 3 to computer on adjustment amount hornwork 2 has been measured is also fixing, and the groove inserting needle of puncture needle being put into to half flute profile pointer 3 gets final product.This percutaneous nephrolithotomy can be performed the operation for percutaneous nephrolithotomy stone with puncture orientation direction device.
Claims (8)
1. puncture orientation direction device for a percutaneous nephrolithotomy, comprise a square, one 90 tolerance hornwork (2), one and half flute profile pointers (3), it is characterized in that, on long-armed (4) of square, level indicator (5) is installed, open a groove a(7 on square galianconism (6)), and locate boring in the center of circle (9) of protractor (2), at this place, one and half flute profile pointers (3) are installed; Open again a groove b(8 at 5-15cm place, distance protractor base), level indicator (5) is installed on protractor, pass groove a(7 by connector (1)) and groove b(8) protractor and square are linked together.
2. puncture orientation direction device for a kind of percutaneous nephrolithotomy according to claim 1, is characterized in that connector (1) can be bolt.
3. puncture orientation direction device for a kind of percutaneous nephrolithotomy according to claim 1, is characterized in that the groove a(7 on square galianconism (6)) the long 2.5-7.5cm of being, wide is 0.1-0.3 cm.
4. puncture orientation direction device for a kind of percutaneous nephrolithotomy according to claim 1, is characterized in that the groove b(8 on protractor (2)) the long 3-9cm of being, wide is 0.1-0.3 cm.
5. according to puncture orientation direction device for the described a kind of percutaneous nephrolithotomy of claim 1-4 any one, it is characterized in that protractor (2) can be along the groove b(8 of self) move left and right, also can be along the groove a(7 of square galianconism (6)) move up and down.
6. puncture orientation direction device for a kind of percutaneous nephrolithotomy according to claim 1, is characterized in that can putting into puncture needle in half flute profile pointer (3).
7. puncture orientation direction device for a kind of percutaneous nephrolithotomy according to claim 1, while it is characterized in that using, long-armed (4) of guide square are placed on to patient back aspect by the mark line of labelling grid labelling, make to be the level of state, by the groove a(7 on square galianconism (6)) and apart from the groove b(8 at 5-15cm place, protractor base) reach up and down the protractor that horizontally slips (2), the center of circle (9) of protractor is touched by CT and the common definite point of puncture M of labelling grid, and the level indicator (5) on protractor is the level of state, the angle beta that half flute profile pointer (3) to computer on the adjustment amount hornwork has been measured is also fixing, the groove inserting needle of puncture needle being put into to half flute profile pointer (3) gets final product.
8. puncture orientation direction device for a kind of percutaneous nephrolithotomy according to claim 1, is characterized in that performing the operation for percutaneous nephrolithotomy stone.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2012101162131A CN102614023B (en) | 2012-04-20 | 2012-04-20 | Puncture positioning guide device for percutaneous nephrolithotomy |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2012101162131A CN102614023B (en) | 2012-04-20 | 2012-04-20 | Puncture positioning guide device for percutaneous nephrolithotomy |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN102614023A CN102614023A (en) | 2012-08-01 |
| CN102614023B true CN102614023B (en) | 2013-12-04 |
Family
ID=46554487
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN2012101162131A Expired - Fee Related CN102614023B (en) | 2012-04-20 | 2012-04-20 | Puncture positioning guide device for percutaneous nephrolithotomy |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN102614023B (en) |
Families Citing this family (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103815971B (en) * | 2014-02-27 | 2017-01-25 | 杨清杰 | Puncturing locator |
| CN105212996B (en) * | 2015-10-15 | 2017-10-24 | 胡金玺 | Lumbar intervertebral aperture mirror and Thoracolumbar disk percutaneous cervical arc root screw puncture positioning guider and its Needle localization method |
| CN106691573A (en) * | 2017-01-11 | 2017-05-24 | 王玉山 | Multifunctional percutaneous vertebral pedicle positioning apparatus |
| CN108852471A (en) * | 2018-02-25 | 2018-11-23 | 河南省中医院（河南中医药大学第二附属医院） | Tumor biopsy puncture positioning instrument used on CT bed |
| CN109907839A (en) * | 2019-03-29 | 2019-06-21 | 南京市第一医院 | A kind of positioning device for the guidance of patient's puncture angle |
Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3941127A (en) * | 1974-10-03 | 1976-03-02 | Froning Edward C | Apparatus and method for stereotaxic lateral extradural disc puncture |
| US4058114A (en) * | 1974-09-11 | 1977-11-15 | Siemens Aktiengesellschaft | Ultrasonic arrangement for puncturing internal body organs, vessels and the like |
| CN2848156Y (en) * | 2005-08-23 | 2006-12-20 | 崔跃强 | Positioning, directional distance apparatus for puncture |
| CN2852051Y (en) * | 2005-11-07 | 2006-12-27 | 李学德 | Distance and angle measurer |
| CN201048965Y (en) * | 2007-06-05 | 2008-04-23 | 李学德 | Percutaneous kidney puncture expanding device with indicator |
| CN201727586U (en) * | 2010-07-24 | 2011-02-02 | 梁洪享 | CT-guided interventional positioning instrument |
| CN201847779U (en) * | 2010-11-08 | 2011-06-01 | 上海市第一人民医院分院 | Accurate positioning handling frame used for percutaneous nephroscope set |
| CN202515798U (en) * | 2012-04-20 | 2012-11-07 | 何世国 | Puncture location guiding device for percutaneous nephrolithotomy |
Family Cites Families (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20050033315A1 (en) * | 2003-08-01 | 2005-02-10 | Hankins Carol A. | Apparatus and method for guiding a medical device |
-
2012
- 2012-04-20 CN CN2012101162131A patent/CN102614023B/en not_active Expired - Fee Related
Patent Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4058114A (en) * | 1974-09-11 | 1977-11-15 | Siemens Aktiengesellschaft | Ultrasonic arrangement for puncturing internal body organs, vessels and the like |
| US3941127A (en) * | 1974-10-03 | 1976-03-02 | Froning Edward C | Apparatus and method for stereotaxic lateral extradural disc puncture |
| CN2848156Y (en) * | 2005-08-23 | 2006-12-20 | 崔跃强 | Positioning, directional distance apparatus for puncture |
| CN2852051Y (en) * | 2005-11-07 | 2006-12-27 | 李学德 | Distance and angle measurer |
| CN201048965Y (en) * | 2007-06-05 | 2008-04-23 | 李学德 | Percutaneous kidney puncture expanding device with indicator |
| CN201727586U (en) * | 2010-07-24 | 2011-02-02 | 梁洪享 | CT-guided interventional positioning instrument |
| CN201847779U (en) * | 2010-11-08 | 2011-06-01 | 上海市第一人民医院分院 | Accurate positioning handling frame used for percutaneous nephroscope set |
| CN202515798U (en) * | 2012-04-20 | 2012-11-07 | 何世国 | Puncture location guiding device for percutaneous nephrolithotomy |
Also Published As
| Publication number | Publication date |
|---|---|
| CN102614023A (en) | 2012-08-01 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN102614023B (en) | Puncture positioning guide device for percutaneous nephrolithotomy | |
| CN204683723U (en) | Intervertebral foramina puncture navigation arrangement | |
| Smith et al. | Three-dimensional ultrasound-guided core needle breast biopsy | |
| CN202096227U (en) | Needle biopsy guiding device | |
| CN201847779U (en) | Accurate positioning handling frame used for percutaneous nephroscope set | |
| CN204734541U (en) | Positioning system of backbone wicresoft | |
| Beigi et al. | Three-dimensional ultrasound-guided real-time midline epidural needle placement with epiguide: a prospective feasibility study | |
| CN105816222A (en) | Spinal puncture positioning method and device | |
| CN102526884A (en) | Head and body integrated three-dimensional positioning frame | |
| CN202515798U (en) | Puncture location guiding device for percutaneous nephrolithotomy | |
| CN2680212Y (en) | Screw guiding and positioning device for vertebral arch pedicle | |
| CN206630653U (en) | CT guides localised puncture device | |
| CN205866812U (en) | Backbone puncture locator | |
| Lichte et al. | Routine preoperative colour Doppler duplex ultrasound scanning in anterolateral thigh flaps | |
| Zhang et al. | A novel device for preoperative registration and automatic tracking in cranio-maxillofacial image guided surgery | |
| CN108451656B (en) | Spine three-dimensional positioning method | |
| CN2435052Y (en) | Magnetic resonance x-ray double-location leading hepatic portal vein and hepatic duct puncture device | |
| CN201870727U (en) | Semi-framework craniocerebral stereo positioning guiding instrument | |
| CN202458676U (en) | Computerized tomography (CT) or magnetic resonance imaging (MIC) intervention positioner | |
| CN2558330Y (en) | Human internal focus puncture location rule | |
| Malik et al. | Accuracy of tuffier’s line identification by palpation method: cross-sectional comparative study among obese, pregnant and control groups | |
| CN207605242U (en) | Rotary -60 radiosurgical treatment system of cobalt of gyro resets ruler | |
| CN207940903U (en) | A kind of orthopaedics measuring rule | |
| CN205625986U (en) | A put into locator for peritoneoscope trocar | |
| CN203935283U (en) | CT three-dimensional reconstruction location is the renal calices frame that precisely punctures for PCN |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C06 | Publication | ||
| PB01 | Publication | ||
| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20131204 Termination date: 20160420 |
|
| CF01 | Termination of patent right due to non-payment of annual fee |