CN105342675A - Cerebellar hematoma puncture orientation device - Google Patents
Cerebellar hematoma puncture orientation device Download PDFInfo
- Publication number
- CN105342675A CN105342675A CN201510938699.0A CN201510938699A CN105342675A CN 105342675 A CN105342675 A CN 105342675A CN 201510938699 A CN201510938699 A CN 201510938699A CN 105342675 A CN105342675 A CN 105342675A
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- CN
- China
- Prior art keywords
- puncture
- dull
- stereotyped
- support plate
- rule
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3472—Trocars; Puncturing needles for bones, e.g. intraosseus injections
-
- 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
- A61B17/3494—Trocars; Puncturing needles with safety means for protection against accidental cutting or pricking, e.g. limiting insertion depth, pressure sensors
-
- 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
Abstract
The invention discloses a cerebellar hematoma puncture orientation device. The device comprises a rotatable plane surveying panel of which the edge is provided with a ruler, a puncture panel of which the edge is provided with a center-holed ruler, a supporting panel which can rotate with the puncture panel and a positioning panel which can rotate with the supporting panel. The cerebellar hematoma puncture orientation device is simple in structure, convenient to use, accurate and quick in positioning and low in manufacture cost, and is worthy of popularization.
Description
Technical field
The present invention relates to a kind of CT that utilizes to the auxiliary device of the accurate stereotactic puncture of patient's cerebellar hematomas.Specifically a kind of cerebellar hematomas puncture direction finder.
Background technology
The cerebellar hemorrhage that hypertension causes is the common emergency case of neurosurgery, and quantity of hematoma comparatively curtain goes out insufficiency of blood, but compensatory space is less, usually merges obstructive hydrocephalus, forms cerebral hernia or direct compressing brain stem threat to life, needs emergency operation emergency treatment.Cerebellum operation of opening cranium treatment wound is heavy, the long most of patient age in addition of operating time is comparatively large, and operation risk is relatively high, so neurosurgeon usually selects hematoma puncture drainage.Clearly whether can there is cerebral hemorrhage by CT scan and determine size, the position of hematoma and whether merge hydrocephalus.Doctor often carries out determining site of puncture, puncture direction and paracentesis depth according to CT scan.But cerebellum is punctured with its particularity: 1, because scalp mobility is large, cannot effective location, therefore site of puncture adopts Posterior fossa to fix point of puncture; 2, operation position is ventricumbent position or lateral position, during operation puncturing without obvious reference mark and multiple simple and easy location instrument cannot use in art, part positioner complexity is loaded down with trivial details, the expensive basic hospital of apparatus cannot use; 3, CT scan image is cross section, and the dark important vascular around in cerebellum position holds and is easy to injured blood vessel, and Posterior fossa volume is little, and paracentesis depth and direction are difficult to hold simultaneously, puncture by patient's experience in art, often cause actual puncture hematoma position and target deviation larger.
Although make great efforts to have invented multiple in-vitro directed method through medical worker, to some extent solve the difficult problem of cerebellum puncture intracerebral hematoma, but the instrument that they take or complexity, both expensive and operating process is loaded down with trivial details, cannot effective location because instrument volume is comparatively large, in scalp activity art, make wide popularization and application limited.
Summary of the invention
The object of the invention is to the shortcoming overcoming above-mentioned cerebellar hematomas stereotactic puncture, a kind of orienting device more accurate, reliable, easy to use is provided.The object of the present invention is achieved like this: it comprises a kind of cerebellar hematomas puncture direction finder, it comprises a boundary zone has the rotatable plane survey of rule dull and stereotyped, one boundary zone has the puncture in rule Intermediate Gray hole dull and stereotyped, one can with puncture dull and stereotyped rotary motion support plate and one can with the location panel of support plate rotary motion, the dull and stereotyped rule of described measurement is provided with set screw, described edge is provided with the dull and stereotyped middle part of puncture in rule Intermediate Gray hole can the trocar sleeve of universal adjustment, Telescopic rotary adjusting rod, adjusting rod fixed screw and point of rotation fixed screw, with the rotatable plane survey of rule, dull and stereotyped and edge is provided with tumbler with the intersection of the puncture flat board in rule Intermediate Gray hole at described edge, described can with puncture dull and stereotyped rotary motion support plate and the location panel intersection of support plate rotary motion can be provided with tumbler.
Further, describedly the support plate of the dull and stereotyped rotary motion of puncture can be provided with upper and lower two altitude mixture control screws, edge with the puncture in rule Intermediate Gray hole dull and stereotyped with can with the support plate intersection of the dull and stereotyped rotary motion of puncture be provided with by two dull and stereotyped rotates after the fixture of fixing.
As shown in Figure 1, during use, by the CT image reading reference inspection, focus is judged, using the central point of intracerebral hematoma as puncture target, determine the cranium brain scanning plane by target according to this, the straight line being parallel to brain center line by target is drawn in this plane, the intersection point of this line and Ipsilateral occipitalia scalp is for puncturing reference point, and on patient's scalp this reference point of labelling, the spacing d of witness mark and target company in CT scan plane again, this numerical value is the distance of set screw F to A on dull and stereotyped 1 rule, i.e. the length of line segment FA.This mounted point A is aimed at reference point, the near-end of regulating sleeve G is aimed at and is contacted cerebellum and fixes point of puncture, support plate 4 is tried one's best occipitalia skin, regulate height screw to be positioned at and be applicable to height, location panel overlaps with the CT scan flat board by target and the reference point that punctures, fixation of C E and CD, take off position finder, dull and stereotyped 1 is regulated to overlap with dull and stereotyped 3, fixing AB, F point is puncture hematoma focus target target spot, and the universal head of regulating sleeve G makes sleeve extended line pass through F, fixed muffle, the line segment length measured between sleeve G near-end and F is paracentesis depth.Loosen AB, again this mounted point A is aimed at reference point, the near-end of regulating sleeve G is aimed at and is contacted cerebellum and fixes point of puncture, to hole and guide puncture by existing routine operation through sleeve cranium, guides thus just to can be accurate to reach target spot.Structure of the present invention is simple, easy to use, accurate positioning rapid, and cost of manufacture is cheap, is worthy to be popularized.
Accompanying drawing explanation
Fig. 1 is structural representation of the present invention;
Wherein: 1-measures flat board, 2-punctures flat board, 3-location panel, 4-support plate.
Detailed description of the invention
Below in conjunction with drawings and Examples, principle of the present invention and advantage are further elaborated.
A kind of cerebellar hematomas puncture direction finder, it comprises a boundary zone has the rotatable plane survey of rule dull and stereotyped, one boundary zone has the puncture in rule Intermediate Gray hole dull and stereotyped, one can with puncture dull and stereotyped rotary motion support plate and one can with the location panel of support plate rotary motion, the dull and stereotyped rule of described measurement is provided with set screw, described edge is provided with the dull and stereotyped middle part of puncture in rule Intermediate Gray hole can the trocar sleeve of universal adjustment, Telescopic rotary adjusting rod, adjusting rod fixed screw and point of rotation fixed screw, with the rotatable plane survey of rule, dull and stereotyped and edge is provided with tumbler with the intersection of the puncture flat board in rule Intermediate Gray hole at described edge, described can with puncture dull and stereotyped rotary motion support plate and the location panel intersection of support plate rotary motion can be provided with tumbler.
Describedly the support plate of the dull and stereotyped rotary motion of puncture can be provided with upper and lower two altitude mixture control screws, edge with the puncture in rule Intermediate Gray hole dull and stereotyped with can with the support plate intersection of the dull and stereotyped rotary motion of puncture be provided with by two dull and stereotyped rotates after the fixture of fixing.
Main body of the present invention be one with the rotatable U-shaped structure of scale, regulate measure dull and stereotyped 1 quarter set screw F to A distance be the distance of reference point to target that puncture.This mounted point A is aimed at reference point, the near-end of regulating sleeve G is aimed at and is contacted cerebellum and fixes point of puncture, support plate 4 is tried one's best occipitalia skin, regulate height screw to be positioned at and be applicable to height, location panel overlaps with the CT scan flat board by target and the reference point that punctures, fixation of C E and CD, take off localizer, dull and stereotyped 1 is regulated to overlap with dull and stereotyped 3, fixing AB, F point is puncture hematoma focus target target spot, and the universal head of regulating sleeve G makes sleeve extended line pass through F, fixed muffle, the line segment length measured between sleeve G near-end and F is paracentesis depth.Loosen AB, again this mounted point A is aimed at reference point, the near-end of regulating sleeve G is aimed at and is contacted cerebellum and fixes point of puncture puncture.
During use, by the CT image reading reference inspection, focus is judged, using the central point of intracerebral hematoma as puncture target, determine the cranium brain scanning plane by target according to this, the straight line being parallel to brain center line by target is drawn in this plane, the intersection point of this line and Ipsilateral occipitalia scalp is for puncturing reference point, and on patient's scalp this reference point of labelling, the spacing d of witness mark and target company in CT scan plane again, this numerical value is the distance of set screw F to A on dull and stereotyped 1 rule, i.e. the length of line segment FA.This mounted point A is aimed at reference point, the near-end of regulating sleeve G is aimed at and is contacted cerebellum and fixes point of puncture, support plate 4 is tried one's best occipitalia skin, regulate height screw to be positioned at and be applicable to height, location panel overlaps with the CT scan flat board by target and the reference point that punctures, fixation of C E and CD, take off position finder, dull and stereotyped 1 is regulated to overlap with dull and stereotyped 3, fixing AB, F point is puncture hematoma focus target target spot, and the universal head of regulating sleeve G makes sleeve extended line pass through F, fixed muffle, the line segment length measured between sleeve G near-end and F is paracentesis depth.Loosen AB, again this mounted point A is aimed at reference point, the near-end of regulating sleeve G is aimed at and is contacted cerebellum and fixes point of puncture, to hole and guide puncture by existing routine operation through sleeve cranium, guides thus just to can be accurate to reach target spot.Structure of the present invention is simple, easy to use, accurate positioning rapid, and cost of manufacture is cheap, is worthy to be popularized.
Claims (2)
1. a cerebellar hematomas puncture direction finder, comprising a boundary zone has the rotatable plane survey of rule dull and stereotyped, one boundary zone has the puncture in rule Intermediate Gray hole dull and stereotyped, one can with puncture dull and stereotyped rotary motion support plate and one can with the location panel of support plate rotary motion, it is characterized in that: the dull and stereotyped rule of described measurement is provided with set screw, described edge is provided with the dull and stereotyped middle part of puncture in rule Intermediate Gray hole can the trocar sleeve of universal adjustment, Telescopic rotary adjusting rod, adjusting rod fixed screw and point of rotation fixed screw, with the rotatable plane survey of rule, dull and stereotyped and edge is provided with tumbler with the intersection of the puncture flat board in rule Intermediate Gray hole at described edge, described can with puncture dull and stereotyped rotary motion support plate and the location panel intersection of support plate rotary motion can be provided with tumbler.
2. a kind of cerebellar hematomas puncture direction finder as claimed in claim 1, it is characterized in that: describedly the support plate of the dull and stereotyped rotary motion of puncture can be provided with upper and lower two altitude mixture control screws, edge with the puncture in rule Intermediate Gray hole dull and stereotyped with can with the support plate intersection of the dull and stereotyped rotary motion of puncture be provided with by two dull and stereotyped rotates after the fixture of fixing.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510938699.0A CN105342675B (en) | 2015-12-13 | 2015-12-13 | A kind of cerebellar hematomas puncture direction finder |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510938699.0A CN105342675B (en) | 2015-12-13 | 2015-12-13 | A kind of cerebellar hematomas puncture direction finder |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN105342675A true CN105342675A (en) | 2016-02-24 |
| CN105342675B CN105342675B (en) | 2018-01-30 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201510938699.0A Expired - Fee Related CN105342675B (en) | 2015-12-13 | 2015-12-13 | A kind of cerebellar hematomas puncture direction finder |
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Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20080269777A1 (en) * | 2007-04-25 | 2008-10-30 | Medtronic, Inc. | Method And Apparatus For Controlled Insertion and Withdrawal of Electrodes |
| CN201968838U (en) * | 2011-03-03 | 2011-09-14 | 寇超 | Simple variable type positioning ruler for intracranial hematoma puncture |
| US20140207110A1 (en) * | 2013-01-23 | 2014-07-24 | Fresenius Medical Care Deutschland Gmbh | Vascular access device for reproducible insertion of a cannula into a puncture site |
| CN104720872A (en) * | 2015-01-09 | 2015-06-24 | 苏雨行 | Transtemporal intracerebral hematoma puncture orientator |
| CN205729470U (en) * | 2015-12-13 | 2016-11-30 | 苏雨行 | A kind of cerebellar hematomas puncture direction finder |
-
2015
- 2015-12-13 CN CN201510938699.0A patent/CN105342675B/en not_active Expired - Fee Related
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20080269777A1 (en) * | 2007-04-25 | 2008-10-30 | Medtronic, Inc. | Method And Apparatus For Controlled Insertion and Withdrawal of Electrodes |
| CN201968838U (en) * | 2011-03-03 | 2011-09-14 | 寇超 | Simple variable type positioning ruler for intracranial hematoma puncture |
| US20140207110A1 (en) * | 2013-01-23 | 2014-07-24 | Fresenius Medical Care Deutschland Gmbh | Vascular access device for reproducible insertion of a cannula into a puncture site |
| CN104720872A (en) * | 2015-01-09 | 2015-06-24 | 苏雨行 | Transtemporal intracerebral hematoma puncture orientator |
| CN205729470U (en) * | 2015-12-13 | 2016-11-30 | 苏雨行 | A kind of cerebellar hematomas puncture direction finder |
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| Publication number | Publication date |
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| CN105342675B (en) | 2018-01-30 |
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| C06 | Publication | ||
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| SE01 | Entry into force of request for substantive examination | ||
| TA01 | Transfer of patent application right | ||
| TA01 | Transfer of patent application right |
Effective date of registration: 20170927 Address after: 250012 Shandong, Lixia District, Ji'nan Province Cultural Road West, No. 107 Applicant after: Shandong Qilu Hospital Address before: Emergency surgery, Qilu Hospital, Shandong University, Ji'nan 250012, Shandong, China Applicant before: Su Yuxing |
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Granted publication date: 20180130 Termination date: 20181213 |