CN104382649A - CT real-time guide puncture positioning device - Google Patents

CT real-time guide puncture positioning device Download PDF

Info

Publication number
CN104382649A
CN104382649A CN201410085173.8A CN201410085173A CN104382649A CN 104382649 A CN104382649 A CN 104382649A CN 201410085173 A CN201410085173 A CN 201410085173A CN 104382649 A CN104382649 A CN 104382649A
Authority
CN
China
Prior art keywords
puncture
positioning device
real
sliding rail
puncture positioning
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.)
Pending
Application number
CN201410085173.8A
Other languages
Chinese (zh)
Inventor
肖天林
赵栋凯
丁莹
张文君
谢华琴
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Xiangyang Central Hospital
Original Assignee
Xiangyang Central Hospital
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Xiangyang Central Hospital filed Critical Xiangyang Central Hospital
Priority to CN201410085173.8A priority Critical patent/CN104382649A/en
Publication of CN104382649A publication Critical patent/CN104382649A/en
Pending legal-status Critical Current

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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
    • A61B10/00Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02Instruments for taking cell samples or for biopsy
    • A61B10/0233Pointed or sharp biopsy instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
    • A61B6/02Devices for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
    • A61B6/03Computerised tomographs
    • A61B6/032Transmission computed tomography [CT]
    • A61B6/035Mechanical aspects of CT
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
    • A61B6/04Positioning of patients; Tiltable beds or the like
    • A61B6/0407Supports, e.g. tables or beds, for the body or parts of the body

Abstract

The invention provides a CT real-time guide puncture positioning device. A lifting sliding rail capable of longitudinally sliding is installed on a sliding rail base capable of being fixed to a CT bed plate; a transverse sliding rail capable of being adjusted in a lifted manner is installed on the lifting sliding rail; a three-dimensional holder capable of transversely sliding is installed on the transverse sliding rail; and a puncture module is arranged at the outer end of a universal adjusting rack. A double-shaft digital readout angle gauge is arranged on the puncture module. When the CT real-time guide puncture positioning device is used, sliding adjustment can be achieved through cooperation of the whole; the puncture module is in calibration alignment with a puncture part of a patient during scanning; the angle of the puncture module is well adjusted; and a puncture needle head directly punctures a focus part of the patient through a corresponding needle hole in the puncture module. The CT real-time guide puncture positioning device can synchronously move along with the CT bed plate; a puncture needle can be fixed during CT scanning verification; and monitoring can be repeatedly verified in real time. By means of the CT real-time guide puncture positioning device, the puncture accuracy is greatly improved; and the one-time success rate can be improved to more than 95%.

Description

Puncture positioning device under CT guiding in real time
Technical field
The present invention relates to a kind of hospital is the apparatus that patient uses when adopting CT scan to puncture, puncture positioning device under a kind of CT guiding in real time specifically.
Background technology
Hospital for patient use CT scan carry out puncture extract pathology sample time, enforcement puncture to be positioned to lesions position by scanning, traditional method is when CT scan, doctor holds inserting needle direction with medical skill and experience palm, because inserting needle is implemented by artificial mode, in addition the difference of medical skill and experience causes being difficult to once be punctured to correct position accurately, cause there will be repeated multiple times adjustment inserting needle, the phenomenon of CT scan checking repeatedly, this puncture that cannot accurately put in place, directly increase the misery of patient, and cause operating time long, there is CT scan checking needs medical personnel to hold up pin simultaneously, the problems such as poor repeatability.
Summary of the invention
The object of the invention is to the problems solving above-mentioned existence, puncture positioning device under a kind of CT guiding in real time be provided, have easy to operate, puncture accurate feature.
The present invention includes the three-dimensional The Cloud Terrace of this device, the technical scheme adopted is: the slide track seat that can be fixed on CT bed board is equipped with one can the lifting sliding rail of straight skidding, lifting sliding rail is equipped with the horizontal slide rail that liftable regulates, horizontal slide rail is provided with can the three-dimensional The Cloud Terrace of horizontal sliding, and there is a piercing module outer end of this universal adjustment frame.Piercing module there is a twin shaft digital display angle instrument.
In technique scheme: described slide track seat is connected and fixed by fixation clamp and CT bed board.
Lifting sliding rail is arranged on slide track seat by the take-up housing of bottom.
Three-dimensional The Cloud Terrace tail end adopts slide block to be connected with horizontal slide rail, and formation universal adjustment frame can the Sliding Structures of lateral adjustments.
The present invention passes through technique scheme, can up and down and horizontal sliding owing to have employed, and the population structure of the various angle of scalable, and in overall structure, be provided with a piercing module, when using after installation, can allow single unit system under the prerequisite of CT scan, by upper and lower and left and right and angle adjustment, the corresponding pin hole on piercing module is allowed to aim at the lesions position of patient, adjust puncture angle, can directly be inserted syringe needle by the corresponding pin hole on piercing module to puncture, the effect that degree of accuracy and success rate greatly improve can be reached thus.Overall structure can be synchronized with the movement with CT bed board, can adjust rapidly various accurate angle, and can show the level of various angle easily, fixes puncture needle and can realize real-time monitoring during CT checking.Through making sample experiments, the mean error of puncture narrows down to 4mm by former 34mm, by trying out 20 patients, one-time success rate brings up to 95% by former 40%, and operating time shortened within 10 minutes by original 30 minutes, simultaneously, because operating time is short, the number of times of CT scan also reduces to 2.05 times by average 6.5 times, allows amount of radiation suffered by patient drop to 15mSv by 65mSv, reduce amount of radiation suffered by surgical staff accordingly simultaneously, be down to 3mSv by former 20mSv.The present invention efficiently solves present hospital and uses the problems of CT for existing when patient implements puncturing operation, has the distinguishing feature that can improve accuracy and success rate.
Accompanying drawing explanation
Below in conjunction with drawings and Examples, the invention will be further described.
Fig. 1 is structural representation of the present invention.
In figure: 1, slide track seat, 2, fixation clamp, 3, take-up housing, 4, lifting sliding rail, 5, horizontal slide rail, 6, slide block, 7, three-dimensional The Cloud Terrace, 8, piercing module, 9, twin shaft digital display angle instrument, 10, CT bed board.
Detailed description of the invention
Shown in Fig. 1: the slide track seat 1 that can be fixed on CT bed board 9 is equipped with one can the lifting sliding rail 4 of straight skidding, lifting sliding rail 4 is equipped with the horizontal slide rail 5 that liftable regulates, horizontal slide rail 5 is provided with can the three-dimensional The Cloud Terrace 7 of horizontal sliding, and there is a piercing module 8 outer end of this universal adjustment frame 7.Slide track seat 1 is connected and fixed by fixation clamp 2 and CT bed board 9.Lifting sliding rail 4 is arranged on slide track seat 1 by the take-up housing 3 of bottom.Three-dimensional The Cloud Terrace 7 tail end adopts slide block 6 to be connected with horizontal slide rail 5, and forming three-dimensional The Cloud Terrace 7 can the Sliding Structures of lateral adjustments.
Described piercing module 8 can adopt rigid plastics to make, during making, and the pin hole of multiple different pore size that block distributes.Piercing module 8 should have certain thickness, so that syringe needle can better be located, during use, can place the device of calibrated horizontal state and puncture needle angle, can better meet requirements of operation on piercing module 8.Meanwhile, allow entirety be fixed on side or the afterbody use of CT bed board 9 by slide track seat 1, specifically can be decided according to the actual requirements.In using state, this device can with CT bed board synchronizing moving, and fix puncture needle when CT can be allowed thus to verify, operation technique is more convenient.
Three-dimensional The Cloud Terrace 7 involved in the present invention can select photographic equipment on market to be configured for the three-dimensional The Cloud Terrace 7 adjusting camera angle, this three-dimensional The Cloud Terrace 7 has gear type and multi-directional ball two kinds of angle adjustment mechanism, what provide in accompanying drawing of the present invention is gear type structure, also can select the three-dimensional The Cloud Terrace 7 of universal ball structure during actual production.

Claims (4)

1. puncture positioning device under a CT guiding in real time, comprise the three-dimensional The Cloud Terrace (7) of this device, it is characterized in that: the slide track seat (1) that can be fixed on CT bed board (9) is equipped with one can the lifting sliding rail (4) of straight skidding, lifting sliding rail (4) is equipped with the horizontal slide rail (5) that liftable regulates, horizontal slide rail (5) is provided with can the three-dimensional The Cloud Terrace (7) of horizontal sliding, there is a piercing module (8) outer end of this universal adjustment frame (7), piercing module (8) has a twin shaft digital display angle instrument (9).
2. puncture positioning device under CT guiding in real time according to claim 1, is characterized in that: described slide track seat (1) is connected and fixed by fixation clamp (2) and CT bed board (9).
3. puncture positioning device under CT guiding in real time according to claim 1, is characterized in that: lifting sliding rail (4) is arranged on slide track seat (1) by the take-up housing (3) of bottom.
4. puncture positioning device under CT guiding in real time according to claim 1, is characterized in that: three-dimensional The Cloud Terrace (7) tail end adopts slide block (6) to be connected with horizontal slide rail (5), and forming three-dimensional The Cloud Terrace (7) can the Sliding Structures of lateral adjustments.
CN201410085173.8A 2014-03-11 2014-03-11 CT real-time guide puncture positioning device Pending CN104382649A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201410085173.8A CN104382649A (en) 2014-03-11 2014-03-11 CT real-time guide puncture positioning device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201410085173.8A CN104382649A (en) 2014-03-11 2014-03-11 CT real-time guide puncture positioning device

Publications (1)

Publication Number Publication Date
CN104382649A true CN104382649A (en) 2015-03-04

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN201410085173.8A Pending CN104382649A (en) 2014-03-11 2014-03-11 CT real-time guide puncture positioning device

Country Status (1)

Country Link
CN (1) CN104382649A (en)

Cited By (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104905870A (en) * 2015-03-11 2015-09-16 北京德康健医药科技有限公司 Sighting device for pelvis internal fixation
CN104921809A (en) * 2015-06-10 2015-09-23 北京智博高科生物技术有限公司 Adjusting type medical template system
CN105105827A (en) * 2015-08-07 2015-12-02 同济大学 Three-dimensional folding light-assembled PTED (Percutaneous Transforaminal Endoscopic Discectomy) puncture locator
CN105196608A (en) * 2015-09-15 2015-12-30 无锡鼎茂机械制造有限公司 Forming frame for bag making machine
CN105193478A (en) * 2015-10-20 2015-12-30 天津大学 Puncture device with RCM (remote center of motion) based on wire driving
CN105982690A (en) * 2015-07-22 2016-10-05 襄阳市中心医院 Puncture stent capable of being fixed to CT bed board and operated and used synchronously
CN106073864A (en) * 2016-08-09 2016-11-09 李百强 Novel puncture angle localizer
CN107080579A (en) * 2017-06-12 2017-08-22 南京亿高微波系统工程有限公司 A kind of laser positioning punctures guider and its Needle localization method
CN107928764A (en) * 2017-12-08 2018-04-20 唐山同仁和微创医疗器械有限公司 Puncture template navigation positional device
CN108498142A (en) * 2018-03-28 2018-09-07 中国人民解放军火箭军总医院 A kind of guiding puncture device and its application method
CN108992143A (en) * 2018-08-22 2018-12-14 中国人民解放军陆军军医大学第二附属医院 A kind of vein puncture device and venipuncture control method
CN110507425A (en) * 2019-07-23 2019-11-29 江苏黛希芬生物科技有限公司 A kind of cerebral surgery operation device that achievable head is fixed
CN111631753A (en) * 2020-04-16 2020-09-08 中国科学院深圳先进技术研究院 Ultrasonic imaging device
CN113116478A (en) * 2019-09-20 2021-07-16 佳木斯大学 Positioning puncture device with V-shaped rails for cardiology department

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CN2106598U (en) * 1991-05-03 1992-06-10 上海市第二医科大学附属第九人民医院 Guiding apparatus for positioning of puncture at the deep part of the body
US5230623A (en) * 1991-12-10 1993-07-27 Radionics, Inc. Operating pointer with interactive computergraphics
US5308352A (en) * 1989-11-17 1994-05-03 Koutrouvelis Panos G Stereotactic device
US6366796B1 (en) * 1998-10-23 2002-04-02 Philips Medical Systems (Cleveland), Inc. Method and apparatus for planning brachytherapy surgical procedures
CN1795836A (en) * 2004-12-22 2006-07-05 北京科霖众医学技术研究所 Extraneous directional guiding device for internal target and positioning method
WO2011010158A2 (en) * 2009-07-23 2011-01-27 Medimaton Limited Surgical apparatus, equipment and methods
CN201734787U (en) * 2010-07-16 2011-02-09 李玉宝 Body ct precision positioning puncture device
CN201814661U (en) * 2010-10-22 2011-05-04 万恒 Standing guide instrument for puncture diagnosis
CN203234841U (en) * 2013-05-23 2013-10-16 郴州市第一人民医院 Digital display puncture laser locator under guide of CT
CN203885618U (en) * 2014-03-11 2014-10-22 襄阳市中心医院 Device for puncture positioning under real-time guide of CT (computed tomography)

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Publication number Priority date Publication date Assignee Title
US5308352A (en) * 1989-11-17 1994-05-03 Koutrouvelis Panos G Stereotactic device
CN2106598U (en) * 1991-05-03 1992-06-10 上海市第二医科大学附属第九人民医院 Guiding apparatus for positioning of puncture at the deep part of the body
US5230623A (en) * 1991-12-10 1993-07-27 Radionics, Inc. Operating pointer with interactive computergraphics
US6366796B1 (en) * 1998-10-23 2002-04-02 Philips Medical Systems (Cleveland), Inc. Method and apparatus for planning brachytherapy surgical procedures
CN1795836A (en) * 2004-12-22 2006-07-05 北京科霖众医学技术研究所 Extraneous directional guiding device for internal target and positioning method
WO2011010158A2 (en) * 2009-07-23 2011-01-27 Medimaton Limited Surgical apparatus, equipment and methods
CN201734787U (en) * 2010-07-16 2011-02-09 李玉宝 Body ct precision positioning puncture device
CN201814661U (en) * 2010-10-22 2011-05-04 万恒 Standing guide instrument for puncture diagnosis
CN203234841U (en) * 2013-05-23 2013-10-16 郴州市第一人民医院 Digital display puncture laser locator under guide of CT
CN203885618U (en) * 2014-03-11 2014-10-22 襄阳市中心医院 Device for puncture positioning under real-time guide of CT (computed tomography)

Cited By (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104905870B (en) * 2015-03-11 2018-06-22 北京德康健医药科技有限公司 For sighting device fixed in pelvis
CN104905870A (en) * 2015-03-11 2015-09-16 北京德康健医药科技有限公司 Sighting device for pelvis internal fixation
CN104921809A (en) * 2015-06-10 2015-09-23 北京智博高科生物技术有限公司 Adjusting type medical template system
CN105982690A (en) * 2015-07-22 2016-10-05 襄阳市中心医院 Puncture stent capable of being fixed to CT bed board and operated and used synchronously
CN105105827A (en) * 2015-08-07 2015-12-02 同济大学 Three-dimensional folding light-assembled PTED (Percutaneous Transforaminal Endoscopic Discectomy) puncture locator
CN105196608B (en) * 2015-09-15 2017-05-17 无锡鼎茂机械制造有限公司 Forming frame for bag making machine
CN105196608A (en) * 2015-09-15 2015-12-30 无锡鼎茂机械制造有限公司 Forming frame for bag making machine
CN105193478B (en) * 2015-10-20 2017-07-07 天津大学 The sting device with distal movement center based on silk transmission
CN105193478A (en) * 2015-10-20 2015-12-30 天津大学 Puncture device with RCM (remote center of motion) based on wire driving
CN106073864A (en) * 2016-08-09 2016-11-09 李百强 Novel puncture angle localizer
CN107080579A (en) * 2017-06-12 2017-08-22 南京亿高微波系统工程有限公司 A kind of laser positioning punctures guider and its Needle localization method
CN107928764A (en) * 2017-12-08 2018-04-20 唐山同仁和微创医疗器械有限公司 Puncture template navigation positional device
CN108498142A (en) * 2018-03-28 2018-09-07 中国人民解放军火箭军总医院 A kind of guiding puncture device and its application method
CN108992143A (en) * 2018-08-22 2018-12-14 中国人民解放军陆军军医大学第二附属医院 A kind of vein puncture device and venipuncture control method
CN110507425A (en) * 2019-07-23 2019-11-29 江苏黛希芬生物科技有限公司 A kind of cerebral surgery operation device that achievable head is fixed
CN113116478A (en) * 2019-09-20 2021-07-16 佳木斯大学 Positioning puncture device with V-shaped rails for cardiology department
CN113116478B (en) * 2019-09-20 2022-08-16 佳木斯大学 Positioning puncture device with V-shaped rails for cardiology department
CN111631753A (en) * 2020-04-16 2020-09-08 中国科学院深圳先进技术研究院 Ultrasonic imaging device

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Effective date of abandoning: 20170721