CN102614023A - Puncture positioning guide device for percutaneous nephrolithotomy - Google Patents
Puncture positioning guide device for percutaneous nephrolithotomy Download PDFInfo
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- CN102614023A CN102614023A CN2012101162131A CN201210116213A CN102614023A CN 102614023 A CN102614023 A CN 102614023A CN 2012101162131 A CN2012101162131 A CN 2012101162131A CN 201210116213 A CN201210116213 A CN 201210116213A CN 102614023 A CN102614023 A CN 102614023A
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- puncture
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- percutaneous nephrolithotomy
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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 a kind of percutaneous nephrolithotomy is with puncture orientation direction device.
Background technology
At present, when doing percutaneous renal puncture, what often adopt is: X line localised puncture, B ultrasonic localised puncture and CT localised puncture; Wherein during X line localised puncture, vertical-horizontal perspective calculus when the patient is prostrate is then facing to the direction of calculus; Rely on the angle of adjusting that the operator do not stop itself and horizontal plane to puncture; 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 is prone to cause 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 also are unknown, it carries out dilation procedure also relatively blindly; Lead to the failure easily, though can measure the degree of depth and the direction that dynamic observes syringe needle, because the monitor demonstration also is two dimensional image; In practical operation, operation easier is big, needs higher technology could accomplish 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.Though the more above-mentioned two kinds of percutaneous renal punctures of CT localised puncture are accurate; But the degree of depth and the not wield drawback of direction that also have puncture; And CT can not take as a kind of disease examination equipment for a long time, influences its use; And CT Room does not reach aseptic requirement, and it is impossible obviously accomplishing operation at CT Room.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.
Application number is that 200520128984.8 Chinese patent discloses a kind of measurement point of puncture in X ray guiding percutaneous renal puncture lithotomy down that is made up of the scale and the protractor of three measuring distances to calculus body surface projection point level and vertical dimension, and can reflect point of puncture arrive calculus distance and puncture needle or fascia dilator and horizontal sextant angle apart from the angular surveying device.Application number is that 201020596523.4 Chinese patent discloses a kind of PCN of being made up of scale, protractor, sliding rail, puncture track four parts with accurate positioning action frame.Application number is that 200520128986.7 Chinese patent discloses the direction of the indication puncture needle in the percutaneous renal puncture lithotomy be made up of protractor, level indicator, two retainer rings or fascia dilator and in the orientation angle indicator of the angle of horizontal plane.Application number is that 200720079898.1 Chinese patent discloses the percutaneous renal puncture extension fixture of being made up of puncture needle or fascia dilator and angle display that has indicator.More than four patents and the present invention all inequality, and structure is more complicated than the present invention, the most important thing is that their use all is based on the use under the X line, and is harmful for patient and medical personnel's health.
Application number is that the Chinese patent of 201120066569.X discloses the CT location percutaneous renal puncture frame of being made up 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 do not have protractor and level indicator in its design, be imagined as level to human body back, is science not too in fact.
Summary of the invention
The objective of the invention is to solve the deficiency of prior art, a kind of disengaging CT machine is provided after, be foundation with the image data of CT scan, information such as the target that will puncture, angle, pathway are confirmed in advance.Through guide of the present invention these information are converted into the data that instruct of practical operation, use guide can reach accurate puncture fistula-building separately and accomplish 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 that by following mode a kind of percutaneous nephrolithotomy comprises a square with puncture orientation direction device; One 90 tolerance hornwork, one and half flute profile pointers is characterized in that on square long-armed level indicator being installed; Open a groove a on the square galianconism; The center of circle of protractor is retained, and, one and half flute profile pointers are installed at this place in circle centre position boring; Open a groove b apart from 5-15cm place, protractor base, level indicator is installed on the protractor again, just protractor and square link together to pass groove a and groove b through connector.Connector can be bolt.Groove a on the square galianconism is long to be 2.5-7.5cm, and wide is 0.1-0.3 cm.Groove b on the protractor is long to be 3-9cm, and wide is 0.1-0.3 cm.Protractor can be made 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 the 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 and be the level of state; Come to reach up and down the protractor that horizontally slips through the groove a on the square galianconism with apart from the groove b at 5-15cm place, protractor base; Make the center of circle of protractor touch the point of puncture M definite jointly with the sign grid through CT; And the level indicator on the 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, puncture needle is put into the groove inserting needle that refers to half flute profile pin pointer get final product.This percutaneous nephrolithotomy can be used for percutaneous renal puncture with puncture orientation direction device and get the stone operation.
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, practiced thrift running cost, have good clinical and promote and practical value.
3. simple in structure, easy to operate, significantly reduced the quantity that operator and patient receive ray, make doctor, patient all obtain effective protection.
4. technological easy master, a lot of hospitals can carry out rapidly, make the patient better treated.
In addition, also guide is used for clinically, has observed 180 examples and gone up among the lithangiuria patients (totally 190 example operations, wherein 10 people be the bilateral calculus), wherein male 118 examples, women 62 examples, 40 years old mean age (16-68) year old.156 examples are pyelolithiasis or casting mold calculus, and 24 examples are ureter epimere calculus, and 10 examples are bilateral renal calculus, same stage operation.Concrete result of use is as shown in table 1.
The statistics of table 1 190 routine case operating positions
Description of drawings
Accompanying drawing 1 is a Facad structure sketch map of the present invention.
Accompanying drawing 2 is sketch maps of square of the present invention.
Accompanying drawing 3 is sketch maps of protractor of the present invention.
Labelling in the accompanying drawing is represented 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 done following the detailed description with puncture orientation direction device
Shown in accompanying drawing 1-3, percutaneous nephrolithotomy of the present invention is with puncture orientation direction device, and its structure is that a kind of percutaneous nephrolithotomy is with puncture orientation direction device; 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 the square galianconism 6, the center of circle 9 of protractor 2 is retained; And the 9 places boring in the center of circle, at this place one and half flute profile pointers 3 are installed; Opening a groove b8 apart from 10cm place, protractor 2 base again, level indicator 5 is being installed on the protractor 2, passing groove a7 through connector 1 and protractor 2 and square are linked together with groove b8.Groove a7 on the square galianconism 6 is long to be 5cm, and wide is 0.2cm.Groove b8 on the protractor 2 is long to be 6cm, and wide is 0.2 cm.Protractor 2 can be made move left and right along the groove b8 of self, also can move up and down along the groove a7 of square galianconism 6.Can put into puncture needle in the half flute profile pointer 3.
Long-armed 4 of the guide square are placed on patient back aspect through on the mark line of labelling grid labelling when being to use; Make and be the level of state; Come to reach up and down the protractor 2 that horizontally slips through the groove a7 on the square galianconism 6 with apart from the groove b8 at 10cm place, protractor 2 base; Make the round dot of protractor 2 touch the point of puncture M definite jointly with the sign grid through CT; And the level indicator 5 on the protractor 2 is the level of state, the angle beta that half flute profile pointer 3 to computer on the adjustment amount hornwork 2 has been measured is also fixing, puncture needle is put into the groove inserting needle that refers to half flute profile pin pointer 3 get final product.This percutaneous nephrolithotomy can be used for percutaneous renal puncture with puncture orientation direction device and get the stone operation.
Embodiment 2
Shown in accompanying drawing 1-4, percutaneous nephrolithotomy of the present invention is with puncture orientation direction device, and its structure is that a kind of percutaneous nephrolithotomy is with puncture orientation direction device; 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 the square galianconism 6, the center of circle 9 of protractor 2 is retained; And the 9 places boring in the center of circle, at this place one and half flute profile pointers 3 are installed; Opening a groove b8 apart from 15cm place, protractor 2 base again, level indicator 5 is being installed on the protractor 2, passing groove a7 through bolt and protractor 2 and square are linked together with groove b8.Groove a7 on the square galianconism 6 is long to be 7.5cm, and wide is 0.3cm.Groove b8 on the protractor 2 is long to be 9cm, and wide is 0.3 cm.Protractor 2 can be made move left and right along the groove b8 of self, also can move up and down along the groove a7 of square galianconism 6.Can put into puncture needle in the half flute profile pointer 3.
Long-armed 4 of the guide square are placed on patient back aspect through on the mark line of labelling grid labelling when being to use; Make and be the level of state; Come to reach up and down the protractor 2 that horizontally slips through the groove a7 on the square galianconism 6 with apart from the groove b8 at 15cm place, protractor 2 base; Make the round dot of protractor 2 touch the point of puncture M definite jointly with the sign grid through CT; And the level indicator 5 on the protractor 2 is the level of state, the angle beta that half flute profile pointer 3 to computer on the adjustment amount hornwork 2 has been measured is also fixing, puncture needle is put into the groove inserting needle that refers to half flute profile pin pointer 3 get final product.This percutaneous nephrolithotomy can be used for percutaneous renal puncture with puncture orientation direction device and get the stone operation.
Claims (8)
1. a percutaneous nephrolithotomy comprises a square with puncture orientation direction device, 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) being installed, open a groove a (7) on the square galianconism (6), the center of circle (9) of protractor (2) is retained; And in the center of circle boring is located in (9), at this place one and half flute profile pointers (3) are installed; Open a groove b (8) apart from 5-15cm place, protractor base, level indicator (5) is installed on the protractor again, just protractor and square link together to pass groove a (7) and groove b (8) through connector (1).
2. a kind of percutaneous nephrolithotomy according to claim 1 is characterized in that with puncture orientation direction device connector (1) can be bolt.
3. a kind of percutaneous nephrolithotomy according to claim 1 is characterized in that the long 2.5-7.5cm of being of groove a (7) on the square galianconism (6) with puncture orientation direction device, and wide is 0.1-0.3 cm.
4. a kind of percutaneous nephrolithotomy according to claim 1 is characterized in that the long 3-9cm of being of groove b (8) on the protractor (2) with puncture orientation direction device, and wide is 0.1-0.3 cm.
5. use puncture orientation direction device according to any described a kind of percutaneous nephrolithotomy of claim 1-4; It is characterized in that protractor (2) can make move left and right along the groove b (8) of self, also can move up and down along the groove a (7) of square galianconism (6).
6. a kind of percutaneous nephrolithotomy according to claim 1 is characterized in that can putting into puncture needle in the half flute profile pointer (3) with puncture orientation direction device.
7. a kind of percutaneous nephrolithotomy according to claim 1 is with puncture orientation direction device; Long-armed (4) with the guide square when it is characterized in that using are placed on patient back aspect through on the mark line of labelling grid labelling; Make and be the level of state; Come to reach up and down the protractor that horizontally slips (2) through the groove a (7) on the square galianconism (6) with apart from the groove b (8) at 5-15cm place, protractor base; Make the center of circle (9) of protractor touch the point of puncture M definite jointly with the sign grid through CT; And the level indicator (5) on the 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, puncture needle is put into the groove inserting needle that refers to half flute profile pin pointer (3) get final product.
8. a kind of percutaneous nephrolithotomy according to claim 1 is characterized in that being used for percutaneous renal puncture and gets the stone operation with the puncture position guiding device.
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 |
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| CN102614023A true CN102614023A (en) | 2012-08-01 |
| CN102614023B CN102614023B (en) | 2013-12-04 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN2012101162131A Expired - Fee Related CN102614023B (en) | 2012-04-20 | 2012-04-20 | Puncture positioning guide device for percutaneous nephrolithotomy |
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Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103815971A (en) * | 2014-02-27 | 2014-05-28 | 杨清杰 | Puncturing locator |
| CN105212996A (en) * | 2015-10-15 | 2016-01-06 | 胡金玺 | Lumbar intervertebral aperture mirror and Thoracolumbar disk percutaneous cervical arc root screw puncture positioning guider and Needle localization method thereof |
| 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 |
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| 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 |
| US20050033315A1 (en) * | 2003-08-01 | 2005-02-10 | Hankins Carol A. | Apparatus and method for guiding a medical device |
| 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 |
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2012
- 2012-04-20 CN CN2012101162131A patent/CN102614023B/en not_active Expired - Fee Related
Patent Citations (9)
| Publication number | Priority date | Publication date | Assignee | Title |
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| 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 |
| US20050033315A1 (en) * | 2003-08-01 | 2005-02-10 | Hankins Carol A. | Apparatus and method for guiding a medical device |
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| CN201048965Y (en) * | 2007-06-05 | 2008-04-23 | 李学德 | Percutaneous kidney puncture expanding device with indicator |
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| 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 |
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Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103815971A (en) * | 2014-02-27 | 2014-05-28 | 杨清杰 | Puncturing locator |
| CN103815971B (en) * | 2014-02-27 | 2017-01-25 | 杨清杰 | Puncturing locator |
| CN105212996A (en) * | 2015-10-15 | 2016-01-06 | 胡金玺 | Lumbar intervertebral aperture mirror and Thoracolumbar disk percutaneous cervical arc root screw puncture positioning guider and Needle localization method thereof |
| 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 |
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| Publication number | Publication date |
|---|---|
| CN102614023B (en) | 2013-12-04 |
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Granted publication date: 20131204 Termination date: 20160420 |