CN109646087A - A kind of puncture supporter and production method of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment - Google Patents
A kind of puncture supporter and production method of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment Download PDFInfo
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- CN109646087A CN109646087A CN201811503474.2A CN201811503474A CN109646087A CN 109646087 A CN109646087 A CN 109646087A CN 201811503474 A CN201811503474 A CN 201811503474A CN 109646087 A CN109646087 A CN 109646087A
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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
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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
- A61B17/3415—Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
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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
- A61B17/3478—Endoscopic needles, e.g. for infusion
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- B—PERFORMING OPERATIONS; TRANSPORTING
- B33—ADDITIVE MANUFACTURING TECHNOLOGY
- B33Y—ADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
- B33Y10/00—Processes of additive manufacturing
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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
- A61B2017/00526—Methods of manufacturing
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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
- A61B2017/3405—Needle locating or guiding means using mechanical guide means
- A61B2017/3407—Needle locating or guiding means using mechanical guide means including a base for support on the body
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- Manufacturing & Machinery (AREA)
- Materials Engineering (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a kind of puncture supporter of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment and production methods, Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment puncture supporter, including being equipped with Ding Gu Tou Gu on Tou Gu Tou Gu Yu being equipped with arch bar between Ding Gu, there is puncture needle guide pipe on arch bar, the puncture needle access aperture opened on arch bar, puncture needle access aperture is connected to puncture needle guide pipe.The present invention has following technical effect: the blood puncture supporter gone out in conjunction with 3D printing technique production minimally-invasive treatment brain, carry out in treatment cerebral hemorrhage treatment Needle localization it is simple, precisely, approach it is clear it is safe, easy to operate, wound is small, curative for effect, the level error that different surgical doctor treatment cerebral hemorrhages can be eliminated is anisotropic, reach standardization therapeutic purposes homogeneous in other words, it is contemplated that hemorrhage of brain stem success rate of operation can reach 95% or more.
Description
Technical field
The present invention relates to a kind of devices of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment.
Background technique
Cerebral hemorrhage be in, one of old common acute disease, onset is anxious, progress is fast, state of an illness weight, the death rate are high, survivor loses more
Serious sequelae is stayed, disease incidence is 50.6~80.7/10 ten thousand populations, and is increased year by year, and cerebral hemorrhage disease incidence accounts for about all brains
The 7%~10% of bleeding, cerebral hemorrhage amount are 70% in the 3ml death rate below, and the death rate of the cerebral hemorrhage amount in 5ml~10ml is
90%, midbrain hemorrhage amount is more than that the death rate of 10ml is 100%.The main method for the treatment of cerebral hemorrhage now has traditional internal medicine
Treatment, hard channel micro-damage puncture, soft channel micro-damage puncture, Burr-hole craniotomy, big bone flap open cranium art etc., respectively
There are different advantage and disadvantage in kind method.The most commonly used with hard channel and soft channel Minimally invasive puncture at present, two methods are deposited
Deficient accurate in positioning, approach is nonstandard, and the uncertain situation of depth of needle and every surgical doctor puncture level and exist greatly
The purpose of accurate puncture for treating is not achieved in difference.
Summary of the invention
The object of the present invention is to provide a kind of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment puncture supporter and production methods.
The technical scheme is that equipped with top on a kind of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment puncture supporter, including Tou Gu, Tou Gu
Arch bar is housed between Gu, Tou Gu Yu Ding Gu, there is puncture needle guide pipe on arch bar, the puncture needle access aperture opened on arch bar,
Puncture needle access aperture is connected to puncture needle guide pipe.
Tou Gu has the positioning plate being adapted with patient nose on the downside of front.
A kind of production method of the puncture supporter of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment,
1 pastes the adhesive tape with galvanized wire in patients head, face, neck in patients with cerebral hemorrhage row emergent CT examination；
2 carry out three-dimensional reconstruction to patient's head and block of intracranialing hemorrhage by thin layer skull CT scanning data；
3 using CT scan data reconstruction patients head surface as mold, and design couples patient's head table on computers
The Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment puncture supporter in face and cerebral hemorrhage block；
4 make Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment puncture supporter using 3D printing technique.
The present invention has following technical effect: making Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment puncture supporter in conjunction with 3D printing technique, carries out treatment brain
Needle localization is simple in treatments for bleeding, accurate, approach is clearly safe, easy to operate, wound is small, curative for effect, can eliminate not
Level error with surgical doctor treatment cerebral hemorrhage is anisotropic, reaches standardization therapeutic purposes homogeneous in other words, it is contemplated that cerebral hemorrhage
Success rate of operation can reach 95% or more.
Detailed description of the invention
Fig. 1 is Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment puncture supporter perspective view.
Fig. 2 is Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment puncture supporter main view.
Fig. 3 is the left view of Fig. 2.
Fig. 4 is to design coupling on computers using CT scan data reconstruction patients head surface and block of intracranialing hemorrhage as mold
Close the Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment puncture supporter schematic diagram on patient's head surface and cerebral hemorrhage block.
Fig. 5 is the left view of Fig. 4.
Specific embodiment
As shown in figure, Fig. 2, Fig. 3, equipped with top on a kind of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment puncture supporter, including Tou Gu 1, Tou Gu 1
Gu 2, Tou Gu 1 has puncture needle guide pipe 4, the puncture needle opened on arch bar 3 Yu being equipped with arch bar 3 between Ding Gu 2 on arch bar 3
Access aperture 5, puncture needle access aperture 5 are connected to puncture needle guide pipe 4.
Tou Gu has the positioning plate 6 being adapted with patient nose on the downside of 1 front.
A kind of production method of the puncture supporter of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment,
(1) adhesive tape with galvanized wire is pasted in patients head, face, neck in patients with cerebral hemorrhage row emergent CT examination；
(2) three-dimensional reconstruction is carried out to patient's head and block of intracranialing hemorrhage by thin layer skull CT scanning data；
(3) using CT scan data reconstruction patients head surface as mold, the patient's head surface of design coupling on computers
With the Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment puncture supporter of cerebral hemorrhage block；
(4) Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment puncture supporter is made using 3D printing technique.
It carries out treating cerebral hemorrhage treatment embodiment using the puncture supporter of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment
One, early-stage preparations
(1) adhesive tape with galvanized wire is pasted in patients head, face, neck in patients with cerebral hemorrhage row emergent CT examination；
(2) three-dimensional reconstruction is carried out to patient's head and block of intracranialing hemorrhage by thin layer skull CT scanning data；
(3) using CT scan data reconstruction patients head surface as mold, design couples patient's head on computers
The Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment puncture supporter on surface and cerebral hemorrhage block；
(4) Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment puncture supporter is made using 3D printing technique.
Two, surgical procedure and treatment method
1, implement to perform the operation at operating room (or bedside) according to 8 Minimally invasive puncture working specification of intracranial hematoma, conventional preserved skin.
2, suitable position (such as lateral position) is used according to 8 position of intracranial hematoma, head is fixed.According under traditional head CT
Marker positioning mode does preliminary site of puncture label.Select the disposable puncture needle for removing intracranial hematoma tool 10 for being suitble to length.
3, the puncture supporter of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment is installed.The glue with galvanized wire is pasted according in patients head, face, neck
The adaptable positioning plate 6 of the mark point and nose of band is directed at positioning, point of puncture and the puncture angle that nose carries out the position of puncture supporter
The calibration of degree.
4, routine disinfection paving aseptic operation towel list, local anaesthesia,.
5, the point and puncture angle punctured is determined according to the puncture needle guide pipe 4 of the puncture supporter of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment, Gu
It is fixed, it calibrates again.
6, puncture needle 10 is changed, paracentesis trocar 10 is slowly passed through into arch after 7 aperture 9 of patient's endocranium with electric drill
Puncture needle access aperture 5 on plate 3 is pushed into, and depth of needle is according to CT film measurement result.Puncture needle 10 is inserted into hemotoncus 8, uses 5mL
Syringe it is smokable go out hemotoncus 8 when, then inserting needle is to the length for entering 8 center of hemotoncus, fixed stylophore.
7, liquid and semisolid blood clot are first aspirated, then is inserted into hemotoncus pulverizing needle from paracentesis trocar 10, is aspirated repeatedly
The hemotoncus of crushing is slowly injected into the flushing liquor slow rinse of equivalent every time after suction.
8, drainage tube is inserted into from paracentesis trocar 10, finally by urokinase 3~40,000 U and 2mL physiological saline through drainage tube
Clamp after injection haematoma cavity.
9, ventricular extension can simultaneously row brain ventricle puncture and drainage.
10, drainage tube is properly fixed, closed drainage bag is connect, covers aseptic dressing.
Claims (3)
1. a kind of puncture supporter of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment, it is characterised in that: including Tou Gu (1), Ding Gu is housed on Tou Gu (1)
(2), Tou Gu (is equipped with arch bar (3) between 1) Yu Ding Gu (2), has puncture needle guide pipe (4) on arch bar (3), in arch bar (3)
On the puncture needle access aperture (5) opened, puncture needle access aperture (5) is connected to puncture needle guide pipe (4).
2. a kind of puncture supporter of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment according to claim 1, it is characterised in that: Tou Gu (1) front
Downside have the positioning plate (6) being adapted with patient nose.
3. a kind of production method of the puncture supporter of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment, it is characterised in that:
(1) adhesive tape with galvanized wire is pasted in patients head, face, neck in patients with cerebral hemorrhage row emergent CT examination；
(2) three-dimensional reconstruction is carried out to patient's head and block of intracranialing hemorrhage by thin layer skull CT scanning data；
(3) using CT scan data reconstruction patients head surface as mold, design couples patient's head surface on computers
With the Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment puncture supporter of cerebral hemorrhage block；
(4) Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment puncture supporter is made using 3D printing technique.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811503474.2A CN109646087A (en) | 2018-12-10 | 2018-12-10 | A kind of puncture supporter and production method of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811503474.2A CN109646087A (en) | 2018-12-10 | 2018-12-10 | A kind of puncture supporter and production method of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment |
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| CN109646087A true CN109646087A (en) | 2019-04-19 |
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| CN201811503474.2A Pending CN109646087A (en) | 2018-12-10 | 2018-12-10 | A kind of puncture supporter and production method of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment |
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Cited By (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110432996A (en) * | 2019-08-29 | 2019-11-12 | 南宁市疏微医学研究有限公司 | A kind of positioner for intracranial hematoma puncture and its localization method |
| CN110432957A (en) * | 2019-08-13 | 2019-11-12 | 无锡圣诺亚科技有限公司 | Head Needle localization method and device |
| CN110584755A (en) * | 2019-10-24 | 2019-12-20 | 山西雅韵雕医疗科技有限公司 | Operation positioner of pathological change in brain |
| CN110840533A (en) * | 2019-11-30 | 2020-02-28 | 青岛市城阳区人民医院 | 3D-printed guide support for cerebral hemorrhage minimally invasive surgery and preparation method thereof |
| CN111887958A (en) * | 2020-08-26 | 2020-11-06 | 杭州市第一人民医院 | Adjustable cerebral hemorrhage minimally invasive surgery positioning device |
| CN112315553A (en) * | 2020-11-16 | 2021-02-05 | 周开甲 | Ventricular puncture guiding device |
| CN112315593A (en) * | 2020-08-26 | 2021-02-05 | 杭州市大江东医院 | Universal cerebral hemorrhage minimally invasive surgery positioning device |
| CN115444994A (en) * | 2022-08-23 | 2022-12-09 | 山西雅韵雕医疗科技有限公司 | Single-bone-hole double-target-point channel bleeding positioning device |
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| CN2395705Y (en) * | 1999-10-29 | 2000-09-13 | 涂明义 | Puncture position finder for intracranial hematoma |
| CN201119901Y (en) * | 2007-08-20 | 2008-09-24 | 张中原 | Encephalic directional puncture outfit with point and face location |
| CN202096301U (en) * | 2011-05-30 | 2012-01-04 | 张春华 | Cerebral hemorrhage puncture locator |
| CN105380712A (en) * | 2015-10-27 | 2016-03-09 | 李泽福 | Guiding stent based on 3D printing and used for cerebral hemorrhage minimally invasive surgery and preparation method thereof |
| US10076387B2 (en) * | 2015-06-18 | 2018-09-18 | Medtronic, Inc. | Medical device implantation and positioning system |
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Patent Citations (5)
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|---|---|---|---|---|
| CN2395705Y (en) * | 1999-10-29 | 2000-09-13 | 涂明义 | Puncture position finder for intracranial hematoma |
| CN201119901Y (en) * | 2007-08-20 | 2008-09-24 | 张中原 | Encephalic directional puncture outfit with point and face location |
| CN202096301U (en) * | 2011-05-30 | 2012-01-04 | 张春华 | Cerebral hemorrhage puncture locator |
| US10076387B2 (en) * | 2015-06-18 | 2018-09-18 | Medtronic, Inc. | Medical device implantation and positioning system |
| CN105380712A (en) * | 2015-10-27 | 2016-03-09 | 李泽福 | Guiding stent based on 3D printing and used for cerebral hemorrhage minimally invasive surgery and preparation method thereof |
Cited By (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110432957A (en) * | 2019-08-13 | 2019-11-12 | 无锡圣诺亚科技有限公司 | Head Needle localization method and device |
| CN110432996A (en) * | 2019-08-29 | 2019-11-12 | 南宁市疏微医学研究有限公司 | A kind of positioner for intracranial hematoma puncture and its localization method |
| CN110432996B (en) * | 2019-08-29 | 2022-08-09 | 南宁市疏微医学研究有限公司 | Intracranial hematoma puncture positioning device and positioning method thereof |
| CN110584755A (en) * | 2019-10-24 | 2019-12-20 | 山西雅韵雕医疗科技有限公司 | Operation positioner of pathological change in brain |
| CN110840533A (en) * | 2019-11-30 | 2020-02-28 | 青岛市城阳区人民医院 | 3D-printed guide support for cerebral hemorrhage minimally invasive surgery and preparation method thereof |
| CN111887958A (en) * | 2020-08-26 | 2020-11-06 | 杭州市第一人民医院 | Adjustable cerebral hemorrhage minimally invasive surgery positioning device |
| CN112315593A (en) * | 2020-08-26 | 2021-02-05 | 杭州市大江东医院 | Universal cerebral hemorrhage minimally invasive surgery positioning device |
| CN111887958B (en) * | 2020-08-26 | 2021-11-26 | 杭州市第一人民医院 | Adjustable cerebral hemorrhage minimally invasive surgery positioning device |
| CN112315553A (en) * | 2020-11-16 | 2021-02-05 | 周开甲 | Ventricular puncture guiding device |
| CN112315553B (en) * | 2020-11-16 | 2021-11-09 | 周开甲 | Ventricular puncture guiding device |
| CN115444994A (en) * | 2022-08-23 | 2022-12-09 | 山西雅韵雕医疗科技有限公司 | Single-bone-hole double-target-point channel bleeding positioning device |
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Application publication date: 20190419 |