Disclosure of Invention
The invention aims to provide an ultrasonic intervention puncture device for preventing off-target, which solves the problems that the existing puncture device cannot enter a target and is easy to damage surrounding tissues.
In order to achieve the purpose, the ultrasonic intervention puncture device for preventing off-target comprises a cylindrical shell with a hollow inside, wherein a puncture part is arranged at one end of the shell, a semi-cylindrical opening is formed in the shell, an arc-shaped baffle plate positioned at the opening is arranged on the inner wall of the shell, a guide wire is arranged in the shell, one end of the guide wire is connected with a pushing and rotating mechanism, and the pushing and rotating mechanism is used for controlling the movement and rotation of the guide wire.
The technical scheme has the principle and the effect that when the target is fixed by puncture, the target is positioned by the ultrasonic probe, then the puncture part is used for puncture and entering the body of a patient, the shell is moved to the vicinity of the target, the pushing and rotating mechanism is started to push the guide wire to move, when the guide wire moves to the baffle plate, deflection occurs due to the blocking of the baffle plate, the guide wire is rotated by the pushing and rotating mechanism after moving to the outside of the shell, the front end of the guide wire faces the target, and finally the guide wire is used for puncture and entering the target, so that the puncture fixation of the target is realized. If the target is close to an important organ or tissue such as a blood vessel, one end of the guide wire moving out of the shell is tightly attached to one side of the target, so that the target is supported and fixed by means of the distal end of the guide wire, and then the target is punctured after moving for a certain distance, thereby effectively avoiding the condition of damaging the tissues around the target and improving the puncturing safety.
Further, push away and change the mechanism including connecting at casing one end and inside hollow sleeve, wear to be equipped with the push rod in the sleeve, the one end and the seal wire of push rod are connected, the other end symmetry of push rod is equipped with two fixed blocks, the cladding of push rod has the spring outward, the one end and the telescopic inner wall fixed connection of spring.
Furthermore, ratchet teeth are circumferentially equidistant on the inner wall of the sleeve, pawls matched with the ratchet teeth are detachably connected on the push rod, and an inlet and an outlet for the pawls to pass through are further formed in one side of the sleeve.
Through the arrangement, the guide wire can be pushed to slide by the push rod, the spring outside the push rod can realize automatic reset of the push rod, and the two fixing blocks symmetrically arranged at one end of the push rod can finish rotation of the guide wire by one finger in the puncturing process by a doctor, so that the operation is simple, after the push rod rotates, the situation that the finger of the doctor still needs to keep a fixed posture after the doctor rotates the push rod to a required angle by the cooperation of the ratchet wheel and the ratchet teeth is avoided, and the labor intensity of the doctor is reduced.
Furthermore, the number of the guide wires is three, the three guide wires are equidistantly distributed on the pushing and rotating mechanism, and the three guide wires are umbrella-shaped after extending out. By means of the umbrella shape formed by the unfolded guide wires, the target can be towed and fixed under the condition of not piercing the target, so that the target can be moved conveniently.
Furthermore, the baffle plate is also provided with a guide wire sliding guide rail. The sliding direction of the guide wire can be controlled by means of the guide rail, so that the guide wire can be moved and positioned more accurately.
Further, the guide wire is made of Ti-Ni memory alloy, and the front end of the guide wire is bent. The guide wires can be naturally bent after extending out, and the three guide wires can be enclosed to form an umbrella shape with basically the same shape within a long time, so that the stability of the scheme is enhanced.
Detailed Description
The invention is described in further detail below by way of specific embodiments:
The reference numerals in the drawings of the specification comprise a shell 1, a puncture part 2, a sliding rail 3, a baffle plate 4, a guide rail 5, a guide wire 6, a sleeve 7, a push rod 8, a fixed block 9, a spring 10, a ratchet 11 and a pawl 12.
The embodiment is basically as shown in figures 1 to 3, the ultrasonic intervention puncture device for preventing off-target comprises a cylindrical shell 1 with a hollow inside, a conical puncture part 2 is arranged at the left end of the shell 1, a semi-cylindrical opening is formed in the shell 1, the opening is close to the puncture part 2, a semi-cylindrical sliding rail 3 is adhered outside the shell 1 at the opening, an arc-shaped baffle 4 is connected in a sliding manner in the sliding rail 3, a guide rail 5 is adhered to the baffle 4, three guide wires 6 matched with the guide rail 5 are arranged in the shell 1, the guide wires 6 are made of Ti-Ni memory alloy, and the front ends of the guide wires are bent, so that the three guide wires 6 can be kept umbrella-shaped for a long time when extending out of the shell 1, the stability of the scheme is enhanced, and the three guide wires 6 are convenient to clamp and hold a target in the umbrella-shaped structure.
One end of the guide wire 6 is connected with a pushing and rotating mechanism, the pushing and rotating mechanism comprises a sleeve 7 which is connected to the right end of the shell 1 and hollow in the interior, the sleeve 7 is adhered to the shell 1, a cylindrical push rod 8 penetrates through the sleeve 7, the left side of the push rod 8 is slidingly connected to the inner wall of the shell 1, the left end of the push rod 8 is adhered to three guide wires 6 together, the right end of the push rod 8 is symmetrically adhered with two fixing blocks 9, the space between the two fixing blocks 9 can accommodate a single finger of a doctor, a spring 10 is coated outside the push rod 8, and the left end of the spring 10 is fixedly connected with the inner wall of the sleeve 7.
The right side inner wall of the sleeve 7 is circumferentially and equidistantly provided with a plurality of ratchets 11, the width of each ratchet 11 is one third of the length of the inner wall of the sleeve 7, and each ratchet 11 and the sleeve 7 are manufactured in an integrated mode, so that the strength of each ratchet 11 is improved, pawls 12 matched with each ratchet 11 are adhered to the push rod 8, the length of each pawl 12 is one half of the inner wall of the sleeve 7, the right side of the sleeve 7 is provided with an inlet and an outlet through which each pawl 12 passes, and the size of each inlet and the outlet is the same as that of the inner wall of the sleeve 7.
The working principle of the embodiment is that when the device is not used, the right end of the pawl 12 is flush with the right end of the ratchet 11, the pawl 12 is clamped on the ratchet 11, at the moment, the three guide wires 6 are positioned in the guide rail 5, and the spring 10 is not elastically deformed. When the puncture operation is carried out, firstly, an ultrasonic probe is used for detecting and positioning a target object, the puncture part 2 on the shell 1 is used for puncturing a positioning point, then the opening on the shell 1 is moved to the vicinity of the target object, at the moment, a doctor holds the sleeve 7 by one hand and places the thumb between two fixing blocks 9, and then pushes the push rod 8 to move forwards by means of the thumb, at the moment, the spring 10 is in a compressed state, the push rod 8 moves and drives the guide wire 6 to slide along the guide track 5, when the guide wire 6 moves to the arc-shaped area of the baffle plate 4, deflection occurs when the guide wire 6 slides out of the shell 1, a certain separation is applied to the two fixing blocks 9 by the thumb to realize the rotation of the push rod 8, so that the guide wire 6 and the baffle plate 4 are driven to rotate together by the push rod 8, the guide wire 6 is punctured into the target object from one side of the target object, thus realizing the puncture fixation of the target object, and after the push rod 8 rotates a certain angle, due to the cooperation of the pawl 12 and the ratchet 11, the situation that the push rod 8 rotates and resets under the restoring force of the spring 10 is avoided, and the constant steering force is not required to be provided for maintaining the push rod 8 to always to be positioned in the same direction, so that the operation stability is ensured, and the puncture operation is also safe and stable is ensured.
When the target to be punctured and fixed is close to important organs or tissues such as blood vessels, after the target is punctured and enters a patient by means of the puncture part 2 on the shell 1, then the opening of the shell 1 is moved to the vicinity of the target, the opening is positioned at one end of the target far away from the blood vessels, the guide wire 6 is driven to slide out of the shell 1 by pushing the push rod 8 by means of fingers, at the moment, the spring 10 is in a compressed state, after the guide wire 6 slides out of the shell 1, a certain component force is applied to the two fixed blocks 9 by means of the fingers to drive the push rod 8 to rotate, the guide wire 6 and the baffle 4 are driven to rotate after the push rod 8 rotates, and when the three guide wires 6 rotate to the middle part of one end of the target, the shell 1 is moved at the moment, the guide wire 6 is made to support the target, and the three guide wires 6 can firmly support the target due to the claw shape after the three guide wires 6 are unfolded, the target is moved a certain distance, then the puncture operation is carried out, the situation that surrounding tissues are damaged in the puncture process is effectively avoided, and the puncture safety is improved.
When the puncture is completed, the finger is slowly released, and the push rod 8 automatically resets under the action of the elastic force of the spring 10, and if the push rod 8 rotates in the puncture process, the push rod 8 needs to be continuously pressed during the resetting operation so as to separate the pawl 12 from the ratchet 11, and when the pawl 12 is separated from the ratchet 11, the finger is slowly reversely rotated so as to enable the finger to be in the initial direction, and the push rod 8 resets under the action of the elastic force of the spring 10.
The foregoing is merely exemplary of the present application and the details of construction and/or the general knowledge of the structures and/or characteristics of the present application as it is known in the art will not be described in any detail herein. It should be noted that modifications and improvements can be made by those skilled in the art without departing from the structure of the present application, and these should also be considered as the scope of the present application, which does not affect the effect of the implementation of the present application and the utility of the patent. The protection scope of the present application is subject to the content of the claims, and the description of the specific embodiments and the like in the specification can be used for explaining the content of the claims.