CN114052801B - Spiral nested puncture needle and puncture device - Google Patents
Spiral nested puncture needle and puncture device Download PDFInfo
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Abstract
本申请公开了一种螺旋嵌套式穿刺针及穿刺设备,包括:穿刺针和螺旋针管;其中,螺旋针管具有至少一个针管螺旋部,螺旋针管在针管螺旋部的走向为螺旋形;螺旋针管内部呈中空设置,穿刺针套设在螺旋针管内;穿刺针套设在螺旋针管内后具有至少一个与针管螺旋部匹配的针体螺旋部,以及至少一段可延伸出螺旋针管的针头部;穿刺针与螺旋针管之间滑动连接,以使穿刺针的针头部可缩回或延伸出螺旋针管。本申请实现了跨越障碍物的穿刺活检或消融布针治疗,提高穿刺针的应用范围的技术效果,进而解决了相关技术中的穿刺针无法绕过位于病灶前方的需要规避的重要器官,导致无法使用穿刺活检或治疗用消融置针进行治疗的问题。
The present application discloses a spiral nested puncture needle and a puncture device, comprising: a puncture needle and a spiral needle tube; wherein, the spiral needle tube has at least one needle tube helical portion, and the spiral needle tube runs in a spiral shape at the needle tube spiral portion; the interior of the spiral needle tube The puncture needle is hollow, and the puncture needle is sleeved in the spiral needle tube; after the puncture needle is sleeved in the spiral needle tube, there is at least one needle body spiral part matched with the needle tube spiral part, and at least one section of the needle head that can extend out of the spiral needle tube; the puncture needle It is slidably connected with the spiral needle tube, so that the needle head of the puncture needle can be retracted or extended out of the spiral needle tube. The present application realizes puncture biopsy or ablation cloth needle treatment across obstacles, and improves the technical effect of the application range of puncture needles, thereby solving the problem that the puncture needles in the related art cannot bypass important organs located in front of the lesions that need to be avoided, resulting in inability to Problems treated with needle biopsy or treatment with an ablation needle.
Description
技术领域technical field
本申请涉及医疗设备技术领域,具体而言,涉及一种螺旋嵌套式穿刺针及穿刺设备。The present application relates to the technical field of medical equipment, and in particular, to a spiral nested puncture needle and a puncture device.
背景技术Background technique
穿刺活检针或消融治疗针(射频针、微波针、陡脉冲电穿孔针等)在穿刺进入人体时往往会遇到重要的血管和器官等,这些血管或器官是不能被穿刺的,一旦穿刺针穿刺了这些器官会发生气胸、血管破裂、脏器衰竭等医疗事故。在穿刺路径内遇到重要组织或器官时医生只能另辟他径,然而实际应用中往往又没有其它的适合的路径可以选择,这就导致穿刺活检或治疗用消融置针不能实现治疗。医学临床中急需一种针,它可以绕过需要规避的重要器官,实现跨越障碍物的穿刺活检或消融布针治疗。Biopsy needles or ablation needles (radio frequency needles, microwave needles, steep pulse electroporation needles, etc.) often encounter important blood vessels and organs when puncturing into the human body. These blood vessels or organs cannot be punctured. Puncture of these organs may cause medical accidents such as pneumothorax, rupture of blood vessels, and organ failure. When an important tissue or organ is encountered in the puncture path, the doctor can only find another path. However, in practical applications, there are often no other suitable paths to choose from, which leads to the failure of puncture biopsy or therapeutic ablation needle placement. There is an urgent need for a needle in clinical medicine, which can bypass important organs that need to be avoided, and achieve needle biopsy or ablation needle therapy across obstacles.
发明内容SUMMARY OF THE INVENTION
本申请的主要目的在于提供一种螺旋嵌套式穿刺针,以解决相关技术中的穿刺针无法绕过位于病灶前方的需要规避的重要器官,导致无法使用穿刺活检或治疗用消融置针进行治疗的问题。The main purpose of the present application is to provide a spiral nested puncture needle, so as to solve the problem that the puncture needle in the related art cannot bypass the important organs located in front of the lesion that need to be avoided, resulting in the inability to use needle biopsy or therapeutic ablation needle for treatment The problem.
为了实现上述目的,本申请提供了一种螺旋嵌套式穿刺针,该螺旋嵌套式穿刺针包括:穿刺针和螺旋针管;其中,In order to achieve the above object, the present application provides a spiral nested puncture needle, the spiral nested puncture needle includes: a puncture needle and a spiral needle tube; wherein,
所述螺旋针管具有至少一个针管螺旋部,所述螺旋针管在所述针管螺旋部的走向为螺旋形;The helical needle tube has at least one helical portion of the needle tube, and the direction of the helical needle tube at the helical portion of the needle tube is helical;
所述螺旋针管内部呈中空设置,所述穿刺针套设在所述螺旋针管内;The inside of the spiral needle tube is hollow, and the puncture needle is sleeved in the spiral needle tube;
所述穿刺针套设在所述螺旋针管内后具有至少一个与所述针管螺旋部匹配的针体螺旋部,以及至少一段可延伸出所述螺旋针管的针头部;After the puncture needle is sheathed in the helical needle tube, there is at least one helical portion of the needle body matched with the helical portion of the needle tube, and at least one section of the needle head that can extend out of the helical needle tube;
所述穿刺针与所述螺旋针管之间滑动连接,以使所述穿刺针的针头部可缩回或延伸出所述螺旋针管。The puncture needle and the helical needle tube are slidably connected, so that the needle head of the puncture needle can be retracted or extended out of the helical needle tube.
进一步的,针头部具有弹性,当所述针头部延伸出所述螺旋针管后形成直针头部;Further, the needle head has elasticity, and when the needle head extends out of the spiral needle tube, a straight needle head is formed;
所述直针头部的轴线与所述针管螺旋部的轴线重合,以使所述直针头部位于所述针管螺旋部的中心位置。The axis of the straight needle head portion coincides with the axis of the needle tube helical portion, so that the straight needle head portion is located at the center of the needle tube helical portion.
进一步的,还包括针管手柄和穿刺针手柄,所述穿刺针远离所述针头部的一端固定在所述穿刺针手柄上;Further, it also includes a needle tube handle and a puncture needle handle, and one end of the puncture needle away from the needle head is fixed on the puncture needle handle;
所述螺旋针管远离所述针头部的一端固定在所述针管手柄上;One end of the spiral needle tube away from the needle head is fixed on the needle tube handle;
所述针管手柄的端部开设有与所述螺旋针管内部连通的操作孔,所述穿刺针手柄可拆卸的套设在所述针管手柄内,且所述穿刺针穿过所述操作孔后套设在所述螺旋针管内。The end of the needle tube handle is provided with an operation hole that communicates with the inside of the spiral needle tube, the puncture needle handle is detachably sleeved in the needle tube handle, and the puncture needle is sleeved after passing through the operation hole set in the helical needle tube.
进一步的,针体螺旋部的各段螺距相等。Further, the pitches of each segment of the helical portion of the needle body are equal.
进一步的,穿刺针手柄和所述针管手柄同心嵌套。Further, the puncture needle handle and the needle tube handle are nested concentrically.
进一步的,螺旋针管包括内螺旋针管和外螺旋针管,所述内螺旋针管和所述外螺旋针管上均具有相同走向的针管螺旋部;Further, the spiral needle tube includes an inner spiral needle tube and an outer spiral needle tube, and both the inner spiral needle tube and the outer spiral needle tube have needle tube helical parts with the same direction;
所述内螺旋针管和所述外螺旋针管呈中空设置,且所述内螺旋针管套设在所述外螺旋针管内,所述穿刺针套设在所述内螺旋针管内;The inner spiral needle tube and the outer spiral needle tube are hollow, and the inner spiral needle tube is sleeved in the outer spiral needle tube, and the puncture needle is sleeved in the inner spiral needle tube;
所述针管手柄与所述内螺旋针管和所述外螺旋针管的端部连接。The needle tube handle is connected with the ends of the inner spiral needle tube and the outer spiral needle tube.
进一步的,针管手柄包括内针管手柄和外针管手柄,所述内针管手柄嵌套在所述外针管手柄内,所述穿刺针手柄嵌套在所述内针管手柄内;Further, the needle tube handle includes an inner needle tube handle and an outer needle tube handle, the inner needle tube handle is nested in the outer needle tube handle, and the puncture needle handle is nested in the inner needle tube handle;
所述内螺旋针管的端部与所述内针管手柄连通,所述外螺旋针管的端部与所述外针管手柄连通;The end of the inner spiral needle tube is communicated with the inner needle tube handle, and the end of the outer spiral needle tube is communicated with the outer needle tube handle;
所述内针管手柄和所述外针管手柄上均开设有操作孔,所述内螺旋针管穿过所述外针管手柄上的操作孔后套设入所述外螺旋针管内;Both the inner needle tube handle and the outer needle tube handle are provided with operation holes, and the inner spiral needle tube is sleeved into the outer spiral needle tube after passing through the operation hole on the outer needle tube handle;
所述穿刺针穿过所述内针管手柄上的操作孔后套设入所述内螺旋针管内。The puncture needle is sleeved into the inner spiral needle tube after passing through the operation hole on the inner needle tube handle.
进一步的,穿刺针手柄、所述内针管手柄和所述外针管手柄的截面设置为相似的多边形。Further, the cross-sections of the puncture needle handle, the inner needle tube handle and the outer needle tube handle are set to be similar polygons.
进一步的,穿刺针手柄、所述内针管手柄和所述外针管手柄的外侧开设有环形沟槽;Further, an annular groove is formed on the outside of the puncture needle handle, the inner needle tube handle and the outer needle tube handle;
所述环形沟槽设置为多个沿轴向均匀分布,用于确定对应的所述穿刺针、所述内螺旋针管和所述外螺旋针管的推进距离。The annular grooves are arranged to be evenly distributed along the axial direction, and are used to determine the corresponding advancing distances of the puncture needle, the inner spiral needle tube and the outer spiral needle tube.
进一步的,穿刺针手柄、所述内针管手柄和所述外针管手柄的截面设置为相似的八边形;Further, the cross-sections of the puncture needle handle, the inner needle tube handle and the outer needle tube handle are set to a similar octagon;
所述穿刺针手柄、所述内针管手柄和所述外针管手柄的每个面上均设置有刻度值,用于记录对应的所述穿刺针手柄、所述内针管手柄和所述外针管手柄的旋转位置。Each surface of the puncture needle handle, the inner needle tube handle and the outer needle tube handle is provided with a scale value for recording the corresponding puncture needle handle, the inner needle tube handle and the outer needle tube handle rotation position.
进一步的,穿刺针贴近所述穿刺针手柄的一端设置为直线段;Further, one end of the puncture needle close to the handle of the puncture needle is set as a straight line segment;
所述内螺旋针管贴近所述内针管手柄的一端以及所述外螺旋针管贴近所述外针管手柄的一端设置为直线段,其余部分形成所述针管螺旋部;One end of the inner spiral needle tube close to the handle of the inner needle tube and one end of the outer spiral needle tube close to the handle of the outer needle tube are set as straight sections, and the remaining parts form the spiral part of the needle tube;
所述直线段与所述直针头部同轴线设置,以使所述直线段位于所述针管螺旋部的中心位置。The straight line segment is coaxial with the straight needle head, so that the straight line segment is located at the center of the needle tube helical portion.
在本申请实施例中,通过设置穿刺针和螺旋针管;其中,螺旋针管具有至少一个针管螺旋部,螺旋针管在针管螺旋部的走向为螺旋形;螺旋针管内部呈中空设置,穿刺针套设在螺旋针管内;穿刺针套设在螺旋针管内后具有至少一个与针管螺旋部匹配的针体螺旋部,以及至少一段可延伸出螺旋针管的针头部;穿刺针与螺旋针管之间滑动连接,以使穿刺针的针头部可缩回或延伸出螺旋针管,达到了使穿刺针缩回螺旋针管内并随着螺旋针管以螺旋的方向进针,使得需要规避的器官位于针体螺旋部的内径范围内,在绕过需要规避的器官后再将穿刺针从螺旋针管内伸出对病灶进行对应治疗的目的,从而实现了在穿刺时可绕过位于病灶前方的重要器官,实现了跨越障碍物的穿刺活检或消融布针治疗,提高穿刺针的应用范围的技术效果,进而解决了相关技术中的穿刺针无法绕过位于病灶前方的需要规避的重要器官,导致无法使用穿刺活检或治疗用消融置针进行治疗的问题。In the embodiment of the present application, a puncture needle and a spiral needle tube are provided; wherein, the spiral needle tube has at least one needle tube helical portion, and the spiral needle tube runs in a spiral shape at the needle tube spiral portion; the interior of the spiral needle tube is hollow, and the puncture needle is sleeved on the inside the spiral needle tube; after the puncture needle is sheathed in the spiral needle tube, there is at least one needle body helical part matching the needle tube spiral part, and at least one section of the needle head that can extend out of the spiral needle tube; the puncture needle and the spiral needle tube are slidably connected to The needle head of the puncture needle can be retracted or extended out of the spiral needle tube, so that the puncture needle can be retracted into the spiral needle tube and the needle is inserted in a spiral direction along with the spiral needle tube, so that the organ to be avoided is located within the inner diameter range of the spiral part of the needle body After bypassing the organ that needs to be avoided, the puncture needle is extended from the spiral needle tube to perform corresponding treatment on the lesion, so that the important organs located in front of the lesion can be bypassed during puncture, and the obstacle is achieved. Puncture biopsy or ablation cloth needle treatment improves the technical effect of the application range of puncture needles, and solves the problem that the puncture needle in related technologies cannot bypass the important organs located in front of the lesion that need to be avoided, resulting in the inability to use puncture biopsy or therapeutic ablation device. Acupuncture for treatment.
附图说明Description of drawings
构成本申请的一部分的附图用来提供对本申请的进一步理解,使得本申请的其它特征、目的和优点变得更明显。本申请的示意性实施例附图及其说明用于解释本申请,并不构成对本申请的不当限定。在附图中:The accompanying drawings, which constitute a part of this application, are used to provide a further understanding of the application and make other features, objects and advantages of the application more apparent. The accompanying drawings and descriptions of the exemplary embodiments of the present application are used to explain the present application, and do not constitute an improper limitation of the present application. In the attached image:
图1是根据本申请的结构示意图;Fig. 1 is the structural representation according to the present application;
图2是根据本申请实施例的侧视结构示意图;2 is a schematic side view of the structure according to an embodiment of the present application;
图3是根据本申请实施例的另一侧视结构示意图;3 is a schematic structural diagram of another side view according to an embodiment of the present application;
图4是根据本申请实施例的穿刺针的结构示意图;4 is a schematic structural diagram of a puncture needle according to an embodiment of the present application;
图5是根据本申请实施例的内螺旋针管的结构示意图;5 is a schematic structural diagram of an inner helical needle tube according to an embodiment of the present application;
图6是根据本申请实施例的内针管手柄的侧视结构示意图;6 is a schematic side view of the structure of the inner needle tube handle according to an embodiment of the present application;
图7是根据本申请实施例的外螺旋针管的结构示意图;7 is a schematic structural diagram of an external helical needle tube according to an embodiment of the present application;
图8是根据本申请实施例的外针管手柄的侧视结构示意图;8 is a schematic side view of the structure of the outer needle handle according to an embodiment of the present application;
图9是根据本申请实施例的整体结构示意图;9 is a schematic diagram of an overall structure according to an embodiment of the present application;
图10是根据本申请实施例中绕过障碍物的结构示意图;10 is a schematic structural diagram of bypassing an obstacle according to an embodiment of the present application;
图11是图10的侧视结构示意图;Fig. 11 is the side view structure schematic diagram of Fig. 10;
其中,1穿刺针,2内螺旋针管,3外螺旋针管,4针管螺旋部,5螺旋针管,6针头部,7直线段,11穿刺针手柄,12环形沟槽,21内针管手柄,31外针管手柄,213操作孔,8障碍物。Among them, 1 puncture needle, 2 inner spiral needle tube, 3 outer spiral needle tube, 4 needle tube spiral section, 5 spiral needle tube, 6 needle head, 7 straight section, 11 puncture needle handle, 12 annular groove, 21 inner needle tube handle, 31 outer Needle handle, 213 operating holes, 8 obstacles.
具体实施方式Detailed ways
为了使本技术领域的人员更好地理解本申请方案,下面将结合本申请实施例中的附图,对本申请实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本申请一部分的实施例,而不是全部的实施例。基于本申请中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都应当属于本申请保护的范围。In order to make those skilled in the art better understand the solutions of the present application, the technical solutions in the embodiments of the present application will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present application. Obviously, the described embodiments are only The embodiments are part of the present application, but not all of the embodiments. Based on the embodiments in the present application, all other embodiments obtained by those of ordinary skill in the art without creative work shall fall within the scope of protection of the present application.
需要说明的是,本申请的说明书和权利要求书及上述附图中的术语“第一”、“第二”等是用于区别类似的对象,而不必用于描述特定的顺序或先后次序。应该理解这样使用的数据在适当情况下可以互换,以便这里描述的本申请的实施例。It should be noted that the terms "first", "second", etc. in the description and claims of the present application and the above drawings are used to distinguish similar objects, and are not necessarily used to describe a specific sequence or sequence. It is to be understood that the data so used are interchangeable under appropriate circumstances for the embodiments of the application described herein.
在本申请中,术语“上”、“下”、“内”、等指示的方位或位置关系为基于附图所示的方位或位置关系。这些术语主要是为了更好地描述本申请及其实施例,并非用于限定所指示的装置、元件或组成部分必须具有特定方位,或以特定方位进行构造和操作。In this application, the orientation or positional relationship indicated by the terms "upper", "lower", "inside", etc. is based on the orientation or positional relationship shown in the drawings. These terms are primarily used to better describe the present application and its embodiments, and are not intended to limit the fact that the indicated device, element, or component must have a particular orientation, or be constructed and operated in a particular orientation.
并且,上述部分术语除了可以用于表示方位或位置关系以外,还可能用于表示其他含义,例如术语“上”在某些情况下也可能用于表示某种依附关系或连接关系。对于本领域普通技术人员而言,可以根据具体情况理解这些术语在本申请中的具体含义。In addition, some of the above-mentioned terms may be used to express other meanings besides orientation or positional relationship. For example, the term "on" may also be used to express a certain attachment or connection relationship in some cases. For those of ordinary skill in the art, the specific meanings of these terms in the present application can be understood according to specific situations.
此外,术语“设置”、“设有”、“连接”、“固定”等应做广义理解。例如,“连接”可以是固定连接,可拆卸连接,或整体式构造;可以是机械连接,或电连接;可以是直接相连,或者是通过中间媒介间接相连,又或者是两个装置、元件或组成部分之间内部的连通。对于本领域普通技术人员而言,可以根据具体情况理解上述术语在本申请中的具体含义。Furthermore, the terms "disposed", "provided with", "connected", "fixed" and the like should be construed broadly. For example, "connection" may be a fixed connection, a detachable connection, or a unitary construction; it may be a mechanical connection, or an electrical connection; it may be a direct connection, or an indirect connection through an intermediary, or two devices, elements or Internal connectivity between components. For those of ordinary skill in the art, the specific meanings of the above terms in this application can be understood according to specific situations.
另外,术语“多个”的含义应为两个以及两个以上。Additionally, the term "plurality" shall mean two and more.
需要说明的是,在不冲突的情况下,本申请中的实施例及实施例中的特征可以相互组合。下面将参考附图并结合实施例来详细说明本申请。It should be noted that the embodiments in the present application and the features of the embodiments may be combined with each other in the case of no conflict. The present application will be described in detail below with reference to the accompanying drawings and in conjunction with the embodiments.
穿刺活检针或消融治疗针(射频针、微波针、陡脉冲电穿孔针等)在穿刺进入人体时往往会遇到重要的血管和器官等,这些血管或器官是不能被穿刺的,一旦穿刺针穿刺了这些器官会发生气胸、血管破裂、脏器衰竭等医疗事故。在穿刺路径内遇到重要组织或器官时医生只能另辟他径,然而实际应用中往往又没有其它的适合的路径可以选择,这就导致穿刺活检或治疗用消融置针不能实现治疗。医学临床中急需一种针,它可以绕过需要规避的重要器官,实现跨越障碍物的穿刺活检或消融布针治疗。Biopsy needles or ablation needles (radio frequency needles, microwave needles, steep pulse electroporation needles, etc.) often encounter important blood vessels and organs when puncturing into the human body. These blood vessels or organs cannot be punctured. Puncture of these organs may cause medical accidents such as pneumothorax, rupture of blood vessels, and organ failure. When an important tissue or organ is encountered in the puncture path, the doctor can only find another path. However, in practical applications, there are often no other suitable paths to choose from, which leads to the failure of puncture biopsy or therapeutic ablation needle placement. There is an urgent need for a needle in clinical medicine, which can bypass important organs that need to be avoided, and achieve needle biopsy or ablation needle therapy across obstacles.
为此,如图1至图3所示,本申请实施例提供了一种螺旋嵌套式穿刺针,该螺旋嵌套式穿刺针包括:穿刺针1和螺旋针管5;其中,To this end, as shown in FIGS. 1 to 3 , an embodiment of the present application provides a spiral nested puncture needle, the spiral nested puncture needle includes: a
螺旋针管5具有至少一个针管螺旋部4,螺旋针管5在针管螺旋部4的走向为螺旋形;The
螺旋针管5内部呈中空设置,穿刺针1套设在螺旋针管5内;The inside of the
穿刺针1套设在螺旋针管5内后具有至少一个与针管螺旋部4匹配的针体螺旋部,以及至少一段可延伸出螺旋针管5的针头部6;After the
穿刺针1与螺旋针管5之间滑动连接,以使穿刺针1的针头部6可缩回或延伸出螺旋针管5。The
本实施例中,该螺旋嵌套式穿刺针主要由穿刺针1和螺旋针管5两部分组成,螺旋针管5上具有一个针管螺旋部4,通过针管螺旋部4使得螺旋针管5的部分沿着螺旋方向进行弯曲。在本实施例中螺旋针管5整体均为螺旋型或者仅在其一端具有一段直线段7,其余部分均为螺旋型。由于螺旋针管5上针管螺旋部4的设置,使其由一根直管转变为一根螺旋型的管,相对于针管为直管时无法在穿刺时有效的规避障碍物8而言,如图10和图11所示,螺旋针管5在螺旋部分的内径范围内为空心结构,在穿刺时可使得需要规避的障碍物8位于该空心结构处,此时螺旋针管5在穿刺时可有效的绕过障碍物8,螺旋针管5的进针方式可为绕针管螺旋部4轴线旋转。In this embodiment, the spiral nested puncture needle is mainly composed of a
穿刺活检或释放能量进行消融主要还是由穿刺针1实现,因此本实施例中将穿刺针1套在螺旋针管5内。穿刺针1为柔性针,其具有一定的弹性形变能力,可采用弹性较好的材料制成,例如采用镍钛合金材料制作,或采用65Mn弹簧钢材料制作,又或者采用301弹簧钢材料制作。穿刺针1在穿入螺旋针管5之前为直针,当其穿入螺旋针管5内后,由于螺旋针管5上针管螺旋部4的限制会使得穿刺针1形变形成与针管螺旋部4匹配的针体螺旋部。The puncture biopsy or ablation by releasing energy is mainly realized by the
由于穿刺针1与螺旋针管5之间采用滑动连接,通过拉动或推动穿刺针1可实现穿刺针1的针头部6缩回螺旋针管5或延伸出螺旋针管5。本申请中的螺旋嵌套穿刺针在使用时,应先拉动穿刺针1使其回缩入螺旋针管5中,然后将希望跨越的障碍物8设置于螺旋针管5上针管螺旋部4的内径范围之内。希望跨越的障碍物8的位置可通过CT扫描设备或其他的扫描设备确定,穿刺前应使得针管螺旋部4在障碍物8上的投影将障碍物8完全包围,此时即表示希望跨越的重要组织或器官位于针管螺旋部4的内径范围之内。此时再通过推动或者沿针管螺旋部4的轴线转动螺旋针管5,使其带着穿刺针1同步移动并绕过需要避开的重要组织或器官。当针管螺旋部4已经越过需要避开的重要组织或器官后,可以推动穿刺针1使针尖端延伸出螺旋针管5插入病灶位置。之后即可通过穿刺针1进行穿刺活检或释放能量的消融操作。Due to the sliding connection between the
在退针时,为避免在退针时针头部6与之前绕开的重要组织或器官接触造成损伤,可先拉动穿刺针1使针头部6回缩至螺旋套管内,然后再将螺旋针管5从患者身体上退出。When withdrawing the needle, in order to avoid damage caused by the contact of the
本实施例达到了使穿刺针1缩回螺旋针管5内并随着螺旋针管5以螺旋的方向进针,使得需要规避的器官位于针体螺旋部的内径范围内,在绕过需要规避的器官后再将穿刺针1从螺旋针管5内伸出对病灶进行对应治疗的目的,从而实现了在穿刺时可绕过位于病灶前方的重要器官,实现跨越障碍物8的穿刺活检或消融布针治疗,提高穿刺针1的应用范围的技术效果,进而解决了相关技术中的穿刺针1无法绕过位于病灶前方的需要规避的重要器官,导致无法使用穿刺活检或治疗用消融置针进行治疗的问题。In this embodiment, the
由于穿刺针1在进行穿刺活检或者消融时都是由针头部6与病灶接触后实现,因此对于针头部6的位置需要较高的要求。如果穿刺针1的针头部6也呈螺旋型,会使得针头部6的朝向不是直接朝向病灶位置的,若要使针头部6与穿刺入病灶内则需要更多的操作,并且穿刺入的位置也不好控制。Since the
因此本实施例中将针头部6设置为顺直的针头部6,即当穿刺针1的针头部6延伸出螺旋针管5后在其弹性作用下能够恢复成直针,即本实施例中的穿刺针1要针头部6具有较好的弹性,当针头部6延伸出螺旋针管5后形成顺直的针头部6。Therefore, in this embodiment, the
由于穿刺针1套在螺旋针管5内,当穿刺针1在进针时,其针头部6会绕螺旋针管5的针管螺旋部4的轴线旋转,因此为使穿刺针1的针头部6能够准确的穿刺入设定的位置,应使得针头部6仅可绕自身轴线旋转,而不能偏心转动。因此本实施例中,如图1至图3所示,针头部6的轴线与针管螺旋部4的轴线重合,以使针头部6位于针管螺旋部4的中心位置。通过该结构的设置,可使得穿刺针1的针头部6在进针时能够准确的穿刺入病灶位置,而不会因为偏转而导致穿刺错位。Since the
为便于螺旋针管5和穿刺针1的分别进针,如图4至图6所示,本实施例中的螺旋嵌套式穿刺针还包括针管手柄和穿刺针手柄11,穿刺针1远离针头部6的一端固定在穿刺针手柄11上;In order to facilitate the respective needle insertion of the
螺旋针管5远离针头部6的一端固定在针管手柄上;The end of the
针管手柄的端部开设有与螺旋针管5内部连通的操作孔213,穿刺针手柄11可拆卸的套设在针管手柄内,且穿刺针1穿过操作孔213后套设在螺旋针管5内。The end of the needle tube handle is provided with an
具体的,需要说明的是,针管手柄和穿刺针手柄11为相似的结构,其整体可呈类似于圆柱形的结构。针管手柄和穿刺针手柄11内均沿其轴向开设有凹槽,其一端为较大的开口结构,另一端则为较小的开口,较小的开口形成操作孔213。Specifically, it should be noted that the needle tube handle and the puncture needle handle 11 have similar structures, and the entirety thereof may be similar to a cylindrical structure. Both the needle tube handle and the puncture needle handle 11 are provided with grooves along their axial directions, one end of which is a larger opening structure, and the other end is a smaller opening, and the smaller opening forms an
在使用前,先将穿刺针1固定在穿刺针手柄11端部的操作孔213上,使其形成一个整体,然后将螺旋针管5固定在针管手柄端部的操作孔213上,使其同样形成一个整体。最后再将穿刺针1的针头部6插入针管手柄内并通过操作孔213穿入螺旋针管5内,通过推动穿刺针1或穿刺针手柄11,使得穿刺针手柄11可嵌套入针管手柄内。此时穿刺针手柄11的端部与针管手柄的端部依然具有一定的调整间距,便于单独推动穿刺针手柄11使得穿刺针1延伸出螺旋针管5。Before use, fix the
如图9所示,为便于穿刺针1的进针或退针,穿刺针手柄11和针管手柄同心嵌套。在操作时可手持穿刺针手柄11和针管手柄实现穿刺针1的进针和螺旋针管5的进针。穿刺针手柄11和针管手柄的结构应设置为便于操作的结构。As shown in FIG. 9, in order to facilitate the needle insertion or withdrawal of the
由于螺旋针管5的进针或穿刺针1的进针均是沿螺旋方向,因此在判断进针或退针深度时,可通过旋转的圈数来得到。因此为准确的获取进针和退针深度,针体螺旋部的各段螺距相等,从而便于对进针和退针深度进行解算。Since the needle insertion of the
由于穿刺针1的进针深度和能够规避的障碍物8的深度受到螺旋针管5的长度影响,因此为在不增加螺旋针管5本身长度的前提下提高进针深度和能够绕开障碍物8深度。如图1和图10所示,本实施例中螺旋针管5设置为两根,即螺旋针管5包括内螺旋针管2和外螺旋针管3,内螺旋针管2和外螺旋针管3上均具有相同走向的针管螺旋部4,内螺旋针管2和外螺旋针管3在结构上基本相同,区别仅在于外螺旋针管3的内径大于内螺旋针管2的内径,从而使得内螺旋针管2可套设在外螺旋针管3内。Since the depth of needle insertion of the
即,内螺旋针管2和外螺旋针管3呈中空设置,且内螺旋针管2套设在外螺旋针管3内,穿刺针1套设在内螺旋针管2内,针管手柄与内螺旋针管2和外螺旋针管3的端部连接。That is, the inner
在本实施例中,将螺旋针管5改进为套接且可相对移动的外螺旋针管3和内螺旋针管2后,穿刺针1、内螺旋针管2和外螺旋针管3为从内至外依次套接的关系,在使用前穿刺针1回缩至内螺旋针管2内,内螺旋针管2回缩至外螺旋针管3内。In this embodiment, after the
在穿刺时,先将外螺旋针管3穿刺入患者身体内,当外螺旋针管3的长度无法避开障碍物8或者穿刺针1无法达到病灶位置时,可继续推动内螺旋针管2,通过内螺旋针管2来避开障碍物8并使穿刺针1的针头部6接近病灶位置,最后再推动穿刺针1使针头部6延伸出内螺旋针管2实现穿刺活检或释放能量的消融操作。When puncturing, first puncture the outer
通过外螺旋针管3和内螺旋针管2的设置,使得本申请中的螺旋嵌套式穿刺针可有效的提高作用范围。Through the arrangement of the outer
由于螺旋针管5分为内螺旋针管2和外螺旋针管3,且内螺旋针管2和外螺旋针管3需要单独动作,因此,如图5、图7和图9所示,本实施例中针管手柄包括内针管手柄21和外针管手柄31,内针管手柄21嵌套在外针管手柄31内,穿刺针手柄11嵌套在内针管手柄21内;Since the
内螺旋针管2的端部与内针管手柄21连通,外螺旋针管3的端部与外针管手柄31连通;The end of the inner
内针管手柄21和外针管手柄31上均开设有操作孔213,内螺旋针管2穿过外针管手柄31上的操作孔213后套设入外螺旋针管3内;Both the inner needle tube handle 21 and the outer needle tube handle 31 are provided with operation holes 213, and the inner
穿刺针1穿过内针管手柄21上的操作孔213后套设入内螺旋针管2内。The
具体的,需要说明的是,在本实施例中该螺旋嵌套式穿刺针整体由三个部件共同组成,其中一个为外螺旋针管3和外针管手柄31构成的外部构件,另一个为内螺旋针管2和内针管手柄21构成的中部构件,最后一个为穿刺针1和穿刺针手柄11构成的内部构件。在三者安装之前为独立的结构,并且外螺旋针管3和内螺旋针管2均具有同样走向的针管螺旋部4。Specifically, it should be noted that in this embodiment, the helical nested puncture needle is composed of three components as a whole, one of which is an external component composed of an outer
在安装时可先将内螺旋针管2的端部穿过外针管手柄31上的操作孔213后延伸入外螺旋针管3,并使内针管手柄21嵌套在外针管手柄31内,且内针管手柄21与外针管手柄31的端部之间具有一定的调整间距,便于调整外螺旋针管3的进针深度。然后再将穿刺针1的针头部6穿过内针管手柄21的操作孔213后延伸入内螺旋针管2内,并使穿刺针手柄11嵌套在内针管手柄21内,且内针管手柄21和穿刺针手柄11的端部之间也具有一定的调整间距,便于使穿刺针1延伸出内螺旋针管2。During installation, the end of the inner
由于穿刺针1、内螺旋针管2和外螺旋针管3的进针都需要旋转对应的手柄,因此为便于旋转对应的手柄,如图5、图7和图9所示,本实施例中穿刺针手柄11、内针管手柄21和外针管手柄31的截面设置为相似的多边形。Since the needle insertion of the
由于穿刺针1、内螺旋针管2和外螺旋针管3的进针在一些情况下还需要施加推力,因此为便于向穿刺针1和对应的针管施加推力,本实施例中穿刺针手柄11、内针管手柄21和外针管手柄31的外侧开设有环形沟槽12;Since the
环形沟槽12设置为多个沿轴向均匀分布,用于确定对应的穿刺针1、内螺旋针管2和外螺旋针管3的推进距离。The
具体的,可通过判断穿刺针手柄11延伸出内针管手柄21的部分的沟槽数量可判断穿刺针1的推进距离,同理可通过判断内针管手柄21延伸出外针管手柄31的部分的沟槽的数量可判断内螺旋针管2的推进距离,便于辅助医护人员判断进针深度以及穿刺针1距离病灶位置的距离。Specifically, the advancing distance of the
具体的,需要说明的是,由于穿刺针1、内螺旋针管2和外螺旋针管3的进针需要旋转对应的手柄实现,因此对于手柄的旋转位置在一定程度上依然可以反映进针深度,为便于准确的获取对应手部的旋转位置,从而获取进针深度。本实施例中的穿刺针手柄11、内针管手柄21和外针管手柄31的截面设置为相似的八边形;Specifically, it should be noted that since the needle insertion of the
穿刺针手柄11、内针管手柄21和外针管手柄31的每个面上均设置有刻度值,用于记录对应的穿刺针手柄11、内针管手柄21和外针管手柄31的旋转位置。Each surface of the puncture needle handle 11 , the inner needle tube handle 21 and the outer needle tube handle 31 is provided with a scale value for recording the corresponding rotational positions of the puncture needle handle 11 , the inner needle tube handle 21 and the outer
如图1至图11所示,穿刺针1贴近穿刺针手柄11的一端设置为直线段7;As shown in FIG. 1 to FIG. 11 , one end of the
内螺旋针管2贴近内针管手柄21的一端以及外螺旋针管3贴近外针管手柄31的一端设置为直线段7,其余部分形成针管螺旋部4;One end of the inner
直线段7与针头部6同轴线设置,以使直线段7位于针管螺旋部4的中心位置。The straight section 7 is arranged coaxially with the
本实施例中,为便于通过旋转的方式来实现外螺旋针管3、内螺旋针管2和穿刺针1的进针,在外螺旋针管3、内螺旋针管2和穿刺针1贴近对应手柄的部分设置为一段直线段7,并且使得该直线段7与外螺旋针管3、内螺旋针管2的针管螺旋部4同轴线,即该直线段7位于针管螺旋部4的中心位置。并且在针头部6延伸出针管螺旋部4后,该直线段7与穿刺针1的针头部6、内针管手柄21、外针管手柄31、穿刺针手柄11均同轴线,从而使得在穿刺针手柄11在绕自身轴线旋转时,穿刺针1的针头部6按照直线移动,以准确的达到病灶位置。In this embodiment, in order to facilitate the needle insertion of the outer
以上所述仅为本申请的优选实施例而已,并不用于限制本申请,对于本领域的技术人员来说,本申请可以有各种更改和变化。在本申请的精神和原则之内,所作的任何修改、等同替换、改进等,均应包含在本申请的保护范围之内。The above descriptions are only preferred embodiments of the present application, and are not intended to limit the present application. For those skilled in the art, the present application may have various modifications and changes. Within the spirit and principle of this application, any modifications, equivalent replacements, improvements, etc. made shall be included within the protection scope of this application.
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| CN110177507A (en) * | 2016-10-05 | 2019-08-27 | 宾夕法尼亚大学理事会 | That sharply turns turns to needle |
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| US6542781B1 (en) * | 1999-11-22 | 2003-04-01 | Scimed Life Systems, Inc. | Loop structures for supporting diagnostic and therapeutic elements in contact with body tissue |
| CN205287211U (en) * | 2015-12-07 | 2016-06-08 | 湖北康泉医疗科技有限责任公司 | Multi -functional associated drainage catheter of spiral |
| CN110177507A (en) * | 2016-10-05 | 2019-08-27 | 宾夕法尼亚大学理事会 | That sharply turns turns to needle |
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