CN115137403B - But secondary anesthesia puncture biopsy rifle in art - Google Patents
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- CN115137403B CN115137403B CN202210601482.0A CN202210601482A CN115137403B CN 115137403 B CN115137403 B CN 115137403B CN 202210601482 A CN202210601482 A CN 202210601482A CN 115137403 B CN115137403 B CN 115137403B
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B10/00—Instruments for taking body samples for diagnostic purposes; Other methods or instruments for diagnosis, e.g. for vaccination diagnosis, sex determination or ovulation-period determination; Throat striking implements
- A61B10/0041—Detection of breast cancer
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B10/00—Instruments for taking body samples for diagnostic purposes; Other methods or instruments for diagnosis, e.g. for vaccination diagnosis, sex determination or ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/0233—Pointed or sharp biopsy instruments
- A61B10/0266—Pointed or sharp biopsy instruments means for severing sample
- A61B10/0275—Pointed or sharp biopsy instruments means for severing sample with sample notch, e.g. on the side of inner stylet
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- A61B17/34—Trocars; Puncturing needles
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- A61B17/00—Surgical instruments, devices or methods
- A61B17/34—Trocars; Puncturing needles
- A61B17/3476—Powered trocars, e.g. electrosurgical cutting, lasers, powered knives
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
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Abstract
Description
技术领域Technical Field
本发明属于医疗设备技术领域,具体涉及一种可术中二次麻醉穿刺活检枪。The invention belongs to the technical field of medical equipment, and in particular relates to a puncture biopsy gun capable of secondary anesthesia during surgery.
背景技术Background Art
乳腺癌是目前威胁女性生命健康且病死率位居女性恶性肿瘤首位的疾病。乳腺癌发生率呈逐年增长趋势,据报道每年新增病例约21万。早期及时接受正确治疗的乳腺癌患者,其5年生存率高达90%。因此,寻找早期诊断乳腺癌的灵敏有效检测方法对降低乳腺癌病死率、提高患者的生活质量具有重要意义。Breast cancer is a disease that currently threatens women's life and health, and its mortality rate ranks first among female malignant tumors. The incidence of breast cancer is increasing year by year, and it is reported that there are about 210,000 new cases each year. The 5-year survival rate of breast cancer patients who receive correct treatment in the early stage is as high as 90%. Therefore, finding a sensitive and effective detection method for early diagnosis of breast cancer is of great significance to reducing the mortality rate of breast cancer and improving the quality of life of patients.
随着乳腺癌规范化治疗的进展,新辅助化疗、保乳手术、前哨淋巴结活检等诊治手段日益受到重视,且已成为目前乳腺癌诊治的主流。病理组织学检查结果是乳腺癌诊断的金标准,确切的病理组织学结果更是乳腺癌综合性治疗的前提条件。病理组织学检查包括开放手术活检和穿刺病灶活检。随着影像学引导穿刺活检技术的成熟与进步,开放手术乳腺病灶活检比例逐渐降低。目前,在X线、超声和MRI引导下,通过空芯针穿刺获取病灶组织进行组织病理学诊断在临床中普遍应用。With the progress of standardized treatment of breast cancer, neoadjuvant chemotherapy, breast-conserving surgery, sentinel lymph node biopsy and other diagnostic and treatment methods have received increasing attention and have become the mainstream of breast cancer diagnosis and treatment. The results of pathological histology are the gold standard for the diagnosis of breast cancer, and accurate pathological histology results are the prerequisite for comprehensive treatment of breast cancer. Pathological histology examination includes open surgical biopsy and puncture lesion biopsy. With the maturity and advancement of imaging-guided puncture biopsy technology, the proportion of open surgical breast lesion biopsy has gradually decreased. At present, under the guidance of X-ray, ultrasound and MRI, it is widely used in clinical practice to obtain lesion tissue for histopathological diagnosis through hollow needle puncture.
现在常用的穿刺活检枪主要包括穿刺套管、套管内的活检针芯、针芯及套管发射手柄等。其中,套管内的活检针芯为带有斜尖和取材凹槽的光滑不锈钢针,套管为带有斜尖和刻度的不锈钢管。穿刺前,手术医师要对穿刺点皮肤、针道及病灶周围组织进行麻醉。从穿刺点皮肤到取材触发点的过程中,活检针芯缩在套管内,二者一起进入乳腺组织内。到达触发点后,手术医师按下发射按钮,活检针芯和套管便依次先后快速外伸,进入取材凹槽的病变标本便被套管切下并封闭于凹槽中。穿刺活检枪离体后,病变标本于10%中性甲醛溶液固定后送检。The commonly used puncture biopsy guns now mainly include puncture cannula, biopsy needle core in cannula, needle core and cannula firing handle. Among them, the biopsy needle core in cannula is a smooth stainless steel needle with a bevel tip and a sampling groove, and the cannula is a stainless steel tube with a bevel tip and scale. Before puncture, the surgeon must anesthetize the skin at the puncture point, the needle tract and the tissue around the lesion. In the process from the skin at the puncture point to the sampling trigger point, the biopsy needle core is retracted in the cannula, and the two enter the breast tissue together. After reaching the trigger point, the surgeon presses the firing button, and the biopsy needle core and cannula are quickly extended outward in turn, and the lesion specimen entering the sampling groove is cut off by the cannula and sealed in the groove. After the puncture biopsy gun is removed from the body, the lesion specimen is fixed in 10% neutral formaldehyde solution and sent for inspection.
根据药物规定,常规麻醉药物利多卡因单次使用上限不超过400mg。然而, 在麻醉过程中患者往往由于乳房较大或病变部位较深,麻醉穿刺路径较长,深部组织的麻醉效果较差,易引起明显疼痛。According to drug regulations, the upper limit of a single use of lidocaine, a conventional anesthetic drug, is no more than 400 mg. However, during the anesthesia process, patients often have larger breasts or deeper lesions, and the anesthesia puncture path is longer, and the anesthesia effect of deep tissues is poor, which can easily cause obvious pain.
另外,对位于乳腺近基底部的肿物进行麻醉时,路径长、多次注射麻醉易造成针道肿瘤细胞残留及传播可能。In addition, when anesthetizing a tumor located near the base of the breast, long paths and multiple injections of anesthesia can easily cause residual tumor cells in the needle tract and the possibility of spread.
发明内容Summary of the invention
针对现有技术中活检取样过程中穿刺路径长、深部阻值的麻醉效果差,多次注射易造成肿瘤细胞残留及传播的问题,提供了一种可术中二次麻醉穿刺活检枪。Aiming at the problems in the prior art of long puncture path, poor anesthetic effect of deep resistance during biopsy sampling, and multiple injections easily causing residual and spread of tumor cells, a puncture biopsy gun that can perform secondary anesthesia during surgery is provided.
一种可术中二次麻醉穿刺活检枪,包括注射针轴、取样针、切削套管、发射装置和外壳;A puncture biopsy gun capable of secondary anesthesia during surgery, comprising an injection needle shaft, a sampling needle, a cutting sleeve, a launching device and a shell;
注射针轴,后端设置有转盘,前端与活塞可拆卸连接;The injection needle shaft has a rotating disk at the rear end and a detachable connection with the piston at the front end;
取样针呈细长圆柱形,包括穿刺刀头、连接杆、针体,穿刺刀头与针体为直径相等的圆柱体同轴设置,连接杆一端连接穿刺刀头,另一端连接针体;The sampling needle is in the shape of an elongated cylinder, and includes a puncture blade head, a connecting rod, and a needle body. The puncture blade head and the needle body are coaxially arranged as cylinders with equal diameters. One end of the connecting rod is connected to the puncture blade head, and the other end is connected to the needle body.
切削套管,呈细长管状,左端部为斜切口刃;The cutting sleeve is in the shape of an elongated tube, and the left end thereof is a bevel cutting edge;
切削套管套装在取样针的外侧位置,切削套管和取样针的左端伸出外壳,切削套管和取样针的右端位于外壳内部;The cutting sleeve is sleeved on the outer side of the sampling needle, the left ends of the cutting sleeve and the sampling needle extend out of the housing, and the right ends of the cutting sleeve and the sampling needle are located inside the housing;
发射装置包括壳体和发射机构,壳体可滑动的设置于外壳中,取样针和切削套管的右端设置于壳体中并和发射机构连接,发射机构设置于壳体中,用于将取样针和切削套管先后发射出一段距离;The launching device comprises a shell and a launching mechanism, wherein the shell is slidably arranged in the outer shell, the right ends of the sampling needle and the cutting sleeve are arranged in the shell and connected to the launching mechanism, and the launching mechanism is arranged in the shell and is used to launch the sampling needle and the cutting sleeve one after another for a distance;
穿刺刀头端部开设注射孔,穿刺刀头与针体开设通孔,注射针轴连接活塞插入取样针的通孔中,活塞位于穿刺刀头的通孔中,注射针轴的右端在外壳的右端外侧。An injection hole is provided at the end of the puncture blade head, a through hole is provided between the puncture blade head and the needle body, the injection needle shaft is connected to a piston and inserted into the through hole of the sampling needle, the piston is located in the through hole of the puncture blade head, and the right end of the injection needle shaft is outside the right end of the shell.
权利要求所述的可术中二次麻醉穿刺活检枪,注射针轴的前端与活塞通过螺纹连接,活塞的前端有一个缺口,防转挡块设置于穿刺刀头的内孔端部,活塞的缺口与防转挡块卡合适配。The intraoperative secondary anesthesia puncture biopsy gun described in the claim has a front end of the injection needle shaft connected to the piston by a thread, a notch is provided at the front end of the piston, an anti-rotation block is arranged at the end of the inner hole of the puncture blade head, and the notch of the piston is fitted with the anti-rotation block.
其中,所述的可术中二次麻醉穿刺活检枪,穿刺刀头的外圆柱面上设置有轴向直线槽微织构,直线槽微织构为深度与宽度均为20 μm直线凹槽,直线槽的长度为10mm一段,沿圆柱表面圆周阵列分布,沿轴向方向上,有若干段直线槽,段与段轴向之间有间隔。Among them, the intraoperative secondary anesthesia puncture biopsy gun has an axial linear groove micro-texture on the outer cylindrical surface of the puncture blade head. The linear groove micro-texture is a linear groove with a depth and width of 20 μm. The length of the linear groove is 10 mm per segment and is distributed in a circular array along the cylindrical surface. There are several segments of linear grooves along the axial direction, and there are gaps between the segments in the axial direction.
其中,所述的可术中二次麻醉穿刺活检枪,切削套管的外圆柱面上设置有轴向直线槽微织构,直线槽微织构为深度与宽度均为 20μm直线凹槽,直线槽的长度为10mm一段,沿圆柱表面圆周阵列分布,沿轴向方向上有若干段直线槽,段与段轴向之间有间隔。Among them, the intraoperative secondary anesthesia puncture biopsy gun is provided with an axial linear groove micro-texture on the outer cylindrical surface of the cutting sleeve. The linear groove micro-texture is a linear groove with a depth and width of 20μm. The length of the linear groove is 10mm per segment, distributed in a circular array along the cylindrical surface. There are several segments of linear grooves along the axial direction, and there are gaps between the segments in the axial direction.
权利要求所述的可术中二次麻醉穿刺活检枪,还包括振动发生装置,振动发生装置包括声波电机、丝杠和电池,声波电机设置于外壳内部,声波电机的输出轴与丝杠连接,丝杠与螺母螺纹连接,螺母设置于壳体上,电池设置于外壳中为声波电机供电。The intraoperative secondary anesthesia puncture biopsy gun described in the claim also includes a vibration generating device, which includes an acoustic wave motor, a lead screw and a battery. The acoustic wave motor is arranged inside the shell, the output shaft of the acoustic wave motor is connected to the lead screw, the lead screw is threadedly connected to the nut, the nut is arranged on the shell, and the battery is arranged in the shell to power the acoustic wave motor.
权利要求所述的可术中二次麻醉穿刺活检枪,发射机构包括挡板、第一弹簧、第二弹簧、第一连接杆、第二连接杆、第一圆柱导杆和第二圆柱导杆,The intraoperative secondary anesthesia puncture biopsy gun described in the claim, the firing mechanism includes a baffle, a first spring, a second spring, a first connecting rod, a second connecting rod, a first cylindrical guide rod and a second cylindrical guide rod,
挡板设置于壳体中,第一圆柱导杆的一端设置于壳体中,可以在壳体中左右滑动,第二圆柱导杆的一端设置于壳体中,可以在壳体中左右滑动,第一连接杆呈拐角形状,一端连接第一圆柱导杆,另一端连接取样针,第二连接杆呈拐角形状,一端连接第二圆柱导杆,另一端连接切削套管,第一弹簧一端固定在挡板上,另一端连接第一圆柱导杆,第二弹簧一端固定在挡板上,另一端连接第二圆柱导杆;The baffle is arranged in the shell, one end of the first cylindrical guide rod is arranged in the shell and can slide left and right in the shell, one end of the second cylindrical guide rod is arranged in the shell and can slide left and right in the shell, the first connecting rod is in a corner shape, one end of which is connected to the first cylindrical guide rod, and the other end is connected to the sampling needle, the second connecting rod is in a corner shape, one end of which is connected to the second cylindrical guide rod, and the other end is connected to the cutting sleeve, one end of the first spring is fixed on the baffle, and the other end is connected to the first cylindrical guide rod, and one end of the second spring is fixed on the baffle, and the other end is connected to the second cylindrical guide rod;
第一圆柱导杆端部设置有第一挡块,第二圆柱导杆的端部设置有第二挡块,外壳上设置有可阻挡和释放第一挡块、第二挡块 上下活动的按键。A first stopper is arranged at the end of the first cylindrical guide rod, a second stopper is arranged at the end of the second cylindrical guide rod, and a button which can block and release the first stopper and the second stopper from moving up and down is arranged on the shell.
本发明的有益效果:Beneficial effects of the present invention:
可以在一次穿刺中,进行二次麻醉,针对深层靶点区域精准的注射麻醉剂,无需多次注射麻醉,将有效减轻女性患者的穿刺痛苦及术中细胞传播危害。Secondary anesthesia can be performed during one puncture, and anesthetics can be accurately injected into deep target areas without the need for multiple injections of anesthesia. This will effectively reduce the puncture pain and intraoperative cell transmission hazards of female patients.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
图1为本发明的立体图;Fig. 1 is a perspective view of the present invention;
图2为本发明的剖视图;Fig. 2 is a cross-sectional view of the present invention;
图3为本发明的内部结构示意图;FIG3 is a schematic diagram of the internal structure of the present invention;
图4为本发明取样针安装示意图;FIG4 is a schematic diagram of the installation of the sampling needle of the present invention;
图5为本发明注射针轴示意图;FIG5 is a schematic diagram of the injection needle shaft of the present invention;
图6为本发明活塞示意图;FIG6 is a schematic diagram of a piston of the present invention;
图7为本发明取样针示意图;FIG7 is a schematic diagram of a sampling needle of the present invention;
图8为本发明取样针头部放大示意图;FIG8 is an enlarged schematic diagram of the sampling needle head of the present invention;
图9为本发明取样针头部放大示意图;FIG9 is an enlarged schematic diagram of the sampling needle head of the present invention;
图10为本发明防转块示意图;FIG10 is a schematic diagram of an anti-rotation block of the present invention;
图11为本发明切削套管示意图;FIG11 is a schematic diagram of a cutting sleeve according to the present invention;
图12为本发明切削套管头部放大示意图。FIG. 12 is an enlarged schematic diagram of the cutting sleeve head of the present invention.
具体实施方式DETAILED DESCRIPTION
为使本发明解决的技术问题、采用的技术方案和达到的技术效果更加清楚, 下面结合附图并通过具体实施方式来进一步说明本发明的技术方案。可以理解的是, 此处所描述的具体实施例仅仅用于解释本发明,而非对本发明的限定。另外还需 要说明的是,为了便于描述,附图中仅示出了与本发明相关的部分而非全部。In order to make the technical problems solved by the present invention, the technical solutions adopted and the technical effects achieved by the present invention clearer, the technical solutions of the present invention are further described below in conjunction with the accompanying drawings and through specific implementation methods. It can be understood that the specific embodiments described herein are only used to explain the present invention, rather than to limit the present invention. It should also be noted that, for the convenience of description, only the parts related to the present invention are shown in the accompanying drawings, rather than all of them.
参见图1-图12,本实施例提供一种可术中二次麻醉穿刺活检枪,其结构包括注射针轴1、取样针2、切削套管3、发射装置、振动发生装置。1 to 12 , this embodiment provides a puncture biopsy gun capable of secondary anesthesia during surgery, the structure of which includes an injection needle shaft 1 , a sampling needle 2 , a cutting sleeve 3 , a launching device, and a vibration generating device.
如图5所示,注射针轴1,后端设置有转盘11,前端与活塞12可拆卸连接。如图6所示,注射针轴1的前端与活塞12通过螺纹连接。As shown in Fig. 5, the injection needle shaft 1 has a rotating disk 11 at the rear end and a detachable connection between the front end and the piston 12. As shown in Fig. 6, the front end of the injection needle shaft 1 is connected to the piston 12 through a thread.
如图7所示,取样针2呈细长圆柱形,包括穿刺刀头21、连接杆23、针体24,穿刺刀头21与针体24为直径相等的圆柱体同轴设置,连接杆23一端连接穿刺刀头21,另一端连接针体24,穿刺刀头21与针体24开设通孔,穿刺刀头21的外圆柱面上设置有轴向直线槽微织构,直线槽微织构的深度与宽度均为20 μm左右,与细胞尺度大小水平相当,直线槽的长度为10mm一段,沿圆柱表面圆周阵列分布。沿轴向方向上,有若干段直线槽,段与段之间有间隔,每一段各自都沿圆周阵列。连接杆23的直径明显小于穿刺刀头21的直径,以便形成样本的储材凹槽。As shown in FIG. 7 , the sampling needle 2 is in the shape of an elongated cylinder, including a puncture blade head 21, a connecting rod 23, and a needle body 24. The puncture blade head 21 and the needle body 24 are coaxially arranged as cylinders of equal diameter. One end of the connecting rod 23 is connected to the puncture blade head 21, and the other end is connected to the needle body 24. The puncture blade head 21 and the needle body 24 are provided with through holes. An axial linear groove micro-texture is arranged on the outer cylindrical surface of the puncture blade head 21. The depth and width of the linear groove micro-texture are both about 20 μm, which is equivalent to the cell scale. The length of the linear groove is 10 mm per segment, and it is distributed in a circular array along the cylindrical surface. In the axial direction, there are several segments of linear grooves, with intervals between the segments, and each segment is arranged in a circular array. The diameter of the connecting rod 23 is significantly smaller than the diameter of the puncture blade head 21, so as to form a storage groove for the sample.
如图8所示穿刺刀头21的左端为斜边针尖。如图9所示,穿刺刀头21的左端为三棱刃针尖,切削刃带有锯齿状微织构,锯齿状微织构的形貌,即将棱刃的直线边切除部分材料,变为锯齿状曲线。每个锯齿的长度约为20~50 μm,锯齿状结构可形成多个刺破针尖,使人体软组织更易刺破,配合振动可使传统的针扎软组织作用变为锯削软组织作用,使进针更容易,进针力更小。As shown in FIG8 , the left end of the puncture blade 21 is a beveled needle tip. As shown in FIG9 , the left end of the puncture blade 21 is a triangular blade needle tip, and the cutting edge has a serrated micro-texture. The serrated micro-texture has a morphology that cuts off part of the material on the straight edge of the blade and turns it into a serrated curve. The length of each sawtooth is about 20 to 50 μm. The serrated structure can form multiple puncture needle tips, making it easier to puncture human soft tissue. With the help of vibration, the traditional soft tissue puncture effect can be changed to a sawing soft tissue effect, making it easier to insert the needle and requiring less force.
如图11、12所示,为切削套管3,呈细长管状,左端部为斜切口刃31,外圆柱面上设置有轴向直线槽微织构,直线槽微织构的深度与宽度均为20 μm左右,与细胞尺度大小水平相当,直线槽的长度为10mm一段,沿圆柱表面圆周阵列分布。沿轴向方向上,有若干段直线槽,段与段之间有间隔,每一段各自都沿圆周阵列。As shown in Figures 11 and 12, the cutting sleeve 3 is in the shape of a slender tube, with a bevel cutting edge 31 at the left end, and an axial linear groove micro-texture is provided on the outer cylindrical surface. The depth and width of the linear groove micro-texture are both about 20 μm, which is equivalent to the cell scale. The length of the linear groove is 10 mm, and it is distributed in a circular array along the cylindrical surface. There are several segments of linear grooves in the axial direction, with intervals between the segments, and each segment is arranged along the circumference.
如图4所示,为注射针轴1、取样针2和切削套管3组装到一起的示意图,其中注射针轴1插入到取样针2的通孔中,切削套管3套装在取样针2的外侧位置。As shown in FIG. 4 , it is a schematic diagram of the injection needle shaft 1 , the sampling needle 2 and the cutting sleeve 3 assembled together, wherein the injection needle shaft 1 is inserted into the through hole of the sampling needle 2 , and the cutting sleeve 3 is sleeved on the outer side of the sampling needle 2 .
三者配合,除穿刺软组织外,可以实现两个功能,一个是二次注射麻醉剂,一个是取样。The combination of the three, in addition to puncturing soft tissue, can achieve two functions: one is the secondary injection of anesthetics, and the other is sampling.
二次注射麻醉过程。穿刺刀头21端部开设注射孔22,注射孔22与穿刺刀头21的通孔连通。注射针轴1连接活塞12插入取样针2的通孔中,活塞12位于穿刺刀头21的通孔中,往后抽动注射针轴1,使活塞12位于穿刺刀头21的右端内位置(但不到达储材凹槽处),将麻醉剂通过注射孔22被吸入到穿刺刀头21的通孔腔中。取样针2插入到发射之后,往前推动注射针轴1,使麻醉剂从注射孔22注射到软组织深部的靶点区域,对待切割部位进行二次麻醉。Secondary injection anesthesia process. An injection hole 22 is provided at the end of the puncture head 21, and the injection hole 22 is connected to the through hole of the puncture head 21. The injection needle shaft 1 is connected to the piston 12 and inserted into the through hole of the sampling needle 2. The piston 12 is located in the through hole of the puncture head 21. The injection needle shaft 1 is pulled backward so that the piston 12 is located in the right end of the puncture head 21 (but does not reach the material storage groove), and the anesthetic is sucked into the through hole cavity of the puncture head 21 through the injection hole 22. After the sampling needle 2 is inserted and fired, the injection needle shaft 1 is pushed forward so that the anesthetic is injected from the injection hole 22 into the target area deep in the soft tissue to perform secondary anesthesia on the part to be cut.
如图6所示,活塞12的前端有一个缺口。如图10所示,为防转挡块28设置于穿刺刀头21的内孔端部。当活塞12注射完麻醉剂的过程中或之后,适当转动注射针轴1,使活塞12刚好与防转挡块28卡合,然后活塞12就不能转动了。也可以设置其他结构,在麻醉剂注射完后,使活塞在穿刺刀头21的内孔前端部不能转动。As shown in FIG6 , there is a notch at the front end of the piston 12. As shown in FIG10 , an anti-rotation block 28 is provided at the end of the inner hole of the puncture blade head 21. When or after the piston 12 injects the anesthetic, the injection needle shaft 1 is properly rotated so that the piston 12 is just engaged with the anti-rotation block 28, and then the piston 12 cannot rotate. Other structures can also be provided so that the piston cannot rotate at the front end of the inner hole of the puncture blade head 21 after the anesthetic is injected.
注射完毕之后, 活塞12在穿刺刀头21的通孔中只能前后滑动,不能转动,这样,通过旋转转盘11,使注射针轴2与活塞12螺纹拆卸开,将活塞12留在穿刺刀头21内部,以防止取样过程中样本通过注射口污染针道组织。然后将注射轴2拔出即可。After the injection is completed, the piston 12 can only slide forward and backward in the through hole of the puncture blade head 21, but cannot rotate. Thus, the injection needle shaft 2 and the piston 12 are threadedly disassembled by rotating the turntable 11, and the piston 12 is left inside the puncture blade head 21 to prevent the sample from contaminating the needle tract tissue through the injection port during the sampling process. Then the injection shaft 2 can be pulled out.
取样过程。如图8所示,连接杆23的直径明显小于穿刺刀头21的直径。当切削套管3在取样针2上滑动过程中,其他位置二者之间的间隙很小,而在连接杆23的位置却有较大的空隙。当取样针2插入软组织之后,此时,切削套管3从取样针2的后端位置快速滑动至穿刺刀头21的部位,经过连接杆23的位置时,就将位于此处的软组织切削下来,并封闭于二者之间的位置。然后,再将二者从软组中拔出,就完成了软组织的取样。Sampling process. As shown in Figure 8, the diameter of the connecting rod 23 is significantly smaller than the diameter of the puncture head 21. When the cutting sleeve 3 slides on the sampling needle 2, the gap between the two at other positions is very small, but there is a larger gap at the position of the connecting rod 23. After the sampling needle 2 is inserted into the soft tissue, at this time, the cutting sleeve 3 quickly slides from the rear end position of the sampling needle 2 to the position of the puncture head 21, and when passing the position of the connecting rod 23, the soft tissue located here is cut off and sealed in the position between the two. Then, the two are pulled out from the soft tissue to complete the sampling of the soft tissue.
直线槽微织构,在穿刺过程中,直线槽中可以储存组织液,起到润滑的作用,可以降低切削套管和取样针的穿刺摩擦力。直线槽微织构在套管圆柱表面呈圆周阵列分布,其阵列数量根据穿刺需要灵活设置;直线槽的深度及宽度为~20 μm,与细胞尺度水平同等;直线槽的长度为10 mm,两刻度之间区域的轴向数量根据穿刺需要灵活设置。Linear groove microtexture, during the puncture process, tissue fluid can be stored in the linear groove, which plays a role of lubrication and can reduce the puncture friction of the cutting sleeve and the sampling needle. The linear groove microtexture is distributed in a circular array on the cylindrical surface of the sleeve, and the number of arrays can be flexibly set according to the puncture needs; the depth and width of the linear groove are ~20 μm, which is the same as the cell scale level; the length of the linear groove is 10 mm, and the axial number of the area between the two scales can be flexibly set according to the puncture needs.
微织构的存在,使得在穿刺的过程中,微织构中可以存储一定量的组织液,该组织液起到良好的润滑作用,减小了摩擦力,降低了穿刺阻力,减少疼痛感。The presence of microtexture allows a certain amount of tissue fluid to be stored in the microtexture during the puncture process. The tissue fluid has a good lubricating effect, reduces friction, reduces puncture resistance, and reduces pain.
同时微织构可以存储少量的麻醉剂,对穿刺通道进行麻醉,降低疼痛感。At the same time, the microtexture can store a small amount of anesthetic to anesthetize the puncture channel and reduce pain.
如图1、2、3所示,发射装置包括壳体51、挡板52、第一弹簧53、第二弹簧56、第一连接杆54、第二连接杆57、第一圆柱导杆55和第二圆柱导杆58。As shown in FIGS. 1 , 2 and 3 , the launching device includes a housing 51 , a baffle 52 , a first spring 53 , a second spring 56 , a first connecting rod 54 , a second connecting rod 57 , a first cylindrical guide rod 55 and a second cylindrical guide rod 58 .
如图所示,壳体51设置于外壳6中;挡板52设置于壳体51中;第一圆柱导杆55设置于壳体51中,可以在壳体51中左右滑动;第二圆柱导杆58设置于壳体51中,可以在壳体51中左右滑动,取样针2和切削套管3的右端均可左右滑动的设置于壳体51中,第一连接杆54呈拐角形状,一端连接第一圆柱导杆55,另一端连接取样针2;第二连接杆57呈拐角形状,一端连接第二圆柱导杆58,另一端连接切削套管3;第一弹簧53一端固定在挡板52上,另一端连接第一圆柱导杆55;第二弹簧56一端固定在挡板52上,另一端连接第二圆柱导杆58。As shown in the figure, the shell 51 is arranged in the outer shell 6; the baffle 52 is arranged in the shell 51; the first cylindrical guide rod 55 is arranged in the shell 51 and can slide left and right in the shell 51; the second cylindrical guide rod 58 is arranged in the shell 51 and can slide left and right in the shell 51, and the right ends of the sampling needle 2 and the cutting sleeve 3 can be slid left and right in the shell 51, and the first connecting rod 54 is in a corner shape, one end of which is connected to the first cylindrical guide rod 55, and the other end is connected to the sampling needle 2; the second connecting rod 57 is in a corner shape, one end of which is connected to the second cylindrical guide rod 58, and the other end is connected to the cutting sleeve 3; one end of the first spring 53 is fixed on the baffle 52, and the other end is connected to the first cylindrical guide rod 55; one end of the second spring 56 is fixed on the baffle 52, and the other end is connected to the second cylindrical guide rod 58.
如图3所示,第一圆柱导杆55端部设置有第一挡块59,第二圆柱导杆58的端部设置有第二挡块60,外壳6上设置有可阻挡和释放第一挡块59、第二挡块 69上下活动的按键62。As shown in FIG3 , a first stopper 59 is disposed at the end of the first cylindrical guide rod 55 , a second stopper 60 is disposed at the end of the second cylindrical guide rod 58 , and a button 62 is disposed on the housing 6 for blocking and releasing the first stopper 59 and the second stopper 69 from moving up and down.
如图1所示,将第二圆柱导杆58往外壳6内部按压,克服弹簧弹力,带动取样针2往右侧滑动,到达第二挡块60作用位置后,被按键62挡住。同理,第一圆柱导杆55。当需要释放的时候,按下外壳6中上部的按键62,第二挡块60被释放,在弹簧的作用下,推动第二圆柱导杆58和取样针2往外发射,插入到软组织中。几乎同时(略稍后)第一挡块59被释放,在弹簧的作用下,推动第一圆柱导杆55和切削套管3往外发射,完成组织切削取样。As shown in FIG1 , the second cylindrical guide rod 58 is pressed into the housing 6 to overcome the spring force, driving the sampling needle 2 to slide to the right, and after reaching the second stopper 60 action position, it is blocked by the button 62. Similarly, the first cylindrical guide rod 55. When it is necessary to release, the button 62 in the upper middle part of the housing 6 is pressed, and the second stopper 60 is released. Under the action of the spring, the second cylindrical guide rod 58 and the sampling needle 2 are pushed outward and inserted into the soft tissue. Almost at the same time (slightly later), the first stopper 59 is released, and under the action of the spring, the first cylindrical guide rod 55 and the cutting sleeve 3 are pushed outward to complete the tissue cutting sampling.
外壳6上螺纹连接锁紧螺钉61,锁紧螺钉61的下端深入外壳6的内部,可以顶紧壳体51,限制壳体51的左右滑动,松开锁紧螺钉61,松开对壳体51的限制。The outer shell 6 is threadedly connected with a locking screw 61 , and the lower end of the locking screw 61 penetrates into the inner part of the outer shell 6 , so as to press against the housing 51 and restrict the housing 51 from sliding left and right. Loosening the locking screw 61 releases the restriction on the housing 51 .
如图2所示,振动发生装置由声波电机41、丝杠43、电池42组成。声波电机41设置于外壳内部,可实现要求角速度和角位移的正反转动,声波电机41的输出轴与丝杠43连接,丝杠43与螺母44螺纹连接,螺母44设置于壳体51上,壳体51可左右滑动的设置于外壳6中。壳体51不能在外壳6中旋转,防止穿刺过程中乱转。锁紧螺钉61,当需要振动穿刺时即松开,解除外壳6对发射装置的轴向振动限制。操作按钮可利用电路板控制声波电机的启停及转动参数,即可转化为螺母44不同频率和振幅的往复直线振动。可实现穿刺过程中取样针和切削套管不同频率和振幅的往复直线振动,进而降低穿刺力。As shown in FIG2 , the vibration generating device is composed of an acoustic wave motor 41, a lead screw 43, and a battery 42. The acoustic wave motor 41 is arranged inside the housing, and can realize the forward and reverse rotation of the required angular velocity and angular displacement. The output shaft of the acoustic wave motor 41 is connected to the lead screw 43, and the lead screw 43 is threadedly connected to the nut 44. The nut 44 is arranged on the housing 51, and the housing 51 can be slid left and right in the housing 6. The housing 51 cannot rotate in the housing 6 to prevent it from turning around during the puncture process. The locking screw 61 is loosened when vibration puncture is required, and the axial vibration restriction of the housing 6 on the transmitting device is released. The operation button can use the circuit board to control the start and stop and rotation parameters of the acoustic wave motor, which can be converted into reciprocating linear vibration of different frequencies and amplitudes of the nut 44. Reciprocating linear vibration of different frequencies and amplitudes of the sampling needle and the cutting sleeve during the puncture process can be realized, thereby reducing the puncture force.
使用方法:Directions:
该穿刺活检枪按照发明结构和原理安装好之后,即可在超声的引导下实现对软组织的减痛减阻穿刺及术中对靶点区域的二次麻醉及标本切取。After the puncture biopsy gun is installed according to the structure and principle of the invention, pain-reducing and resistance-reducing puncture of soft tissues and secondary anesthesia and specimen extraction of the target area during the operation can be achieved under the guidance of ultrasound.
其具体步骤为:The specific steps are:
步骤1、锁紧外壳6上的锁紧螺钉61,螺钉61下端顶紧壳体51,壳体51不可在外壳1中滑动;Step 1, tighten the locking screw 61 on the housing 6, the lower end of the screw 61 presses against the housing 51, and the housing 51 cannot slide in the housing 1;
步骤2、将注射针轴1与活塞12通过螺纹连接;Step 2, connecting the injection needle shaft 1 and the piston 12 through threads;
步骤3、将注射针轴1与活塞12插入取样针的通孔中,并推到最前端;Step 3, insert the injection needle shaft 1 and the piston 12 into the through hole of the sampling needle and push them to the front end;
步骤4、通过圆柱导杆将取样针和切削套管收回到发射装置内部,仅取样针的穿刺刀头外露出切削套管;Step 4: retract the sampling needle and the cutting sleeve into the launch device through the cylindrical guide rod, leaving only the puncture tip of the sampling needle exposed outside the cutting sleeve;
步骤5、将穿刺刀头和切削套管浸入麻醉剂中,使微织构的凹槽盛装少量麻醉剂,同时抽东注射针轴1,通过活塞12和注射孔22将适量麻醉剂抽取到穿刺刀头21前端的孔腔内;Step 5, immerse the puncture blade head and the cutting sleeve into the anesthetic, so that the micro-textured grooves contain a small amount of anesthetic, and at the same time, draw the injection needle shaft 1, and draw a proper amount of anesthetic into the hole cavity at the front end of the puncture blade head 21 through the piston 12 and the injection hole 22;
步骤6、在超声引导下,手握外壳6,将针尖对准穿刺起点,并确定穿刺方向;Step 6: Under ultrasound guidance, hold the housing 6, align the needle tip with the puncture starting point, and determine the puncture direction;
步骤7、松开外壳6上的锁紧螺钉61,使发射装置可在外壳6内轴向移动;Step 7, loosen the locking screw 61 on the housing 6, so that the launching device can move axially in the housing 6;
步骤8、打开振动发生装置的电机,选好档位,在取样针和切削套管的振动辅助下进行皮肤及软组织的穿刺进针;Step 8, turn on the motor of the vibration generating device, select a gear, and perform skin and soft tissue puncture with the assistance of the vibration of the sampling needle and the cutting cannula;
步骤9、在超声引导下确定发射位置;Step 9: Determine the launch position under ultrasound guidance;
步骤10、关闭振动发生装置的电机,使振动停止;Step 10, turning off the motor of the vibration generating device to stop the vibration;
步骤11、推动注射针轴1,将适量的麻醉剂术中注射到软组织深部的靶点区域,对待切割部位进行二次麻醉;Step 11, push the injection needle shaft 1 to inject an appropriate amount of anesthetic into the target area deep in the soft tissue during the operation to perform secondary anesthesia on the part to be cut;
步骤12、通过注射针轴1后端的转盘11反螺旋转动注射针轴1,通过防转挡块的作用将注射针轴1与活塞12脱离连接;Step 12, the injection needle shaft 1 is rotated counter-spirally by the turntable 11 at the rear end of the injection needle shaft 1, and the injection needle shaft 1 is disconnected from the piston 12 by the action of the anti-rotation block;
步骤13、将注射针轴1抽出中空微织构针芯,留下活塞12对取样针2前端进行封堵;Step 13, extract the hollow micro-textured needle core from the injection needle shaft 1, leaving the piston 12 to seal the front end of the sampling needle 2;
步骤14、锁紧外壳6上的锁紧螺钉61,螺钉61下端顶紧壳体51,使发射装置与外壳6相对固定;Step 14, tighten the locking screw 61 on the housing 6, and tighten the lower end of the screw 61 against the housing 51, so that the launch device and the housing 6 are relatively fixed;
步骤15、分别触发取样针与切削套管发射装置的发射按钮,使取样针和切削套管依次弹出,对靶点区域进行切割取材;Step 15, triggering the launch buttons of the sampling needle and cutting sleeve launcher respectively, so that the sampling needle and the cutting sleeve are ejected in sequence, and the target area is cut and sampled;
步骤16、将该穿刺活检枪抽离软组织及皮肤。Step 16: Remove the puncture biopsy gun from the soft tissue and skin.
至此,活检取样完毕。At this point, the biopsy sampling is completed.
大量实验表明:(1)一定形貌的非光滑生物表面具有显著的减摩效果,如:能显著降低穿刺阻力的蚊子带刚毛的吸血鼻器以及寄生虫不光滑的产卵器等;(2)适当频率的振动辅助进针可明显降低穿刺力。A large number of experiments have shown that: (1) non-smooth biological surfaces with certain morphologies have significant friction-reducing effects, such as the bristly blood-sucking nasal organ of mosquitoes and the rough ovipositor of parasites, which can significantly reduce puncture resistance; (2) vibration-assisted needle insertion with appropriate frequency can significantly reduce puncture force.
本发明提出了一种可术中二次麻醉穿刺活检枪。可降低穿刺力、切割力,降低痛苦,并能术中二次麻醉深层靶点区域的活检穿刺枪,通过注射针轴进行二次的麻醉注射,将有效减轻女性患者的穿刺痛苦及术中细胞传播危害。The present invention proposes a biopsy gun that can be anesthetized twice during surgery. The biopsy gun can reduce the puncture force and cutting force, reduce pain, and can perform secondary anesthesia in the deep target area during surgery. The secondary anesthesia injection is performed through the injection needle shaft, which will effectively reduce the puncture pain of female patients and the harm of cell transmission during surgery.
在本发明的描述中,需要说明的是,术语“上”、“下”、“左”、“右”、“顺时针”和“逆时针”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,仅是为了便于描述 本发明和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本发明的限制。In the description of the present invention, it should be noted that the terms "up", "down", "left", "right", "clockwise" and "counterclockwise" etc. indicating directions or positional relationships are based on the directions or positional relationships shown in the accompanying drawings, and are only for the convenience of describing the present invention and simplifying the description, rather than indicating or implying that the device or element referred to must have a specific direction, be constructed and operated in a specific direction, and therefore cannot be understood as a limitation on the present invention.
以上实施方式只是阐述了本发明的基本原理和特性,本发明不受上述实 施方式限制,在不脱离本发明精神和范围的前提下,本发明还有各种变化和改变, 这些变化和改变都落入要求保护的本发明范围内。本发明要求保护范围由所附的 权利要求书及其等效物界定。The above embodiments are only to illustrate the basic principles and characteristics of the present invention. The present invention is not limited by the above embodiments. Without departing from the spirit and scope of the present invention, the present invention may be subject to various changes and modifications, which are within the scope of the present invention to be protected. The scope of protection of the present invention is defined by the attached claims and their equivalents.
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