CN115530889B - Tumor sampling equipment convenient for separating tumor - Google Patents
Tumor sampling equipment convenient for separating tumor Download PDFInfo
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- CN115530889B CN115530889B CN202211393828.9A CN202211393828A CN115530889B CN 115530889 B CN115530889 B CN 115530889B CN 202211393828 A CN202211393828 A CN 202211393828A CN 115530889 B CN115530889 B CN 115530889B
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- 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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- 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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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/11—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
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Abstract
Description
技术领域Technical field
本发明属于医疗取样设备技术领域,尤其涉及一种方便分离肿瘤的肿瘤取样设备。The invention belongs to the technical field of medical sampling equipment, and in particular relates to a tumor sampling equipment that facilitates tumor separation.
背景技术Background technique
肿瘤是指机体在各种致瘤因子作用下,局部组织细胞增生所形成的新生物,因为这种新生物多呈占位性块状突起,也称赘生物,在判断肿瘤是良性还是恶性时需要医生利用取样装置对肿瘤采样进行化验检测。但是现有的取样设备通过负压吸取肿瘤组织,这样的方法创口小,而且减轻了患者的痛苦,而传统的针管取样,单靠负压取样不容易一次成功,吸附过程不够精准,穿刺过程不够稳定,截取的样品不易脱离,还需要手动脱离,整体取样过程繁琐;因此,亟需一种自动截取肿瘤样品、释放肿瘤样品,还可以准确把握穿刺深度,使整个取样过程更加顺利与稳定的方便分离肿瘤的肿瘤取样设备。Tumors refer to new organisms formed by the proliferation of local tissue cells in the body under the action of various tumorigenic factors. Because these new organisms are mostly space-occupying massive protrusions, also known as neoplasms, when judging whether a tumor is benign or malignant, Doctors are required to use a sampling device to perform laboratory testing on tumor samples. However, the existing sampling equipment uses negative pressure to absorb tumor tissue. This method has small incisions and reduces the pain of the patient. However, traditional needle sampling cannot easily succeed in negative pressure sampling alone. The adsorption process is not accurate enough and the puncture process is not enough. Stable, the intercepted sample is not easy to detach, and manual detachment is required, making the overall sampling process cumbersome; therefore, there is an urgent need for a method that can automatically intercept tumor samples, release tumor samples, and accurately grasp the puncture depth, making the entire sampling process smoother and more stable. Tumor sampling device to isolate tumors.
发明内容Contents of the invention
本发明的目的是提供一种方便分离肿瘤的肿瘤取样设备,以解决上述问题,达到有效提高取样稳定和精确的目的。The purpose of the present invention is to provide a tumor sampling device that facilitates tumor separation to solve the above problems and achieve the purpose of effectively improving sampling stability and accuracy.
为实现上述目的,本发明提供了如下方案:一种方便分离肿瘤的肿瘤取样设备,包括固定壳体,所述固定壳体的侧壁上固定连接有穿刺手柄,所述固定壳体靠近所述穿刺手柄的一端连接有穿刺深度检测单元,所述固定壳体远离所述穿刺深度检测单元的一端设置为取样端,所述取样端连接有穿刺针总成,所述穿刺针总成远离所述取样端的一端设置为穿刺端,所述穿刺针总成远离所述穿刺端的一端穿过所述取样端且位于所述固定壳体内,所述固定壳体内开设有第一空腔,所述第一空腔内设置有驱动单元,所述穿刺针总成通过所述驱动单元驱动取样,所述穿刺针总成内连通有辅助取样单元,所述辅助取样单元用于辅助所述驱动单元取样且还便于释放样品。In order to achieve the above object, the present invention provides the following solution: a tumor sampling device that facilitates tumor separation, including a fixed housing, a puncture handle fixedly connected to the side wall of the fixed housing, and the fixed housing is close to the One end of the puncture handle is connected to a puncture depth detection unit, and one end of the fixed housing away from the puncture depth detection unit is set as a sampling end. The sampling end is connected to a puncture needle assembly, and the puncture needle assembly is far away from the puncture depth detection unit. One end of the sampling end is set as a puncture end, and one end of the puncture needle assembly away from the puncture end passes through the sampling end and is located in the fixed housing. A first cavity is provided in the fixed housing, and the first cavity is A driving unit is provided in the cavity, and the puncture needle assembly drives sampling through the driving unit. An auxiliary sampling unit is communicated with the puncture needle assembly. The auxiliary sampling unit is used to assist the driving unit in sampling and also Easy to release sample.
优选的,所述穿刺针总成包括外针组件与内针组件,所述外针组件套设在所述内针组件的外侧,所述外针组件远离所述穿刺端的一端可拆卸连接在所述取样端上,所述内针组件穿过所述取样端且位于所述固定壳体内的一端与所述驱动单元的输出端传动连接,所述辅助取样单元穿过所述外针组件与所述内针组件内连通。Preferably, the puncture needle assembly includes an outer needle assembly and an inner needle assembly. The outer needle assembly is sleeved on the outside of the inner needle assembly. One end of the outer needle assembly away from the puncture end is detachably connected to the needle assembly. On the sampling end, the inner needle assembly passes through the sampling end and one end located in the fixed housing is drivingly connected to the output end of the driving unit, and the auxiliary sampling unit passes through the outer needle assembly and is connected to the The inner needle assembly is internally connected.
优选的,所述内针组件包括依次固定连接的滑杆总成、传动针芯与内取样针头,所述滑杆总成与所述驱动单元的输出端传动连接,所述滑杆总成转动的同时沿取样方向移动,所述传动针芯贯穿所述取样端的一端位于所述外针组件内,所述内取样针头靠近所述穿刺端设置,所述辅助取样单元与所述传动针芯、内取样针头内侧连通。Preferably, the inner needle assembly includes a sliding rod assembly, a transmission needle core and an inner sampling needle that are fixedly connected in sequence. The sliding rod assembly is drivingly connected to the output end of the drive unit, and the sliding rod assembly rotates. while moving in the sampling direction, one end of the transmission needle core penetrating the sampling end is located in the outer needle assembly, the inner sampling needle is disposed close to the puncture end, the auxiliary sampling unit and the transmission needle core, The inner side of the inner sampling needle is connected.
优选的,所述内取样针头包括切削针芯与薄壁内针,所述薄壁内针套设在所述切削针芯的外侧,所述切削针芯的一端与所述传动针芯远离所述固定壳体的一端同轴心固定连接,所述切削针芯的另一端固定连接有切削刃,所述切削刃靠近所述穿刺端,所述切削针芯的侧壁上开设有螺纹槽,所述切削针芯通过所述螺纹槽形成空心薄片螺纹状结构,所述切削刃位于所述螺纹槽远离所述传动针芯的一端,所述薄壁内针远离所述切削刃的一端同轴心固定连接在所述切削针芯上,所述薄壁内针壁厚小于所述传动针芯的壁厚。Preferably, the inner sampling needle includes a cutting needle core and a thin-walled inner needle. The thin-walled inner needle is sleeved on the outside of the cutting needle core. One end of the cutting needle core is away from the transmission needle core. One end of the fixed housing is fixedly connected to the axial center, and the other end of the cutting needle core is fixedly connected with a cutting edge. The cutting edge is close to the puncture end. A threaded groove is provided on the side wall of the cutting needle core. The cutting needle core forms a hollow thin slice thread-like structure through the thread groove, the cutting edge is located at one end of the thread groove away from the transmission needle core, and the thin-walled inner needle is coaxial with one end away from the cutting edge. The core is fixedly connected to the cutting needle core, and the wall thickness of the thin-walled inner needle is smaller than the wall thickness of the transmission needle core.
优选的,所述外针组件包括依次同轴心固定连接的螺纹端头、第一外针、第二外针与第三外针,所述螺纹端头靠近所述取样端的一端与所述固定壳体螺纹连接,所述第三外针套设在所述切削针芯的外侧,所述第三外针的壁厚小于所述第二外针的壁厚,所述辅助取样单元通过所述第一外针与所述第二外针内侧连通。Preferably, the outer needle assembly includes a threaded end, a first outer needle, a second outer needle and a third outer needle that are fixedly connected to the coaxial center in sequence, and one end of the threaded end close to the sampling end is connected to the fixed end. The housing is threaded, the third outer needle is sleeved on the outside of the cutting needle core, the wall thickness of the third outer needle is smaller than the wall thickness of the second outer needle, and the auxiliary sampling unit passes through the The first outer needle communicates with the inner side of the second outer needle.
优选的,所述驱动单元包括固定连接在所述第一空腔内的电机,所述电机的旋转轴同轴心固定连接有螺纹杆,所述螺纹杆的外侧螺纹套设有传动支架总成,所述传动支架总成沿取样方向滑动连接在所述第一空腔内,所述传动支架总成远离所述电机的一端与所述螺纹杆的一端之间设置有间隙,所述滑杆总成远离所述传动针芯的一端穿过所述传动支架总成且还伸入所述螺纹杆内,所述传动支架总成与所述滑杆总成、传动针芯传动连接,所述螺纹杆与所述传动支架总成通过所述滑杆总成驱动传动针芯伸缩取样。Preferably, the drive unit includes a motor fixedly connected in the first cavity, the rotating shaft of the motor is fixedly connected to a threaded rod coaxially, and a transmission bracket assembly is provided in a threaded sleeve on the outside of the threaded rod. , the transmission bracket assembly is slidingly connected in the first cavity along the sampling direction, a gap is provided between one end of the transmission bracket assembly away from the motor and one end of the threaded rod, and the sliding rod One end of the assembly away from the transmission needle core passes through the transmission bracket assembly and also extends into the threaded rod. The transmission bracket assembly is drivingly connected to the sliding rod assembly and the transmission needle core. The threaded rod and the transmission bracket assembly drive the transmission needle core to telescopically sample through the sliding rod assembly.
优选的,所述滑杆总成包括与所述传动针芯同轴心固定连接的轴芯,所述螺纹杆远离所述电机的一端套设在所述轴芯穿过所述传动支架总成的一端外侧,所述螺纹杆内对称开设有第二滑槽,所述第二滑槽沿取样方向设置,所述轴芯的外侧对称固定连接有耳板,两组所述耳板分别对应滑动连接在两组所述第二滑槽内,所述传动针芯靠近所述轴芯的一端转动连接在所述传动支架总成上,所述传动支架总成远离所述电机的一端与所述固定壳体内靠近所述取样端的一端之间抵接有弹簧,所述弹簧套设在所述传动针芯的外侧。Preferably, the slide rod assembly includes a shaft core that is coaxially fixedly connected to the transmission pin core, and one end of the threaded rod away from the motor is sleeved on the shaft core and passes through the transmission bracket assembly. On the outside of one end of the threaded rod, a second chute is symmetrically provided in the threaded rod. The second chute is arranged along the sampling direction. An ear plate is symmetrically fixed and connected to the outer side of the shaft core. The two sets of ear plates slide correspondingly. Connected in two sets of second chutes, one end of the transmission pin core close to the shaft core is rotatably connected to the transmission bracket assembly, and one end of the transmission bracket assembly away from the motor is connected to the A spring is in contact with one end of the fixed housing close to the sampling end, and the spring is sleeved on the outside of the transmission needle core.
优选的,所述传动支架总成包括螺纹套设在所述螺纹杆外侧的螺纹套筒,所述螺纹套筒的边部对称固定连接有固定连杆,两组所述固定连杆远离所述电机的同一端固定连接且还与所述螺纹杆之间设置有所述间隙,所述传动针芯靠近所述轴芯的一端外侧固定套设有固定圆环,两组所述固定连杆靠近所述传动针芯的同一端外侧螺纹套设有螺纹端盖,所述传动针芯穿过所述螺纹端盖中心,所述固定圆环位于所述螺纹端盖内侧与两组所述固定连杆之间,所述固定圆环与所述螺纹端盖内侧底壁之间、所述固定圆环与两组所述固定连杆之间分别滚动配合有若干滚珠,所述弹簧抵接在所述螺纹端盖与所述固定壳体内靠近所述取样端的一端之间。Preferably, the transmission bracket assembly includes a threaded sleeve threaded on the outside of the threaded rod. Fixed connecting rods are symmetrically fixed to the edges of the threaded sleeve, and the two sets of fixed connecting rods are distant from the said threaded rod. The same end of the motor is fixedly connected and has the gap between it and the threaded rod. The outer fixed sleeve of one end of the transmission needle core close to the shaft core is provided with a fixed ring. The two sets of fixed connecting rods are close to each other. The outer thread sleeve of the same end of the transmission needle core is provided with a threaded end cap. The transmission needle core passes through the center of the threaded end cap. The fixed ring is located inside the threaded end cap and is connected to the two sets of fixed connections. Between the rods, between the fixed ring and the inner bottom wall of the threaded end cap, and between the fixed ring and the two sets of fixed connecting rods, there are a number of rolling balls, and the springs are in contact with each other. between the threaded end cap and one end of the fixed housing close to the sampling end.
优选的,两组所述固定连杆的背离侧分别竖向固定连接有上滑块与下滑块,所述上滑块靠近所述电机设置,所述第一空腔内对称固定连接有固定板,两组所述固定板的相对侧分别开设有第一滑槽,所有的所述上滑块与所述下滑块沿取样方向滑动连接在两组所述第一滑槽内。Preferably, an upper slider and a lower slider are vertically fixedly connected to the opposite sides of the two sets of fixed connecting rods. The upper slider is disposed close to the motor, and the first cavity is symmetrically and fixedly connected with a fixed slider. The two sets of fixed plates are provided with first chute on the opposite sides respectively, and all the upper slide blocks and the lower block are slidingly connected in the two sets of first chute along the sampling direction.
优选的,所述穿刺深度检测单元包括显示屏与距离传感器,所述显示屏固定连接在所述固定壳体远离所述取样端的一端外侧,所述距离传感器固定连接在所述第一空腔内,所述距离传感器的检测端与一组所述上滑块对应设置。Preferably, the puncture depth detection unit includes a display screen and a distance sensor, the display screen is fixedly connected to the outside of an end of the fixed housing away from the sampling end, and the distance sensor is fixedly connected in the first cavity. , the detection end of the distance sensor is arranged correspondingly to a set of upper slide blocks.
本发明具有如下技术效果:在CT的引导下,通过手持穿刺手柄将穿刺针总成穿过皮肤并伸入肿瘤处;穿刺深度检测单元的主要作用是通过穿刺针总成的位移来判断穿刺深度数据,并与CT有效结合,达到精确穿刺的目的;驱动单元的主要作用是驱动穿刺针总成刺入肿瘤,截取部分肿瘤样品后脱离肿瘤;辅助取样单元的主要作用是辅助驱动单元,使取样过程更加顺利、稳定,同时还可以辅助驱动单元使样品脱离穿刺针总成;整体上,本申请可以自动截取肿瘤样品、释放肿瘤样品,还可以准确把握穿刺深度,使整个取样过程更加顺利与稳定。The present invention has the following technical effects: under the guidance of CT, the puncture needle assembly is passed through the skin and extended into the tumor by holding the puncture handle; the main function of the puncture depth detection unit is to determine the puncture depth through the displacement of the puncture needle assembly. data, and effectively combined with CT to achieve the purpose of precise puncture; the main function of the driving unit is to drive the puncture needle assembly to penetrate the tumor, intercept some tumor samples and then break away from the tumor; the main function of the auxiliary sampling unit is to assist the driving unit to facilitate sampling The process is smoother and more stable, and it can also assist the driving unit to separate the sample from the puncture needle assembly; overall, this application can automatically intercept tumor samples, release tumor samples, and accurately grasp the puncture depth, making the entire sampling process smoother and more stable. .
附图说明Description of the drawings
为了更清楚地说明本发明实施例或现有技术中的技术方案,下面将对实施例中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本发明的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to explain the embodiments of the present invention or the technical solutions in the prior art more clearly, the drawings needed to be used in the embodiments will be briefly introduced below. Obviously, the drawings in the following description are only some of the drawings of the present invention. Embodiments, for those of ordinary skill in the art, other drawings can also be obtained based on these drawings without exerting creative efforts.
图1为本发明取样设备外观示意图;Figure 1 is a schematic diagram of the appearance of the sampling equipment of the present invention;
图2为本发明取样设备内部结构示意图;Figure 2 is a schematic diagram of the internal structure of the sampling equipment of the present invention;
图3为图2中的A局部放大示意图;Figure 3 is a partially enlarged schematic diagram of A in Figure 2;
图4为图2中的B局部放大示意图;Figure 4 is a partially enlarged schematic diagram of B in Figure 2;
图5为本发明切削针芯结构示意图;Figure 5 is a schematic structural diagram of the cutting needle core of the present invention;
图6为本发明螺纹杆断面示意图;Figure 6 is a schematic cross-sectional view of the threaded rod of the present invention;
其中,1、穿刺手柄;2、启动开关;3、固定壳体;4、显示屏;5、螺纹端头;6、负压管;7、第一外针;8、第二外针;9、第三外针;10、第一空腔;11、电机;12、距离传感器;13、固定圆盘;14、固定套;15、上滑块;16、螺纹套筒;17、下滑块;18、固定连杆;19、螺纹杆;20、轴芯;21、螺纹端盖;22、过孔;23、传动针芯;24、第一滑槽;25、切削针芯;26、耳板;27、滚珠;28、固定圆环;29、薄壁内针;30、切削刃;31、螺纹槽;32、第二滑槽;33、针口;34、固定板;35、第二空腔;36、注液管;37、三通接头;38、弹簧。Among them, 1. Puncture handle; 2. Start switch; 3. Fixed housing; 4. Display screen; 5. Threaded end; 6. Negative pressure tube; 7. First outer needle; 8. Second outer needle; 9 , The third outer needle; 10. The first cavity; 11. Motor; 12. Distance sensor; 13. Fixed disc; 14. Fixed sleeve; 15. Upper slider; 16. Threaded sleeve; 17. Lower slider ; 18. Fixed connecting rod; 19. Threaded rod; 20. Shaft core; 21. Threaded end cap; 22. Via hole; 23. Transmission needle core; 24. First chute; 25. Cutting needle core; 26. Ear Plate; 27, ball; 28, fixed ring; 29, thin-walled inner needle; 30, cutting edge; 31, thread groove; 32, second chute; 33, needle mouth; 34, fixed plate; 35, second Cavity; 36. Liquid injection pipe; 37. Tee joint; 38. Spring.
具体实施方式Detailed ways
下面将结合本发明实施例中的附图,对本发明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发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,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,都属于本发明保护的范围。The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only some of the embodiments of the present invention, rather than all the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative efforts fall within the scope of protection of the present invention.
为使本发明的上述目的、特征和优点能够更加明显易懂,下面结合附图和具体实施方式对本发明作进一步详细的说明。In order to make the above objects, features and advantages of the present invention more obvious and understandable, the present invention will be described in further detail below with reference to the accompanying drawings and specific embodiments.
参照图1-6所示,本发明提供了一种方便分离肿瘤的肿瘤取样设备,包括固定壳体3,固定壳体3的侧壁上固定连接有穿刺手柄1,固定壳体3靠近穿刺手柄1的一端连接有穿刺深度检测单元,固定壳体3远离穿刺深度检测单元的一端设置为取样端,取样端连接有穿刺针总成,穿刺针总成远离取样端的一端设置为穿刺端,穿刺针总成远离穿刺端的一端穿过取样端且位于固定壳体3内,固定壳体3内开设有第一空腔10,第一空腔10内设置有驱动单元,穿刺针总成通过驱动单元驱动取样,穿刺针总成内连通有辅助取样单元,辅助取样单元用于辅助驱动单元取样且还便于释放样品。Referring to Figures 1-6, the present invention provides a tumor sampling device that facilitates tumor separation, including a fixed housing 3. A puncture handle 1 is fixedly connected to the side wall of the fixed housing 3, and the fixed housing 3 is close to the puncture handle. One end of 1 is connected to a puncture depth detection unit, and the end of the fixed housing 3 away from the puncture depth detection unit is set as the sampling end. The sampling end is connected to a puncture needle assembly. The end of the puncture needle assembly away from the sampling end is set as the puncture end. The puncture needle One end of the assembly away from the puncture end passes through the sampling end and is located in the fixed housing 3. A first cavity 10 is provided in the fixed housing 3. A driving unit is provided in the first cavity 10. The puncture needle assembly is driven by the driving unit. For sampling, the puncture needle assembly is connected with an auxiliary sampling unit. The auxiliary sampling unit is used to assist the driving unit in sampling and also facilitates sample release.
在CT的引导下,通过手持穿刺手柄1将穿刺针总成穿过皮肤并伸入肿瘤处;穿刺深度检测单元的主要作用是通过穿刺针总成的位移来判断穿刺深度数据,并与CT有效结合,达到精确穿刺的目的;驱动单元的主要作用是驱动穿刺针总成刺入肿瘤,截取部分肿瘤样品后脱离肿瘤;辅助取样单元的主要作用是辅助驱动单元,使取样过程更加顺利、稳定,同时还可以辅助驱动单元使样品脱离穿刺针总成;整体上,本申请可以自动截取肿瘤样品、释放肿瘤样品,还可以准确把握穿刺深度,使整个取样过程更加顺利与稳定。Under the guidance of CT, hold the puncture handle 1 to pass the puncture needle assembly through the skin and extend into the tumor; the main function of the puncture depth detection unit is to judge the puncture depth data through the displacement of the puncture needle assembly, and is effective with CT Combined to achieve the purpose of precise puncture; the main function of the driving unit is to drive the puncture needle assembly to penetrate into the tumor, intercept some tumor samples and then break away from the tumor; the main function of the auxiliary sampling unit is to assist the driving unit to make the sampling process smoother and more stable. At the same time, it can also assist the driving unit to separate the sample from the puncture needle assembly; overall, this application can automatically intercept and release tumor samples, and can also accurately grasp the puncture depth, making the entire sampling process smoother and more stable.
进一步优化方案,穿刺针总成包括外针组件与内针组件,外针组件套设在内针组件的外侧,外针组件远离穿刺端的一端可拆卸连接在取样端上,内针组件穿过取样端且位于固定壳体3内的一端与驱动单元的输出端传动连接,辅助取样单元穿过外针组件与内针组件内连通。To further optimize the solution, the puncture needle assembly includes an outer needle assembly and an inner needle assembly. The outer needle assembly is set on the outside of the inner needle assembly. The end of the outer needle assembly away from the puncture end is detachably connected to the sampling end, and the inner needle assembly passes through the sampling end. The end located in the fixed housing 3 is drivingly connected to the output end of the drive unit, and the auxiliary sampling unit passes through the outer needle assembly and communicates with the inner needle assembly.
首先在靠近肿瘤的皮肤表面进行切口处理,通过CT,手持穿刺手柄1使穿刺针总成伸入皮肤切口并抵达肿瘤表面处,再通过驱动单元驱动内针组件移动,使内针组件进行穿刺、取样,通过辅助取样单元便于内针组件进行释放肿瘤样品。First, an incision is made on the skin surface close to the tumor. Using CT, hold the puncture handle 1 to extend the puncture needle assembly into the skin incision and reach the tumor surface. Then, the drive unit drives the inner needle assembly to move, so that the inner needle assembly performs puncture. For sampling, the auxiliary sampling unit facilitates the inner needle assembly to release the tumor sample.
进一步优化方案,内针组件包括依次固定连接的滑杆总成、传动针芯23与内取样针头,滑杆总成与驱动单元的输出端传动连接,使滑杆总成转动的同时沿取样方向移动,传动针芯23贯穿取样端的一端位于外针组件内,内取样针头靠近穿刺端设置,辅助取样单元与传动针芯23、内取样针头内侧连通。To further optimize the solution, the inner needle assembly includes a sliding rod assembly, a transmission needle core 23 and an inner sampling needle that are fixedly connected in sequence. The sliding rod assembly is drivingly connected to the output end of the drive unit, so that the sliding rod assembly rotates along the sampling direction. Move, one end of the transmission needle core 23 penetrating the sampling end is located in the outer needle assembly, the inner sampling needle is set close to the puncture end, and the auxiliary sampling unit is connected with the transmission needle core 23 and the inner side of the inner sampling needle.
通过启动驱动单元带动滑杆总成转动,并同步带动传动针芯23与内取样针头转动,通过转动运动和沿取样方向移动进行取样。By starting the driving unit, the sliding rod assembly is driven to rotate, and the transmission needle core 23 and the inner sampling needle are synchronously driven to rotate. Sampling is performed through rotational motion and movement in the sampling direction.
进一步优化方案,内取样针头包括切削针芯25与薄壁内针29,薄壁内针29套设在切削针芯25的外侧,切削针芯25的一端与传动针芯23远离固定壳体3的一端同轴心固定连接,切削针芯25的另一端固定连接有切削刃30,切削刃30靠近穿刺端,切削针芯25的侧壁上开设有螺纹槽31,切削针芯25通过螺纹槽31形成空心薄片螺纹状结构,切削刃30位于螺纹槽31远离传动针芯23的一端,薄壁内针29远离切削刃30的一端同轴心固定连接在切削针芯25上,薄壁内针29壁厚小于传动针芯23的壁厚。To further optimize the solution, the inner sampling needle includes a cutting needle core 25 and a thin-walled inner needle 29. The thin-walled inner needle 29 is set on the outside of the cutting needle core 25. One end of the cutting needle core 25 and the transmission needle core 23 are away from the fixed housing 3. One end of the cutting needle core 25 is fixedly connected to the axial center, and the other end of the cutting needle core 25 is fixedly connected with a cutting edge 30. The cutting edge 30 is close to the puncture end. A threaded groove 31 is provided on the side wall of the cutting needle core 25, and the cutting needle core 25 passes through the threaded groove. 31 forms a hollow thin slice thread-like structure. The cutting edge 30 is located at one end of the thread groove 31 away from the transmission needle core 23. The end of the thin-walled inner needle 29 away from the cutting edge 30 is fixedly connected to the cutting needle core 25 coaxially. The thin-walled inner needle The wall thickness of 29 is smaller than the wall thickness of the transmission needle core 23 .
当驱动单元驱动滑杆总成,同步带动切削针芯25与薄壁内针29转动和沿取样方向移动,切削针芯25在转动状态下同步进行穿刺,会切削肿瘤,并使切削掉的肿瘤块进入切削针芯25内腔,在此穿刺过程中,薄壁内针29随着切削针芯25同步移动,保证切削掉的肿瘤块保存在切削针芯25内,便于抽离内取样针头时,避免肿瘤块表面的组织液污染其他组织,同时也保证了肿瘤样品的完整性;薄壁内针29壁厚小于传动针芯23的壁厚能够使切削针芯25内腔尽可能多的截取样品。When the drive unit drives the slide rod assembly, it synchronously drives the cutting needle core 25 and the thin-walled inner needle 29 to rotate and move in the sampling direction. The cutting needle core 25 performs puncture simultaneously while rotating, which will cut the tumor and remove the tumor. The block enters the inner cavity of the cutting needle core 25. During this puncture process, the thin-walled inner needle 29 moves synchronously with the cutting needle core 25 to ensure that the cut tumor block is stored in the cutting needle core 25, which is convenient for withdrawing the inner sampling needle. , to avoid the tissue fluid on the surface of the tumor mass from contaminating other tissues, and at the same time ensuring the integrity of the tumor sample; the wall thickness of the thin-walled inner needle 29 is smaller than the wall thickness of the transmission needle core 23, which enables the cutting needle core 25 to intercept as many samples as possible from the inner cavity of the needle core 25 .
进一步优化方案,外针组件包括依次同轴心固定连接的螺纹端头5、第一外针7、第二外针8与第三外针9,螺纹端头5靠近取样端的一端与固定壳体3螺纹连接,第三外针9套设在切削针芯25的外侧,第三外针9的壁厚小于第二外针8的壁厚,辅助取样单元通过第一外针7与第二外针8内侧连通。To further optimize the solution, the outer needle assembly includes a threaded head 5, a first outer needle 7, a second outer needle 8 and a third outer needle 9 that are fixedly connected to the coaxial center in sequence. The end of the threaded head 5 close to the sampling end is connected to the fixed housing. 3 threaded connection, the third outer needle 9 is set on the outside of the cutting needle core 25, the wall thickness of the third outer needle 9 is smaller than the wall thickness of the second outer needle 8, the auxiliary sampling unit communicates with the second outer needle through the first outer needle 7 The inner side of needle 8 is connected.
在穿刺时,第三外针9与第二外针8依次从皮肤切口处进入到体内,第三外针9的针口33首先接触肿瘤表面。During puncture, the third outer needle 9 and the second outer needle 8 enter the body sequentially from the skin incision, and the needle port 33 of the third outer needle 9 first contacts the tumor surface.
进一步优化方案,驱动单元包括固定连接在第一空腔10内的电机11,电机11的旋转轴同轴心固定连接有螺纹杆19,螺纹杆19的外侧螺纹套设有传动支架总成,传动支架总成沿取样方向滑动连接在第一空腔10内,传动支架总成远离电机11的一端与螺纹杆19的一端之间设置有间隙,滑杆总成远离传动针芯23的一端穿过传动支架总成且还伸入螺纹杆19内,传动支架总成与滑杆总成、传动针芯23传动连接,螺纹杆19与传动支架总成通过滑杆总成驱动传动针芯23伸缩取样。To further optimize the solution, the drive unit includes a motor 11 fixedly connected in the first cavity 10. The rotating shaft of the motor 11 is fixedly connected to the threaded rod 19 coaxially. The outer thread of the threaded rod 19 is provided with a transmission bracket assembly. The bracket assembly is slidably connected in the first cavity 10 along the sampling direction. There is a gap between the end of the transmission bracket assembly away from the motor 11 and the end of the threaded rod 19. The end of the slide rod assembly away from the transmission needle core 23 passes through The transmission bracket assembly also extends into the threaded rod 19. The transmission bracket assembly is transmission connected with the sliding rod assembly and the transmission needle core 23. The threaded rod 19 and the transmission bracket assembly drive the transmission needle core 23 through the sliding rod assembly to telescopically sample. .
启动电机11转动,带动螺纹杆19旋转的同时,带动传动支架总成与滑杆总成沿取样方向滑动,当传动支架总成移动至螺纹杆19远离电机11的一端时,传动支架总成脱离螺纹杆19的螺纹段,传动支架总成与螺纹杆19之间相对转动,随着螺纹杆19、滑杆总成继续转动,传动支架总成不再沿取样方向移动,此时,通过滑杆总成转动带动切削刃30将肿瘤块切断。The starter motor 11 rotates, driving the threaded rod 19 to rotate and at the same time driving the transmission bracket assembly and the sliding rod assembly to slide in the sampling direction. When the transmission bracket assembly moves to the end of the threaded rod 19 away from the motor 11, the transmission bracket assembly detaches. The threaded section of the threaded rod 19, the transmission bracket assembly and the threaded rod 19 rotate relative to each other. As the threaded rod 19 and the sliding rod assembly continue to rotate, the transmission bracket assembly no longer moves in the sampling direction. At this time, through the sliding rod The rotation of the assembly drives the cutting edge 30 to cut off the tumor mass.
进一步优化方案,滑杆总成包括与传动针芯23同轴心固定连接的轴芯20,螺纹杆19远离电机11的一端套设在轴芯20穿过传动支架总成的一端外侧,螺纹杆19内对称开设有第二滑槽32,第二滑槽32沿取样方向设置,轴芯20的外侧对称固定连接有耳板26,两组耳板26分别对应滑动连接在两组第二滑槽32内,传动针芯23靠近轴芯20的一端转动连接在传动支架总成上,传动支架总成远离电机11的一端与固定壳体3内靠近取样端的一端之间抵接有弹簧38,弹簧38套设在传动针芯23的外侧。To further optimize the solution, the sliding rod assembly includes a shaft core 20 that is fixedly connected to the transmission needle core 23 coaxially. The end of the threaded rod 19 away from the motor 11 is set on the outside of the end of the shaft core 20 that passes through the transmission bracket assembly. The threaded rod 19 A second chute 32 is symmetrically provided in 19. The second chute 32 is arranged along the sampling direction. The outer side of the shaft core 20 is symmetrically fixedly connected with ear plates 26. The two sets of ear plates 26 are respectively slidingly connected to the two sets of second chute. 32, one end of the transmission needle core 23 close to the shaft core 20 is rotatably connected to the transmission bracket assembly. There is a spring 38 in contact between the end of the transmission bracket assembly away from the motor 11 and the end of the fixed housing 3 close to the sampling end. The spring 38 sets are arranged on the outside of the transmission needle core 23.
初始状态下弹簧38为自由状态,当电机11转动,带动螺纹杆19、轴芯20旋转的同时,通过传动支架总成,轴芯20在螺纹杆19内沿轴线方向滑动、两组耳板26沿第二滑槽32内滑动,进而带动切削针芯25转动的同时向取样方向移动,形成旋转切削的效果;当传动支架总成脱离螺纹杆19的螺纹段,传动支架总成与螺纹杆19之间相对转动,弹簧38被压缩,切削针芯25转动而不再继续穿刺时,切削刃30切断截取到的肿瘤块;当反向启动电机11时,带动螺纹杆19、轴芯20反向转动,在弹簧38的回弹力作用下,传动支架总成重新与螺纹杆19的螺纹连接,切削刃30此时也起到了承载肿瘤样块的作用,避免肿瘤样块从转动状态的切削针芯25中滑离,进而带动切削掉的肿瘤块脱离肿瘤。In the initial state, the spring 38 is in a free state. When the motor 11 rotates, it drives the threaded rod 19 and the shaft core 20 to rotate. At the same time, through the transmission bracket assembly, the shaft core 20 slides along the axis direction in the threaded rod 19, and the two sets of ear plates 26 Slide along the second chute 32, thereby driving the cutting needle core 25 to rotate and move in the sampling direction, forming a rotating cutting effect; when the transmission bracket assembly is separated from the threaded section of the threaded rod 19, the transmission bracket assembly and the threaded rod 19 When the cutting needle core 25 rotates and no longer punctures, the cutting edge 30 cuts off the captured tumor mass; when the motor 11 is started in the reverse direction, the threaded rod 19 and the shaft core 20 are driven in the reverse direction. Rotation, under the action of the rebound force of the spring 38, the transmission bracket assembly is re-connected to the thread of the threaded rod 19. The cutting edge 30 also plays the role of bearing the tumor sample block at this time, preventing the tumor sample block from turning the cutting needle core 25, it will slide away, thereby driving the removed tumor mass away from the tumor.
进一步优化方案,传动支架总成包括螺纹套设在螺纹杆19外侧的螺纹套筒16,螺纹套筒16的边部对称固定连接有固定连杆18,两组固定连杆18远离电机11的同一端固定连接且还与螺纹杆19之间设置有间隙,传动针芯23靠近轴芯20的一端外侧固定套设有固定圆环28,两组固定连杆18靠近传动针芯23的同一端外侧螺纹套设有螺纹端盖21,传动针芯23穿过螺纹端盖21中心,固定圆环28位于螺纹端盖21内侧与两组固定连杆18之间,固定圆环28与螺纹端盖21内侧底壁之间、固定圆环28与两组固定连杆18之间分别滚动配合有若干滚珠27,弹簧38抵接在螺纹端盖21与固定壳体3内靠近取样端的一端之间。To further optimize the solution, the transmission bracket assembly includes a threaded sleeve 16 threaded on the outside of the threaded rod 19. The edges of the threaded sleeve 16 are symmetrically fixed with fixed connecting rods 18, and the two sets of fixed connecting rods 18 are away from the same side of the motor 11. The end is fixedly connected and has a gap with the threaded rod 19. The outer fixed sleeve of the end of the transmission needle core 23 close to the shaft core 20 is provided with a fixed ring 28. Two sets of fixed connecting rods 18 are close to the outer end of the same end of the transmission needle core 23. The threaded sleeve is provided with a threaded end cap 21. The transmission needle core 23 passes through the center of the threaded end cap 21. The fixed ring 28 is located between the inside of the threaded end cap 21 and the two sets of fixed connecting rods 18. The fixed ring 28 and the threaded end cap 21 A number of balls 27 are rollingly fitted between the inner bottom walls and between the fixed ring 28 and the two sets of fixed connecting rods 18. The spring 38 is in contact between the threaded end cap 21 and the end of the fixed housing 3 close to the sampling end.
通过若干滚珠27可以保证传动针芯23在转动和穿刺过程中更加顺利和稳定,还有助于截取肿瘤样品的完整性。The plurality of balls 27 can ensure that the transmission needle core 23 is more smooth and stable during the rotation and puncture process, and can also help to intercept the integrity of the tumor sample.
进一步优化方案,两组固定连杆18的背离侧分别竖向固定连接有上滑块15与下滑块17,上滑块15靠近电机11设置,第一空腔10内对称固定连接有固定板34,两组固定板34的相对侧分别开设有第一滑槽24,所有的上滑块15与下滑块17沿取样方向滑动连接在两组第一滑槽24内。To further optimize the solution, the opposite sides of the two sets of fixed connecting rods 18 are vertically fixedly connected with an upper slider 15 and a lower slider 17 respectively. The upper slider 15 is arranged close to the motor 11, and a fixed plate is symmetrically fixedly connected in the first cavity 10. 34. The opposite sides of the two sets of fixed plates 34 are respectively provided with first chute 24, and all the upper slide blocks 15 and the lower block 17 are slidingly connected in the two sets of first chute 24 along the sampling direction.
进一步优化方案,穿刺深度检测单元包括显示屏4与距离传感器12,显示屏4固定连接在固定壳体3远离取样端的一端外侧,距离传感器12固定连接在第一空腔10内,距离传感器12的检测端与一组上滑块15对应设置。To further optimize the solution, the puncture depth detection unit includes a display screen 4 and a distance sensor 12. The display screen 4 is fixedly connected to the outside of the end of the fixed housing 3 away from the sampling end. The distance sensor 12 is fixedly connected in the first cavity 10. The distance sensor 12 The detection end is provided correspondingly with a set of upper sliders 15.
通过距离传感器12对上滑块15的距离监测,可以对传动针芯23的穿刺深度进行实时监测,与CT共同保证穿刺的精确性,保证整个穿刺过程的稳定和顺利。By monitoring the distance between the distance sensor 12 and the upper slider 15, the puncture depth of the transmission needle core 23 can be monitored in real time, which together with CT ensures the accuracy of the puncture and ensures the stability and smoothness of the entire puncture process.
进一步优化方案,第一空腔10内固定连接有固定圆盘13,固定圆盘13的中心固定贯穿有固定套14,固定套14套设在电机11的旋转轴外侧,距离传感器12的检测端穿过固定圆盘13与一组上滑块15对应设置。To further optimize the solution, a fixed disk 13 is fixedly connected to the first cavity 10, and a fixed sleeve 14 is fixedly penetrated through the center of the fixed disk 13. The fixed sleeve 14 is set on the outside of the rotation axis of the motor 11, and the detection end of the distance sensor 12 A set of upper slide blocks 15 are provided correspondingly through the fixed disc 13 .
进一步优化方案,第一外针7与传动针芯23之间开设有第二空腔35,传动针芯23的侧壁上开设有若干过孔22,第一外针7的外侧壁上固定连通有三通接头37,三通接头37远离第一外针7的一端分别固定连通有负压管6与注液管36,传动针芯23内通过若干过孔22与负压管6的或注液管36连通,负压管6远离三通接头37的一端连通有负压设备或充气泵,注液管36远离三通接头37的一端连通有生理盐水注射器。To further optimize the solution, a second cavity 35 is provided between the first outer needle 7 and the transmission needle core 23. A number of through holes 22 are provided on the side wall of the transmission needle core 23, and the outer side walls of the first outer needle 7 are fixedly connected. There is a tee joint 37. One end of the tee joint 37 away from the first outer needle 7 is fixedly connected to the negative pressure tube 6 and the liquid injection tube 36. The transmission needle core 23 passes through a plurality of through holes 22 and the negative pressure tube 6 or the liquid injection tube. The tubes 36 are connected. One end of the negative pressure tube 6 away from the tee joint 37 is connected to a negative pressure device or an air pump. The end of the injection tube 36 away from the tee joint 37 is connected to a physiological saline syringe.
当切削刃30截断肿瘤块时,启动负压设备,将肿瘤样品吸附在切削针芯25,当需要将切削针芯25抽离切口时,有效避免肿瘤样品脱离切削针芯25,当切削针芯25离开人体伸入保存液体中时,停止负压,启动充气泵,传动针芯23内产生正压,将肿瘤样品推出;切削针芯25抵达肿瘤表面,在穿刺前,生理盐水注射器可以对肿瘤块表面或附近进行组织液稀释,防止组织液影响肿瘤样块的截取量,同时还便于穿刺。When the cutting edge 30 cuts off the tumor mass, the negative pressure device is started to adsorb the tumor sample to the cutting needle core 25. When the cutting needle core 25 needs to be pulled out of the incision, the tumor sample is effectively prevented from breaking away from the cutting needle core 25. When the cutting needle core 25 is When 25 leaves the human body and extends into the preservation liquid, the negative pressure is stopped, the air pump is started, and positive pressure is generated in the transmission needle core 23 to push out the tumor sample; the cutting needle core 25 reaches the tumor surface, and before puncture, the normal saline syringe can inject the tumor The tissue fluid is diluted on or near the surface of the block to prevent tissue fluid from affecting the amount of tumor-like block interception, and it also facilitates puncture.
在本发明的描述中,需要理解的是,术语“纵向”、“横向”、“上”、“下”、“前”、“后”、“左”、“右”、“竖直”、“水平”、“顶”、“底”、“内”、“外”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,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 understood that the terms "longitudinal", "lateral", "upper", "lower", "front", "rear", "left", "right", "vertical", The orientations or positional relationships indicated by "horizontal", "top", "bottom", "inner", "outer", etc. are based on the orientations or positional relationships shown in the drawings, and are only for the convenience of describing the present invention, rather than indicating or It is implied that the device or element referred to must have a specific orientation, be constructed and operate in a specific orientation and is therefore not to be construed as a limitation of the invention.
以上所述的实施例仅是对本发明的优选方式进行描述,并非对本发明的范围进行限定,在不脱离本发明设计精神的前提下,本领域普通技术人员对本发明的技术方案做出的各种变形和改进,均应落入本发明权利要求书确定的保护范围内。The above-described embodiments only describe the preferred modes of the present invention and do not limit the scope of the present invention. Without departing from the design spirit of the present invention, those of ordinary skill in the art can make various modifications to the technical solutions of the present invention. All deformations and improvements shall fall within the protection scope determined by the claims of the present invention.
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