CN102908180A - Novel miniature visualized puncture system - Google Patents

Novel miniature visualized puncture system Download PDF

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Publication number
CN102908180A
CN102908180A CN2012103238084A CN201210323808A CN102908180A CN 102908180 A CN102908180 A CN 102908180A CN 2012103238084 A CN2012103238084 A CN 2012103238084A CN 201210323808 A CN201210323808 A CN 201210323808A CN 102908180 A CN102908180 A CN 102908180A
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CN
China
Prior art keywords
superminiature
puncture
puncture needle
light source
visual
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN2012103238084A
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Chinese (zh)
Inventor
郭睿
邓辉胜
冯燕梅
黄晶
周发春
徐昉
张勇
刘勋
刘义均
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Chongqing Medical University
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Chongqing Medical University
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Publication date
Application filed by Chongqing Medical University filed Critical Chongqing Medical University
Priority to CN2012103238084A priority Critical patent/CN102908180A/en
Publication of CN102908180A publication Critical patent/CN102908180A/en
Pending legal-status Critical Current

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Abstract

The invention relates to a manufacturing method of a novel miniature visualized puncture system, belonging to the field of medical apparatus and instruments. The manufacturing method is based on the conventional puncture needle which is common in clinical application. The manufacturing method comprises the following steps of: arranging an interface with a flap valve at the tail of the puncture needle according to an impermeability requirement, and feeding a super-miniature optical fiber with a light source into the puncture needle directly or through the interface with the flap valve after the super-miniature optical fiber is connected with an imaging control system, wherein the super-miniature optical fiber can slightly extend out of the point of the puncture needle to guide puncture insertion of the needle or exceeds the point of the puncture needle to further probe a practical structure in a targeted puncture cavity gap. The visualized puncture system provided by the invention is reasonable in structure and easy to implement, needs simple equipment, enriches the conventional puncture strategy, is simple to operate under the real-time guidance of super-miniature optical fiber imaging, and can effectively avoid the accidental injury to adjacent organs in a puncture pathway and reduce puncture-related complications simultaneously.

Description

A kind of new micro visual lancing system
Technical field
The present invention relates to a kind of new micro visual lancing system, belong to medical instruments field.
Background technology
Puncture detects/and drainage technology is widely used in routine clinically, usually take the body surface special marking as entry point, finishes the puncture of blind method according to operator's experience.Owing to being subjected to the impact of the factor such as individual dissection variation, there is the operation related complication, even dead risk.In the recent period along with x-ray, the carrying out of CT and the iconography bootstrap technique such as ultrasonic greatly having been improved puncture and having detected/safety of drainage procedure.
Yet all there is self deficiency in existing visual puncture technique, wherein the x-ray imaging is the stack of many individual layer information, the dynamic distance of corresponding blood vessel and important organ in puncture needle needle point and the puncture pathway can't accurately be provided, therefore still can't significantly reduce the risk of puncture related complication, simultaneously owing to the potential teratogenesis of x-ray to operator and patient's generation, the radiation related side effects such as leucocytes reduction, therefore be unwell to the utilization of the special populations such as anemia of pregnant woman, dwindled the further popularization of x-ray guided puncture technology.Although can provide enough spatial resolution based on the CT bootstrap technique, yet this technology temporal resolution is lower, can't guiding in real time the puncture inserting needle, CT equipment is huge simultaneously, can not satisfy the requirement of the other operation of bed, and has equally the potential risk of x-ray radiation.What above-mentioned visual guiding puncture technology was obtained in addition is the cross sectional reconstruction image sequence, and the color of corresponding target area still can not be provided, the true visual information such as character.
Visual puncture is the Perfected process of present clinical recommendation based on ultrasonic guidance, yet larger for the sound transmitting window environmental effect, disturb such as abdominal part gas due to the feed, due to the chest deformity ultrasonic probe can't fit tightly with skin, the intercostal space narrow down due to the rib sound shadow disturb, the restriction of the situations such as chronic obstructive pulmonary disease and obesity, the ultrasonic guidance image quality can't obtain effective guarantee, thereby has reduced operating reliability, has limited the further popularization of ultrasonic guidance strategy.
Summary of the invention
Carry out the complication that blindly puncture brings in order only to overcome with the anatomical structure sign, or existing deficiency based on x-ray or the visual guided puncture technology such as ultrasonic.The object of the invention is to propose simple structure, and cost is controlled, and safety, efficient can the other easy operation of bed, a kind of new micro visual lancing system manufacture method and the equipment of enforcement.
A kind of new micro visual lancing system that the present invention proposes may further comprise the steps:
(1) image monitor module and light source control module;
(2) prepare clinical puncture needle system commonly used;
(3) according to the needs of seal, prepare to be connected with the interface of clack valve and with the puncture needle afterbody;
(4) the superminiature imaging fiber system of preparation integrated light source, tail end is connected with image monitor module and light source control module interface, and head end directly or by band clack valve interface is sent into puncture needle gradually;
(5) open light source, under the guiding in real time of superminiature imaging fiber, new micro visual puncture needle enter targeting puncture zone finish accordingly detect, the correlation functions such as drain, injection, thereby make new micro visual lancing system;
Described step (1) specifically may further comprise the steps:
(1) image monitor module and light source control module can be positioned on the traversing carriage for two modules independently, are convenient to the other operation of bed;
(2) or image monitor module and light source control module can be integrated into a separate modular, be positioned on the traversing carriage;
(3) or further use integrated technology, image monitor module and light source control module are integrated into can hand-held, and satisfies micro module portable, movement requirement;
Described step (3) specifically may further comprise the steps:
(1) the band clack valve can be one-way membrane lobe or rotary clack valve structure, to realize the sealing function of new micro visual lancing system;
(2) simultaneously as required, closed system still extendingly goes out other interface functions except band clack valve interface, to realize finishing diagnosis and the treatment functions such as synchronous suction or injection in visual piercing process.
Described step (4) specifically may further comprise the steps:
(1) superminiature imaging fiber system can integrate one with light source, or independently separates with light source;
(2) superminiature imaging fiber system is comprised of several superminiature optical fiber, and wherein single superminiature fibre diameter is 0.1um-0.45um, light harvesting source part, and the diameter of superminiature imaging fiber system is 0.2mm-0.9mm;
(3) superminiature optical fiber can be hard according to the technique difference, semi-rigid, but or soft superminiature optical fiber can realize the handling of certain orientation and angle;
(4) in addition except the imaging fiber principle, but the imaging system of other type such as ultrasonic seal wire of integrating micro still.
(5) as required superminiature imaging fiber system except integrating imaging fibre and light source, still can reserve 1 or several hollow passageway, can send into corresponding diagnosis or treatment unit by this hollow passageway self or through this hollow passageway, to finish corresponding diagnosis and treatment function.
Described step (2) specifically may further comprise the steps:
(1) because the diameter of superminiature imaging fiber system can be controlled at 0.2mm-0.9mm, therefore can be smoothly entry needle by 27G-18G, contained existing clinical puncture needle model commonly used, thereby the minimum diameter of new micro visual lancing system is controlled between the 27G-18G.
(2) the Novel visual lancing system need not change existing puncture needle structure take existing clinical puncture needle commonly used as the basis, can realize visual lancing system.
Described step (5) specifically may further comprise the steps:
(1) it is slightly inboard or slightly exceed the puncture needle needle point that superminiature imaging fiber system headend is positioned at the puncture needle needle point, enters targeting puncture zone under the guiding in real time of image unit;
(2) or superminiature imaging fiber system headend exceed the puncture needle needle point and enter in the body targeting lacuna and finish the corresponding purpose of detecting.
Utilize the manufacture method of the new micro visual lancing system that the present invention proposes, under the real-time imaging guiding that superminiature optical fiber provides, the complication that can effectively avoid conventional blindly puncture technique to bring, compare simultaneously with based on x-ray and the iconography bootstrap technique such as ultrasonic, the superminiature imaging fiber affects without x-ray radiation, can the other operation of bed, not limited by sound transmitting window, thereby provide new micro visual puncture technique platform for the clinicist.Because this System Construction is simple, cost is controlled, and easy and simple to handle, enforcement is conducive to further popularization and the utilization of this technology.
Description of drawings
The new micro visual lancing system profile of Fig. 1,1 is band clack valve interface, to ensure the seal of piercing process, 11 is rotary clack valve switch, 12 is clack valve, can be as required rotary or unidirectional clack valve, and 13 is Y type interface, can connect syringe and other functional interfaces, 14 is the interface that is connected with the puncture needle afterbody; 2 is puncture needle, and 21 is the puncture needle afterbody, and 22 is the puncture needle body; 3 is superminiature imaging fiber system
Fig. 2 superminiature imaging fiber system profile, 31 is overcoat, and 32 is light source, and 33 is hollow passageway, and 34 is superminiature optical fiber
The specific embodiment
A kind of new micro visual lancing system manufacture method that the present invention proposes, its concrete steps are:
(1) image monitor module and light source control module;
(2) prepare clinical puncture needle system 2 commonly used;
(3) according to the needs of seal, prepare to be connected with the interface 1 of clack valve and with puncture needle afterbody 21;
(4) the superminiature imaging fiber system 3 of preparation integrated light source, tail end is connected with image monitor module and light source control module interface, and head end directly or by band clack valve interface 1 is sent into puncture needle 2 gradually;
(5) open light source, under the guiding in real time of superminiature imaging fiber, new micro visual puncture needle enter targeting puncture zone finish accordingly detect, the correlation functions such as drain, injection, thereby make new micro visual lancing system;
Described step (1) specifically may further comprise the steps:
(1) image monitor module and light source control module can be positioned on the traversing carriage for two modules independently, are convenient to the other operation of bed;
(2) or image monitor module and light source control module can be integrated into a separate modular, be positioned on the traversing carriage;
(3) or further use integrated technology, image monitor module and light source control module are integrated into can hand-held, and satisfies micro module portable, movement requirement;
Described step (3) specifically may further comprise the steps:
(1) band clack valve 11 can be one-way membrane lobe or rotary clack valve structure, to realize the sealing function of new micro visual lancing system;
(2) simultaneously as required, closed system still extendingly goes out other interface functions 13 except band clack valve interface 11, to realize finishing diagnosis and the treatment functions such as synchronous suction or injection in visual piercing process.
Described step (4) specifically may further comprise the steps:
(1) superminiature imaging fiber system 3 can integrate one with light source, or independently separates with light source;
(2) superminiature imaging fiber system 3 is comprised of several superminiature optical fiber, and wherein single superminiature fibre diameter is 0.1um-0.45um, light harvesting source part, and the diameter of superminiature imaging fiber system 3 is 0.2mm-0.9mm;
(3) superminiature optical fiber can be hard according to the technique difference, semi-rigid, but or superminiature optical fiber can realize the handling of certain orientation and angle;
(4) in addition except the imaging fiber principle, but the imaging system of other type such as ultrasonic seal wire of integrating micro still.
(5) as required superminiature imaging fiber system 3 except integrating imaging fibre 34 and light source 32, still can reserve 1 or several hollow passageway 33, can send into corresponding diagnosis or treatment unit by this hollow passageway 33 self or through this hollow passageway 33, to finish corresponding diagnosis and treatment function.
Described step (2) specifically may further comprise the steps:
(1) because the diameter of superminiature imaging fiber system 3 can be controlled at 0.2mm-0.9mm, therefore can pass through smoothly the entry needle 2 of 27G-18G, contained existing clinical puncture needle model commonly used, thereby the minimum diameter of new micro visual lancing system is controlled between the 27G-18G.
(2) the Novel visual lancing system need not change existing puncture needle structure take existing clinical puncture needle 2 commonly used as the basis, can realize visual lancing system.
Described step (5) specifically may further comprise the steps:
(1) it is slightly inboard or slightly exceed the puncture needle needle point that superminiature imaging fiber system 3 head ends are positioned at the puncture needle needle point, enters targeting puncture zone under the guiding in real time of image unit;
(2) or superminiature imaging fiber system 3 head ends exceed the puncture needle needle point and enter in the body targeting lacuna and finish the corresponding purpose of detecting.

Claims (6)

1. a new micro visual lancing system is characterized in that, it may further comprise the steps:
(1), image monitor module and light source control module;
(2), prepare clinical puncture needle system commonly used;
(3), according to the needs of seal, prepare to be connected with the interface of clack valve and with the puncture needle afterbody;
(4), prepare the superminiature imaging fiber system of integrated light source, tail end is connected with image monitor module and light source control module interface, head end is direct or by being with the clack valve interface to send into gradually puncture needle;
(5), open light source, under the guiding in real time of superminiature imaging fiber, new micro visual puncture needle enter targeting puncture zone finish accordingly detect, the correlation functions such as drain, injection, thereby make new micro visual lancing system.
2. a kind of new micro visual lancing system according to claim 1 is characterized in that, described step (1) specifically may further comprise the steps:
(1) image monitor module and light source control module can be positioned on the traversing carriage for two modules independently, are convenient to the other operation of bed;
(2) or image monitor module and light source control module can be integrated into a separate modular, be positioned on the traversing carriage;
(3) or further use integrated technology, image monitor module and light source control module are integrated into can hand-held, and satisfies micro module portable, movement requirement.
3. a kind of new micro visual lancing system according to claim 1 is characterized in that, described step (3) specifically may further comprise the steps:
(1) the band clack valve can be one-way membrane lobe or rotary clack valve structure, to realize the sealing function of new micro visual lancing system;
(2) simultaneously as required, closed system still extendingly goes out other interface functions except band clack valve interface, to realize finishing diagnosis and the treatment functions such as synchronous suction or injection in visual piercing process.
4. a kind of new micro visual lancing system according to claim 1 is characterized in that, described step (4) specifically may further comprise the steps:
(1) superminiature imaging fiber system can integrate one with light source, or independently separates with light source;
(2) superminiature imaging fiber system is comprised of several superminiature optical fiber, and wherein single superminiature fibre diameter is 0.1um-0.45um, light harvesting source part, and the diameter of superminiature imaging fiber system is 0.2mm-0.9mm;
(3) superminiature optical fiber can be hard according to the technique difference, semi-rigid, but or soft superminiature optical fiber can realize the handling of certain orientation and angle;
(4) in addition except the imaging fiber principle, but the imaging system of other type such as ultrasonic seal wire of integrating micro still.
(5) as required superminiature imaging fiber system except integrating imaging fibre and light source, still can reserve 1 or several hollow passageway, can send into corresponding diagnosis or treatment unit by this hollow passageway self or through this hollow passageway, to finish corresponding diagnosis and treatment function.
5. a kind of new micro visual lancing system according to claim 1 and the described superminiature imaging fiber of claim 4 system is characterized in that, described step (2) specifically may further comprise the steps:
(1) because the diameter of superminiature imaging fiber system can be controlled at 0.2mm-0.9mm, therefore can be smoothly entry needle by 27G-18G, contained existing clinical puncture needle model commonly used, thereby the minimum diameter of new micro visual lancing system is controlled between the 27G-18G.
(2) the Novel visual lancing system need not change existing puncture needle structure take existing clinical puncture needle commonly used as the basis, can realize visual lancing system.
6. a kind of new micro visual lancing system according to claim 1 is characterized in that, described step (5) specifically may further comprise the steps:
(1) superminiature imaging fiber system headend is slightly inboard or slightly exceed the puncture needle needle point at the puncture needle needle point, enters targeting puncture zone under the guiding in real time of image unit;
(2) or superminiature imaging fiber system headend exceed the puncture needle needle point and enter in the body targeting lacuna and finish the corresponding purpose of detecting.
CN2012103238084A 2012-09-05 2012-09-05 Novel miniature visualized puncture system Pending CN102908180A (en)

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Application Number Priority Date Filing Date Title
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Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103284780A (en) * 2013-04-26 2013-09-11 广州宝胆医疗器械科技有限公司 Puncture arthroscope
CN103284779A (en) * 2013-04-26 2013-09-11 广州宝胆医疗器械科技有限公司 Puncture mirror system
CN104274229A (en) * 2013-07-02 2015-01-14 台北荣民总医院 Light guide puncture needle combination
CN105615957A (en) * 2016-03-18 2016-06-01 杭州光典医疗器械有限公司 Complete set of handheld visible puncture device special for endoscope
CN106137332A (en) * 2016-06-22 2016-11-23 冯庆宇 Ultrasound intervention sting device and piercing assembly
CN108814685A (en) * 2018-04-12 2018-11-16 上海市东方医院 Visualization epidural space nerve root is loosened system
CN109620368A (en) * 2019-01-30 2019-04-16 珠海市人民医院 It is a kind of based on CT guidance under intervening of intelligence sting device
CN109758214A (en) * 2019-01-18 2019-05-17 皖南医学院第一附属医院(皖南医学院弋矶山医院) Visual anesthetic puncture drill autofeeder
CN109907805A (en) * 2019-04-15 2019-06-21 重庆医科大学附属第二医院 Visualize chest and abdomen water injection and suction unit and its auxiliary device

Cited By (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103284780A (en) * 2013-04-26 2013-09-11 广州宝胆医疗器械科技有限公司 Puncture arthroscope
CN103284779A (en) * 2013-04-26 2013-09-11 广州宝胆医疗器械科技有限公司 Puncture mirror system
CN104274229A (en) * 2013-07-02 2015-01-14 台北荣民总医院 Light guide puncture needle combination
CN105615957A (en) * 2016-03-18 2016-06-01 杭州光典医疗器械有限公司 Complete set of handheld visible puncture device special for endoscope
CN105615957B (en) * 2016-03-18 2017-11-07 杭州光典医疗器械有限公司 It is exclusively used in the rig of endoscope Handheld visual puncture outfit
CN106137332A (en) * 2016-06-22 2016-11-23 冯庆宇 Ultrasound intervention sting device and piercing assembly
CN106137332B (en) * 2016-06-22 2018-12-25 冯庆宇 Ultrasound intervention sting device and piercing assembly
CN108814685A (en) * 2018-04-12 2018-11-16 上海市东方医院 Visualization epidural space nerve root is loosened system
CN109758214A (en) * 2019-01-18 2019-05-17 皖南医学院第一附属医院(皖南医学院弋矶山医院) Visual anesthetic puncture drill autofeeder
CN109758214B (en) * 2019-01-18 2022-06-10 皖南医学院第一附属医院(皖南医学院弋矶山医院) Visual anesthesia puncture automatic propelling device
CN109620368A (en) * 2019-01-30 2019-04-16 珠海市人民医院 It is a kind of based on CT guidance under intervening of intelligence sting device
CN109907805A (en) * 2019-04-15 2019-06-21 重庆医科大学附属第二医院 Visualize chest and abdomen water injection and suction unit and its auxiliary device

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Application publication date: 20130206