Disclosure of Invention
In view of the above problems in the prior art, it is an object of the present invention to provide a breast lesion catgut embedding positioning needle.
In order to solve the technical problems, the technical scheme of the invention is as follows:
the utility model provides a galactophore focus buries line pilot pin, includes thrust unit, soft rubber ball, location line, and the side at thrust unit's top sets up an opening, the one end and the soft rubber ball fixed connection of location line, and the soft rubber ball is located the inboard of thrust unit open-top department, and the opening is stretched out to the one end of location line, and the soft rubber ball is solid elastic ball, and the material is silica gel, latex or polyurethane.
A breast lesion thread burial positioning needle comprises:
the structure of the pushing device is as follows:
the puncture needle is a tube body, and the head part of the puncture needle is an inclined needle tip;
one end of the outer needle tube is connected with the tail part of the puncture needle, and an internal thread is arranged in the outer needle tube;
the needle core is a hollow tube body, the head of the needle core is a crochet hook, and the side wall of the crochet hook is provided with an opening;
the outer side wall of the pushing screw is provided with external threads, and one end of the pushing screw is connected with the tail part of the needle core;
the needle core is inserted into the puncture needle from the outer needle tube, the pushing screw is in threaded connection with the outer needle tube, and the crochet needle is positioned in the inclined needle point and does not exceed the inclined plane of the inclined needle point;
the one end of location line is fixed to set up soft rubber ball, and the other end of location line stretches out from the opening part to stretch out from the export of oblique needle point, the other end is located the inside of crochet hook, and soft rubber ball is located the inside of crochet hook.
The invention innovatively uses the soft rubber ball as the positioning ball, the positioning ball is sent to the designated position through the positioning needle, then the positioning needle is drawn out, and the positioning ball is left at the position of the pathological change.
The locating needle can locate the breast lesion position, can accurately locate the lesion tissue by pushing the screw rod to be matched with the outer needle tube under the assistance of ultrasound, and then can find the position of the soft rubber ball along the locating line, namely the lesion position.
As a further technical proposal, the diameter of the puncture needle tube body is 0.7-1mm, and the length of the puncture needle tube body is 4-6 cm.
As a further technical proposal, the diameter of the needle core tube body is 0.6-0.9 mm.
As a further technical scheme, the crochet hook is in a triangular cone structure.
As a further technical scheme, the width of the opening is smaller than the diameter of the soft rubber ball, the diameter of the soft rubber ball is 0.6-0.9mm, and the diameter of the opening is smaller than the diameter of the soft rubber ball by 0.1-0.3 mm.
As a further technical scheme, the outer side wall of the outer needle tube is marked with scales.
As a further technical scheme, the positioning lines are made of blue X-ray opaque materials. The x-rays are detectable.
The invention has the beneficial effects that:
the focus can be accurately positioned only through the needle and the line without the limitation of time, and after the operation is determined, the focus can be positioned at any time before the operation, so that the influence caused by the diffusion of the dye is not influenced. The cost is low, and economic burden can not be brought to patients. The operation is simple and convenient, the puncture can be carried out after the puncture point is found, and the puncture device can be used by beginners. The crochet needle can firmly grasp the tissue and ensure that the puncture line cannot fall off or be displaced. Due to the existence of the puncture line, an operation path can be made along the puncture line in the operation process, and the damage to the normal mammary tissue of a patient can be minimized.
Detailed Description
It is to be understood that the following detailed description is exemplary and is intended to provide further explanation of the invention as claimed. Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this disclosure belongs.
It is noted that the terminology used herein is for the purpose of describing particular embodiments only and is not intended to be limiting of example embodiments according to the present disclosure. As used herein, the singular forms "a", "an" and "the" are intended to include the plural forms as well, and it should be understood that when the terms "comprises" and/or "comprising" are used in this specification, they specify the presence of stated features, steps, operations, devices, components, and/or combinations thereof, unless the context clearly indicates otherwise.
The invention discloses a using method of a breast lesion catgut embedding positioning needle, which comprises the following steps:
theneedle core 3 extends into theouter needle tube 2, so that thecrochet hook 4 is positioned in the inclined needle point and does not exceed the inclined plane of the inclined needle point;
one end of thepositioning wire 6 is pulled out from the inclined needle tip, and thesoft rubber ball 7 is kept in thecrochet needle 4;
under the coordination of an ultrasonic instrument, theouter needle tube 2 is pushed to enable the inclined needle tip to be positioned at the focus;
the pushingscrew rod 5 is rotated to further position the focus of thecrochet hook 4, after the position is positioned, thepositioning wire 6 is pulled to enable thesoft rubber ball 7 to enter the focus of thecrochet hook 4 from the opening, then theouter needle tube 2 is withdrawn, the pushingscrew rod 5 drives thepuncture needle 1, theneedle core 3 and thecrochet hook 4 to withdraw from the focus, thesoft rubber ball 7 is left at the focus of the disease, and the positioning of the focus (or the position of the tumor) is realized.
In the process of mammary gland surgery, the position of thesoft rubber ball 7 is found to be the position of the tumor along thepositioning line 6, so that the positioning is more accurate, in the prior method, the hard ball or the adaptive dye is used for positioning, and because a certain time is left between the operations after the positioning, the hard ball and the dye can easily cause inaccurate positioning in the time, the positioning needle of the invention can send thesoft rubber ball 7 to the position of the tumor, and thesoft rubber ball 7 can accurately position the position of the tumor by matching with the material of thesoft rubber ball 7.
Because the initial positioning is already close to the focus position, the micro distance is adjusted by pushing the screw rod, so that the positioning is more accurate, and the pain to the patient is less in the process due to the short distance. And because the crochet hook is in a cone structure, the round smooth surface of the outer surface of the crochet hook causes less pain to a patient in the rotating advancing process.
The invention selects thesoft rubber ball 7 as the positioning ball, and the material of thesoft rubber ball 7 is silica gel, latex or polyurethane. The diameter and material of the breast implant determine that the breast implant can be fixed at a certain fixed position in the breast tissue for a long time. Thesoft rubber ball 7 is a solid elastic ball body, the solid elastic ball body can be prevented from being extruded and deformed by mammary tissue, a certain counterforce is formed, and the position of thesoft rubber ball 7 can be kept unchanged under the interaction of the counterforce and the counterforce. The rubber ball and the positioning line are made of X-ray-proof materials and can be detected through X-rays.
The existing positioning balls are all made of hard materials, and as described in the background art, the existing positioning balls are generally metal balls, which are beneficial to delivering to a target position, but the existing positioning balls cannot stably exist at a fixed position due to the influence of the hard materials and the stress condition of mammary tissue; according to the invention, the opening is formed in the delivered needle tube, thesoft rubber ball 7 can be slightly dragged by the positioning line and can extend out of the opening to enter a specified position, the existing hard balls are delivered to a fixed position, and the delivery can not be carried out through the opening of the crochet hook by using the method disclosed by the invention, so that the position of the positioning ball is more accurate and precise.
Thesoft rubber ball 7 selected by the invention is safe and harmless to human body, the process of feeding thesoft rubber ball 7 into human tissue through the needle tube is a common human tissue puncture method, the soft rubber ball can be carried out through the process of surgical operation and is harmless to human body, the diameter of thesoft rubber ball 7 can meet the requirement, the soft rubber ball can not affect mammary tissue, and thesoft rubber ball 7 can be taken out in the process of carrying out mammary operation and only stays in the mammary tissue for a short time, so that the soft rubber ball can not adversely affect the mammary tissue.
As shown in FIG. 1, theouter needle tube 2 is a hollow tube body, one end of which is connected to the tail of thepuncture needle 1, and is internally provided with an internal thread, and thepuncture needle 1 is inserted into the body to feed thecrochet needle 4 portion of thecore needle 3 into the vicinity of the tissue portion in the body. Scales are marked on the outer side of the outer needle tube, and the depth of a focus can be accurately read through the scales, so that an operator can know the position of the focus more.
Theouter needle tube 2 is made of a rigid tube body. Can be stainless steel material,outer needle pipe 2 has certain intensity, and inside sets up the internal thread, can pass through threaded connection withpromotion screw rod 5, through the wrong income of screw thread with screw out, realizes reciprocating ofnook closing member 3.
Thepuncture needle 1 is made of a rigid tube, generally stainless steel, or a nickel-titanium alloy tube. Has a structure of an inclined needle point, which is beneficial to penetrating into the human body.
As shown in fig. 2, the structure of theneedle core 3 is a hollow tubular structure, the head part is acrochet needle 4, and the sharp end of thecrochet needle 4 has the function of penetrating into tissues.
Theneedle core 3 enters from the tail end of theouter needle tube 2 and extends into thepuncture needle 1, and theneedle core 3 and thepuncture needle 1 are coaxially arranged. Thepush screw rod 5 is contacted with theouter needle tube 2 and is in threaded connection, so that the positions of theneedle core 3 and thepuncture needle 1 are fixed.
Thecrochet hook 4 is positioned inside the inclined needlepoint part and does not exceed the inclined plane of the inclined needlepoint, and the vertex of thecrochet hook 4 can be parallel to the inclined plane. Because thebearded needle 4 has a smaller diameter than the oblique needle tip, the lesion tissue can be positioned better.
The inclined needle point is of a cylindrical tubular structure, thecrochet hook 4 is located inside the inclined needle point, when the inclined needle point enters a human body, thecrochet hook 4 is brought into the human body by the inclined needle point, at the moment, the inclined needle point is not moved, and thecrochet hook 4 is driven by the pushingscrew rod 5 to carry out accurate position positioning.
The fine distance adjustment can be realized by the threaded matching of the pushingscrew rod 5 and theouter needle tube 2.
The shape of thecrochet hook 4 is such that the tip may be more advantageous for moving in the tissue. And the space inside can be used for enclosing thesoft rubber ball 7.
The function of thecrochet hook 4 is similar to pitching, thecrochet hook 4 bringing thesoft rubber ball 7 to a more precise position.
The lateral wall ofcrochet hook 4 sets up the opening, and the one end oflocation line 6 is located the opening outside, and the other end oflocation line 6 is located the opening inboard, and when the in-process that crochethook 4 upwards or moved down,soft rubber ball 7 can not move out from the opening voluntarily owing to being blocked by the opening, after the position location ofcrochet hook 4 is accurate, dragslocation line 6 with the hand, extractssoft rubber ball 7, leavessoft rubber ball 7 in the location department.
In some embodiments, thecrochet hook 4 is in a triangular cone structure, and thesoft rubber ball 7 is clamped by the top of the triangular cone and is not easy to float out of the opening in the process of moving up or down.
The width of the opening is slightly smaller than the diameter of thesoft rubber ball 7, and since thesoft rubber ball 7 has a certain elasticity, the soft rubber ball can be pulled out when thepositioning wire 6 is pulled.
Thesoft rubber ball 7 selected by the invention is made of silica gel, latex or polyurethane. The material is softer, is favorable for fixing in the mammary tissue, is easy to keep in a fixed position under the extrusion action of the tissue, and is easy to shift under the extrusion and pushing action of the mammary tissue if the material is harder, so that the positioning is inaccurate.
Because theouter needle tube 2 is in threaded connection with the pushingscrew rod 5, when the outer needle tube is pulled or the screw rod is pushed, the outer needle tube and the pushing screw rod can be pulled out of a body at the same time, and thesoft rubber ball 7 is positioned on the outer side of the crochet needle and is left in the body.
In order to avoid that thepositioning thread 6 located inside the crochet hook is pulled by the crochet hook to influence the position of thesoft rubber ball 7, thepositioning thread 6 is not located inside the crochet hook but outside thecrochet hook 4. When thesoft rubber ball 7 is pulled out from thecrochet hook 4, the position of thesoft rubber ball 7 is not influenced after thecrochet hook 4 is withdrawn from the body.
The above description is only a preferred embodiment of the present invention and is not intended to limit the present invention, and various modifications and changes may be made by those skilled in the art. Any modification, equivalent replacement, or improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.