Laser guide and guiding device for ultrasonic puncture
By using laser guides in intraabdominal puncture operations, the halo generated by the laser module helps doctors accurately locate the puncture location, solving the problem of low intraabdominal puncture positioning accuracy, improving operating efficiency and reducing tissue damage.
Patent Information
- Application Number
- CN201911324350.2
- Authority / Receiving Office
- CN · China
- Patent Type
- Patents(China)
- Current Assignee / Owner
- Filing Date
- 2019-12-20
- Publication Date
- 2024-12-24
- Estimated Expiration
- 2039-12-20
AI Technical Summary
The positioning accuracy is low during intraperitoneal puncture, and it is often necessary to try and make mistakes repeatedly, which can easily damage other tissues.
Design a laser guide for ultrasonic puncture, including a housing, a fixed card, a laser module and a control switch. The laser emission port is arranged at an angle to the axial direction of the fixed card, and laser light is generated through the laser module and from the housing. The front end ejects, forming a halo of the outer wall of the abdominal cavity, and the doctor punctures according to the middle position of the halo.
It improves the positioning accuracy of the puncture, reduces damage to other tissues, and achieves fast and accurate puncture operations.
Smart Images

Figure CN110882045B_ABST
Abstract
Description
Technical Field
[0001] The present invention relates to the technical field of medical instruments, and in particular to a guide and a guide device for puncture after intra-abdominal ultrasound positioning. Background Art
[0002] Ultrasound interventional diagnosis and treatment technology is a technology developed on the basis of ultrasound imaging to meet the needs of clinical diagnosis and treatment. Ultrasound is first used for positioning and then a puncture needle or treatment needle can be used to easily extract the diseased tissue in the patient's body or inject drugs or treatment into a target site in the patient's body (such as tumors, nerves, blood vessels, etc.).
[0003] In actual operation, intra-abdominal puncture is generally performed manually under ultrasound guidance. This method requires the doctor's experience and estimation to determine the puncture location. The positioning accuracy is low, and multiple punctures are often required to determine the location. This is not only time-consuming and labor-intensive, but also prone to damage other tissues.
[0004] Therefore, the prior art needs to be improved. Summary of the invention
[0005] In view of the above-mentioned deficiencies in the prior art, the object of the present invention is to provide a laser guide and a guide device for ultrasonic puncture, which is intended to enable doctors to intuitively and quickly locate the puncture position when performing intra-abdominal puncture, without the need to rely on empirical estimates or repeated trial and error to accurately find the puncture position, thereby improving the positioning accuracy of the puncture and reducing damage to other tissues.
[0006] To achieve the above object, the present invention adopts the following technical solutions:
[0007] A laser guide for ultrasonic puncture, comprising:
[0008] A shell, wherein a laser emission port is arranged at the front end of the shell;
[0009] A fixing card is arranged on the bottom surface of the housing, and is used to fix the housing on the ultrasonic probe, and the axial direction of the laser emission port is arranged at an angle to the axial direction of the fixing card;
[0010] A laser module is disposed in the housing and is used to generate laser light and emit it from a laser emission port;
[0011] A battery, electrically connected to the laser module, for supplying power to the laser module;
[0012] The control switch is exposed on the surface of the shell, electrically connected to the battery, and is used to control the on and off of the power supply of the laser module.
[0013] Wherein, the laser module includes a laser head, a laser generating circuit board connected to the laser head, and a first electrode sheet and a second electrode sheet;
[0014] One end of the first electrode sheet is electrically connected to the laser generating circuit board, and the other end is connected to the first electrode of the battery;
[0015] One end of the second electrode sheet is electrically connected to the laser generating circuit board, and the other end is in contact with the control switch or the second electrode of the battery.
[0016] The fixing card fixes the shell of the laser guide beside the ultrasonic detection surface at the front end of the ultrasonic probe and is located behind the ultrasonic detection surface.
[0017] The laser emission port of the shell faces away from the front end of the ultrasonic probe, and the axial direction of the laser emission port is arranged at an angle of 20 to 90 degrees with the axial direction of the fixing card.
[0018] The housing comprises an upper shell and a lower shell which enclose a receiving cavity, and the receiving cavity sequentially receives the laser module, the battery and the control switch from front to back;
[0019] The front ends of the upper shell and the lower shell are opened together to form the laser emission port, the bottom surface of the lower shell is integrally formed with the fixing card, and the rear ends of the upper shell and the lower shell are opened together to form a sliding groove for exposing the control switch.
[0020] The bottom edge of the upper shell is inwardly recessed to form a snap-fitting groove, and the top edge of the lower shell is outwardly convex to form a snap-fitting protrusion, and the snap-fitting protrusion is snap-fitted with the snap-fitting groove.
[0021] The bottom edge of the upper shell is provided with a plurality of engaging columns, and the top edge of the lower shell is provided with a plurality of engaging holes, and the engaging columns are inserted into the engaging holes.
[0022] The control switch includes a plate and a handle protruding from a surface of the plate, the handle is slidably arranged and exposed from the sliding groove, and a sliding slope is arranged on one side of the plate adjacent to the second electrode sheet to contact or disengage with the second electrode sheet.
[0023] The present invention also proposes a guiding device, which includes the above-mentioned laser guide for ultrasonic puncture, and also includes a puncture device, an ultrasonic probe and a host electrically connected to the ultrasonic probe, the ultrasonic probe is sleeved in the puncture device, the ultrasonic probe includes a rod and an ultrasonic detection surface arranged at the front end of the rod, the fixing clip of the laser guide is engaged and fixed to the rod of the ultrasonic probe, and the laser guide is arranged behind the ultrasonic detection surface and adjacent to the ultrasonic detection surface;
[0024] The laser emitting port of the laser guide faces away from the front end of the ultrasonic probe, and the axial direction of the laser emitting port forms an angle of 20 to 90 degrees with the axial direction of the ultrasonic probe.
[0025] Wherein, the axial direction of the laser emission port of the laser guide forms an angle of 60 degrees with the axial direction of the ultrasonic probe.
[0026] The laser guide and guide device for ultrasonic puncture of the present invention are provided with a shell, and a fixing card is provided on the bottom surface of the shell to fix the shell on the ultrasonic probe. At the same time, a laser module is provided in the shell, and the laser module generates laser light to be emitted from the laser emission port at the front end of the shell, and the axial direction of the laser emission port is set at an angle with the axial direction of the fixing card. In this way, when the ultrasonic probe is positioned in the abdominal cavity, the laser light generated by the guide on the ultrasonic probe is emitted to the inner wall of the abdominal cavity in an inclined state with the axial direction of the ultrasonic probe and penetrates the inner wall of the abdominal cavity. The laser light penetrating the inner wall of the abdominal cavity forms a halo on the outer wall of the abdominal cavity. The doctor can perform puncture on the outer wall of the abdominal cavity by relying on the middle position of the halo to accurately reach the required position. The puncture positioning can be performed quickly and accurately, the work efficiency is improved, and the damage to other tissues caused by repeated trial and error is avoided. BRIEF DESCRIPTION OF THE DRAWINGS
[0027] In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings required for use in the embodiments or the description of the prior art will be briefly introduced below. Obviously, the drawings described below are only some embodiments of the present invention. For ordinary technicians in this field, other drawings can be obtained based on the structures shown in these drawings without paying creative work.
[0028] Figure 1 It is a schematic structural diagram of the first embodiment of the laser guide for ultrasonic puncture of the present invention.
[0029] Figure 2 for Figure 1 Another perspective diagram of the structure.
[0030] Figure 3 for Figure 1 Schematic diagram of the angle between the axial direction of the laser emission port and the axial direction of the fixing card in the structure.
[0031] Figure 4 for Figure 1 Schematic cross-section of the structure.
[0032] Figure 5 for Figure 1 Schematic diagram of the structure.
[0033] Figure 6 for Figure 5 Another view of the decomposition structure.
[0034] Figure 7 It is a structural diagram of the control switch.
[0035] Figure 8It is a schematic structural diagram of the first embodiment of the guide device of the present invention.
[0036] Fig. 9 for Figure 8 Schematic diagram of the angle between the axial direction of the laser emission port and the axial direction of the ultrasonic probe in the structure.
[0037] Description of reference numerals:
[0038] 100-guide, 1-shell, 11-laser emission port, 12-upper shell, 121-engaging groove, 122-engaging column, 13-lower shell, 131-engaging protrusion, 132-engaging hole, 14-accommodating cavity, 15-sliding groove, 2-fixing card, 3-laser module, 31-laser head, 32-laser generating circuit board, 33-first electrode sheet, 34-second electrode sheet, 4-battery, 41-first electrode, 42-second electrode, 5-control switch, 51-plate part, 511-sliding inclined plane, 52-handle part, 200-ultrasonic probe, 201-ultrasonic detection surface, 202-rod part, 300-puncture device, 400-guide device. DETAILED DESCRIPTION
[0039] The following will be combined with the drawings in the embodiments of the present invention to clearly and completely describe the technical solutions in the embodiments of the present invention. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present invention.
[0040] It should be noted that all directional indications (such as up, down, left, right, front, back, etc.) in the embodiments of the present invention are only used to explain the relative position relationship, movement status, etc. between the components under a certain specific posture (as shown in the accompanying drawings). If the specific posture changes, the directional indication will also change accordingly.
[0041] In the present invention, unless otherwise clearly specified and limited, the terms "connection", "fixation", etc. should be understood in a broad sense. For example, "connection" can be a fixed connection, a detachable connection, or an integral connection; it can be a mechanical connection or an electrical connection; it can be a direct connection or an indirect connection through an intermediate medium, it can be the internal connection of two elements or the interaction relationship between two elements, unless otherwise clearly defined. For ordinary technicians in this field, the specific meanings of the above terms in the present invention can be understood according to specific circumstances.
[0042] In addition, in the present invention, the descriptions such as "first", "second", etc. are only used for descriptive purposes and cannot be understood as indicating or implying their relative importance or implicitly indicating the number of the indicated technical features. Therefore, the features defined as "first" or "second" may explicitly or implicitly include at least one of the features.
[0043] Please refer to Figures 1 to 5 and Figure 8 and Fig. 9 The present invention provides a laser guide 100 for ultrasonic puncture, comprising:
[0044] The housing 1 has a laser emitting port 11 at its front end. The housing 1 of the present invention is made of plastic.
[0045] The fixing card 2 is arranged on the bottom surface of the housing 1, and the fixing card 2 is used to fix the housing 1 on the ultrasonic probe 200. The axial direction of the laser emission port 11 is arranged at an angle with the axial direction of the fixing card 2, such as Figure 3 As shown, the angle is θ. Figure 8 and Fig. 9 As shown, after the shell 1 is fixed on the ultrasonic probe 200, the entire guide 100 is fixed on the ultrasonic probe 200. At the same time, since the axial direction of the laser emitting port 11 is set at an angle with the axial direction of the fixing card 2, the axial direction of the laser emitting port 11 and the axial direction of the ultrasonic probe 200 are also set at an angle θ.
[0046] The fixing card 2 of the present invention is an elastic structure, which can firmly clamp the fixing card 2 on the ultrasonic probe 200. Preferably, the fixing card 2 of the present invention is an elastic C-shaped fixing card, which has a notch so that it can be easily and quickly clamped and fastened on the ultrasonic probe 200.
[0047] The laser module 3 is disposed in the housing 1 and is used to generate laser light and emit it from the laser emission port 11 ; preferably, the laser module 3 of the present invention generates red laser light.
[0048] The battery 4 is electrically connected to the laser module 3 and is used to supply power to the laser module 3 .
[0049] The control switch 5 is exposed on the surface of the housing 1 , is electrically connected to the battery 4 , and is used to control the on and off of the power supply of the laser module 3 .
[0050] Puncture guidance and positioning principle: When the laser guide 100 of the present invention is fixed to the front end of the ultrasonic probe 200 through the fixing card 2, the ultrasonic probe 200 detects and searches for the target object to be punctured (such as diseased tissue) in the abdominal cavity. After the ultrasonic probe 200 detects and finds the target object to be punctured, the position of its front end in the abdominal cavity is fixed. At this time, the laser emitted by the laser module 3 of the laser guide 100 is emitted to the inner wall of the abdominal cavity at an angle of θ with the axial direction of the ultrasonic probe 200. Then the laser passes through the inner wall of the abdominal cavity to form a halo (red, blue, etc.) on the outer wall of the abdominal cavity. The doctor punctures the outer wall of the abdominal cavity in the middle position of this halo and can accurately reach the required position. In this way, the laser guide of the present invention can quickly and accurately perform puncture positioning, avoiding repeated trial and error and damaging other tissues.
[0051] Specifically, Figures 4 to 5 As shown, the laser module 3 of the present invention includes a laser head 31 , a laser generating circuit board 32 connected to the laser head 31 , and a first electrode sheet 33 and a second electrode sheet 34 .
[0052] One end of the first electrode sheet 33 is electrically connected to the laser generating circuit board 32 , and the other end is connected to the first electrode 41 of the battery 4 .
[0053] One end of the second electrode sheet 34 is electrically connected to the laser generating circuit board 32 , and the other end thereof is in contact with the control switch 5 or the second electrode 42 of the battery 4 .
[0054] The electric energy of the battery 4 is transmitted to the laser generating circuit board 32 through the first electrode sheet 33 and the second electrode sheet 34. The laser generating circuit board 32 converts the electric energy into light energy, and then emits the corresponding laser through the laser head 31. In this embodiment, the first electrode 41 of the battery 4 is a negative electrode, and the corresponding first electrode sheet 33 connected thereto is a negative electrode sheet, and the second electrode 42 of the battery 4 is a positive electrode, and the corresponding second electrode sheet 34 connected thereto is a positive electrode sheet.
[0055] When the second electrode sheet 34 abuts against the second electrode 42 of the battery 4, the power supply of the laser generating circuit board 32 is in the on state, and laser is generated. When the second electrode sheet 34 abuts against the control switch 5, it is disconnected from the second electrode 42 of the battery 4, the power supply of the laser generating circuit board 32 is in the off state, and no laser is generated.
[0056] Preferably, the fixing card 2 of the present invention fixes the housing 1 of the laser guide 100 beside the ultrasonic detection surface 201 at the front end of the ultrasonic probe 200 and is located behind the ultrasonic detection surface 201. The laser guide 100 is fixed behind the ultrasonic detection surface 201 of the ultrasonic probe 200 and is arranged adjacent to the ultrasonic detection surface 201, so that after the ultrasonic detection surface 201 detects the target object to be punctured, the starting point of the laser emitted by the laser guide 100 is also basically located at the position of the target object to be punctured. When the doctor performs puncture through the halo of the outer wall of the abdominal cavity, he can accurately puncture toward the position to be punctured at the front end of the ultrasonic probe 200, thereby improving the accuracy of puncture.
[0057] Furthermore, the laser emission port 11 of the shell 1 of the present invention faces away from the front end of the ultrasonic probe 200, and the axial direction of the laser emission port 11 is set at an angle of 20 to 90 degrees with the axial direction of the fixing card 2, that is, the angle θ is 20 to 90 degrees. In this way, after the ultrasonic probe 200 performs detection and positioning in the front, the laser is emitted at an angle θ to the inner wall of the abdominal cavity backward and upward, and then forms a halo on the outer wall of the abdominal cavity at the rear and upper position of the ultrasonic probe 200, which is convenient for doctors to perform puncture operations from back to front. Preferably, the axial angle θ between the laser emission port 11 and the axial angle of the fixing card 2 is 60 degrees, at which time the puncture angle is optimal.
[0058] Please continue to refer to Figures 4 to 6 The housing 1 of the present invention includes an upper shell 12 and a lower shell 13 which enclose a receiving cavity 14. The receiving cavity 14 sequentially receives the laser module 3, the battery 4 and the control switch 5 from front to back.
[0059] The front ends of the upper shell 12 and the lower shell 13 are open together to form the laser emission port 11, the bottom surface of the lower shell 13 is integrally formed with the fixing card 2, and the rear ends of the upper shell 12 and the lower shell 13 are open together to form a sliding slot 15 for exposing the control switch 5. The upper shell 12 and the lower shell 13 are separately arranged to facilitate the installation of the laser module 3, and the lower shell 13 and the fixing card 2 are arranged as an integral structure to facilitate the quick fixing of the housing 1 on the ultrasound probe 200.
[0060] Preferably, the bottom edge of the upper shell 12 of the present invention is sunken to form a snap-fit groove 121, and the top edge of the lower shell 13 is convex to form a snap-fit protrusion 131, and the snap-fit protrusion 131 is snap-fitted with the snap-fit groove 121. The snap-fit protrusion 131 and the snap-fit groove 121 realize the quick snap-fitting of the upper shell 12 and the lower shell 13.
[0061] Furthermore, the bottom edge of the upper shell 12 of the present invention is also provided with a plurality of engaging columns 122, and the top edge of the lower shell 13 is also provided with a plurality of engaging holes 132, and the engaging columns 122 are inserted into the engaging holes 132. The interference fit between the engaging columns 122 and the engaging holes 132 strengthens the firmness of the connection between the upper shell 12 and the lower shell 13.
[0062] like Figure 7 As shown, preferably, the control switch 5 of the present invention comprises a plate portion 51 and a handle portion 52 protruding from a surface of the plate portion 51, the handle portion 52 is slidably disposed and exposed in the sliding groove 15, and a sliding inclined surface 511 is disposed on one side of the plate portion 51 adjacent to the second electrode sheet 34 to contact or disengage with the second electrode sheet 34. Figure 7 As shown in , when the handle 52 of the control switch 5 is pushed upward, the plate 51 moves upward with it, driving the sliding slope 511 upward, and the second electrode sheet 34 gradually disengages from the sliding slope 511, and then contacts with the second electrode 42 of the battery 4 to conduct the power supply circuit of the battery 4; when the handle 52 of the control switch 5 is pushed downward, the plate 51 moves downward with it, driving the sliding slope 511 downward, and the sliding slope 511 gradually inserts between the second electrode sheet 34 and the battery 4, so that the second electrode sheet 34 is disengaged from the battery 4 and the power supply circuit of the battery 4 is disconnected. The setting of the sliding slope 511 makes the control switch 5 of the present invention simple in structure and convenient in sliding operation.
[0063] like Figure 8 and Fig. 9 As shown, the present invention further proposes a guiding device 400, comprising the above-mentioned laser guide 100 for ultrasonic puncture, and also comprising a puncture device 300, an ultrasonic probe 200 and a host (not shown) electrically connected to the ultrasonic probe, the ultrasonic probe 200 is sleeved in the puncture device 300, the ultrasonic probe 200 comprises a rod 202 and an ultrasonic detection surface 201 arranged at the front end of the rod, the fixing card 2 of the laser guide 100 is engaged and fixed to the rod 202 of the ultrasonic probe 200, and the laser guide 100 is located behind the ultrasonic detection surface 201 and is arranged adjacent to the ultrasonic detection surface 201.
[0064] The laser emitting port 11 of the laser guide 200 faces away from the front end of the ultrasonic probe 200, and the axial direction of the laser emitting port 11 forms an angle of 20 to 90 degrees with the axial direction of the ultrasonic probe 200. Fig. 9 The angle θ in is 20 to 90 degrees.
[0065] When in use, the puncture device 300 is first inserted into the abdominal cavity, and then the ultrasonic probe 200 equipped with the laser guide 100 is inserted into the puncture device 300 and enters the abdominal cavity. Then, the ultrasonic probe 200 is used to detect the target object to be punctured in the abdominal cavity. At the same time, the laser guide 100 generates laser to form a halo on the outer wall of the abdominal cavity. The doctor determines the position of the ultrasonic detection surface 201 at the front end of the intra-abdominal ultrasonic probe 200 according to the position of the halo, that is, the position of the target object to be punctured, so as to facilitate the subsequent rapid and accurate puncture from the halo to the position of the target object to be punctured on the ultrasonic detection surface 201 of the ultrasonic probe 200.
[0066] Furthermore, the axial direction of the laser emitting port 11 of the laser guide 100 of the present invention forms an angle of 60 degrees with the axial direction of the ultrasonic probe 200. At this time, the operating angle is optimal.
[0067] The laser guide 100 and the guide device 400 for ultrasonic puncture proposed in the embodiment of the present invention are provided with a shell 1, and a fixing card 2 is provided on the bottom surface of the shell 1 to fix the shell 1 on the ultrasonic probe 200. At the same time, a laser module 3 is provided in the shell 1. The laser module 3 generates laser light and emits it from the laser emission port 11 at the front end of the shell 1. The axial direction of the laser emission port 11 is set at an angle with the axial direction of the fixing card 2. In this way, when the ultrasonic probe 200 is positioned in the abdominal cavity, the laser light generated by the guide 100 on the ultrasonic probe 200 is inclined with the axial direction of the ultrasonic probe 200 and is emitted to the inner wall of the abdominal cavity and penetrates the inner wall of the abdominal cavity. The laser light penetrating the inner wall of the abdominal cavity forms a halo on the outer wall of the abdominal cavity. The doctor can accurately reach the required position by puncturing the outer wall of the abdominal cavity with the middle position of the halo. The laser guide 100 of the present invention can quickly and accurately perform ultrasonic puncture positioning in the abdominal cavity, improve work efficiency, and avoid repeated trial and error to damage other tissues.
[0068] The above description is only a preferred embodiment of the present invention, and does not limit the patent scope of the present invention. All equivalent structural changes made by using the contents of the present invention specification and drawings under the inventive concept of the present invention, or directly / indirectly applied in other related technical fields are included in the patent protection scope of the present invention.
Claims
1. A laser guide for ultrasonic puncture, characterized in that: include: A shell, wherein a laser emission port is arranged at the front end of the shell; A fixing card is arranged on the bottom surface of the housing, and is used to fix the housing on the ultrasonic probe, and the axial direction of the laser emission port is arranged at an angle to the axial direction of the fixing card; A laser module is disposed in the housing and is used to generate laser light and emit it from a laser emission port; A battery, electrically connected to the laser module, for supplying power to the laser module; A control switch, exposed on the surface of the housing, electrically connected to the battery, and used to control the on and off of the power supply of the laser module; The laser emission port of the shell faces away from the front end of the ultrasonic probe, and the axial direction of the laser emission port is set at an angle of 20 to 90 degrees with the axial direction of the fixing card; The fixing card fixes the housing of the laser guide beside the ultrasonic detection surface at the front end of the ultrasonic probe and is located behind the ultrasonic detection surface; The fixing card is a C-shaped fixing card with elasticity; The laser module includes a laser head, a laser generating circuit board connected to the laser head, and a first electrode sheet and a second electrode sheet; One end of the first electrode sheet is electrically connected to the laser generating circuit board, and the other end is connected to the first electrode of the battery; One end of the second electrode sheet is electrically connected to the laser generating circuit board, and the other end is in contact with the control switch or the second electrode of the battery; The housing comprises an upper shell and a lower shell which enclose a receiving cavity, wherein the laser module, the battery and the control switch are sequentially received in the receiving cavity from front to back; The front ends of the upper shell and the lower shell are opened together to form the laser emission port, the bottom surface of the lower shell is integrally formed with the fixing card, and the rear ends of the upper shell and the lower shell are opened together to form a sliding groove for exposing the control switch; The control switch includes a plate portion and a handle portion protruding from a surface of the plate portion, the handle portion is slidably arranged and exposed from the sliding groove, a sliding slope is arranged on one side of the plate portion adjacent to the second electrode sheet, and the sliding slope contacts or disengages from the second electrode sheet.
2. The laser guide for ultrasonic puncture according to claim 1, characterized in that: The bottom edge of the upper shell is inwardly recessed to form a clamping groove, and the top edge of the lower shell is outwardly convex to form a clamping protrusion, and the clamping protrusion is clamped with the clamping groove.
3. The laser guide for ultrasonic puncture according to claim 2, characterized in that: The bottom edge of the upper shell is also provided with a plurality of engaging columns, and the top edge of the lower shell is also provided with a plurality of engaging holes, and the engaging columns are inserted into the engaging holes.
4. A guiding device, characterized in that: A laser guide for ultrasonic puncture according to any one of claims 1 to 3, further comprising a puncture device, an ultrasonic probe and a host electrically connected to the ultrasonic probe, wherein the ultrasonic probe is sleeved in the puncture device, the ultrasonic probe comprises a rod and an ultrasonic detection surface arranged at the front end of the rod, the fixing clip of the laser guide is engaged and fixed to the rod of the ultrasonic probe, and the laser guide is arranged behind the ultrasonic detection surface and adjacent to the ultrasonic detection surface; The laser emitting port of the laser guide faces away from the front end of the ultrasonic probe, and the axial direction of the laser emitting port forms an angle of 20 to 90 degrees with the axial direction of the ultrasonic probe.
5. The guide device according to claim 4, characterized in that: The axial direction of the laser emitting port of the laser guide forms an angle of 60 degrees with the axial direction of the ultrasonic probe.
