Puncture guiding device and system for thoracic surgery

Through the puncture guide device for thoracic surgery, the angle adjustment components and monitoring components are used to achieve accurate thoracic puncture, solving the problems of insufficient accuracy and safety of traditional thoracic puncture, and improving the safety and efficiency of the surgery.

CN120267368AInactive Publication Date: 2025-07-08CHANGSHU NO 2 PEOPLES HOSPITAL
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Patent Information

Application Number
CN202510410986.8
Authority / Receiving Office
CN · China
Patent Type
Applications(China)
Current Assignee / Owner
Filing Date
2025-04-02
Publication Date
2025-07-08
Estimated Expiration
Not applicable · inactive patent

AI Technical Summary

Technical Problem

Traditional thoracic punctures rely on doctor experience, lack of guidance devices, resulting in insufficient accuracy of puncture, prone to damage surrounding tissue, increasing surgical risks and patient pain, and may require multiple repetitions.

Method used

The puncture guide device for thoracic surgery is adopted, including angle adjustment components, guide cannula, monitoring components and secondary clamping components. The angle of the guide cannula is adjusted using the universal rotary shell and the universal rotary ball, and combined with real-time monitoring of the camera and image processor, it provides an accurate puncture path.

Benefits of technology

Improves the accuracy and safety of puncture, avoids damage to important tissues, reduces surgical risks, reduces surgical time and patient pain.

✦ Generated by Eureka AI based on patent content.

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Abstract

The puncture guiding device comprises a fixing frame, the fixing frame is fixedly arranged in the middle of a supporting and adjusting assembly, a mounting block is fixedly arranged in the middle of the fixing frame, a boosting threaded rod A is arranged in the mounting block in a threaded and penetrating mode, and the bottom of the boosting threaded rod A is rotationally connected with an adjusting block; the adjusting block slides up and down in the fixing frame through a stabilizing assembly, the surface of the adjusting block is fixedly connected with an angle adjusting assembly through a connecting rod, and a monitoring assembly is fixedly arranged on the surface of the mounting block. Medical staff can accurately set the angle of the guide intubation tube according to the complex anatomical structure in the thoracic cavity of a patient and specific operation requirements, it is ensured that a puncture needle pierces into the body of the patient along a preset accurate path, the puncture accuracy is greatly improved, the situation that due to puncture deviation, surrounding important tissues and organs are damaged is effectively avoided, and the operation safety is improved. Therefore, the operation risk is reduced, and the safety of a patient is guaranteed.
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Description

Technical Field

[0001] The present invention relates to the technical field of medical devices, and particularly relates to a puncture guiding device and system for thoracic surgery. Background Art

[0002] In the scope of thoracic surgery, for common operations such as pleural effusion drainage, lung biopsy, pneumothorax treatment, etc., puncture is a key step, which is directly related to the surgical outcome and the patient's prognosis; the traditional thoracic puncture method largely relies on the experience accumulated by doctors over the years and the subtle touch of their hands. Currently, due to the lack of a guiding device, traditional thoracic puncture is performed only by the doctor's naked-eye observation and experience judgment, and the accuracy of puncture is greatly reduced; with a slight deviation, a series of difficult problems are likely to occur; on the one hand, it may accidentally damage important surrounding tissues and organs, such as puncturing blood vessels causing massive bleeding, damaging nerves resulting in local sensory or motor dysfunction after surgery, and puncturing lung tissue causing secondary injuries such as pneumothorax, which will not only greatly increase the patient's pain and prolong the postoperative recovery time, but may even endanger the patient's life; on the other hand, inaccurate puncture often means puncture failure and multiple repeated operations have to be carried out. Each repeated puncture causes additional pain to the patient and also prolongs the operation time. During the long operation process, various surgical risks such as infection risk and anesthesia risk faced by the patient also increase; therefore, the present invention provides a puncture guiding device and system for thoracic surgery to fill the gap in clinical needs and effectively ensure the surgical safety and treatment effect of patients. Summary of the Invention

[0003] The purpose of the present invention is to provide a puncture guiding device and system for thoracic surgery to solve the problems of insufficient accuracy, inconvenient operation and lack of real-time monitoring in the existing thoracic puncture operation.

[0004] To achieve the above purpose, the present invention provides the following technical solutions: A puncture guiding device and system for thoracic surgery, including a fixed frame, the fixed frame is fixedly arranged in the middle of a support adjustment component, an installation block is fixedly arranged in the middle of the fixed frame, a boosting threaded rod A is threadedly penetrated through the installation block, the bottom of the boosting threaded rod A is rotationally connected with an adjustment block, the adjustment block slides up and down in the fixed frame through a stabilizing component, the surface of the adjustment block is fixedly connected with an angle adjustment component through a connecting rod, and a monitoring component is fixedly arranged on the surface of the installation block; The angle adjustment component includes a universal rotating shell, which is fixedly connected to a connecting rod. A universal rotating ball is rotatably placed inside the universal rotating shell. The bottom surface of the universal rotating ball is fixedly connected to a guiding insertion tube through a guiding rod. A fixing nut C for adjusting the tightness of the universal rotating ball is arranged on the surface of the universal rotating shell in a threaded manner. A rubber nut is threadedly connected to the surface of the guiding insertion tube. The puncture needle passes through the guiding insertion tube and then punctures into the patient's body.

[0005] Preferably, the stabilizing component includes an L-shaped support plate, which is fixedly installed on the inner wall of the fixed frame. A sliding groove is formed on the surface of the L-shaped support plate. A guiding rod is spliced and slidably arranged in the sliding groove. One end of the guiding rod is fixedly connected to an adjusting block, and the other end is fixedly connected to a limiting plate.

[0006] Preferably, a secondary clamping component is arranged at the bottom of the adjusting block.

[0007] Preferably, the secondary clamping component includes a boosting threaded rod B and a transmission housing. The boosting threaded rod B threadedly penetrates through the L-shaped support plate and is rotatably connected to a clamping plate. The transmission housing is fixedly installed outside the L-shaped support plate. A transmission rod is slidably arranged inside the transmission housing. The other end of the transmission rod is fixedly connected to the clamping plate. A clamping rubber pad is fixedly arranged on the inner wall of the clamping plate. The two clamping plates perform secondary fixation on the puncture needle.

[0008] Preferably, the monitoring component includes a base, which is fixedly installed on the surface of the mounting block. The surface of the base is fixedly connected to a camera through a corrugated pipe. The camera has functions of automatic focusing and anti-shake, and can clearly capture real-time images of the thoracic puncture site. The camera is connected to an external image processor through a data cable. The image processor has an image enhancement algorithm built-in, and can perform processing such as noise reduction and contrast adjustment on the collected images to make the image details clearer. The image processor is connected to a display screen in the operating room, and medical staff can intuitively view the situation of the puncture site. The monitoring component constitutes a monitoring system.

[0009] Preferably, the support adjustment component includes a fixed sleeve rod, the bottom of which is slidably inserted into a fixed sleeve column. A fixing nut A is arranged on the surface of the fixed sleeve column in a threaded manner. The bottom surface of the fixed sleeve column is rotatably connected to a clamping frame. A boosting threaded rod C is threadedly connected to the bottom surface of the clamping frame. The top end of the boosting threaded rod C is rotatably connected to a gasket.

[0010] Preferably, a groove is formed inside the top of the fixed sleeve rod, and a sliding rod is spliced and slidably arranged in the groove. A fixing nut B is arranged on the outer side of the top of the fixed sleeve rod in a threaded manner, and the other end of the sliding rod is fixedly connected to the surface of the fixed frame.

[0011] In the above technical solution, the technical effects and advantages provided by the present invention: The present invention can realize multi-angle adjustment through the cooperation of the universal rotating shell and the universal rotating ball in the angle adjustment component. Medical staff can accurately set the angle of the guide cannula according to the complex anatomical structure inside the patient's chest cavity and the specific surgical requirements to ensure that the puncture needle penetrates the patient's body along a predetermined precise path, which greatly improves the accuracy of puncture and effectively avoids damage to surrounding important tissues and organs such as blood vessels, nerves, and lung tissues due to puncture deviation, reduces surgical risks, and ensures patient safety; wherein, the guide cannula provides a stable guide channel for the puncture needle, and its inner diameter is adapted to the puncture needle, so that the puncture needle will not shake or deviate during the puncture process, further ensuring the puncture accuracy; the threaded connection design of the rubber nut can tighten the puncture needle after the puncture needle passes through the guide cannula to prevent it from accidentally falling out or shifting during the puncture process; The present invention supports the sliding insertion structure of the fixed sleeve rod and the fixed sleeve column in the adjustment component, combined with the fixing nut A, which can conveniently adjust the height of the entire device to adapt to different operating table heights and changes in patient positions; the rotational connection between the clamping frame and the fixed sleeve column, combined with the booster threaded rod C and the gasket, can flexibly clamp the clamping frame on the edge of the operating table; the groove on the top of the fixed sleeve rod cooperates with the sliding rod, and the setting of the fixing nut B can adjust the position of the fixed frame in the horizontal direction to meet the adjustment requirements in the horizontal dimension; The present invention improves the stability of the puncture needle by setting a secondary clamping assembly. The two sets of clamping plates are driven by the booster threaded rod B to perform secondary fixation on the puncture needle. The clamping rubber pad can increase the friction to prevent the puncture needle from sliding and avoid damage to the puncture needle, thereby ensuring that the puncture needle always remains stable after puncture, and the puncture can be maintained even when encountering certain external force interference.

[0012] In the present invention, the camera in the monitoring component has automatic focus and anti-shake functions, which can capture clear and stable images of the chest puncture site in real time. The image enhancement algorithm of the image processor optimizes the collected images, so that medical staff can intuitively see the subtle structures of the puncture site on the display screen, such as organ contours, blood vessel directions, etc. The tissue recognition software based on deep learning (which can be integrated in the image processor) can also automatically identify key tissue structures and mark them, providing accurate reference for puncture path planning, helping medical staff avoid dangerous areas, and further improving the safety and success rate of puncture. BRIEF DESCRIPTION OF THE DRAWINGS

[0013] In order to more clearly illustrate the embodiments of the present application or the technical solutions in the prior art, the drawings required for use in the embodiments will be briefly introduced below. Obviously, the drawings described below are only some embodiments recorded in the present invention. For ordinary technicians in this field, other drawings can also be obtained based on these drawings.

[0014] Figure 1Schematic structural diagram of a puncture guiding device and system for thoracic surgery proposed by the present invention; Figure 2 is Figure 1 partial structural schematic diagram of; Figure 3 is Figure 2 partial structural schematic diagram of; Figure 4 is Figure 3 structural schematic diagram within circle A of; Figure 5 is Figure 1 structural schematic diagram within circle B of.

[0015] Explanation of reference numerals: 1. Support adjustment assembly; 2. Fixed frame; 3. Mounting block; 4. Boost screw rod A; 5. Adjustment block; 6. Connecting rod; 7. Angle adjustment assembly; 8. Monitoring assembly; 9. L-shaped support plate; 10. Chute; 11. Limiting plate; 12. Guide rod; 13. Secondary clamping assembly; 14. Boost screw rod B; 15. Clamping plate; 16. Clamping rubber pad; 17. Transmission housing; 18. Transmission rod; 101. Fixed sleeve rod; 102. Fixed sleeve column; 103. Fixed nut A; 104. Clamping frame; 105. Gasket; 106. Boost screw rod C; 107. Sliding rod; 108. Fixed nut B; 701. Universal rotating shell; 702. Fixed nut C; 703. Universal rotating ball; 704. Guide rod; 705. Guide insertion tube; 706. Rubber nut; 801. Base; 802. Bellows; 803. Camera. Detailed implementation manners

[0016] In order to enable those skilled in the art to better understand the technical solutions of the present invention, the present invention will be further described in detail below with reference to the accompanying drawings.

[0017] The embodiments of the present invention disclose a puncture guiding device and system for thoracic surgery.

[0018] Referring to Figures 1-5 , a puncture guiding device and system for thoracic surgery includes a fixed frame 2, the fixed frame 2 is fixedly arranged in the middle of the support adjustment assembly 1, a mounting block 3 is fixedly arranged in the middle of the fixed frame 2, a boost screw rod A 4 is threadedly penetrated in the mounting block 3, the bottom of the boost screw rod A 4 is rotatably connected to the adjustment block 5, the adjustment block 5 slides up and down in the fixed frame 2 through a stabilizing assembly, the surface of the adjustment block 5 is fixedly connected to the angle adjustment assembly 7 through a connecting rod 6, and a monitoring assembly 8 is fixedly arranged on the surface of the mounting block 3; The angle adjustment assembly 7 includes a universal rotating housing 701. The universal rotating housing 701 is fixedly connected to the connecting rod 6. A universal rotating ball 703 is rotatably placed inside the universal rotating housing 701. The bottom surface of the universal rotating ball 703 is fixedly connected to a guiding cannula 705 through a guiding rod 704. A fixing nut C702 for adjusting the tightness of the universal rotating ball 703 is arranged on the surface of the universal rotating housing 701 in a threaded manner. A rubber nut 706 is connected to the surface of the guiding cannula 705 in a threaded manner. The puncture needle passes through the guiding cannula 705 and then punctures into the patient's body.

[0019] Referring to Figure 3 , the stability assembly includes an L-shaped support plate 9. The L-shaped support plate 9 is fixedly installed on the inner wall of the fixed frame 2. A sliding groove 10 is formed on the surface of the L-shaped support plate 9. A guiding rod 12 is spliced and slidably arranged in the sliding groove 10. One end of the guiding rod 12 is fixedly connected to the adjustment block 5, and the other end is fixedly connected to the limiting plate 11. It is worth noting that the combination of the L-shaped support plate 9, the sliding groove 10 and the guiding rod 12 enables the adjustment block 5 to slide smoothly up and down within the fixed frame 2, providing a stable structural support for further adjusting the height of the puncture needle. The movement of the adjustment block 5, in cooperation with the boosting threaded rod A4, enables medical staff to accurately control the initial height position of the puncture needle, ensuring that the puncture operation starts from the best starting point.

[0020] Referring to Figures 1-5 , a secondary clamping assembly 13 is arranged at the bottom of the adjustment block 5.

[0021] Referring to Figure 5 , the secondary clamping assembly 13 includes a boosting threaded rod B14 and a transmission housing 17. The boosting threaded rod B14 is threaded through the L-shaped support plate 9 and is rotatably connected to the clamping plate 15. The transmission housing 17 is fixedly installed on the outside of the L-shaped support plate 9. A transmission rod 18 is slidably arranged inside the transmission housing 17. The other end of the transmission rod 18 is fixedly connected to the clamping plate 15. A clamping rubber pad 16 is fixedly arranged on the inner wall of the clamping plate 15. The two clamping plates perform secondary fixation on the puncture needle.

[0022] Referring to Figures 1-5 , the monitoring assembly 8 includes a base 801. The base 801 is fixedly installed on the surface of the mounting block 3. The surface of the base 801 is fixedly connected to a camera 803 through a corrugated pipe 802. The camera 803 has functions of automatic focusing and anti-shake, and can clearly capture the real-time image of the thoracic puncture site. The camera 803 is connected to an external image processor through a data cable. The image processor has an image enhancement algorithm built-in, and can perform processing such as noise reduction and contrast adjustment on the collected image, making the image details clearer. The image processor is connected to the display screen in the operating room, and medical staff can intuitively view the situation of the puncture site. The monitoring assembly 8 constitutes a monitoring system.

[0023] Referring to Figure 2, the support adjustment assembly 1 includes a fixed sleeve rod 101. The bottom of the fixed sleeve rod 101 is slidably inserted into the fixed sleeve column 102. A fixed nut A 103 is provided on the surface of the fixed sleeve column 102 in a threaded manner. The bottom surface of the fixed sleeve column 102 is rotatably connected to the clamping frame 104. The bottom surface of the clamping frame 104 is threadedly connected to the boosting screw rod C 106. The top end of the boosting screw rod C 106 is rotatably connected to the gasket 105.

[0024] Referring to Figure 2 , a groove is formed inside the top of the fixed sleeve rod 101, and a sliding rod 107 is spliced and slidably arranged in the groove. A fixed nut B 108 is provided on the outer side of the top of the fixed sleeve rod 101 in a threaded manner, and the other end of the sliding rod 107 is fixedly connected to the surface of the fixed frame 2.

[0025] In the present invention, according to the patient's body position, by rotating the fixed nut A 103, the insertion depth of the fixed sleeve rod 101 in the fixed sleeve column 102 is adjusted, so as to adjust the height of the whole device; then, the clamping frame 104 is rotated to a suitable angle so that it can be clamped on the edge of the operating table, and the boosting screw rod C 106 is rotated to make the gasket 105 contact the operating table and tightened, so as to firmly clamp the clamping frame 104 on the edge of the bed; then, by rotating the fixed nut B 108, the position of the sliding rod 107 in the groove is adjusted, and further the position of the fixed frame 2 in the horizontal direction is adjusted to meet the specific requirements of the operation; According to the anatomical structure inside the patient's chest cavity and the specific requirements of the operation, the guiding cannula 705 is rotated to drive the universal rotating ball 703. Through the cooperation of the universal rotating shell 701 and the universal rotating ball 703, the angle of the guiding cannula 705 is adjusted. After adjusting to a suitable angle, the fixed nut C 702 is rotated to make it tightened, so as to fix the position of the universal rotating ball 703, and thus fix the angle of the guiding cannula 705; The medical staff pushes the puncture needle along the predetermined puncture path, so that it passes through the guiding cannula 705 and punctures into the patient's body. Since the inner diameter of the guiding cannula 705 is adapted to the puncture needle, the puncture needle is stably supported inside the guiding cannula 705; when the puncture is completed, the rubber nut 706 can be optionally rotated to tighten the puncture needle to prevent the puncture needle from accidentally falling out or shifting during the puncture process; among them, the secondary clamping assembly 13 can be selectively used. By rotating the boosting screw rod B 14, the boosting screw rod B 14 threadedly penetrates through the L-shaped support plate 9 and drives the clamping plate 15 to move. The two clamping plates 15 gradually approach the puncture needle under the drive of the boosting screw rod B 14 until the clamping rubber pad 16 is in close contact with the puncture needle to perform secondary fixation on the puncture needle; It is worth mentioning that during the puncture process, camera 803 is turned on. Since camera 803 has automatic focus and anti-shake functions, it can capture clear and stable images of the chest puncture site in real time. Camera 803 transmits the collected images to an external image processor via a data cable. The image processor has a built-in image enhancement algorithm to perform noise reduction, contrast adjustment and other processing on the collected images to make the image details clearer; the image processor is connected to the display screen in the operating room, and medical staff can intuitively view the situation of the puncture site on the display screen, including organ contours, blood vessel directions and other subtle structures; deep learning-based tissue recognition software (integrated in the image processor) can automatically identify and mark key tissue structures, provide accurate reference for puncture path planning, and help medical staff avoid dangerous areas to ensure the safety and success rate of puncture.

[0026] It should be understood that the embodiments of the present application are not limited to the precise structures described above and shown in the drawings, and various modifications and changes can be made without departing from the scope thereof. The scope of the embodiments of the present application is limited only by the appended claims.

[0027] The above-mentioned embodiments only express several implementation methods of the embodiments of the present application, and the descriptions thereof are relatively specific and detailed, but they cannot be understood as limiting the scope of the invention patent. It should be pointed out that, for ordinary technicians in this field, several variations and improvements can be made without departing from the concept of the embodiments of the present application, and these all belong to the protection scope of the embodiments of the present application.

Claims

1. A puncture guiding device and system for thoracic surgery, comprising a fixed frame (2), characterized in that, The fixed frame (2) is fixedly arranged in the middle of the support adjustment assembly (1). An installation block (3) is fixedly arranged in the middle of the fixed frame (2). A boosting screw rod A (4) is threadedly penetrated through the installation block (3). The bottom of the boosting screw rod A (4) is rotatably connected to an adjustment block (5). The adjustment block (5) slides up and down in the fixed frame (2) through a stabilizing assembly. The surface of the adjustment block (5) is fixedly connected to an angle adjustment assembly (7) through a connecting rod (6). A monitoring assembly (8) is fixedly arranged on the surface of the installation block (3); The angle adjustment assembly (7) includes a universal rotating shell (701). The universal rotating shell (701) is fixedly connected to the connecting rod (6). A universal rotating ball (703) is rotatably placed in the universal rotating shell (701). The bottom surface of the universal rotating ball (703) is fixedly connected to a guiding insertion tube (705) through a guiding rod (704). A fixing nut C (702) for adjusting the tightness of the universal rotating ball (703) is threadedly arranged on the surface of the universal rotating shell (701). A rubber nut (706) is threadedly connected to the surface of the guiding insertion tube (705). The puncture needle punctures into the patient's body after passing through the guiding insertion tube (705).

2. The puncture guiding device and system for thoracic surgery according to claim 1, characterized in that, The stabilizing assembly includes an L-shaped support plate (9). The L-shaped support plate (9) is fixedly installed on the inner wall of the fixed frame (2). A sliding groove (10) is formed on the surface of the L-shaped support plate (9). A guiding rod (12) is spliced and slidably arranged in the sliding groove (10). One end of the guiding rod (12) is fixedly connected to the adjustment block (5), and the other end is fixedly connected to a limiting plate (11).

3. The puncture guiding device and system for thoracic surgery according to claim 2, wherein A secondary clamping assembly (13) is arranged at the bottom of the adjustment block (5).

4. A puncture guiding device and system for thoracic surgery according to claim 3, characterized in that, The secondary clamping assembly (13) includes a boosting screw rod B (14) and a transmission housing (17). The boosting screw rod B (14) is threadedly penetrated through the L-shaped support plate (9) and is rotatably connected to a clamping plate (15). The transmission housing (17) is fixedly installed on the outside of the L-shaped support plate (9). A transmission rod (18) is slidably arranged in the transmission housing (17). The other end of the transmission rod (18) is fixedly connected to the clamping plate (15). A clamping rubber pad (16) is fixedly arranged on the inner wall of the clamping plate (15). The two clamping plates (15) perform secondary fixation on the puncture needle.

5. A puncture guiding device and system for thoracic surgery according to claim 1, characterized in that, The monitoring assembly (8) includes a base (801). The base (801) is fixedly installed on the surface of the installation block (3). The surface of the base (801) is fixedly connected to a camera (803) through a corrugated pipe (802). The camera (803) has functions of automatic focusing and anti-shake, and can clearly capture the real-time image of the thoracic puncture site. The camera (803) is connected to an external image processor through a data cable. The image processor has an image enhancement algorithm built-in, and can perform processing such as noise reduction and contrast adjustment on the collected image to make the image details clearer. The image processor is connected to a display screen in the operating room, and medical staff can directly view the situation of the puncture site. The monitoring assembly (8) constitutes a monitoring system.

6. A puncture guiding device and system for thoracic surgery according to any one of claims 1-5, characterized in that, The support adjustment assembly (1) includes a fixed sleeve rod (101), the bottom of the fixed sleeve rod (101) is slidably inserted into a fixed sleeve column (102), a fixed nut A (103) is threadedly arranged on the surface of the fixed sleeve column (102), the bottom surface of the fixed sleeve column (102) is rotatably connected to a clamping frame (104), the bottom surface of the clamping frame (104) is threadedly connected to a boosting screw rod C (106), and the top end of the boosting screw rod C (106) is rotatably connected to a gasket (105).

7. A puncture guiding device and system for thoracic surgery according to claim 6, characterized in that, A groove is formed inside the top of the fixed sleeve rod (101), and a sliding rod (107) is spliced and slidably arranged in the groove. A fixed nut B (108) is threadedly arranged on the outer side of the top of the fixed sleeve rod (101), and the other end of the sliding rod (107) is fixedly connected to the surface of a fixed frame (2).