Buckle structure, ultrasonic probe assembly and puncture system for intraoperative ultrasonic probe

Abstract

The present application discloses a buckle structure, an ultrasound probe assembly and a puncture system for an intraoperative ultrasound probe, comprising: a buckle body, the first end of which is provided with an enclosing structure, the enclosing structure is used to enclose the front end of the intraoperative ultrasound probe, and the buckle body is provided with an avoidance groove for avoiding the emission sound window of the intraoperative ultrasound probe; the second end of the buckle body is provided with a fastening structure, the fastening structure is used to fasten the buckle body to the intraoperative ultrasound probe; a mounting piece is provided on the buckle body, and the mounting piece is provided with a mounting part for installing an electromagnetic navigation sensor kit. The present application solves the problem in the related art that it is difficult to determine the position of the puncture kit in laparoscopic ultrasound-guided puncture surgery, resulting in difficulty in puncture.

Description

Technical Field

[0001] The utility model relates to the technical field of medical equipment, and in particular to a buckle structure of an intraoperative ultrasonic probe, an ultrasonic probe assembly and a puncture system. Background Art

[0002] In the 1990s, the integration of ultrasound technology and laparoscopic technology led to the emergence of laparoscopic ultrasound (LUS). With high-resolution images, LUS can detect tiny satellite lesions and metastatic lesions, mark important duct structures, determine the cutting margin, and guide puncture, making up for the blind spots of laparoscopic liver surgery. It is also figuratively called the "third eye" of surgeons.

[0003] Unlike puncture under the guidance of open ultrasound, laparoscopic ultrasound-guided puncture has neither a puncture stand nor precise guide wire guidance, nor a dedicated puncture needle. The surgeon selected an 18G PTC needle for puncture, but the needle was not long enough for puncturing certain liver segments. The surgeon needs to perform puncture by hand, and the puncture needle cannot be inserted from any direction or angle. In order to see the needle track clearly, LUS-guided intrahepatic portal vein puncture should try to choose to insert the needle from the foot side to the head side, and determine the puncture point on the liver surface according to the position of the probe, the depth of the channel, and the angle between the puncture needle and the probe. After the needle is inserted, the probe is withdrawn and the needle track is found. The probe adjusts its position according to the depth of the needle insertion, and the needle tip is monitored throughout the process to avoid other important channel structures. When the needle tip approaches the portal vein of the target liver segment, only a slight axial rotation of the probe is required to simultaneously display the needle track and the target liver pedicle. The positional relationship between the needle track and the target liver pedicle is determined to determine whether the needle tip can further penetrate the portal vein of the target liver segment.

[0004] In most cases, the LUS probe shows an oblique section of the liver. The clockwise and counterclockwise axial rotation of the probe represents the movement of the scanning plane toward the right foot and left head. Clinically, the direction of needle insertion can be adjusted based on this change in orientation combined with the relative position of the needle track and the target portal vein. If the needle track deviates far from the target portal vein, it is necessary to withdraw the needle and reselect the puncture point on the liver surface. Repeated adjustments and corrections are made to accurately penetrate the target portal vein, and after withdrawing the needle core, blood is aspirated and the corresponding dye is injected.

[0005] Currently, there are LUS probes with puncture channels and guide wires. However, since the puncture channel is in the center of the probe and the angle is fixed, it is difficult for the operator to accurately insert the needle into the channel through abdominal wall puncture, and a slight inappropriate angle will cause further difficulty in needle insertion. Since the probe cannot rotate after the needle is inserted, it is difficult to display the needle channel and needle tip, and the puncture success rate is low. In view of the high technical requirements for intrahepatic portal vein puncture under LUS, the existing LUS probes and puncture kits (such as puncture needles) are far from meeting the use requirements of surgeons. Therefore, this technology is difficult to popularize and promote in a short period of time, and this technology urgently needs to be developed and improved. Utility Model Content

[0006] The main purpose of the utility model is to provide a buckle structure for an intraoperative ultrasound probe and an intraoperative ultrasound probe assembly, so as to solve the problem in the related art that it is difficult to determine the position of the puncture kit during laparoscopic ultrasound-guided puncture surgery, resulting in difficulty in puncture.

[0007] In order to achieve the above-mentioned purpose, the present application provides a buckle structure for an intraoperative ultrasound probe, comprising:

[0008] A buckle body, wherein the first end of the buckle body is configured as an enclosing structure, the enclosing structure is used to enclose the front end of the intraoperative ultrasound probe, and the buckle body is provided with an avoidance groove for avoiding the emission acoustic window of the intraoperative ultrasound probe;

[0009] The second end of the buckle body is provided with a fastening structure, and the fastening structure is used to fasten the second end of the buckle body to the intraoperative ultrasound probe;

[0010] The fastening structure comprises a second opening structure, a second fastening buckle and a third fastening buckle provided at the second end of the buckle body; the inner side of the second opening structure matches the outer contour of the first side of the intraoperative ultrasound probe, and the inner sides of the second fastening buckle and the third fastening buckle match the outer contour of the second side of the intraoperative ultrasound probe;

[0011] The first end of the second fastening buckle is hinged to the first end of the second opening structure, and an elastic member is provided between the second fastening buckle and the side wall of the second opening structure, and a force for rotating the second fastening buckle away from the fastening direction is applied by the elastic member;

[0012] The first end of the third fastening buckle is hinged to the second end of the second opening structure, and the second end of the second fastening buckle is buckled and connected to the second end of the third fastening buckle, so as to hold the intraoperative ultrasound probe tightly between the second opening structure, the second fastening buckle and the third fastening buckle;

[0013] The mounting piece is arranged on the buckle body, and the mounting piece is provided with a mounting portion for mounting the electromagnetic navigation sensor kit.

[0014] Furthermore, the first end of the second fastening buckle is hinged to the first end of the second opening structure through a rotating shaft, the elastic member is a torsion spring sleeved on the rotating shaft, and the two legs of the torsion spring are respectively connected to the side walls of the second fastening buckle and the second opening structure.

[0015] Furthermore, the outer surface of the second fastening buckle, the outer surface of the third fastening buckle and the outer surface of the second opening structure are located on the same circumferential surface.

[0016] Furthermore, a second clamping protrusion is arranged on the outer side of the second end of the second fastening buckle, and a second clamping groove which is clamped and connected with the second clamping protrusion is arranged on the inner side of the third fastening buckle.

[0017] Furthermore, the second clamping groove includes a third groove body penetrating through the side wall of the third fastening buckle, and the protruding height of the second clamping protrusion is less than or equal to the depth of the third groove body.

[0018] Furthermore, a second arc-shaped second connecting strip is provided at the second end of the second fastening buckle, and the second clamping protrusion is provided at the end of the second connecting strip.

[0019] Furthermore, the inner surface of the second connecting strip and the inner surface of the second fastening buckle are located on the same circumferential surface, the thickness of the second connecting strip is smaller than the thickness of the second fastening buckle, and the width of the second connecting strip is smaller than the width of the second fastening buckle.

[0020] Furthermore, the first end and the second end of the second opening structure are both provided with arc-shaped connecting grooves, the first end of the second fastening buckle is embedded in the corresponding arc-shaped connecting groove and hinged, and the first end of the third fastening buckle is embedded in the corresponding arc-shaped connecting groove and hinged.

[0021] According to another aspect of the present application, an ultrasound probe assembly is provided, comprising: an intraoperative ultrasound probe, an electromagnetic navigation sensor kit and the above-mentioned buckle structure, wherein the electromagnetic navigation sensor kit is mounted to the front end of the intraoperative ultrasound probe via the buckle structure.

[0022] According to another aspect of the present application, a puncture system is provided, comprising the above-mentioned ultrasound probe assembly, a puncture kit and a navigation device, wherein the puncture kit is provided with another electromagnetic navigation sensor kit;

[0023] The navigation device is configured to extract electromagnetic signals received by two electromagnetic navigation sensor kits, and determine the positional relationship between the puncture kit and the intraoperative ultrasound probe based on the extracted electromagnetic signals.

[0024] Furthermore, the navigation device is also used to display the positional relationship. When an extension line of the puncture kit in the puncture direction intersects with the ultrasonic plane of the ultrasonic probe assembly, at least the intersection is displayed in the ultrasonic image, and / or when the body of the puncture kit or its extension line is coplanar with the ultrasonic plane, the extension line is displayed in the ultrasonic image.

[0025] The present application achieves the purpose of using the mounting piece to install the electromagnetic navigation sensor kit on the buckle body, and after the buckle body is installed on the front end of the intraoperative ultrasound probe, it can maintain a fixed connection with the intraoperative ultrasound probe using a fastening structure, that is, the electromagnetic navigation sensor kit is fixed to the intraoperative ultrasound probe, and then the relative position of the puncture kit and the intraoperative ultrasound probe can be obtained after cooperating with the electromagnetic navigation sensor kit on the puncture kit, thereby achieving the technical effect of being able to obtain the position of the puncture kit during the puncture process in the laparoscopic ultrasound-guided puncture surgery, facilitating the doctor to perform the puncture operation, and improving the success rate of the puncture, thereby solving the problem in the related art that it is difficult to determine the position of the puncture kit in the laparoscopic ultrasound-guided puncture surgery, resulting in difficulty in puncture. BRIEF DESCRIPTION OF THE DRAWINGS

[0026] The drawings constituting a part of the present invention are used to provide a further understanding of the present invention, so that other features, purposes and advantages of the present invention become more obvious. The drawings and descriptions of the schematic embodiments of the present invention are used to explain the present invention and do not constitute an improper limitation on the present invention. In the drawings:

[0027] Figure 1 It is a schematic diagram of the structure of an intraoperative ultrasound probe according to an embodiment of the utility model;

[0028] Figure 2 It is a structural schematic diagram of the installation position of the electromagnetic navigation sensor kit according to an embodiment of the utility model;

[0029] Figure 3 It is a structural schematic diagram of the installation position of the connecting member according to the embodiment of the utility model;

[0030] Figure 4 It is a structural schematic diagram of a buckle body according to an embodiment of the utility model;

[0031] Figure 5 It is a structural schematic diagram of the assembly of the buckle body and the mounting member according to one embodiment of the utility model;

[0032] Figure 6 It is a structural schematic diagram of a buckle body being installed to an intraoperative ultrasound probe according to an embodiment of the utility model;

[0033] Figure 7 yes Figure 6 A schematic cross-sectional structure diagram of;

[0034] Figure 8 It is a schematic diagram of the exploded structure of the electromagnetic navigation sensor kit and the buckle structure after installation according to one embodiment of the utility model;

[0035] Fig. 9 yes Figure 8 A side view schematic diagram of the structure;

[0036] Fig.10 It is a schematic diagram of the assembly structure of the electromagnetic navigation sensor kit and the buckle structure after installation according to one embodiment of the utility model;

[0037] Fig.11 yes Fig.10 A schematic diagram of the assembly structure from another perspective;

[0038] Fig.12 It is a schematic diagram of the structure of the bending portion of the ultrasonic probe after bending in different directions according to an embodiment of the utility model;

[0039] Fig.13 It is a structural schematic diagram of the probe during surgery after the buckle structure is installed and before it passes through the piercing card according to one embodiment of the utility model;

[0040] Fig.14 It is a structural schematic diagram of the intraoperative probe after the buckle structure is installed and passes through the piercing card according to one embodiment of the utility model;

[0041] Fig.15 It is a structural schematic diagram of a buckle body according to an embodiment of the utility model;

[0042] Fig.16 It is a schematic diagram of the axial structure of the buckle body according to one embodiment of the utility model;

[0043] Fig.17 It is a structural schematic diagram of a mounting member according to an embodiment of the utility model;

[0044] Fig.18 It is a structural schematic diagram of the fastening structure being opened according to one embodiment of the utility model;

[0045] Fig.19 It is a schematic diagram of the structure after the fastening structure is fastened according to one embodiment of the utility model;

[0046] Among them, 1 intraoperative ultrasound probe, 101 handle end, 102 handle, 103 insertion tube, 104 bending part, 105 sound window part, 106 emission sound window, 2 connecting piece, 21 buckle body, 201 avoidance part, 202 slot, 203 first limit structure, 204 disassembly hole, 205 surrounding structure, 22 mounting piece, 221 slot piece, 220 mounting slot, 23 fastening structure, 230 variable width slot,

[0047] 233 second fastening buckle, 2331 second connecting strip, 2332 second clamping protrusion, 234 third fastening buckle, 2341 second clamping groove, 235 arc-shaped connecting groove, 236 elastic member, 237 second opening structure,

[0048] 3 electromagnetic navigation sensor kit, 301 electromagnetic navigation sensor, 302 protection tube, 3020 first tube body, 3021 second tube body, 4 fixing buckle, 5 poking card. DETAILED DESCRIPTION

[0049] In order to enable those skilled in the art to better understand the solution of the utility model, the technical solution in the embodiment of the utility model will be clearly and completely described below in conjunction with the drawings in the embodiment of the utility model. Obviously, the described embodiment is only a part of the embodiment of the utility model, not all of the embodiments. Based on the embodiment of the utility model, all other embodiments obtained by ordinary technicians in this field without creative work should fall within the scope of protection of the utility model.

[0050] It should be noted that, in the absence of conflict, the embodiments and features of the embodiments of the present invention can be combined with each other. The present invention will be described in detail below with reference to the accompanying drawings and in combination with the embodiments.

[0051] Unlike puncture under the guidance of open laparoscopic ultrasound, puncture guided by LUS (laparoscopic ultrasound) has neither a puncture stand nor precise guide wire guidance, nor a dedicated puncture needle. The surgeon selected an 18G PTC needle for puncture, but the needle was not long enough for puncturing certain liver segments. The surgeon needs to puncture by hand, and the puncture needle cannot be inserted from any direction or angle. In order to see the needle track clearly, LUS-guided intrahepatic portal vein puncture should try to choose to insert the needle from the foot side to the head side, and determine the puncture point on the liver surface according to the position of the probe, the depth of the channel, and the angle between the puncture needle and the probe. After the needle is inserted, the probe is withdrawn and the needle track is found. The probe adjusts its position according to the depth of the needle insertion, and the needle tip is monitored throughout the process to avoid other important channel structures. When the needle tip approaches the portal vein of the target liver segment, the needle track and the target liver pedicle can be displayed simultaneously by slightly rotating the probe axially. The positional relationship between the needle track and the target liver pedicle is determined to determine whether the needle tip can further penetrate the portal vein of the target liver segment.

[0052] In most cases, the LUS probe shows an oblique section of the liver. The clockwise and counterclockwise axial rotation of the probe means that the scanning plane moves toward the right foot and left head. The direction of needle insertion can be adjusted according to this change in position combined with the relative position of the needle channel and the target portal vein. If the needle channel deviates far from the target portal vein, it is necessary to withdraw the needle and reselect the puncture point on the liver surface. Repeated adjustments and corrections are made to accurately penetrate the target portal vein. After withdrawing the needle core, blood is aspirated and the corresponding dye is injected. If there is bleeding at the needle insertion point on the liver surface, electrocoagulation can be used to stop bleeding. Currently, there are LUS probes with puncture channels and guide wires. However, since the puncture channel is in the center of the probe and the angle is fixed, it is difficult for the operator to accurately insert the needle into the channel through abdominal wall puncture. A slight inappropriate angle will cause further difficulty in needle insertion. Since the probe cannot rotate after needle insertion, it is difficult to display the needle channel and needle tip, and the success rate of puncture is low. Given the high technical requirements for intrahepatic portal vein puncture under LUS, the existing LUS probes and puncture needles are far from meeting the requirements of surgeons. Therefore, this technology is difficult to popularize and promote in a short period of time, and this technology urgently needs to be developed and improved.

[0053] As a necessary supplement to percutaneous ultrasound-guided liver tumor ablation, LUS-guided liver tumor ablation treatment is fully visible. The use of high-frequency ultrasound imaging can not only accurately monitor the needle tract in real time and deal with possible complications during the operation in a timely manner, but also assist in protecting surrounding organs through instruments to ablate tumors in "dangerous areas" under percutaneous ultrasound, such as the liver surface, diaphragmatic top, second liver portal, caudate lobe of the liver, gallbladder side, and liver surface, thereby achieving better safety and effectiveness. However, due to the space-occupying effect of Trocar, ultrasound probe and ablation needle outside the abdominal cavity, the puncture under LUS guidance cannot be performed within the percutaneous ultrasound-guided scanning plane, and the ultrasound exploration plane is at an angle to the needle insertion plane. Therefore, it is necessary to slightly rotate the probe axially to adjust the intersection of the two planes in order to better observe the needle tract and evaluate the depth and angle of the needle insertion. Therefore, the puncture is extremely difficult, and this technology urgently needs to be developed and improved.

[0054] Since the needle track has two "fulcrums" on the abdominal wall and the surface of the liver parenchyma, it is difficult to flexibly operate the electrode needle under laparoscopy. For this reason, surgeons discussed a variety of technical points. Even with the assistance of LUS, repeated punctures are still required during the process of puncturing the liver parenchyma to find a suitable path to enter the tumor.

[0055] Therefore, the current laparoscopic anatomical liver resection, portal vein positive staining and counter staining of the target liver segment, and intraoperative LUS-guided liver tumor ablation puncture require surgeons to have good three-dimensional anatomy and stereoscopic vision, and to master proficient ultrasound operation skills, which places very high comprehensive requirements on doctors. Doctors have difficulty determining the position of the puncture kit (such as the puncture needle) during laparoscopic ultrasound-guided puncture surgery, which makes puncture difficult.

[0056] For this reason, Figures 2 to 11 As shown, the embodiment of the utility model provides a buckle structure, including: a connecting member 2, the connecting member 2 is used to be detachably fixedly connected to the front end of the intraoperative ultrasound probe 1, and the connecting member 2 is provided with a avoiding portion 201 for avoiding the emission acoustic window 106 of the intraoperative ultrasound probe 1;

[0057] The mounting member 22 is disposed on the connecting member 2 , and a mounting portion for mounting the electromagnetic navigation sensor kit 3 is provided on the mounting member 22 .

[0058] In this embodiment, the buckle structure is used as a structure that can install the electromagnetic navigation sensor kit 3 to the front end of the intraoperative ultrasound probe 1. Figure 1 As shown, the intraoperative ultrasound probe 1 used in the buckle structure includes an acoustic window portion 105, an insertion tube 103, a handle end 101 and a probe wire, wherein the acoustic window portion 105 is located at the front end of the entire probe, the acoustic window portion 105 includes an emission acoustic window 106, a bending portion 104 is between the acoustic window portion 105 and the insertion tube 103, the acoustic window portion 105 and the bending portion 104 are connected by a rigid connection portion, and the probe wire is connected to the rear end of the handle end 101. When in use, the bending portion 104 can drive the acoustic window portion 105 to bend forward, backward, leftward, or rightward by operating the handle 102 of the handle end 101.

[0059] In this embodiment, the buckle structure includes a connector 2 with a connection function, and the connection function of the connector 2 is mainly in two aspects, one of which is that the connector 2 can be connected to the front end of the intraoperative ultrasound probe 1, and the other is that the connector 2 can be connected to the electromagnetic navigation sensor kit 3. In other words, in this embodiment, the connector 2 includes at least two connection ends, one of which can be connected to the intraoperative ultrasound probe 1, and the other connection end can be connected to the electromagnetic navigation sensor kit 3, so that the electromagnetic navigation sensor kit 3 can be fixed to the front end of the intraoperative ultrasound probe 1 through the connector 2.

[0060] On this basis, in order to facilitate the independent installation of the connector 2 on the intraoperative ultrasound probe 1 for use, a detachable connection method is adopted between one connecting end of the connector 2 and the intraoperative ultrasound probe 1 in this embodiment, such as snap connection, bonding, threaded connection, etc., and this embodiment does not limit its specific connection structure. Since the connector 2 needs to be inserted into the human body with the ultrasound probe, the connector 2 needs to have biocompatibility and non-magnetic characteristics to provide a stable and firm fixing method for the interventional navigation electromagnetic navigation sensor 301 during surgery, so as to bring clear real-time puncture images and help doctors perform surgical operations accurately.

[0061] According to the structural characteristics of the intraoperative ultrasound probe 1, such as Figure 3As shown, it has an emission acoustic window 106 for emitting ultrasonic waves on the acoustic window portion 105. Therefore, the connector 2 needs to ensure from a structural point of view that it will not affect the normal emission of ultrasonic waves by the emission acoustic window 106 after being installed on the intraoperative ultrasonic probe 1. To this end, in this embodiment, a avoidance portion 201 for avoiding the emission acoustic window 106 of the intraoperative ultrasonic probe 1 is provided on the connector 2.

[0062] In one embodiment of the avoidance portion 201, the avoidance portion 201 may be a avoidance groove opened on the connecting member 2, and the position and size of the avoidance groove are designed according to the position and size of the transmitting sound window 106 so that the ultrasonic wave emitted through the transmitting sound window 106 can pass through the avoidance groove normally.

[0063] In another embodiment of the avoidance portion 201, the connection position and shape of the connector 2 can be designed so that the connector 2 does not extend to the position of the acoustic window 106, so that it will not interfere with the emission of ultrasonic waves after installation. It should be noted that the above-mentioned specific configuration description of the avoidance portion 201 is not restrictive and can be designed according to actual needs.

[0064] like Figure 4 and Figure 5 As shown, since the other connecting end of the connecting member 2 needs to be installed with the electromagnetic navigation sensor kit 3, for this purpose, in this embodiment, a mounting member 22 is also provided on the connecting member 2, and the mounting member 22 can cooperate with the electromagnetic navigation sensor kit 3 to fix the electromagnetic navigation sensor kit 3 to the connecting member 2.

[0065] There are multiple connection modes between the mounting member 22 and the electromagnetic navigation sensor suite 3 . In one embodiment, the mounting member 22 may be a slot structure formed on the connecting member 2 , and the slot structure can at least partially accommodate the electromagnetic navigation sensor suite 3 .

[0066] In another embodiment, the mounting member 22 may be a snap-fit ​​structure formed on the connecting member 2 , and the mounting member 22 may be snap-fitted and fixed to the connecting member 2 with the electromagnetic navigation sensor kit 3 through the snap-fit ​​structure.

[0067] In another embodiment, the mounting member 22 may be a mounting channel formed on the connector 2, the mounting channel is closed in the circumference and open at both ends, and the electromagnetic navigation sensor kit 3 can be inserted into the mounting channel for fixing, etc. This embodiment does not limit the specific connection method between the mounting member 22 and the electromagnetic navigation sensor kit 3, and can be designed according to actual needs. It should also be noted that the position of the mounting member 22 also needs to avoid the emission acoustic window 106 to avoid interference of the electromagnetic navigation sensor kit 3 with the emission of ultrasonic waves.

[0068] During use, the electromagnetic navigation sensor kit 3 can be first installed on the connecting piece 2, and then the connecting piece 2 can be installed on the front end of the intraoperative ultrasound probe 1. The connecting piece 2 can also be first installed on the front end of the intraoperative ultrasound probe 1 by adjusting the structure of the connecting piece 2, and then the electromagnetic navigation sensor kit 3 can be installed on the connecting piece 2. Alternatively, the electromagnetic navigation sensor kit 3 can be first installed to the set position on the intraoperative ultrasound probe 1, and then the connecting piece 2 can be installed to the front end of the intraoperative ultrasound probe 1, and the electromagnetic navigation sensor kit 3 can be fixed at the same time through the connecting piece 2.

[0069] During the operation, the electromagnetic navigation sensor kit 3 located at the front end of the ultrasound probe can receive electromagnetic signals. After being electrically connected to an external electromagnetic navigation device, the navigation device can determine the spatial position of the electromagnetic navigation sensor kit 3 based on the electromagnetic signal, and convert it into the spatial position of the ultrasound probe through a specific algorithm. In conjunction with the electromagnetic navigation sensor kit on the puncture kit, the positional relationship between the puncture kit and the ultrasound probe, that is, the positional relationship between the puncture kit and the ultrasound image, can be established, ultimately enabling the operator to operate the puncture kit to perform a puncture operation based on the positional relationship.

[0070] Specifically, in this embodiment, since the electromagnetic navigation sensor kit 3 can be fixedly mounted to the front end of the intraoperative ultrasound probe 1 by means of the connector 2, the relative position between the intraoperative ultrasound probe 1 and the electromagnetic navigation sensor kit 3 can be determined based on the position of the electromagnetic navigation sensor kit 3. Since the relative position is fixed, the relative position can be used to establish a coordinate system with the position of the intraoperative ultrasound probe 1 or the position of the electromagnetic navigation sensor kit 3 as the origin. Then, the position of the puncture kit can be converted into the coordinate system by means of the electromagnetic navigation sensor kit on the puncture kit, thereby determining the relative position of the puncture kit and the intraoperative ultrasound probe, and thus determining the position of the puncture kit in the intraoperative ultrasound probe or the acquired ultrasound image, and the operator can use this position to perform the puncture operation of the puncture kit.

[0071] On the one hand, the utility model achieves the purpose of using the mounting piece 22 to mount the electromagnetic navigation sensor kit 3 on the connecting piece 2, and at the same time the connecting piece 2 can be mounted to the front end of the intraoperative ultrasound probe 1, and then the relative position of the puncture kit and the intraoperative ultrasound probe 1 can be obtained after cooperating with the electromagnetic navigation sensor kit on the puncture kit, thereby achieving the technical effect of being able to clearly determine the position of the puncture kit during the puncture process in the laparoscopic ultrasound-guided puncture surgery, facilitating the doctor to perform the puncture operation, and improving the puncture success rate, thereby solving the problem in the related technology that it is difficult to determine the position of the puncture kit in the laparoscopic ultrasound-guided puncture surgery, resulting in difficulty in puncture.

[0072] On the other hand, since the connector 2 and the intraoperative ultrasound probe 1 adopt a detachable connection structure, the connector is easy to replace during use. At the same time, in some surgical environments, the connector 2 can be removed and the intraoperative ultrasound probe 1 can be used alone, which improves the flexibility of surgical operations.

[0073] On the other hand, after the electromagnetic navigation sensor kit 3 is installed on the intraoperative ultrasound probe 1 through the connector 2 , it can provide a hardware basis for subsequently acquiring the position of the intraoperative ultrasound probe 1 .

[0074] According to the structure of the intraoperative ultrasound probe 1, the transmitting acoustic window 106 is only provided on one side of the acoustic window portion 105, and the components arranged on the back side of the acoustic window portion 105 and on both sides of the transmitting acoustic window 106 on the acoustic window portion 105 will not interfere with the transmitting acoustic window 106. Therefore, the position of the mounting part 22 on the connecting part 2 can be selected to be at a position corresponding to the back side of the transmitting acoustic window 106 or on any side of the adjacent two sides of the transmitting acoustic window 106.

[0075] In a preferred embodiment, Figure 4 and Figure 5 As shown, the mounting member 22 is located at the back side of the avoidance portion 201 , so that the electromagnetic navigation sensor suite 3 after being mounted is located at the back side of the transmitting acoustic window 106 .

[0076] According to the structure of the intraoperative ultrasound probe 1, the front end of the ultrasound probe has an acoustic window portion 105 and a bending portion 104, and the bending portion 104 is made of a flexible material to meet the bending requirements of the acoustic window portion 105. Since the position of the front end of the ultrasound probe (i.e., the transmitting acoustic window 106) needs to be obtained through the electromagnetic navigation sensor kit 3, the electromagnetic navigation sensor kit 3 is preferably fixed relative to the acoustic window portion 105, that is, during the bending process of the acoustic window portion 105, the relative positions of the electromagnetic navigation sensor kit 3 and the transmitting acoustic window 106 are fixed.

[0077] To this end, in this embodiment, the electromagnetic navigation sensor kit 3 needs to be fixed to the acoustic window portion 105 through the connecting member 2. In order to prevent the connecting member 2 from interfering with the bending of the bending portion 104, in this embodiment, the connecting member 2 needs to be located at the front end of the bending portion 104 after being connected to the acoustic window portion 105, so that the connecting member 2 can bend with the acoustic window portion 105 (such as Fig.12 As shown), the relative positions of the electromagnetic navigation sensor suite 3 and the transmitting acoustic window 106 are fixed.

[0078] In one embodiment, the distance between the rear end of the connecting member 2 and the front end of the bending portion 104 is 2-6 mm, more preferably 3-4 mm, and even more preferably 3 mm.

[0079] In one connection mode between the connector 2 and the intraoperative ultrasound probe 1, the connector 2 is connected to the front end of the intraoperative ultrasound probe 1 by snapping. Specifically, in this embodiment, Figure 4 and Figure 5 As shown, the connecting member 2 includes a buckle body 21 , which is used for buckling connection with the front end of the intraoperative ultrasound probe 1 , and the mounting member 22 is arranged on the inner side of the buckle body 21 .

[0080] In this embodiment, the buckle body 21 can be buckled to the front end of the intraoperative ultrasound probe 1, so as to facilitate the installation and removal of the buckle body 21. In a specific connection method, a corresponding buckle structure can be provided on both the buckle body 21 and the intraoperative ultrasound probe 1, and the buckle connection is realized by the cooperation of two buckle structures (for example, the cooperation of the buckle protrusion and the slot, etc.). In another specific connection method, the buckle structure can be provided only on the buckle body 21, and the intraoperative ultrasound probe 1 is not adjusted, and the buckle body 21 is fixed only by the buckle structure on the buckle body 21 and the intraoperative ultrasound probe 1. In order to reduce the use cost, it is preferred that the buckle structure is provided only on the buckle body 21, and the intraoperative ultrasound probe 1 is not adjusted. In this embodiment, the buckle structure of the buckle body 21 also has a variety of settings, for example, the buckle structure can be tightened on the intraoperative ultrasound probe 1 through its own elastic deformation, or the buckle structure is additionally arranged with a structure that can apply a fastening force (for example, a hoop-like structure), etc., which is not limited in this embodiment.

[0081] Based on the above implementation, Figure 5 As shown, the mounting member 22 is a slot member 221 disposed at the inner bottom of the buckle body 21 , and the mounting portion is a mounting groove 220 disposed on the slot member 221 , and the mounting groove 220 is used to install the electromagnetic navigation sensor kit 3 .

[0082] Specifically, it should be noted that the slot member 221 in this embodiment can be installed as an independent structure to the inner bottom of the buckle body 21, or can be a structure directly formed on the inner bottom of the buckle body 21. The mounting groove 220 formed on the slot member 221 can at least partially accommodate the electromagnetic navigation sensor kit 3, and preferably can fully accommodate the signal receiving end of the electromagnetic navigation sensor kit 3. The profile and size of the mounting groove 220 need to be compatible with the electromagnetic navigation sensor kit 3 to be installed, and its specific size is not limited in this embodiment.

[0083] Based on the above implementation, Figure 5As shown, the slot member 221 is preferably installed in the buckle body 21 as an independent structure. Therefore, in order to facilitate the installation of the slot member 221, a slot 202 is provided on the inner side of the buckle body 21 in this embodiment, and the slot member 221 is installed in the slot 202. The slot 202 forms a working channel for accommodating an electronic device component. In this embodiment, the electronic device component is a sensor kit composed of the slot member 221 and the electromagnetic navigation sensor kit 3. The specific structure of the slot 202 is adapted to the structure of the slot member 221, so that the slot member 221 can be installed in the slot 202. In one embodiment, the slot 202 is a long strip slot body, and the corresponding slot member 221 is a long strip structure, which can at least be partially loaded into the slot 202. In order to reduce the occupied space, it is preferred that the slot member 221 can be fully loaded into the slot 202.

[0084] In one embodiment of the electromagnetic navigation sensor suite 3, as Figure 8 As shown, the electromagnetic navigation sensor kit 3 includes an electromagnetic navigation sensor 301 and a protective tube 302. The electromagnetic navigation sensor 301 needs to be installed in the protective tube 302 for use. The protective tube 302 can be a nickel-titanium protective tube. The electromagnetic navigation sensor 301 is installed in the protective tube 302, and then the protective tube 302 is installed in the slot 221. The electromagnetic navigation sensor 301, the protective tube 302 and the slot 221 can form a sensor kit. After installation, the outer side of the protective tube 302 is fitted in the installation groove 220, and the depth of the installation groove 220 is greater than or equal to the outer diameter of the protective tube 302.

[0085] In one embodiment, if Figure 5 As shown, the front end of the installation slot 220 is a closed structure, and the rear end of the installation slot 220 is an open structure. The front end of the main body of the electromagnetic navigation sensor 301 extends out of the protection tube 302 and abuts against the inner front side of the closed structure.

[0086] It should be noted that the protection tube 302 can be a nickel-titanium protection tube. Of course, the material for making the protection tube 302 is not limited to nickel-titanium material. One or more combinations of titanium alloy or PI tube can also be selected as needed.

[0087] In one embodiment of the sensor kit, Figure 8 and Fig. 9 As shown, the nickel-titanium protection tube 302 constituting the sensor kit is set to two, namely a first tube body 3020 and a second tube body 3021, wherein the outer diameter of the first tube body 3020 is smaller than the inner diameter of the second tube body 3021, the first tube body 3020 can be movably sleeved in the second tube body 3021, and the electromagnetic navigation sensor 301 can be installed in the first tube body 3020.

[0088] In this embodiment, the front end of the second tube 3021 is located behind the mounting member 22, and the front end of the first tube 3020 extends to the second tube 3021 and is installed in the mounting groove 220. The length of the first tube 3020 extending from the second tube 3021 is greater than the length of the curved portion 104 on the intraoperative ultrasound probe 1.

[0089] Specifically, the front end of the first tube body 3020 extends to a position close to the front end of the electromagnetic navigation sensor 301, and the front end of the second tube body 3021 extends to a position close to the rear end of the bending portion 104 of the intraoperative ultrasound probe 1, that is, the length of the second tube body 3021 is significantly shorter than the length of the first tube body 3020. The front end of the first tube body 3020, the front end of the electromagnetic navigation sensor 301 and the acoustic window portion 105 of the intraoperative ultrasound probe 1 are relatively fixed, and the three can be bent synchronously. The second tube body 3021 is relatively fixed to the part of the intraoperative ultrasound probe 1 located at the rear end of the bending portion 104, so for the electromagnetic navigation sensor 301 and the first tube body 3020, when they are bent, they will move linearly relative to the second tube body 3021, and their movement process will not affect the second tube body 3021.

[0090] like Figures 9 to 11 As shown, the tail end of the electromagnetic navigation sensor 301 can be fixed together with the wiring harness of the intraoperative ultrasound probe 1, and a reserve amount for the displacement change caused by the bending of the acoustic window portion 105 is reserved at an appropriate place (such as the ultrasound handle 102). Therefore, overall, when the acoustic window portion 105 is bent, the front end of the electromagnetic navigation sensor 301 located at the lower end of the acoustic window portion 105 does not change in relative position. The tail end of the electromagnetic navigation sensor 301 fixed to the wiring harness also does not change in relative position. In the intermediate stage, it makes a forward and backward displacement in the channel established by the second tube body 3021. In one embodiment, the left and right bending displacements of the acoustic window portion 105 are consistent, with a maximum displacement of 0.9 cm; the maximum displacement for forward bending is 2.5 cm; and the maximum displacement for backward bending is 1.1 cm.

[0091] Since the electromagnetic navigation sensor 301 includes a cable portion, the cable portion needs to extend to the tail end of the intraoperative ultrasound probe 1, and the corresponding first tube body 3020 and the second tube body 3021 also need to extend toward the rear end, so that the cable portion of the electromagnetic navigation sensor 301, the rear end portion of the first tube body 3020, and the second tube body 3021 are located behind the buckle body 21, that is, the buckle body 21 cannot play the role of connecting the portion to the intraoperative ultrasound probe 1. Therefore, in order to facilitate the connection of the portion to the intraoperative ultrasound probe 1 to improve the stability and convenience of use, a number of fixed buckles 4 are also provided in this embodiment, and the fixed buckles 4 can be snapped onto the intraoperative ultrasound probe 1, and the fixed buckles 4 can be elastic C-shaped clips. The fixed buckles 4 can be arranged from the rear end of the curved portion 104 of the intraoperative ultrasound probe 1 to avoid affecting the bending of the curved portion 104. A number of fixed clips can be arranged along the cable portion of the electromagnetic navigation sensor 301, the rear end portion of the first tube body 3020, and the second tube body 3021.

[0092] In one embodiment, the size of the buckle body 21 and the size of the electromagnetic navigation sensor kit 3 mentioned in the above embodiment need to be suitable for the puncture card 5 (also called a puncture cannula) with a size specification of 12.5 mm. Under the size restriction of the puncture card 5, there are certain requirements for the structure of the buckle body 21, the connection structure between the buckle body 21 and the intraoperative ultrasound probe 1, the structure of the electromagnetic navigation sensor kit 3, and the connection structure between the electromagnetic navigation sensor kit 3 and the buckle body 21. Under the premise of ensuring that the puncture card 5 can be passed through, the corresponding structural parts need to have sufficient structural strength and connection stability. The assembly process of the intraoperative ultrasound probe 1 with the puncture card 5 after the installation of the connector 2 and the electromagnetic navigation sensor kit 3 is as follows: Fig.13 and Fig.14 shown.

[0093] After the buckle body 21 is connected to the intraoperative ultrasound probe 1, it should be firmly fixed to the probe without rotation or offset, etc., to avoid affecting the parameters of the debugged electromagnetic navigation sensor kit 3. In this embodiment, the buckle body 21 is used to be sleeved and fixed on the acoustic window portion 105. In order to improve the firmness of the connection, the inner wall of the buckle body 21 in this embodiment is attached to the outer wall of the acoustic window portion 105, the first end of the buckle body 21 is limitedly connected to the front end of the acoustic window portion 105, and the second end of the buckle body 21 has an opening for being sleeved and fixed to the rear end of the acoustic window portion 105.

[0094] Specifically, in this embodiment, if Figure 8As shown, the overall shape of the buckle body 21 is similar to the acoustic window portion 105, and its inner side profile needs to meet the outer side of the acoustic window portion 105, so as to reduce the overall volume and improve the connection firmness. In addition, in order to avoid relative axial movement between the buckle body 21 and the acoustic window portion 105, the buckle body 21 needs to have a corresponding limiting structure. In this embodiment, the first end of the buckle body 21 is connected to the front end of the acoustic window portion 105. Specifically, a plurality of limiting pieces can be formed at the first end of the buckle body 21, and the limiting pieces are located at the front end of the acoustic window portion 105 and abut against the acoustic window portion 105, thereby limiting the buckle body 21 from moving to the rear end relative to the acoustic window portion 105. Alternatively, the outer front end of the buckle body 21 can be a closed surrounding structure 205, and the surrounding structure 205 is used to surround the front end of the intraoperative ultrasonic probe 1, and the front end of the acoustic window portion 105 (i.e., the front end of the intraoperative ultrasonic probe 1) is surrounded by the surrounding structure 205, thereby playing a limiting role.

[0095] Since the buckle body 21 also needs to be inserted into the human body, in order to avoid causing harm to the body, the first end of the buckle body 21 can be a dome-type closed structure, that is, the outer front side of the surrounding structure 205 is an arc surface. In some embodiments, the outer front side of the surrounding structure 205 can also be other structural forms, and this application does not limit it here. On this basis, the inner front side of the surrounding structure 205 matches the front end of the intraoperative ultrasound probe 1, so that the inner front side of the surrounding structure 205 can fit on the front end of the intraoperative ultrasound probe 1, and at the same time play a role of limiting and fastening.

[0096] The axial position of the card slot 202 on the buckle body 21 will affect the axial position of the card slot member 221, and further affect the axial position of the electromagnetic navigation sensor kit 3. In one embodiment, Figure 8 As shown, the slot 202 is configured such that after the slot member 221 is connected to the slot 202, the front end of the electromagnetic navigation sensor kit 3 installed in the slot member 221 is axially shorter than the front end of the emission acoustic window 106. Specifically, the axial position of the electromagnetic navigation sensor kit 3 may be approximately 1 / 2 of the length of the front end of the emission acoustic window 106, or may be approximately 1 / 3 or 1 / 4 of the length of the front end, and the present invention does not impose any particular limitation on this.

[0097] The position of the electromagnetic navigation sensor kit 3 is mainly selected based on whether the emission acoustic window 106 of the ultrasound probe 1 during the operation will interfere with the signal transmission of the electromagnetic navigation sensor kit 3. When the emission acoustic window 106 does not interfere with the electromagnetic navigation sensor kit 3, the position of the electromagnetic navigation sensor kit 3 is diversified. In this embodiment, it is preferably located at the 1 / 2 position of the emission acoustic window 106, so as to facilitate calibration and calculation. When the emission acoustic window 106 interferes with the electromagnetic navigation sensor kit 3, the electromagnetic navigation sensor kit 3 needs to extend out of the front end of the emission acoustic window 106, and the corresponding slot 221 needs to extend out of the front end of the emission acoustic window 106.

[0098] Since the slot member 221 is a structure independently installed in the buckle body 21, in order to avoid axial relative movement between the slot member 221 and the buckle body 21, as shown in FIG. Figure 5 As shown, in this embodiment, a first limiting structure 203 is further provided on the inner bottom of the buckle body 21, and a second limiting structure 222 assembled with the first limiting structure 203 is provided on the slot member 221. The first limiting structure 203 and the second limiting structure 222 cooperate to limit the axial movement of the slot member 221 in the slot 202.

[0099] Specifically, in order to limit the axial movement of the slot member 221 in the slot 202, the first limiting structure 203 and the second limiting structure 222 can be radially matched. In one embodiment, the first limiting structure 203 is a limiting groove provided in the buckle body 21, and the second limiting structure 222 is a limiting protrusion provided on the slot member 221; and / or,

[0100] The first limiting structure 203 is a limiting protrusion provided in the buckle body 21, and the second limiting structure 222 is a limiting groove provided on the slot member 221. In this embodiment, the positions of the limiting groove and the limiting protrusion are not limited, as long as the limiting groove can match the limiting protrusion.

[0101] In one embodiment, the first limiting structure 203 is a limiting groove provided in the buckle body 21, and the second limiting structure 222 is a limiting protrusion provided on the slot member 221;

[0102] The limiting grooves are located at both sides of the slot 202 and communicate with the slot 202 , and the limiting protrusions are arranged at both sides of the slot member 221 and correspond to the limiting grooves.

[0103] In this embodiment, the cooperation between the limiting grooves and the limiting protrusions on both sides can better limit the axial movement and deviation of the slot member 221, thereby improving the firmness of the slot member 221 after installation.

[0104] In another embodiment, the limiting groove is configured as a plurality of slots spaced apart in the buckle body 21 , and the limiting portion is a plurality of convex points spaced apart on the slot member 221 , and the convex points correspond to the slots.

[0105] In this embodiment, the slot hole can be formed at the bottom of the card slot 202, and the corresponding protrusion is formed at the bottom of the card slot member 221. The slot holes are arranged in a plurality and can be distributed in an array or in a triangle, etc., and the protrusions have the same distribution mode, and the card slot member 221 is limited by the cooperation of the slot holes and the protrusions.

[0106] Since the buckle body 21 needs to enter the body with the ultrasound probe, in order to prevent the body fluid from entering the card slot 202 and causing the card slot member 221 to stick to the card slot 202, making it difficult to remove the card slot member 221, such as Figure 4 and Figure 5 As shown, in this embodiment, a disassembly hole 204 is provided at the bottom of the buckle body 21, the disassembly hole 204 is communicated with the card slot 202, and the disassembly hole 204 is used for a disassembly tool to pass through to remove the card slot member 221. The hole can be a round hole or a square hole, etc.

[0107] The avoidance portion 201 is provided on the buckle body 21 to avoid interference with the emission acoustic window 106, thereby avoiding affecting the fit between the acoustic window and the organ and causing adverse effects on the ultrasound imaging operation, such as Figure 7 As shown, the upper end surface of the buckle body 21 in this embodiment is flush with or lower than the upper end surface of the acoustic emission window 106 .

[0108] In order to reduce the use cost, this embodiment adopts the implementation method of only improving the buckle body 21 so that it can be fixed to the acoustic window portion 105. Therefore, in order to make the buckle actively fixed firmly, such as Figure 6 As shown, in this embodiment, a fastening structure 23 is provided at the second end of the buckle body 21 , and the fastening structure 23 is used to fasten the buckle body 21 to the acoustic window portion 105 .

[0109] In this embodiment, the fastening structure 23 has various forms. In one embodiment, the fastening structure 23 may be an elastically deformable structure on the buckle body 21 connected to the acoustic window portion 105. In another embodiment, the fastening structure 23 may be a clamping structure similar to a clamp. In yet another embodiment, the fastening structure 23 may be a pin-like structure, and so on.

[0110] In one embodiment of the fastening structure 23, as Fig.15 and Fig.16As shown, the buckle body 21 is configured as a cylindrical thin-walled structure, the second end of the buckle body 21 is configured as a near-circular ring structure, and the fastening structure 23 includes a deformable wide groove 230 opened at the second end of the buckle body 21. The deformable wide groove 230 allows the opening to produce elastic deformation to fasten the intraoperative ultrasound probe 1 that is adapted to a certain outer diameter range.

[0111] Specifically, when the second end of the buckle body 21 is sleeved to the acoustic window portion 105, the second end of the buckle body 21 can produce a certain elastic deformation under the pressure of the acoustic window portion 105 through the deformation wide groove 230, so that it is tightly held on the acoustic window portion 105. The deformation amount of the second end of the buckle body 21 can also be increased by the deformation wide groove 230, so that it can adapt to more sizes of ultrasonic probes. It should be noted that the deformation wide groove 230 can be set to one, and the deformation wide groove 230 can also be set to multiple. Of course, the more the number of deformation wide grooves 230 and the larger the width, the easier it is for the second end of the buckle body 21 to produce a larger elastic deformation, but its fastening ability is also reduced, so the number and width of the deformation wide grooves 230 can be reasonably selected. In one embodiment, there is one deformation wide groove 230 with a width of 3mm.

[0112] Since the buckle body 21 is provided with an escape groove, on this basis, in order to make the second end of the buckle body 21 have better deformation ability, the two ends of the wide deformation groove 230 in this embodiment are respectively connected with the escape groove and the end of the buckle body 21. Further, in order to ensure the fastening ability of the second end of the buckle body 21, the width of the wide deformation groove 230 is smaller than the width of the escape groove, and the wide deformation groove 230 corresponds to the middle of the escape groove.

[0113] On the basis of providing the deformable wide groove 230, in order to further improve the connection firmness between the buckle body 21 and the acoustic window portion 105, the fastening structure 23 in this embodiment further includes an adhesive member, which is adhesively wound around the second end of the buckle body 21 and is used to press the second end of the buckle body 21 tightly against the acoustic window portion 105. The adhesive member can be a medical tape.

[0114] In this embodiment, if Fig.17 As shown, the card slot 202 in the buckle body 21 is a long strip structure, and the corresponding card slot member 221 is also a long strip structure.

[0115] The buckle body 21 can be processed with TC4 (titanium 4) material. It has been verified that TC4 material can be used as an implant material, meets medical conditions such as biocompatibility, and has been tested to have no interference or weakening of the interventional navigation system signal, and will not produce adverse effects. At the same time, TC4 material can withstand various conventional sterilization forms of hospitals and departments, such as ultraviolet rays, high temperature and high pressure, low temperature plasma, etc., without causing adverse changes.

[0116] In another embodiment of the fastening structure 23, as Fig.18 and Fig.19 As shown, the fastening structure 23 includes an arc-shaped second opening structure 237 disposed at the second end of the buckle body 21, and the second opening structure 237 is used to fit on the first side of the acoustic window portion 105;

[0117] The fastening structure 23 further includes a second fastening buckle 233 and a third fastening buckle 234, and the inner surfaces of the second fastening buckle 233 and the third fastening buckle 234 can be attached to the second side of the acoustic window portion 105;

[0118] The first end of the second fastening buckle 233 is hinged to the first end of the second opening structure 237, and an elastic member 236 is provided between the second fastening buckle 233 and the side wall of the second opening structure 237, and a force for rotating away from the fastening direction is applied to the second fastening buckle 233 through the elastic member 236;

[0119] The first end of the third fastening buckle 234 is hinged to the second end of the second opening structure 237 , and the second end of the second fastening buckle 233 is buckled to the second end of the third fastening buckle 234 .

[0120] In this embodiment, when the buckle body 21 is installed, the connection between the second fastening buckle 233 and the third fastening buckle 234 is first released, and the inner side of the second opening structure 237 is fitted with the first side of the acoustic window 105. Then, the second fastening buckle 233 is rotated to fit the surface of the acoustic window 105, and then the third fastening buckle 234 is rotated, and the third fastening buckle 234 is pressed to connect with the second side buckle of the second fastening buckle 233, so as to hold the acoustic window 105 tightly. In this process, the elastic member 236 is elastically deformed. When the buckle body 21 needs to be disassembled, the third fastening buckle 234 can be rotated outward to disengage it from the second fastening buckle 233. At this time, the second fastening buckle 233 automatically rotates outward and opens under the elastic force of the elastic member 236.

[0121] To improve the connection tightness, the inner surface of the second opening structure 237 fits the outer surface of the first side of the acoustic window 105, and the inner surfaces of the second fastening buckle 233 and the third fastening buckle 234 fit the outer surface of the second side of the acoustic window 105. The first end of the second fastening buckle 233 and the first side of the second opening structure 237 can be hinged through a shaft-like structure, or the material properties can be used to form a fold after thinning at the connection, and the second fastening buckle 233 can rotate using the fold. The third fastening buckle 234 is arranged in the same way, which will not be repeated here.

[0122] In order to enable the second fastening buckle 233 to be snap-connected with the second side of the third fastening buckle 234 , the second end of the second fastening buckle 233 and the second side of the third fastening buckle 234 may be provided with corresponding snap-connection structures.

[0123] In one hinged connection mode between the second fastening buckle 233 and the second opening structure 237, the first end of the second fastening buckle 233 is hinged to the first end of the second opening structure 237 via a rotating shaft, and the rotating shaft can ensure the rotation performance of the second fastening buckle 233. Similarly, the third fastening buckle 234 can also be hinged to the second end of the second opening structure 237 via a rotating shaft. Since the second fastening buckle 233 needs to have a force to rotate away from the fastening direction through the elastic member 236, in order to enable the elastic member 236 to better apply the rotation force, the elastic member 236 in this embodiment is a torsion spring sleeved on the rotating shaft, and the two legs of the torsion spring are respectively connected to the side walls of the second fastening buckle 233 and the second opening structure 237.

[0124] To ensure the surface flatness of the buckle body 21 after installation, the outer surface of the second fastening buckle 233, the outer surface of the third fastening buckle 234 and the outer surface of the second opening structure 237 are located on the same circumferential surface in this embodiment.

[0125] In a buckle structure of the second fastening buckle 233 and the third fastening buckle 234, as Fig.18 As shown, a second engaging protrusion 2332 is disposed on the outer side of the second end of the second fastening buckle 233 , and a second engaging groove 2341 engaged with the second engaging protrusion 2332 is disposed on the inner side of the third fastening buckle 234 .

[0126] Specifically, it should be noted that during the buckle connection, the second clamping protrusion 2332 is pressed and deformed inwardly, thereby being clamped into the second clamping groove 2341. When disassembly is required, the second clamping protrusion 2332 needs to be pressed to deform inwardly and disengage from the second clamping groove 2341.

[0127] In another buckle structure, the second buckle protrusion 2332 can be arranged on the inner side of the second fastening buckle 233, and the corresponding second buckle groove 2341 is located on the outer side of the third fastening buckle 234. After adopting this connection structure, the end surface of the second fastening buckle 233 may protrude from the outer surface of the third fastening buckle 234, thereby causing the surface of the buckle body 21 to be uneven, which is easy to damage human tissue. Therefore, it is preferred to arrange the second buckle protrusion 2332 on the outer side of the second fastening buckle 233, and arrange the second buckle groove 2341 on the inner side of the third fastening buckle 234.

[0128] In order to improve the connection strength between the second clamping protrusion 2332 and the second clamping groove 2341, in this embodiment, the second clamping groove 2341 needs to have a certain depth, thereby increasing the contact area between the second clamping groove 2341 and the second clamping protrusion 2332. Therefore, the second clamping groove 2341 in this embodiment includes a third groove body that radially penetrates the side wall of the third fastening buckle 23, and the protruding height of the second clamping protrusion 2332 is less than or equal to the depth of the third groove body, so that the second clamping protrusion 2332 can be completely clamped into the second clamping groove 2341, maintaining sufficient clamping strength, and at the same time, it can prevent the second clamping protrusion 2332 from protruding out of the third groove body to cause a protrusion on the surface of the buckle body 21 and damage human tissue.

[0129] On the basis of the above embodiment, in order to facilitate the second clamping protrusion 2332 to be clamped into the third groove body, in this embodiment, the second clamping groove 2341 also includes a fourth groove body, the fourth groove body and the third groove body are distributed along the clamping direction of the second clamping protrusion 2332, the fourth groove body is opened on the side wall of the third fastening buckle 234, and the two sides of the fourth groove body are respectively connected with the end surface of the third groove body and the third fastening buckle 234, and the clamping channel of the second clamping protrusion 2332 is formed through the fourth groove body;

[0130] The depth of the fourth groove body is less than that of the third groove body, and the protruding height of the second engaging protrusion 2332 is greater than the depth of the fourth groove body and less than or equal to the depth of the third groove body.

[0131] In this embodiment, the fourth slot does not penetrate the side wall of the third fastening buckle 234 in the radial direction, so its depth is less than the depth of the fourth slot, but at the same time, the wall thickness of the portion of the third fastening buckle 234 corresponding to the fourth slot is reduced, so that the deformation of the second clamping protrusion 2332 due to being clamped into the fourth slot is reduced, which is conducive to smoothly clamping the second clamping protrusion 2332 into the third slot. Since the opening of the fourth slot may cause the surface of the third slot that abuts against the second clamping protrusion 2332 to be reduced, in this case, in order to ensure that the second clamping protrusion 2332 can be smoothly clamped with the third slot, the protruding height of the second clamping protrusion 2332 is greater than the depth of the fourth slot, and in order to prevent the second clamping protrusion 2332 from extending out of the third slot, the protruding height of the second clamping protrusion 2332 must be less than or equal to the depth of the third slot.

[0132] On this basis, in order to further facilitate the second clamping protrusion 2332 to be clamped into the third groove body, the surface on the fourth groove body used to guide the second clamping protrusion 2332 can be a slope, so that the side wall thickness corresponding to the third groove body part on the third fastening buckle 234 gradually increases along the clamping direction, thereby ensuring that the second clamping protrusion 2332 is smoothly clamped in while increasing the contact area between the second clamping protrusion 2332 and the third groove body, thereby improving the connection stability.

[0133] Of course, optionally, the outer side surface of the second locking protrusion 2332 can also be set as a locking inclined surface, and the locking inclined surface is used to guide the second locking protrusion 2332 to deform, so as to be smoothly locked into the third groove body.

[0134] To facilitate the buckle connection between the second fastening buckle 233 and the third fastening buckle 234, as shown in FIG. Fig.18 As shown, the second end of the second fastening buckle 233 is provided with an arc-shaped second connecting strip 2331, and the second clamping protrusion 2332 is provided at the end of the second connecting strip 2331. Specifically, in this embodiment, the width of the second connecting strip 2331 is smaller than the width of the second fastening buckle 233, so that it can better produce deformation, so as to facilitate the second clamping protrusion 2332 to be clamped into the second clamping groove 2341.

[0135] Furthermore, the inner surface of the second connecting strip 2331 and the inner surface of the second fastening buckle 233 are located on the same circumferential surface, the thickness of the second connecting strip 2331 is smaller than the thickness of the second fastening buckle 233 , and the width of the second connecting strip 2331 is smaller than the width of the second fastening buckle 233 .

[0136] To facilitate the hinged connection of the second fastening buckle 233 and the third fastening buckle 234 on the second opening structure 237, in this embodiment, arc-shaped connecting grooves 235 are provided at the first end and the second end of the second opening structure 237. The first end of the second fastening buckle 233 is embedded in the corresponding arc-shaped connecting groove 235 and is hinged through a rotating shaft, and the first end of the third fastening buckle 234 is embedded in the corresponding arc-shaped connecting groove 235 and is hinged through a rotating shaft.

[0137] The buckle body 21, the second fastening buckle 233 and the third fastening buckle 234 in this embodiment are made of TC4 (titanium 4) material. It has been verified that TC4 material can be used as an implant material and meets medical conditions such as biocompatibility. It has been tested that it has no interference or weakening on the interventional navigation system signal and will not produce adverse effects. At the same time, TC4 material can withstand various conventional sterilization methods in hospitals and departments, such as ultraviolet rays, high temperature and high pressure, low temperature plasma, etc., without causing adverse changes.

[0138] According to another aspect of the utility model, an ultrasound probe assembly is provided, comprising: an intraoperative ultrasound probe 1, an electromagnetic navigation sensor kit 3 and the above-mentioned buckle assembly 21, and the electromagnetic navigation sensor kit 3 is installed to the front end of the intraoperative ultrasound probe 1 through the buckle assembly 21.

[0139] According to another aspect of the utility model, a puncture system is provided, comprising the above-mentioned ultrasound probe assembly, a puncture kit and a navigation device, wherein the puncture kit is provided with another electromagnetic navigation sensor kit;

[0140] The navigation device is configured to extract electromagnetic signals received by two electromagnetic navigation sensor kits, and determine the positional relationship between the puncture kit and the intraoperative ultrasound probe based on the extracted electromagnetic signals.

[0141] The navigation device is also used to display the positional relationship. When an extension line of the puncture kit in the puncture direction intersects with the ultrasonic plane of the ultrasonic probe assembly, at least the intersection is displayed in the ultrasonic image, and / or when the body of the puncture kit or its extension line is coplanar with the ultrasonic plane, the extension line is displayed in the ultrasonic image.

[0142] According to the above display method, after the ultrasound probe assembly enters the patient's body, the doctor can place it on the surface of the organ and scan the target object in combination with the ultrasound image (the target object can be the target portal vein or the target tumor). Then adjust the position and direction of the puncture kit outside the patient's body, aim at the target object through the above-mentioned intersection and / or extension line displayed. The aiming process can simultaneously determine the three positioning points of the body surface needle entry point, the liver surface needle entry point and the target point; finally, perform the puncture action. During the puncture process, keep the intersection point in the ultrasound image on the target object, or the extension line passes through the target object, to ensure that the puncture needle can reach the target object, thereby improving the puncture efficiency.

[0143] The above description is only the preferred embodiment of the utility model and is not intended to limit the utility model. For those skilled in the art, the utility model may have various modifications and changes. Within the spirit and principle of the utility model, any modification, equivalent replacement, improvement, etc. made shall be included in the protection scope of the utility model.

Claims

1. A buckle structure for an intraoperative ultrasound probe, characterized in that: include: A buckle body, wherein the first end of the buckle body is configured as an enclosing structure, the enclosing structure is used to enclose the front end of the intraoperative ultrasound probe, and the buckle body is provided with an avoidance groove for avoiding the emission acoustic window of the intraoperative ultrasound probe; The second end of the buckle body is provided with a fastening structure, and the fastening structure is used to fasten the buckle body to the intraoperative ultrasound probe; The fastening structure comprises a second opening structure, a second fastening buckle and a third fastening buckle provided at the second end of the buckle body; the inner side of the second opening structure matches the outer contour of the first side of the intraoperative ultrasound probe, and the inner sides of the second fastening buckle and the third fastening buckle match the outer contour of the second side of the intraoperative ultrasound probe; The first end of the second fastening buckle is hinged to the first end of the second opening structure, and an elastic member is provided between the second fastening buckle and the side wall of the second opening structure, and a force for rotating the second fastening buckle away from the fastening direction is applied by the elastic member; The first end of the third fastening buckle is hinged to the second end of the second opening structure, and the second end of the second fastening buckle is buckled and connected to the second end of the third fastening buckle, so as to hold the intraoperative ultrasound probe tightly between the second opening structure, the second fastening buckle and the third fastening buckle; The mounting piece is arranged on the buckle body, and the mounting piece is provided with a mounting portion for mounting the electromagnetic navigation sensor kit.

2. The buckle structure according to claim 1, characterized in that: The first end of the second fastening buckle is hinged to the first end of the second opening structure via a rotating shaft, the elastic member is a torsion spring sleeved on the rotating shaft, and two legs of the torsion spring are respectively connected to the side walls of the second fastening buckle and the second opening structure.

3. The buckle structure according to claim 2, characterized in that: An outer surface of the second fastening buckle, an outer surface of the third fastening buckle and an outer surface of the second opening structure are located on the same circumferential surface.

4. The buckle structure according to claim 3, characterized in that: A second clamping protrusion is arranged on the outer side of the second end of the second fastening buckle, and a second clamping groove which is clamped and connected with the second clamping protrusion is arranged on the inner side of the third fastening buckle.

5. The buckle structure according to claim 4, characterized in that: The second clamping groove includes a third groove body penetrating through the side wall of the third fastening buckle, and the protruding height of the second clamping protrusion is less than or equal to the depth of the third groove body.

6. The buckle structure according to claim 4 or 5, characterized in that: The second end of the second fastening buckle is provided with an arc-shaped second connecting strip, and the second clamping protrusion is provided at the end of the second connecting strip.

7. The buckle structure according to claim 6, characterized in that: The inner surface of the second connecting strip and the inner surface of the second fastening buckle are located on the same circumferential surface, the thickness of the second connecting strip is smaller than the thickness of the second fastening buckle, and the width of the second connecting strip is smaller than the width of the second fastening buckle.

8. The buckle structure according to claim 1, characterized in that: The first end and the second end of the second opening structure are both provided with an arc-shaped connecting groove, the first end of the second fastening buckle is embedded in the corresponding arc-shaped connecting groove and hinged, and the first end of the third fastening buckle is embedded in the corresponding arc-shaped connecting groove and hinged.

9. An ultrasonic probe assembly, characterized in that: include: An intraoperative ultrasound probe, an electromagnetic navigation sensor kit, and a buckle structure as described in any one of claims 1 to 8, wherein the electromagnetic navigation sensor kit is mounted to the front end of the intraoperative ultrasound probe through the buckle structure.

10. A puncture system, characterized in that: It comprises the ultrasound probe assembly, the puncture kit and the navigation device as claimed in claim 9, wherein the puncture kit is provided with another electromagnetic navigation sensor kit; The navigation device is configured to extract electromagnetic signals received by two electromagnetic navigation sensor kits, and determine the positional relationship between the puncture kit and the intraoperative ultrasound probe based on the extracted electromagnetic signals.

11. The puncture system according to claim 10, characterized in that: The navigation device is also used to display the positional relationship. When an extension line of the puncture kit in the puncture direction intersects with the ultrasonic plane of the ultrasonic probe assembly, at least the intersection is displayed in the ultrasonic image, and / or when the body of the puncture kit or its extension line is coplanar with the ultrasonic plane, the extension line is displayed in the ultrasonic image.

Images