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WO2023236861A1 - Particle implantation system and multi-channel needle-removing apparatus thereof - Google Patents

Particle implantation system and multi-channel needle-removing apparatus thereof Download PDF

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Publication number
WO2023236861A1
WO2023236861A1 PCT/CN2023/098016 CN2023098016W WO2023236861A1 WO 2023236861 A1 WO2023236861 A1 WO 2023236861A1 CN 2023098016 W CN2023098016 W CN 2023098016W WO 2023236861 A1 WO2023236861 A1 WO 2023236861A1
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WO
WIPO (PCT)
Prior art keywords
clamping
needle
driving
guide
puncture
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/CN2023/098016
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French (fr)
Chinese (zh)
Inventor
吴凡
林春生
习程梅
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Huzhou Dashi Medical Technology Co Ltd
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Huzhou Dashi Medical Technology Co Ltd
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Filing date
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Application filed by Huzhou Dashi Medical Technology Co Ltd filed Critical Huzhou Dashi Medical Technology Co Ltd
Publication of WO2023236861A1 publication Critical patent/WO2023236861A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1001X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy using radiation sources introduced into or applied onto the body; brachytherapy
    • A61N5/1007Arrangements or means for the introduction of sources into the body

Definitions

  • the invention belongs to the technical field of medical devices, and in particular relates to a particle implantation system and its multi-channel needle extraction device used in radioactive particle implantation operations.
  • Radioactive seed implantation mainly refers to the technology of directly implanting isotope radioactive sources into tumor areas for treatment. It is a type of radiotherapy. At present, this technical method mainly uses modern imaging technology (CT, ultrasound, etc.) to place radioactive nuclide into the tumor target body or around the tumor through implantation, and kills the tumor cells through the continuous release of radionuclide rays.
  • the implanted particles are usually iodine 125 particles.
  • the half-life of iodine 125 particles is 59.6 days, and the radiation radius in the human body is less than 1.7 cm. They are safe and easy to protect.
  • the gamma rays released by the particles can effectively irradiate tumor cells for 180 days, and have the ability to target tumors. High-dose distribution is used to kill tumor cells, while surrounding normal tissues receive trace amounts of radiation, causing no damage or only minor damage. This is essentially a precise radiotherapy method.
  • the advancement of imaging technologies such as ultrasound and CT and the emergence of computer radiation therapy planning systems have solved the problem of implant accuracy and enabled the rapid development of radioactive particle short-range tumor treatment technology.
  • TPS computer radiation therapy planning systems
  • the basic process of radioactive seed implantation surgery is: first, position and determine the implantation channel under the guidance of imaging equipment (such as B-ultrasound and CT, etc.); then, formulate the particle implantation channel through the radiation therapy planning system (TPS)
  • the implanted treatment plan is mainly based on the location and size of the patient's tumor target area, determining the number, location, and puncture angle (or needle insertion direction) of particles to be implanted, and calculating the effective isodose distribution of the tumor target area.
  • This type of surgery has a wide range of indications, including lung cancer, liver cancer, breast cancer, prostate cancer, etc. It has small incisions, less bleeding, and relatively few surgical complications, but it can effectively inhibit the growth of tumors and has unique therapeutic effects. , has been effectively verified at home and abroad.
  • the number of particles that need to be implanted is usually multiple, and the number can reach hundreds of particles, and each particle usually requires They are implanted at different positions in the tumor target area, and the puncture angles when implanting each particle are also different, which makes the actual puncture and implantation process very time-consuming, and the doctor needs to be close to the radioactive particles during the implantation process. Long-distance contact will cause great radiation damage, which greatly limits the application and promotion of this type of surgery. Therefore, it has become an inevitable trend to use automated medical equipment to replace doctors in performing operations in a radiation environment.
  • puncture templates In the existing technology, when performing radioactive particle implantation surgery, doctors often use puncture templates to limit the direction of the puncture needle to avoid puncture deviations during the puncture process, and thus cannot accurately insert radioactive particles into the tumor.
  • puncture templates disclosed in patent documents such as CN208877700U, CN113244518B, CN209951352U, and CN108904966A generally require a doctor to manually implant particles and pull out the puncture needle, which will cause radiation damage to the doctor.
  • robots are also used to automatically pull out needles, but most of them have problems such as high mobile positioning accuracy and difficulty, which can easily cause dangerous injuries to patients.
  • the purpose of the present invention is to provide a particle implantation system and its multi-channel needle extraction device.
  • a needle extraction module and its driving module are provided on the basis of the prior art puncture template to realize the puncture needle. Guided puncture and automatic needle withdrawal, the needle withdrawal action is reliable and safe.
  • Multi-channel needle extraction device for particle implantation system including:
  • a needle withdrawal module used to guide the insertion of multiple puncture needles and selectively adjust the insertion depth of one of the puncture needles;
  • the needle extraction module includes a guide template and a needle clamping mechanism installed on the guide template;
  • the needle clamping mechanism includes a plurality of clamping parts, the clamping parts are driven and moved by the clamping driving mechanism and can form several clamping parts for clamping and puncturing.
  • the guide template is provided with a guide portion corresponding to the clamping position of the needle for guiding the puncture needle through.
  • the guide part is one or more combinations of through holes, through grooves, chutes, guide rods, and guide blocks; an array of multiple guide parts is distributed on the guide template, and the guiding directions of the multiple guide parts are parallel to each other and perpendicular to Guide template; the width or diameter spacing of the guide part matches the outer diameter of the puncture needle, and the guide part and the puncture needle have a gap fit, and the outer diameter of the puncture needle is 0.8-1.8 mm.
  • the first clamping part is a protrusion or a groove provided on the first clamping member
  • the second clamping part is a protrusion or groove provided on the second clamping member.
  • the first clamping part and the second clamping part are inclined to clamp the needle tube of the puncture needle.
  • the clamping detection sensor for detecting the action position of the clamping member or the driving module;
  • the clamping detection sensor is a rotary encoder, a displacement sensor, a travel switch, a proximity switch, a photoelectric sensor or a Hall switch.
  • the clamping detection sensor is a rotary encoder, a displacement sensor, a travel switch, a proximity switch, a photoelectric sensor or a Hall switch.
  • the synchronous transmission mechanism drives multiple screws to rotate synchronously, thereby controlling the needle clamping mechanism to rise and fall; alternatively, the lifting mechanism is arranged on the left or right side of the needle clamping mechanism, or on the columns on the left and right sides, and linear guide rails are provided on the columns. Or linear chute, the pin clamping mechanism is connected to the slide block on the linear guide rail or linear chute, and the lifting mechanism drives the slide block to perform lifting movement.
  • the synchronous transmission mechanism is a belt transmission, chain transmission, gear transmission mechanism, etc.
  • the lifting mechanism adopts a rope drive mechanism, and a single pulling cable is used to achieve synchronous pulling and lifting of at least three points of the needle clamping mechanism.
  • the needle extraction module further includes a needle clamping mechanism for preventing the puncture needle from rebounding after adjusting its insertion depth.
  • a particle implantation system includes a multi-channel needle extraction device for the particle implantation system as described above.
  • the present invention adopts the above technical solution and sets the needle extraction module and its driving module on the basis of the prior art puncture template, thereby realizing the guided puncture and automatic needle extraction of the puncture needle.
  • the needle extraction action is reliable and safe, compared with the existing technology.
  • Technically speaking it avoids radiation damage caused by manual operation by doctors, and also overcomes the difficulty and high risk of robot needle removal and positioning.
  • Figure 1 is an exploded view of the module of the multi-channel needle extraction device of the present invention
  • Figure 3 is a schematic structural diagram of the needle clamping mechanism in the multi-channel needle extraction device of the present invention.
  • Figure 4 is one of the schematic structural diagrams of the needle clamping device of the multi-channel needle extraction device of the present invention (top view);
  • first and second are used for descriptive purposes only and cannot be understood as indicating or implying relative importance or implicitly indicating the quantity of indicated technical features. Therefore, features defined as “first” and “second” may explicitly or implicitly include one or more of these features. In the description of the present invention, unless otherwise stated, the meaning of "plurality” is two or more than two, unless otherwise clearly defined.
  • connection In the present invention, unless otherwise clearly stated and limited, the terms “installation”, “connection”, “connection”, “fixing” and other terms should be understood in a broad sense. For example, it can be a fixed connection or a detachable connection. , or integrally connected; it can be a mechanical connection or an electrical connection; it can be a direct connection or an indirect connection through an intermediate medium; it can be an internal connection between two components.
  • connection connection
  • fixing and other terms should be understood in a broad sense. For example, it can be a fixed connection or a detachable connection. , or integrally connected; it can be a mechanical connection or an electrical connection; it can be a direct connection or an indirect connection through an intermediate medium; it can be an internal connection between two components.
  • the specific meanings of the above terms in the present invention can be understood according to specific circumstances.
  • the particle implantation machine includes a particle implantation device
  • Puncture needle is connected to the particle implanter through a first flexible delivery catheter;
  • the puncture needle is positioned on an automatic needle withdrawal device or the puncture needle is connected to an automatic needle withdrawal device.
  • the automatic needle withdrawal device is installed near the body of the surgical patient. After the doctor or robot completes the particle implantation, the automatic needle withdrawal device is used.
  • the puncture needle is pulled out to a specified depth, and the particles are implanted at the specified location so that the particles are evenly distributed within the tumor to achieve a better effect of killing the tumor.
  • the particle implantation device includes a particle box for storing radioactive particles, a flexible particle push rod for pushing the radioactive particles, and a particle push driving mechanism for driving the flexible particle push rod to push the radioactive particles along the first flexible delivery conduit.
  • the puncture needle has a through-pipe structure. When used, it needs to be punctured to the target location in the tumor according to the preoperative surgical plan. Under the action of the flexible particle push rod, the particles are output from the tip of the puncture needle and implanted into the tumor. internal.
  • the first flexible delivery conduit is a bendable flexible pipe.
  • the length of the first flexible delivery conduit exceeds 500mm.
  • the specific material is plastic, rubber, silicone and other flexible materials, preferably polytetrafluoroethylene, nylon, polyethylene, One or more combinations of polyvinyl chloride.
  • the flexible particle push rod is a flexible filament that can be bent.
  • the length of the flexible particle push rod exceeds 500mm. It is preferred that the flexible particle push rod has a certain elasticity and will return to a straight state when the external force is removed.
  • the specific material is nickel titanium.
  • the automatic needle extraction device is a multi-channel needle extraction device, as shown in Figures 1 and 2.
  • the multi-channel needle extraction device includes: used to guide the insertion of multiple puncture needles and to be able to adjust any one of the puncture needles.
  • the needle extraction module 21 determines the needle insertion depth and the driving module 24 for driving the action of the needle extraction module 21 .
  • the needle extraction module includes a guide template and a needle clamping mechanism installed on the guide template; the needle clamping mechanism includes a plurality of clamping parts, which are driven by a clamping drive mechanism and can form several clamping parts.
  • the guide template is provided with a guide portion corresponding to the clamping position for guiding the puncture needle to pass through.
  • the needle extraction module 21 includes a needle clamping mechanism for guiding and clamping the puncture needle and a lifting mechanism for driving the needle clamping mechanism to move up and down.
  • a needle clamping mechanism for guiding and clamping the puncture needle
  • a lifting mechanism for driving the needle clamping mechanism to move up and down.
  • the needle clamping mechanism includes an upper guide plate 2102, a lower guide plate 2103, a first clamping driving mechanism, a second clamping driving mechanism, a first clamping member 2113 and a second clamping mechanism.
  • the upper guide plate 2102 and the lower guide plate 2103 are fixedly connected up and down.
  • a plurality of first clamping parts 2113 and a plurality of second clamping parts 2115 are arranged between the upper guide plate 2102 and the lower guide plate 2103.
  • One clamping member 2113 is arranged longitudinally and can move reciprocally longitudinally.
  • a plurality of second clamping members 2115 is arranged transversely and can move reciprocally laterally.
  • the plurality of first clamping members 2113 and the plurality of second clamping members 2115 are crisscrossed. It is set that the first clamping part 2113 is provided with a plurality of first clamping parts, the second clamping part 2115 is provided with a plurality of second clamping parts, and one first clamping part cooperates with one second clamping part.
  • the first clamping driving mechanism drives the first clamping member 2113 to move longitudinally
  • the second clamping driving mechanism drives the second clamping member 2115 to move laterally, thereby moving each first clamping member 2113 and the second clamping member 2115 to move horizontally.
  • the clamping member 2115 can be moved to different positions to form multiple clamping positions for clamping puncture needles.
  • first clamping member 2113 and the second clamping member 2115 are stacked and staggered up and down, and the first protruding portion 21131 and the second protruding portion 21151 extend upward or downward respectively to increase the clamping mating surface of the two. .
  • the above-mentioned inclined surface for clamping fit refers to an inclined surface forming an angle of 45° ⁇ 5° with the longitudinal direction or transverse direction.
  • a layer of elastic material is fixed on the clamping matching slopes of the first protruding part 21131 and the second protruding part 21151, so as to more firmly clamp the needle tube of the puncture needle.
  • the clamping portion is a separate component provided on the clamping member, such as a clamping jaw.
  • first clamping block 2138 and the second clamping block 2139 reciprocate along the chute 21031 in the same direction as the longitudinal or transverse movement of the first clamping member 2113 and the second clamping member 2115.
  • the angle is 45° ⁇ 5°. In this way, the clamping piece drives the clamping block to move faster, and the clamping force is larger and more stable.
  • the clamping detection sensor includes a rotary encoder or a displacement sensor on the power source that drives the clamping drive mechanism.
  • the second clamping driving mechanism includes a The second driving member 2107 that pushes and/or pulls the second clamping member 2115 to move laterally and the second driving member transmission structure used to drive the second driving member 2107 to move longitudinally, the second driving member 2107 can respectively push the second driving member 2107 when moving longitudinally. Push and/or pull one of the plurality of second clamps 2115.
  • the second pulley is circumferentially fixed and axially unfixed.
  • the way is sleeved on the second clamping drive shaft 2106, so that the pulley and the clamping drive shaft can transmit power and the pulley can move up and down on the clamping drive shaft.
  • the clamping part or/and the clamping driving mechanism or/and the clamping power source are provided with an elastic buffer structure to prevent the puncture needle from being squeezed and deformed by the clamping.
  • an elastic portion is provided on one side of the first driving member or the second driving member for exerting pressure on the first driving member or the second driving member and providing a rebound space to avoid the first driving member or the second driving member.
  • the second driving part is stuck to prevent the puncture needle from being squeezed and deformed.
  • the first driving member or the second driving member itself has an elastic structure.
  • the clamping part itself has an elastic structure.
  • the lifting power source of the lifting mechanism is one or a combination of a motor, an electromagnet, a cylinder, a hydraulic cylinder, a pneumatic motor, and a hydraulic motor.
  • the lifting mechanism adopts a screw nut transmission structure, a synchronous belt transmission structure, a rope drive structure or a gear and rack transmission structure. This embodiment is preferred.
  • the lifting mechanism adopts a screw-driven lifting structure, including a number of guide rods and a number of lifting screws 2114 arranged between the first installation plate 2101 and the second installation plate 2104.
  • the rod is covered with a guide sleeve, and the lifting screw 2114 is threaded with a screw nut.
  • the guide sleeve and screw nut are installed on the upper guide plate 2102 and/or the lower guide plate 2103.
  • the lifting motor 2402 and the lifting screw 2114 drive The connection drives the screw nut and needle clamp mechanism to move up and down.
  • a plurality of lifting screws 2114 are provided, and the plurality of lifting screws 2114 are connected for synchronous movement through a lifting belt transmission group 2124.
  • the lifting screws 2114 pass through a lifting belt transmission group 2124, a lifting gear group 2123,
  • the lifting input shaft 2122 is transmission connected with the lifting motor 2402.
  • the guide rod function is realized by the first clamping transmission shaft 2109 and the second clamping transmission shaft 2106 (the two axes are hexagonal transmission guide shafts), and the guide bush function is implemented by a sleeve set on the clamping transmission shaft.
  • the bevel gear or pulley can move up and down.
  • the lifting mechanism adopts a rope drive mechanism.
  • One or more cables or elastic wires are installed in the casing and can be pulled relative to the casing.
  • One end of the casing is clamped on the upper guide plate or the lower guide plate.
  • the lifting mechanism adopts a rope drive mechanism.
  • the cable or elastic wire extends downward perpendicular to the direction of the upper and lower guide plates to connect with the needle clamping mechanism, and realizes the up and down movement of the needle clamping mechanism through the pulling of the pulling cable; or at least three points of the needle clamping mechanism can be realized through a single pulling cable
  • the position is pulled up and down synchronously; the cable rotates through the guide and shuttles between the upper and lower guide plates.
  • the shuttle path includes several cable segments perpendicular to the upper and lower guide plates.
  • the needle clamp mechanism is connected and fixed with these cable segments. When the cable is pulled, these cable segments perpendicular to the upper and lower guide plates will pull the needle clamp mechanism to move up and down; or the lifting mechanism uses at least three screw nut pairs, and the needle clamp mechanism is provided with at least three screw nuts.
  • Each screw nut is equipped with a screw rod, and multiple screw rods are arranged in parallel and vertical directions.
  • Each screw rod is driven to rotate synchronously through a synchronous transmission mechanism, thereby controlling the up and down movement of the needle clamp mechanism.
  • a first clamping member 2113 and a second clamping member 2115 in the needle clamping mechanism move and cooperate to clamp a puncture needle
  • the lifting mechanism drives the needle clamping mechanism to rise and fall to achieve depth adjustment of the puncture needle.
  • the needle plate 2125 can be moved through the adjusting member 2133, so that the through holes on the needle plate 2125 and the corresponding through holes on the friction plate 2127 are misaligned, so that the friction plate 2127 resists the puncture needle 20 and generates frictional resistance to prevent the puncture needle.
  • the elastic strip 2134 can urge the needle plate 2125 to return, thereby causing the friction plate 2127 to release the puncture needle 20 .
  • the friction plate 2127 is made of a material that can generate sufficient friction, preferably polyurethane, silica gel, rubber, latex, etc.;
  • the elastic strip 2134 is made of an elastic material, preferably silica gel, rubber, latex, Polyurethane and other materials.
  • a partition 2126 is provided between the needle plate 2125 and the friction plate 2127.
  • the partition 2126 is made of a material with a smooth surface to reduce the friction between the needle plate 2125 and the friction plate 2127. , to prevent the friction plate from sticking to the jammed needle plate and making it impossible to push and adjust, and to ensure that the movement and reset of the jammed needle plate 2125 is reliable.
  • the separator 2126 is a PTFE plate. In other embodiments, if the surface of the friction plate 2127 is smooth enough, the partition 2126 may not be provided.
  • the adjusting member 2133 is used to resist the needle plate 2125, so that the puncture needle 20 and the friction plate 2127 generate sufficient friction to prevent the puncture needle 20 from rebounding.
  • the adjusting member 2133 thumb screw is loosened, the needle plate 2125 is bounced back to the original position, thereby making the puncture needle 20 loose.
  • the above-mentioned needle clamping mechanism can also be directly replaced by a friction plate with a smaller hole diameter (the friction plate is made of a material with a certain elasticity, such as polyurethane, TPU, silicone, rubber, latex, elastomer materials, etc.).
  • the semi-clamping state is achieved by tightly fitting the puncture needle with the hole.
  • the preferred solution for the needle clamping mechanism is to achieve clamping through the shearing action of the two plates. At this time, the strength of the clamping needle can be adjusted at any time, and the needle clamping mechanism can be adjusted to be stable when drilling or puncturing dangerous areas. Tightened state.
  • the driving module 24 includes a lifting motor 2402 used to provide power to the lifting mechanism, a first clamping motor 2403 used to provide power to the first clamping driving mechanism, and a first clamping motor 2403 used to provide power to the second clamping mechanism.
  • the drive mechanism powers the second clamping motor 2404.
  • a casing is provided between the driving module 24 and the needle pulling module 21, and a pull rope or elastic wire or hydraulic oil is provided in the casing.
  • the driving module 24 can drive the pull rope or elastic wire or hydraulic oil provided in the casing to move forward and backward relative to the casing to realize the transmission of power. Since the distance between the needle pulling module 21 and the driving module 24 is far, mutual contamination is not easy to occur. , therefore the pin extraction module 21 and the driving module 24 can no longer be isolated from the isolation film 23 by the connection module 22 .
  • the length of the sleeve is greater than 500mm, and electrical signals are transmitted through cables or elastic wires or metal pull ropes.
  • the first clamping input shaft 2121 and the second clamping input shaft 2119 are respectively connected to the first clamping motor 2403 and the second clamping motor 2404 through the two intermediate transmission shafts.
  • the lifting input shaft 2122 is connected to the lifting motor 2402 through an intermediate transmission shaft, thereby realizing isolation transmission and the lifting of the needle clamping mechanism.
  • the electrical connector 2120 on the pin extraction module 21 is connected to the control board on the drive module 24 through this electrical connector.
  • the present invention creatively proposes a new automated and unmanned implementation method.
  • an automatic particle implantation machine and an automatic needle removal device By setting up an automatic particle implantation machine and an automatic needle removal device independently, the two are connected through a flexible hose.
  • the doctor first removes the needle.
  • the puncture is completed under the guidance of the needle device (similar to the currently commonly used clinical puncture guide template), and then the doctor connects the hose to the tail of the puncture needle, and the other end of the hose is connected to the particle implanter.
  • the particle implanter can be selected Different channels are used to push the particles forward along different channels, and then along the hose and puncture needle to reach the inside of the tumor.
  • the automatic needle withdrawal device pulls out the puncture needle for a certain distance, then implants it again, pulls it out again, and cycles it for many times. It implants the particles at the designated position so that the radioactive particles are evenly distributed within the tumor to achieve better tumor killing. Effect.
  • the entire surgical process can be completely unmanned to avoid radiation damage to doctors caused by radioactive particles.

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Abstract

Disclosed are a particle implantation system and a multi-channel needle-removing apparatus thereof. The multi-channel needle-removing apparatus comprises a needle-removing module used for guiding a puncture needle to be inserted and adjusting an insertion depth of the puncture needle, and a driving module used for driving the needle-removing module to act. In the present solution, the needle-removing module and the driving module thereof are arranged on the basis of a puncture template in the prior art to implement guided puncture and automatic removal of the puncture needle, and the needle-removing action is reliable and safe. Compared with the prior art, radiation damage caused by manual operation by a doctor is avoided, and the problems of the high difficulty and high risk of needle removal and positioning by a robot are also solved.

Description

粒子植入系统及其多通道拔针装置Particle implantation system and its multi-channel needle extraction device 技术领域Technical field

本发明属于医疗器械技术领域,尤其是涉及在放射性粒子植入手术中使用的粒子植入系统及其多通道拔针装置。The invention belongs to the technical field of medical devices, and in particular relates to a particle implantation system and its multi-channel needle extraction device used in radioactive particle implantation operations.

背景技术Background technique

近距离放射治疗,是指用一个或多个辐射源在患者腔内、组织间或表浅部位进行的放射治疗。Brachytherapy refers to radiation therapy that uses one or more radiation sources in the patient's cavity, between tissues, or in superficial areas.

放射性粒子植入术,主要是指将同位素放射源直接植入肿瘤区域进行治疗的技术,属于放射治疗的一种。目前该技术手段主要是利用现代影像学技术(CT、超声等),将具有放射性核素通过插植的方式放置到肿瘤靶体内或肿瘤周围,通过放射性核素持续释放射线对肿瘤细胞进行杀伤,植入的粒子通常是碘 125 粒子,碘 125 粒子半衰期为 59.6 天、人体内辐射半径不到 1.7 厘米,安全且极易防护,粒子释放的 γ 射线持续 180 天有效照射肿瘤细胞,具有靶区肿瘤高剂量分布以杀伤肿瘤细胞,而周围正常组织接受微量辐射,不造成损伤或仅有微小损伤的特性,本质上就是一种精确放疗手段。Radioactive seed implantation mainly refers to the technology of directly implanting isotope radioactive sources into tumor areas for treatment. It is a type of radiotherapy. At present, this technical method mainly uses modern imaging technology (CT, ultrasound, etc.) to place radioactive nuclide into the tumor target body or around the tumor through implantation, and kills the tumor cells through the continuous release of radionuclide rays. The implanted particles are usually iodine 125 particles. The half-life of iodine 125 particles is 59.6 days, and the radiation radius in the human body is less than 1.7 cm. They are safe and easy to protect. The gamma rays released by the particles can effectively irradiate tumor cells for 180 days, and have the ability to target tumors. High-dose distribution is used to kill tumor cells, while surrounding normal tissues receive trace amounts of radiation, causing no damage or only minor damage. This is essentially a precise radiotherapy method.

超声和 CT 等影像学技术的进展及计算机放射治疗计划系统(TPS,或称为三维治疗计划系统)的出现,解决了植入的准确性的问题,使放射性粒子近距离治疗肿瘤的技术飞速发展;现有技术中,放射性粒子植入手术的基本流程是:首先,在影像设备(如 B 超和 CT等)引导下定位、确定植入通道;然后,通过放射治疗计划系统(TPS)制定粒子植入的治疗方案,主要是根据患者肿瘤靶区的位置、大小,确定需要植入的粒子数量、位置以及穿刺角度(或称为进针方位),并计算出肿瘤靶区的有效等剂量分布;最后,通过手术或在影像设备的引导下,按治疗方案中所确定的进针位置和角度,将很多根穿刺针经皮穿刺插到肿瘤内部预定的位置处,这个过程可以借助穿刺引导模板完成,从而保证各个针之间的间距和方向与术前规划保持一致,通过 CT 确认所有穿刺针均到达目标位置之后,医生再通过穿刺针建立的通道,将各粒子按术前规划推入到肿瘤内部,达到精确植入、治疗的目的,完成全部放射性粒子植入后,从患者身体上拔出穿刺针,完成手术。这种手术适应症很广,包括肺癌、肝癌、乳腺癌、前列腺癌等,而且其创口小、出血少,手术并发症相对较少,但却可以有效的抑制肿瘤的生长,其独特的治疗效果,在国内外已经得到有效验证。但在实际治疗过程中,根据患者肿瘤靶区的位置、大小等因素所制定出的治疗方案中,所需植入的粒子通常为多个,多者可达数百粒,且各粒子通常需要被植入到肿瘤靶区的不同位置处,且植入各粒子时的穿刺角度也存在差异,导致在实际穿刺植入粒子的过程非常耗时,而且医生在植入过程中需与放射性粒子近距离接触,受到极大的辐射伤害,这极大地限制了这类手术的应用与推广。因此,使用自动化的医疗器械代替医生在辐射环境下完成手术成为必然趋势。The advancement of imaging technologies such as ultrasound and CT and the emergence of computer radiation therapy planning systems (TPS, also known as three-dimensional treatment planning systems) have solved the problem of implant accuracy and enabled the rapid development of radioactive particle short-range tumor treatment technology. ; In the existing technology, the basic process of radioactive seed implantation surgery is: first, position and determine the implantation channel under the guidance of imaging equipment (such as B-ultrasound and CT, etc.); then, formulate the particle implantation channel through the radiation therapy planning system (TPS) The implanted treatment plan is mainly based on the location and size of the patient's tumor target area, determining the number, location, and puncture angle (or needle insertion direction) of particles to be implanted, and calculating the effective isodose distribution of the tumor target area. ; Finally, through surgery or under the guidance of imaging equipment, many puncture needles are percutaneously inserted into the predetermined position inside the tumor according to the needle insertion position and angle determined in the treatment plan. This process can be done with the help of a puncture guidance template. Complete to ensure that the spacing and direction between the needles are consistent with the preoperative plan. After confirming through CT that all puncture needles have reached the target position, the doctor will push each particle into the target location according to the preoperative plan through the channel established by the puncture needle. Inside the tumor, precise implantation and treatment are achieved. After all radioactive seeds are implanted, the puncture needle is pulled out from the patient's body to complete the operation. This type of surgery has a wide range of indications, including lung cancer, liver cancer, breast cancer, prostate cancer, etc. It has small incisions, less bleeding, and relatively few surgical complications, but it can effectively inhibit the growth of tumors and has unique therapeutic effects. , has been effectively verified at home and abroad. However, in the actual treatment process, in the treatment plan formulated based on factors such as the location and size of the patient's tumor target area, the number of particles that need to be implanted is usually multiple, and the number can reach hundreds of particles, and each particle usually requires They are implanted at different positions in the tumor target area, and the puncture angles when implanting each particle are also different, which makes the actual puncture and implantation process very time-consuming, and the doctor needs to be close to the radioactive particles during the implantation process. Long-distance contact will cause great radiation damage, which greatly limits the application and promotion of this type of surgery. Therefore, it has become an inevitable trend to use automated medical equipment to replace doctors in performing operations in a radiation environment.

现有技术中,在实施放射性粒子置入手术时,医生往往都是借助于穿刺模板来限定穿刺针的走向,以避免在穿刺过程中出现穿刺偏差,从而不能将放射性粒子精准的置入肿瘤内部。如公开号为 CN208877700U、CN113244518B、CN209951352U、CN108904966A 等专利文献公开的穿刺模板,一般都需要医生手动操作进行粒子植入和拔出穿刺针,会对医生造成辐射伤害。现有技术中也有采用机器人进行自动拔针的,但大都存在移动定位精度要求高、难度大的问题,容易给患者造成危险伤害。In the existing technology, when performing radioactive particle implantation surgery, doctors often use puncture templates to limit the direction of the puncture needle to avoid puncture deviations during the puncture process, and thus cannot accurately insert radioactive particles into the tumor. . For example, puncture templates disclosed in patent documents such as CN208877700U, CN113244518B, CN209951352U, and CN108904966A generally require a doctor to manually implant particles and pull out the puncture needle, which will cause radiation damage to the doctor. In the existing technology, robots are also used to automatically pull out needles, but most of them have problems such as high mobile positioning accuracy and difficulty, which can easily cause dangerous injuries to patients.

发明内容Contents of the invention

为了解决上述的技术问题,本发明的目的是提供一种粒子植入系统及其多通道拔针装置,在现有技术穿刺模板的基础上设置拔针模块及其驱动模块,以实现穿刺针的引导穿刺和自动拔针,拔针动作可靠安全。In order to solve the above technical problems, the purpose of the present invention is to provide a particle implantation system and its multi-channel needle extraction device. A needle extraction module and its driving module are provided on the basis of the prior art puncture template to realize the puncture needle. Guided puncture and automatic needle withdrawal, the needle withdrawal action is reliable and safe.

    为了达到上述的目的,本发明采用了以下的技术方案:In order to achieve the above objectives, the present invention adopts the following technical solutions:

    用于粒子植入系统的多通道拔针装置,包括:Multi-channel needle extraction device for particle implantation system, including:

  一拔针模块,用于引导多根穿刺针插入并可选择性地对其中一个穿刺针调整插入深度;A needle withdrawal module used to guide the insertion of multiple puncture needles and selectively adjust the insertion depth of one of the puncture needles;

  一驱动模块,用于驱动拔针模块动作。A driving module, used to drive the action of the pin pulling module.

    作为优选,拔针模块包括引导模板以及安装在引导模板上的夹针机构;夹针机构包括多个夹持件,夹持件由夹持驱动机构驱动运动并能够形成若干个用于夹持穿刺针的夹持位置,引导模板上设有与所述夹持位置相对应的用于引导穿刺针穿过的引导部。引导部是通孔、通槽、滑槽、导向杆、导向块的一种或多种组合;多个引导部阵列分布在引导模板上,且多个引导部的引导方向相互平行,均垂直于引导模板;引导部的宽度或直径的间距与穿刺针的外径相适配,引导部与穿刺针间隙配合,所述穿刺针的外径为 0.8-1.8mm。Preferably, the needle extraction module includes a guide template and a needle clamping mechanism installed on the guide template; the needle clamping mechanism includes a plurality of clamping parts, the clamping parts are driven and moved by the clamping driving mechanism and can form several clamping parts for clamping and puncturing. The guide template is provided with a guide portion corresponding to the clamping position of the needle for guiding the puncture needle through. The guide part is one or more combinations of through holes, through grooves, chutes, guide rods, and guide blocks; an array of multiple guide parts is distributed on the guide template, and the guiding directions of the multiple guide parts are parallel to each other and perpendicular to Guide template; the width or diameter spacing of the guide part matches the outer diameter of the puncture needle, and the guide part and the puncture needle have a gap fit, and the outer diameter of the puncture needle is 0.8-1.8 mm.

    作为优选,所述夹持件包括第一夹持件和第二夹持件,所述夹持驱动机构包括第一夹持驱动机构和第二夹持驱动机构,第一夹持件呈横向设置并由第一夹持驱动机构驱动进行纵向移动,第二夹持件呈纵向设置并由第二夹持驱动机构驱动进行横向移动,多个第一夹持件和多个第二夹持件纵横交错设置,第一夹持件上设有多个第一夹持部,第二夹持件上设有多个第二夹持部,一个第一夹持部和一个第二夹持部配合夹持穿刺针,从而通过移动各个第一夹持件和第二夹持件到不同的位置能够组合出多个用于夹持穿刺针的夹持位置。Preferably, the clamping member includes a first clamping member and a second clamping member, the clamping driving mechanism includes a first clamping driving mechanism and a second clamping driving mechanism, and the first clamping member is arranged transversely And driven by the first clamping driving mechanism to move longitudinally, the second clamping parts are arranged longitudinally and driven by the second clamping driving mechanism to move transversely, the plurality of first clamping parts and the plurality of second clamping parts are arranged vertically and horizontally Arranged in a staggered manner, the first clamping part is provided with a plurality of first clamping parts, the second clamping part is provided with a plurality of second clamping parts, a first clamping part and a second clamping part cooperate with the clamp Holding the puncture needle, a plurality of clamping positions for holding the puncture needle can be combined by moving each of the first clamping part and the second clamping part to different positions.

作为优选,所述第一夹持部是设置在第一夹持件上的凸出部或凹槽,所述第二夹持部是设置在第二夹持件上的凸出部或凹槽,第一夹持部和第二夹持部呈斜面配合夹持穿刺针的针管。Preferably, the first clamping part is a protrusion or a groove provided on the first clamping member, and the second clamping part is a protrusion or groove provided on the second clamping member. , the first clamping part and the second clamping part are inclined to clamp the needle tube of the puncture needle.

作为优选,所述第一夹持驱动机构包括用于顶推和/或拉动第一夹持件纵向移动的第一驱动件和用于带动第一驱动件横向移动的第一驱动件传动结构,第一驱动件横向移动时能够分别顶推和/或拉动多个第一夹持件中的一个;所述第二夹持驱动机构包括用于顶推和/或拉动第二夹持件横向移动的第二驱动件和用于带动第二驱动件纵向移动的第二驱动件传动结构,第二驱动件纵向移动时能够分别顶推和/或拉动多个第二夹持件中的一个;所述第一驱动件传动结构和第二驱动件传动结构为带传动机构、绳驱动机构、链条传动机构、丝杆传动机构、液压驱动机构或齿轮齿条机构。Preferably, the first clamping driving mechanism includes a first driving member for pushing and/or pulling the first clamping member to move longitudinally and a first driving member transmission structure for driving the first driving member to move transversely, When the first driving member moves laterally, it can push and/or pull one of the plurality of first clamping members respectively; the second clamping driving mechanism includes a device for pushing and/or pulling the second clamping member to move laterally. A second driving member and a second driving member transmission structure for driving the second driving member to move longitudinally. When the second driving member moves longitudinally, it can push and/or pull one of the plurality of second clamping members respectively; The first driving member transmission structure and the second driving member transmission structure are a belt transmission mechanism, a rope driving mechanism, a chain transmission mechanism, a screw transmission mechanism, a hydraulic driving mechanism or a rack and pinion mechanism.

作为优选,第一夹持驱动机构包括转动设置在引导模板上的第一凸轮轴,第一凸轮轴上设置用于分别顶推和/或拉动多个第一夹持件纵向移动的多个第一凸轮;第二夹持驱动机构包括转动设置在引导模板上的第二凸轮轴,第二凸轮轴上设置用于分别顶推和/或拉动多个第二夹持件横向移动的多个第二凸轮。Preferably, the first clamping drive mechanism includes a first camshaft rotatably provided on the guide template, and a plurality of first camshafts are provided on the first camshaft for respectively pushing and/or pulling the plurality of first clamping members to move longitudinally. a cam; the second clamping drive mechanism includes a second camshaft rotatably provided on the guide template, and a plurality of second camshafts are provided on the second camshaft for respectively pushing and/or pulling a plurality of second clamping members to move laterally. Two cams.

作为优选,所述第一夹持驱动机构包括通过凸轮轴轴承座转动设置在引导模板上的第一凸轮轴,第一凸轮轴上设置用于分别顶推或顶拉多个第一夹持件纵向移动的多个第一凸轮;所述第二夹持驱动机构包括通过凸轮轴轴承座转动设置在引导模板上的第二凸轮轴,第二凸轮轴上设置用于分别顶推或顶拉多个第二夹持件横向移动的多个第二凸轮;其中,凸轮轴或/和凸轮轴轴承座的一侧设有弹性部或凸轮本身为弹性结构,用于为夹持件施加压力并提供回弹空间,以避免凸轮卡死将穿刺针挤压变形。Preferably, the first clamping drive mechanism includes a first camshaft that is rotated on the guide template through a camshaft bearing seat, and the first camshaft is configured to push or pull a plurality of first clamping parts respectively. A plurality of first cams that move longitudinally; the second clamping drive mechanism includes a second camshaft that is rotated by a camshaft bearing seat and is provided on the guide template. The second camshaft is provided for pushing or pulling multiple cams respectively. A plurality of second cams that move laterally on a second clamping member; wherein an elastic portion is provided on one side of the camshaft or/and the camshaft bearing seat or the cam itself is an elastic structure for exerting pressure on the clamping member and providing Rebound space to prevent the cam from getting stuck and squeezing and deforming the puncture needle.

作为优选,还包括用于检测夹持件或驱动模块的动作位置的夹持检测传感器;所述夹持检测传感器为旋转编码器、位移传感器、行程开关、接近开关、光电传感器或霍尔开关的一种或多种组合。Preferably, it also includes a clamping detection sensor for detecting the action position of the clamping member or the driving module; the clamping detection sensor is a rotary encoder, a displacement sensor, a travel switch, a proximity switch, a photoelectric sensor or a Hall switch. One or more combinations.

作为优选,所述拔针模块还包括用于驱动夹针机构上下升降的升降机构;所述升降机构采用丝杆螺母传动结构、同步带传动结构、绳驱动结构或齿轮齿条传动结构。Preferably, the needle extraction module further includes a lifting mechanism for driving the needle clamping mechanism up and down; the lifting mechanism adopts a screw nut transmission structure, a synchronous belt transmission structure, a rope drive structure or a gear and rack transmission structure.

作为优选,所述升降机构设置在位于夹针机构上下两侧的上下安装板之间,升降机构采用绳驱动机构,通过单个拉索实现至少 3 个点位的同步拉动升降;或者升降机构设置在位于夹针机构上下两侧的上下安装板之间,升降机构采用至少三个丝杆螺母副,夹针机构上设有至少三个丝杆螺母,多个丝杆平行且竖直方向布置,通过同步传动机构驱动多个丝杠同步转动,从而控制夹针机构上下升降;或者,所述升降机构设置在夹针机构的左侧或右侧或左右两侧的立柱上,立柱上设有直线导轨或直线滑槽,夹针机构与直线导轨或直线滑槽上的滑块相连,升降机构驱动滑块进行升降运动。所述同步传动机构为带传动、链传动、齿轮传动机构等。Preferably, the lifting mechanism is arranged between the upper and lower mounting plates located on the upper and lower sides of the needle clamp mechanism. The lifting mechanism adopts a rope drive mechanism to achieve synchronous pulling and lifting of at least 3 points through a single cable; or the lifting mechanism is arranged on Located between the upper and lower mounting plates on the upper and lower sides of the needle clamping mechanism, the lifting mechanism uses at least three screw nut pairs. The needle clamping mechanism is provided with at least three screw nuts. Multiple screws are arranged in parallel and vertical directions. The synchronous transmission mechanism drives multiple screws to rotate synchronously, thereby controlling the needle clamping mechanism to rise and fall; alternatively, the lifting mechanism is arranged on the left or right side of the needle clamping mechanism, or on the columns on the left and right sides, and linear guide rails are provided on the columns. Or linear chute, the pin clamping mechanism is connected to the slide block on the linear guide rail or linear chute, and the lifting mechanism drives the slide block to perform lifting movement. The synchronous transmission mechanism is a belt transmission, chain transmission, gear transmission mechanism, etc.

或者,升降机构采用绳驱动机构,通过单个拉索实现对夹针机构的至少三个点位的同步拉动升降。Alternatively, the lifting mechanism adopts a rope drive mechanism, and a single pulling cable is used to achieve synchronous pulling and lifting of at least three points of the needle clamping mechanism.

作为优选,所述拔针模块还包括用于在调整穿刺针插入深度后阻止其回弹的卡针机构。Preferably, the needle extraction module further includes a needle clamping mechanism for preventing the puncture needle from rebounding after adjusting its insertion depth.

一种粒子植入系统,包括如上所述的一种用于粒子植入系统的多通道拔针装置。A particle implantation system includes a multi-channel needle extraction device for the particle implantation system as described above.

有益效果beneficial effects

本发明由于采用了以上的技术方案,在现有技术穿刺模板的基础上设置拔针模块及其驱动模块,实现了穿刺针的引导穿刺和自动拔针,拔针动作可靠安全,相对于现有技术来说,避免了医生手动操作造成辐射伤害,也克服了机器人拔针定位难度大风险高的问题。The present invention adopts the above technical solution and sets the needle extraction module and its driving module on the basis of the prior art puncture template, thereby realizing the guided puncture and automatic needle extraction of the puncture needle. The needle extraction action is reliable and safe, compared with the existing technology. Technically speaking, it avoids radiation damage caused by manual operation by doctors, and also overcomes the difficulty and high risk of robot needle removal and positioning.

附图说明Description of the drawings

构成本申请的一部分的说明书附图用来提供对本申请的进一步理解,本申请的示意性实施例及其说明用于解释本申请,并不构成对本申请的限定。The description and drawings that constitute a part of this application are used to provide a further understanding of this application. The illustrative embodiments and descriptions of this application are used to explain this application and do not constitute a limitation of this application.

图 1 为本发明多通道拔针装置的模块爆炸图;Figure 1 is an exploded view of the module of the multi-channel needle extraction device of the present invention;

图 2 为本发明多通道拔针装置的局部爆炸图;Figure 2 is a partial exploded view of the multi-channel needle extraction device of the present invention;

图 3 为本发明多通道拔针装置中夹针机构的结构示意图;Figure 3 is a schematic structural diagram of the needle clamping mechanism in the multi-channel needle extraction device of the present invention;

图 4 为本发明多通道拔针装置的夹针结构示意图之一(俯视);Figure 4 is one of the schematic structural diagrams of the needle clamping device of the multi-channel needle extraction device of the present invention (top view);

图 5 为本发明多通道拔针装置的夹针结构示意图之二(仰视);Figure 5 is the second structural schematic diagram of the needle clamping device of the multi-channel needle extraction device of the present invention (viewed from below);

图 6 为本发明多通道拔针装置中卡针机构的结构示意图;Figure 6 is a schematic structural diagram of the needle clamping mechanism in the multi-channel needle extraction device of the present invention;

图 7 为本发明多通道拔针装置中夹针机构的另一实施方式的结构示意图。Figure 7 is a schematic structural diagram of another embodiment of the needle clamping mechanism in the multi-channel needle extraction device of the present invention.

具体实施方式Detailed ways

下面结合附图与实施例对本发明作进一步说明。The present invention will be further described below in conjunction with the accompanying drawings and examples.

应该指出,以下详细说明都是例示性的,旨在对本申请提供进一步的说明。除非另有指明,本文使用的所有技术和科学术语具有与本申请所属技术领域的普通技术人员通常理解的相同含义。It should be noted that the following detailed description is illustrative and is intended to provide further explanation of the present application. Unless otherwise defined, all technical and scientific terms used herein have the same meanings commonly understood by one of ordinary skill in the art to which this application belongs.

下面详细描述本发明的实施例,所述实施例的示例在附图中示出,其中自始至终相同或类似的标号表示相同或类似的元件或具有相同或类似功能的元件。下面通过参考附图描述的实施例是示例性的,旨在用于解释本发明,而不能理解为对本发明的限制。Embodiments of the present invention are described in detail below, examples of which are illustrated in the accompanying drawings, wherein the same or similar reference numerals throughout represent the same or similar elements or elements with the same or similar functions. The embodiments described below with reference to the drawings are exemplary and are intended to explain the present invention and are not to be construed as limiting the present invention.

在本发明的描述中,除非上下文另有明确指出,否则单数形式也意图包括复数形式,此外,还应当理解的是,当在本说明书中使用术语“包含”和/或“包括”时,其指明存在特征、步骤、操作、器件、组件和/或它们的组合。In the description of the present invention, the singular forms are also intended to include the plural forms unless the context clearly dictates otherwise. Furthermore, it will be understood that when the terms "comprises" and/or "includes" are used in this specification, they Indicate the presence of features, steps, operations, devices, components and/or combinations thereof.

在本发明的描述中,需要理解的是,术语“中心”、“纵向”、“横向”、“长度”、“宽度”、“厚度”、“上”、“下”、“前”、“后”、“左”、“右”、“竖直”、“水平”、“顶”、“底”“内”、“顺时针”、“逆时针”等指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述本发明和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本发明的限制。In the description of the present invention, it should be understood that the terms "center", "longitudinal", "transverse", "length", "width", "thickness", "upper", "lower", "front", " The directions or positional relationships indicated by "back", "left", "right", "vertical", "horizontal", "top", "bottom", "inside", "clockwise", "counterclockwise" etc. are based on the attached The orientations or positional relationships shown in the figures are only for the convenience of describing the present invention and simplifying the description, and do not indicate or imply that the devices or elements referred to must have specific orientations, be constructed and operated in specific orientations, and therefore cannot be understood as limiting the present invention. Limitations of Invention.

此外,术语“第一”、“第二”仅用于描述目的,而不能理解为指示或暗示相对重要性或者隐含指明所指示的技术特征的数量。由此,限定有“第一”、“第二”的特征可以明示或者隐含地包括一个或者更多个该特征。在本发明的描述中,除非另有说明,“多个”的含义是两个或两个以上,除非另有明确的限定。In addition, the terms “first” and “second” are used for descriptive purposes only and cannot be understood as indicating or implying relative importance or implicitly indicating the quantity of indicated technical features. Therefore, features defined as "first" and "second" may explicitly or implicitly include one or more of these features. In the description of the present invention, unless otherwise stated, the meaning of "plurality" is two or more than two, unless otherwise clearly defined.

在本发明中,除非另有明确的规定和限定,术语“安装”、“相连”、“连接”、“固定”等术语应做广义理解,例如,可以是固定连接,也可以是可拆卸连接,或一体地连接;可以是机械连接,也可以是电连接;可以是直接相连,也可以通过中间媒介间接相连,可以是两个元件内部的连通。对于本领域的普通技术人员而言,可以根据具体情况理解上述术语在本发明中的具体含义。In the present invention, unless otherwise clearly stated and limited, the terms "installation", "connection", "connection", "fixing" and other terms should be understood in a broad sense. For example, it can be a fixed connection or a detachable connection. , or integrally connected; it can be a mechanical connection or an electrical connection; it can be a direct connection or an indirect connection through an intermediate medium; it can be an internal connection between two components. For those of ordinary skill in the art, the specific meanings of the above terms in the present invention can be understood according to specific circumstances.

在本发明中,除非另有明确的规定和限定,第一特征在第二特征之“上”或之“下”可以包括第一和第二特征直接接触,也可以包括第一和第二特征不是直接接触而是通过它们之间的另外的特征接触。而且,第一特征在第二特征“之上”、“上方”和“上面”包括第一特征在第二特征正上方和斜上方,或仅仅表示第一特征水平高度高于第二特征。第一特征在第二特征“之下”、“下方”和“下面”包括第一特征在第二特征正下方和斜下方,或仅仅表示第一特征水平高度小于第二特征。In the present invention, unless otherwise expressly provided and limited, the term "above" or "below" a first feature of a second feature may include direct contact between the first and second features, or may also include the first and second features. Not in direct contact but through additional characteristic contact between them. Furthermore, the terms "above", "above" and "above" a first feature on a second feature include the first feature being directly above and diagonally above the second feature, or simply mean that the first feature is higher in level than the second feature. “Below”, “under” and “under” the first feature is the second feature includes the first feature being directly below and diagonally below the second feature, or simply means that the first feature is less horizontally than the second feature.

实施例 1:Example 1:

一种粒子植入系统,包括:A particle implant system including:

粒子植入机;所述粒子植入机包括粒子植入装置;Particle implantation machine; the particle implantation machine includes a particle implantation device;

穿刺针;所述穿刺针通过第一柔性输送导管与粒子植入机连接;Puncture needle; the puncture needle is connected to the particle implanter through a first flexible delivery catheter;

所述穿刺针定位在自动拔针装置上或者所述穿刺针连接有自动拔针装置,自动拔针装置架设在手术病患的身体附近,医生或者机器人完成粒子植入后,自动拔针装置用于将穿刺针拔出至指定的深度,从而在指定的位置植入粒子,使粒子均匀分布在肿瘤内,达到较好的杀死肿瘤的效果。The puncture needle is positioned on an automatic needle withdrawal device or the puncture needle is connected to an automatic needle withdrawal device. The automatic needle withdrawal device is installed near the body of the surgical patient. After the doctor or robot completes the particle implantation, the automatic needle withdrawal device is used. The puncture needle is pulled out to a specified depth, and the particles are implanted at the specified location so that the particles are evenly distributed within the tumor to achieve a better effect of killing the tumor.

其中,所述粒子植入装置包括用于存储放射性粒子的粒子匣、用于推动放射性粒子的柔性粒子推杆和用于驱动柔性粒子推杆沿第一柔性输送导管推送放射性粒子的粒子推送驱动机构。Wherein, the particle implantation device includes a particle box for storing radioactive particles, a flexible particle push rod for pushing the radioactive particles, and a particle push driving mechanism for driving the flexible particle push rod to push the radioactive particles along the first flexible delivery conduit. .

所述穿刺针为贯通管道结构,使用时需要按照术前规划的手术方案穿刺到肿瘤内的目标位置,在所述柔性粒子推杆的作用下,将粒子从穿刺针尖端输出,植入到肿瘤内部。The puncture needle has a through-pipe structure. When used, it needs to be punctured to the target location in the tumor according to the preoperative surgical plan. Under the action of the flexible particle push rod, the particles are output from the tip of the puncture needle and implanted into the tumor. internal.

所述第一柔性输送导管为可弯折的柔性的管道,第一柔性输送导管的长度超过 500mm,具体材料为塑料、橡胶、硅胶等柔性材料,优选为聚四氟乙烯、尼龙、聚乙烯、聚氯乙烯的一种或多种组合。The first flexible delivery conduit is a bendable flexible pipe. The length of the first flexible delivery conduit exceeds 500mm. The specific material is plastic, rubber, silicone and other flexible materials, preferably polytetrafluoroethylene, nylon, polyethylene, One or more combinations of polyvinyl chloride.

所述柔性粒子推杆为可弯折的柔性丝状物,柔性粒子推杆的长度均超过 500mm,优选柔性粒子推杆具有一定的弹性,在外力撤销时会恢复笔直状态,具体材料为镍钛合金、弹簧钢、弹性体材料、复合材料的一种或多种组合。The flexible particle push rod is a flexible filament that can be bent. The length of the flexible particle push rod exceeds 500mm. It is preferred that the flexible particle push rod has a certain elasticity and will return to a straight state when the external force is removed. The specific material is nickel titanium. One or more combinations of alloys, spring steels, elastomeric materials, composite materials.

作为优选的实施方式,上述穿刺针及第一柔性输送导管内还设有长度超过 500mm 的柔性针芯,该柔性针芯占据穿刺针针管内的空间,避免在手术过程中穿刺针针管内部涌入血液并凝固导致针管堵塞,所述粒子植入机还设有自动拔芯装置,自动拔芯装置用于在植入粒子之前将任意一根选定的穿刺针及其连接的第一柔性输送导管内的柔性内芯拔出,以便形成通畅的粒子植入通道,便于柔性粒子推杆将放射性粒子推入穿刺针。As a preferred embodiment, the above-mentioned puncture needle and the first flexible delivery catheter are also provided with a flexible needle core with a length of more than 500 mm. The flexible needle core occupies the space in the puncture needle tube to avoid the influx of the inside of the puncture needle tube during the operation. The blood and coagulation cause the needle tube to become clogged. The particle implantation machine is also equipped with an automatic core pulling device. The automatic core pulling device is used to remove any selected puncture needle and its connected first flexible delivery catheter before implanting the particles. The flexible inner core inside is pulled out to form a smooth particle implantation channel, so that the flexible particle push rod can push the radioactive particles into the puncture needle.

本实施例中,所述自动拔针装置为多通道拔针装置,如图 1 和图 2 所示,该多通道拔针装置包括:用于引导多根穿刺针插入并能够调整任意一根穿刺针插入深度的拔针模块 21和用于驱动拔针模块 21 动作的驱动模块 24。所述拔针模块包括引导模板以及安装在引导模板上的夹针机构;所述夹针机构包括多个夹持件,夹持件由夹持驱动机构驱动运动并能够形成若干个用于夹持穿刺针的夹持位置,引导模板上设有与所述夹持位置相对应的用于引导穿刺针穿过的引导部。In this embodiment, the automatic needle extraction device is a multi-channel needle extraction device, as shown in Figures 1 and 2. The multi-channel needle extraction device includes: used to guide the insertion of multiple puncture needles and to be able to adjust any one of the puncture needles. The needle extraction module 21 determines the needle insertion depth and the driving module 24 for driving the action of the needle extraction module 21 . The needle extraction module includes a guide template and a needle clamping mechanism installed on the guide template; the needle clamping mechanism includes a plurality of clamping parts, which are driven by a clamping drive mechanism and can form several clamping parts. As for the clamping position of the puncture needle, the guide template is provided with a guide portion corresponding to the clamping position for guiding the puncture needle to pass through.

所述夹针机构的夹持动力源为电机、电磁铁、气缸、液压缸、气动马达、液压马达的一种或组合。所述夹持驱动机构与驱动模块上对应的夹持动力源直接连接或传动连接,夹持驱动机构为凸轮机构、绳驱动机构、带传动机构、链传动机构、齿轮齿条机构、丝杠螺母机构、斜顶机构的一种或多种组合。The clamping power source of the needle clamping mechanism is one or a combination of motors, electromagnets, air cylinders, hydraulic cylinders, pneumatic motors, and hydraulic motors. The clamping driving mechanism is directly connected or transmission connected with the corresponding clamping power source on the driving module. The clamping driving mechanism is a cam mechanism, a rope driving mechanism, a belt transmission mechanism, a chain transmission mechanism, a rack and pinion mechanism, and a screw nut. One or more combinations of mechanisms and inclined roof mechanisms.

本实施例优选,所述引导部为通孔、通槽、滑槽、导向杆、导向块的一种或多种组合。多个引导部阵列分布在引导模板上,且多个引导部的引导方向相互平行,均垂直于引导模板;所述引导部的宽度或直径的间距与穿刺针的外径相适配,引导部与穿刺针间隙配合,所述穿刺针的外径为 0.8-1.8mm。Preferably, in this embodiment, the guide part is one or more combinations of a through hole, a through groove, a slide groove, a guide rod, and a guide block. Multiple guide portion arrays are distributed on the guide template, and the guide directions of the multiple guide portions are parallel to each other and perpendicular to the guide template; the width or diameter spacing of the guide portions is adapted to the outer diameter of the puncture needle, and the guide portions are The outer diameter of the puncture needle is 0.8-1.8 mm.

本实施例优选,拔针模块 21 包括用于引导及夹持穿刺针的夹针机构和用于驱动夹针机构上下升降的升降机构。这样,相当于在现有技术穿刺模板的基础上设置了夹针机构和升降机构,实现了穿刺针的引导穿刺和自动拔针,拔针动作可靠安全。Preferably, in this embodiment, the needle extraction module 21 includes a needle clamping mechanism for guiding and clamping the puncture needle and a lifting mechanism for driving the needle clamping mechanism to move up and down. In this way, it is equivalent to setting up a needle clamping mechanism and a lifting mechanism on the basis of the prior art puncture template, realizing guided puncture and automatic needle extraction, and the needle extraction action is reliable and safe.

如图 3 和图 4 所示,所述夹针机构包括上导向板 2102、下导向板 2103、第一夹持驱动机构、第二夹持驱动机构、第一夹持件 2113 和第二夹持件 2115,上导向板 2102 和下导向板 2103 上下固定连接,多个第一夹持件 2113 和多个第二夹持件 2115 设置在上导向板 2102和下导向板 2103 之间,多个第一夹持件 2113 呈纵向设置并能够纵向往复移动,多个第二夹持件 2115 呈横向设置并能够横向往复移动,多个第一夹持件 2113 和多个第二夹持件 2115纵横交错设置,第一夹持件 2113 上设有多个第一夹持部,第二夹持件 2115 上设有多个第二夹持部,一个第一夹持部和一个第二夹持部配合夹持穿刺针,第一夹持驱动机构驱动第一夹持件 2113 纵向移动,第二夹持驱动机构驱动第二夹持件 2115 横向移动,从而通过移动各个第一夹持件 2113 和第二夹持件 2115 到不同的位置能够组合出多个用于夹持穿刺针的夹持位置,上导向板 2102 和下导向板 2103 上都设有与多个夹持位置相对应的可供穿刺针穿过的引导部,本实施例的引导部采用通孔、通槽、滑槽、导向杆、导向块的一种或多种组合。这样,上导向板 2102 和下导向板 2103 形成用于引导设置多个穿刺针的引导模板(即穿刺引导模板或拔针模板),引导模板上呈阵列分布设有多个通孔,通过一个第一夹持件和一个第二夹持件相互配合可以卡紧穿过其中任意一个通孔的穿刺针,结构简单,控制方便,采用上下两个导向板引导穿刺针以确保夹针动作稳定可靠。As shown in Figures 3 and 4, the needle clamping mechanism includes an upper guide plate 2102, a lower guide plate 2103, a first clamping driving mechanism, a second clamping driving mechanism, a first clamping member 2113 and a second clamping mechanism. The upper guide plate 2102 and the lower guide plate 2103 are fixedly connected up and down. A plurality of first clamping parts 2113 and a plurality of second clamping parts 2115 are arranged between the upper guide plate 2102 and the lower guide plate 2103. One clamping member 2113 is arranged longitudinally and can move reciprocally longitudinally. A plurality of second clamping members 2115 is arranged transversely and can move reciprocally laterally. The plurality of first clamping members 2113 and the plurality of second clamping members 2115 are crisscrossed. It is set that the first clamping part 2113 is provided with a plurality of first clamping parts, the second clamping part 2115 is provided with a plurality of second clamping parts, and one first clamping part cooperates with one second clamping part. To clamp the puncture needle, the first clamping driving mechanism drives the first clamping member 2113 to move longitudinally, and the second clamping driving mechanism drives the second clamping member 2115 to move laterally, thereby moving each first clamping member 2113 and the second clamping member 2115 to move horizontally. The clamping member 2115 can be moved to different positions to form multiple clamping positions for clamping puncture needles. The upper guide plate 2102 and the lower guide plate 2103 are provided with puncture needles corresponding to the multiple clamping positions. The guide part that passes through, the guide part in this embodiment adopts one or more combinations of through holes, through grooves, slide grooves, guide rods, and guide blocks. In this way, the upper guide plate 2102 and the lower guide plate 2103 form a guide template for guiding and setting multiple puncture needles (i.e., a puncture guide template or a needle extraction template). The guide template is provided with a plurality of through holes in an array, and a plurality of through holes are arranged in an array. A clamping piece and a second clamping piece cooperate with each other to clamp the puncture needle passing through any one of the through holes. The structure is simple and easy to control. Two upper and lower guide plates are used to guide the puncture needle to ensure stable and reliable needle clamping action.

本实施例优选,多个夹持位置呈阵列分布。进一步优选为 M×M 的方阵形式,其中 M 为大于等于 5 的正整数。Preferably, in this embodiment, multiple clamping positions are distributed in an array. It is further preferred to be in the form of a square matrix of M×M, where M is a positive integer greater than or equal to 5.

本实施例优选,多个夹持位置均靠近第一夹持件 2113 和第二夹持件 2115 的相互交错位置。Preferably, in this embodiment, the multiple clamping positions are close to the mutually staggered positions of the first clamping member 2113 and the second clamping member 2115.

本实施例优选,如图 5 所示,所述第一夹持部是一体成型在第一夹持件 2113 上的第一凸出部 21131,所述第二夹持部是一体成型在第二夹持件 2115 上的第二凸出部 21151,第一夹持部和第二夹持部呈斜面配合夹持穿刺针的针管。这样,采用两个凸出部斜面配合夹紧穿刺针,结构简单,制造成本低。Preferably, in this embodiment, as shown in Figure 5, the first clamping part is a first protruding part 21131 integrally formed on the first clamping member 2113, and the second clamping part is integrally formed on the second The second protruding portion 21151 on the clamping member 2115, the first clamping portion and the second clamping portion are inclined to clamp the needle tube of the puncture needle. In this way, the two protruding inclined surfaces are used to clamp the puncture needle, which has a simple structure and low manufacturing cost.

进一步优选,第一夹持件 2113 和第二夹持件 2115 上下叠合交错设置,第一凸出部21131 和第二凸出部 21151 分别向上或向下延伸以增加两者的夹持配合面。Further preferably, the first clamping member 2113 and the second clamping member 2115 are stacked and staggered up and down, and the first protruding portion 21131 and the second protruding portion 21151 extend upward or downward respectively to increase the clamping mating surface of the two. .

进一步优选,上述夹持配合的斜面是指与纵向或横向呈 45°±5°夹角的斜面。Further preferably, the above-mentioned inclined surface for clamping fit refers to an inclined surface forming an angle of 45°±5° with the longitudinal direction or transverse direction.

进一步优选,第一凸出部 21131 和第二凸出部 21151 的夹持配合斜面上固设有弹性材料层,以便于更加牢固地夹持穿刺针的针管。Further preferably, a layer of elastic material is fixed on the clamping matching slopes of the first protruding part 21131 and the second protruding part 21151, so as to more firmly clamp the needle tube of the puncture needle.

在其他实施方式中,所述夹持部是设置在夹持件上的独立部件,例如夹爪。In other embodiments, the clamping portion is a separate component provided on the clamping member, such as a clamping jaw.

在其他实施方式中,所述夹持部是设置在夹持件上的凹槽结构。In other embodiments, the clamping portion is a groove structure provided on the clamping member.

在另一优选实施例中,如图 7 所示,所述第一夹持部和第二夹持部是分别活动设置在第一夹持件 2113 和第二夹持件 2115 上用于相对配合夹持穿刺针的一对夹持块——第一夹持块2138 和第二夹持块 2139,上导向板 2102 和/或下导向板 2103 上设有用于容纳第一夹持块2138 和第二夹持块 2139 的上部和/或下部的滑槽 21031,当第一夹持件 2113 和第二夹持件2115 移动时,第一夹持块 2138 和第二夹持块 2139 沿所述滑槽 21031 进行相对移动从而实现夹紧或松开穿刺针。这样,通过交错设置的两个夹持件共同移动推动两个夹持块靠近或分离从而实现夹紧或松开穿刺针,结构合理,夹持稳定可靠。In another preferred embodiment, as shown in Figure 7, the first clamping part and the second clamping part are movably provided on the first clamping part 2113 and the second clamping part 2115 respectively for relative cooperation. A pair of clamping blocks that clamp the puncture needle - the first clamping block 2138 and the second clamping block 2139. The upper guide plate 2102 and/or the lower guide plate 2103 are provided with the first clamping block 2138 and the second clamping block 2139. The upper and/or lower slide grooves 21031 of the two clamping blocks 2139. When the first clamping member 2113 and the second clamping member 2115 move, the first clamping block 2138 and the second clamping block 2139 move along the sliding grooves 21031. The groove 21031 moves relative to clamp or loosen the puncture needle. In this way, the two staggered clamping pieces move together to push the two clamping blocks closer to or apart to clamp or loosen the puncture needle. The structure is reasonable and the clamping is stable and reliable.

进一步优选,第一夹持块 2138 和第二夹持块 2139 夹持的穿刺针针管的夹持面为弧面,便于更加可靠地夹持穿刺针。Further preferably, the clamping surface of the puncture needle tube held by the first clamping block 2138 and the second clamping block 2139 is a curved surface, which facilitates more reliable clamping of the puncture needle.

进一步优选,所述第一夹持件 2113 上设有多个上下贯通且截面呈腰形的第一滑移孔21133,第一夹持块 2138 通过贯穿第一滑移孔 21133 的销轴 2137 与第一夹持件 2113 实现活动连接,当第一夹持件 2113 纵向移动时,通过第一滑移孔 21133 带动销轴 2137 及其固定连接的第一夹持块 2138 移动;所述第二夹持件 2115 上设有多个上下贯通且截面呈腰形的第二滑移孔 21153,第二夹持块 2139 通过贯穿第二滑移孔 21153 的销轴 2137 与第二夹持件 2115实现活动连接,当第二夹持件 2115 横向移动时,通过第二滑移孔 21153 带动销轴 2137 及其固定连接的第二夹持块 2139 移动。这样,结构灵活更加合理,夹持位置更加准确,并且方便组装制造调整。Further preferably, the first clamping member 2113 is provided with a plurality of first sliding holes 21133 that pass through the first sliding holes 21133 and have a waist-shaped cross-section. The first clamping member 2113 realizes a movable connection. When the first clamping member 2113 moves longitudinally, the pin 2137 and its fixedly connected first clamping block 2138 are driven to move through the first sliding hole 21133; The holding member 2115 is provided with a plurality of second sliding holes 21153 that pass up and down and have a waist-shaped cross-section. The second clamping block 2139 is movable with the second clamping member 2115 through a pin 2137 that penetrates the second sliding holes 21153. connection, when the second clamping member 2115 moves laterally, the second sliding hole 21153 drives the pin 2137 and its fixedly connected second clamping block 2139 to move. In this way, the structure is more flexible and reasonable, the clamping position is more accurate, and assembly, manufacturing and adjustment are convenient.

进一步优选,所述第一夹持块 2138 和第二夹持块 2139 沿所述滑槽 21031 往复移动方向与所述第一夹持件 2113 和第二夹持件 2115 纵向移动或横向移动的方向呈 45°±5°夹角。这样,夹持件带动夹持块动作更加快速,夹持力更大更稳定。Further preferably, the first clamping block 2138 and the second clamping block 2139 reciprocate along the chute 21031 in the same direction as the longitudinal or transverse movement of the first clamping member 2113 and the second clamping member 2115. The angle is 45°±5°. In this way, the clamping piece drives the clamping block to move faster, and the clamping force is larger and more stable.

进一步优选,还包括用于夹持件移动导向的夹持导向机构,所述夹持引导机构为铰链或滑槽或导轨。本实施例优选,如图 4 所示,所述上导向板 2102 和/或下导向板 2103 上设有用于供第一夹持件 2113 和/或第二夹持件 2115 移动导向的导向槽 21021。进一步优选,第一夹持件 2113 和第二夹持件 2115 上设有用于与所述导向槽 21021 配合以限制移动范围的限位部 21132、21152。Further preferably, it also includes a clamping guide mechanism for guiding the movement of the clamping member, and the clamping guide mechanism is a hinge, a slide groove, or a guide rail. Preferably, in this embodiment, as shown in Figure 4, the upper guide plate 2102 and/or the lower guide plate 2103 are provided with guide grooves 21021 for guiding the movement of the first clamping member 2113 and/or the second clamping member 2115. . Further preferably, the first clamping member 2113 and the second clamping member 2115 are provided with limiting portions 21132 and 21152 for cooperating with the guide groove 21021 to limit the movement range.

本实施例优选,还包括用于检测夹持件或驱动模块的动作位置的夹持检测传感器;所述夹持检测传感器为旋转编码器、位移传感器、行程开关、接近开关、光电传感器或霍尔开关的一种或多种组合。即,所述引导模板或/和驱动模块上设有用于检测夹持部的夹紧状态或/和夹持驱动机构的当前位置或/和夹持动力源的当前位置的夹持检测传感器。本实施例中,所述上导向板 2102 和/或下导向板 2103 上设有用于检测第一夹持件 2113 移动位置的第一夹持检测传感器 2112 和用于检测第二夹持件 2115 移动位置的第二夹持检测传感器 2108。多个第一夹持检测传感器 2112 与多个第一夹持件 2113 一一对应设置,多个第二夹持检测传感器 2108 与多个第二夹持件 2115 一一对应设置。Preferably, this embodiment also includes a clamping detection sensor for detecting the action position of the clamping member or the driving module; the clamping detection sensor is a rotary encoder, a displacement sensor, a travel switch, a proximity switch, a photoelectric sensor or a Hall sensor. One or more combinations of switches. That is, the guide template or/and the driving module are provided with a clamping detection sensor for detecting the clamping state of the clamping part or/and the current position of the clamping drive mechanism or/and the current position of the clamping power source. In this embodiment, the upper guide plate 2102 and/or the lower guide plate 2103 are provided with a first clamping detection sensor 2112 for detecting the movement position of the first clamping member 2113 and a first clamping detection sensor 2112 for detecting the movement of the second clamping member 2115. Second clamp detection sensor 2108 for position. The plurality of first clamping detection sensors 2112 are arranged in one-to-one correspondence with the plurality of first clamping parts 2113, and the plurality of second clamping detection sensors 2108 are arranged in one-to-one correspondence with the plurality of second clamping parts 2115.

进一步优选,所述夹持检测传感器包括驱动夹持驱动机构的动力源上的旋转编码器或位移传感器。Further preferably, the clamping detection sensor includes a rotary encoder or a displacement sensor on the power source that drives the clamping drive mechanism.

进一步优选,所述夹持检测传感器为行程开关、接近开关、光电传感器或霍尔开关的一种或多种组合。当顶推和/或拉动夹持件的驱动件横向/纵向运动到特定位置时触发位置信号。本实施例优选,如图 5 所示,所述第一夹持驱动机构包括用于顶推和/或拉动第一夹持件 2113 纵向移动的第一驱动件 2110 和用于带动第一驱动件 2110 横向移动的第一驱动件传动结构,第一驱动件 2110 横向移动时能够分别顶推和/或拉动多个第一夹持件 2113 中的一个;所述第二夹持驱动机构包括用于顶推和/或拉动第二夹持件 2115 横向移动的第二驱动件2107 和用于带动第二驱动件 2107 纵向移动的第二驱动件传动结构,第二驱动件 2107 纵向移动时能够分别顶推和/或拉动多个第二夹持件 2115 中的一个。Further preferably, the clamping detection sensor is one or more combinations of a travel switch, a proximity switch, a photoelectric sensor or a Hall switch. The position signal is triggered when the drive member pushing and/or pulling the clamp moves laterally/longitudinally to a specific position. Preferably, in this embodiment, as shown in Figure 5, the first clamping driving mechanism includes a first driving member 2110 for pushing and/or pulling the first clamping member 2113 to move longitudinally and a first driving member for driving the first clamping member 2113. 2110 Transversely moving first driving member transmission structure. When the first driving member 2110 moves laterally, it can push and/or pull one of the plurality of first clamping members 2113 respectively; the second clamping driving mechanism includes a The second driving member 2107 that pushes and/or pulls the second clamping member 2115 to move laterally and the second driving member transmission structure used to drive the second driving member 2107 to move longitudinally, the second driving member 2107 can respectively push the second driving member 2107 when moving longitudinally. Push and/or pull one of the plurality of second clamps 2115.

优选的实施方式中,所述第一驱动件传动结构和第二驱动件传动结构均为带传动机构;在其他实施方式中,采用链条传动机构、绳驱动机构、丝杆传动机构、液压驱动机构或齿轮齿条机构。本实施例中,采用传动带 2111 带动驱动件移动;所述上导向板 2102 和/或下导向板 2103 上转动设置有用于安装第一驱动件传动带的第一带轮和用于安装第二驱动件传动带的第二带轮,所述第一带轮以周向固定轴向不固定的方式套设在第一夹持传动轴 2109上,所述第二带轮以周向固定轴向不固定的方式套设在第二夹持传动轴 2106 上,这样,带轮和夹持传动轴能够传递动力并且带轮能够在夹持传动轴上上下移动。In a preferred embodiment, the first driving member transmission structure and the second driving member transmission structure are both belt transmission mechanisms; in other embodiments, a chain transmission mechanism, a rope driving mechanism, a screw transmission mechanism, or a hydraulic driving mechanism are used. Or rack and pinion mechanism. In this embodiment, a transmission belt 2111 is used to drive the driving member to move; the upper guide plate 2102 and/or the lower guide plate 2103 are provided with a first pulley for installing the first driving member transmission belt and a first pulley for installing the second driving member. The second pulley of the transmission belt. The first pulley is sleeved on the first clamping transmission shaft 2109 in a circumferentially fixed and axially unfixed manner. The second pulley is circumferentially fixed and axially unfixed. The way is sleeved on the second clamping drive shaft 2106, so that the pulley and the clamping drive shaft can transmit power and the pulley can move up and down on the clamping drive shaft.

进一步优选,所述夹持部或/和夹持驱动机构或/和夹持动力源上设有弹性缓冲结构,以避免夹持穿刺针使将穿刺针挤压变形。Further preferably, the clamping part or/and the clamping driving mechanism or/and the clamping power source are provided with an elastic buffer structure to prevent the puncture needle from being squeezed and deformed by the clamping.

本实施例优选,第一驱动件或第二驱动件的一侧设有弹性部,用于为第一驱动件或第二驱动件施加压力,且提供回弹空间,避免第一驱动件或第二驱动件卡死,避免将穿刺针挤压变形。或者第一驱动件或第二驱动件本身为弹性结构。或者夹持件本身为弹性结构。Preferably, in this embodiment, an elastic portion is provided on one side of the first driving member or the second driving member for exerting pressure on the first driving member or the second driving member and providing a rebound space to avoid the first driving member or the second driving member. The second driving part is stuck to prevent the puncture needle from being squeezed and deformed. Or the first driving member or the second driving member itself has an elastic structure. Or the clamping part itself has an elastic structure.

本实施例中,所述第一驱动件 2110 的外侧设有用于弹性支撑第一驱动件 2110 的第一支撑体,当第一驱动件 2110 的内侧与第一夹持件 2113 相抵时,第一驱动件 2110 的外侧与第一支撑体相抵;所述第二驱动件 2107 的外侧设有用于弹性支撑第二驱动件 2107 的第二支撑体,当第二驱动件 2107 的内侧与第二夹持件 2115 相抵时,第二驱动件 2107 的外侧与第二支撑体相抵。设置支撑体的目的在于为驱动件提供一定的弹性支撑,防止其在移动的时候被夹持件卡死,同时也避免夹持件将穿刺针完全挤扁,损坏穿刺针。In this embodiment, the outside of the first driving member 2110 is provided with a first support body for elastically supporting the first driving member 2110. When the inside of the first driving member 2110 offsets the first clamping member 2113, the first The outer side of the driving member 2110 is against the first support body; the outer side of the second driving member 2107 is provided with a second supporting body for elastically supporting the second driving member 2107. When the inner side of the second driving member 2107 is in contact with the second clamping member When the parts 2115 are against each other, the outer side of the second driving part 2107 is against the second support body. The purpose of providing the support body is to provide certain elastic support for the driving member to prevent it from being stuck by the clamping member when moving, and to prevent the clamping member from completely squashing the puncture needle and damaging the puncture needle.

进一步优选,所述第一支撑体和第二支撑体采用夹芯板结构,包括外侧支撑板、中间弹性板和内侧滑动板,外侧支撑板起整体固定支撑作用,中间弹性板提供弹力,内侧滑动板光滑耐磨以减小驱动件移动的摩擦力。本实施例优选,外侧支撑板为铝板,中间弹性板为发泡硅胶板有弹性,内侧滑动板为聚四氟乙烯板,三块板通过胶水粘一起,并用螺钉加固连接;当聚四氟乙烯板受力挤压时,发泡硅胶板压缩,卸去外力时回弹;在其他实施方式中,上述三块板也可以采用具有类似性能的其他材料制成。Further preferably, the first support body and the second support body adopt a sandwich plate structure, including an outer support plate, a middle elastic plate and an inner sliding plate. The outer supporting plate functions as an overall fixed support, the middle elastic plate provides elasticity, and the inner sliding plate The plate is smooth and wear-resistant to reduce friction in the movement of the driving parts. In this embodiment, it is preferred that the outer support plate is an aluminum plate, the middle elastic plate is an elastic foamed silicone plate, and the inner sliding plate is a polytetrafluoroethylene plate. The three plates are glued together and connected with screws to reinforce them; when polytetrafluoroethylene When the board is squeezed by force, the foamed silicone board compresses and rebounds when the external force is removed; in other embodiments, the above three boards can also be made of other materials with similar properties.

在其他实施方式中,由于驱动件的支撑面本身就有上下导向板作支撑,因此上述三层夹芯板中的外侧支撑板可以省去,变成两层板,而如果弹性板本身有较好的耐磨性与减摩性,那么内侧滑动板也可以省去,变成一层板,但弹性板是无法省去的。In other embodiments, since the supporting surface of the driving member itself is supported by upper and lower guide plates, the outer supporting plate in the above three-layer sandwich panel can be omitted and turned into a two-layer board. If the elastic board itself has a larger For good wear resistance and friction reduction, the inner sliding plate can be omitted and turned into a single layer, but the elastic plate cannot be omitted.

在另一优选的实施方式中,如图 7 所示,所述第一夹持驱动机构包括转动设置在上导向板 2102 和/或下导向板 2103 上的第一凸轮轴,第一凸轮轴上设置用于分别顶推和/或拉动多个第一夹持件 2113 纵向移动的多个第一凸轮 2140;所述第二夹持驱动机构包括转动设置在上导向板 2102 和/或下导向板 2103 上的第二凸轮轴,第二凸轮轴上设置用于分别顶推和/或拉动多个第二夹持件 2115 横向移动的多个第二凸轮 2136;所述上导向板 2102 和/或下导向板 2103 上还转动设置有用于与第一凸轮轴传动连接的第一伞齿轮和用于与第二凸轮轴传动连接的第二伞齿轮,第一伞齿轮以周向固定轴向不固定的方式套设在第一夹持传动轴 2109上,所述第二伞齿轮以周向固定轴向不固定的方式套设在第二夹持传动轴 2106 上,这样,伞齿轮和夹持传动轴能够传递动力并且伞齿轮能够在夹持传动轴上上下移动。In another preferred embodiment, as shown in Figure 7, the first clamping driving mechanism includes a first camshaft rotatably provided on the upper guide plate 2102 and/or the lower guide plate 2103. A plurality of first cams 2140 are provided for respectively pushing and/or pulling a plurality of first clamping members 2113 to move longitudinally; the second clamping driving mechanism includes a rotationally arranged upper guide plate 2102 and/or a lower guide plate. 2103 on the second camshaft, the second camshaft is provided with a plurality of second cams 2136 for respectively pushing and/or pulling a plurality of second clamping members 2115 to move laterally; the upper guide plate 2102 and/or The lower guide plate 2103 is also provided with a first bevel gear for transmission connection with the first camshaft and a second bevel gear for transmission connection with the second camshaft. The first bevel gear is circumferentially fixed and axially unfixed. The second bevel gear is sleeved on the first clamping transmission shaft 2109 in a circumferentially fixed and axially unfixed manner. In this way, the bevel gear and the clamping transmission The shaft transmits power and the bevel gear moves up and down on the clamped drive shaft.

本实施例优选,所述第一夹持传动轴 2109 通过第一夹持齿轮组 2117、第一夹持输入轴2121 与第一夹持电机 2403 传动连接,所述第二夹持传动轴 2106 通过第二夹持齿轮组2116、第二夹持输入轴 2119 与第二夹持电机 2404 传动连接。在其他实施方式中,所述夹持传动轴也可以直接与夹持电机连接,或者通过同步带等与夹持电机传动连接。Preferably in this embodiment, the first clamping transmission shaft 2109 is transmission connected to the first clamping motor 2403 through the first clamping gear set 2117 and the first clamping input shaft 2121, and the second clamping transmission shaft 2106 is through The second clamping gear set 2116, the second clamping input shaft 2119 and the second clamping motor 2404 are transmission connected. In other embodiments, the clamping transmission shaft may also be directly connected to the clamping motor, or may be drivingly connected to the clamping motor through a synchronous belt or the like.

在其他优选的实施方式中,还可以在第一夹持件 2113 的另一外侧设置用于推动或拉动第一夹持件 2113 复位的第一弹性复位件,同样地,在第二夹持件 2115 的另一外侧设置用于推动或拉动第二夹持件 2115 复位的第二弹性复位件。这样,在夹持件的两侧分别设置夹持驱动机构和弹性复位件,夹持驱动机构主动顶推夹持件移动实施夹紧动作,弹性复位件促使夹持件被动复位实施松开动作。这样,结构动作更加合理,避免对穿刺针的不必要干扰。所述弹性复位件是弹性结构或弹性部件等,还可以多个夹持件共用弹性复位件,如采用上述弹性板结构。In other preferred embodiments, a first elastic return member for pushing or pulling the first clamping member 2113 to reset can also be provided on the other outside of the first clamping member 2113. Similarly, on the second clamping member 2113 The other outer side of 2115 is provided with a second elastic return member for pushing or pulling the second clamping member 2115 to return to its original position. In this way, a clamping drive mechanism and an elastic return member are respectively provided on both sides of the clamping member. The clamping drive mechanism actively pushes the clamping member to move to implement the clamping action, and the elastic return member prompts the clamping member to passively reset to implement the releasing action. In this way, the structural movement is more reasonable and unnecessary interference with the puncture needle is avoided. The elastic return member is an elastic structure or an elastic component, or the elastic return member may be shared by multiple clamping members, such as using the above elastic plate structure.

所述升降机构的升降动力源为电机、电磁铁、气缸、液压缸、气动马达、液压马达的一种或组合。所述升降机构采用丝杆螺母传动结构、同步带传动结构、绳驱动结构或齿轮齿条传动结构。本实施例优选,如图 2 所示,所述升降机构采用丝杆驱动升降结构,包括设置在第一安装板 2101 和第二安装板 2104 之间的若干导杆和若干升降丝杆 2114,导杆上套设有导套,升降丝杆 2114 上螺纹连接有丝杆螺母,导套和丝杆螺母安装在上导向板 2102 和/或下导向板 2103 上,升降电机 2402 与升降丝杆 2114 传动连接从而带动丝杆螺母及夹针机构上下升降。优选的实施方式中,设置有多个升降丝杆 2114,多个升降丝杆 2114 之间通过升降带传动组 2124 传动连接同步运动,升降丝杆 2114 通过升降带传动组 2124、升降齿轮组2123、升降输入轴 2122 与升降电机 2402 传动连接。本实施例优选,所述导杆功能由第一夹持传动轴 2109 和第二夹持传动轴 2106(两轴为六角传动导向轴)实现,所述导套功能由套设在夹持传动轴上并能够上下移动的伞齿轮或带轮实现。The lifting power source of the lifting mechanism is one or a combination of a motor, an electromagnet, a cylinder, a hydraulic cylinder, a pneumatic motor, and a hydraulic motor. The lifting mechanism adopts a screw nut transmission structure, a synchronous belt transmission structure, a rope drive structure or a gear and rack transmission structure. This embodiment is preferred. As shown in Figure 2, the lifting mechanism adopts a screw-driven lifting structure, including a number of guide rods and a number of lifting screws 2114 arranged between the first installation plate 2101 and the second installation plate 2104. The rod is covered with a guide sleeve, and the lifting screw 2114 is threaded with a screw nut. The guide sleeve and screw nut are installed on the upper guide plate 2102 and/or the lower guide plate 2103. The lifting motor 2402 and the lifting screw 2114 drive The connection drives the screw nut and needle clamp mechanism to move up and down. In the preferred embodiment, a plurality of lifting screws 2114 are provided, and the plurality of lifting screws 2114 are connected for synchronous movement through a lifting belt transmission group 2124. The lifting screws 2114 pass through a lifting belt transmission group 2124, a lifting gear group 2123, The lifting input shaft 2122 is transmission connected with the lifting motor 2402. Preferably in this embodiment, the guide rod function is realized by the first clamping transmission shaft 2109 and the second clamping transmission shaft 2106 (the two axes are hexagonal transmission guide shafts), and the guide bush function is implemented by a sleeve set on the clamping transmission shaft. The bevel gear or pulley can move up and down.

在其他实施方式中,所述升降机构采用齿轮齿条结构、钢丝绳/传动带牵引结构等实现升降;或者,所述升降电机也可以直接驱动升降丝杆。在其他实施方式中,升降机构采用绳驱动机构,可通过单个拉索实现对夹针机构至少 3 个点位的同步拉动升降。In other embodiments, the lifting mechanism adopts a gear and rack structure, a wire rope/belt traction structure, etc. to achieve lifting; or the lifting motor can also directly drive the lifting screw. In other embodiments, the lifting mechanism adopts a rope drive mechanism, which can achieve synchronous pulling and lifting of at least 3 points of the needle clip mechanism through a single pulling cable.

升降机构采用绳驱动机构,一个或多个拉索或弹性丝设置在套管内并可以相对于套管拉动,套管的一端卡接在上导向板或下导向板上,通过一个或多个拉索或弹性丝垂直于上下导向板的方向向下伸出与夹针机构连接,并通过拉索的拉动实现夹针机构的上下运动;或者通过单个拉索实现对夹针机构的至少三个点位的同步拉动升降;所述拉索通过导轮换向,在上下导向板之间穿梭,穿梭路径中包括若干个垂直于上下导向板的拉索段,夹针机构与这些拉索段连接固定,当拉索被拉动时,这些垂直于上下导向板的拉索段将拉动夹针机构上下运动;或者升降机构采用至少三个丝杆螺母副,夹针机构上设有至少三个丝杆螺母,每个丝杆螺母内设有丝杆,多个丝杆平行竖直方向布置,通过同步传动机构驱动每个丝杆同步转动,从而控制夹针机构上下升降。这样,通过夹针机构中的一个第一夹持件 2113 和一个第二夹持件 2115 移动配合夹紧一个穿刺针,通过所述升降机构带动夹针机构升降以便实现该穿刺针的深度调节。The lifting mechanism adopts a rope drive mechanism. One or more cables or elastic wires are installed in the casing and can be pulled relative to the casing. One end of the casing is clamped on the upper guide plate or the lower guide plate. Through one or more pull cables, the lifting mechanism adopts a rope drive mechanism. The cable or elastic wire extends downward perpendicular to the direction of the upper and lower guide plates to connect with the needle clamping mechanism, and realizes the up and down movement of the needle clamping mechanism through the pulling of the pulling cable; or at least three points of the needle clamping mechanism can be realized through a single pulling cable The position is pulled up and down synchronously; the cable rotates through the guide and shuttles between the upper and lower guide plates. The shuttle path includes several cable segments perpendicular to the upper and lower guide plates. The needle clamp mechanism is connected and fixed with these cable segments. When the cable is pulled, these cable segments perpendicular to the upper and lower guide plates will pull the needle clamp mechanism to move up and down; or the lifting mechanism uses at least three screw nut pairs, and the needle clamp mechanism is provided with at least three screw nuts. Each screw nut is equipped with a screw rod, and multiple screw rods are arranged in parallel and vertical directions. Each screw rod is driven to rotate synchronously through a synchronous transmission mechanism, thereby controlling the up and down movement of the needle clamp mechanism. In this way, a first clamping member 2113 and a second clamping member 2115 in the needle clamping mechanism move and cooperate to clamp a puncture needle, and the lifting mechanism drives the needle clamping mechanism to rise and fall to achieve depth adjustment of the puncture needle.

进一步优选,还设有检测夹针机构位移量的升降位置传感器。所述升降位置传感器为升降机构的动力源上的旋转编码器或位移传感器。所述升降位置传感器为升降机构上设有的行程开关、接近开关、光电传感器或霍尔开关的一种或多种组合。当夹针机构升降运动到特定位置时触发位置信号。Further preferably, a lifting position sensor for detecting the displacement of the needle clamping mechanism is also provided. The lifting position sensor is a rotary encoder or a displacement sensor on the power source of the lifting mechanism. The lifting position sensor is one or more combinations of a travel switch, a proximity switch, a photoelectric sensor or a Hall switch provided on the lifting mechanism. The position signal is triggered when the needle clamping mechanism moves up and down to a specific position.

因为人体组织均有一定的弹性,所以在拔针的过程中,皮肤会被向上牵拉,然后一放手就会往回弹一小段距离。对于这个问题,目前手动拔针是通过眼睛观察穿刺针杆上的刻度线与皮肤的相切位置来判断的,还是比较准确的。但是自动拔针装置如果没有处理好这个问题,就会在每次拔针之后出现误差累计。Because human body tissue has a certain degree of elasticity, the skin will be pulled upward during the needle removal process, and then it will spring back a short distance as soon as you let go. Regarding this problem, manual needle extraction is currently judged by visually observing the tangent position between the scale line on the puncture needle shaft and the skin, which is relatively accurate. However, if the automatic needle withdrawal device does not handle this problem well, errors will accumulate after each needle withdrawal.

因此,本实施例优选,所述拔针模块 21 还包括用于在调整穿刺针插入深度后阻止其回弹的卡针机构,该卡针机构设置在拔针模块 21 的底部,穿刺针穿过该卡针机构后刺入人体,所述卡针机构可以实现对穿刺针的半卡紧,具体表现为需要一定的推动力才能克服卡针机构的摩擦力实现穿刺针的拔出或插入,同时可以停留在任意深度,这样就可以克服人体组织的弹性,精准地将穿刺针停留在刚拔出的位置上。Therefore, in this embodiment, it is preferred that the needle extraction module 21 also includes a needle clamping mechanism for preventing the puncture needle from rebounding after adjusting the insertion depth. The needle clamping mechanism is provided at the bottom of the needle extraction module 21, and the puncture needle passes through it. The needle clamping mechanism is inserted into the human body. The needle clamping mechanism can achieve semi-locking of the puncture needle. Specifically, it requires a certain driving force to overcome the friction of the needle clamping mechanism to pull out or insert the puncture needle. At the same time, It can stay at any depth, so that it can overcome the elasticity of human tissue and accurately stay the puncture needle at the position where it was just pulled out.

进一步优选,所述卡针机构包括上下叠置的两块摩擦板,两块摩擦板上均设有阵列式的通孔,通过两块摩擦板的剪切错位来实现对贯穿两块摩擦板的穿刺针的卡紧,所述两块摩擦板中至少有一块有弹性。优选设有剪切力调节机构,可以调节施加到在两块摩擦板中至少一块的剪切力,所述剪切力调节机构为螺丝调节。Further preferably, the needle clamping mechanism includes two friction plates stacked up and down. Both friction plates are provided with an array of through holes. The shear dislocation of the two friction plates is used to realize the penetration of the two friction plates. To tighten the puncture needle, at least one of the two friction plates is elastic. Preferably, a shear force adjustment mechanism is provided to adjust the shear force applied to at least one of the two friction plates, and the shear force adjustment mechanism is a screw adjustment.

如图 2 和图 6 所示,本实施例优选,所述卡针机构包括上下叠置安装在第三安装板2105 上的卡针板 2125 和摩擦板 2127,卡针板 2125 和摩擦板 2127 上都具有与所述夹针机构中的多个夹持位置相对应的多个通孔,这些通孔可供穿刺针 20 穿过;卡针板 2125 相对的两侧分别设置有调节件 2133 和弹性条 2134,通过调节件 2133 可以移动卡针板 2125 使得卡针板 2125 上的通孔与摩擦板 2127 上的相应通孔产生错位从而摩擦板 2127 抵持穿刺针 20 并产生摩擦阻力以阻止穿刺针回弹,弹性条 2134 能够促使卡针板 2125 回位从而使得摩擦板2127 松开穿刺针 20。As shown in Figures 2 and 6, in this embodiment, the needle clamping mechanism includes a needle clamping plate 2125 and a friction plate 2127 that are stacked up and down on the third mounting plate 2105. The needle clamping plate 2125 and the friction plate 2127 are Both have a plurality of through holes corresponding to the multiple clamping positions in the needle clamping mechanism, and these through holes can be used for the puncture needle 20 to pass through; the opposite sides of the needle clamping plate 2125 are respectively provided with adjustment members 2133 and elastic ones. Bar 2134, the needle plate 2125 can be moved through the adjusting member 2133, so that the through holes on the needle plate 2125 and the corresponding through holes on the friction plate 2127 are misaligned, so that the friction plate 2127 resists the puncture needle 20 and generates frictional resistance to prevent the puncture needle. After rebounding, the elastic strip 2134 can urge the needle plate 2125 to return, thereby causing the friction plate 2127 to release the puncture needle 20 .

本实施例优选,所述摩擦板 2127 采用能够产生足够摩擦力的材料制成,优选聚氨酯、硅胶、橡胶、乳胶材料等;所述弹性条 2134 采用弹性材料制成,优选硅胶、橡胶、乳胶、聚氨酯等材料。Preferably in this embodiment, the friction plate 2127 is made of a material that can generate sufficient friction, preferably polyurethane, silica gel, rubber, latex, etc.; the elastic strip 2134 is made of an elastic material, preferably silica gel, rubber, latex, Polyurethane and other materials.

本实施例优选,所述卡针板 2125 和摩擦板 2127 之间设有隔板 2126,隔板 2126 采用表面光滑的材料制成,以减小卡针板 2125 和摩擦板 2127 之间的摩擦力,避免摩擦板粘住卡针板导致无法推动调节,保证卡针板 2125 移动和复位动作可靠。优选隔板 2126 为四氟板。在其他实施方式中,如摩擦板 2127 表面足够光滑,可以不设置隔板 2126。Preferably, in this embodiment, a partition 2126 is provided between the needle plate 2125 and the friction plate 2127. The partition 2126 is made of a material with a smooth surface to reduce the friction between the needle plate 2125 and the friction plate 2127. , to prevent the friction plate from sticking to the jammed needle plate and making it impossible to push and adjust, and to ensure that the movement and reset of the jammed needle plate 2125 is reliable. Preferably, the separator 2126 is a PTFE plate. In other embodiments, if the surface of the friction plate 2127 is smooth enough, the partition 2126 may not be provided.

本实施例中,如图 6 所示,所述卡针板 2125 是采用具有一定刚性的材料制成以便于移动调节,卡针板 2125 前后通过两个限位件 2131 以限制其上下活动的方式安装在第三安装板2105 上,所述调节件 2133 通过调节件座 2132 安装在第三安装板 2105 上,所述调节件 2133为与调节件座 2132 螺纹连接的手拧螺钉;所述弹性条 2134 通过弹性条座 2135 安装在第三安装板 2105 上;摩擦板 2127 嵌设在第三安装板 2105 上;第三安装板 2105 固定安装在第二安装板 2104 的下方。In this embodiment, as shown in Figure 6, the needle clamping plate 2125 is made of a material with a certain rigidity to facilitate movement and adjustment. The needle clamping plate 2125 passes two limiting members 2131 in front and back to limit its up and down movement. Installed on the third installation plate 2105, the adjustment member 2133 is installed on the third installation plate 2105 through the adjustment member seat 2132. The adjustment member 2133 is a hand screw threadedly connected to the adjustment member seat 2132; the elastic strip 2134 is installed on the third installation plate 2105 through the elastic strip 2135; the friction plate 2127 is embedded on the third installation plate 2105; the third installation plate 2105 is fixedly installed below the second installation plate 2104.

这样,为了防止穿刺针插入皮肤间歇拔针时回弹,通过调节件 2133 顶住卡针板 2125,使穿刺针 20 与摩擦板 2127 产生足够摩擦力,阻止穿刺针 20 回弹。当调节件 2133 手拧螺钉松开时,卡针板 2125 被弹回原始位置,从而使穿刺针 20 松弛。In this way, in order to prevent the puncture needle from rebounding when the puncture needle is inserted into the skin and the needle is intermittently withdrawn, the adjusting member 2133 is used to resist the needle plate 2125, so that the puncture needle 20 and the friction plate 2127 generate sufficient friction to prevent the puncture needle 20 from rebounding. When the adjusting member 2133 thumb screw is loosened, the needle plate 2125 is bounced back to the original position, thereby making the puncture needle 20 loose.

在其他实施方式中,上述卡针机构也可以直接采用孔径较小的摩擦板代替(摩擦板采用具有一定弹性的材料制成,如聚氨酯、TPU、硅胶、橡胶、乳胶、弹性体材料等),通过穿刺针与孔紧配合来实现半卡紧状态。In other embodiments, the above-mentioned needle clamping mechanism can also be directly replaced by a friction plate with a smaller hole diameter (the friction plate is made of a material with a certain elasticity, such as polyurethane, TPU, silicone, rubber, latex, elastomer materials, etc.). The semi-clamping state is achieved by tightly fitting the puncture needle with the hole.

但由于拔针模块在引导经皮穿刺时,如果需要穿过肋骨进行穿刺,可能会需要先使用骨钻通过拔针模块进行钻孔,此时如果使用孔径较小的孔,就可能被骨钻钻头破坏。However, since the needle extraction module guides percutaneous puncture, if it is necessary to puncture through the ribs, it may be necessary to use a bone drill to drill holes through the needle extraction module. At this time, if a hole with a smaller diameter is used, it may be drilled by the bone drill. Drill bit destroyed.

另外,将穿刺针处于半卡紧状态也有一定的危险性,如果穿刺针尖端靠近血管等重要器官,此时如果出现一点身体颤动就可能造成危险,而如果穿刺针处于浮动状态,反而能够保证安全性。In addition, there is a certain danger in leaving the puncture needle in a semi-clamped state. If the tip of the puncture needle is close to blood vessels and other important organs, a slight body tremor may cause danger. However, if the puncture needle is in a floating state, it can ensure safety. sex.

因此,卡针机构的优选方案为通过两块板的剪切作用来实现卡紧,此时可以随时调节卡针的力度,可以在钻孔时或在穿刺危险区域时将卡针机构调节为不卡紧状态。Therefore, the preferred solution for the needle clamping mechanism is to achieve clamping through the shearing action of the two plates. At this time, the strength of the clamping needle can be adjusted at any time, and the needle clamping mechanism can be adjusted to be stable when drilling or puncturing dangerous areas. Tightened state.

所述驱动模块 24 包括用于给所述升降机构提供动力的升降电机 2402、用于给所述第一夹持驱动机构提供动力的第一夹持电机 2403 和用于给所述第二夹持驱动机构提供动力的第二夹持电机 2404。The driving module 24 includes a lifting motor 2402 used to provide power to the lifting mechanism, a first clamping motor 2403 used to provide power to the first clamping driving mechanism, and a first clamping motor 2403 used to provide power to the second clamping mechanism. The drive mechanism powers the second clamping motor 2404.

为了确保手术环境的安全和降低手术器械成本,优选将拔针模块 21 做成无源器件,将有源器件(驱动模块 24)独立隔离开,所有无源器件(包括拔针模块 21 及其传感器等)均采用可清洗消毒设计,具有较好的防水性能或耐高温性能。因此,本实施例优选,所述多通道拔针装置为无源拔针装置:如图 1 所示,所述驱动模块 24 相对于拔针模块 21 独立设置,还包括驱动支架 2401,升降电机 2402、第一夹持电机 2403 和第二夹持电机 2404 均安装在驱动支架 2401 上,驱动支架 2401 上还设有控制板、控制按键和显示器件,拔针模块 21 和驱动模块 24 之间通过连接模块 22 连接,连接模块 22 上设有隔离膜 23,从而能够将驱动模块 24 与拔针模块 21 隔离,用于防止血污污染驱动模块 24 及操作部件。In order to ensure the safety of the surgical environment and reduce the cost of surgical instruments, it is preferred to make the needle extraction module 21 a passive component, and isolate the active components (driving module 24) independently. All passive components (including the needle extraction module 21 and its sensors) etc.) are designed to be washable and disinfectable, and have good waterproof performance or high temperature resistance. Therefore, in this embodiment, it is preferred that the multi-channel needle pulling device is a passive needle pulling device: as shown in Figure 1, the driving module 24 is set independently relative to the needle pulling module 21, and also includes a driving bracket 2401 and a lifting motor 2402. , the first clamping motor 2403 and the second clamping motor 2404 are both installed on the driving bracket 2401. The driving bracket 2401 is also equipped with a control panel, control buttons and display devices. The pin pulling module 21 and the driving module 24 are connected by The module 22 is connected, and an isolation film 23 is provided on the connection module 22 to isolate the driving module 24 from the needle extraction module 21 to prevent blood from contaminating the driving module 24 and operating parts.

或者,当升降机构和/或夹针机构为绳驱动方式或液压驱动时,此时驱动模块 24 与拔针模块 21 之间设有套管,套管内设有拉绳或弹性丝或液压油,驱动模块 24 可以驱动套管中设置的拉绳或弹性丝或液压油相对于套管前后运动,实现动力的传递,由于拔针模块 21 和驱动模块 24 之间的距离较远,不易发生相互污染,因此拔针模块 21 和驱动模块 24 之间可以不再通过连接模块 22 与隔离膜 23 进行隔离。所述套管的长度大于 500mm,并通过电缆或弹性丝或金属拉绳传递电信号。Or, when the lifting mechanism and/or the needle clamping mechanism is driven by a rope or hydraulically driven, a casing is provided between the driving module 24 and the needle pulling module 21, and a pull rope or elastic wire or hydraulic oil is provided in the casing. The driving module 24 can drive the pull rope or elastic wire or hydraulic oil provided in the casing to move forward and backward relative to the casing to realize the transmission of power. Since the distance between the needle pulling module 21 and the driving module 24 is far, mutual contamination is not easy to occur. , therefore the pin extraction module 21 and the driving module 24 can no longer be isolated from the isolation film 23 by the connection module 22 . The length of the sleeve is greater than 500mm, and electrical signals are transmitted through cables or elastic wires or metal pull ropes.

本实施例优选,所述连接模块 22 包括第一夹板 2201、第二夹板 2202 和加强板 2203,第一夹板 2201、第二夹板 2202 和加强板 2203,第一夹板 2201 和第二夹板 2202 将隔离膜23 夹在中间并通过加强板 2203 加强连接,第一夹板 2201、第二夹板 2202 和加强板 2203 分别通过紧固件与拔针模块 21 和驱动模块 24 固定连接;第一夹板 2201 和第二夹板 2202 之间还设有中间传动轴,第一夹持输入轴 2121 和第二夹持输入轴 2119 分别通过两个中间传动轴与第一夹持电机 2403 和第二夹持电机 2404 传动连接,从而实现隔离传动和不同矩阵点的夹针控制;升降输入轴 2122 通过一个中间传动轴与升降电机 2402 传动连接,从而实现隔离传动和夹针机构的升降。第一夹板 2201 和第二夹板 2202 之间还设有电连接件,拔针模块 21上的电连接件 2120 通过该电连接件与驱动模块 24 上的控制板连接。Preferably in this embodiment, the connection module 22 includes a first plywood 2201, a second plywood 2202 and a reinforcing plate 2203. The first plywood 2201, the second plywood 2202 and the reinforcing plate 2203 are isolated from each other. The membrane 23 is sandwiched in the middle and strengthened by the reinforcing plate 2203. The first plywood 2201, the second plywood 2202 and the reinforcing plate 2203 are respectively fixedly connected to the pin extraction module 21 and the driving module 24 through fasteners; the first plywood 2201 and the second plywood 2203 are respectively There is also an intermediate transmission shaft between the clamping plates 2202. The first clamping input shaft 2121 and the second clamping input shaft 2119 are respectively connected to the first clamping motor 2403 and the second clamping motor 2404 through the two intermediate transmission shafts. Thus, isolation transmission and needle clamping control at different matrix points are realized; the lifting input shaft 2122 is connected to the lifting motor 2402 through an intermediate transmission shaft, thereby realizing isolation transmission and the lifting of the needle clamping mechanism. There is also an electrical connector between the first plywood 2201 and the second plywood 2202. The electrical connector 2120 on the pin extraction module 21 is connected to the control board on the drive module 24 through this electrical connector.

针对粒子植入手术,本发明创造性地提出了一种新的自动化无人化实现方法,通过分别独立设置自动粒子植入机与自动拔针装置,二者通过柔性软管连接,医生先在拔针装置的引导(类似于目前临床上常用的穿刺引导模板)下完成穿刺,然后医生将软管与穿刺针尾部相连接,软管另一端与粒子植入机相连接,粒子植入机可以选择不同的通道,然后沿着不同的通道将粒子一直向前推,然后顺着软管、穿刺针到达肿瘤内部。同时自动拔针装置将穿刺针拔出一段距离,然后再植入,再拔出,循环多次,在指定的位置植入粒子,使放射性粒子均匀分布在肿瘤内,达到较好的杀死肿瘤的效果。整个手术过程都可以彻底无人化,避免放射性粒子对医生造成辐射伤害。For particle implantation surgery, the present invention creatively proposes a new automated and unmanned implementation method. By setting up an automatic particle implantation machine and an automatic needle removal device independently, the two are connected through a flexible hose. The doctor first removes the needle. The puncture is completed under the guidance of the needle device (similar to the currently commonly used clinical puncture guide template), and then the doctor connects the hose to the tail of the puncture needle, and the other end of the hose is connected to the particle implanter. The particle implanter can be selected Different channels are used to push the particles forward along different channels, and then along the hose and puncture needle to reach the inside of the tumor. At the same time, the automatic needle withdrawal device pulls out the puncture needle for a certain distance, then implants it again, pulls it out again, and cycles it for many times. It implants the particles at the designated position so that the radioactive particles are evenly distributed within the tumor to achieve better tumor killing. Effect. The entire surgical process can be completely unmanned to avoid radiation damage to doctors caused by radioactive particles.

在本说明书的描述中,参考术语“一个实施例”、“一些实施例”、“一种实施方式”、“具体实施方式”、“其他实施方式”、 “示例”、“具体示例”、或“一些示例”等的描述意指结合该实施例或示例描述的具体特征、结构、材料或者特点包含于本发明的至少一个实施例、实施方式或示例中。在本说明书中,对上述术语的示意性表述不一定指的是相同的实施例或示例。而且,上述描述的具体特征、结构、材料或者特点也可以在任何的一个或多个实施例、实施方式或示例中以合适的方式结合。本发明记载的技术方案也包括上述描述的任意一个或多个具体特征、结构、材料或者特点以单独或者组合的方式形成的技术方案。In the description of this specification, reference is made to the terms "one embodiment," "some embodiments," "one implementation," "specific implementations," "other implementations," "examples," "specific examples," or Descriptions of "some examples" and the like mean that a particular feature, structure, material or characteristic described in connection with the embodiment or example is included in at least one embodiment, implementation or example of the invention. In this specification, schematic representations of the above terms do not necessarily refer to the same embodiment or example. Furthermore, the specific features, structures, materials or characteristics described above may be combined in any suitable manner in any one or more embodiments, implementations or examples. The technical solutions recorded in the present invention also include technical solutions in which any one or more of the specific features, structures, materials or characteristics described above are formed individually or in combination.

尽管上面已经示出和描述了本发明的实施例,可以理解的是,上述实施例是示例性的,不能理解为对本发明的限制,本领域的普通技术人员在不脱离本发明的原理和宗旨的情况下在本发明的范围内可以对上述实施例进行变化、修改、替换、变型、删除部分特征、增加特征或重新进行特征组合形成的技术方案,凡是依据本发明的创新原理对以上实施例所作的任何简单修改、等同变化与修饰,均仍属于本发明技术方案的范围内。Although the embodiments of the present invention have been shown and described above, it can be understood that the above-mentioned embodiments are illustrative and should not be construed as limitations of the present invention. Those of ordinary skill in the art will not deviate from the principles and purposes of the present invention. Under such circumstances, within the scope of the present invention, the above embodiments can be changed, modified, replaced, modified, some features can be deleted, features can be added, or features can be re-combined to form a technical solution. Any modification of the above embodiments based on the innovative principles of the present invention Any simple modifications, equivalent changes and modifications made still fall within the scope of the technical solution of the present invention.

Claims (10)

用于粒子植入系统的多通道拔针装置,其特征在于,包括:一拔针模块,用于引导多根穿刺针插入并可选择性地对其中一个穿刺针调整插入深度;一驱动模块,用于驱动拔针模块动作。A multi-channel needle extraction device for particle implantation systems, characterized by including: a needle extraction module for guiding the insertion of multiple puncture needles and selectively adjusting the insertion depth of one of the puncture needles; a driving module, Used to drive the action of the pin extraction module. 根据权利要求 1 所述的用于粒子植入系统的多通道拔针装置,其特征在于,所述拔针模块包括引导模板以及安装在引导模板上的夹针机构;所述夹针机构包括多个夹持件,夹持件由夹持驱动机构驱动运动并能够形成若干个用于夹持穿刺针的夹持位置,引导模板上设有与所述夹持位置相对应的用于引导穿刺针穿过的引导部;所述引导部是通孔、通槽、滑槽、导向杆、导向块的一种或多种组合;多个引导部阵列分布在引导模板上,且多个引导部的引导方向相互平行,均垂直于引导模板;所述引导部的宽度或直径的间距与穿刺针的外径相适配,引导部与穿刺针间隙配合,所述穿刺针的外径为 0.8-1.8mm。The multi-channel needle extraction device for particle implantation systems according to claim 1, wherein the needle extraction module includes a guide template and a needle clamping mechanism installed on the guide template; the needle clamping mechanism includes multiple A clamping piece is driven by a clamping drive mechanism and can form several clamping positions for clamping the puncture needle. The guide template is provided with a plurality of clamping parts corresponding to the clamping positions for guiding the puncture needle. A guide part that passes through; the guide part is one or more combinations of a through hole, a through groove, a chute, a guide rod, and a guide block; an array of multiple guide parts is distributed on the guide template, and the multiple guide parts The guide directions are parallel to each other and perpendicular to the guide template; the width or diameter of the guide portion matches the outer diameter of the puncture needle, and the guide portion and the puncture needle have a clearance fit. The outer diameter of the puncture needle is 0.8-1.8 mm. 根据权利要求 2 所述的用于粒子植入系统的多通道拔针装置,其特征在于,所述夹持件包括第一夹持件和第二夹持件,所述夹持驱动机构包括第一夹持驱动机构和第二夹持驱动机构,第一夹持件呈纵向设置并由第一夹持驱动机构驱动进行纵向移动,第二夹持件呈横向设置并由第二夹持驱动机构驱动进行横向移动,多个第一夹持件和多个第二夹持件纵横交错设置,第一夹持件上设有多个第一夹持部,第二夹持件上设有多个第二夹持部,一个第一夹持部和一个第二夹持部配合夹持穿刺针,从而通过移动各个第一夹持件和第二夹持件到不同的位置能够组合出多个用于夹持穿刺针的夹持位置。The multi-channel needle extraction device for particle implantation system according to claim 2, wherein the clamping member includes a first clamping member and a second clamping member, and the clamping driving mechanism includes a third clamping member. A clamping drive mechanism and a second clamping drive mechanism, the first clamping part is arranged longitudinally and is driven by the first clamping driving mechanism to move longitudinally, the second clamping part is arranged transversely and is driven by the second clamping driving mechanism Driven to move laterally, a plurality of first clamping parts and a plurality of second clamping parts are arranged in a criss-cross pattern. The first clamping part is provided with a plurality of first clamping parts, and the second clamping part is provided with a plurality of The second clamping part, a first clamping part and a second clamping part cooperate to clamp the puncture needle, so that multiple uses can be combined by moving each first clamping part and the second clamping part to different positions. In the clamping position of the puncture needle. 根据权利要求 3 所述的用于粒子植入系统的多通道拔针装置,其特征在于,所述第一夹持部是设置在第一夹持件上的凸出部或凹槽,所述第二夹持部是设置在第二夹持件上的凸出部或凹槽,第一夹持部和第二夹持部呈斜面配合夹持穿刺针的针管。The multi-channel needle extraction device for particle implantation system according to claim 3, wherein the first clamping part is a protrusion or a groove provided on the first clamping member, and the The second clamping part is a protruding part or a groove provided on the second clamping member. The first clamping part and the second clamping part are inclined to clamp the needle tube of the puncture needle. 根据权利要求 3 所述的用于粒子植入系统的多通道拔针装置,其特征在于,所述第一夹持驱动机构包括用于顶推和/或拉动第一夹持件纵向移动的第一驱动件和用于带动第一驱动件横向移动的第一驱动件传动结构,第一驱动件横向移动时能够分别顶推和/或拉动多个第一夹持件中的一个;所述第二夹持驱动机构包括用于顶推和/或拉动第二夹持件横向移动的第二驱动件和用于带动第二驱动件纵向移动的第二驱动件传动结构,第二驱动件纵向移动时能够分别顶推和/或拉动多个第二夹持件中的一个;所述第一驱动件传动结构和第二驱动件传动结构为带传动机构、绳驱动机构、链条传动机构、丝杆传动机构、液压驱动机构或齿轮齿条机构。The multi-channel needle extraction device for particle implantation system according to claim 3, characterized in that the first clamping driving mechanism includes a third clamping member for pushing and/or pulling the first clamping member to move longitudinally. A driving member and a first driving member transmission structure for driving the first driving member to move laterally. When the first driving member moves laterally, it can push and/or pull one of the plurality of first clamping members respectively; The two clamping driving mechanisms include a second driving member for pushing and/or pulling the second clamping member to move laterally and a second driving member transmission structure for driving the second driving member to move longitudinally. The second driving member moves longitudinally. can respectively push and/or pull one of the plurality of second clamping parts; the first driving part transmission structure and the second driving part transmission structure are a belt transmission mechanism, a rope driving mechanism, a chain transmission mechanism, and a screw rod. Transmission mechanism, hydraulic drive mechanism or rack and pinion mechanism. 根据权利要求 3 所述的用于粒子植入系统的多通道拔针装置,其特征在于,所述第一夹持驱动机构包括转动设置在引导模板上的第一凸轮轴,第一凸轮轴上设置有用于分别顶推和/或拉动多个第一夹持件纵向移动的多个第一凸轮;所述第二夹持驱动机构包括转动设置在引导模板上的第二凸轮轴,第二凸轮轴上设置有用于分别顶推和/或拉动多个第二夹持件横向移动的多个第二凸轮。The multi-channel needle extraction device for particle implantation system according to claim 3, characterized in that the first clamping drive mechanism includes a first camshaft rotatably provided on the guide template, and the first camshaft A plurality of first cams are provided for respectively pushing and/or pulling a plurality of first clamping members to move longitudinally; the second clamping driving mechanism includes a second camshaft that is rotated on the guide template, and the second cam A plurality of second cams for respectively pushing and/or pulling a plurality of second clamping members to move laterally are provided on the shaft. 根据权利要求 2 所述的用于粒子植入系统的多通道拔针装置,其特征在于,还包括用于检测夹持件或驱动模块的动作位置的夹持检测传感器;所述夹持检测传感器为旋转编码器、位移传感器、行程开关、接近开关、光电传感器或霍尔开关的一种或多种组合。The multi-channel needle extraction device for particle implantation systems according to claim 2, further comprising a clamping detection sensor for detecting the action position of the clamping member or the driving module; the clamping detection sensor It is one or more combinations of rotary encoder, displacement sensor, travel switch, proximity switch, photoelectric sensor or Hall switch. 根据权利要求 2 所述的用于粒子植入系统的多通道拔针装置,其特征在于,所述拔针模块还包括用于驱动夹针机构上下升降的升降机构;所述升降机构采用丝杆螺母传动结构、同步带传动结构、绳驱动结构或齿轮齿条传动结构;升降机构设置在位于夹针机构上下两侧的上下安装板之间,升降机构采用绳驱动机构,通过单个拉索实现至少 3 个点位的同步拉动升降;或者升降机构设置在位于夹针机构上下两侧的上下安装板之间,升降机构采用至少三个丝杆螺母副,夹针机构上设有至少三个丝杆螺母,多个丝杆平行且竖直方向布置,通过同步传动机构驱动多个丝杠同步转动,从而控制夹针机构上下升降;或者,所述升降机构设置在夹针机构的左侧或右侧或左右两侧的立柱上,立柱上设有直线导轨或直线滑槽,夹针机构与直线导轨或直线滑槽上的滑块相连,升降机构驱动滑块进行升降运动。The multi-channel needle extraction device for particle implantation system according to claim 2, characterized in that the needle extraction module further includes a lifting mechanism for driving the needle clamping mechanism to move up and down; the lifting mechanism adopts a screw rod Nut drive structure, synchronous belt drive structure, rope drive structure or rack and pinion drive structure; the lifting mechanism is set between the upper and lower mounting plates located on the upper and lower sides of the needle clamp mechanism. The lifting mechanism adopts a rope drive mechanism and achieves at least Synchronous pulling and lifting of 3 points; or the lifting mechanism is set between the upper and lower mounting plates located on the upper and lower sides of the needle clamping mechanism. The lifting mechanism uses at least three screw nut pairs, and the needle clamping mechanism is provided with at least three screws. Nut, multiple screw rods are arranged in parallel and vertical directions, and the multiple screw rods are driven to rotate synchronously through a synchronous transmission mechanism, thereby controlling the up and down lifting of the needle clamping mechanism; or, the lifting mechanism is arranged on the left or right side of the needle clamping mechanism Or on the columns on the left and right sides, there are linear guide rails or linear chute on the column. The needle clamp mechanism is connected to the slide block on the linear guide rail or linear chute. The lifting mechanism drives the slide block to perform lifting movement. 根据权利要求 2 所述的用于粒子植入系统的多通道拔针装置,其特征在于,所述拔针模块还包括用于在调整穿刺针插入深度后阻止其回弹的卡针机构。The multi-channel needle extraction device for particle implantation system according to claim 2, wherein the needle extraction module further includes a needle clamping mechanism for preventing the puncture needle from rebounding after adjusting its insertion depth. 一种粒子植入系统,其特征在于,包括如权利要求 1 至 9 中任一项所述的用于粒子植入系统的多通道拔针装置。A particle implantation system, characterized by comprising the multi-channel needle extraction device for the particle implantation system according to any one of claims 1 to 9.
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CN117982211A (en) * 2024-04-03 2024-05-07 北京智冉医疗科技有限公司 Electrode implantation apparatus and electrode implantation method
CN119257705A (en) * 2024-12-06 2025-01-07 深圳拉尔文生物工程技术有限公司 A corrector for improving the puncture accuracy of a sealed seed source implantation needle

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