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CN105232122A - Detachable-mountable surgical precise positioning equipment - Google Patents

Detachable-mountable surgical precise positioning equipment Download PDF

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Publication number
CN105232122A
CN105232122A CN201510796405.5A CN201510796405A CN105232122A CN 105232122 A CN105232122 A CN 105232122A CN 201510796405 A CN201510796405 A CN 201510796405A CN 105232122 A CN105232122 A CN 105232122A
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CN
China
Prior art keywords
elevating lever
precise positioning
positioning equipment
horizon bar
circular orbit
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Granted
Application number
CN201510796405.5A
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Chinese (zh)
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CN105232122B (en
Inventor
贺石生
范国鑫
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Individual
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Individual
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Publication date
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Priority to CN201510796405.5A priority Critical patent/CN105232122B/en
Priority to PCT/CN2016/070142 priority patent/WO2017000538A1/en
Priority to CN201680000494.0A priority patent/CN105916463B/en
Publication of CN105232122A publication Critical patent/CN105232122A/en
Application granted granted Critical
Publication of CN105232122B publication Critical patent/CN105232122B/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Abstract

The invention relates to detachable-mountable surgical precise positioning equipment. The detachable-mountable surgical precise positioning equipment comprises an L-shaped base which consists of a base and a vertical guide rail (1) vertical to the base, wherein a first fixed block (3) is arranged on the vertical guide rail (1) and is penetrated by a lifting rod which is in slide connection with the first fixed block (3); a second fixed block (7) is arranged on the top end of the lifting rod and is penetrated by a leveling rod; a third fixed block (11) is arranged on the top end of the leveling rod, a first sliding block (17) is arranged on the third fixed block (11), an annular track (12) is connected to the first sliding block (17), and a guide rod is connected with the annular track (12) through a second sliding block (18). Compared with the prior art, the detachable-mountable surgical precise positioning equipment can be widely applied to spinal surgeries, neurosurgical surgeries, general surgeries and the like and has the advantages that the puncture positioning in the surgeries is relatively accurate, the surgery time is shortened, the radiation to medical staff is reduced, and the like.

Description

A kind of detachable assembling operation precise positioning equipment
Technical field
The invention belongs to technical field of medical instruments, especially relate to a kind of detachable assembling operation precise positioning equipment.
Background technology
Puncture is one of the inspection method or treatment means that clinical medicine is conventional, has important value to the Diagnosis and Treat of disease.But existing piercing method punctures under often needing X-ray examination, only have by perspective repeatedly could the implantation direction of clear and definite puncture needle, the degree of depth.And the experience depending critically upon doctor operates, the position that puncture arrives might not be very accurate.This simple method of sensation that relies on is not accurate enough, often needs the surgical experience enriched, then coordinates repeatedly to have an X-rayed and just can complete; Both operating time was increased, under making again medical personnel and patient repeatedly be exposed to x-ray radiation.If locate inaccurate, just certainly will cause unnecessary structural deterioration, thus increase damage.Meanwhile, the sterilization problems in operation process is also the problem all the time perplexing medical personnel.
Summary of the invention
Object of the present invention is exactly provide one that location of operation can be made more accurate to overcome defect that above-mentioned prior art exists, shortens operating time, and the detachable assembling reducing medical personnel's radiation is performed the operation precise positioning equipment.
Object of the present invention can be achieved through the following technical solutions: a kind of detachable assembling operation precise positioning equipment, comprise and form L shape base by a base and the upright guide rail vertical with this base, described upright guide rail is provided with the first fixed block, the first described fixed block runs through the elevating lever having and be slidably connected, the second fixed block is provided with on described elevating lever top, the second described fixed block runs through the horizon bar having and be slidably connected, described horizon bar and elevating lever are mutually vertical, the 3rd fixed block is provided with on described horizon bar top, the 3rd described fixed block slidably connects the first slide block, the first described slide block is connected with circular orbit, described guide rod is connected on circular orbit by the second skid, by regulating elevating lever and horizon bar, regulating the position of circular orbit, being regulated the position of guide rod by the second slide block.
Described detachable assembling operation precise positioning equipment also comprises articles holding table, described articles holding table level is arranged on described upright guide rail, for deployment instrument box in operation process, at least a set of horizon bar, circular orbit and guide rod of having sterilized is placed in described instruments box, instruments box gross weight is not more than orthopedic instrument bag weight, maximumly can perform the operation continuously twice.
Described elevating lever comprises the first elevating lever and the second elevating lever that are parallel to each other, the top of described upright guide rail is provided with the first rocking bar, the first described rocking bar is connected with the first described elevating lever is vertical with the second elevating lever, by rotate described first rocking bar drive described in the first elevating lever and the second elevating lever do oscilaltion campaign.The length of the first elevating lever and the second elevating lever is 1 meter, and its top can regulate within the scope of 1.8 meters at 1.2 meters far from the distance on ground.
Described horizon bar comprises the first horizon bar and the second horizon bar that are parallel to each other, the first described horizon bar is vertical with on the second horizon bar is connected with the second rocking bar, by rotate described second rocking bar drive described in the first horizon bar and the second horizon bar move horizontally.The length of the first horizon bar and the second horizon bar is 0.5 meter, and width is between the two 200mm, and left and right adjustable length adjusting range is 0mm to 100mm.
The head end of described circular orbit is connected with the second adjusting knob, the first described slide block is provided with the first adjusting knob, by rotating the first adjusting knob, the first slide block is moved forward and backward, and then drive circular orbit to seesaw, drive circular orbit to move up and down by rotating the second described adjusting knob.
Described guide rod is connected with acuductor, and the other end is flexible to be connected on the second slide block, and the second described slide block is provided with the 3rd adjusting knob, makes the second slide block drive guide rod annularly rail moving by rotating the 3rd adjusting knob.
The guide pin mouth of described acuductor adopts multiple running-on to design, and to adapt to the puncture needle of different size, guide pin mouth carries out coupling reaming reaming tool trepan diameter and plays assisted surgery effect to new hand personnel; Guide pin mouth can carry out consumptive material process under needing situation, and disposable sterilized packaging provides; Later stage guide pin mouth directly can carry out reaming tool Combined design, and carrying out instrument aseptic packaging provides.
Described circular orbit is 1/4 arc structure, and its radius is 350mm.
Described circular orbit head end is provided with infrared ray vertical pinpoint instrument, and end is provided with infrared level fixed point apparatus.
Described L shape base is provided with roller and can the brake gear of fixed bottom boundary.
The first described elevating lever, the second elevating lever, the first horizon bar and the second horizon bar are made by macromolecular material nonvisualized under X-ray examination.
The using method of a kind of detachable assembling operation precise positioning equipment that the present invention proposes, concrete steps are as follows: operation consent, according to front, rear position and position, side perspective, to determine to puncture the projection of impact point in body surface dorsal part and side labelling, then two skin-markers aimed at by the infrared level fixed point apparatus and the infrared ray vertical pinpoint instrument that adjust detachable assembling operation precise positioning equipment, to determine that puncture impact point is 1/4 circular arc round dot, puncture needle is installed on the guides, the height of elevating lever is regulated according to difference operation adjustment, the horizontal length of horizon bar and the guide rod position on circular orbit, regulate the active position of puncture needle, reach accurate locating effect.
Compared with prior art, the present invention has the following advantages:
(1) the detachable assembling operation precise positioning equipment that the present invention proposes assist personnel can implement operation in operation process, foramen intervertebrale lens localised puncture can be widely used in, epidural anesthesia, tumor of spine biopsy, the spinal operations such as spinal abscess puncture drainage;
(2) the present invention is provided with infrared level fixed point apparatus and infrared ray vertical pinpoint instrument can improve puncture accuracy greatly, saves the perspective time, improves procedure efficiency;
(3) the present invention is provided with articles holding table, can be used for placing a set of instruments box for subsequent use of having sterilized that can use twice continuously, is convenient to the carrying out of performing the operation;
(4) in the present invention, the first elevating lever, the second elevating lever, the first horizon bar and the second horizon bar, by macromolecular material composition nonvisualized under X-ray examination, can not cause interference to location.
Accompanying drawing explanation
Fig. 1 is three-dimensional structure diagram of the present invention;
Fig. 2 is top view of the present invention;
Fig. 3 is side view of the present invention;
Be designated in figure: 1 upright guide rail, 2 articles holding tables, 3 first fixed blocks, 4 first elevating levers, 5 second elevating levers, 6 first rocking bars, 7 second fixed blocks, 8 first horizon bars, 9 second horizon bars, 10 second rocking bars, 11 the 3rd fixed blocks, 12 circular orbits, 13 second adjusting knobs, 14 first adjusting knobs, 15 guide rods, 16 acuductors, 17 first slide blocks, 18 second slide blocks, 19 infrared level fixed point apparatus, 20 infrared ray vertical pinpoint instrument.
Detailed description of the invention
Below in conjunction with the drawings and specific embodiments, the present invention is described in detail.
Embodiment 1
As shown in Fig. 1-3, a kind of detachable assembling operation precise positioning equipment, comprise and form L shape base by a base and the upright guide rail 1 vertical with this base, base is provided with roller and can the brake gear of fixed bottom boundary, is convenient to mobile and fixing detachable assembling operation precise positioning equipment.Upright guide rail 1 is horizontally installed with articles holding table 2, for placing instruments box for subsequent use in operation process; In the present embodiment, the length of instruments box asks 550mm, 300mm, 130mm respectively, and instruments box is built with 2 collar-shaped tracks 12, acuductor 16 and all the other disinfection parts, and gross weight is 14 kilograms, can perform the operation continuously twice.Described upright guide rail 1 is provided with the first fixed block 3, the first described fixed block 3 runs through the first elevating lever 4 and the second elevating lever 5 having and be slidably connected, the first described elevating lever 4 and the second elevating lever 5 are parallel to each other, the top of described upright guide rail 1 is provided with the first rocking bar 6, the first described rocking bar 6 is connected with the first described elevating lever 4 is vertical with the second elevating lever 5, drives the first described elevating lever 4 and the second elevating lever 5 to do oscilaltion campaign by rotating the first described rocking bar 6.The length of the first elevating lever 4 and the second elevating lever 5 is 1 meter, regulates the first elevating lever 4 and the second elevating lever 5 top to be 1.2 meters far from the distance on ground in the present embodiment.The second fixed block 7 is provided with at the first elevating lever 4 and the second elevating lever 5 top, described second fix 7 pieces run through have be slidably connected and the first horizon bar 8 and the second horizon bar 9 be parallel to each other, the first described horizon bar 8 is vertical with on the second horizon bar 9 is connected with the second rocking bar 10, drives the first described horizon bar 8 and the second horizon bar 9 to move horizontally by rotating the second described rocking bar 10.The length of the first horizon bar 8 and the second horizon bar 9 is 0.5 meter, and width is between the two 200mm, and the distance regulating the first horizon bar 8 and the second horizon bar 9 right-hand member distance the second fixed block 7 in the present embodiment is 50mm.
The 3rd fixed block 11 is provided with at the first described horizon bar 8 and the second horizon bar 9 top, the 3rd described fixed block 11 slidably connects the first slide block 17, the first described slide block 17 is provided with the first adjusting knob 14, the head end of described circular orbit 12 connects the first slide block 17 and the second adjusting knob 13, by rotating the first adjusting knob 14, first slide block 17 is moved forward and backward, and then drive circular orbit 12 to seesaw, drive circular orbit 12 to move up and down by rotating the second described adjusting knob 13.
Described circular orbit 12 is 1/4 circular arc, and its radius is 350mm.
The head end of described circular orbit 12 is provided with infrared ray vertical pinpoint instrument 2020, and end is provided with infrared level fixed point apparatus 19.
The guide pin mouth of described acuductor 16 adopts multiple running-on to design, to adapt to the puncture needle of different size; Guide pin mouth carries out coupling reaming reaming tool trepan diameter and plays assisted surgery effect to new hand personnel; Guide pin mouth can carry out consumptive material process under needing situation, and disposable sterilized packaging provides; Later stage guide pin mouth directly can carry out reaming tool Combined design, and carrying out instrument aseptic packaging provides.
Described base is provided with roller and can the brake gear of fixed bottom boundary, is convenient to mobile and fixing detachable assembling operation precise positioning equipment.
The first described elevating lever 4, second elevating lever 5, first horizon bar 8 and the second horizon bar 9 are made by macromolecular material nonvisualized under X-ray examination.
The using method of a kind of detachable assembling operation precise positioning equipment that the present invention proposes, concrete steps are as follows: (1) enjoins patient's parallel operating-table major axis prostrate, existing epidermis localizer is invested the back side and the side of patient's body surface, then with anteroposterior position and the lateral projection of C arm machine picked-up standard, anteroposterior film and lateral projection are determined the impact point that punctures, then in the body surface dorsal part of patient and side with marker labelling, draw the general shape of puncture impact point homonymy transverse process at patient's body surface simultaneously; In addition, crista iliaca is drawn by touch patient body surface out of shape;
(2) by detachably assembling the appropriate position of operation precise positioning equipment moving to operating-table side, by the brake spinal fixation puncture aid above roller; Needed for balance single unit system;
(3) rotating the first rocking bar 6 makes the top of the first elevating lever 4 and the second elevating lever 5 arrive the height of overhead 1.2 meters, in like manner rotates the second rocking bar 10 and regulates the distance of the first horizon bar 8 and the second horizon bar 9 right-hand member distance the second fixed block 7 to be 50mm.
(4) rotating the first adjusting knob 14 and the second adjusting knob 13 makes infrared level fixed point apparatus 19 accurately aim at patients back skin-marker respectively, the vertical fixed point apparatus of infrared ray aims at the skin-marker of patient side, and the impact point that now punctures is always 1/4 arc orbit round dot of spinal puncture assistor;
(5) acuductor 16 that autoclave sterilization is good is loaded onto on guide rod 15, transverse process position drawn by body surface and ilium ridge out of shape, the second slide block 18 on sliding guide 15, to the appropriate location on circular orbit 12, makes acuductor 16 as far as possible near patient body's table position;
(6) now puncture needle can arrive puncture impact point by the guide pin mouth on acuductor 16.
Embodiment 2
Regulate the first elevating lever 4 and the second elevating lever 5 top to be 1.5 meters far from the distance on ground in the present embodiment, regulate the first horizon bar 8 and the second horizon bar 9 right-hand member to be 80mm apart from the distance of the second fixed block 7.All the other are with embodiment 1.

Claims (10)

1. detachably assemble operation precise positioning equipment for one kind, it is characterized in that, comprise the L shape base be made up of a base and the upright guide rail vertical with this base (1), described upright guide rail (1) is provided with the first fixed block (3), described the first fixed block (3) runs through the elevating lever having and be slidably connected, the second fixed block (7) is provided with on described elevating lever top, described second fixing (7) block runs through the horizon bar having and be slidably connected, described horizon bar and elevating lever are mutually vertical, the 3rd fixed block (11) is provided with on described horizon bar top, the 3rd described fixed block (11) slidably connects the first slide block (17), described the first slide block (17) is connected with circular orbit (12), described guide rod (15) is slidably connected on circular orbit (12) by the second slide block (18), by regulating elevating lever and horizon bar, regulating the position of circular orbit (12), being regulated the position of guide rod (15) by the second slide block (18).
2. an one according to claim 1 detachably assembles operation precise positioning equipment, it is characterized in that, also comprise articles holding table (2), described articles holding table (2) level is arranged on described upright guide rail (1), for deployment instrument box in operation process, in described instruments box, place at least a set of horizon bar, circular orbit (12) and guide rod (15).
3. an one according to claim 1 detachably assembles operation precise positioning equipment, it is characterized in that, described elevating lever comprises the first elevating lever (4) and the second elevating lever (5) that are parallel to each other, the top of described upright guide rail (1) is provided with the first rocking bar (6), described the first rocking bar (6) is connected with described the first elevating lever (4) is vertical with the second elevating lever (5), by rotate described the first rocking bar (6) drive described in the first elevating lever (4) and the second elevating lever (5) do oscilaltion campaign.
4. an one according to claim 1 detachably assembles operation precise positioning equipment, it is characterized in that, described horizon bar comprises the first horizon bar (8) and the second horizon bar (9) that are parallel to each other, described the first horizon bar (8) is vertical with on the second horizon bar (9) is connected with the second rocking bar (10), by rotate described the second rocking bar (10) drive described in the first horizon bar (8) and the second horizon bar (9) move horizontally.
5. an one according to claim 1 detachably assembles operation precise positioning equipment, it is characterized in that, the head end of described circular orbit (12) is connected with the second adjusting knob (13), described the first slide block (17) is provided with the first adjusting knob (14), by rotating the first adjusting knob (14), the first slide block (17) is moved forward and backward, and then drive circular orbit (12) to seesaw, drive circular orbit (12) to move up and down by rotating described the second adjusting knob (13).
6. an one according to claim 1 detachably assembles operation precise positioning equipment, it is characterized in that, described guide rod (15) one end is connected with acuductor (16), the other end is flexible to be connected on the second slide block (18), described the second slide block (18) is provided with the 3rd adjusting knob, makes the second slide block (18) drive guide rod (15) annularly track (12) movement by rotating the 3rd adjusting knob.
7. an one according to claim 6 detachably assembles operation precise positioning equipment, and it is characterized in that, the guide pin mouth of described acuductor (16) adopts multiple running-on to design, to adapt to the puncture needle of different size.
8. an one according to claim 1 detachably assembles operation precise positioning equipment, it is characterized in that, described circular orbit (12) is 1/4 arc structure, its head end is provided with infrared ray vertical pinpoint instrument (20), and end is provided with infrared level fixed point apparatus (19).
9. an one according to claim 1 detachably assembles operation precise positioning equipment, it is characterized in that, described base is provided with roller and can the brake gear of fixed bottom boundary, is convenient to mobile and fixing detachable assembling operation precise positioning equipment.
10. the using method of a detachable assembling operation precise positioning equipment as claimed in claim 1, it is characterized in that concrete steps are as follows: operation consent, according to front, rear position and position, side perspective, to determine to puncture the projection of impact point in body surface dorsal part and side labelling, then two skin-markers aimed at by the infrared level fixed point apparatus (19) and the infrared ray vertical pinpoint instrument (20) that adjust detachable assembling operation precise positioning equipment, to determine that puncture impact point is 1/4 circular arc round dot, puncture needle is arranged on guider (16), the height of elevating lever is regulated according to difference operation adjustment, the horizontal length of horizon bar and the position of guide rod (15) on circular orbit (12), regulate the active position of puncture needle, reach accurate locating effect.
CN201510796405.5A 2015-07-02 2015-11-18 A kind of detachable assembling operation precise positioning equipment Expired - Fee Related CN105232122B (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
CN201510796405.5A CN105232122B (en) 2015-11-18 2015-11-18 A kind of detachable assembling operation precise positioning equipment
PCT/CN2016/070142 WO2017000538A1 (en) 2015-07-02 2016-01-05 Arc-shaped precise positioning device capable of being assembled and disassembled
CN201680000494.0A CN105916463B (en) 2015-07-02 2016-01-05 Detachably assemble arc-shaped precise positioning equipment

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Application Number Priority Date Filing Date Title
CN201510796405.5A CN105232122B (en) 2015-11-18 2015-11-18 A kind of detachable assembling operation precise positioning equipment

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CN105232122A true CN105232122A (en) 2016-01-13
CN105232122B CN105232122B (en) 2017-11-10

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105944193A (en) * 2016-04-14 2016-09-21 成都佳美嘉科技有限公司 Novel nursing heater
CN105962884A (en) * 2016-04-22 2016-09-28 袁峰 Lumbar endoscopic discectomy guide apparatus
CN107303196A (en) * 2016-04-19 2017-10-31 陈德路 A kind of tumor-localizing puncture instrument
CN109330657A (en) * 2018-10-19 2019-02-15 王慧涛 A kind of neurosurgery skull drilling device

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CN2139425Y (en) * 1992-07-25 1993-08-04 牡丹江市第二人民医院 Movable lifting type instrument table for cleaning limbs wound and dressing
CN200984236Y (en) * 2006-08-07 2007-12-05 上海导向医疗系统有限公司 CT guide puncture instrument for intervening through skin
CN104274249A (en) * 2014-10-04 2015-01-14 杨华 Anesthesia apparatus rack
CN204106212U (en) * 2014-10-24 2015-01-21 南京市胸科医院 A kind of biopsy of thoracic positioner
CN104523324A (en) * 2014-12-24 2015-04-22 李昭中 Intervertebral disc puncturing table performing accurate puncturing
CN104814800A (en) * 2015-05-13 2015-08-05 范国明 Infrared ray navigation tool
CN204562316U (en) * 2015-01-30 2015-08-19 孙常胜 A kind of CT guided puncture detent mechanism

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2139425Y (en) * 1992-07-25 1993-08-04 牡丹江市第二人民医院 Movable lifting type instrument table for cleaning limbs wound and dressing
CN200984236Y (en) * 2006-08-07 2007-12-05 上海导向医疗系统有限公司 CT guide puncture instrument for intervening through skin
CN104274249A (en) * 2014-10-04 2015-01-14 杨华 Anesthesia apparatus rack
CN204106212U (en) * 2014-10-24 2015-01-21 南京市胸科医院 A kind of biopsy of thoracic positioner
CN104523324A (en) * 2014-12-24 2015-04-22 李昭中 Intervertebral disc puncturing table performing accurate puncturing
CN204562316U (en) * 2015-01-30 2015-08-19 孙常胜 A kind of CT guided puncture detent mechanism
CN104814800A (en) * 2015-05-13 2015-08-05 范国明 Infrared ray navigation tool

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105944193A (en) * 2016-04-14 2016-09-21 成都佳美嘉科技有限公司 Novel nursing heater
CN107303196A (en) * 2016-04-19 2017-10-31 陈德路 A kind of tumor-localizing puncture instrument
CN105962884A (en) * 2016-04-22 2016-09-28 袁峰 Lumbar endoscopic discectomy guide apparatus
CN109330657A (en) * 2018-10-19 2019-02-15 王慧涛 A kind of neurosurgery skull drilling device
CN109330657B (en) * 2018-10-19 2022-02-22 王慧涛 Skull drill for neurosurgery

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