Summary of the invention
In view of this, being designed to provide for the embodiment of the present invention is a kind of for setting the navigation device of nail, it is able to ascend and draws
Lead the accuracy and safety for setting nail process.
In a first aspect, the embodiment of the invention provides a kind of for setting the navigation device of nail, wherein the device includes navigation
Template and draw nail sleeve;Draw nail sleeve to match with the outer guiding tube of navigation template, may be disposed in outer guiding tube;Draw nail sleeve packet
Include it is cylindrical draw nail ontology, which is provided with through-hole for drawing nail.
With reference to first aspect, the embodiment of the invention provides the first possible embodiments of first aspect, wherein on
It states that draw nail sleeve include being set to the annular cover for drawing nail bodies top, is provided with hand-held part on the outside of the annular cover.
With reference to first aspect or the first possible embodiment of first aspect, the embodiment of the invention provides first party
The possible embodiment of second of face, wherein above-mentioned apparatus further includes setting nail device, and setting nail device includes upper nail device and thin slice cylinder;
The above-mentioned nail ontology that draws further includes be located at the periphery of through-hole with the matched annular groove of thin slice cylinder, annular groove, and with through-hole with phase
Coaxial inner conductor;Upper nail device and thin slice cylinder are along the removable connection in the direction of the axial line.
The possible embodiment of second with reference to first aspect, the embodiment of the invention provides the third of first aspect
Possible embodiment, wherein above-mentioned apparatus further includes drawing drill bushing cylinder;Draw drill bushing cylinder include it is cylindrical draw brill ontology, this draws brill
Sleeve is matched with the outer guiding tube of navigation template, may be disposed in outer guiding tube;The column heart for drawing brill ontology is provided with for drawing
The through-hole of brill.
The third possible embodiment with reference to first aspect, the embodiment of the invention provides the 4th kind of first aspect
Possible embodiment, wherein above-mentioned outer guiding tube draws nail ontology, draws and bore ontology and thin slice cylinder as cylinder;It is above-mentioned to draw drill bushing
Cylinder further includes being set to the annular cover for drawing and boring bodies top, is provided with hand-held part on the outside of the annular cover.
The third possible embodiment with reference to first aspect, the embodiment of the invention provides the 5th kind of first aspect
Possible embodiment, wherein above-mentioned navigation template includes: the first pasting panel, the second patch corresponding with the first pasting panel
Attached panel, and the handle of connection the first pasting panel and the second pasting panel, the first pasting panel, the second pasting panel and handle
Hand is an integral structure.
The third possible embodiment with reference to first aspect, the embodiment of the invention provides the 6th kind of first aspect
Possible embodiment, wherein above-mentioned navigation template includes: the first pasting panel, the second patch corresponding with the first pasting panel
Attached panel, and it is detachably connected the handle of the first pasting panel and the second pasting panel.
The 6th kind of possible embodiment with reference to first aspect, the embodiment of the invention provides the 7th kind of first aspect
Possible embodiment, wherein above-mentioned apparatus include multiple navigation templates and respectively with the outer guiding tube phase of multiple navigation templates
It is matched to draw nail sleeve and draw drill bushing cylinder.
The 7th kind of possible embodiment with reference to first aspect, the embodiment of the invention provides the 8th kind of first aspect
Possible embodiment, wherein above-mentioned to draw nail sleeve and draw drill bushing cylinder by metal, alloy, ceramics, resin, nylon, modified nylon
One of compound a variety of is made.
With reference to first aspect, the embodiment of the invention provides the 9th kind of possible embodiments of first aspect, wherein leads
Model plane plate is made of 3D printing technique.
The embodiment of the invention provides a kind of for setting the navigation device of nail, including navigation template and draws nail sleeve, this draws
Nail sleeve and the outer guiding tube of navigation template match, and drawing nail sleeve includes being provided with the cylindricality of the through-hole for drawing nail to draw nail
Ontology, the through-hole that operator can draw in nail ontology by this carry out setting nail operation, and accuracy is higher;With operate in the prior art
Person can not be guided completely using existing navigation template to set nail operation and there are problems that setting nail risk compares, and passes through above-mentioned dress
It sets, the through-hole of what operator can match by means of the outer guiding tube with navigation template draw nail sleeve is accurately drawn
Nail process is reduced because manually drawing nail error due to bring risk.
Further, device provided by the embodiment of the present invention further includes setting nail device, and above-mentioned cylinder draws nail ontology also
Including the annular groove to match with the thin slice cylinder for setting nail device, by moving the restriction of thin slice cylinder in a ring groove, thus only
One defines the conduct direction of nail, so that more accurate into nail process.
Further, device provided by the embodiment of the present invention further includes the handle being arranged on navigation template, which can
Integral type is thought, convenient for hand-held navigation template;Or it is detachable, convenient for building navigation according to actual needs and flexibly
Template, to reduce the fixed pattern of conventional navigation template and the limitation to operation.
Further, the navigation template in device provided by the embodiment of the present invention is made of 3D printing technique, may be implemented
Individual design, and then can adapt to the complex environment of a variety of nails to be set.
To enable the above objects, features and advantages of the present invention to be clearer and more comprehensible, preferred embodiment is cited below particularly, and cooperate
Appended attached drawing, is described in detail below.
Specific embodiment
In order to make the object, technical scheme and advantages of the embodiment of the invention clearer, below in conjunction with the embodiment of the present invention
Middle attached drawing, technical scheme in the embodiment of the invention is clearly and completely described, it is clear that described embodiment is only
It is a part of the embodiment of the present invention, instead of all the embodiments.The present invention being usually described and illustrated herein in the accompanying drawings is real
The component for applying example can be arranged and be designed with a variety of different configurations.Therefore, of the invention to what is provided in the accompanying drawings below
The detailed description of embodiment is not intended to limit the range of claimed invention, but is merely representative of selected reality of the invention
Apply example.Based on the embodiment of the present invention, those skilled in the art institute obtained without making creative work
There are other embodiments, shall fall within the protection scope of the present invention.
In view of the bad problem of auxiliaring effect of nail operation, the embodiment of the present invention are set in the guidance using existing navigation template
It provides a kind of for setting the navigation device of nail, operator is allow accurately to draw nail process by device progress, into
And improve the safety for setting nail.
For convenient for understanding the present embodiment, first to a kind of for setting the navigation of nail disclosed in the embodiment of the present invention
Device describes in detail.
It should also be noted that similar label and letter indicate similar terms in following attached drawing, therefore, once a certain Xiang Yi
It is defined in a attached drawing, does not then need that it is further defined and explained in subsequent attached drawing.
The embodiment of the invention provides a kind of for setting the navigation device of nail, and referring to Fig. 1 and Fig. 3, which includes:
Navigation template 10 and draw nail sleeve 20;
Draw nail sleeve 20 to match with the outer guiding tube 11 of navigation template 10, may be disposed in outer guiding tube 11;
Draw nail sleeve 20 include it is cylindrical draw nail ontology 21, the column heart for drawing nail ontology 21 is provided with through-hole for drawing nail,
For the ease of subsequent descriptions, which is known as first through hole, i.e., the first through hole 22 in figure.
Wherein, navigation template 10 shown in Fig. 1 specifically includes: outer guiding tube 11, the first pasting panel 12, second patch
Attached panel 13 and handle 14;The nail sleeve 20 that draws shown in Fig. 3 may further comprise: first annular cover 23, the first hand-held part
24 and annular groove 25.
It should be noted that the above-mentioned cylindrical exterior contour for drawing the nail ontology representation ontology can be cylindrical, trigone
A variety of cylindrical forms such as column, quadrangular, hexagonal prisms with cylinder signal in Fig. 3, and draw the column heart (the specially cylinder of nail ontology
Y direction) the perforative through-hole of institute is then preferably cylindrical.In addition, the annular groove 25 shown in Fig. 3 drawn in nail sleeve 20
It can be set as accordingly and the flute profiles such as the exterior contour triangular prism, the quadrangular that match that draw nail ontology.
Navigation template 10 and draw nail sleeve 20 relationship for details, reference can be made to Fig. 5 and Fig. 6.In figure 5 it is possible to which nail sleeve will be drawn
20 go deep into along arrow A direction to the outer guiding tube 11 of navigation template 10;It should be with it should be noted that drawing nail sleeve 20
Outer guiding tube 11 matches, such as draws internal diameter of the outer diameter equal to outer guiding tube 11 of nail ontology 21, while drawing nail sleeve 20 and drawing outside
11 coaxial line of conduit, agrees with so as to good.Fig. 6 is then that will draw nail sleeve 20 according to mounting means shown in fig. 5 to be inserted into
After in outer guiding tube 11, to the diagrammatic cross-section of the assembly, it is noted that navigation template 10 shown in fig. 6 is only
It is simply illustrative, do not represent true navigation template shape.The protrusion that focuses on of Fig. 6 draws nail sleeve 20 and navigation template 10
Outer 11 phase of guiding tube agree with after diagrammatic cross-section, to better understand.
The embodiment of the invention provides a kind of for setting the navigation device of nail, including navigation template and draws nail sleeve, this draws
Nail sleeve and the outer guiding tube of navigation template match, and drawing nail sleeve includes being provided with the cylinder of the through-hole for drawing nail to draw
Ontology is followed closely, the column heart through-hole that operator can draw in nail ontology by above-mentioned cylinder carries out setting nail operation, and accuracy is higher;With
It can not be guided completely using navigation template in the prior art and set nail operation and there are problems that setting nail risk compares, by above-mentioned
Device, what operator can match by means of the outer guiding tube with navigation template draws the through-hole progress of nail sleeve accurately
Draw nail process, reduces because manually drawing nail error due to bring risk.
Fig. 2 is a kind of application schematic diagram of navigation template provided by the embodiment of the present invention, wherein to follow closely local position wait set
It is set to for pedicle of vertebral arch 100 and is illustrated, the part unlabeled (i.e. dash area in figure) other than pedicle of vertebral arch 100 is that the present invention is real
A kind of schematic diagram of navigation template of example offer is provided.Navigation template backbone back side sclerotin corresponding with pedicle of vertebral arch 100 is mutually agreed with,
By the outer guiding tube alignment pedicle of vertebral arch 100 of the navigation template wait set nail position, nail operation is set convenient for subsequent, wherein dotted line X
The axial line of as outer guiding tube, and what is designed previously according to actual demand most preferably set nail route, subsequent to set nail process
Set nail operation each along the route, for details, reference can be made to described hereinafter, details are not described herein.It should be noted that in Fig. 2
The extended line of dotted line X should be and the midpoint for passing through pedicle of vertebral arch along the axis of pedicle of vertebral arch 100.Fig. 2 only showing for ease of understanding
It is intended to, is not construed as limiting.
Referring to Fig. 3 and Fig. 4, it is contemplated that be only that the nail sleeve that draws of bar shape is needed in deeply extremely matched outer guiding tube
It limits and draws the deep depth of nail sleeve, while after drawing nail sleeve and going deep into outer guiding tube, being also not easy to the subsequent general of operator
It takes out, and the nail sleeve 20 that draws in the present embodiment includes being set to the cylindrical annular cover for drawing 21 top of nail ontology, i.e., in figure
First annular cover 23, the outside of first annular cover 23 is provided with hand-held part, i.e., the first hand-held part 24 in figure.Pass through ring
Shape cover is stuck in outer guiding tube outer, can make to grasp by the first hand-held part 24 to limit and draw the deep depth of nail sleeve
Easily the hand-held nail sleeve 20 that draws is also convenient for author simultaneously consequently facilitating being put into the outer guiding tube 11 of navigation template 10
This is drawn nail sleeve 20 after setting nail and taken out out of navigation template 10 outer guiding tube 11 by operator.
In order to more easily set nail, which further includes setting nail device, follows closely device 40 referring to setting shown in Figure 10 and Figure 11
Including upper nail device 41 and thin slice cylinder 42;
Wherein, in order to better understand the structure for drawing nail sleeve 20, reference can be made to the section shown in Fig. 4 for drawing nail sleeve
Figure.It further includes being located at the outer of first through hole 22 with the matched annular groove 25 of thin slice cylinder 42, annular groove 25 that cylinder, which draws nail ontology 21,
It encloses, and there is identical axial line with first through hole 22;Upper nail device 41 and the removable connection of thin slice cylinder 42.By the way that thin slice cylinder 42 is limited
It is scheduled in annular groove 25 and moves, so that the conduct direction of nail 4 is uniquely defined, so that more accurate into nail process.
For details, reference can be made to the scheme of installation for drawing nail sleeve shown in Figure 12 and set nail device will set along the arrow in the direction B
Nail device 40 agrees with nail 20 phase of sleeve is drawn.The thin slice cylinder 42 for setting nail device 40 is specially inserted into the annular groove 25 for drawing nail sleeve 20
It is interior, and upper nail device 41 is then inserted into simultaneously and draws in nail sleeve 20 for drawing in the first through hole 22 of nail.Because of upper nail device 41 and thin
Piece cylinder 42 is connected, so thin slice cylinder 42 can move in annular groove 25 with upper nail device 41, to be limited in annular
Thin slice cylinder 42 in slot 25 can also limit the movement routine of nail device 41 simultaneously, and then define the conduct direction of nail 4, just
Nail is set in more accurate, tradition is reduced and sets nail deviation that may be present.
Correspondingly, when draw nail ontology annular groove be with draw nail ontology exterior contour match and be set as triangular prism,
When the flute profiles such as quadrangular, above-mentioned thin slice cylinder should also be set as the flute profile to match with annular groove, so as to accurate with annular groove
Agree with.
In order to set the accurate of nail, it is necessary to bore position and navigation boring direction be accurately positioned, so for the navigation portion that drills
The design divided must assure that boring direction is consistent with nail direction is set.In order to accurate pilot bore hole process, and can be right
Those extra fine pedicles of vertebral arch drill, and the accident without destroying bone road because of deviation occurs, using such as Fig. 7 and Fig. 8 institute
Show, above-mentioned apparatus further includes drawing drill bushing cylinder 30;
Draw drill bushing cylinder 30 and draws brill ontology 31, outer guiding tube 11 for drawing drill bushing cylinder 30 and navigation template 10 comprising cylindrical
Match, may be disposed in outer guiding tube 11;
Draw and bores the column heart of ontology 31 and be provided with the second through-hole 32 for drawing brill.
Wherein, further comprise in Fig. 7 and the drill bushing cylinder 30 shown in Fig. 8 that draws: the second annular cover 33 and second is hand-held
Portion 34.
It should be noted that the outer diameter for drawing drill bushing cylinder 30 should be equal to the outer guidance of navigation template 10 in order to preferably nested
The internal diameter of pipe 11, while the accuracy in order to guarantee drilling, the internal diameter (i.e. for drawing the through-hole diameter of brill) for drawing drill bushing cylinder 30 are answered
When the drilling outer diameter with boring bar tool (such as stiletto or drilling electric drill) matches, thus keep boring procedure more accurate, it will not
There is situations such as borehole throw.
The installation of drill bushing cylinder 30 to the specific steps in the outer guiding tube 11 of navigation template 10 will be drawn and be referred to above-mentioned installation
The step of drawing nail sleeve 20, details are not described herein.It is shown in Figure 9 to draw after drill bushing cylinder 30 is inserted into outer guiding tube 11,
To the diagrammatic cross-section of the assembly, it is noted that navigation template 10 shown in Fig. 9 is only simply illustrative, not generation
The true navigation template shape of table.The focusing on of Fig. 9 prominent draws drill bushing cylinder 30 and 11 phase of outer guiding tube of navigation template 10 is agreed with
Diagrammatic cross-section afterwards, to better understand.
Similar to nail sleeve is drawn, the above-mentioned cylindrical exterior contour for drawing the brill ontology representation ontology can be cylinder, three
A variety of cylindrical forms such as prism, quadrangular, hexagonal prisms with cylinder signal in Fig. 7, and draw the column heart (the specially column for boring ontology
The y direction of body) the perforative through-hole of institute is then preferably cylindrical.
To sum up, above-mentioned outer guiding tube, draw nail ontology, draw that bore ontology and thin slice cylinder be cylindricality, can be cylinder, in this reality
It applies with cylinder signal in Fig. 1~Figure 12 shown by example, but is not construed as limiting, specific cylindricality can be according to reality
Demand and flexible setting, but need to guarantee outer guiding tube, draw nail ontology, draw bore the exterior contour of ontology and thin slice cylinder can be mutual
Match, and there is identical axial line, to ensure that screw can accurately advance along the axial line (i.e. into nail route).
It is shown in Figure 7, draw drill bushing cylinder 30 and also draws the annular cover for boring 31 top of ontology comprising being set to, annular cover
Outside is provided with hand-held part.For ease of description, this draws the annular cover bored at the top of ontology 31 and is known as the second annular cover, that is, schemes
In the second annular cover 33;The hand-held part being arranged outside second annular cover 33 is known as the second hand-held part, and the as in figure
Two hand-held parts 34, the effect of the second annular cover 33 and the second hand-held part 34 may refer to above-mentioned first annular cover and first-hand
Portion is held, details are not described herein.It should be noted that the second hand-held part 34 of Fig. 7 protrusions is only a kind of realization side of hand-held part
The hand-held part of a variety of patterns can be arranged in formula according to actual needs, and details are not described herein.
It should be noted that in the actual operation process, it should draw drill bushing cylinder using above-mentioned first and assist broken skin and draw
Bore operation, draw bore after by this draw drill bushing cylinder take out, then it is subsequent using draw nail sleeve come complete to set nail operate, concrete operations
Sequence is not limited by above content description.
At the same time, in practical applications, the outer guiding tube of above-mentioned navigation template, draw drill bushing cylinder, draw nail and sleeve and set
Following closely device is to match.I.e. outer guiding tube draws that drawing for drill bushing cylinder bores ontology and the second through-hole, the cylinder of drawing nail sleeve draws nail
Ontology, first through hole, annular groove and the thin slice cylinder for setting nail device have same axial line when in use, and protrude into when setting nail device
To after drawing nail sleeve, the thin slice cylinder and screw (being fixed by upper nail device) for setting nail device are slided also along above-mentioned same axial line.The axis
Heart line is preset into nail route, and for details, reference can be made to described hereinafter.In addition, screw should be greater than by drawing the internal diameter of nail sleeve
The outer diameter of nut, therefore after setting nail, above-mentioned device can smoothly take out from outer guiding tube.
Under normal conditions, navigation template in the related technology by with wait set nail position (such as backbone back side) reversed patch
Attached face interconnects to be formed, but is difficult to the region effectively attached in view of this mode can not avoid part, and because original
This body structure of navigation template is easy to be driven by external force and generates a degree of deformation and exist and be difficult to hand-held fixation
The problems such as, referring again to shown in Fig. 1, the navigation template 10 in the present embodiment includes: the first pasting panel 12 and the first attaching face
Corresponding second pasting panel 13 of plate 12, and the handle 14 of connection the first pasting panel 12 and the second pasting panel 13;Pass through
Handle 14 assists the stability of enhanced navigation template 10, to reduce the passive deformation of guide plate when operating in art.First attaches
Panel 12, the second pasting panel 13 and handle 14 are an integral structure.Wherein, handle 14 respectively with the first pasting panel 12 and
Two ends of two pasting panels, 13 phase linking can extend respectively along the surface of pasting panel, and the end of handle 14 even can
To extend at the outer guiding tube 11 of navigation template 10, to constitute the higher integral structure of intensity.By utilizing handle end
End and the pressing of pasting panel act on, and strengthen the intensity and ability of anti-deformation between handle and pasting panel, so that navigation
Template is more firm.
In view of in art flexible application navigation template may be needed according to practical bone conditions, and allows lead as far as possible
Model plane plate can adapt to a variety of uneven surface sclerotin including complicated spinal contexts etc., provided in this embodiment to be used for
Set the navigation template 10 in the navigation device of nail can also include: the first pasting panel 12, it is corresponding with the first pasting panel 12
Second pasting panel 13, and it is detachably connected the handle of the first pasting panel 12 and the second pasting panel 13.
It should be noted that in practical applications, a navigation template may include multiple pasting panels, and multiple pasting panels can
Palmistry is overlapped by multiple, so that good be attached to complicated multiple discontinuous attaching faces wait set nail site environment
On, and multiple pasting panels constitute a firm entirety by handle, set the three of nail position to wait with such as backbone
It is chimeric to tie up well-formed.
Preferably, shown in Figure 13, handle includes that the first in command 141 being arranged on the first pasting panel and setting exist
Second handle 142 on second pasting panel;The end of the first in command 141 is hollow hexagonal prism, the end of second handle 142
For hexa-prism body, hollow hexagonal prism and hexa-prism body are clamped, thus good by the first in command 141 and second handle
142 are connected, and effectively avoid issuable opposite sliding when two handle connections, so that the connection of two handles is more
It is firm.
In a particular application, the hollow hexagonal prism that the end of the above-mentioned first in command is presented may be replaced by hollow three
Prism or hollow cylinder etc., can also be in hollow cylinder disposed thread in order to fixation, to prevent the phase between two handles
To sliding.The end of second handle can also do corresponding transformation to the first in command is good agrees with, and then with a variety of sides
Formula realizes being detachably connected between handle.Details are not described herein.
It should be noted that Figure 13 is only symbolistic schematic diagram, it is not to be construed as being the limitation to handle types, simultaneously
For only schematically illustrating the part for the first navigation template connecting with the first in command in Figure 13 and being connect with second handle
The part of two navigation templates is not construed as practical navigation template and is connected thereto the limitation of mode, thus the realization of handle
Form and the connection type of handle and navigation template can specify according to the actual situation and flexibly.The present embodiment is by navigating
Handle is set in template, navigation template can be enable preferably to adapt to a variety of sclerotin situations, avoided in art because by traditional
The limitation of integration navigation template and to patient wait setting nail the unnecessary tissue of site boundary removing, such as, using above-mentioned setting
There is the navigation template of connection handle, the pasting panel of multiple discontinuous navigation templates can be connected to one by handle
It rising, multiple pasting panels are overlapped according to actual needs and by handle, the entirety of a firm stable can not only be constituted,
Convenient for well chimeric wait set nail position with reality, and it can adapt to more complicated backbone and other osseous part environment (such as backbones
Deformity, bone tumour etc.), supraspinous ligament attachment region is flexibly avoided, to reduce such as interspinous ligament and supraspinal ligament
It is removed etc. unnecessary tissue, so that the further ligamentary system of more preservation spinals, protects the integrality of spine structure.Into
One step, the handle on navigation template, which is also convenient for operator, to be stablized guide plate in art and is more conducive to set to keep art centering guide more firm
Nail.
In view of different patients wait setting, nail position is different, some patients only may need part is single to set nail, some patients
Many places may be needed to set nail, and the requirement for setting nail is different, in order to adapt to complicated situation, thus above-mentioned apparatus includes more
A navigation template and what is matched respectively with the outer guiding tube of multiple navigation templates draw nail sleeve and draw drill bushing cylinder.Wherein, each
Guide plate mainly guides side, can select multiple guide plates that more sides is guided to carry out differentiation according to the actual situation and flexibly and set nail,
This is repeated no more.
In view of in practical applications, navigation template uses traditional 3D printing technique (as rapid shaping technique) and base
Originally be it is disposable, be based on cost factor, prior art does not use expensive metal 3D printing production navigation template usually,
But it is made of the material based on photosensitive resin or other organic polymers.However existing boring bar tool is mostly metal,
But metal boring bar tool can directly contact friction with the outer guiding tube of navigation template, send out so as to cause the outer guiding tube of navigation template
Raw deformation, rupture, so that the guidance accuracy of navigation template declines, and metal boring bar tool is produced with outer guidance pipe friction
Raw clast can even endanger the health of patient.Similarly, it during setting nail, sets nail device and nail is also likely to be present to navigation
The identical Latent destruction of template influences, and is based on this, draws nail sleeve and draws drill bushing cylinder by metal, alloy, ceramics, resin, nylon, Buddhist nun
One of imperial modified compound or it is a variety of be made so that sleeve is more wear resistant in use, make convenient for being repeated as many times
With.For this sentences metal, sleeve made of metal is placed in the outer guiding tube of navigation template, and outer guiding tube is protected not drilled
Tool and the influence for setting nail device, so that the outer guiding tube of navigation template is not easy to wreck and deform or wear, while also avoiding
The clast generated in art because boring bar tool rubs outer guiding tube.In addition, metal draw nail sleeve and draw drill bushing cylinder itself
Also firmer, it is unlikely to deform, it will not be due to mutually rubbing with boring bar tool by breakage, thus metal draws nail sleeve and metal draws
Drill bushing cylinder can be used for multiple times, more cost-effectively.Thus draws nail sleeve using made by above-mentioned firm wear-resisting material and draw
Drill bushing cylinder preferably improves the reliability and durability of navigation device.
Because the position that different human body needs to set nail is different, in order to make navigation template targetedly be applied to difference
On human body, navigation template provided by the present embodiment is made of 3D printing technique, can produce and match with wait set nail position
Individuation navigation template.When it is implemented, the three-dimensional that computer constructs with matches wait set nail position can be advanced with
Simulation model is very targeted individuation using the navigation template that 3D printing technique prints according to the simulation model
Design produces individuation navigation template so as to wait setting nail position according to otherness individual and differentiation, wherein should
Individuation navigation template can be used as disposable component, on the basis of passing through the individuation of 3D printing, also ensure patient
Using it is safe with it is hygienic, can be by artificial or calculated and determined most using computer and in the manufacturing process of navigation template
It is good to set nail path, and according to the outer guiding tube of the path Design Navigation template, i.e., it the axial line of outer guiding tube and sets and follows closely path
Axial line is consistent, which is subsequent into nail route, thus during practical broken skin drills and sets nail, draw drill bushing
Cylinder, the axial line for drawing nail sleeve and setting nail device are consistent with above-mentioned axial line, ensure that the accuracy of navigation device
And reliability, it is ensured that screw can accurately advance along the axial line (i.e. into nail route).
In conclusion making operator draw brill by the device for setting the navigation device of nail provided by the present embodiment
Sleeve draws nail sleeve and matches with the navigation template of outer guiding tube, can accurately guide the overall process for setting nail, drop
It is low to set nail risk.Specifically, the navigation device for being used to set nail have the characteristics that it is following prominent:
(1) navigation template be for wait set nail position concrete condition (anatomical structure and with the organs such as peripheral nerve blood vessel
Positional relationship etc.) Individual design, while can accurately select using modes such as artificial or computer disposals safe
Most preferably into nail route, and according to this into guiding tube outside nail highway route design, it is determined that subsequent positioning broken skin drills and sets nail overall process
Path, ensured accuracy and safety;
(2) configured with what navigation template matched drawing drill bushing cylinder, can accurately navigator fix broken skin and boring procedure,
Improve the reliability and accuracy of broken skin and drilling;
(3) configured with nail sleeve is drawn with what navigation template matched, it can accurately navigate and set nail operation, nail is set in promotion can
By property and accuracy;
(4) configured with nail device is set with draw that nail sleeve matches, it is limited in the thin slice cylinder for setting nail device and draws nail sleeve
Annular groove in sliding when, it is ensured that the upper nail device for setting nail device can only be moved along being designed in advance into nail path, thus really
The accuracy for setting nail path has been protected, has greatly reduced and sets nail deviation, further improve the safety and reliability for setting nail;
(5) most preferably draw drill bushing into nail path, with what navigation template matched from individuation 3D printing navigation template, design
Cylinder draws nail sleeve and sets the assistance of nail device, can accurately guide broken skin, drill, sets nail overall process, improves safe and reliable
Property.
(6) it by the 3D printing technique of individuation and the multiple pasting panels that can be built by handle, can adapt to various
Complicated sclerotin environment, such as applied to deformity of spine, this great-leap-forward design, which can cross, some is unfavorable for guide plate attaching
Chimeric region, but the globality of guide plate and the specificity in conjunction with spinal bone can be kept simultaneously, it can make navigation template
Some regions (such as interspinal ligaments and supraspinal ligament) that need not be removed selectively are crossed, so that the unnecessary removing such as ligament
Tissue saved from damage, to protect the integrality of spine structure as much as possible, thus there is good application effect.
(7) draw nail sleeve, draw drill bushing cylinder and set nail device due to being made of Wear-resistant corrosion-resistant material, metal operation can be reduced
Instrument wears guide plate in operation and generates clast, and reducing guide plate deformation influences to set the accuracy of nail navigation.And nail set will be drawn
Cylinder, the thin slice cylinder etc. for drawing drill bushing cylinder and setting on nail device have into standard component made to order, size with drill and pedicle screw device matches.
Thus drawing nail sleeve, draw drill bushing cylinder and setting the thin slice cylinder followed closely on device can be used for multiple times with same set of pedicle screw device repeated disinfection,
Not only save the cost, but it is readily replaceable.
As described above, navigation device provided by the present embodiment, by Individual design, the navigation of full step set nail (including
Formulate most preferably into nail route, broken skin, drill and set nail) and the unnecessary removing tissue such as adapt to complex environment and protect ligament
Aspect brings safe and reliable good effect.
Specifically, the specific production step of above-mentioned navigation template can be found in as described below (for setting nail to patient spine
It is illustrated):
1.1 acquisition initial data: thin layer CT scan is carried out to patient spine, acquires original CT data;
1.2 establish threedimensional model: by the way that backbone tomographic data is read out and is analyzed in reconstruction software, successively
After the selection segmentation, editor's filling, removal redundant data that carry out bone threshold value, using shaded surface display, patient spine is constructed
Threedimensional model;
1.3 determining set follow closely path: by spinal three-dimensional model and surrounding anatomical structures of CT tomography and building etc. by people
Work chooses the path for setting nail;Or optimal path is calculated and being fitted wait set nail position using reverse engineering softwares such as UG.
The optimal path that i.e. nail is set in selection can also be calculated selected by manually selecting by software.
1.4 Design Navigation templates: the threedimensional model of the backbone constructed before being imported using three-dimensional software extracts backbone back side
Surface texture establishes the navigation template to match with spinal bone surface anatomy shape in systems.It is left and taken on the navigation template
The path of nail is set, it is nail path most preferably to be set selected by above-mentioned steps 1.3, and draw according to the design of this path is outer that this, which sets nail path,
Conduit (axial line of outer guiding tube is consistent with nail path axial line is set), and design the handle for connecting each navigation template;
1.5 production navigation templates: outer guidance will be had using rapid laser-shaping technique (as above-mentioned 3D printing technique)
The navigation stamp fabrication of pipe and handle is at material object.
Draw drill bushing cylinder and draw nail sleeve production details are not described herein, it is noted that in the production process, draw drill bushing
The internal diameter (i.e. for drawing the through-hole diameter of brill) of cylinder should be with the drilling outer diameter phase of boring bar tool (such as stiletto or drilling electric drill)
Match, the internal diameter for drawing the outer guiding tube on the outer diameter and navigation template of drill bushing cylinder matches.Draw the outer diameter and navigation template of nail sleeve
The internal diameter of outer guiding tube while match, the annular groove for drawing nail sleeve should match with the thin slice cylinder set on nail device.Cause
This, designs the axis into nail path in advance, by the outer sleeve of guide plate and draws drill bushing cylinder, navigated positioning and drill this two
A step;By guide plate and draw nail sleeve, and is used cooperatively the upper nail device with thin slice cylinder, the step for setting nail of having navigated.
In order to the clearer use process for illustrating navigation device provided in this embodiment, reference can be made to following step
(being applied for spinal pedicle sets nail by by the device):
1, need the soft tissue of the backbone back side bone surface attached to be stripped clean on guide plate;
2, navigation template is placed in predeterminated position, so that navigation template and band set the Qian He that nail position forms specificity, is helped
Hand or patient can be stablized guide plate on backbone by the handle on navigation template;
3, drill bushing cylinder will be drawn and be inserted into the outer guiding tube of navigation template, and use corresponding boring bar tool (Kirschner wire, brill
Hole cone or electric drill etc.), it is treated under navigation guide plate and the navigation for drawing drill bushing cylinder and sets nail position and carry out positioning broken skin matter and drilling
Operation;
4, boring bar tool is taken out when drilling and completing and draws drill bushing cylinder, will be drawn nail sleeve and is inserted into outer guiding tube, will set
The thin slice cylinder of nail device is inserted into the annular groove for drawing nail sleeve, so that the thin slice cylinder can only slide in a ring groove, because
The thin slice cylinder for setting nail device is connected with upper nail device, therefore when thin slice cylinder is defined in a ring groove, also just also define
Upper nail device sets nail path, to define the exclusive path into nail, and then executes and accurately sets nail operation.Due to drawing nail sleeve
Inner via hole diameter is greater than the maximum gauge of the nut of screw, therefore after screw success dropping place, upper nail device, draw follow closely sleeve, with
And guide plate can smoothly take out.
In addition, in use, can be used as using individuation navigation template made of 3D printing technique is disposably made
With component, preoperative by plasma ion disinfection, the template that navigates is not easy to deform and decompose, to ensure safety and hygienic.And draw nail set
Cylinder is drawn drill bushing cylinder and sets nail device due to being made of Wear-resistant corrosion-resistant material, can reduce metallic surgical instrument in operation
It wears guide plate and generates clast, and guide plate deformation is made to influence the problems such as setting the accuracy of nail navigation.And nail sleeve will be drawn, draw brill
Sleeve has into standard component made to order with nail device is set, and size matches with drilling and pedicle screw device.Thus draw nail sleeve, draw drill bushing cylinder
It can be used for multiple times with same set of pedicle screw device repeated disinfection, with save the cost.
Through the above steps, operator can conveniently and accurately guide fixed by navigation device provided in this embodiment
Position, broken skin matter, the overall process for drilling and setting nail reduce and are patient's bring potential risk because manually setting nail deviation.
In conclusion the embodiment of the invention provides a kind of for setting the navigation device of nail, specifically can be used as orthopaedics or
The surgery assistor tool of person's backbone including navigation template, draws drill bushing cylinder, draws nail sleeve and follows closely what sleeve was used in combination with drawing
Set nail device, this draw drill bushing cylinder and draw nail sleeve can match with the outer guiding tube of navigation template, and draw nail sleeve include use
Ontology (having through-hole at the column heart) is followed closely in drawing drawing for nail, the column heart through-hole that operator can draw by this in nail ontology carries out setting nail
Operation, accuracy are higher;Compared with existing navigation template, existing navigation template can only navigate drilling, cannot navigate and set nail.Pass through
Above-mentioned apparatus, the column heart through-hole of what operator can match by means of the outer guiding tube with navigation template draw nail sleeve carry out compared with
Accurately to draw nail process, thus further make the positioning for setting nail, drilling and each step for setting nail that all there is the auxiliary of navigation,
It reduces because manually setting nail error bring risk.In addition, the navigation template in the device is made of 3D printing technique.Individual
The navigation template for changing design can adapt to the complex environments of a variety of nails to be set, further ensure the accuracy for setting nail overall process and
Safety.
It should be noted that in the description of the present invention, term " center ", "upper", "lower", "left", "right", "vertical",
The orientation or positional relationship of the instructions such as "horizontal", "inner", "outside" be based on the orientation or positional relationship shown in the drawings, merely to
Convenient for the description present invention and simplify description, rather than the particular orientation that the device or element of indication or suggestion meaning must have,
And specific orientation constructs and operation, therefore is not considered as limiting the invention.In addition, term " first ", " second ",
" third " is used for descriptive purposes only and cannot be understood as indicating or suggesting relative importance.
In addition, in the description of the present invention unless specifically defined or limited otherwise, term " installation ", " connects " connected "
Connect " it shall be understood in a broad sense, for example, it may be being fixedly connected, it may be a detachable connection, or be integrally connected;It can be machine
Tool connection, is also possible to be electrically connected;It can be directly connected, two members can also be can be indirectly connected through an intermediary
Connection inside part.For the ordinary skill in the art, above-mentioned term can be understood in the present invention with concrete condition
Concrete meaning.
It should be noted that in the absence of conflict, the feature in the embodiment of the present invention can be combined with each other.
The above description is merely a specific embodiment, but scope of protection of the present invention is not limited thereto, any
Those familiar with the art in the technical scope disclosed by the present invention, can easily think of the change or the replacement, and should all contain
Lid is within protection scope of the present invention.Therefore, the protection scope of the present invention shall be subject to the protection scope of the claims.