CN106913369A - A kind of ultrasonic orthopaedics delicate procedure system - Google Patents

A kind of ultrasonic orthopaedics delicate procedure system Download PDF

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Publication number
CN106913369A
CN106913369A CN201510991002.6A CN201510991002A CN106913369A CN 106913369 A CN106913369 A CN 106913369A CN 201510991002 A CN201510991002 A CN 201510991002A CN 106913369 A CN106913369 A CN 106913369A
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CN
China
Prior art keywords
ultrasonic
cutter hub
interior
orthopaedics
procedure system
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Pending
Application number
CN201510991002.6A
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Chinese (zh)
Inventor
张磊
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Individual
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Individual
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Priority to CN201510991002.6A priority Critical patent/CN106913369A/en
Publication of CN106913369A publication Critical patent/CN106913369A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • A61B2017/00106Sensing or detecting at the treatment site ultrasonic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/564Methods for bone or joint treatment

Abstract

The invention discloses a kind of ultrasonic orthopaedics delicate procedure system, including the ultrasonic cutter for transmitting ultrasonic vibration, ultrasonic cutter includes outer cutter hub, interior cutter hub and support, the interior cutter hub is connected by support with the outer cutter hub, the interior cutter hub distal end is provided with termination, the interior cutter hub of the sacculus is uniform cumulative drum from interior cutter hub distal end to interior cutter hub proximal diameter, the uniform increasing amounts of interior cutter hub diameter is 0.1mm~0.15mm in per 10mm length, the outer cutter hub is uniform cumulative drum from outer cutter hub distal end to outer cutter hub proximal diameter, also include upper bracket and lower carriage, described upper bracket one end is connected with handle, described lower carriage one end is connected with electric expansion bar.The present invention can as needed adjust the size of cutter in whole surgical procedure, and can be suffered by real-time monitoring cutter pressure, so as to reduce operating difficulty, and can be very good to avoid the injury to soft patient tissues.

Description

A kind of ultrasonic orthopaedics delicate procedure system
Technical field
The present invention relates to medical instruments field, and in particular to a kind of ultrasonic orthopaedics delicate procedure system.
Background technology
Modern medicine development is swift and violent, and ultrasonic surgical systems have been generally applicable in clinical surgery operation treatment, It carries out surgical operation using ultrasonic energy, is that cutting is fine, safety, organizational choice the characteristics of it prominent Property and low temperature hemostasis etc..The use of ultrasonic orthopaedics delicate procedure system, is greatly enriched the hand of surgical operation Section, improves the quality of surgical operation, and the pain of patient is alleviated to a certain extent.Conventional Ultrasound bone hand Art system, the system is main to be made up of main frame, ultrasonic handpiece, ultrasonic cutter and floor push.Wherein main frame Mainly include supersonic signal generator, power amplifier and embedded computer.Supersonic signal generator is produced Small-power ultrasound electric signal amplify through power amplifier after, transducer work that can be in driving handle; Embedded computer is mainly responsible for coordinating and controls whole machine to work, and receives control instruction, display instrument work shape State, realizes the function such as man-machine interaction and foot-operated control.Ultrasonic handpiece includes ultrasonic transducer and ultrasonic transformer, complete Ultrasonic mechanical wave is converted into by ultrasonic electric signal, after realizing Amplitude amplification through ultrasonic transformer, scalpel is delivered to Tool.
In the Chinese invention patent document of Publication No. CN1039780C, a kind of ultra-sonic surgical aspirator is disclosed, The ultra-sonic surgical aspirator includes handle and main frame, and transducer, ultrasonic transformer, flush pipe, electricity are wherein provided with handle Cable, surgical knife tool etc..
In american documentation literature US5486162A, US5562609A, US5562610A, US6033375A, Individually disclose the ultra-sonic surgical aspirator that can produce longitudinal ultrasonic vibration.
But, in existing ultrasonic bone surgery instrument, the ultrasonic electric signal that supersonic signal generator is produced drives Ultrasonic electric signal is converted into ultrasonic mechanical wave by the ultrasonic transducer in fixed handle, transducer, then through ultrasonic transformer After realizing Amplitude amplification, surgical knife tool is delivered to.Surgical knife tool can only front and rear vibration in a longitudinal direction, its The efficiency for cutting bone is low, and frictional force between surgical knife tool and wound surface is larger, easily causes and cuts The rising of wound surface temperature is cut, or even can cause to cut the fire damage of nerve and blood vessel near wound.
In the Chinese invention patent document of Publication No. CN1732861, a kind of complex vibration is disclosed Ultrasonic bone surgery instrument, its handle configuration driven motor on ultrasonic transducer makes the surgical knife tool both can be longitudinal Vibration is again rotatable, so as to improve cutting efficiency.
But, the patent is directly realized by swing by motor, and electric efficiency is low, and shaking moment is small.The present invention Realize swinging by the dynamic swinging structure of motor belt motor, motor plays peak efficiency all the time, shaking moment is big, makees It is strong with ability.
In addition, in existing ultrasonic bone surgery system, ultrasonic cutter is while bone is cut, it is likely that Bones soft tissue can be simultaneously cut to, procedure can be not only influenceed, greatly injury can be more produced to patient. In existing ultrasonic bone surgery system, ultrasonic cutter is not avoided also to hurt the function of bones soft tissue.
The size of cutter is all fixed simultaneously, it is impossible to regulation, in operation suffered pressure be also cannot Monitoring, this has undoubtedly tested the working experience of doctor, also causes that operating difficulty is further increased.
The content of the invention
To solve the above problems, the invention provides a kind of ultrasonic orthopaedics delicate procedure system.
To achieve the above object, the technical scheme taken of the present invention is:
A kind of ultrasonic orthopaedics delicate procedure system, it is characterised in that including
Ultrasonic cutter for transmitting ultrasonic vibration, ultrasonic cutter includes outer cutter hub, interior cutter hub and support, institute State interior cutter hub to be connected with the outer cutter hub by support, the interior cutter hub distal end is provided with termination, the sacculus Interior cutter hub is uniform cumulative drum from interior cutter hub distal end to interior cutter hub proximal diameter, per 10mm length The uniform increasing amounts of interior cutter hub diameter be 0.1mm~0.15mm, the outer cutter hub be from outer cutter hub distal end extremely The uniform cumulative drum of outer cutter hub proximal diameter, also including upper bracket and lower carriage, the upper bracket one End is connected with handle, and described lower carriage one end is connected with electric expansion bar, and the upper handle is electronic with described Expansion link is connected by push rod, and the cunning being engaged with the support is arranged with the outer wall of the interior cutter hub Groove, is arranged with the chute being engaged with the support, the outer cutter hub bottom on the inwall of the outer cutter hub Whorl brace rod is provided with, whorl brace rod is provided with the controller being connected with electric expansion bar, the controller Inductive switch is provided with, the inductive switch is by being wirelessly connected with remote control;
Ultrasonic handpiece, it is the composite ultraphonic vibrating handle with swinging structure, and it is connected with ultrasonic cutter, Its supersonic frequency electric signal is converted into mechanical oscillation, ultrasonic cutter work is driven;
Main frame, for sending ultrasonic frequency signal, drives ultrasonic handpiece work, while also having detection described The function whether ultrasonic knife bar cracks;
Floor push, inside sets the pressure sensor that can be used to monitor the pressure for riding suffered, by pressure sensing The frequency of the pressure size control ultrasound output detected by device.
Preferably, it is provided with the ultrasonic handpiece
Transducer, mechanical oscillation are converted into by supersonic frequency electric signal;
Swing mechanism, rotary motion is changed into swing, and drive transducer to swing together;
Flexible seal member, its inner ring is fixed on transducer, and outer ring is fixed with shell, is put in transducer Sealing function is realized when dynamic;
Motor, produces rotary motion, drives swing mechanism motion;
Shell, for fixing of energy converter, swing mechanism and motor;
Radiator fan, for being motor radiating.
Preferably, main controller, supersonic signal generator, drive circuit, soft tissue are installed in the main frame Identifier and broadband excitation signals generator, main controller and drive circuit, respectively with supersonic signal generator, Soft tissue identifier is connected with broadband excitation signals generator.
Preferably, the upper and lower ends of the upper bracket and lower carriage are equipped with diaphragm pressure sensing device.
Preferably, the termination is provided with endoscope and the aobvious instrument of the blood flowmeter.
Preferably, the endoscope and the aobvious instrument of the blood flowmeter are provided with radiofrequency launcher.
Preferably, the ultrasonic handpiece is provided with an accommodating groove.
Preferably, LED is provided with by metal hose in the accommodating groove.
Wherein, soft tissue contact detection module can detect whether ultrasonic cutter contacts soft group in the very first time Knit, and signal is sent to host center controller, host center controller is sent out to supersonic signal generator at once Go out to stop the instruction of the output of ultrasonic signal, prevent ultrasonic cutter from hurting soft tissue.Soft tissue recognition methods, Broadband excitation signals are produced to encourage ultrasonic handpiece by auxiliary signal driving source.Ultrasonic handpiece is subject to wideband Response signal is produced after band pumping signal, by analyzing the response signal, resonance frequency shift, resistance is calculated The index such as anti-, resonant frequency, amplitude, quality factor, phase difference and power.According to resonance frequency shift, The indexs such as impedance, resonant frequency, amplitude, quality factor, phase difference and power judge whether not in contact with bone Tissue.Such as not in contact with skeletal tissue, soft tissue identification module sends instruction to host center controller at once, Host center controller sends the order for stopping ultrasound output to supersonic signal generator, it is to avoid ultrasonic cutter is cut Cut soft tissue, it is to avoid the injury to patient.
The invention has the advantages that:
In whole surgical procedure, the size of cutter can be as needed adjusted, and can real-time monitoring cutter institute The pressure being subject to, so as to reduce operating difficulty, and can be very good to avoid the injury to soft patient tissues.
Brief description of the drawings
Fig. 1 is a kind of structural representation of ultrasonic orthopaedics delicate procedure system of the embodiment of the present invention.
Fig. 2 is the structural representation of ultrasonic cutter in Fig. 1.
Specific embodiment
In order that objects and advantages of the present invention become more apparent, the present invention is carried out with reference to embodiments Further describe.It should be appreciated that the specific embodiments described herein are merely illustrative of the present invention, It is not intended to limit the present invention.
As shown in Figure 1-2, a kind of ultrasonic orthopaedics delicate procedure system, its feature be the embodiment of the invention provides It is, including
Ultrasonic cutter 1 for transmitting ultrasonic vibration, ultrasonic cutter 1 includes outer cutter hub 11, interior cutter hub 12 and branch Frame, the interior cutter hub 12 is connected by support with the outer cutter hub 11, and the distal end of interior cutter hub 12 is provided with termination 13, the interior cutter hub 112 of the sacculus is uniform cumulative from the distal end of interior cutter hub 112 to the proximal diameter of interior cutter hub 12 Drum, the uniform increasing amounts of the diameter of interior cutter hub 12 is 0.1mm~0.15mm in every 10mm length, described Outer cutter hub 11 is uniform cumulative drum from the distal end of outer cutter hub 11 to the proximal diameter of outer cutter hub 11, is also included Upper bracket 15 and lower carriage 110, one end of the upper bracket 15 are connected with handle 14, the lower carriage 110 One end is connected with electric expansion bar 111, and the upper handle 14 passes through push rod 111 with the electric expansion bar 112 It is connected, the chute being engaged with the support 15, the outer knife is arranged with the outer wall of the interior cutter hub 12 The chute being engaged with the support 15 is arranged with the inwall of body 11, the bottom of outer cutter hub 11 is provided with spiral shell Line connecting rod 14, whorl brace rod 14 is provided with the controller being connected with electric expansion bar 112, the control Device is provided with inductive switch, and the inductive switch is by being wirelessly connected with remote control;
Ultrasonic handpiece 9, it is the composite ultraphonic vibrating handle with swinging structure, itself and the phase of ultrasonic cutter 1 Connection, mechanical oscillation are converted to by its supersonic frequency electric signal, drive ultrasonic cutter 1 to work;
Main frame 8, for sending ultrasonic frequency signal, drives ultrasonic handpiece 9 to work, while also having detection The function whether ultrasonic knife bar cracks;
Floor push 7, inside sets the pressure sensor that can be used to monitor the pressure for riding suffered, is passed by pressure The frequency of the pressure size control ultrasound output detected by sensor.
2nd, a kind of ultrasonic orthopaedics delicate procedure system according to claim 1, it is characterised in that institute State and be provided with ultrasonic handpiece 9
Transducer 3, mechanical oscillation are converted into by supersonic frequency electric signal;
Swing mechanism 4, rotary motion is changed into swing, and drive transducer 3 to swing together;
Flexible seal member 2, its inner ring is fixed on transducer 3, and outer ring is fixed with shell 6, is changing Sealing function can be realized during the swing of device 3;
Motor 5, produces rotary motion, drives swing mechanism 4 to move;
Shell 6, for fixing of energy converter 3, swing mechanism 4 and motor 5;
Radiator fan 20, for being radiated for motor 5.
Main controller, supersonic signal generator, drive circuit, soft tissue identifier are installed in the main frame 8 With broadband excitation signals generator, main controller and drive circuit, respectively with supersonic signal generator, soft group Identifier is knitted to be connected with broadband excitation signals generator.
The upper and lower ends of the upper bracket 15 and lower carriage 110 are equipped with diaphragm pressure sensing device 11.
The termination 13 is provided with endoscope 17 and the aobvious instrument 18 of the blood flowmeter.
The endoscope 17 and the aobvious instrument 18 of the blood flowmeter are provided with radiofrequency launcher.
The ultrasonic handpiece 9 is provided with an accommodating groove 10.
LED 21 is provided with by metal hose in the accommodating groove 10.
This specific implementation soft tissue contact detection module can detect whether ultrasonic cutter connects in the very first time Soft tissue is touched, and signal is sent to host center controller, host center controller is sent out to ultrasonic signal at once Raw device sends the instruction of the output for stopping ultrasonic signal, prevents ultrasonic cutter from hurting soft tissue.Soft tissue is known Other method, produces broadband excitation signals to encourage ultrasonic handpiece by auxiliary signal driving source.Ultrasonic handpiece By producing response signal after broadband excitation signals, by analyzing the response signal, resonant frequency is calculated The indexs such as skew, impedance, resonant frequency, amplitude, quality factor, phase difference and power.According to resonance frequently The indexs such as rate skew, impedance, resonant frequency, amplitude, quality factor, phase difference and power judge whether not Contact skeletal tissue.Such as not in contact with skeletal tissue, soft tissue identification module is sent out to host center controller at once Go out instruction, host center controller sends the order for stopping ultrasound output to supersonic signal generator, it is to avoid super Sound cutter cuts to soft tissue, it is to avoid the injury to patient, is carried out suffered by cutter by diaphragm pressure sensing device The real-time detection of pressure, the observation of situation near operative site is carried out by endoscope, aobvious by the blood flowmeter The metering of CBF when instrument is performed the operation, can be very good to improve the accuracy and security of operation, and subtract The light difficulty of operation.
The above is only the preferred embodiment of the present invention, it is noted that common for the art For technical staff, under the premise without departing from the principles of the invention, some improvements and modifications can also be made, These improvements and modifications also should be regarded as protection scope of the present invention.

Claims (8)

1. a kind of ultrasonic orthopaedics delicate procedure system, it is characterised in that including
Ultrasonic cutter (1) for transmitting ultrasonic vibration, ultrasonic cutter (1) includes outer cutter hub (11), interior knife Body (12) and support, the interior cutter hub (12) are connected by support with the outer cutter hub (11), described Interior cutter hub (12) distal end is provided with termination (13), and the interior cutter hub (112) of the sacculus is from interior cutter hub (112) The uniform cumulative drum of distal end to interior cutter hub (12) proximal diameter, interior cutter hub (12) in every 10mm length The uniform increasing amounts of diameter is 0.1mm~0.15mm, and the outer cutter hub (11) is remote from outer cutter hub (11) Hold to the uniform cumulative drum of outer cutter hub (11) proximal diameter, also including upper bracket (15) and lower branch Frame (110), described upper bracket (15) one end is connected with handle (14), the lower carriage (110) One end is connected with electric expansion bar (111), the upper handle (14) and the electric expansion bar (112) It is connected by push rod (111), is arranged with and the support (15) on the outer wall of the interior cutter hub (12) The chute being engaged, is arranged with the inwall of the outer cutter hub (11) and is engaged with the support (15) Chute, outer cutter hub (11) bottom is provided with whorl brace rod (14), on whorl brace rod (14) The controller being connected with electric expansion bar (112) is provided with, the controller is provided with inductive switch, described Inductive switch is by being wirelessly connected with remote control;
Ultrasonic handpiece (9), it is the composite ultraphonic vibrating handle with swinging structure, itself and ultrasonic cutter (1) It is connected, its supersonic frequency electric signal is converted into mechanical oscillation, drives ultrasonic cutter (1) work;
Main frame (8), for sending ultrasonic frequency signal, drives ultrasonic handpiece (9) work, while also having Detect the function whether ultrasonic knife bar cracks;
Floor push (7), inside sets the pressure sensor that can be used to monitor the pressure for riding suffered, by pressure The frequency of the pressure size control ultrasound output detected by sensor.
2. a kind of ultrasonic orthopaedics delicate procedure system according to claim 1, it is characterised in that institute State and be provided with ultrasonic handpiece (9)
Transducer (3), mechanical oscillation are converted into by supersonic frequency electric signal;
Swing mechanism (4), rotary motion is changed into swing, and drive transducer (3) to swing together;
Flexible seal member (2), its inner ring is fixed on transducer (3), in outer ring fixation and shell (6), Sealing function is realized when transducer (3) swings;
Motor (5), produces rotary motion, drives swing mechanism (4) motion;
Shell (6), for fixing of energy converter (3), swing mechanism (4) and motor (5);
Radiator fan (20), for being radiated for motor (5).
3. a kind of ultrasonic orthopaedics delicate procedure system according to claim 1, it is characterised in that institute State in main frame (8) and main controller, supersonic signal generator, drive circuit, soft tissue identifier and width are installed Band excitation signal generator, main controller and drive circuit, know with supersonic signal generator, soft tissue respectively Other device is connected with broadband excitation signals generator.
4. a kind of ultrasonic orthopaedics delicate procedure system according to claim 1, it is characterised in that institute The upper and lower ends for stating upper bracket (15) and lower carriage (110) are equipped with diaphragm pressure sensing device (11).
5. a kind of ultrasonic orthopaedics delicate procedure system according to claim 1, it is characterised in that institute State termination (13) and be provided with endoscope (17) and the aobvious instrument (18) of the blood flowmeter.
6. a kind of ultrasonic orthopaedics delicate procedure system according to claim 5, it is characterised in that institute State endoscope (17) and the aobvious instrument (18) of the blood flowmeter is provided with radiofrequency launcher.
7. a kind of ultrasonic orthopaedics delicate procedure system according to claim 1, it is characterised in that institute State ultrasonic handpiece (9) and be provided with an accommodating groove (10).
8. a kind of ultrasonic orthopaedics delicate procedure system according to claim 7, it is characterised in that institute State in accommodating groove (10) and LED (21) is provided with by metal hose.
CN201510991002.6A 2015-12-28 2015-12-28 A kind of ultrasonic orthopaedics delicate procedure system Pending CN106913369A (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2019215745A1 (en) * 2018-05-09 2019-11-14 Mazor Robotics Ltd. Robotically controlled ultrasonic scalpel
CN110448356A (en) * 2019-08-13 2019-11-15 大连大学附属中山医院 The ultrasonic knife handle of included suction device for laparoscope operation on rectum

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5935143A (en) * 1992-02-20 1999-08-10 Hood; Larry L. Ultrasonic knife
CN1732861A (en) * 2004-08-03 2006-02-15 北京博达高科技有限公司 Compound vibrated ultrasonic bone surgery apparatus
US20080243162A1 (en) * 2007-04-02 2008-10-02 Norikiyo Shibata Trocar
CN103417267A (en) * 2012-05-18 2013-12-04 北京速迈医疗科技有限公司 Fine ultrasonic surgical system for orthopedics department
CN104523318A (en) * 2014-12-19 2015-04-22 展振江 Ultrasound orthopedic fine surgery system
CN104665893A (en) * 2015-03-10 2015-06-03 赵胜利 Ultrasonic knife
CN105078576A (en) * 2014-05-08 2015-11-25 三星电子株式会社 Surgical robots and control methods thereof

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5935143A (en) * 1992-02-20 1999-08-10 Hood; Larry L. Ultrasonic knife
CN1732861A (en) * 2004-08-03 2006-02-15 北京博达高科技有限公司 Compound vibrated ultrasonic bone surgery apparatus
US20080243162A1 (en) * 2007-04-02 2008-10-02 Norikiyo Shibata Trocar
CN103417267A (en) * 2012-05-18 2013-12-04 北京速迈医疗科技有限公司 Fine ultrasonic surgical system for orthopedics department
CN105078576A (en) * 2014-05-08 2015-11-25 三星电子株式会社 Surgical robots and control methods thereof
CN104523318A (en) * 2014-12-19 2015-04-22 展振江 Ultrasound orthopedic fine surgery system
CN104665893A (en) * 2015-03-10 2015-06-03 赵胜利 Ultrasonic knife

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2019215745A1 (en) * 2018-05-09 2019-11-14 Mazor Robotics Ltd. Robotically controlled ultrasonic scalpel
CN110448356A (en) * 2019-08-13 2019-11-15 大连大学附属中山医院 The ultrasonic knife handle of included suction device for laparoscope operation on rectum

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Application publication date: 20170704