Intramedullary nail with lock far-end nail hole aiming monitor controller
Technical field
The present invention relates to clinical synthetism technical field of medical instruments, particularly relate to a kind of auxiliary instrument that the intra medullary nail far-end pinning is installed when in bone surgery, implanting intramedullary pin.
Background technology
At present, when treatment tubulose fracture patient, technique for fixing is used widely clinically in the intramedullary nail with lock, and the installation of intra medullary nail far-end pinning is the key link of this technology, and the order of accuarcy of location, intra medullary nail far-end nail hole site directly affects operating difficulty and operation quality.The intra medullary nail far-end of commonly using is clinically now followed closely aiming location, hole site and is mainly contained following several mode: the one, and lasting by x-ray image documentation equipment searching position, hole in the operation, this technology not only requires high to doctor's operating experience, and the X-ray line can produce a large amount of radiation, and medical worker and patient are damaged.The 2nd, the spacing point technique of employing locating rod, the patent No. that relatively typically designs such as the inventor is 02267978.2 " far-end nail-hole positioning device of intramedullary-nail ", its construction features is to install one additional at locating rod to limit the stopping means that intramedullary pin swings, although played certain aiming function, but need to increase a boring at osseous tissue, not only operating procedure is many, and returning the patient increases extra wound.The 3rd, adopt magnetic force aiming location technology, relatively typically the patent No. such as inventor's design is 200420039024.X " automatic indicator for aiming far end pinhole of intramedullary nail with block ", its construction features is that magnetic force aiming indicator is installed in the locating hole on adjustable locating rod, cooperate the aiming location with the probe with Magnet in being inserted into intramedullary pin, this technology has improved the accuracy of lock intramedullary nail far-end nail hole aiming, but its deficiency is to need to remember in advance pointer position before the art, need observe at any time pointer position in the operating process, thereby very inconvenient, also easily go wrong, boring procedure can not Real Time Monitoring, the drill bit displacement can not in time be found, easily causes holing unsuccessfully.The patent No. is that 200910025314.6 " medical magnetic navigation spotter " and the patent No. are that 201020670499.4 " electronic navigation type intramedullary nail far-end aiming device " is although realized electronical display, and can carry out Real-Time Monitoring in the operating process, but its complex structure, cost of manufacture is high, is not easy to clinical expansion and uses.
Summary of the invention
Purpose of the present invention is exactly the defective that will overcome prior art, provides a kind of simple in structure, flexible and convenient operation, and the aiming accurate positioning also can aim at monitor controller in the intramedullary nail with lock far-end nail hole of carrying out Real Time Monitoring in the drilling operation process.
For achieving the above object, monitor controller is aimed at by the following technical solutions in intramedullary nail with lock far-end nail of the present invention hole: it comprises a magnetic force sight, the magnetic force sight has the positioning pipe of front end closed rear end opening, by hinge the aiming pointer is installed in the positioning pipe, the front end of aiming pointer is equipped with Magnet, in magnetic force sight rear end electronic monitor is installed, the upper end of electronic monitor housing is equipped with Intermediate Gray forked standard jaggy, the light-operated switch of controlling the electronic monitor sound and light alarm for signal input is installed in forked standard, and the rear end of aiming pointer is stretched in the breach of forked standard.
Above-mentioned intramedullary nail with lock far-end nail hole aiming monitor controller, one side of its electronic monitor housing is fixed with the adjusting bearing,, be equipped with and promote the adjusting bolt that sliding panel moves up and down regulating bearing with being inserted into the sliding panel of regulating on the bearing in the rear end of positioning pipe.Housing at electronic monitor is equipped with display lamp and/or buzzer and on and off switch.
Above-mentioned intramedullary nail with lock far-end nail hole aiming monitor controller, its circuit part that is installed in the electronic monitor in the housing comprises a 89T2051 single-chip microcomputer and the photelectric receiver for detection of the pointer position that is connected with this single-chip microcomputer, the oscillating circuit that clock signal is provided, reset circuit and light emitting diode and buzzer in order to report to the police.
The present invention passes through improvements over the prior art, avoided the radiation of X-ray, aiming can be carried out acousto-optic hint behind the location, does not have the collimation error, and is more convenient to operate, improved pointing accuracy, and can carry out Real Time Monitoring to whole boring procedure, avoid drill bit to depart from the nail hole site, make since aiming degree not the Gao Erxu probability of repeatedly holing be reduced to zero, thereby the shortening operating time alleviates patient's misery.And simple in structure, cost of manufacture is low, is particularly suitable for can doing in China hospital's penetration and promotion of fracture fixing operation.
Description of drawings
Fig. 1 is front view of the present invention;
Fig. 2 is the longitudinal sectional view of magnetic force sight;
Fig. 3 is the right view of Fig. 1;
Fig. 4 is the circuit theory diagrams of electronic monitor;
Fig. 5 is user mode reference diagram of the present invention;
Fig. 6 is the top view of Fig. 5.
The specific embodiment
In Fig. 1-4 illustrated embodiment, the present invention includes a magnetic force sight 1, this magnetic force sight 1 has the columnar positioning pipe 19 that a non-magnet_conductible material is made, positioning pipe front end closed rear end opening, by hinge 10 the aiming pointer 2 that can swing is installed in the positioning pipe, the front end of aiming pointer 2 is equipped with Magnet 11, and this Magnet attracts mutually with the Magnet 18 that is inserted into probe 17 front ends in the intramedullary pin 16.Positioning pipe 19 rear ends at the magnetic force sight are equipped with an electronic monitor 5, the housing of electronic monitor 5 upper end is equipped with Intermediate Gray jagged (that is's be made of two parallel poles) forked standard 3, the light-operated switch that 5 promptings of control electronic monitor are reported to the police is installed on two poles of forked standard 3 accordingly, and the rear end of aiming pointer 2 is stretched in the middle of two poles of forked standard 3.Side at electronic monitor 5 housings is fixed with adjusting bearing 9, in the rear end of positioning pipe 19 with being inserted into the sliding panel 8 of regulating on the bearing 9, be equipped with and promote the adjusting bolt 7 that sliding panel 8 moves up and down regulating bearing 9, be provided with set bolt 4 at sliding panel 8.At electronic monitor 5 housings display lamp 12 and buzzer 13 and on and off switch 6 are housed.The circuit formation that electronic monitor 5 is installed in the housing is seen Fig. 4, comprise a 89T2051 single-chip microcomputer, C1, C2, Y1 (crystal oscillator) consist of oscillating circuit, clock signal is provided, R1, C3 form reset circuit, and VT1 is photelectric receiver, for detection of the pointer position, LS1 is buzzer, and VD1, VD2 are light emitting diodes.Certainly single-chip microcomputer also can adopt such as existing other products such as AT89C2051.
Operation principle of the present invention is seen Fig. 5-6, the intramedullary nail with lock 16 that its operating process is used in conjunction with, probe 17 and handle 14 be installed in handle on adjustable locating rod 15 and inventor 200420039024.X patent in describe identical.During use, intramedullary pin 16 is installed in the sleeve pipe of handle 14 lower ends, at intramedullary pin 16 interior plug-in mounting probes 17, magnetic force sight 1 is inserted in the locating hole on the adjustable locating rod 15.At first determine bore position according to patient's fracture situation, then carry out in-vitro simulated, adjusting locating rod 15 drive magnetic force sights 1 moves, to the position that tat probe 17 front end Magnet 18 and the front end Magnet 11 of aiming pointer 2 are inhaled mutually, fix adjustable locating rod 15, open the on and off switch 6 of electronic monitor 5 this moment, by rotating adjusting bolt 7, adjust light-operated switch light is blocked in aiming pointer 2 ends between two poles of forked standard 3 position, this moment, the photelectric receiver of electronic monitor 5 had input signal, buzzer 13 sound production prompts are reported to the police, display lamp 12 works asynchronously with buzzer (when aiming pointer 2 end deflections can not be blocked light-operated switch light, photelectric receiver does not have input signal, buzzer 13 is sounding not), then closing switch, the two is fixed with magnetic force sight 1 and electronic monitor 5 by set bolt 4, uses in order in the art.In the art, insert in the process of medullary cavity at intramedullary pin, because stressed possibility deformation displacement changes preoperative state, open switch 6 this moment, move by adjusting locating rod 15 drive magnetic force sights 1, until buzzer 13 and display lamp 12 send acousto-optic hint, drill bit aiming nail hole site is described, if be subjected to displacement in the boring procedure, then acousto-optic hint disappears, and need readjust locating rod, thereby realizes the boring Real Time Monitoring.Certainly, can on forked standard 3, increase again two groups of light-operated switches (or being installed in addition with two groups of forked standards), with the offset direction of prompting aiming pointer 2, thus more rapid adjustment aiming.