CN103750879A - Skull drilling device for use in neurosurgery operation - Google Patents

Skull drilling device for use in neurosurgery operation Download PDF

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Publication number
CN103750879A
CN103750879A CN201310617622.4A CN201310617622A CN103750879A CN 103750879 A CN103750879 A CN 103750879A CN 201310617622 A CN201310617622 A CN 201310617622A CN 103750879 A CN103750879 A CN 103750879A
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screw rod
nut
gear
handle
output shaft
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CN201310617622.4A
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Chinese (zh)
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CN103750879B (en
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张秀华
孙国涛
易有峰
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1613Component parts
    • A61B17/1622Drill handpieces
    • A61B17/1624Drive mechanisms therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1695Trepans or craniotomes, i.e. specially adapted for drilling thin bones such as the skull
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1613Component parts
    • A61B17/1626Control means; Display units
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1655Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for tapping

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Medical Informatics (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Neurosurgery (AREA)
  • Surgical Instruments (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
  • Radiation-Therapy Devices (AREA)

Abstract

The invention provides a skull drilling device for use in neurosurgery operation, belonging to the technical field of medical instruments and aiming to solve the technical problems of large wounds, inconvenience in operating and the like in the conventional skull drilling device for use in neurosurgery operation. The skull drilling device for use in neurosurgery operation comprises a shell, a handle, and an output shaft inserted into the shell, wherein a drill chuck is fixedly arranged at the front end of the output shaft; a drill bit is arranged on the drill chuck; a gear is arranged on the output shaft; a one-way clutch is arranged between the gear and the output shaft; a sector meshed with the gear is further arranged in the shell; a screw rod is fixedly arranged on the sector; a nut is sleeved on the screw rod; a guide structure which can be used for driving the screw rod to rotate when the nut is moved along the axial direction of the screw rod is arranged between the nut and the handle. The skull drilling device has the advantages of small wounds, convenience in operating and the like.

Description

The brill cranium device that a kind of neurosurgery is used
Technical field
The invention belongs to technical field of medical instruments, relate to the brill cranium device that a kind of neurosurgery is used.
Background technology
In neurosurgery clinical position, for Clinics and Practices, often can use and bore cranium device, for boring cranium operation, be applicable to the treatment of the diseases such as ventriculography, cerebral hemorrhage, chronic subdural hematoma.
In patent [CN 1729941 A], a kind of mirco-traumatic skull drill of using for neurosurgery clinical operation is disclosed, it includes drill body, crank, axle, drill chuck, drill bit and a pair of intermeshing bevel gear, drill body is arc, a pair of bevel gear, be located at respectively on the interior orthogonal axle of drill body, bevel gear is by rocking bar and be located at nut on rocking bar and press and be femalely connected as a single entity with crank, outside and axle that drill chuck is located at drill body are connected as a single entity, below drill body, be provided with hands handle, it is recessed that handle is provided with finger, drill bit is provided with scale, the top apex point of drill bit is flat pointed, the present invention is simple in structure, easy to use, fast, wound is little, patient is painful few, be worth in neurosurgery clinical operation, especially in acute great occipital foramen cerebral hernia patient's rescue and all patients that need to implement external ventricular drainage, promote the use of, but, this brill cranium device needs two handss of doctor to operate, most critical: the power resources of this brill cranium device are by the bevel gear of rotation, that is to say that doctor is when boring cranium operation to patient, need rotation to be positioned at the crank of drill body top, rotation crank causes larger impact to the drilling direction of drill bit, the direction of boring cranium may be offset, even if doctor constantly adjusts, the wound that also can cause boring cranium is larger, position is inaccurate, injury to patient is larger, cannot meet the demand of boring cranium operation.
Summary of the invention
The object of the invention is the problems referred to above that exist for existing technology, the brill cranium device that provides a kind of one hand can operate, simple in structure, wound is little neurosurgery to use.
Object of the present invention can realize by following technical proposal: the brill cranium device that a kind of neurosurgery is used, it is characterized in that, comprise housing, handle and be plugged in the output shaft on housing, the front end of described output shaft is fixedly installed a drill chuck, on described drill chuck, be provided with a drill bit, described output shaft is provided with a gear, between described gear and output shaft, be provided with an one-way clutch, in described housing, be also provided with the tooth fan with described gear engagement, on described tooth fan, be fixedly installed a screw rod, described screw rod be arranged with a nut, between described nut and described handle, be provided with a guide frame that can drive screw rod to rotate when nut when screw axis direction moves.
Operation principle of the present invention is: when patient being bored to cranium operation, hold the handle of stopping for one, forefinger and middle finger press nut, pass through guide frame, the linear movement of this nut, be converted into rotatablely moving of screw rod, transmission of power to tooth is fanned, gear, output shaft and drill bit, owing to being arranged on the effect of the one-way clutch between gear and output shaft, travelling nut back and forth repeatedly, make output shaft around same direction rotation, thereby bore cranium hands art, in this programme, bore the power resources of cranium device and operator's hands, without connecting external power supply, convenient operation, cost is low, and this is simple in structure, easily polluter is controlled, on the other hand, boring direction is identical with the direction of operator's active force, while there is not boring, active force does not cause bore position to be offset, the drill bit swing guide problem such as mouthful larger of causing injury, utilize that the sensitiveest position of people---forefinger and middle finger are as the power resources of this brill cranium device, not only make this brill cranium device be easy to control, and operation that can upper frequency, the drilling efficiency of this brill cranium device is improved greatly, alleviated patient misery, shortened time of operation, in this programme, adopt the drive mechanism of tooth fan and gear engagement, on the one hand, higher gear ratio can improve the rotary speed of drill bit, on the other hand, and the overall volume that tooth fan can dwindle this brill cranium device.
In the brill cranium device of using in above-mentioned neurosurgery, described guide frame comprise several be arranged on pilot hole on handle and be plugged in described pilot hole in and the guide rod parallel with described screw rod, one end of described guide rod is fixed with enforcement nut, the other end of described guide rod is installed with a baffle plate, between described baffle plate and the diapire of described pilot hole, is provided with back-moving spring.Forefinger and middle finger pressure nut are to the bottom of handle, and the restoring force of back-moving spring orders about nut and resets, and make operation simpler, and wherein, nut is subject to the positioning action of guide rod, can not rotate, and can only move axially along pilot hole.
In the brill cranium device of using in above-mentioned neurosurgery, be fixedly installed a gag lever post on described housing, offer one and dodge groove on described tooth fan, described gag lever post is plugged in described stopper slot.Tooth fan is at gag lever post and dodge under the effect of groove the state in reciprocally swinging.
In the brill cranium device of using in above-mentioned neurosurgery, described housing outer wall is also fixedly installed leader.Handle and handle are the positions of controlling of two handss of operator, and handle, boring the boring of cranium device originally, can play the effect of auxiliary positioning, and also handled easily person is slowing down fatigue.
In the brill cranium device of using in above-mentioned neurosurgery, the two ends of described screw rod are plugged in respectively in described handle and housing, and all by bearing, are connected between screw rod and handle and housing.
In the brill cranium device of using in above-mentioned neurosurgery, described in to dodge groove be that radian is the circular-arc of 0.5 π.It is one-period that tooth is fanned 90 ° of rotatings.
In the brill cranium device of using in above-mentioned neurosurgery, the pitch of described screw rod is between 40~60mm.The pitch of the screw rod in this brill cranium device is larger, only needs less strength can make screw rod rotation.
In the brill cranium device of using in above-mentioned neurosurgery, the gear ratio between described tooth fan and gear is 10~15.High gear ratio can improve the rate of penetration of drill bit, reduces the reciprocating frequence of nut, improves the light degree of operation.
In the brill cranium device of using in above-mentioned neurosurgery, described tooth fan is made for plastic material.Tooth that plastic material is made fan has the feature of light weight, and inertia force is little, and the impulsive force while making tooth fan reciprocally swinging is little, and the overall weight of whole brill cranium device is also less, uses lightly, and borehole accuracy is high, and wound is little.
Compared with prior art, the present invention has the following advantages:
1, owing to being arranged on the effect of the one-way clutch between gear and output shaft, travelling nut back and forth, makes output shaft around same direction rotation repeatedly, thereby bores cranium operation.
2, in this programme, bore the power resources and operator's hands of cranium device, without connection external power supply, convenient operation, cost are low, and this is simple in structure, easily polluter is controlled.
3, the direction of the boring direction of this brill cranium device and operator's active force is identical, does not have when boring active force problems such as mouth is larger that cause that bore position is offset, drill bit swing guide is caused injury.
4, this brill cranium device utilizes that the sensitiveest position of people---forefinger and middle finger are as the power resources of this brill cranium device, not only make this brill cranium device be easy to control, and operation that can upper frequency, the drilling efficiency of this brill cranium device is improved greatly, alleviated patient misery, shortened time of operation.
5, in this programme, adopt the drive mechanism of tooth fan and gear engagement, on the one hand, higher gear ratio can improve the rotary speed of drill bit, on the other hand, and the overall volume that tooth fan can dwindle this brill cranium device.
Accompanying drawing explanation
Fig. 1 is the overall structure schematic diagram of this brill cranium device.
Fig. 2 is the cutaway view in A direction in Fig. 1.
Fig. 3 is the structural representation of screw rod in this brill cranium device.
In figure, 1, housing; 2, hands handle; 3, output shaft; 4, drill chuck; 5, drill bit; 61, gear; 62, tooth fan; 63, one-way clutch; 64, screw rod; 65, nut; 7, guide frame; 71, pilot hole; 72, guide rod; 73, baffle plate; 74, back-moving spring; 81, gag lever post; 82, dodge groove; 9, handle.
The specific embodiment
Be below specific embodiments of the invention by reference to the accompanying drawings, technical scheme of the present invention is further described, but the present invention be not limited to these embodiment.
As depicted in figs. 1 and 2, the brill cranium device that this neurosurgery is used comprises housing 1, handle 2 and be plugged in the output shaft 3 on housing 1, the front end of output shaft 3 is fixedly installed a drill chuck 4, on drill chuck 4, be provided with a drill bit 5, output shaft 3 is provided with a gear 61, between gear 61 and output shaft 3, be provided with an one-way clutch 63, in housing 1, be also provided with the tooth fan 62 with gear 61 engagements, on tooth fan 62, be fixedly installed a screw rod 64, screw rod 64 be arranged with a nut 65, between nut 65 and handle 2, be provided with a guide frame 7 that can drive screw rod 64 to rotate when nut 65 when screw rod 64 axis directions move.
As shown in Figure 2, guide frame 7 comprise two be arranged on pilot hole 71 on handle 2 and be plugged in pilot hole 71 in and the guide rod 72 parallel with screw rod 64, one end of guide rod 72 is fixing with enforcement nut 65, the other end of guide rod 72 is installed with a baffle plate 73, between the diapire of baffle plate 73 and pilot hole 71, be provided with back-moving spring 74, forefinger and middle finger pressure nut 65 are to the bottom of handle 2, the restoring force of back-moving spring 74 orders about nut 65 and resets, make operation simpler, wherein, nut 65 is subject to the positioning action of guide rod 72, can not rotate, can only move axially along pilot hole 71, on housing 1, be fixedly installed a gag lever post 81, on tooth fan 62, offer one and dodge groove 82, gag lever post 81 is plugged in stopper slot, tooth is fanned 62 at gag lever post 81 and is dodged under the effect of groove 82, state in reciprocally swinging.
As shown in Figures 2 and 3, housing 1 outer wall is also fixedly installed leader 9, handle 9 and handle 2 are the positions of controlling of two handss of operator, originally handle 9 is boring the boring of cranium device, can play the effect of auxiliary positioning, also handled easily person is slowing down fatigue, the two ends of screw rod 64 are plugged in respectively in handle 2 and housing 1, and all by bearing, be connected between screw rod 64 and handle 2 and housing 1, dodge groove 82 for radian be the circular-arc of 0.5 π, it is one-period that tooth is fanned 90 ° of 62 rotatings, and the pitch of screw rod 64 is between 40~60mm.The pitch of the screw rod 64 in this brill cranium device is larger, only need less strength can make screw rod 64 rotations, the gear ratio between tooth fan 62 and gear 61 is 10~15, and high gear ratio can improve the rate of penetration of drill bit 5, reduce the reciprocating frequence of nut 65, improve the light degree of operation.
Tooth fan 62 is made for plastic material, and the tooth that plastic material is made is fanned 62 features with light weight, and inertia force is little, and the impulsive force while making tooth fan 62 reciprocally swinging is little, and the overall weight of whole brill cranium device is also less, uses lightly, and borehole accuracy is high, and wound is little.
Operation principle of the present invention is: when patient being bored to cranium operation, one holds handle 2, forefinger and middle finger press nut 65, by guide frame 7, the linear movement of this nut 65, be converted into rotatablely moving of screw rod 64, transmission of power to tooth is fanned to 62, gear 61, output shaft 3 and drill bit 5, owing to being arranged on the effect of the one-way clutch 63 between gear 61 and output shaft 3, travelling nut 65 back and forth repeatedly, make output shaft 3 around same direction rotation, thereby bore cranium hands art, in this programme, bore the power resources of cranium device and operator's hands, without connecting external power supply, convenient operation, cost is low, and this is simple in structure, easily polluter is controlled, on the other hand, boring direction is identical with the direction of operator's active force, while there is not boring, active force does not cause bore position to be offset, the drill bit 5 swing guides problem such as mouthful larger of causing injury, utilize that the sensitiveest position of people---forefinger and middle finger are as the power resources of this brill cranium device, not only make this brill cranium device be easy to control, and operation that can upper frequency, the drilling efficiency of this brill cranium device is improved greatly, alleviated patient misery, shortened time of operation, in this programme, adopt the drive mechanism of tooth fan 62 and gear 61 engagements, on the one hand, higher gear ratio can improve the rotary speed of drill bit 5, on the other hand, and tooth fan 62 overall volume that can dwindle this brill cranium device.
Specific embodiment described herein is only to the explanation for example of the present invention's spirit.Those skilled in the art can make various modifications or supplement or adopt similar mode to substitute described specific embodiment, but can't depart from spirit of the present invention or surmount the defined scope of appended claims.

Claims (9)

1. the brill cranium device that neurosurgery is used, it is characterized in that, comprise housing (1), handle (2) and be plugged in the output shaft (3) on housing (1), the front end of described output shaft (3) is fixedly installed a drill chuck (4), on described drill chuck (4), be provided with a drill bit (5), described output shaft (3) is provided with a gear (61), between described gear (61) and output shaft (3), be provided with an one-way clutch (63), in described housing (1), be also provided with the tooth fan (62) with described gear (61) engagement, on described tooth fan (62), be fixedly installed a screw rod (64), described screw rod (64) be arranged with a nut (65), between described nut (65) and described handle (2), be provided with a guide frame (7) that can drive screw rod (64) to rotate when nut (65) when screw rod (64) axis direction moves.
2. the brill cranium device that neurosurgery according to claim 1 is used, it is characterized in that, described guide frame (7) comprise several be arranged on pilot hole (71) on handle (2) and be plugged in described pilot hole (71) in and the guide rod (72) parallel with described screw rod (64), one end of described guide rod (72) is fixing with enforcement nut (65), the other end of described guide rod (72) is installed with a baffle plate (73), between described baffle plate (73) and the diapire of described pilot hole (71), is provided with back-moving spring (74).
3. the brill cranium device that neurosurgery according to claim 2 is used, it is characterized in that, on described housing (1), be fixedly installed a gag lever post (81), offer one and dodge groove (82) on described tooth fan (62), described gag lever post (81) is plugged in described stopper slot.
4. the brill cranium device that neurosurgery according to claim 3 is used, is characterized in that, described housing (1) outer wall is also fixedly installed leader (9).
5. the brill cranium device that neurosurgery according to claim 4 is used, it is characterized in that, the two ends of described screw rod (64) are plugged in respectively in described handle (2) and housing (1), and all by bearing, are connected between screw rod (64) and handle (2) and housing (1).
6. the brill cranium device that neurosurgery according to claim 5 is used, is characterized in that, described in dodge groove (82) for radian be the circular-arc of 0.5 π.
7. the brill cranium device that neurosurgery according to claim 6 is used, is characterized in that, the pitch of described screw rod (64) is between 40~60mm.
8. the brill cranium device that neurosurgery according to claim 7 is used, is characterized in that, the gear ratio between described tooth fan (62) and gear (61) is 10~15.
9. the brill cranium device that neurosurgery according to claim 8 is used, is characterized in that, described tooth fan (62) is made for plastic material.
CN201310617622.4A 2013-11-28 2013-11-28 A kind of brill cranium device of neurosurgery Expired - Fee Related CN103750879B (en)

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CN201310617622.4A CN103750879B (en) 2013-11-28 2013-11-28 A kind of brill cranium device of neurosurgery
CN201510244462.2A CN104825205B (en) 2013-11-28 2013-11-28 A kind of skull drilling device of the neurosurgery of improvement

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107343809A (en) * 2017-08-30 2017-11-14 王兴铧 A kind of skull drilling device of neurosurgery
CN107874808A (en) * 2017-12-15 2018-04-06 温州市中心医院 A kind of skull drilling device of neurosurgery
CN109893206A (en) * 2019-04-17 2019-06-18 遵义市红花岗区人民医院 A kind of neurosurgery drilling equipment
CN110200676A (en) * 2019-06-05 2019-09-06 解涛 A kind of neurosurgery skull drilling device based on VR technology
CN112545606A (en) * 2020-12-03 2021-03-26 西安交通大学医学院第一附属医院 Skull drill for neurosurgery operation

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CA3044235A1 (en) * 2016-11-17 2018-05-24 Peter L. BONO Rotary oscillating surgical tool

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CN102990123A (en) * 2011-09-13 2013-03-27 江苏八达重工机械有限公司 Novel hand-powered drill

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DE29500769U1 (en) * 1995-01-22 1995-04-27 Ruebben Alexander Modification of a skull revision drill by mechanical consistency-dependent control and safety device
US20050199407A1 (en) * 2002-09-04 2005-09-15 Aesculap Ag & Co. Kg Surgical instrument
CN2750782Y (en) * 2004-10-25 2006-01-11 高勇 Hand rotated type safety skull opening bore
CN1729941A (en) * 2005-08-29 2006-02-08 张庆林 Mirco-traumatic skull drill
CN201414823Y (en) * 2009-05-26 2010-03-03 金成福 Handle-type automatic skull drilling instrument
CN201775653U (en) * 2010-09-03 2011-03-30 威海鸿宇医疗器械有限公司 Orienting electric skull drill
CN102990123A (en) * 2011-09-13 2013-03-27 江苏八达重工机械有限公司 Novel hand-powered drill
CN202458556U (en) * 2012-03-01 2012-10-03 刘堃 Rapid hand-cranking skull opening drill

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107343809A (en) * 2017-08-30 2017-11-14 王兴铧 A kind of skull drilling device of neurosurgery
CN107343809B (en) * 2017-08-30 2019-10-18 王兴铧 A kind of skull drilling device of neurosurgery
CN107874808A (en) * 2017-12-15 2018-04-06 温州市中心医院 A kind of skull drilling device of neurosurgery
CN107874808B (en) * 2017-12-15 2024-03-29 温州市中心医院 Cranium driller for neurosurgery operation
CN109893206A (en) * 2019-04-17 2019-06-18 遵义市红花岗区人民医院 A kind of neurosurgery drilling equipment
CN110200676A (en) * 2019-06-05 2019-09-06 解涛 A kind of neurosurgery skull drilling device based on VR technology
CN112545606A (en) * 2020-12-03 2021-03-26 西安交通大学医学院第一附属医院 Skull drill for neurosurgery operation

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CN103750879B (en) 2015-09-02
CN104825205B (en) 2017-01-04

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