CN104814800B - A kind of infrared rays navigation instrument - Google Patents

A kind of infrared rays navigation instrument Download PDF

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Publication number
CN104814800B
CN104814800B CN201510244517.XA CN201510244517A CN104814800B CN 104814800 B CN104814800 B CN 104814800B CN 201510244517 A CN201510244517 A CN 201510244517A CN 104814800 B CN104814800 B CN 104814800B
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China
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support
board
perspective board
fixed
perspective
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Expired - Fee Related
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CN201510244517.XA
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Chinese (zh)
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CN104814800A (en
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范国明
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Individual
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Pathology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Radiation-Therapy Devices (AREA)

Abstract

The invention discloses a kind of infrared rays navigation instrument, including support, the two pieces of orthogonal perspective boards, the infrared ray projector equipment that are fixed on support.Infrared ray projector equipment includes two supporting with two pieces of perspective boards respectively RF transmitters.In puncturing operation, two pieces of perspective boards are respectively parallel to the sagittal plane and coronal-plane of patient body.Medical personnel is using C arm machine in normotopia and projection of the mark target puncture line on two pieces of perspective boards respectively of side position, then according to the intersecting principle for determining a straight line in two sides, straight line is formed in vitro using infrared ray projector equipment, afterwards, medical personnel fixes trocar sleeve using sleeve fixed support and overlapped with the straight line, trocar sleeve is fixed using sleeve fixed support, can prevent from deviateing when operation technique.

Description

A kind of infrared rays navigation instrument
Technical field
The present invention relates to technical field of medical instruments, led in particular to a kind of infrared ray for puncturing operation Boat instrument.
Background technology
In medicine technology field, when medical personnel carries out puncturing operation to patient, need to repeatedly it be had an X-rayed with C arm machine, To determine to puncture line position, not only troublesome poeration, punctures line position inaccurately, moreover, perspective causes ray exposed amount big repeatedly, Both patient is endangered, doctor is also injured.
The content of the invention
Technical problem solved by the invention:By existing medical technology, when medical personnel carries out puncturing operation to patient, Need to repeatedly it be had an X-rayed with C arm machine, to determine to puncture line position, not only troublesome poeration, punctures line position inaccurately, moreover, instead Multiple perspective causes ray exposed amount big, both endangers patient, also injures doctor.
The present invention provides following technical scheme:
A kind of infrared rays navigation instrument, including perspective board, support, infrared ray projector equipment;
The perspective board includes the first perspective board and the second perspective board, and the first perspective board and the second perspective board are fixed on support On, the first perspective board is located at the top of operating table and parallel with operation table surface, the second perspective board be located at by the side of operation table surface and Vertical with operation table surface, first perspective board and the second perspective board are mutually perpendicular to;The infrared ray projector equipment includes first RF transmitter and the second RF transmitter, the first RF transmitter are located at the top of the first perspective board, and first is infrared The perspective board of infrared ray directive first of line transmitter transmitting and perpendicular to the first perspective board, the second RF transmitter is located at second By the side of perspective board, the second RF transmitter and operation table surface divide the both sides for being listed in the second perspective board, the second infrared emitting Device transmitting the perspective board of infrared ray directive second and perpendicular to the second perspective board.
By above-mentioned technical proposal, in puncturing operation, patient couches on operation table surface, the first perspective board and the second perspective Plate is respectively parallel to the sagittal plane and coronal-plane of patient body.Medical personnel is marked respectively using C arm machine in normotopia and side position Target punctures projection of the line on the first perspective board and the second perspective board, then according to the intersecting principle for determining a straight line in two sides, Straight line is formed in vitro using infrared ray projector equipment, and specifically, the first RF transmitter is by the first perspective board Projection emission infrared ray, the second RF transmitter is by the projection emission infrared ray on the second perspective board, the first infrared emitting The infrared ray of device transmitting intersects with the infrared ray that the second RF transmitter is launched, in the external formation straight line of patient(Phase Intersection).Afterwards, medical personnel fixes trocar sleeve using sleeve fixed support and overlapped with the straight line, and branch is fixed using sleeve Frame fixes trocar sleeve, can prevent from deviateing when operation technique.
By above-mentioned technical proposal, infrared rays navigation instrument of the present invention utilizes geometrical principle completion work, sheet Invention has advantages below:
First, simple to operate, directive property is good, although infrared rays navigation instrument of the present invention, which still needs, uses C arm machine, But as long as positioning number of times 1-2 time is just reached, therefore, using this infrared rays navigation instrument can greatly simplify operation puncturing program and when Between, as long as marking puncture line projection position to be assured that puncture line, it is not necessary to which C arm machine is had an X-rayed repeatedly, while also abandoning The influence factors such as ob esity's position;
Second, using fixes sleeve, it is accurate to puncture line position, the problem of will not be because of hand strength or doctors experience, hair It is raw to puncture the phenomenon that line deviates;
3rd, ray exposed amount greatly reduces, and not only improves patient, is also beneficial to protect doctor.
Described first is infrared to be illustrated to infrared emitting projector equipment and a kind of of perspective board structural relation as the present invention Line transmitter is arranged on the first perspective board by infrared ray position indicator, and second RF transmitter is positioned by infrared ray Instrument is arranged on the second perspective board;The infrared ray position indicator includes pedestal, fixed support, travel(l)ing rest, fixed ball, rotation Ball, a pair of clamping plates, clamp screws;The pedestal is fixed on perspective board, and the support bracket fastened bottom is fixed on pedestal, Fixed support is vertical with perspective board, and the fixed ball is fixed on support bracket fastened top, and the pair of clamping plate is oppositely arranged, a pair Clamping plate opens up two pairs of manholes being oppositely arranged, and the fixed ball is clamped in a pair of manholes, the screw quilt It is clamped in another pair manhole, the clamp screw connects a pair of clamping plates, one end of the travel(l)ing rest and screw It is fixedly connected, the first RF transmitter or the second RF transmitter is installed on the other end of travel(l)ing rest.As described above, Infrared ray position indicator is rotated to realize the first RF transmitter in two pairs of manholes respectively by fixed ball and screw With the universal rotational of the second RF transmitter.
Infrared emitting projector equipment and a kind of of supporting structure relation are illustrated as the present invention, the infrared line projection Equipment also includes the first power supply being connected with the first RF transmitter, the second source being connected with the second RF transmitter; The support is provided with the first power pack, the second source box for laying second source for being used for laying the first power supply.
One kind of perspective board is illustrated as the present invention, the perspective board is acrylic board;First perspective board includes Two piece of first acrylic board, two piece of first acrylic board is provided with magnet, and two piece of first acrylic board is by magnet adsorption one Rise, opaque scale film is clamped between two piece of first acrylic board;Second perspective board includes two piece of second acrylic Plate, two piece of second acrylic board is provided with magnet, two piece of second acrylic board by magnet adsorption together, two piece second sub- gram Opaque scale film is clamped between power plate.Above-mentioned magnet is located at the first acrylic board and by crisscross arrangement mode On two acrylic boards, as a preferred embodiment, any acrylic board is provided with nine magnet.
As a modification of the present invention, infrared rays navigation instrument of the present invention also includes fixture, and the fixture includes First clamping part and the second clamping part;First clamping part includes slide unit, is fixed on the fixing clip and slide unit of slide unit one end The movable clip block that is slidably matched, one end are articulated in the first clamping screw that in fixing clip and the other end and movable clip block are spirally connected; Second clamping part includes fixed chuck, the connection curved bar that one end is connected with fixed chuck, is fixedly connected with the curved bar other end Bearing piece, the second clamping screw, the active chuck installed in the second clamping screw top, the active chuck that are spirally connected with bearing piece It is oppositely arranged with fixed chuck;First retaining part is on the top of the second clamping part, the slide unit bottom surface of the first clamping part Provided with tubular pivotally connected set, the top surface of the fixed chuck of the second clamping part is provided with columned pivot joint block, the pivot joint block pivot joint In pivotally connected set;The support is clamped between fixing clip and movable clip block by fixture.As described above, the first clamping part is used In the support of clamping infrared rays navigation instrument, the second clamping part is clamped in immobilising device(Such as operating table)On, with fixed whole red Outside line navigational tool, between the first clamping part and the second clamping part can 360 degree rotation, with facilitate clamping and position.
The support, which includes first support, second support, the 3rd support, to be illustrated to one kind of support as the present invention;Institute State first support vertical with second support, second support and the 3rd support vertical, first support are parallel with the 3rd support, first Frame and the 3rd support are connected to the two ends of second support, and first support and the 3rd support are located at the two of second support respectively Side;First perspective board is fixed in first support, and second perspective board is fixed on the secondary support bracket, the 3rd support It is clamped in by fixture between fixing clip and movable clip block.
Brief description of the drawings:
The present invention is described further below in conjunction with the accompanying drawings:
Fig. 1 is a kind of structural representation of infrared rays navigation instrument of the invention;
Fig. 2 is the structural representation in Fig. 1 from upper left side obtained by the infrared rays navigation instrument;
Fig. 3 is the structural representation of fixture 60 in Fig. 2;
Fig. 4 is the structural representation of Fig. 1 middle infrared (Mid-IR)s position indicator 40.
It is symbol description in figure below:
10-support;11-first support;12-second support;13-the three support;
21-the first perspective board;22-the second perspective board;200-magnet;
31-the first RF transmitter;32-the second RF transmitter;
40-infrared ray position indicator;41-pedestal;42-fixed support;43-travel(l)ing rest;44-fix ball;45-rotation Turn ball;46-a pair of clamping plates;47-clamp screw;
51-the first power pack;52-second source box;
60-fixture;61-the first clamping part;611-slide unit;612-fixing clip;613-movable clip block;614-the One clamping screw;62-the second clamping part;621-fixed chuck;622-connection curved bar;623-bearing piece;624-the second clamps Screw rod;625-active chuck;63-pivotally connected set;64-pivot joint block;
90-operating table.
Embodiment:
Such as Fig. 1, a kind of infrared rays navigation instrument, including perspective board, support 10, infrared ray projector equipment, fixture 60;Its In, the perspective board includes the first perspective board 21 and the second perspective board 22, and the infrared ray projector equipment includes the first infrared ray The RF transmitter 32 of transmitter 31 and second.
With reference to Fig. 1, Fig. 2, the support 10 includes first support 11, second support 12, the 3rd support 13;Described first Frame is vertical with second support, and second support and the 3rd support vertical, first support are parallel with the 3rd support, first support and the 3rd Support is connected to the two ends of second support, and first support and the 3rd support are located at the both sides of second support respectively.
With reference to Fig. 1, Fig. 2, first perspective board 21 is fixed in first support, and second perspective board 22 is fixed on On two supports.First perspective board is located at the top of operating table 90 and parallel with operation table surface, and the second perspective board is located at operation table surface Side by and it is vertical with operation table surface, first perspective board and the second perspective board are mutually perpendicular to.Wherein, the perspective board is Asia Gram force plate;First perspective board 21 includes two piece of first acrylic board, and two piece of first acrylic board is provided with magnet 200, two The acrylic board of block first together, is clamped with opaque scale film by magnet adsorption between two piece of first acrylic board;Institute Stating the second perspective board 22 includes two piece of second acrylic board, and two piece of second acrylic board is provided with magnet 200, two piece second sub- gram Power plate together, is clamped with opaque scale film by magnet adsorption between two piece of second acrylic board.
With reference to Fig. 1, Fig. 2, the first RF transmitter 31 is located at the top of the first perspective board 21, the first RF transmitter The perspective board of infrared ray directive first of transmitting and perpendicular to the first perspective board, the second RF transmitter 32 is located at the second perspective board By 22 side, the second RF transmitter and operation table surface divide the both sides for being listed in the second perspective board, the second RF transmitter hair The perspective board of infrared ray directive second penetrated and perpendicular to the second perspective board.Wherein, first RF transmitter 31 is by red Outside line position indicator 40 is arranged on the first perspective board 21, and second RF transmitter is arranged on by infrared ray position indicator 40 On second perspective board 22;Such as Fig. 4, the infrared ray position indicator includes pedestal 41, fixed support 42, travel(l)ing rest 43, fixed ball 44th, screw 45, a pair of clamping plates 46, clamp screws 47;The pedestal is fixed on perspective board, the support bracket fastened bottom It is fixed on pedestal, fixed support is vertical with perspective board, the fixed ball is fixed on support bracket fastened top, the pair of clamping plate It is oppositely arranged, a pair of clamping plates open up two pairs of manholes being oppositely arranged, the fixed ball is clamped in a pair of manholes, The screw is clamped in another pair manhole, and the clamp screw connects a pair of clamping plates, the travel(l)ing rest One end is fixedly connected with screw, and the first RF transmitter or the second infrared emitting are installed on the other end of travel(l)ing rest Device.
In addition to the above-mentioned RF transmitter 32 of first RF transmitter 31 and second, the infrared ray projector equipment is also wrapped Include the first power supply being connected with the first RF transmitter 31, the second source being connected with the second RF transmitter 32;It is described Support 10 is provided with the first power pack 51, the second source box 52 for laying second source for being used for laying the first power supply.
With reference to Fig. 1, Fig. 2, the 3rd support 13 of the clamp bracket 10 of fixture 60.Such as Fig. 3, the fixture includes the first folder Hold the clamping part 62 of portion 61 and second;First clamping part include slide unit 611, be fixed on slide unit one end fixing clip 612, with Movable clip block 613 that slide unit is slidably matched, one end are articulated in fixing clip and the first folder that the other end and movable clip block are spirally connected Tight screw rod 614;Second clamping part includes fixed chuck 621, the connection curved bar 622 of one end and fixed chuck connection, with connecting The second clamping screw 624 for connect bearing piece 623 that the curved bar other end is fixedly connected, being spirally connected with bearing piece, installed in the second clamping screw The active chuck 625 on top, the active chuck is oppositely arranged with fixed chuck;First retaining part is in the second clamping part Top, the slide unit bottom surface of the first clamping part is provided with tubular pivotally connected set 63, the top surface of the fixed chuck of the second clamping part and set There is columned pivot joint block 64, the pivot joint block is articulated in pivotally connected set;3rd support 13 of the support 10 is pressed from both sides by fixture 60 Hold between fixing clip 612 and movable clip block 613.
In puncturing operation, patient couches on operation table surface, and the first perspective board 21 distinguishes parallel with the second perspective board 22 In the sagittal plane and coronal-plane of patient body.Medical personnel marks target to puncture line respectively using C arm machine in normotopia and side position Projection on the first perspective board 21 and the second perspective board 22, then according to the intersecting principle for determining a straight line in two sides, using red Outside line projector equipment forms straight line in vitro, specifically, and the first RF transmitter 31 is by the throwing on the first perspective board 21 Shadow launches infrared ray, and the second RF transmitter 32 is by the projection emission infrared ray on the second perspective board 22, the first infrared ray hair The infrared ray that emitter 31 is launched intersects with the infrared ray that the second RF transmitter 32 is launched, straight in the external formation one of patient Line intersecting lens.Afterwards, medical personnel fixes trocar sleeve using sleeve fixed support and overlapped with the straight line, is fixed using sleeve Support fixes trocar sleeve, can prevent from deviateing when operation technique.
In practice infrared rays navigation instrument of the present invention, it is necessary to which the key issue that emphasis is solved is infrared ray throwing Hachure will be controlled in thinner degree, it is impossible to excessively thick, and accuracy can be slightly influenceed excessively;Second is to need to ensure the problem of needing and solve On the vertical plane, this is solved using 90 ° of division indicators for infrared ray trend of purchasing and body and acrylic board;3rd needs to solve The problem of be that this navigational tool is to determine to puncture line using the intersecting principle for determining a straight line in two sides, and the two faces are exactly The perspective plane of line is punctured, so the point determined after C arm machine perspective is needed in body same level, this utilizes acrylic board Edge graduation mark is solved.
Above content is only the better embodiment of the present invention, for one of ordinary skill in the art, according to the present invention Thought, will change in specific embodiments and applications, this specification content should not be construed as to this hair Bright limitation.

Claims (6)

1. a kind of infrared rays navigation instrument, including perspective board, support(10), infrared ray projector equipment;It is characterized in that:It is described Include the first perspective board depending on plate(21)With the second perspective board(22), the first perspective board and the second perspective board be fixed on support, and One perspective board is located at operating table(90)Top and parallel with operation table surface, the second perspective board be located at by the side of operation table surface and with Operation table surface is vertical, and first perspective board and the second perspective board are mutually perpendicular to;It is red that the infrared ray projector equipment includes first Outside line transmitter(31)With the second RF transmitter(32), the first RF transmitter is located at the top of the first perspective board, the The perspective board of infrared ray directive first of one RF transmitter transmitting and perpendicular to the first perspective board, the second RF transmitter position By the side of the second perspective board, the second RF transmitter and operation table surface divide the both sides for being listed in the second perspective board, and second is infrared Line transmitter transmitting the perspective board of infrared ray directive second and perpendicular to the second perspective board.
2. a kind of infrared rays navigation instrument as claimed in claim 1, it is characterised in that:First RF transmitter(31) Pass through infrared ray position indicator(40)Installed in the first perspective board(21)On, second RF transmitter is positioned by infrared ray Instrument(40)Installed in the second perspective board(22)On;The infrared ray position indicator includes pedestal(41), fixed support(42), activity branch Frame(43), fixed ball(44), screw(45), a pair of clamping plates(46), clamp screw(47);The pedestal is fixed on perspective board On, the support bracket fastened bottom is fixed on pedestal, and fixed support is vertical with perspective board, and the fixed ball is fixed on fixed branch The top of frame, the pair of clamping plate is oppositely arranged, and a pair of clamping plates open up two pairs of manholes being oppositely arranged, the fixed ball quilt It is clamped in a pair of manholes, the screw is clamped in another pair manhole, the clamp screw connection one To clamping plate, one end of the travel(l)ing rest is fixedly connected with screw, and the first infrared ray hair is installed on the other end of travel(l)ing rest Emitter or the second RF transmitter.
3. a kind of infrared rays navigation instrument as claimed in claim 1, it is characterised in that:The infrared ray projector equipment also includes With the first RF transmitter(31)First power supply of connection and the second RF transmitter(32)The second source of connection;Institute State support(10)It is provided with the first power pack for being used for laying the first power supply(51), second source box for laying second source (52).
4. a kind of infrared rays navigation instrument as claimed in claim 1, it is characterised in that:The perspective board is acrylic board;Institute State the first perspective board(21)Including two piece of first acrylic board, two piece of first acrylic board is provided with magnet(200), two piece first Acrylic board together, is clamped with opaque scale film by magnet adsorption between two piece of first acrylic board;Described second Perspective board(22)Including two piece of second acrylic board, two piece of second acrylic board is provided with magnet(200), two piece of second acrylic Plate together, is clamped with opaque scale film by magnet adsorption between two piece of second acrylic board.
5. a kind of infrared rays navigation instrument as claimed in claim 1, it is characterised in that:Also include fixture(60), the fixture Including the first clamping part(61)With the second clamping part(62);First clamping part includes slide unit(611), be fixed on slide unit one end Fixing clip(612)And the movable clip block that slide unit is slidably matched(613), one end be articulated in fixing clip and the other end with The first clamping screw that movable clip block is spirally connected(614);Second clamping part includes fixed chuck(621), one end and geometrical clamp The connection curved bar of head connection(622), with being connected the bearing piece that the curved bar other end is fixedly connected(623)And the second folder that bearing piece is spirally connected Tight screw rod(624), active chuck installed in the second clamping screw top(625), the active chuck and fixed chuck are opposite Set;First retaining part is provided with tubular pivotally connected set in the top of the second clamping part, the slide unit bottom surface of the first clamping part (63), the top surface of the fixed chuck of the second clamping part is provided with columned pivot joint block(64), the pivot joint block is articulated in pivot joint In set;The support(10)It is clamped in by fixture between fixing clip and movable clip block.
6. a kind of infrared rays navigation instrument as claimed in claim 5, it is characterised in that:The support(10)Including first support (11), second support(12), the 3rd support(13);The first support is vertical with second support, second support and the 3rd support Vertically, first support is parallel with the 3rd support, and first support and the 3rd support are connected to the two ends of second support, first Frame and the 3rd support are located at the both sides of second support respectively;First perspective board(21)It is fixed in first support, described Two perspective boards(22)Fix on the secondary support bracket, the 3rd support is by fixture(60)It is clamped in fixing clip(612)And activity Fixture block(613)Between.
CN201510244517.XA 2015-05-13 2015-05-13 A kind of infrared rays navigation instrument Expired - Fee Related CN104814800B (en)

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CN113576663B (en) * 2021-07-30 2023-06-27 武汉联影智融医疗科技有限公司 Probe device for contact positioning and positioning system

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