CN104905850A - Percutaneous lumbar intervertebral foramen puncture navigator - Google Patents
Percutaneous lumbar intervertebral foramen puncture navigator Download PDFInfo
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- CN104905850A CN104905850A CN201510356779.5A CN201510356779A CN104905850A CN 104905850 A CN104905850 A CN 104905850A CN 201510356779 A CN201510356779 A CN 201510356779A CN 104905850 A CN104905850 A CN 104905850A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3472—Trocars; Puncturing needles for bones, e.g. intraosseus injections
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
- A61B2017/3405—Needle locating or guiding means using mechanical guide means
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
- A61B2017/3405—Needle locating or guiding means using mechanical guide means
- A61B2017/3407—Needle locating or guiding means using mechanical guide means including a base for support on the body
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
- A61B2017/3405—Needle locating or guiding means using mechanical guide means
- A61B2017/3409—Needle locating or guiding means using mechanical guide means including needle or instrument drives
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B2017/564—Methods for bone or joint treatment
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Abstract
The invention belongs to the technical field of medical instruments, and specifically relates to a percutaneous lumbar intervertebral foramen puncture navigator, which is constituted of a fixation frame, a disc-shaped positioning ring, a joint rod, a Y-shaped positioning plate and a needle-threading device, wherein the fixation frame is constituted of an upright, a horizontal rotary rod, a front telescopic rod, a back telescopic rod and a universal adapter; one end of the disc-shaped positioning ring is a ball-shaped head and the other end thereof is a round ring; the round ring is provided with a positioning ring slide groove and a positioning ring joint; a slide joint shaft is set in the middle of the joint rod; a near end of the joint rod is provided with a joint rod joint and a far end thereof is provided with a joint rod slide groove; the Y-shaped positioning plate comprises a straight-type slide arm and an arc-shaped slide arm; the needle-threading device is constituted of a needle-threading slide groove and a guide tube slide groove; and two half tube-shaped guide tube are cooperated with the needle-threading device for use. According to the invention, the percutaneous lumbar intervertebral foramen puncture navigator has the advantages of simple structure, convenient use and high accuracy; and when being used for percutaneous lumbar intervertebral foramen puncture navigation, the navigator provided herein is capable of accurately puncturing to the preset destination according to the routine designed before operation, thus facilitating to carry out the next step minimally invasive surgery to the lumbar intervertebral disc and the inner of the canalis vertebralis.
Description
Technical field
The invention belongs to technical field of medical instruments, be specifically related to a kind of lumbar intervertebral foramen puncture navigational tool.
Background technology
Wicresoft is the inexorable trend of surgical operation development, it is by non-traditional Operative approch, by the particular surgical instrument such as medical image, micro-endoscope and equipment, the techniques and methods of Diagnosis and Treat is carried out to illness in human body, its object is to Iatrogenic injury to be reduced to bottom line, obtain satisfied curative effect simultaneously.In vertebral column minimally invasive field, lumbar intervertebral disc and intraspinal Minimally Invasive Surgery, mainly percutaneous puncture carries out under foramen intervertebrale lens from lumbar intervertebral foramen approach at present.Its basic less invasive techniques mainly comprises three major types, and one is percutaneous lumbar intervertebral foramen Needle localization technology, and two is Path Setup technology, and three is operating technologies under foramen intervertebrale lens.Wherein, percutaneous lumbar intervertebral foramen puncture technique is the first step of operation, is also the step of most critical, and under it directly affects Path Setup and foramen intervertebrale lens, can operation remove focus smoothly.Percutaneous lumbar intervertebral foramen punctures, if can not disposable successful repeated localised puncture, have impact on the invasive of operative approach; If according to the safest route puncture of operator design, risk and operation wound can not be added; If predetermined target can not be punctured to exactly, then operate under affecting Path Setup thereafter and foramen intervertebrale lens.At present, percutaneous carry out lumbar intervertebral foramen puncture mainly operator according to the experience of controlling oneself, in conjunction with pre-operative patients lumbar vertebra imaging data, undertaken by packaged type C-arm X-ray machine perspective in art, be difficult to reach disposable and be punctured to predetermined target according to the route of Design accurately.
Summary of the invention
The object of the present invention is to provide the navigator of carrying out lumbar intervertebral foramen puncture for percutaneous that a kind of structure is simple, easy to use, accuracy is high, predetermined target can be punctured to according to the route of Design accurately, thus be conducive to next step lumbar intervertebral disc or intraspinal Minimally Invasive Surgery carries out.
Percutaneous lumbar intervertebral foramen puncture omniselector provided by the invention, its structure as shown in Figure 1, Figure 2, shown in Fig. 3, Fig. 4, Fig. 5, be made up of fixed mount (1), plate-like centring ring (2), joining rod (3), bifurcation shape location-plate (4), nail set (5); Wherein:
Described fixed mount (1) by column (6), horizontally rotate bar (7), front stretching bar (8), rear telescopic rod (9), universal adapter (10) successively head and the tail connect to form; The front end horizontally rotating bar (7) is that pin-and-hole is connected with column (6) upper end, makes the pin of front end around column (6) upper end horizontally rotating bar (7) do to horizontally rotate; The rear end horizontally rotating bar (7) is that pin-and-hole is connected with the front end of front stretching bar (8), makes the front end of front stretching bar (8) make vertical direction around the rear end horizontally rotating bar (7) and rotates; The rear end of front stretching bar (8) and the front end of rear telescopic rod (9) are also connected in pin-and-hole, make the have mercy on rear end of front stretching bar (8), the front end of rear telescopic rod (9) do vertical direction rotation; The rear end of rear telescopic rod (9) and the front end of universal adapter (10) are also connected in pin-and-hole, make the have mercy on rear end of rear telescopic rod (9), the front end of universal adapter (10) do vertical direction rotation; Universal adapter (10) far-end is a Universal rotary joint (13), matches with the ballhead (14) of plate-like centring ring (2), and is fixed by the socket screw (11) of head with ball-and-socket;
Described plate-like centring ring (2) comprises ballhead (14), perpendicular positioning joint shaft (16), centring ring joint (17), wheel hub (18), centring ring chute (19); Ballhead (14) forms joint with the Universal rotary joint (13) of fixed mount (1); The neck (15) that a diameter is thinner is had, to realize the universal rotating function of ballhead (14) under ballhead (14); Centring ring joint (17) forms the joint of a uniplanar motion with the joining rod joint (20) of joining rod (3) near-end by perpendicular positioning joint shaft (16); There is circular hole at perpendicular positioning joint shaft (16) center, and its central axis is used for run-home target spot; Around there is the circle of a concentric with it in centring ring joint (17), wheel hub (18) is had to be connected between centring ring joint (17) and the circle of this concentric, circle there is the centring ring chute (19) of a concentric, be connected the movement locus of axle (22) as upper slip of joining rod (3);
The body of described joining rod (3) is the linking body of rod (21) of a gun, the near-end being connected the body of rod (21) is the joining rod joint (20) of a circle hole shape, far-end is joining rod chute (24), and the middle part being connected the body of rod (21) has one to be connected axle (22) with slip vertically upward; Joining rod joint (20) matches with the centring ring joint (17) of plate-like centring ring (2); Joining rod chute (24) is as the movement locus of the straight type travelling arm (25) of bifurcation shape location-plate (4); Linking axle (22) of sliding can be slided along the centring ring chute (19) of plate-like centring ring (2), and the two is fixed by linking axle screw (23) of sliding;
Described bifurcation shape location-plate (4) comprises straight type travelling arm (25) and camber travelling arm (26) two parts, forms bifurcation shape, and there is a cylinder type horizontal location hole (27) the two lower end of intersecting; Joining rod chute (24) form fit of the shape joining rod (3) of straight type travelling arm (25), makes straight type travelling arm (25) can slide along joining rod chute (24); Camber travelling arm (26) there is the chute of a concentric, as the movement locus of nail set travelling arm (28);
Described nail set (5) is made up of nail set travelling arm (28) and guide wire chute (29), and have two and half cast conduits (30) with the use of; It is just in time a tubular guide wire that two and half cast conduits (30) combine, and its center hole is used for puncture needle to be passed through; The opening of guide wire chute (29) is 1/3 of guide wire Zhou Jing, the half cast conduit (30) making two to combine form guide wire and can not skid off from the opening of guide wire chute (29).
In this puncture omniselector, there is U-shaped draw-in groove (12) column (6) lower end of fixed mount (1), fixes by screw and operation table.
In this puncture omniselector, fixed mount (1) horizontally rotate bar (7), front stretching bar (8), rear telescopic rod (9), universal adapter (10) with the use of, perpendicular positioning joint shaft (16) central axis of plate-like centring ring (2) can be made to point to any target, and with specific laying for direction target in certain scope.
In this puncture omniselector, joining rod chute (24) and perpendicular positioning joint shaft (16) centerline axis parallel; Horizontal location hole (27) axis and perpendicular positioning joint shaft (16) intersect vertical axis, the plane at these two axis places is parallel with the plane at camber travelling arm (26) place.Guide wire chute (29) axis is parallel with the plane at camber travelling arm (26) place, and in horizontal location hole (27) axis and the determined plane of perpendicular positioning joint shaft (16) axis.Guide wire chute (29) axis camber travelling arm (26) upright projection in the plane, through camber travelling arm (26) circular arc place circle the center of circle.The intersection point of horizontal location hole (27) axis and perpendicular positioning joint shaft (16) intersect vertical axis camber travelling arm (26) upright projection in the plane overlap with the center of circle of camber travelling arm (26) circular arc place circle.That is horizontal location hole (27) axis, perpendicular positioning joint shaft (16) axis, guide wire chute (29) axes intersect are in a bit.When straight type travelling arm (25) is slided along joining rod chute (24), perpendicular positioning joint shaft (16) axis is the track of this intersection point.
This puncture omniselector uses operation: after the U-shaped draw-in groove in column (6) lower end (12) and the operation table of fixed mount (1) are fixing, by dwang (7), front stretching bar (8), rear telescopic rod (9), universal adapter (10) adjustment plate-like centring ring (2), after making perpendicular positioning joint shaft (16) the orientation of its axis target of plate-like centring ring (2), slide up and down along joining rod chute (24) in conjunction with straight type travelling arm (25) again, make horizontal location hole (27) axis point to target simultaneously, now, when joining rod (3) with perpendicular positioning joint shaft (16) for no matter axle rotates much angles, no matter slippage is how many along the chute of camber travelling arm (26) for nail set travelling arm (28), guide wire chute (29) axis then passes through target all the time.In other words, after perpendicular positioning joint shaft (16) axis and horizontal location hole (27) axis point to target simultaneously, by with perpendicular positioning joint shaft (16) be axle rotate joining rod (3), in the chute of camber travelling arm (26) slip nail set travelling arm (28), make guide wire chute (29) axis pass through target from specific orientation.
The guide wire chute (29) of nail set (5) has an opening, after puncture needle is punctured to target by the tubular guide wire merged by two and half cast conduits (30), take out one of them half cast conduit (30), rotate joining rod (3) with perpendicular positioning joint shaft (16) for axle, from the opening of guide wire chute (29), puncture needle and this omniselector can be departed from.
This percutaneous lumbar intervertebral foramen puncture omniselector, structure is simple, easy to use, accuracy is high, when for percutaneous lumbar intervertebral foramen puncture navigation, predetermined target can be punctured to according to the route of Design accurately, thus be conducive to next step lumbar intervertebral disc or intraspinal Minimally Invasive Surgery carries out.
Accompanying drawing explanation
Fig. 1 is the isometric views of this puncture omniselector general assembly.
Fig. 2 is the explosive view of this puncture omniselector general assembly.
Fig. 3 is the assembling explosive view of this puncture omniselector component (universal adapter and plate-like centring ring).
Fig. 4 is the assembling cross sectional view of this puncture omniselector component (universal adapter and plate-like centring ring).
Fig. 5 is that the fit on lower shaft of puncture omniselector component (bifurcation shape location-plate and nail set) surveys view.
Fig. 6 is that puncture omniselector specifically implements schematic diagram.
Number in the figure: 1 fixed mount, 2 plate-like centring rings, 3 joining rods, 4 bifurcation shape location-plates, 5 nail sets, 6 columns, 7 horizontally rotate bar, 8 front stretching bars, 9 rear telescopic rods, 10 universal adapters, 11 socket screws, 12U type draw-in groove, 13 Universal rotary joints, 14 ballheads, 15 necks, 16 perpendicular positioning joint shafts, 17 centring ring joints, 18 wheel hubs, 19 centring ring chutes, 20 joining rod joints, 21 are connected the body of rod, 22 slide is connected axle, 23 slide is connected axle screw, 24 joining rod chutes, 25 straight type travelling arms, 26 camber travelling arms, 27 horizontal location holes, 28 nail set travelling arms, 29 guide wire chutes, 30 half cast conduits.
Detailed description of the invention
Percutaneous lumbar intervertebral foramen puncture omniselector provided by the invention, its structure as shown in Figure 1, Figure 2, shown in Fig. 3, Fig. 4, Fig. 5, be made up of fixed mount (1), plate-like centring ring (2), joining rod (3), bifurcation shape location-plate (4), nail set (5); Wherein:
Described fixed mount (1) by column (6), horizontally rotate bar (7), front stretching bar (8), rear telescopic rod (9), universal adapter (10) successively head and the tail connect to form; The front end horizontally rotating bar (7) is that pin-and-hole is connected with column (6) upper end, makes the pin of front end around column (6) upper end horizontally rotating bar (7) do to horizontally rotate; The rear end horizontally rotating bar (7) is that pin-and-hole is connected with the front end of front stretching bar (8), makes the front end of front stretching bar (8) make vertical direction around the rear end horizontally rotating bar (7) and rotates; The rear end of front stretching bar (8) and the front end of rear telescopic rod (9) are also connected in pin-and-hole, make the have mercy on rear end of front stretching bar (8), the front end of rear telescopic rod (9) do vertical direction rotation; The rear end of rear telescopic rod (9) and the front end of universal adapter (10) are also connected in pin-and-hole, make the have mercy on rear end of rear telescopic rod (9), the front end of universal adapter (10) do vertical direction rotation; Universal adapter (10) far-end is a Universal rotary joint (13), matches with the ballhead (14) of plate-like centring ring (2), and is fixed by the socket screw (11) of head with ball-and-socket;
Described plate-like centring ring (2) comprises ballhead (14), perpendicular positioning joint shaft (16), centring ring joint (17), wheel hub (18), centring ring chute (19); Ballhead (14) forms joint with the Universal rotary joint (13) of fixed mount (1); The neck (15) that a diameter is thinner is had, to realize the universal rotating function of ballhead (14) under ballhead (14); Centring ring joint (17) forms the joint of a uniplanar motion with the joining rod joint (20) of joining rod (3) near-end by perpendicular positioning joint shaft (16); There is circular hole at perpendicular positioning joint shaft (16) center, and its central axis is used for run-home target spot; Around there is the circle of a concentric with it in centring ring joint (17), wheel hub (18) is had to be connected between centring ring joint (17) and the circle of this concentric, circle there is the centring ring chute (19) of a concentric, be connected the movement locus of axle (22) as upper slip of joining rod (3);
The body of described joining rod (3) is the linking body of rod (21) of a gun, the near-end being connected the body of rod (21) is the joining rod joint (20) of a circle hole shape, far-end is joining rod chute (24), and the middle part being connected the body of rod (21) has one to be connected axle (22) with slip vertically upward; Joining rod joint (20) matches with the centring ring joint (17) of plate-like centring ring (2); Joining rod chute (24) is as the movement locus of the straight type travelling arm (25) of bifurcation shape location-plate (4); Linking axle (22) of sliding can be slided along the centring ring chute (19) of plate-like centring ring (2), and the two is fixed by linking axle screw (23) of sliding;
Described bifurcation shape location-plate (4) comprises straight type travelling arm (25) and camber travelling arm (26) two parts, forms bifurcation shape, and there is a cylinder type horizontal location hole (27) the two lower end of intersecting; Joining rod chute (24) form fit of the shape joining rod (3) of straight type travelling arm (25), makes straight type travelling arm (25) can slide along joining rod chute (24); Camber travelling arm (26) there is the chute of a concentric, as the movement locus of nail set travelling arm (28);
Described nail set (5) is made up of nail set travelling arm (28) and guide wire chute (29), and have two and half cast conduits (30) with the use of; It is just in time a tubular guide wire that two and half cast conduits (30) combine, and its center hole is used for puncture needle to be passed through; The opening of guide wire chute (29) is 1/3 of guide wire Zhou Jing, the half cast conduit (30) making two to combine form guide wire and can not skid off from the opening of guide wire chute (29).
Give prominence to (as shown in Figure 6) for intervertebral spinal fusion puncture for treating waist 4,5 intervertebral disc right back below, describe concrete using method.
The first step, patient ventricumbent position, is stuck in limit on the left of patient's head end operation table by the U-shaped draw-in groove of the column of this omniselector percutaneous lumbar intervertebral foramen puncture omniselector fixed mount.Plate-like centring ring (2) is flat on patient's waist 4, the 5 corresponding body surface back sides, and makes the hole at the perpendicular positioning joint shaft center of plate-like centring ring (2) be positioned on the right side of positive back, waist 4,5 gap; Bifurcation shape location-plate is positioned over waist 4, the 5 intervertebral space plane on the right side of patient body, and perpendicular to spinal column.
Second step, the removable X-ray machine anteroposterior position perspective of C-arm, make waist 4,5 intervertebral disk hernia position be positioned at image centre, and make waist 4 vertebral body lower edge, waist 5 vertebral body upper limb without bilateral shadow, prompting x-ray central ray bundle is parallel to intervertebral space and by intervertebral disk hernia position.By regulate fixed mount (1) horizontally rotate bar (7), front stretching bar (8), the especially universal adapter (10) of rear telescopic rod (9), make on anteroposterior position fluoroscopic image, the hole at perpendicular positioning joint shaft center is rounded, and intervertebral disk hernia position is arranged in the circular image of perpendicular positioning joint shaft centre bore.This just prompting x-ray central ray bundle perpendicular to plate-like centring ring, by the hole at positioning joint axle center, be parallel to intervertebral space by intervertebral disk hernia position, that is prompting: the axis being parallel of perpendicular positioning joint shaft in intervertebral space by intervertebral disk hernia position.
3rd step, position, C-arm removable X-ray machine side is had an X-rayed, make waist 4,5 intervertebral disk hernia position be positioned at image centre, and make waist 4 vertebral body lower edge, waist 5 vertebral body upper limb without bilateral shadow, prompting x-ray central ray bundle is parallel to intervertebral space and by intervertebral disk hernia position.By the straight position of type travelling arm in joining rod chute regulating the slip of universal adapter, joining rod to be connected the position of axle in centring ring chute, bifurcation shape location-plate, make on the fluoroscopic image of position, side, bifurcation shape location-plate is wire and is parallel to waist 4 vertebral body lower edge, waist 5 vertebral body upper limb, horizontal location hole, bifurcation shape location-plate lower end is rounded, and waist 4,5 intervertebral disk hernia position is arranged in the circular image in this horizontal location hole.Just prompting horizontal location axially bored line and x-ray central ray bundle are unanimously adopted is parallel to intervertebral space and by intervertebral disk hernia position for this.
4th step, repeat second step, the 3rd step, repeatedly repeat second step, the 3rd step if desired, until without the need to regulate percutaneous lumbar intervertebral foramen to puncture on omniselector any parts when, at waist 4 vertebral body lower edge, waist 5 vertebral body upper limb without on the anteroposterior position fluoroscopic image of bilateral shadow, the hole at perpendicular positioning joint shaft center is rounded in image centre, and intervertebral disk hernia position is arranged in the circular image of perpendicular positioning joint shaft centre bore; At waist 4 vertebral body lower edge, waist 5 vertebral body upper limb without on position, the side fluoroscopic image of bilateral shadow, bifurcation shape location-plate is wire and is parallel to waist 4 vertebral body lower edge, waist 5 vertebral body upper limb, horizontal location hole, bifurcation shape location-plate lower end is rounded in image centre, and waist 4,5 intervertebral disk hernia position is arranged in the circular image in this horizontal location hole.This is prompting just: the axis of perpendicular positioning joint shaft and the axis in horizontal location hole are all by waist 4,5 intervertebral disk hernia position.
5th step, determines according to the x-ray before operation in patients, CT and MRI image data direction of puncturing.When utilizing foramen intervertebrale lens intervertebral spinal fusion treatment waist 4,5 intervertebral disc right back to give prominence to, the angle puncture intervertebral spinal fusion that puncture needle need tilt certain to health dorsal part and head end on the right side of patient's waist 4,5 intervertebral space reaches outstanding position.To health dorsal part tilt angle cry the back of the body inclination angle, to health head end inclination angle at head inclination angle.CT transverse section and MRI transverse section are determined the back of the body inclination angle size should selected when puncturing, MRI sagittal plane and position, side X-ray film are determined the head inclination angle size selected when puncturing.Slide in centring ring chute joining rod slip be connected axle to determine an inclination angle, slide in the chute of camber travelling arm nail set travelling arm with determine carry on the back inclination angle.After adjusting an inclination angle and back of the body inclination angle, in the guide wire that two and half cast catheter combination become, puncture reaches waist 4,5 intervertebral disk hernia position.
6th step, take out one and half cast conduits in the middle of two and half cast conduits, the slip of joining rod of sliding in centring ring chute is connected axle (namely with perpendicular positioning joint shaft for axle rotates joining rod), and the omniselector that puncture needle and percutaneous lumbar intervertebral foramen of the present invention punctured from the opening of guide wire chute departs from.Finally, get except percutaneous lumbar intervertebral foramen puncture omniselector of the present invention from operation table, complete intervertebral foramina puncture.
Claims (5)
1. a percutaneous lumbar intervertebral foramen puncture omniselector, is characterized in that being made up of fixed mount (1), plate-like centring ring (2), joining rod (3), bifurcation shape location-plate (4), nail set (5); Wherein:
Described fixed mount (1) by column (6), horizontally rotate bar (7), front stretching bar (8), rear telescopic rod (9), universal adapter (10) successively head and the tail connect to form; The front end horizontally rotating bar (7) is that pin-and-hole is connected with column (6) upper end, makes the pin of front end around column (6) upper end horizontally rotating bar (7) do to horizontally rotate; The rear end horizontally rotating bar (7) is that pin-and-hole is connected with the front end of front stretching bar (8), makes the front end of front stretching bar (8) make vertical direction around the rear end horizontally rotating bar (7) and rotates; The rear end of front stretching bar (8) and the front end of rear telescopic rod (9) are also connected in pin-and-hole, make the have mercy on rear end of front stretching bar (8), the front end of rear telescopic rod (9) do vertical direction rotation; The rear end of rear telescopic rod (9) and the front end of universal adapter (10) are also connected in pin-and-hole, make the have mercy on rear end of rear telescopic rod (9), the front end of universal adapter (10) do vertical direction rotation; Universal adapter (10) far-end is a Universal rotary joint (13), matches with the ballhead (14) of plate-like centring ring (2), and is fixed by the socket screw (11) of head with ball-and-socket;
Described plate-like centring ring (2) comprises ballhead (14), perpendicular positioning joint shaft (16), centring ring joint (17), wheel hub (18), centring ring chute (19); Ballhead (14) forms joint with the Universal rotary joint (13) of fixed mount (1); The neck (15) that a diameter is thinner is had, to realize the universal rotating function of ballhead (14) under ballhead (14); Centring ring joint (17) forms the joint of a uniplanar motion with the joining rod joint (20) of joining rod (3) near-end by perpendicular positioning joint shaft (16); There is circular hole at perpendicular positioning joint shaft (16) center, and its central axis is used for run-home target spot; Around there is the circle of a concentric with it in centring ring joint (17), wheel hub (18) is had to be connected between centring ring joint (17) and the circle of this concentric, circle there is the centring ring chute (19) of a concentric, be connected the movement locus of axle (22) as upper slip of joining rod (3);
The body of described joining rod (3) is the linking body of rod (21) of a gun, the near-end being connected the body of rod (21) is the joining rod joint (20) of a circle hole shape, far-end is joining rod chute (24), and the middle part being connected the body of rod (21) has one to be connected axle (22) with slip vertically upward; Joining rod joint (20) matches with the centring ring joint (17) of plate-like centring ring (2); Joining rod chute (24) is as the movement locus of the straight type travelling arm (25) of bifurcation shape location-plate (4); Linking axle (22) of sliding can be slided along the centring ring chute (19) of plate-like centring ring (2), and the two is fixed by linking axle screw (23) of sliding;
Described bifurcation shape location-plate (4) comprises straight type travelling arm (25) and camber travelling arm (26) two parts, forms bifurcation shape, and there is a cylinder type horizontal location hole (27) the two lower end of intersecting; Joining rod chute (24) form fit of the shape joining rod (3) of straight type travelling arm (25), makes straight type travelling arm (25) can slide along joining rod chute (24); Camber travelling arm (26) there is the chute of a concentric, as the movement locus of nail set travelling arm (28);
Described nail set (5) is made up of nail set travelling arm (28) and guide wire chute (29), and have two and half cast conduits (30) with the use of; It is just in time a tubular guide wire that two and half cast conduits (30) combine, and its center hole is used for puncture needle to be passed through; The opening of guide wire chute (29) is 1/3 of guide wire Zhou Jing, the half cast conduit (30) making two to combine form guide wire and can not skid off from the opening of guide wire chute (29).
2. percutaneous lumbar intervertebral foramen puncture omniselector according to claim 1, is characterized in that there is U-shaped draw-in groove (12) lower end of the column (6) of described fixed mount (1), for fixing with operation table.
3. percutaneous lumbar intervertebral foramen puncture omniselector according to claim 1, it is characterized in that described fixed mount (1) horizontally rotate bar (7), front stretching bar (8), rear telescopic rod (9), universal adapter (10) with the use of, perpendicular positioning joint shaft (16) central axis of plate-like centring ring (2) is made to point to any target, and with specific laying for direction target in certain scope.
4. percutaneous lumbar intervertebral foramen puncture omniselector according to claim 1, is characterized in that described joining rod chute (24) and perpendicular positioning joint shaft (16) centerline axis parallel; Horizontal location hole (27) axis and perpendicular positioning joint shaft (16) intersect vertical axis; Horizontal location hole (27) axis is parallel with the plane at camber travelling arm (26) place of bifurcation shape location-plate (4) with the plane at perpendicular positioning joint shaft (16) axis place.
5. percutaneous lumbar intervertebral foramen puncture omniselector according to claim 4, it is characterized in that the axis of described guide wire chute (29) is positioned at horizontal location hole (27) axis and the determined plane of perpendicular positioning joint shaft (16) axis, it camber travelling arm (26) upright projection in the plane, through camber travelling arm (26) circular arc place circle the center of circle; The intersection point of horizontal location hole (27) axis and perpendicular positioning joint shaft (16) intersect vertical axis camber travelling arm (26) upright projection in the plane overlap with the center of circle of camber travelling arm (26) circular arc place circle, namely horizontal location hole (27) axis, perpendicular positioning joint shaft (16) axis, guide wire chute (29) axes intersect are in a bit.
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CN107303197A (en) * | 2016-04-20 | 2017-10-31 | 陈德路 | A kind of concentric tumor-localizing puncture instrument |
CN107928764A (en) * | 2017-12-08 | 2018-04-20 | 唐山同仁和微创医疗器械有限公司 | Puncture template navigation positional device |
CN108338824A (en) * | 2018-03-15 | 2018-07-31 | 无锡圣诺亚科技有限公司 | Universal puncture positioning device |
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CN107303197A (en) * | 2016-04-20 | 2017-10-31 | 陈德路 | A kind of concentric tumor-localizing puncture instrument |
CN109195543A (en) * | 2016-06-03 | 2019-01-11 | 柯惠Lp公司 | Passive axle system for robotic surgical system |
CN107928764A (en) * | 2017-12-08 | 2018-04-20 | 唐山同仁和微创医疗器械有限公司 | Puncture template navigation positional device |
CN108338824A (en) * | 2018-03-15 | 2018-07-31 | 无锡圣诺亚科技有限公司 | Universal puncture positioning device |
CN109009357A (en) * | 2018-09-10 | 2018-12-18 | 李国胜 | A kind of intervertebral foramen of lumbar vertebra videoendoscopic surgery puncture positioning device and its application method |
US11259940B2 (en) | 2019-06-28 | 2022-03-01 | Mis Spine Ip, Llc | Systems and methods for percutaneous spinal interbody fusion (PSIF) |
US12059168B2 (en) | 2021-06-16 | 2024-08-13 | Ludwig David Orozco Castillo | Systems and methods for ball probe ultrasonic foraminotomy |
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