CN104905850B - Percutaneous lumbar intervertebral foramen punctures omniselector - Google Patents
Percutaneous lumbar intervertebral foramen punctures omniselector Download PDFInfo
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- CN104905850B CN104905850B CN201510356779.5A CN201510356779A CN104905850B CN 104905850 B CN104905850 B CN 104905850B CN 201510356779 A CN201510356779 A CN 201510356779A CN 104905850 B CN104905850 B CN 104905850B
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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 technical field of medical instruments, specially a kind of percutaneous lumbar intervertebral foramen puncture omniselector.The omniselector is made up of fixed mount, plate-like centring ring, joining rod, bifurcation shape location-plate, nail set.Wherein, fixed mount by column, horizontally rotate bar, front stretching bar, rear telescopic rod, universal adapter and constitute；Plate-like centring ring one end is ballhead, and the other end is a circle, has centring ring chute and centring ring joint on circle；There is slip linking axle in the middle part of joining rod, near-end has linking bar joint, and distal end is joining rod chute；Bifurcation shape location-plate includes straight type travelling arm and camber travelling arm；Nail set is made up of with guide wire chute nail set travelling arm, and has two and half cast tubes fits to use.The percutaneous lumbar intervertebral foramen of the present invention punctures omniselector, simple structure, easy to use, accuracy are high, when navigation is punctured for percutaneous lumbar intervertebral foramen, predetermined target can be punctured to according to the route of Design accurately, so as to the lumbar intervertebral disc or intraspinal Minimally Invasive Surgery that are conducive to next step are carried out.
Description
Technical field
The invention belongs to technical field of medical instruments, and in particular to a kind of lumbar intervertebral foramen punctures navigational tool.
Background technology
Minimally invasive is the inexorable trend of surgical operation development, and it is by non-traditional Operative approch, by medical image, micro-
The particular surgical instruments such as endoscope and equipment are diagnosed to illness in human body and the technology treated and method, its object is to by
Iatrogenic injury is reduced to bottom line, while obtaining satisfied curative effect.In vertebral column minimally invasive field, lumbar intervertebral disc and intraspinal
Minimally Invasive Surgery, presently mainly percutaneous puncture are carried out under foramen intervertebrale lens from lumbar intervertebral foramen approach.Its basic less invasive techniques master
Three major types to be included, one is percutaneous lumbar intervertebral foramen Needle localization technology, and two is Path Setup technology, and three are operated under foramen intervertebrale lens
Technology.Wherein, percutaneous lumbar intervertebral foramen puncture technique is the first step of operation, and the step of most critical, it directly affects logical
Can road be set up and smoothly remove focus with operation under foramen intervertebrale lens.Percutaneous lumbar intervertebral foramen puncture, if can not disposably success and
Repeated localised puncture then have impact on the invasive of operative approach；If can not puncture according to the safest route that operator is designed, increase
Risk and operation wound are added；If predetermined target can not be punctured to exactly, Path Setup thereafter and intervertebral are affected
Operate under aperture mirror.At present, percutaneous carry out lumbar intervertebral foramen and puncture mainly operator according to the experience controlled oneself, with reference to pre-operative patients waist
Vertebra imaging data, is carried out by packaged type C-arm X-ray machine perspective in art, is extremely difficult to disposable accurately according to art
The route of front design is punctured to predetermined target.
The content of the invention
It is an object of the invention to provide a kind of simple structure, easy to use, accuracy it is high carry out lumbar vertebra for percutaneous
Between the navigator that punctures of hole, so as to be accurately punctured to predetermined target according to the route of Design, so as to favourable
Carry out in the lumbar intervertebral disc or intraspinal Minimally Invasive Surgery of next step.
The percutaneous lumbar intervertebral foramen that the present invention is provided punctures omniselector, its structure as shown in Figure 1, Figure 2, shown in Fig. 3, Fig. 4, Fig. 5, by
Fixed mount (1), plate-like centring ring (2), joining rod (3), bifurcation shape location-plate (4), nail set (5) composition；Wherein：
The fixed mount (1) by column (6), horizontally rotate bar (7), front stretching bar (8), rear telescopic rod (9), universal adaptation
Head and the tail connection is constituted device (10) successively；The front end for horizontally rotating bar (7) is connected in pin-and-hole with column (6) upper end, makes to horizontally rotate
Pin of the front end of bar (7) around column (6) upper end is made to horizontally rotate；Before horizontally rotating rear end and the front stretching bar (8) of bar (7)
End connects in pin-and-hole, makes the front end of front stretching bar (8) make vertical direction rotation around the rear end for horizontally rotating bar (7)；Front stretching bar
(8) rear end is also connected in pin-and-hole with the front end of rear telescopic rod (9), after making rich front stretching bar (8) in front end of rear telescopic rod (9)
Make vertical direction rotation in end；The rear end of rear telescopic rod (9) is also connected in pin-and-hole with the front end of universal adapter (10), is made universal suitable
Make vertical direction rotation in the rear end of the rich rear telescopic rod (9) in the front end of orchestration (10)；Universal adapter (10) distal end is one universal turn
Joint (13), is matched with the ballhead (14) of plate-like centring ring (2), and mutually solid by socket screw of the head with ball-and-socket (11)
It is fixed；
The plate-like centring ring (2) includes 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)；Ballhead
(14) neck (15) for having a diameter thinner under, to realize the universal rotating function of ballhead (14)；Centring ring joint (17) with
The linking bar joint (20) of joining rod (3) near-end forms the joint of a uniplanar motion by perpendicular positioning joint shaft (16)；
There is circular hole at perpendicular positioning joint shaft (16) center, and its center axis are used for run-home target spot；Have around centring ring joint (17)
The circle of one concentric therewith, centring ring joint (17) have wheel hub (18) to be connected and the circle of this concentric between, circle
On have the centring ring chute (19) of a concentric, as the movement locus of linking axle (22) of sliding on joining rod (3)；
The body portion of the joining rod (3) is the linking body of rod (21) of a gun, and the near-end for being connected the body of rod (21) is a circle
The linking bar joint (20) of hole shape, distal end are joining rod chute（24）, have in the middle part of the linking body of rod (21) one with vertically upward
Slip linking axle (22)；Linking bar joint (20) is matched with the centring ring joint (17) of plate-like centring ring (2)；Joining rod is slided
Groove（24）As the movement locus of the straight type travelling arm (25) of bifurcation shape location-plate (4)；Linking axle (22) of sliding can be positioned along plate-like
The centring ring chute (19) of circle (2) slides, and can fix the two by linking axle screw (23) of sliding；
The bifurcation shape location-plate (4) includes straight type travelling arm (25) and camber travelling arm (26) two parts, constitutes bifurcation shape, two
There is a cylinder type horizontal location hole (27) lower end that person is intersected；The joining rod of the shape joining rod (3) of straight type travelling arm (25) is slided
Groove（24）Form fit, makes the straight type travelling arm (25) can be along joining rod chute（24）Slide；Camber travelling arm has together on (26)
The chute in the center of circle, as the movement locus of nail set travelling arm (28)；
The nail set (5) is made up of with guide wire chute (29) nail set travelling arm (28), and has two and half casts to lead
Pipe (30) is used cooperatively；Two and half cast conduits (30) are combined just as a tubular guide wire, its center hole
Pass through for puncture needle；The opening of guide wire chute (29) is the 1/3 of guide wire Zhou Jing, makes two half casts being combined
The formed guide wire of conduit (30) can not be skidded off from the opening of guide wire chute (29).
In this puncture omniselector, there is U-shaped card slot (12) column (6) lower end of fixed mount (1), can be by screw and operation
Bed is mutually fixed.
In this puncture omniselector, fixed mount (1) horizontally rotates bar (7), front stretching bar (8), rear telescopic rod (9), universal
Adapter (10) is used cooperatively, and perpendicular positioning joint shaft (16) central axis of plate-like centring ring (2) can be made to point to any mesh
Target point, and the run-home target spot in a certain direction in certain scope.
In this puncture omniselector, joining rod chute（24）With perpendicular positioning joint shaft (16) centerline axis parallel；Level is fixed
Position hole (27) axis is intersected vertically with perpendicular positioning joint shaft (16) axis, plane and camber travelling arm that this two axis are located
(26) plane being located is parallel.The plane that guide wire chute (29) axis is located with camber travelling arm (26) is parallel, and in level
In location hole (27) axis and plane determined by perpendicular positioning joint shaft (16) axis.Guide wire chute (29) axis is in camber
Travelling arm (26) upright projection in the plane, the center of circle of the circle that is located through camber travelling arm (26) circular arc.Horizontal location hole
(27) intersection point that axis and perpendicular positioning joint shaft (16) axis intersect vertically is in camber travelling arm (26) institute in the plane vertical
Deliver directly shadow to overlap with the center of circle of circle that camber travelling arm (26) circular arc is located.That is horizontal location hole (27) axis, vertical fixed
Position joint shaft (16) axis, guide wire chute (29) axes intersect are in a bit.When straight type travelling arm (25) is along joining rod chute
（24）During slip, perpendicular positioning joint shaft (16) axis is the track of this intersection point.
This puncture omniselector is using operation：When column (6) lower end U-shaped card slot (12) of fixed mount (1) is fixed with operation table
Afterwards, plate-like centring ring (2) is adjusted by rotating bar (7), front stretching bar (8), rear telescopic rod (9), universal adapter (10), makes disk
After perpendicular positioning joint shaft (16) axis of shape centring ring (2) points to target, in conjunction with straight type travelling arm (25) along linking
Bar chute（24）Slide up and down, make horizontal location hole (27) axis while pointing to target, now, when joining rod (3) is with vertical
No matter straight positioning joint axle (16) rotates many wide-angles for axle, nail set travelling arm (28) along camber travelling arm (26) chute without
It is how many by sliding, and guide wire chute (29) axis then passes through target all the time.In other words, when perpendicular positioning joint shaft (16)
After axis and horizontal location hole (27) axis point to target simultaneously, held in the mouth by being rotated with perpendicular positioning joint shaft (16) as axle
Extension bar (3), slip nail set travelling arm (28) in the chute of camber travelling arm (26) so that guide wire chute (29) axis from
Specific orientation passes through target.
The guide wire chute (29) of nail set (5) has an opening, when puncture needle is by by two and half cast conduits (30)
After the tubular guide wire for merging is punctured to target, one of those half cast conduit (30) is taken out, with vertically fixed
Position joint shaft (16) rotates joining rod (3) for axle, you can by puncture needle and this omniselector from the opening of guide wire chute (29)
Depart from.
This percutaneous lumbar intervertebral foramen punctures omniselector, and simple structure, easy to use, accuracy are high, between for percutaneous lumbar vertebra
When hole punctures navigation, accurately predetermined target can be punctured to according to the route of Design, so as to be conducive to next step
Lumbar intervertebral disc or intraspinal Minimally Invasive Surgery are carried out.
Description of the drawings
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 this puncture omniselector component（Universal adapter and plate-like centring ring）Assembling explosive view.
Fig. 4 is this puncture omniselector component（Universal adapter and plate-like centring ring）Assembling section view.
Fig. 5 is to puncture omniselector component（Bifurcation shape location-plate and nail set）Assembling upper and lower axle surveys view.
Fig. 6 is to puncture omniselector to be embodied as schematic diagram.
Label in figure：1 fixed mount, 2 plate-like centring rings, 3 joining rods, 4 bifurcation shape location-plates, 5 nail sets, 6 columns, 7 levels
Rotating bar, 8 front stretching bars, 9 rear telescopic rods, 10 universal adapters, 11 socket screws, 12U type draw-in grooves, 13 Universal rotary joints, 14
Ballhead, 15 necks, 16 perpendicular positioning joint shafts, 17 centring ring joints, 18 wheel hubs, 19 centring ring chutes, 20 linking bar joints, 21
The linking body of rod, 22 slide is connected axle, and 23 slide is connected axle screws, and 24 joining rod chutes, 25 straight type travelling arms, 26 cambers slide
Arm, 27 horizontal location holes, 28 nail set travelling arms, 29 guide wire chutes, 30 half cast conduits.
Specific embodiment
The percutaneous lumbar intervertebral foramen that the present invention is provided punctures omniselector, its structure as shown in Figure 1, Figure 2, shown in Fig. 3, Fig. 4, Fig. 5, by
Fixed mount (1), plate-like centring ring (2), joining rod (3), bifurcation shape location-plate (4), nail set (5) composition；Wherein：
The fixed mount (1) by column (6), horizontally rotate bar (7), front stretching bar (8), rear telescopic rod (9), universal adaptation
Head and the tail connection is constituted device (10) successively；The front end for horizontally rotating bar (7) is connected in pin-and-hole with column (6) upper end, makes to horizontally rotate
Pin of the front end of bar (7) around column (6) upper end is made to horizontally rotate；Before horizontally rotating rear end and the front stretching bar (8) of bar (7)
End connects in pin-and-hole, makes the front end of front stretching bar (8) make vertical direction rotation around the rear end for horizontally rotating bar (7)；Front stretching bar
(8) rear end is also connected in pin-and-hole with the front end of rear telescopic rod (9), after making rich front stretching bar (8) in front end of rear telescopic rod (9)
Make vertical direction rotation in end；The rear end of rear telescopic rod (9) is also connected in pin-and-hole with the front end of universal adapter (10), is made universal suitable
Make vertical direction rotation in the rear end of the rich rear telescopic rod (9) in the front end of orchestration (10)；Universal adapter (10) distal end is one universal turn
Joint (13), is matched with the ballhead (14) of plate-like centring ring (2), and mutually solid by socket screw of the head with ball-and-socket (11)
It is fixed；
The plate-like centring ring (2) includes 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)；Ballhead
(14) neck (15) for having a diameter thinner under, to realize the universal rotating function of ballhead (14)；Centring ring joint (17) with
The linking bar joint (20) of joining rod (3) near-end forms the joint of a uniplanar motion by perpendicular positioning joint shaft (16)；
There is circular hole at perpendicular positioning joint shaft (16) center, and its center axis are used for run-home target spot；Have around centring ring joint (17)
The circle of one concentric therewith, centring ring joint (17) have wheel hub (18) to be connected and the circle of this concentric between, circle
On have the centring ring chute (19) of a concentric, as the movement locus of linking axle (22) of sliding on joining rod (3)；
The body portion of the joining rod (3) is the linking body of rod (21) of a gun, and the near-end for being connected the body of rod (21) is a circle
The linking bar joint (20) of hole shape, distal end are joining rod chute（24）, have in the middle part of the linking body of rod (21) one with vertically upward
Slip linking axle (22)；Linking bar joint (20) is matched with the centring ring joint (17) of plate-like centring ring (2)；Joining rod is slided
Groove（24）As the movement locus of the straight type travelling arm (25) of bifurcation shape location-plate (4)；Linking axle (22) of sliding can be positioned along plate-like
The centring ring chute (19) of circle (2) slides, and can fix the two by linking axle screw (23) of sliding；
The bifurcation shape location-plate (4) includes straight type travelling arm (25) and camber travelling arm (26) two parts, constitutes bifurcation shape, two
There is a cylinder type horizontal location hole (27) lower end that person is intersected；The joining rod of the shape joining rod (3) of straight type travelling arm (25) is slided
Groove（24）Form fit, makes the straight type travelling arm (25) can be along joining rod chute（24）Slide；Camber travelling arm has together on (26)
The chute in the center of circle, as the movement locus of nail set travelling arm (28)；
The nail set (5) is made up of with guide wire chute (29) nail set travelling arm (28), and has two and half casts to lead
Pipe (30) is used cooperatively；Two and half cast conduits (30) are combined just as a tubular guide wire, its center hole
Pass through for puncture needle；The opening of guide wire chute (29) is the 1/3 of guide wire Zhou Jing, makes two half casts being combined
The formed guide wire of conduit (30) can not be skidded off from the opening of guide wire chute (29).
Below so that intervertebral spinal fusion puncture for treating waist 4,5 intervertebral disc right backs project as an example（As shown in Figure 6）, describing specifically makes
Use method.
The first step, patient ventricumbent position, by the U-shaped of the column of this omniselector percutaneous lumbar intervertebral foramen puncture omniselector fixed mount
Draw-in groove is stuck in patient's head end operation table left side.Plate-like centring ring (2) is flat on the corresponding body surface back side of patient's waist 4,5, and
The hole position at perpendicular positioning joint shaft center of plate-like centring ring (2) is made on the right side of waist 4, the positive back in 5 gaps；Bifurcation shape location-plate is placed
Waist 4,5 intervertebral space planes on the right side of the patient body, and perpendicular to spinal column.
Second step, the removable X-ray machine anteroposterior position perspective of C-arm, makes waist 4,5 intervertebral disk hernia positions hit exactly positioned at image
Centre, and 4 vertebral body lower edge of waist, 5 vertebral body upper limb of waist are made without bilateral shadow, point out x-ray central ray beam parallel to intervertebral space and pass through vertebra
Intercalated disc protruding parts.By adjust fixed mount (1) to horizontally rotate bar (7), front stretching bar (8), rear telescopic rod (9) especially universal
Adapter (10) so that on anteroposterior position fluoroscopic image, the hole at perpendicular positioning joint shaft center are rounded, and intervertebral disk hernia portion
Position is located in the circular image of perpendicular positioning joint shaft centre bore.This suggests that x-ray central ray beam is positioned perpendicular to plate-like
Circle, the hole by positioning joint axle center, parallel to intervertebral space by intervertebral disk hernia position, that is, point out：Perpendicular positioning is closed
The diameter parallel of nodal axisn passes through intervertebral disk hernia position in intervertebral space.
3rd step, the removable X-ray machine side position perspective of C-arm, makes waist 4,5 intervertebral disk hernia positions hit exactly positioned at image
Centre, and 4 vertebral body lower edge of waist, 5 vertebral body upper limb of waist are made without bilateral shadow, point out x-ray central ray beam parallel to intervertebral space and pass through vertebra
Intercalated disc protruding parts.It is fixed by the universal adapter of regulation, the position of the slip linking axle in centring ring chute of joining rod, bifurcation shape
The position of the straight type travelling arm in joining rod chute of position plate so that on the fluoroscopic image of side position, bifurcation shape location-plate in wire simultaneously
Parallel to 4 vertebral body lower edge of waist, 5 vertebral body upper limb of waist, bifurcation shape location-plate lower end horizontal location hole is rounded, and waist 4,5 intervertebral disc are prominent
Go out position to be located in the circular image in this horizontal location hole.This suggests that horizontal location axially bored line and x-ray central ray beam one
Cause by parallel to intervertebral space and by intervertebral disk hernia position.
4th step, repeats second step, the 3rd step, is iteratively repeated second step, the 3rd step if necessary, until adjusting percutaneous
In the case that lumbar intervertebral foramen punctures any part on omniselector, before 4 vertebral body lower edge of waist, 5 vertebral body upper limb of waist are without bilateral shadow
Afterwards on the fluoroscopic image of position, the hole at perpendicular positioning joint shaft center is rounded in image centre, and intervertebral disk hernia position is located at
In the circular image of perpendicular positioning joint shaft centre bore；The perspective of the side position without bilateral shadow in 4 vertebral body lower edge of waist, 5 vertebral body upper limb of waist
On image, bifurcation shape location-plate is in wire and parallel to 4 vertebral body lower edge of waist, 5 vertebral body upper limb of waist, bifurcation shape location-plate lower end horizontal location
Hole is rounded in image centre, and waist 4,5 intervertebral disk hernia positions are located in the circular image in this horizontal location hole.This is just
Prompting：The axis of perpendicular positioning joint shaft and the axis in horizontal location hole pass through waist 4,5 intervertebral disk hernia positions.
5th step, determines according to the x-ray before operation in patients, CT and MRI image data and punctures direction.Utilizing intervertebral foramina
When mirror intervertebral spinal fusion treatment waist 4,5 intervertebral disc right backs project, puncture needle need to be from the right side of patient's waist 4,5 intervertebral spaces to body dorsal part
And head end inclines certain angle and punctures intervertebral spinal fusion up to protruding parts.To the inclined angle of body dorsal part at back of the body inclination angle, to body
The inclined angle of body head end is at head inclination angle.The back of the body inclination angle size that should be selected when on CT transverse section and MRI transverse section determining and puncture,
The head inclination angle size that select when on MRI sagittal planies and side position X-ray film determining and puncture.Slide in centring ring chute and be connected
The slip of bar is connected axle to determine head inclination angle, and in the chute of camber travelling arm, slip nail set travelling arm carries on the back inclination angle to determine.
After adjusting an inclination angle and back of the body inclination angle, from two and half cast catheter combinations into guide wire in puncture up to waist 4,5 intervertebral disk hernia
Position.
6th step, takes out one and half cast conduits in the middle of two and half cast conduits, linking of sliding in centring ring chute
The slip linking axle of bar（Namely joining rod is rotated by axle of perpendicular positioning joint shaft）, will wear from the opening of guide wire chute
Pricker punctures omniselector with percutaneous lumbar intervertebral foramen of the present invention and departs from.Finally, percutaneous lumbar intervertebral foramen of the present invention is removed from operation table
Omniselector is punctured, intervertebral foramina puncture is completed.
Claims (5)
1. a kind of percutaneous lumbar intervertebral foramen punctures omniselector, it is characterised in that by fixed mount (1), plate-like centring ring (2), joining rod
(3), bifurcation shape location-plate (4), nail set (5) composition；Wherein：
The fixed mount (1) by column (6), horizontally rotate bar (7), front stretching bar (8), rear telescopic rod (9), universal adapter
(10) head and the tail connection is constituted successively；The front end for horizontally rotating bar (7) is connected in pin-and-hole with column (6) upper end, makes to horizontally rotate bar
(7) pin of the front end around column (6) upper end is made to horizontally rotate；Horizontally rotate the rear end of bar (7) and the front end of front stretching bar (8)
Connect in pin-and-hole, make the front end of front stretching bar (8) make vertical direction rotation around the rear end for horizontally rotating bar (7)；Front stretching bar (8)
Rear end be also connected in pin-and-hole with the front end of rear telescopic rod (9), make the front end of rear telescopic rod (9) around the rear end of front stretching bar (8)
Make vertical direction rotation；The rear end of rear telescopic rod (9) is also connected in pin-and-hole with the front end of universal adapter (10), makes universal adaptation
Make vertical direction rotation around the rear end of rear telescopic rod (9) in the front end of device (10)；Universal adapter (10) distal end is a universal adapting
Head (13), is matched with the ballhead (14) of plate-like centring ring (2), and mutually solid by socket screw of the head with ball-and-socket (11)
It is fixed；
The plate-like centring ring (2) is including 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)；Ballhead (14)
Under have a diameter thinner neck (15), to realize the universal rotating function of ballhead (14)；Centring ring joint (17) be connected
The linking bar joint (20) of bar (3) near-end forms the joint of a uniplanar motion by perpendicular positioning joint shaft (16)；Vertically
There is circular hole at positioning joint axle (16) center, and its center axis are used for run-home target spot；There is one around centring ring joint (17)
The circle of concentric therewith, centring ring joint (17) and the circles of this concentric between, have wheel hub (18) to be connected, have on circle
The centring ring chute (19) of one concentric, as the movement locus of linking axle (22) of sliding on joining rod (3)；
The body portion of the joining rod (3) is the linking body of rod (21) of a gun, and the near-end for being connected the body of rod (21) is a circle hole shape
Linking bar joint (20), distal end be joining rod chute（24）, in the middle part of the linking body of rod (21), have a slip vertically upward
Linking axle (22)；Linking bar joint (20) is matched with the centring ring joint (17) of plate-like centring ring (2)；Joining rod chute（24）
As the movement locus of the straight type travelling arm (25) of bifurcation shape location-plate (4)；Sliding linking axle (22) can be along plate-like centring ring
(2) centring ring chute (19) slides, and can fix the two by linking axle screw (23) of sliding；
The bifurcation shape location-plate (4) includes straight type travelling arm (25) and camber travelling arm (26) two parts, constitutes bifurcation shape, the two phase
There is a cylinder type horizontal location hole (27) lower end of friendship；The shape of straight type travelling arm (25) and the joining rod chute of joining rod (3)
（24）Form fit, makes the straight type travelling arm (25) can be along joining rod chute（24）Slide；Camber travelling arm has together on (26)
The chute in the center of circle, as the movement locus of nail set travelling arm (28)；
The nail set (5) is made up of with guide wire chute (29) nail set travelling arm (28), and has two and half cast conduits
(30) use cooperatively；Two and half cast conduits (30) are combined just as a tubular guide wire, its center hole use
Pass through in puncture needle；The opening of guide wire chute (29) is the 1/3 of guide wire Zhou Jing, leads two half casts being combined
The formed guide wire of pipe (30) can not be skidded off from the opening of guide wire chute (29).
2. percutaneous lumbar intervertebral foramen according to claim 1 punctures omniselector, it is characterised in that the column of the fixed mount (1)
(6) there is U-shaped card slot (12) lower end, for mutually fixing with operation table.
3. percutaneous lumbar intervertebral foramen according to claim 1 punctures omniselector, it is characterised in that the water of the fixed mount (1)
Flat turn lever (7), front stretching bar (8), rear telescopic rod (9), universal adapter (10) are used cooperatively, and make plate-like centring ring (2)
Perpendicular positioning joint shaft (16) central axis points to any target, and in certain scope aims at mesh in a certain direction
Target point.
4. percutaneous lumbar intervertebral foramen according to claim 1 punctures omniselector, it is characterised in that the joining rod chute（24）
With perpendicular positioning joint shaft (16) centerline axis parallel；Horizontal location hole (27) axis is hung down with perpendicular positioning joint shaft (16) axis
It is straight intersecting；The plane that horizontal location hole (27) axis is located with perpendicular positioning joint shaft (16) axis and bifurcation shape location-plate (4)
The plane that camber travelling arm (26) is located is parallel.
5. percutaneous lumbar intervertebral foramen according to claim 4 punctures omniselector, it is characterised in that the guide wire chute (29)
Axis be located in horizontal location hole (27) axis and plane determined by perpendicular positioning joint shaft (16) axis, it is slided in camber
Swing arm (26) upright projection in the plane, the center of circle of the circle that is located through camber travelling arm (26) circular arc；Horizontal location hole
(27) intersection point that axis and perpendicular positioning joint shaft (16) axis intersect vertically is in camber travelling arm (26) institute in the plane vertical
Deliver directly shadow to overlap with the center of circle of circle that camber travelling arm (26) circular arc is located, i.e. horizontal location hole (27) axis, perpendicular positioning joint
Axle (16) axis, guide wire chute (29) axes intersect are in a bit.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510356779.5A CN104905850B (en) | 2015-06-25 | 2015-06-25 | Percutaneous lumbar intervertebral foramen punctures omniselector |
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| Application Number | Priority Date | Filing Date | Title |
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| CN201510356779.5A CN104905850B (en) | 2015-06-25 | 2015-06-25 | Percutaneous lumbar intervertebral foramen punctures omniselector |
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| CN104905850B true CN104905850B (en) | 2017-04-05 |
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| Publication number | Priority date | Publication date | Assignee | Title |
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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) |
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