CN1050676A - Universal directional multifunctional three dimensional direction finder for brain - Google Patents

Universal directional multifunctional three dimensional direction finder for brain Download PDF

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Publication number
CN1050676A
CN1050676A CN 90108972 CN90108972A CN1050676A CN 1050676 A CN1050676 A CN 1050676A CN 90108972 CN90108972 CN 90108972 CN 90108972 A CN90108972 A CN 90108972A CN 1050676 A CN1050676 A CN 1050676A
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CN
China
Prior art keywords
brain
dimensional direction
line
direction finder
location
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Pending
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CN 90108972
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Chinese (zh)
Inventor
林孝文
张东起
王如毨
张锡增
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Fuzhou General Hospital of Nanjing Military Command of PLA
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Fuzhou General Hospital of Nanjing Military Command of PLA
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Application filed by Fuzhou General Hospital of Nanjing Military Command of PLA filed Critical Fuzhou General Hospital of Nanjing Military Command of PLA
Priority to CN 90108972 priority Critical patent/CN1050676A/en
Publication of CN1050676A publication Critical patent/CN1050676A/en
Pending legal-status Critical Current

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Abstract

The present invention is a kind of universal directional multifunctional three dimensional direction finder for brain, belong to the department of cerebral surgery medical apparatus and instruments, be primarily characterized in that guidance system has universal function, can be used for CT by central angle, eccentric throw with highly carry out the three-dimensional location of brain, also can be used for the X line by X, Y, Z three-dimensional coordinate location, complete machine is disk structure, guidance system can be done 360 degree rotations, any point puncture on guide post all can accurately be hit target spot, and it is dual-purpose that positioning framework can be taken the photograph sheet for CT scan and X line, the dead angle, location is little, function is many, calculates easy, accurately directed.

Description

Universal directional multifunctional three dimensional direction finder for brain
The present invention is a kind of universal directional multifunctional three dimensional direction finder for brain, belong to the department of cerebral surgery medical apparatus and instruments, it comprises following several architectural feature: by the lug on the groove fit guidance system base ring on the circumferential foundation ring, make guidance system can do 360 degree rotations, activity in conjunction with guide post on the guidance system and guider, constitute universal guide function, guidance system can be used for CT scan by central angle, eccentric throw and location highly, also can be used for the X line and take the photograph sheet by X, Y, Z three-dimensional coordinate location.A positioning framework is provided with N font deckle board for the three-dimensional location of CT, and mountain font deckle board is for X line location, and holder has the double worm and gear structure, can regulate position finder to the standard position.
Disclose on to 233 pages a kind ofly with the localized position finder of CT the 230th page of " Chinese neurosurgery " periodical 1989 the 5th the 3rd phase of volume, its purpose is to design to supply the stereotactic position finder of CT brain.This position finder is made up of holder, locating rack and guider three parts, and is furnished with adapter, holder is a tee T frame, has screw to be used for fixing patient's skull on it, and locating rack is a regular hexahedron framework, in order to determine the target spot coordinate, guider adopts centre of sphere guiding method, borrows adjustable right angle support that moves about to connect a circular arc, and this circular arc can rotate along Z-direction, slidably brain operator folder is arranged on the circular arc, can do various brain operations on demand.This position finder weak point is to be used for the CT brain stereotactic, can not be used for X line brain stereotactic, and holder can not rotate arbitrarily, thereby the angle of the rotation of the circular arc on the guider is also very limited, cause the dead angle, location bigger, can not satisfy multiple operation needs.
A kind of position finder (Preliminary experience with Brown-Roberts-Wells(BRW) computerized tomography stereotaxic guidance system is disclosed " neurosurgery (J.Neurosurg.) " periodical the 59th volume August nineteen eighty-three number the 217th page on to 222 pages), its purpose is to design to supply the stereotactic position finder of CT brain.This instrument is made of circular positioning base, arc positioning and guiding bar, localizer, N font positioning framework and simulator.This position finder weak point is to make the CT brain stereotactic, can not make X line brain stereotactic, this position finder is with X, Y, Z three-dimensional coordinate location, and X, Y, Z three-dimensional coordinate structure are on simulator, must rely on simulator during the location, after the location, advance cranium point and just be fixed on certain a bit, the new cranium point that advances can not be selected once more, per nasal sphenoid sinus hypophysis orientation can't be realized.
The objective of the invention is to avoid above-mentioned weak point of the prior art and a kind of universal directional multifunctional three dimensional direction finder for brain is provided, guidance system can be done 360 degree rotations on the foundation ring, and the activity of guide post on the guidance system and guider, constitute universal guide function, guidance system can be used for CT scan by central angle, eccentric throw and highly locating, also can be used for the X line and take the photograph sheet by X, Y, Z three-dimensional coordinate location, positioning framework is provided with CT scan and the X line is taken the photograph two groups of location of sheet deckle board, make CT and two systems of X line brain stereotactic integrate, be a kind of have simple in structure, multi-functional, the stereo brain orienting instrument of easy to operate and accurate positioning.
Purpose of the present invention can reach by following measure: the foundation ring is the circle of a circumferential, have on its face along the groove of periphery, 4 shanks are arranged on the inner rim, guidance system is by the circumferential base ring, semicircle guide post, and the guider three that can move on guide post constitutes, positioning framework has 4 deckle boards, it is one group with 2 relative deckle boards respectively, wherein one group is the CT location deckle board that is carved with N font gap, another group is for being inlaid with the X line location deckle board of mountain font galvanized wire, and holder has the double worm and gear structure.
Purpose of the present invention can also reach by following measure, and the groove on the foundation ring is near the inner rim of foundation ring, and it is equidistant arrangements that 4 shanks are arranged on the inner rim of foundation ring.
Guidance system is by base ring, and guide post and guider three constitute, and the back side inner rim of base ring is a lug that can match with the groove on the foundation ring.Orthogonal X scale is equipped with at the position that the two ends of guide post link to each other with base ring, Y scale and Z scale.One operation pilot hole is arranged on the guider, and there is the screw of a fixing operation utensil front portion of operation pilot hole.There is a guiding support bar that connects with ball cover at the guider back side, and the other end of guiding support bar passes base ring upper cardan hole.
Positioning framework is a regular hexahedron, its four sides are the identical foursquare location deckle boards of size, on the deckle board of CT location N font gap is arranged, on the deckle board of X line location, the bottom line of mountain font galvanized wire is a baseline, the intermediate vertical line is a center line, the both sides vertical line is a side line, is the top board that has passage above the positioning framework, is to be fixed on the circumferential base below the positioning framework, the bottom surface inner rim of base is a circle lug, and positioning framework is by for example lucite manufacturing of transparent material.
The present invention has following advantage compared to existing technology:
1, since guidance system can press central angle, eccentric throw and highly locate with CT scan, also can use X, Y, Z three-dimensional coordinate location, a positioning framework is provided with N font deckle board for the three-dimensional location of CT, mountain font deckle board is for X DNA mitochondrial DNA location, realized that a position finder can make two kinds of localized multi-functional effects.
2, guide post semicircular in shape, himself can do to be parallel to moving of X-direction, also can do to constitute universal guide function any point puncture on guide post perpendicular to the rolling to each side of X-direction, all can accurately hit target spot, reach directed dead angle minimum, adopt central angle, eccentric throw and highly carry out the CT brain stereotactic, it is not subjected to position finder to install or place the influence of inclination, make that localization method is simple, the calculating of minimizing rectification error, fast and accurate for positioning.
3, include the CT location deckle board in N font gap and the X line location deckle board of mountain font galvanized wire on a positioning framework, both can use separately, do not disturb mutually, X line brain stereotactic employing mountain font galvanized wire is taken the photograph the baseline and the center line that show on the sheet at the X line and is determined target position, and press the ratio of side line projected length and side line physical length, and calculate amplification, simplified the computational methods that China fir field formula position finder adopts mark post, easy and simple to handle, and simplified complete machine structure greatly.
4, position finder integral body is disk structure, guidance system can be done 360 degree rotations, and this design makes in the present position finder orientation method and instrument use and all becomes simple, has realized universal orientation, both be applicable to the three-dimensional location of posterior cranial fossa, also be applicable to location such as per nasal sphenoid sinus hypophysis.
The drawing of accompanying drawing of the present invention is described as follows:
The foundation ring of Fig. 1 universal directional multifunctional three dimensional direction finder for brain,
The guidance system of Fig. 2 universal directional multifunctional three dimensional direction finder for brain,
The positioning framework of Fig. 3 universal directional multifunctional three dimensional direction finder for brain,
The holder of Fig. 4 universal directional multifunctional three dimensional direction finder for brain,
The overall structure of Fig. 5 universal directional multifunctional three dimensional direction finder for brain.
The present invention is described in further detail below in conjunction with drawings and Examples, foundation ring (1) is the circle of a circumferential, the groove (2) that has along the foundation ring (1) on it near the inner rim place, all there is corresponding lug at miscellaneous part (for example base ring of the guidance system) back side, can be inserted in the groove (2) and freely rotate, the shank (3) that 4 equidistant arrangements are arranged on the inner rim of foundation ring (1), be used for fixedly head position of operation, the material of shank (3) adopts engineering plastics to make, and can prevent the interference to CT scan.
Guidance system is made of base ring (4), guide post (5) and guider (6), the back side inner side edge of base ring (4) is a lug (7), this lug (7) can insert in the groove (2) of foundation ring (1), guidance system accurately is installed on the foundation ring (1), and can do 360 degree rotations, after adjusted the position, the hold-down screw (16) on the available base ring (4) was fixing, base ring (4) is gone up also has a universal joint (14), is used for supporting and fixed guide support bar (15).Guide post (5) semicircular in shape, himself can do to be parallel to moving of X-direction, also can do rolling to each side perpendicular to X-direction, orthogonal X scale (8) is equipped with at the position that the two ends of guide post (5) link to each other with base ring (4), Y scale (9) and Z scale (10), three scales are used to cooperate X line three-dimensional coordinate location, a guider (6) also is housed on the guide post (5), it can be gone up arbitrarily at guide post (5) and move, guider (6) self can also be finely tuned, after adjusting, the position can be fixed in a hold-down screw at its back side on the guide post (5), there is an operation pilot hole (11) centre of guider (6), be used to pass and support surgical instrument (for example puncture needle or magnetic guide pin) (12), and available its forward hold-down screw (13) is fixing with surgical instrument (12).Between the universal joint (14) on guider (6) and the base ring (4) guiding support bar (15) is arranged, one end of guiding support bar (15) is connected in the back side of guider (6) with the ball cover structure, and the other end then passes universal joint (14) hole on the base ring (4).During positioning action, along with guider (6) moving and the moving and swinging of guide post (5) on guide post (5), guiding support bar (15) can be in universal joint (14) hole telescopic movable, at this moment, whole guidance system constitutes universal guide function.When application CT locatees target spot, according to the position of target spot in spheroid (head), obtain target spot and be in central angle in the guidance system, eccentric throw and height, then press central angle, eccentric throw and highly, adjust the position of guide post (5), make the center of circle of guide post (5) be overlapped in the target spot center fully, in fact, target spot center has at this moment become the center of circle of new spheroid, therefore, on the periphery of new spheroid, promptly guide post at this moment (5) is gone up any point puncture, all can accurately hit target spot.After the adjustment guidance system makes the target spot accurate positioning, the hold-down screw on guider (6) and the universal joint (14) is screwed respectively, whole guidance system can maintain static.
Orthogonal X scale (8), Y scale (9) and Z scale (10) are equipped with in the position that the two ends of guide post (5) link to each other with base ring (4), cooperate the mountain font galvanized wire on the positioning framework (17) to take the photograph projection on the sheet at the X line, use X line three-dimensional coordinate location.
The integral body of positioning framework (17) is that the regular hexahedron at a no end is fixed on the base (21) of circumferential circle, respectively there is a deckle board 4 sides of positioning framework (17), it is the identical square plate of size, it is one group with 2 relative and parallel deckle boards respectively, wherein one group is CT location deckle board (18), be carved with N font gap on it, go out point-like distance values on the N font gap as the target spot height according to CT scan is shown during the location, again in conjunction with central angle in the guidance system and eccentric throw, in order to determine target position.The relative deckle board of another group is inlaid with mountain font galvanized wire for X line location deckle board (19) on it, the bottom line of mountain font galvanized wire is baseline (22), intermediate vertical is center line (23) in the line of baseline, both sides are side line (24) perpendicular to the line of baseline, when locating with the X line, then be projected in baseline on the head sheet by the mountain font galvanized wire on the positioning framework, center line and side line, obtain target spot and baseline (22) respectively, the distance of target spot and center line (23), again from side line projected length length ratio actual with it, calculate amplification coefficient, just can calculate the physical location of target spot according to this amplification coefficient, find out and advance the cranium point accurately.CT location deckle board (18) and X line location deckle board (19) all can be taken off or install from positioning framework (17), when carrying out the CT location, 2 X line location deckle boards (19) can be taken off, and disturb in order to avoid mountain font galvanized wire produces CT scan.The end face of positioning framework (17) is the middle top board that has a passage (20), base (21) back side inner peripheral of positioning framework (17) is the lug that a circle can insert foundation ring (1) further groove (2), the position determines that the available hold-down screw in back screws, and whole positioning framework (17) is with for example lucite manufacturing of transparent material.
The inner peripheral of foundation ring (1) can be inserted in the arc socket (27) of the contiguous block (26) on the holder (25), and fix with screw, select miscellaneous part (for example guidance system or positioning framework) to be installed on the foundation ring (1) according to directed needs then, constitute universal directional multifunctional three dimensional direction finder for brain overall structure (Fig. 5).Holder (25) adopts the double worm and gear structure, can use screw (28) to adjust the height and the gradient of position finder easily, mixes level indicator and aligner, can make the level of position finder all adjust and remain on position accurately with vertical both direction.

Claims (8)

1, a kind of by holder, guider, positioning framework, the universal directional multifunctional three dimensional direction finder for brain that simulator and base constitute, it is characterized in that foundation ring (1) is the circle of a circumferential, have on its face along the groove (2) of periphery, 4 shanks (3) are arranged on the inner rim, guidance system is by circumferential base ring (4), semicircle guide post (5), and can go up guider (6) the three formation that moves at guide post (5), positioning framework (17) has 4 deckle boards, it is one group with 2 relative deckle boards respectively, wherein one group is the CT location deckle board (18) that is carved with N font gap, another group is for being inlaid with the X line location deckle board (19) of mountain font galvanized wire, and holder (25) has the double worm and gear structure.
2, according to the universal directional multifunctional three dimensional direction finder for brain of claim 1, it is characterized in that groove (2) on the foundation ring (1) near the inner rim of foundation ring (1), it is equidistant arrangements that 4 shanks (3) are arranged on the inner rim of foundation ring (1).
3, according to the universal directional multifunctional three dimensional direction finder for brain of claim 1, the back side inner rim that it is characterized in that the base ring (4) in the guidance system is a lug (7) that can match with the groove (2) on foundation ring (1).
4,, it is characterized in that the position that the two ends of guide post (5) link to each other with base ring (4) is equipped with orthogonal X scale (8), Y scale (9) and Z scale (10) according to the universal directional multifunctional three dimensional direction finder for brain of claim 1.
5, according to the universal directional multifunctional three dimensional direction finder for brain of claim 1, it is characterized in that having on the guider (6) an operation pilot hole (11), there is the screw (13) of a fixing operation utensil (12) front portion of operation pilot hole (11).
6, according to the universal directional multifunctional three dimensional direction finder for brain of claim 1 and 5, it is characterized in that there is a guiding support bar (15) that connects with ball cover at guider (6) back side, the other end of guiding support bar (15) passes universal joint (14) hole on the base ring (4).
7, universal directional multifunctional three dimensional direction finder for brain according to claim 1, it is characterized in that positioning framework (17) is a regular hexahedron, its four sides are the identical foursquare location deckle boards (18 of size, 19), on the CT location deckle board (18) N font gap is arranged, on the X line location deckle board (19), the bottom line of mountain font galvanized wire is baseline (22), the intermediate vertical line is center line (23), the both sides vertical line is side line (24), be the top board that has passage (20) above the positioning framework (17), be to be fixed on the circumferential base (21) below the positioning framework (17), the bottom surface inner peripheral of base (21) is a circle lug.
8,, it is characterized in that positioning framework (17) is by for example lucite manufacturing of transparent material according to the universal directional multifunctional three dimensional direction finder for brain of claim 1 and 7.
CN 90108972 1990-11-03 1990-11-03 Universal directional multifunctional three dimensional direction finder for brain Pending CN1050676A (en)

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Application Number Priority Date Filing Date Title
CN 90108972 CN1050676A (en) 1990-11-03 1990-11-03 Universal directional multifunctional three dimensional direction finder for brain

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Application Number Priority Date Filing Date Title
CN 90108972 CN1050676A (en) 1990-11-03 1990-11-03 Universal directional multifunctional three dimensional direction finder for brain

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Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1114382C (en) * 1998-01-02 2003-07-16 王振民 Optical instrument for pointing out position of focus in brain
CN1292718C (en) * 2001-03-02 2007-01-03 埃莱克塔Ab公司 Patient frame constructed from composite material
CN101791251A (en) * 2010-04-16 2010-08-04 中国人民解放军第四军医大学 CT (Computed Tomography)-assistant intrathoracic lesion puncture positioning and fixing device
CN104799916A (en) * 2015-05-25 2015-07-29 首都医科大学附属北京朝阳医院 Spinal puncture positioning device
CN106388901A (en) * 2016-09-22 2017-02-15 铜川市人民医院 A positioning device for cerebral hemorrhage puncture
CN106923937A (en) * 2017-04-07 2017-07-07 中国人民解放军南京军区福州总医院 A kind of bone implants implantation locating guide device and its application method
CN110368100A (en) * 2019-08-23 2019-10-25 张追阳 A kind of stereo brain orienting instrument

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1114382C (en) * 1998-01-02 2003-07-16 王振民 Optical instrument for pointing out position of focus in brain
CN1292718C (en) * 2001-03-02 2007-01-03 埃莱克塔Ab公司 Patient frame constructed from composite material
CN101791251A (en) * 2010-04-16 2010-08-04 中国人民解放军第四军医大学 CT (Computed Tomography)-assistant intrathoracic lesion puncture positioning and fixing device
CN104799916A (en) * 2015-05-25 2015-07-29 首都医科大学附属北京朝阳医院 Spinal puncture positioning device
CN104799916B (en) * 2015-05-25 2017-03-15 首都医科大学附属北京朝阳医院 Spinal puncture positioner
CN106388901A (en) * 2016-09-22 2017-02-15 铜川市人民医院 A positioning device for cerebral hemorrhage puncture
CN106388901B (en) * 2016-09-22 2019-07-30 铜川市人民医院 The positioning device punctured for cerebral hemorrhage
CN106923937A (en) * 2017-04-07 2017-07-07 中国人民解放军南京军区福州总医院 A kind of bone implants implantation locating guide device and its application method
CN110368100A (en) * 2019-08-23 2019-10-25 张追阳 A kind of stereo brain orienting instrument
CN110368100B (en) * 2019-08-23 2024-03-29 张追阳 Brain stereotactic instrument

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