CN105877911A - Fracture block fixing traction and tracking device for navigation system - Google Patents

Fracture block fixing traction and tracking device for navigation system Download PDF

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Publication number
CN105877911A
CN105877911A CN201610188973.1A CN201610188973A CN105877911A CN 105877911 A CN105877911 A CN 105877911A CN 201610188973 A CN201610188973 A CN 201610188973A CN 105877911 A CN105877911 A CN 105877911A
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China
Prior art keywords
navigation system
face
tracer
bone piece
sclerite
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CN201610188973.1A
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Chinese (zh)
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CN105877911B (en
Inventor
李寅炜
范先群
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Ninth Peoples Hospital Shanghai Jiaotong University School of Medicine
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Ninth Peoples Hospital Shanghai Jiaotong University School of Medicine
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007Methods or devices for eye surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8866Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices for gripping or pushing bones, e.g. approximators

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Ophthalmology & Optometry (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Vascular Medicine (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)

Abstract

The invention discloses a fracture block fixing traction and tracking device for a navigation system. The device comprises a fracture block fixing portion, an operation portion and a tracking portion. The fracture block fixing portion is cylindrical and comprises a first end face and a second end face. The first end face is of an annular tooth-shaped structure. A counterbore structure is formed in the center of the annular tooth-shaped structure. A circular hole is formed in the center of the counterbore structure. The operation portion comprises a holding rod, a connecting rod and a sleeve. One end of the connecting rod is fixedly connected to the middle of the holding rod. The other end of the connecting rod is connected with the sleeve. The fracture block fixing portion is sleeved with the sleeve and fixed to the axis of the fracture block fixing portion through a nut and can rotate along the peripheral line of the fracture block fixing portion. The tracking portion comprises a support and an infrared reflecting light ball array installed on the support. Due to the rotatable operation portion, influences on surgical operation can be reduced; in the surgical process, repeated disassembly and assembly can be performed, and original navigation precision can be kept with no re-rectification.

Description

Sclerite fixed traction tracer for navigation system
Technical field
The present invention relates to technical field of medical instruments, specifically, be a kind of for eye socket surgery scope navigation system Sclerite fixed traction tracer, this device is applied in eye socket surgical operation, can fix, draw and real-time positioning Follow the trail of important bone piece.
Background technology
Eye socket surgical endoscope navigation system is by medical image, Computer Image Processing, space orientation technique and scope The surgical assistant system of the technology organic combinations such as imaging, is to eye socket innovation surgically.It extends The field range that surgeon is limited, it is simple to patient observes the organizational structure in deep, and monitoring simultaneously and early warning are to avoid doctor Source property is damaged.Its appearance breaches the boundary of tradition Orbital Surgery, promotes the change of Orbital Surgery theory so that Eye socket surgical effect has had qualitative leap.
Navigation system many employings infrared optical location technology, is fixed on the anti-with infrared ray of skull by identification at present Penetrate the location frame of reference of source or emission source, patient image is learned the world coordinates that the virtual coordinate system of data is actual with patient Registration registration is done by system, by identifying the infrared emitting source on operation tool and location frame of reference or the position of reflection sources, Follow the trail of and the locus of positioning operation instrument with patient, and shown in navigation system display, make operation cure Teacher understands the information such as the position of operation tool, direction.
The location of locus is showed by navigation system with point-to-point form at present, it is impossible to real intuitively in art Time show the locus of floating bone block, and bone piece must be touched in all directions by spike probe and could indirectly obtain The spatial positional information of some point, and require that these point sets are connected into line in brain and are built into face by surgical doctor, by This just can know the locus of bone piece in art.This requires that surgical doctor possesses stronger spatial thinking ability, and Needing in art to use spike probe to detect bone piece or implant repeatedly, its complex operation, display is not directly perceived, not only Extend operating time, the most even because causing reset effect undesirable the false judgment of locus.
The application for a patent for invention of Application No. 201410036033.1 discloses a kind of navigation for eye socket surgery scope The sclerite fixed traction tracer of system, including base element, grips part, spike part and fixing nut.But All unit constructions must be used by this device for reaching spike effect together, and all unit constructions together time, Relative position between each parts is all fixing, it is impossible to meets and draws any direction, limits the flexible of operation Property.
Therefore, those skilled in the art is devoted to develop a kind of sclerite fixed traction spike dress for navigation system Put, while ensureing positioning precision, it is ensured that the motility of operation.
Summary of the invention
Because the drawbacks described above of prior art, the technical problem to be solved is how to avoid instrument to limit behaviour The motility made.
For achieving the above object, the invention provides a kind of sclerite fixed traction tracer for navigation system, Including bone piece fixed part, operating portion and spike portion, described bone piece fixed part is cylindrical, including the first end face and second End face, described first end face has annular dentalation, and the center of described annular dentalation offers counter bore structure, The center of described counter bore structure offers a circular hole, and described second end face has external thread structure and breach, described bone piece Fixed part also includes that nut, described nut match with external thread mechanism and the breach of described second end face;
Described operating portion includes that holding rod, connecting rod and sleeve pipe, one end of described connecting rod are fixed in the middle part of described holding rod, institute The other end stating connecting rod is connected with described sleeve pipe, and described casing pipe sleeve is located at described bone piece fixed part, by described nut in institute State on the axis of bone piece fixed part fixing, but can rotate along the contour of described bone piece fixed part;
Described spike portion includes support and installs infrared reflecting ball array on the bracket, and the bottom of described support sets Having the projection that the described breach of described second end face with described bone piece fixed part agrees with, described support is by described projection It is fixed on described second end face of described bone piece fixed part by described nut.
Further, the number of teeth of described annular dentalation is 3~5.
Further, described circular hole is configured to implant titanium nail.
Further, the outer wall of described bone piece fixed part is smooth.
Further, described support is Y-shaped or T-shaped, is provided with an infrared reflecting ball in the bracket at portion's convergence, Remaining infrared reflecting ball is arranged on described support end points.
Further, described nut offers the breach identical with described second end face.
Further, described breach is triangular in shape or Y shape or T-shaped.
Further, described holding rod offers finger gripping groove.
Further, described connecting rod is triangular in shape, is made up of single connecting rod and support bar.
Further, described infrared reflecting ball array includes three infrared reflecting balls.
It is an object of the invention to for the fixing tracer of existing sclerite traction, during operation, due to whole Body is integrated fixed structure, does not has the possibility of relative displacement between holding operation part and sclerite, causes operation doctor's Inconvenience.The invention has the advantages that sclerite fixed traction tracer of the present invention can be used for eye socket surgery margo orbitalis bone Reconstruction, relatively complete fixing including bone piece fixed part, operating portion and spike portion, bone piece fixed part and spike portion Connect, and operating portion can be the most freely rotatable, does not affect navigation and positioning accuracy;
Below with reference to accompanying drawing, the technique effect of design, concrete structure and the generation of the present invention is described further, with It is fully understood from the purpose of the present invention, feature and effect.
Accompanying drawing explanation
Fig. 1 is the overall schematic of a preferred embodiment of the present invention;
Fig. 2 is the parts explosive view of a preferred embodiment of the present invention;
Fig. 3 is the spike portion schematic diagram of a preferred embodiment of the present invention;
Fig. 4 is the bone piece fixed part schematic diagram of a preferred embodiment of the present invention;
Fig. 5 is the bone piece fixed part schematic diagram of a preferred embodiment of the present invention;
Fig. 6 is the nut schematic diagram of a preferred embodiment of the present invention;
Fig. 7 is the nut schematic diagram of a preferred embodiment of the present invention;
Fig. 8 is the operating portion schematic diagram of a preferred embodiment of the present invention.
Detailed description of the invention
The detailed description of the invention provided the present invention below in conjunction with the accompanying drawings elaborates.
Sclerite fixed traction tracer for navigation system of the present invention as depicted in figs. 1 and 2, including Bone piece fixed part 1, operating portion 2 and spike portion 3, wherein bone piece fixed part 1 and spike portion 3 are completely fixed connection, phase To not having any type of movement or rotation, the relative bone piece fixed part 1 of operating portion 2 and spike portion 3 can be freely rotatable.
Bone piece fixed part 1 is as shown in Figure 4, cylindrical, and outer wall is smooth, including the first end face and the second end face, the End face has annular dentalation 11, and the number of teeth of annular dentalation is 3~5, in described annular dentalation The heart offers counter bore structure 12, and the center of described counter bore structure 12 offers a circular hole, and circular hole is configured to implant titanium Nail.As it is shown in figure 5, described second end face has external thread structure and breach 14, breach is triangular in shape or Y shape or T Shape;Described bone piece fixed part also includes nut 15, as shown in Figure 6 and Figure 7, described nut and described second end face External thread mechanism and breach 14 match, and have breach 151;
As shown in Figure 8, including holding rod 23, connecting rod 22 and sleeve pipe 21, one end of described connecting rod 22 is affixed for operating portion 2 In the middle part of described holding rod 23, the other end of described connecting rod 22 is connected with described sleeve pipe 21, and described sleeve pipe 21 is sheathed In described bone piece fixed part 1, fixed on the axis of described bone piece fixed part 1 by described nut 15, but can be along described Rotate on the contour of bone piece fixed part 1;Connecting rod 22 is triangular in shape, is made up of single connecting rod 221 and support bar 222.
Spike portion is as it is shown on figure 3, include support 31 and infrared reflecting ball 33, and infrared reflecting ball 33 is generally 3, Can also be 4 (not shown).Support 31 can be Y shape or T-shaped, and one of them of infrared reflecting ball 33 is reflective Ball is positioned at each end points meet of support 31, and remaining is distributed on each end points.An end points end at support 31 sets It is equipped with protruding 32.The bottom of described support is provided with the described breach of described second end face with described bone piece fixed part and agrees with Projection 32, described support 31 is fixed on described bone piece fixed part 1 by described protruding 32 by described nut 15 On described second end face.
The preferred embodiment of the present invention described in detail above.Should be appreciated that the ordinary skill of this area is without wound The property made work just can make many modifications and variations according to the design of the present invention.Therefore, all technology in the art Personnel can be obtained by logical analysis, reasoning, or a limited experiment the most on the basis of existing technology The technical scheme arrived, all should be in the protection domain being defined in the patent claims.

Claims (10)

1. the sclerite fixed traction tracer for navigation system, it is characterised in that include bone piece fixed part, Operating portion and spike portion,
Described bone piece fixed part is cylindrical, and including the first end face and the second end face, described first end face has annular tooth Shape structure, the center of described annular dentalation offers counter bore structure, and the center of described counter bore structure offers a circle Hole, described second end face has external thread structure and breach, and described bone piece fixed part also includes nut, described nut with External thread mechanism and the breach of described second end face match;
Described operating portion includes that holding rod, connecting rod and sleeve pipe, one end of described connecting rod are fixed in the middle part of described holding rod, institute The other end stating connecting rod is connected with described sleeve pipe, and described casing pipe sleeve is located at described bone piece fixed part, by described nut in institute State on the axis of bone piece fixed part fixing, but can rotate along the contour of described bone piece fixed part;
Described spike portion includes support and installs infrared reflecting ball array on the bracket, and the bottom of described support sets Having the projection that the described breach of described second end face with described bone piece fixed part agrees with, described support is by described projection It is fixed on described second end face of described bone piece fixed part by described nut.
2. the sclerite fixed traction tracer for navigation system as claimed in claim 1, it is characterised in that The number of teeth of described annular dentalation is 3~5.
3. the sclerite fixed traction tracer for navigation system as claimed in claim 1, it is characterised in that Described circular hole is configured to implant titanium nail.
4. the sclerite fixed traction tracer for navigation system as claimed in claim 1, it is characterised in that The outer wall of described bone piece fixed part is smooth.
5. the sclerite fixed traction tracer for navigation system as claimed in claim 1, it is characterised in that Described support is Y-shaped or T-shaped, is provided with an infrared reflecting ball, remaining infrared reflecting ball in the bracket at portion's convergence It is arranged on described support end points.
6. the sclerite fixed traction tracer for navigation system as claimed in claim 1, it is characterised in that The breach identical with described second end face is offered on described nut.
7. the sclerite fixed traction tracer for navigation system as claimed in claim 1, it is characterised in that Described breach is triangular in shape or Y shape or T-shaped.
8. the sclerite fixed traction tracer for navigation system as claimed in claim 1, it is characterised in that Finger gripping groove is offered on described holding rod.
9. the sclerite fixed traction tracer for navigation system as claimed in claim 1, it is characterised in that Described connecting rod is triangular in shape, is made up of single connecting rod and support bar.
10. the sclerite fixed traction tracer for navigation system as claimed in claim 1, it is characterised in that Described infrared reflecting ball array includes three infrared reflecting balls.
CN201610188973.1A 2016-03-29 2016-03-29 Sclerite fixed traction tracer for navigation system Active CN105877911B (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106539625A (en) * 2017-01-10 2017-03-29 北京积水潭医院 A kind of operating robot optical tracker positioner
CN106726115A (en) * 2016-12-22 2017-05-31 上海交通大学医学院附属第九人民医院 A kind of eyelid function corrector
CN112237481A (en) * 2019-07-17 2021-01-19 杭州三坛医疗科技有限公司 Fracture reduction closed positioning mechanism

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3850166A (en) * 1973-03-30 1974-11-26 S Tamny Fracture reduction system
JP2006305211A (en) * 2005-05-02 2006-11-09 Alfresa Pharma Corp Binding apparatus for bone cerclage cable
CN101721251A (en) * 2009-11-10 2010-06-09 上海交通大学医学院附属第九人民医院 Device for combining surgical navigation system with endoscope system and application thereof
CN103784252A (en) * 2014-01-26 2014-05-14 上海交通大学医学院附属第九人民医院 Fracture block fixing traction tracking device for orbit surgery department endoscope navigation system
CN203802651U (en) * 2014-01-26 2014-09-03 上海交通大学医学院附属第九人民医院 Fragment fixing traction tracking device for orbital surgical endoscopic navigation system

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3850166A (en) * 1973-03-30 1974-11-26 S Tamny Fracture reduction system
JP2006305211A (en) * 2005-05-02 2006-11-09 Alfresa Pharma Corp Binding apparatus for bone cerclage cable
CN101721251A (en) * 2009-11-10 2010-06-09 上海交通大学医学院附属第九人民医院 Device for combining surgical navigation system with endoscope system and application thereof
CN103784252A (en) * 2014-01-26 2014-05-14 上海交通大学医学院附属第九人民医院 Fracture block fixing traction tracking device for orbit surgery department endoscope navigation system
CN203802651U (en) * 2014-01-26 2014-09-03 上海交通大学医学院附属第九人民医院 Fragment fixing traction tracking device for orbital surgical endoscopic navigation system

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106726115A (en) * 2016-12-22 2017-05-31 上海交通大学医学院附属第九人民医院 A kind of eyelid function corrector
CN106726115B (en) * 2016-12-22 2023-01-20 上海交通大学医学院附属第九人民医院 Eyelid function corrector
CN106539625A (en) * 2017-01-10 2017-03-29 北京积水潭医院 A kind of operating robot optical tracker positioner
CN112237481A (en) * 2019-07-17 2021-01-19 杭州三坛医疗科技有限公司 Fracture reduction closed positioning mechanism
CN112237481B (en) * 2019-07-17 2021-12-21 杭州三坛医疗科技有限公司 Fracture reduction closed positioning mechanism

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