CN105877911B - Sclerite fixed traction tracer for navigation system - Google Patents

Sclerite fixed traction tracer for navigation system Download PDF

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Publication number
CN105877911B
CN105877911B CN201610188973.1A CN201610188973A CN105877911B CN 105877911 B CN105877911 B CN 105877911B CN 201610188973 A CN201610188973 A CN 201610188973A CN 105877911 B CN105877911 B CN 105877911B
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CN
China
Prior art keywords
tracer
bone piece
navigation system
fixed part
sclerite
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CN201610188973.1A
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Chinese (zh)
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CN105877911A (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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Priority to CN201610188973.1A priority Critical patent/CN105877911B/en
Publication of CN105877911A publication Critical patent/CN105877911A/en
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Classifications

    • 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

Abstract

The invention discloses a kind of sclerite fixed traction tracer for navigation system, including bone piece fixed part, operating portion and tracer portion, the bone piece fixed part is cylindrical, including first end face and second end face, the first end face has annular dentalation, the center of the annular dentalation offers counter bore structure, and the center of the counter bore structure offers a circular hole;The operating portion includes holding rod, connecting rod and sleeve pipe, one end of the connecting rod is fixed in the middle part of the holding rod, the other end of the connecting rod is connected with described sleeve pipe, described sleeve pipe is sheathed on the bone piece fixed part, fixed, but can be rotated along the contour of the bone piece fixed part on the axis of the bone piece fixed part by the nut;The tracer portion includes the infrared reflecting ball array of support and installation on the bracket.The rotatable operating portion of the present invention can reduce the influence to operation technique;Dismounting is repeated in surgical procedure, and the navigation accuracy for remaining to keep original need not be reregistered.

Description

Sclerite fixed traction tracer for navigation system
Technical field
It is a kind of to be used for eye socket surgery scope navigation system specifically the present invention relates to technical field of medical instruments Sclerite fixed traction tracer, the device are applied in eye socket surgical operation, can fix, draw and real-time location tracking weight Want 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 that the technology organic combinations such as imaging form, is innovation to eye socket surgically.It extends surgery The limited field range of doctor, it is easy to patient to observe the institutional framework in deep, while monitors with early warning to avoid iatrogenic injury. Its appearance breaches the boundary of traditional Orbital Surgery, promotes the change of Orbital Surgery theory so that eye socket surgical operation is imitated Fruit has qualitative leap.
Navigation system uses infrared optical location technology more at present, is fixed on the anti-with infrared ray of skull by identification The positioning frame of reference of source or emission source is penetrated, patient image is learned into the virtual coordinate system of data and the world coordinate system of patient's reality is done Registration registration, by identifying operation tool and positioning the infrared emitting source on frame of reference or the position of reflection sources, follow the trail of and fixed Position operation tool and the locus of patient, and it is included in navigation system display, surgical doctor is understood operation work The information such as the position of tool, direction.
Positioning of the navigation system to locus at present is showed in the form of point-to-point, it is impossible to intuitively real in art When show the locus of floating bone block, and must be touched in all directions by tracer probe bone piece could obtain indirectly it is some The spatial positional information of point, and require that these point sets are connected into line in brain and are built into face by surgical doctor, thus it can just obtain Know the locus of bone piece in art.This requires that surgical doctor possesses stronger spatial thinking ability, and is needed repeatedly in art Bone piece or implant are detected in ground using tracer probe, and its is cumbersome, and display is not directly perceived, not only extends operating time, has When 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 for eye socket surgery scope navigation system The sclerite fixed traction tracer of system, including base element, gripping part, tracer part and fixing nut.But the device All component combinations must be used together to reach tracer effect, and all component combinations together when, between each part Relative position be all fixed, can not meet to draw any direction, limit the flexibility of operation.
Therefore, those skilled in the art is directed to developing a kind of sclerite fixed traction tracer dress for navigation system Put, while positioning precision is ensured, it is ensured that the flexibility of operation.
The content of the invention
In view of the drawbacks described above of prior art, the technical problems to be solved by the invention are how to avoid instrument limitation behaviour The flexibility of work.
To achieve the above object, the invention provides a kind of sclerite fixed traction tracer for navigation system, Including bone piece fixed part, operating portion and tracer portion, the bone piece fixed part is cylindrical, including first end face and second end face, The first end face has annular dentalation, and the center of the annular dentalation offers counter bore structure, the counterbore knot The center of structure offers a circular hole, and the second end face has external thread structure and breach, and the bone piece fixed part also includes spiral shell Mother, the nut are engaged with the external thread mechanism and breach of the second end face;
The operating portion includes holding rod, connecting rod and sleeve pipe, and one end of the connecting rod is fixed in the middle part of the holding rod, described The other end of connecting rod is connected with described sleeve pipe, and described sleeve pipe is sheathed on the bone piece fixed part, by the nut in the bone piece It is fixed on the axis of fixed part, but can be rotated along the contour of the bone piece fixed part;
The tracer portion includes the infrared reflecting ball array of support and installation on the bracket, and the bottom of the support is set There is the projection that the breach with the second end face of the bone piece fixed part agrees with, the support is by the projection by institute Nut is stated to be fixed in the second end face of the bone piece fixed part.
Further, the number of teeth of the annular dentalation is 3~5.
Further, the circular hole is configured as being implanted into titanium nail.
Further, the outer wall of the bone piece fixed part is smooth.
Further, the support is Y-shaped or T-shaped, is provided with an infrared reflecting ball at portion's convergence in the bracket, remaining Infrared reflecting ball is arranged on the support end points.
Further, offered on the nut and the second end face identical breach.
Further, the breach is triangular in shape or Y shape or T-shaped.
Further, finger gripping groove is offered on the holding rod.
Further, the connecting rod is triangular in shape, by single connecting rod and support bar group into.
Further, the infrared reflecting ball array includes three infrared reflecting balls.
The purpose of the present invention is for the fixed tracer of existing sclerite traction, during operation, due to whole Body is integrated fixed structure, does not have the possibility of relative displacement between holding operation part and sclerite, causes to operate the inconvenience of doctor. The invention has the advantages that sclerite fixed traction tracer of the present invention can be used for the reparation weight of eye socket surgery margo orbitalis bone Build, including bone piece fixed part, operating portion and tracer portion, bone piece fixed part with tracer portion is relatively complete is fixedly connected, and operating portion It can freely rotate in a circumferential direction, not influence navigation and positioning accuracy;
Design, concrete structure and the caused technique effect of the present invention are described further below with reference to accompanying drawing, with It is fully understood from the purpose of the present invention, feature and effect.
Brief description of the drawings
Fig. 1 is the overall schematic of the preferred embodiment of the present invention;
Fig. 2 is the part explosive view of the preferred embodiment of the present invention;
Fig. 3 is the tracer portion schematic diagram of the preferred embodiment of the present invention;
Fig. 4 is the bone piece fixed part schematic diagram of the preferred embodiment of the present invention;
Fig. 5 is the bone piece fixed part schematic diagram of the preferred embodiment of the present invention;
Fig. 6 is the nut schematic diagram of the preferred embodiment of the present invention;
Fig. 7 is the nut schematic diagram of the preferred embodiment of the present invention;
Fig. 8 is the operating portion schematic diagram of the preferred embodiment of the present invention.
Embodiment
Embodiment provided by the invention is elaborated below in conjunction with the accompanying drawings.
Sclerite fixed traction tracer of the present invention for navigation system as depicted in figs. 1 and 2, including bone Block fixed part 1, operating portion 2 and tracer portion 3, wherein bone piece fixed part 1 and tracer portion 3 are completely fixed connection, are relatively free of any The movement or rotation of form, operating portion 2 can be rotated freely relative to bone piece fixed part 1 and tracer portion 3.
For bone piece fixed part 1 as shown in figure 4, cylindrical, outer wall is smooth, including first end face and second end face, first end Face has annular dentalation 11, and the number of teeth of annular dentalation is 3~5, and the center of the annular dentalation offers Counter bore structure 12, the center of the counter bore structure 12 offer a circular hole, and circular hole is configured as being implanted into titanium nail.As shown in figure 5, institute Stating second end face has an external thread structure and breach 14, and breach is triangular in shape or Y shape or T-shaped;The bone piece fixed part also includes Nut 15, as shown in Figure 6 and Figure 7, the nut are engaged with the external thread mechanism and breach 14 of the second end face, and are had Jagged 151;
As shown in figure 8, including holding rod 23, connecting rod 22 and sleeve pipe 21, one end of the connecting rod 22 is fixed in described operating portion 2 The middle part of holding rod 23, the other end of the connecting rod 22 are connected with described sleeve pipe 21, and described sleeve pipe 21 is sheathed on the bone piece and fixed Portion 1, fixed, but can turn along the contour of the bone piece fixed part 1 on the axis of the bone piece fixed part 1 by the nut 15 It is dynamic;Connecting rod 22 is triangular in shape, is made up of single connecting rod 221 and support bar 222.
As shown in figure 3, including support 31 and infrared reflecting ball 33, infrared reflecting ball 33 is generally 3, can also in tracer portion It is 4 (not shown).Support 31 can be Y shape or T-shaped, and one of witch ball of infrared reflecting ball 33 is located at each of support 31 End points meet, remaining is distributed on each end points.Projection 32 is provided with an end points end of support 31.The bottom of the support End is provided with the projection 32 agreed with the breach of the second end face of the bone piece fixed part, and the support 31 is by described Projection 32 is fixed on by the nut 15 in the second end face of the bone piece fixed part 1.
Preferred embodiment of the invention described in detail above.It should be appreciated that the ordinary skill of this area is without wound The property made work can makes many modifications and variations according to the design of the present invention.Therefore, all technician in the art Pass through the available technology of logical analysis, reasoning, or a limited experiment on the basis of existing technology under this invention's idea Scheme, all should be in the protection domain being defined in the patent claims.

Claims (10)

1. a kind of sclerite fixed traction tracer for navigation system, including bone piece fixed part, operating portion and tracer portion, Characterized in that,
The bone piece fixed part is cylindrical, including first end face and second end face, and the first end face has annular dentation knot Structure, the center of the annular dentalation offer counter bore structure, and the center of the counter bore structure offers a circular hole, and described Biend has external thread structure and breach, and the bone piece fixed part also includes nut, the nut and the second end face External thread mechanism and breach are engaged;
The operating portion includes holding rod, connecting rod and sleeve pipe, and one end of the connecting rod is fixed in the middle part of the holding rod, the connecting rod The other end be connected with described sleeve pipe, described sleeve pipe is sheathed on the bone piece fixed part, is fixed by the nut in the bone piece It is fixed on the axis in portion, but can be rotated along the contour of the bone piece fixed part;
The tracer portion includes support and installation infrared reflecting ball array on the bracket, the bottom of the support be provided with The projection that the breach of the second end face of the bone piece fixed part agrees with, the support is by the projection by the spiral shell Mother is fixed in the second end face of the bone piece fixed part.
2. it is used for the sclerite fixed traction tracer of navigation system as claimed in claim 1, it is characterised in that the ring The number of teeth of shape dentalation is 3~5.
3. it is used for the sclerite fixed traction tracer of navigation system as claimed in claim 1, it is characterised in that the circle Hole is configured as being implanted into titanium nail.
4. it is used for the sclerite fixed traction tracer of navigation system as claimed in claim 1, it is characterised in that the bone The outer wall of block fixed part is smooth.
5. it is used for the sclerite fixed traction tracer of navigation system as claimed in claim 1, it is characterised in that the branch Frame is Y-shaped or T-shaped, is provided with an infrared reflecting ball at portion's convergence in the bracket, remaining infrared reflecting ball is arranged on the branch Frame end point.
6. it is used for the sclerite fixed traction tracer of navigation system as claimed in claim 1, it is characterised in that the spiral shell Offered on mother and the second end face identical breach.
7. it is used for the sclerite fixed traction tracer of navigation system as claimed in claim 1, it is characterised in that described to lack The triangular in shape or Y shape of mouth or T-shaped.
8. it is used for the sclerite fixed traction tracer of navigation system as claimed in claim 1, it is characterised in that described to hold Finger gripping groove is offered on bar.
9. it is used for the sclerite fixed traction tracer of navigation system as claimed in claim 1, it is characterised in that the company Bar is triangular in shape, by single connecting rod and support bar group into.
10. it is used for the sclerite fixed traction tracer of 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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Application Number Priority Date Filing Date Title
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Application Number Priority Date Filing Date Title
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Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
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
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

Citations (5)

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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

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