CN106037892A - Percutaneous universal-angle vertebral pedicle puncture guide apparatus - Google Patents
Percutaneous universal-angle vertebral pedicle puncture guide apparatus Download PDFInfo
- Publication number
- CN106037892A CN106037892A CN201610312309.3A CN201610312309A CN106037892A CN 106037892 A CN106037892 A CN 106037892A CN 201610312309 A CN201610312309 A CN 201610312309A CN 106037892 A CN106037892 A CN 106037892A
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- Prior art keywords
- guide pipe
- base
- guider
- percutaneous
- semicircle
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- NJPPVKZQTLUDBO-UHFFFAOYSA-N novaluron Chemical compound C1=C(Cl)C(OC(F)(F)C(OC(F)(F)F)F)=CC=C1NC(=O)NC(=O)C1=C(F)C=CC=C1F NJPPVKZQTLUDBO-UHFFFAOYSA-N 0.000 claims description 69
- 230000033001 locomotion Effects 0.000 claims description 26
- 239000000463 material Substances 0.000 claims description 22
- 238000010146 3D printing Methods 0.000 abstract description 8
- 239000002390 adhesive tape Substances 0.000 description 14
- 238000000034 method Methods 0.000 description 10
- 238000010586 diagram Methods 0.000 description 4
- 238000005516 engineering process Methods 0.000 description 3
- 238000001356 surgical procedure Methods 0.000 description 3
- 235000013372 meat Nutrition 0.000 description 2
- 210000003205 muscle Anatomy 0.000 description 2
- 230000000149 penetrating effect Effects 0.000 description 2
- RZVAJINKPMORJF-UHFFFAOYSA-N Acetaminophen Chemical compound CC(=O)NC1=CC=C(O)C=C1 RZVAJINKPMORJF-UHFFFAOYSA-N 0.000 description 1
- 208000008035 Back Pain Diseases 0.000 description 1
- 208000032843 Hemorrhage Diseases 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 230000002146 bilateral effect Effects 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 238000007405 data analysis Methods 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 230000002638 denervation Effects 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 208000035475 disorder Diseases 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 230000004807 localization Effects 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 230000000399 orthopedic effect Effects 0.000 description 1
- 229920000573 polyethylene Polymers 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 238000007639 printing Methods 0.000 description 1
- 238000009738 saturating Methods 0.000 description 1
- 230000037390 scarring Effects 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
- 210000000115 thoracic cavity Anatomy 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 210000001835 viscera Anatomy 0.000 description 1
Classifications
-
- 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
-
- 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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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Pathology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The invention provides a percutaneous universal-angle vertebral pedicle puncture guide apparatus. The percutaneous universal-angle vertebral pedicle puncture guide apparatus comprises a 3D printing base and a guide apparatus body, wherein the guide apparatus body is arranged on the upper part of the 3D printing base, the bottom surface of the base tallies with the back curve, and the upper part is a plane; the base is further provided with a connecting structure and a base guide tube moving groove; the guide apparatus body comprises a foundation base, a semicircular measuring scale and a guide tube; the foundation base is provided with a connecting structure, a foundation base guide tube moving groove and a horizontal groove; the guide tube attaches to the side, close to a slot, of the semicircular measuring scale, the semicircular measuring scale is provided with a guide groove and limiting plates (in the center of the bottom), the bottom end of the guide tube is inserted between the two limiting plates, the guide tube is provided with a guide handle, the guide handle moves in the guide groove, and thus the purpose of controlling the rotation of the guide tube is achieved; a horizontal folding vane is arranged close to the bottom of the semicircular measuring scale, and is inserted into the horizontal groove. According to the percutaneous universal-angle vertebral pedicle puncture guide apparatus, a nail inlet point and a nail inlet angle of the vertebral pedicle can be determined, and the operation is accurate and rapid, therefore, the nail inlet risk and time can be effectively reduced, and the requirements on the experience of medical staff are low.
Description
Technical field
The invention belongs to orthopedic medical device, use during the vertebral body operation punctured especially for percutaneous pedicle is suitable
For a kind of medical apparatus and instruments of Minimally Invasive Surgery, it is particularly related to a kind of percutaneous universal angle vertebral pedicle puncture guiding device.
Background technology
Owing to having the superiority in terms of biomechanics fixed by spinal column three post, posterior transpedicle fixation is at spinal surgery
Operation is widely used.Traditional modus operandi need to extensively peel off paraspinal muscle, long-time retractor meat tissue, reaches to expose spinal column
Purpose, operation wound is big, hemorrhage many, and the postoperative paraspinal muscle denervation that easily causes, meat fiber scarring, long-term waist
The problems such as back pain.Because it is little to there is wound in percutaneous cervical arc root screw (or other puncture needles) technology, rapid-action and complication
The advantage such as few so that it is more and more paid attention to, and develop rapidly, be used widely at spinal surgery.
Percutaneous cervical arc root screw technology and percutaneous vertbroplasty be both needed to position accurately, percutaneous puncture vertebral arch accurately
Root.Human spine's anatomical features determines and accurately punctures pedicle of vertebral arch and need to determine three parameters: skin penetrating point, horizontal parallactic angle, arrow
Shape parallactic angle.Spinal column Thoracolumbar disk form from top to bottom gradually changes, and punctures parameter and the most gradually changes, also can change during Body Position Change,
And hinder vertebra, the puncture parameter of sick vertebra also can change, and therefore still has distinguishing on human body and determines vertebral body bone mark
Difficulty, and operator relies on the judgement of subjectivity mostly, adds that form complicated and changeable and entry point lack clear and definite anatomy
Mark so that compared with pedicle of lumbar vertebral arch nail, inserting of thoracic vertebral pedicle nail inserts that difficulty is big, risk is high, thus add operation wound
The chance of wound, limits the Wicresoft of operation, too increases the misery of patient and extend the rehabilitation duration of patient, is unfavorable for same
The popularization and application of class operation.Meanwhile, pedicle operation requires that operator has abundant correlation experience, needs open surgery to grasp
Make or to rely on perfect, the superior and main equipment of costliness, rely on anthropic factor more, the most both added medical expense and propped up
Go out, be also unfavorable for the popularization and application that pedicle is performed the operation.It is thus desirable to a kind of locating guide device assists a physician and performs the operation.
And existing locating guide device is from design some defects of existence, have can only position in normotopia；Have can only
Determine partial parameters, it is impossible to three-dimensional localization guides；Three-dimensional can guide in some designs, but can not position, it is impossible to by saturating for position, positive side
Depending on connecting, and it is difficult in practical operation realize；Have can not fixed guide, device use in can move cause location
Deviation, major part positioner can not effectively be fixed to patient back.Accordingly, it would be desirable to one is avoided that drawbacks described above can be effective
It is fixed to patient back, three-dimensional guiding can be carried out, and the guider of deviation will not occur in movement.
The present invention, solves percutaneous cervical arc root operation guiding device location in prior art inaccurate, fixing instability, and moves
Easily there are the problems such as deviation in disorder of internal organs, it is provided that a kind of percutaneous universal angle vertebral pedicle puncture guiding device.
Summary of the invention
In order to overcome the guider of prior art to position inaccurate, it is impossible to be well fixed in patient back, and movement
The problems such as deviation easily occur, it is an object of the invention to provide a kind of percutaneous universal angle pedicle of vertebral arch that can solve the problems referred to above and wear
Thorn guider.
The purpose of the present invention is achieved through the following technical solutions:
A kind of percutaneous universal angle vertebral pedicle puncture guiding device, prints base, guider, it is characterised in that institute including 3D
Stating and arrange guider on 3D printing base, described 3D prints base end face and coincide with human body back structure, and top is that plane is arranged,
Which is provided with the attachment structure being connected with guider, 3D prints and also sets up base guide pipe shifting chute on base, and it is used for guiding
The movement of pipe；Described guider includes a pedestal, semicircle dip stick, guide pipe；Pedestal is provided with and is connected with 3D printing base
Structure, it is additionally provided with the foot guide pipe shifting chute corresponding with base guide pipe shifting chute；Guide pipe is affixed on semicircle and surveys
Gage nearly shifting chute side, semicircle dip stick arranges guide pipe gathering sill and arrange at semicircle dip stick bottom center two
The rotatable limiting plate of block, guide pipe bottom is inserted between two limiting plates, and guide pipe is provided with guide pipe handlebar, and guide pipe is grasped
Vertical handle moves in guide pipe gathering sill, reaches to control the purpose that guide pipe rotates, and guide pipe handlebar arranges guide pipe behaviour
Vertical handle fastening structure, is used for being directed to pipe and is fixed at set angle；Described semicircle dip stick (22) is connected with pedestal (21).3D
Printing arranging of base can make guider well be positioned patient back, it is ensured that the stability of guider, 3D prints base
Separately positioned with guider pedestal can ensure that only changing 3D when using guider prints base, and need not overall 3D
Print；Semicircle dip stick the accuracy that can preferably ensure inclination angle is set, the setting of limiting plate can ensure that guide pipe
Point to consistent with the instruction of the angle of semicircle dip stick, preferably determine entry point and enter to follow closely direction.This universal angle pedicle of vertebral arch is led
It is applicable to different patients to device, and has again respective 3D to print base for different patients, easy to use, entry point and entering
Nail angle is accurate.
Further, in the middle of described 3D printing base, supporting part can hollow out not arranged, and this kind arranges and can conveniently find skin
Skin access point.
Further, described guider pedestal can print base motion by 3D relatively, and described base guide pipe shifting chute compares pedestal
Guide pipe shifting chute is more greatly.This kind of setting can ensure that the smoothness of relative movement.
Further, described guider pedestal and 3D print base can be by arbitrarily can be to connect by the way of being connected, and energy
Ensure that 3D prints the relative movement between base and guider pedestal.As connected by corresponding nail structure, nail hole connects knot
The device pedestal that can be directed to fast and effectively of structure is attached with 3D printing base, and by selecting different nail to make base
It is mutually shifted with pedestal；Can be also that chute is set on base, pedestal be correspondingly arranged litter and realizes connecting and relative movement.
Further, described litter arranges cross break section, base can be made more stable with the relative movement of pedestal.
Further, described semicircle dip stick is removable semicircle dip stick.Movably semicircle dip stick can be more square
Just move and determine entry point position.
Further, described semicircle dip stick can be arranged for its arbitrary structures of movement, wherein preferred version on base
For: arranging the cross break wing at the nearly bottom of described semicircle dip stick, and the cross break wing is integrally formed on semicircle dip stick, the cross break wing is inserted
Enter to be arranged in the transverse groove on guider pedestal.This kind arranges the movement that can efficiently accomplish semicircle dip stick.
Further, described cross break wing thickness is corresponding with the width of rebate of transverse groove.The correspondence of size can make the cross break wing more
Good control semicircle dip stick moves.
Further, the described cross break wing is also equipped with cross break wing handlebar, guider pedestal is additionally provided with for the cross break wing
The cross break wing handlebar gathering sill that handlebar moves.The setting of cross break wing handlebar and cross break wing handlebar gathering sill can ensure that
The movement of the cross break wing and the effectiveness of movement thereof and stability.
Further, described cross break wing handlebar is provided with cross break wing handlebar fastening structure, for being fixed by the cross break wing
To setting position.Arranging of fastening structure can make the cross break wing effectively fix after moving to setting position.
Further, described dip stick bottom plane is slightly below guider pedestal baseplane or described dip stick bottom plane
Highly consistent with guider pedestal baseplane.The setting of dip stick bottom slightly below guider pedestal can ensure that dip stick and leads
To pipe closer to entering to follow closely position, make the simpler convenience of selection of entry point and guiding and more accurate；Highly consistent setting
Can facilitate that pedestal is the most relative with base to slide.
Further, the guide pipe of different tube diameters is set, to adapt to the puncture needle of different thicknesses.
Further, described guide pipe and two limiting plates connect.The connection of guide pipe and two limiting plates can be significantly more efficient
Control guide pipe position so that it is with limiting plate rotate, and then make its centrage all the time with enter to follow closely direction consistent.
Further, arranging spring structure at described limiting plate, the rotation making limiting plate is more efficient.
Further, described guider pedestal is arranged 1 or two semicircle dip sticks.Arranging of two semicircle dip sticks is permissible
Bilateral pedicle of vertebral arch is operated simultaneously.
Further, described 3D prints base and covers one or more vertebral body, described 3D printing base is correspondingly arranged one to multiple
Individual base guide pipe shifting chute, and correspondence arranges multiple foot guide pipe shifting chute groove on guider pedestal.Many vertebral bodys base
And arranging of multiple guider pedestal pedicle of vertebral arch to multiple vertebral bodys can enter nail and operate simultaneously, operation can be greatly saved
Time.
Further, described fastening structure may be configured as the structure that arbitrarily can fasten, and wherein preferred version is that screw nut is tight
Fixing structure.Screw nut fastening structure is simple and easy to use, and is readily obtained.
Further, described 3D prints base end face and arranges the structure that base arbitrarily schedules patient back, the most preferably sets
It is set to several pieces double faced adhesive tapes.Arranging of double faced adhesive tape can preferably make guider preferably be fixed on patient back, prevents hands
During art, position changes, and described double faced adhesive tape can carry out disinfection when operation, to prevent the generation infected.
Further, the material of described percutaneous universal angle vertebral pedicle puncture guiding device is that X-ray can pass through material, is specially
Can pass through the medical nonmetallic materials of X-ray, such as polythene material.X-ray can ensure that in operation with the setting of permeable material
During utilize X ray image instrument to determine into nail direction and entry point.
During use, first take the data of patient's skin of back, be fitted by computer, obtain patient back corresponding
The data of vertebral body, laggard row data analysis obtains the image of 3 printing bases, and arranges the nail of correspondence, after utilize 3D to print skill
3D is printed base and prints by art, 3D prints base and is positioned over patient back correspondence position, pass through roentgenogram still later
Penetrating, select suitable nail structure, the hole printed by 3D on base is connected with guide pipe pedestal, or by litter with chute even
Connect, and mobile litter is to correct position；Determine entry point by x-ray bombardment and enter to follow closely direction further.Rear rotation guide pipe
Angle, reach consistent with entering to follow closely direction after stop, tightening fastening structure, make guide pipe be fixed on set angle, move afterwards
Semicircle dip stick, stops mobile after entry point overlaps with the central point of guide pipe, tightens the fastening structure on the cross break wing, make to lead
Fix to device position, rear by the fixing operation of guide pipe traveling tack operation or vertebral body, after operation terminates, take off guider i.e.
Can.
Compared with prior art, 3D of the present invention print base setting, can make guider more stable be arranged at trouble
Person back, does not shakes；Mobile semicircle dip stick is used to make the selection into nail direction and entry point more accurately facilitate；Rotate
The connection of the setting of limited block and limited block and guide pipe arranges and can ensure that orientation does not changes in rotation process
With skew；It is convenient that the arranging of the cross break wing can make guider move.
Accompanying drawing explanation
Fig. 1 is overall structure schematic diagram of the present invention；
Fig. 2 is to regard perspective structure schematic diagram in overall structure of the present invention；
Fig. 3 is guide structure schematic diagram of the present invention；
Fig. 4 is semicircle dip stick part-structure schematic diagram of the present invention；
Fig. 5 is limiting plate partial enlargement structural representation of the present invention；
In figure, 1,3D print base；11, base guide pipe shifting chute；12, double faced adhesive tape；13, chute；14, litter；2、
Guider；21, guider pedestal；211, foot guide pipe shifting chute；22, semicircle dip stick；23, the cross break wing；231, the cross break wing
Handlebar；232, cross break wing handlebar gathering sill；232, cross break wing handlebar fastening structure；24, transverse groove；25, guide pipe；
251, guide pipe gathering sill；252, guide pipe handlebar；253, guide pipe handlebar fastening structure；3, limiting plate.
Detailed description of the invention
1 one kinds of percutaneous universal angle vertebral pedicle puncture guiding devices of embodiment
A kind of percutaneous universal angle vertebral pedicle puncture guiding device, prints base 1 including 3D, and guider 2,3D prints base 1
On guider 2 is set, 3D prints base 1 and covers 1 vertebral body, and 3D prints base 1 bottom surface and coincide with human body back structure, and top is
Plane is arranged, and which is provided with the connecting hole being connected with guider 2, and 3D prints and arranges a base guide pipe shifting chute on base 1
11；Guider 2 includes a pedestal, and pedestal is provided with and prints, with 3D, the connected nail that base 1 connecting hole is connected, and it is additionally provided with
The foot guide pipe shifting chute 211 that base 1 upper bed-plate guide pipe shifting chute 11 is corresponding, base guide pipe shifting chute 11 is printed with 3D
Bigger than foot guide pipe shifting chute 211；Guider 2 also includes a removable semicircle dip stick 22, guide pipe 25；Guide pipe
25 are affixed on the nearly shifting chute side of semicircle dip stick 22, semicircle dip stick 22 arrange guide pipe gathering sill 251, at semicircle dip stick
Arranging two pieces of rotatable limiting plates 3 at 22 bottom center, guide pipe 25 bottom inserts between two limiting plates 33；Set on guide pipe 25
Being equipped with guide pipe handlebar 252, guide pipe handlebar 252 moves in gathering sill, reaches to control the purpose that guide pipe 25 rotates,
Guide pipe handlebar fastening structure 253 is set on guide pipe handlebar 252, is used for being directed to pipe 25 and is fixed at set angle.
3D prints arranging of base 1 can make guider 2 well be positioned patient back, it is ensured that the stability of guider 2, and 3D prints
With the separately positioned of guider pedestal 21, base 1 can ensure that only changing 3D when using guider 2 prints base 1, and
Need not overall print；Semicircle dip stick 22 the accuracy that can preferably ensure inclination angle is set, arranging of limiting plate 3 can be protected
The sensing of card guide pipe 25 is consistent with the instruction of the angle of semicircle dip stick 22, preferably determines entry point and enters to follow closely direction.These are ten thousand years old
It is applicable to different patients to angle pedicle of vertebral arch guider, and has again respective 3D to print base 1 for different patients, use
Convenient, entry point and enter to follow closely angle accurate.3D prints base 1 bottom surface and arranges 6 double faced adhesive tapes 12.The setting of double faced adhesive tape 12 can
Preferably to make guider 2 preferably be fixed on patient back, prevent position in operation process from changing.
Semicircle dip stick 22 arranges the cross break wing 23 at nearly bottom, and the cross break wing 23 is integrally formed on semicircle dip stick 22,
The cross break wing 23 inserts in the transverse groove 24 being arranged on guider pedestal 21.This kind arranges and can efficiently accomplish all semicircle dip sticks
The movement of 22.The cross break wing 23 thickness is corresponding with the width of rebate of transverse groove 24.The correspondence of size can make the cross break wing 23 more preferable
Control semicircle dip stick 22 to move.
Dip stick bottom plane is slightly below guider pedestal 21 baseplane.Dip stick bottom is slightly below guider pedestal 21
Setting can ensure that dip stick and guide pipe 25 closer to entering to follow closely position, make entry point and guiding the simpler convenience of selection and
More accurate.
Fastening structure can be threaded nut fastening structure.Screw nut fastening structure is simple and easy to use, and easy
Arrive.
The material of percutaneous universal angle vertebral pedicle puncture guiding device is the permeable medical nonmetallic materials of X-ray.X-ray
Can ensure that through the setting of medical nonmetallic materials utilizes X ray image instrument to determine into nail direction in operation process
With entry point.
2 one kinds of percutaneous universal angle vertebral pedicle puncture guiding devices of embodiment
A kind of percutaneous universal angle vertebral pedicle puncture guiding device, prints base 1 including 3D, and guider 2,3D prints base 1
On guider 2 is set, 3D prints base 1 and covers 1 vertebral body, and 3D prints base 1 bottom surface and coincide with human body back structure, and top is
Plane is arranged, and 3D prints base 1 and is provided with the chute 13 being connected with guider 2, and 3D prints and arranges a base guide on base 1
Pipe shifting chute 11；Guider 2 includes a pedestal, and pedestal is provided with and prints the litter 14 that base 1 chute 13 is connected, litter with 3D
On cross break section is set；It is additionally provided with the litter fastening structure for fastening litter；It is additionally provided with on it and prints the base 1 upper end with 3D
The foot guide pipe shifting chute 211 of seat guide pipe shifting chute 11 correspondence, base guide pipe shifting chute 11 moves than foot guide pipe
Groove 211 is big；Guider 2 also includes a removable semicircle dip stick 22, guide pipe 25；Guide pipe 25 is affixed on semicircle dip stick
22 nearly shifting chute sides, semicircle dip stick 22 arranges guide pipe gathering sill 251, arranges at semicircle dip stick 22 bottom center
Two pieces of rotatable limiting plates 3, guide pipe 25 bottom is inserted between two limiting plates 3；Guide pipe handlebar it is provided with on guide pipe 25
252, guide pipe handlebar 252 moves in gathering sill, reaches to control the purpose that guide pipe 25 rotates, guide pipe handlebar 252
On guide pipe handlebar fastening structure 253 is set, be used for being directed to pipe 25 and be fixed at set angle.Different tube diameters is separately set
Guide pipe 2, to adapt to the puncture needle of different-diameter.3D prints arranging of base 1 can make guider 2 well be positioned patient
Back, it is ensured that the stability of guider 2,3D prints separately positioned can ensure that of base 1 and guider pedestal 21 and leads in use
When device 2, only change 3D print base 1, and need not overall print；Arranging of semicircle dip stick 22 can preferably ensure
The accuracy at inclination angle, the setting of limiting plate 3 can ensure that the sensing of guide pipe 25 is consistent with the instruction of the angle of semicircle dip stick 22,
Preferably determine entry point and enter to follow closely direction.This universal angle pedicle of vertebral arch guider is applicable to different patients, and for difference
Patient have again respective 3D print base 1, easy to use, entry point and enter to follow closely angle accurate.3D prints base 1 bottom surface and arranges
6 double faced adhesive tapes 12.Arranging of double faced adhesive tape 12 can preferably make guider 2 preferably be fixed on patient back, prevents hands
During art, position changes.
Semicircle dip stick 22 arranges the cross break wing 23 at nearly bottom, and the cross break wing 23 is integrally formed on semicircle dip stick 22,
The cross break wing 23 inserts in the transverse groove 24 being arranged on guider pedestal 21.This kind arranges and can efficiently accomplish all semicircle dip sticks
The movement of 22.The cross break wing 23 thickness is corresponding with the width of rebate of transverse groove 24.The correspondence of size can make the cross break wing 23 more preferable
Control semicircle dip stick 22 to move.It is also equipped with cross break wing handlebar 231 on the cross break wing 23, guider pedestal 21 is additionally provided with
The cross break wing handlebar gathering sill 232 moved for cross break wing handlebar 231.Cross break wing handlebar 231 and cross break wing handlebar are led
Setting to groove 232 can ensure that the movement of the cross break wing 23 and the effectiveness of movement thereof and stability.On cross break wing handlebar 231
It is provided with cross break wing handlebar fastening structure 233, for the cross break wing 23 is fixed to setting position.Arranging of fastening structure is permissible
The cross break wing 23 is made effectively to fix after moving to setting position.
Dip stick bottom plane is highly consistent with guider pedestal 21 baseplane.This kind arranges and can not hinder dip stick
Mobile, guide pipe can be made again to try one's best close to entry point position.
Fastening structure can be threaded nut fastening structure.Screw nut fastening structure is simple and easy to use, and easy
Arrive.
The material of percutaneous universal angle vertebral pedicle puncture guiding device is the permeable medical nonmetallic materials of X-ray.X-ray
Can ensure that through the setting of medical nonmetallic materials utilizes X ray image instrument to determine into nail direction in operation process
With entry point.
3 one kinds of percutaneous universal angle vertebral pedicle puncture guiding devices of embodiment
A kind of percutaneous universal angle vertebral pedicle puncture guiding device, prints base 1 including 3D, and guider 2,3D prints base 1
On guider 2 is set, 3D prints base 1 and covers 1 vertebral body, and 3D prints base 1 bottom surface and coincide with human body back structure, and top is
Plane is arranged, and 3D prints base 1 and is provided with the chute 13 being connected with guider 2, and 3D prints and arranges a base guide on base 1
Pipe shifting chute 11；Guider 2 includes a pedestal, and pedestal is provided with and prints the litter 14 that base 1 chute 13 is connected, litter with 3D
On cross break section is set；It is additionally provided with the litter fastening structure for fastening litter；；It is additionally provided with on it and prints on base 1 with 3D
The foot guide pipe shifting chute 211 of base guide pipe shifting chute 11 correspondence, base guide pipe shifting chute 11 moves than foot guide pipe
Dynamic groove 211 is big；Guider 2 also includes a removable semicircle dip stick 22, guide pipe 25；Guide pipe 25 is affixed on semicircle and measures
The nearly shifting chute side of chi 22, semicircle dip stick 22 arranges guide pipe gathering sill 251, sets at semicircle dip stick 22 bottom center
Putting two pieces of rotatable limiting plates 3, guide pipe 25 bottom is inserted between two limiting plates 3；It is provided with guide pipe on guide pipe 25 to handle
Handle 252, guide pipe handlebar 252 moves in gathering sill, reaches to control the purpose that guide pipe 25 rotates, guide pipe handlebar
Guide pipe handlebar fastening structure 253 is set on 252, is used for being directed to pipe 25 and is fixed at set angle；Different pipe is separately set
The guide pipe 2 in footpath, to adapt to the puncture needle of different-diameter；3D prints the non-bearing part of base 1 and arranges engraved structure.3D prints
Arranging of base 1 can make guider 2 well be positioned patient back, it is ensured that the stability of guider 2, and 3D prints base 1
Separately positioned with guider pedestal 21 can ensure that only changing 3D when using guider 2 prints base 1, and need not be whole
Body prints；Semicircle dip stick 22 the accuracy that can preferably ensure inclination angle is set, the setting of limiting plate 3 can ensure that guiding
The sensing of pipe 25 is consistent with the instruction of the angle of semicircle dip stick 22, preferably determines entry point and enters to follow closely direction.This universal angle
Pedicle of vertebral arch guider is applicable to different patients, and has again respective 3D to print base 1 for different patients, easy to use,
Entry point and enter to follow closely angle accurate.3D prints base 1 bottom surface and arranges 6 double faced adhesive tapes 12.Arranging of double faced adhesive tape 12 can be more
The good guider 2 that makes preferably is fixed on patient back, prevents position in operation process from changing.
Semicircle dip stick 22 arranges the cross break wing 23 at nearly bottom, and the cross break wing 23 is integrally formed on semicircle dip stick 22,
The cross break wing 23 inserts in the transverse groove 24 being arranged on guider pedestal 21.This kind arranges and can efficiently accomplish all semicircle dip sticks
The movement of 22.The cross break wing 23 thickness is corresponding with the width of rebate of transverse groove 24.The correspondence of size can make the cross break wing 23 more preferable
Control semicircle dip stick 22 to move.It is also equipped with cross break wing handlebar 231 on the cross break wing 23, guider pedestal 21 is additionally provided with
The cross break wing handlebar gathering sill 232 moved for cross break wing handlebar 231.Cross break wing handlebar 231 and cross break wing handlebar are led
Setting to groove 232 can ensure that the movement of the cross break wing 23 and the effectiveness of movement thereof and stability.On cross break wing handlebar 231
It is provided with cross break wing handlebar fastening structure 233, for the cross break wing 23 is fixed to setting position.Arranging of fastening structure is permissible
The cross break wing 23 is made effectively to fix after moving to setting position.
Dip stick bottom plane is highly consistent with guider pedestal 21 baseplane.This kind arranges and can not hinder dip stick
Mobile, guide pipe can be made again to try one's best close to entry point position.
Guide pipe 25 is connected with two limiting plates 3.The connection of guide pipe 25 and two limiting plates 3 can be led in significantly more efficient control
Position to pipe 25 so that it is rotate with limiting plate 3, so make its centrage all the time with enter to follow closely direction consistent.
Fastening structure can be threaded nut fastening structure.Screw nut fastening structure is simple and easy to use, and easy
Arrive.
The material of percutaneous universal angle vertebral pedicle puncture guiding device is the permeable medical nonmetallic materials of X-ray.X-ray
Can ensure that through the setting of medical nonmetallic materials utilizes X ray image instrument to determine into nail direction in operation process
With entry point.
4 one kinds of percutaneous universal angle vertebral pedicle puncture guiding devices of embodiment
A kind of percutaneous universal angle vertebral pedicle puncture guiding device, prints base 1 including 3D, and guider 2,3D prints base 1
On guider 2 is set, 3D prints base 1 and covers 1 vertebral body, and 3D prints base 1 bottom surface and coincide with human body back structure, and top is
Plane is arranged, and 3D prints base 1 and is provided with the chute 13 being connected with guider 2, and 3D prints and arranges a base guide on base 1
Pipe shifting chute 11；Guider 2 includes a pedestal, and pedestal is provided with and prints the litter 14 that base 1 chute 13 is connected, litter with 3D
On cross break section is set；It is additionally provided with the litter fastening structure for fastening litter；It is additionally provided with on it and prints the base 1 upper end with 3D
The foot guide pipe shifting chute 211 of seat guide pipe shifting chute 11 correspondence, base guide pipe shifting chute 11 moves than foot guide pipe
Groove 211 is big；Guider 2 also includes 2 removable semicircle dip sticks 22, guide pipe 25；Guide pipe 25 is affixed on semicircle dip stick
22 nearly shifting chute sides, semicircle dip stick 22 arranges guide pipe gathering sill 251, arranges at semicircle dip stick 22 bottom center
Two pieces of rotatable limiting plates 3, guide pipe 25 bottom is inserted between two limiting plates 3；Guide pipe handlebar it is provided with on guide pipe 25
252, guide pipe handlebar 252 moves in gathering sill, reaches to control the purpose that guide pipe 25 rotates, guide pipe handlebar 252
On guide pipe handlebar fastening structure 253 is set, be used for being directed to pipe 25 and be fixed at set angle.Different tube diameters is separately set
Guide pipe 2, to adapt to the puncture needle of different-diameter；3D prints the non-bearing part of base 1 and arranges engraved structure.3D prints base
1 arrange can make guider 2 well be positioned patient back, it is ensured that the stability of guider 2, and 3D prints base 1 and leads
Separately positioned to device pedestal 21 can ensure that only changing 3D when using guider 2 prints base 1, and need not overall beat
Print；Semicircle dip stick 22 the accuracy that can preferably ensure inclination angle is set, the setting of limiting plate 3 can ensure that guide pipe 25
The instruction of sensing and the angle of semicircle dip stick 22 consistent, preferably determine entry point and enter to follow closely direction.This universal angle vertebral arch
Root guider is applicable to different patients, and has again respective 3D to print base 1 for different patients, easy to use, enters nail
Point and enter to follow closely angle accurate.3D prints base 1 bottom surface and arranges 6 double faced adhesive tapes 12.Arranging of double faced adhesive tape 12 can be more preferable
Make guider 2 preferably be fixed on patient back, prevent position in operation process from changing.
Semicircle dip stick 22 arranges the cross break wing 23 at nearly bottom, and the cross break wing 23 is integrally formed on semicircle dip stick 22,
The cross break wing 23 inserts in the transverse groove 24 being arranged on guider pedestal 21.This kind arranges and can efficiently accomplish all semicircle dip sticks
The movement of 22.The cross break wing 23 thickness is corresponding with the width of rebate of transverse groove 24.The correspondence of size can make the cross break wing 23 more preferable
Control semicircle dip stick 22 to move.It is also equipped with cross break wing handlebar 231 on the cross break wing 23, guider pedestal 21 is additionally provided with
The cross break wing handlebar gathering sill 232 moved for cross break wing handlebar 231.Cross break wing handlebar 231 and cross break wing handlebar are led
Setting to groove 232 can ensure that the movement of the cross break wing 23 and the effectiveness of movement thereof and stability.On cross break wing handlebar 231
It is provided with cross break wing handlebar fastening structure 233, for the cross break wing 23 is fixed to setting position.Arranging of fastening structure is permissible
The cross break wing 23 is made effectively to fix after moving to setting position.
Dip stick bottom plane is highly consistent with guider pedestal 21 baseplane.This kind arranges and can not hinder dip stick
Mobile, guide pipe can be made again to try one's best close to entry point position.
Guide pipe 25 is connected with two limiting plates 3.The connection of guide pipe 25 and two limiting plates 3 can be led in significantly more efficient control
Position to pipe 25 so that it is rotate with limiting plate 3, so make its centrage all the time with enter to follow closely direction consistent.
Fastening structure can be threaded nut fastening structure.Screw nut fastening structure is simple and easy to use, and easy
Arrive.
The material of percutaneous universal angle vertebral pedicle puncture guiding device is the permeable medical nonmetallic materials of X-ray.X-ray
Can ensure that through the setting of medical nonmetallic materials utilizes X ray image instrument to determine into nail direction in operation process
With entry point.
5 one kinds of percutaneous universal angle vertebral pedicle puncture guiding devices of embodiment
A kind of percutaneous universal angle vertebral pedicle puncture guiding device, prints base 1 including 3D, and guider 2,3D prints base 1
On guider 2 is set, 3D prints base 1 and covers 2 vertebral bodys, and 3D prints base 1 bottom surface and coincide with human body back structure, and top is
Plane is arranged, and 3D prints base 1 and is provided with the chute 13 being connected with guider 2, and 3D prints and arranges a base guide on base 1
Pipe shifting chute 11；Guider 2 includes a pedestal, and pedestal is provided with and prints the litter 14 that base 1 chute 13 is connected, litter with 3D
On cross break section is set；It is additionally provided with the litter fastening structure for fastening litter；It is additionally provided with on it and prints the base 1 upper end with 3D
2 foot guide pipe shifting chutes 211 of seat guide pipe shifting chute 11 correspondence, base guide pipe shifting chute 11 moves than foot guide pipe
Dynamic groove 211 is big；Guider 2 also includes 2 removable semicircle dip sticks 22, guide pipe 25, each shifting chute corresponding one and half
Circle dip stick 22 and a guide pipe 25；Guide pipe 25 is affixed on the nearly shifting chute side of semicircle dip stick 22, on semicircle dip stick 22
Guide pipe gathering sill 251 is set, two pieces of rotatable limiting plates 3, guide pipe 25 end are set at semicircle dip stick 22 bottom center
End inserts between two limiting plates 3；Being provided with guide pipe handlebar 252 on guide pipe 25, guide pipe handlebar 252 is in gathering sill
Mobile, reach to control the purpose that guide pipe 25 rotates, guide pipe handlebar 252 arranges guide pipe handlebar fastening structure 253,
It is fixed at set angle for being directed to pipe 25.The guide pipe 2 of different tube diameters is separately set, to adapt to the puncture of different-diameter
Pin；3D prints the non-bearing part of base 1 and arranges engraved structure.3D prints arranging of base 1 can make guider 2 well fixed
Being positioned at patient back, it is ensured that the stability of guider 2,3D prints base 1 and can ensure that with the separately positioned of guider pedestal 21
Only change 3D when using guider 2 and print base 1, and need not overall print；Arranging of semicircle dip stick 22 can be more
The good accuracy ensureing inclination angle, the setting of limiting plate 3 can ensure that the sensing of guide pipe 25 and the angle of semicircle dip stick 22
Instruction is consistent, preferably determines entry point and enters to follow closely direction.This universal angle pedicle of vertebral arch guider is applicable to different patients, and
For different patients have again respective 3D print base 1, easy to use, entry point and enter to follow closely angle accurate.3D prints base 1
Bottom surface arranges 6 double faced adhesive tapes 12.Arranging of double faced adhesive tape 12 can preferably make guider 2 preferably be fixed on patient's back of the body
Portion, prevents position in operation process from changing.
Semicircle dip stick 22 arranges the cross break wing 23 at nearly bottom, and the cross break wing 23 is integrally formed on semicircle dip stick 22,
The cross break wing 23 inserts in the transverse groove 24 being arranged on guider pedestal 21.This kind arranges and can efficiently accomplish all semicircle dip sticks
The movement of 22.The cross break wing 23 thickness is corresponding with the width of rebate of transverse groove 24.The correspondence of size can make the cross break wing 23 more preferable
Control semicircle dip stick 22 to move.It is also equipped with cross break wing handlebar 231 on the cross break wing 23, guider pedestal 21 is additionally provided with
The cross break wing handlebar gathering sill 232 moved for cross break wing handlebar 231.Cross break wing handlebar 231 and cross break wing handlebar are led
Setting to groove 232 can ensure that the movement of the cross break wing 23 and the effectiveness of movement thereof and stability.On cross break wing handlebar 231
It is provided with cross break wing handlebar fastening structure 233, for the cross break wing 23 is fixed to setting position.Arranging of fastening structure is permissible
The cross break wing 23 is made effectively to fix after moving to setting position.
Dip stick bottom plane is highly consistent with guider pedestal 21 baseplane.This kind arranges and can not hinder dip stick
Mobile, guide pipe can be made again to try one's best close to entry point position.
Guide pipe 25 is connected with two limiting plates 3.The connection of guide pipe 25 and two limiting plates 3 can be led in significantly more efficient control
Position to pipe 25 so that it is rotate with limiting plate 3, so make its centrage all the time with enter to follow closely direction consistent.
1 or two semicircle dip sticks 22 is arranged on guider pedestal 21.Arranging of two semicircle dip sticks 22 can be to double
Side pedicle of vertebral arch operates simultaneously.
Fastening structure can be threaded nut fastening structure.Screw nut fastening structure is simple and easy to use, and easy
Arrive.
The material of percutaneous universal angle vertebral pedicle puncture guiding device is the permeable medical nonmetallic materials of X-ray.X-ray
Can ensure that through the setting of medical nonmetallic materials utilizes X ray image instrument to determine into nail direction in operation process
With entry point.
The explanation of above-described embodiment is only intended to understand the present invention.It should be pointed out that, for those of ordinary skill in the art
For, under the premise without departing from the principles of the invention, it is also possible to the present invention is carried out some improvement, these improve and also will fall into this
In invention scope of the claims.
Claims (10)
1. a percutaneous universal angle vertebral pedicle puncture guiding device, prints base (1) including 3D, and guider (2), its feature exists
In, described 3D prints base (1) top and arranges guider (2)；
Described 3D prints base (1) bottom surface and coincide with human body back structure, and top is that plane is arranged, and which is provided with and guider
(2) attachment structure connected, 3D prints and arranges base guide pipe shifting chute (11) on base；Described guider 2 includes guider
Pedestal (21), semicircle dip stick (22) and guide pipe (25)；Pedestal (21) is provided with and prints, with 3D, the structure that base (1) is connected,
Being additionally provided with foot guide pipe shifting chute (211) corresponding with base guide pipe shifting chute (11) on it, guide pipe (25) is affixed on
The nearly shifting chute side of semicircle dip stick (22), semicircle dip stick ((22)) arranges guide pipe gathering sill (251) and surveys at semicircle
At gage ((22)) bottom center arrange two pieces of rotatable limiting plates (3), guide pipe (25) bottom insert two limiting plates (3) it
Between, guide pipe (25) is provided with guide pipe handlebar (252), guide pipe handlebar (252) is in guide pipe gathering sill (251)
Mobile, reach to control the purpose that guide pipe rotates, guide pipe handlebar (252) arranges guide pipe handlebar fastening structure
(253)；Described semicircle dip stick (22) is connected with pedestal (21).
Percutaneous universal angle vertebral pedicle puncture guiding device the most according to claim 1, it is characterised in that described semicircle is measured
Chi (22) is removable semicircle dip stick.
Percutaneous universal angle vertebral pedicle puncture guiding device the most according to claim 1, it is characterised in that described guider base
Arranging transverse groove (24) on seat (21), described semicircle dip stick (22) arranges the cross break wing (23) at nearly bottom, and the cross break wing (23) is inserted
Enter to be arranged in the transverse groove (24) on guider pedestal (21).
Percutaneous universal angle vertebral pedicle puncture guiding device the most according to claim 3, it is characterised in that the described cross break wing
(23) thickness is corresponding with the width of rebate of transverse groove (24).
Percutaneous universal angle vertebral pedicle puncture guiding device the most according to claim 3, it is characterised in that on the described cross break wing
It is also equipped with cross break wing handlebar (231), guider pedestal (21) is additionally provided with the horizontal stroke for cross break wing lever (231) movement
Flap handlebar gathering sill (232).
Percutaneous universal angle vertebral pedicle puncture guiding device the most according to claim 5, it is characterised in that the described cross break wing is grasped
It is provided with cross break wing handlebar fastening structure (233) on vertical handle (231).
Percutaneous universal angle vertebral pedicle puncture guiding device the most according to claim 1, it is characterised in that described guide pipe
(25) it is connected with two limiting plates (3).
Percutaneous universal angle vertebral pedicle puncture guiding device the most according to claim 1, it is characterised in that described guider base
1 or two semicircle dip sticks is arranged on seat (21).
Percutaneous universal angle vertebral pedicle puncture guiding device the most according to claim 1, it is characterised in that described 3D prints the end
Seat covers one or more vertebral body, and described 3D prints and arranges one or more base guide pipe shifting chute (11) on base (1), and corresponding
Guider pedestal arranges multiple foot guide pipe shifting chute (211).
10. according to the percutaneous universal angle vertebral pedicle puncture guiding device described in claim 1-9 any one, it is characterised in that
The material of described percutaneous universal angle vertebral pedicle puncture guiding device is the permeable medical nonmetallic materials of X-ray.
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| CN201610312309.3A CN106037892B (en) | 2016-05-11 | 2016-05-11 | A kind of percutaneous universal angle vertebral pedicle puncture guiding device |
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| CN201610312309.3A CN106037892B (en) | 2016-05-11 | 2016-05-11 | A kind of percutaneous universal angle vertebral pedicle puncture guiding device |
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| CN109602482A (en) * | 2018-12-24 | 2019-04-12 | 莆田学院附属医院（莆田市第二医院） | 3D printing foramen intervertebrale lens target puncture percutaneous surgical guide |
| CN109692033A (en) * | 2019-03-07 | 2019-04-30 | 谢林 | A kind of percutaneous lumbar intervertebral foramen mirror puncture auxiliary locator |
| CN110664466A (en) * | 2019-08-30 | 2020-01-10 | 重庆医科大学附属永川医院 | Double-side percutaneous puncture vertebral body guider |
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| CN106037892B (en) | 2018-09-25 |
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