CN106264702B - Spine minimally invasive positioning system and application thereof in spine minimally invasive positioning - Google Patents
Spine minimally invasive positioning system and application thereof in spine minimally invasive positioning Download PDFInfo
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- CN106264702B CN106264702B CN201510256578.8A CN201510256578A CN106264702B CN 106264702 B CN106264702 B CN 106264702B CN 201510256578 A CN201510256578 A CN 201510256578A CN 106264702 B CN106264702 B CN 106264702B
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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 18
- 239000000463 material Substances 0.000 claims description 5
- 238000000034 method Methods 0.000 abstract description 7
- 238000001356 surgical procedure Methods 0.000 abstract description 5
- 238000002324 minimally invasive surgery Methods 0.000 abstract description 3
- 230000000451 tissue damage Effects 0.000 abstract description 3
- 231100000827 tissue damage Toxicity 0.000 abstract description 3
- 210000000988 bone and bone Anatomy 0.000 description 8
- 230000006378 damage Effects 0.000 description 3
- 238000010586 diagram Methods 0.000 description 3
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 239000004020 conductor Substances 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 230000005855 radiation Effects 0.000 description 2
- 206010010214 Compression fracture Diseases 0.000 description 1
- 206010050296 Intervertebral disc protrusion Diseases 0.000 description 1
- 208000020307 Spinal disease Diseases 0.000 description 1
- 206010044565 Tremor Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 238000005553 drilling Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 239000004744 fabric Substances 0.000 description 1
- 238000012977 invasive surgical procedure Methods 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 230000004807 localization Effects 0.000 description 1
- 206010025005 lumbar spinal stenosis Diseases 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 239000003550 marker Substances 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
- 230000001009 osteoporotic effect Effects 0.000 description 1
- 230000037361 pathway Effects 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 230000002035 prolonged effect Effects 0.000 description 1
- 238000002271 resection Methods 0.000 description 1
- 230000000630 rising effect Effects 0.000 description 1
- 238000009738 saturating Methods 0.000 description 1
- 208000005198 spinal stenosis Diseases 0.000 description 1
- 239000012780 transparent material Substances 0.000 description 1
- 230000000472 traumatic effect Effects 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
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/90—Guides therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
- A61B2017/3405—Needle locating or guiding means using mechanical guide means
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Pathology (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Abstract
The invention discloses a minimally invasive spinal positioning system and application thereof. The method comprises the following steps: a base; a z-axis guide bar disposed on the base; a z-axis scale; the first scale and the first vernier extend along the x-axis direction; the second graduated scale and the second vernier extend along the y-axis direction; a first angle disc connected to the second cursor, extending in the x-z plane and having graduations; the first rotating piece is connected to the second vernier and can rotate along a central axis parallel to the y axis; a second angle scale extending in a plane perpendicular to the first angle scale and having graduations; the second rotating piece rotates along a second rotating axis which is perpendicular to the second angle scale; the indicating needle can rotate along with the second rotating part and is used for marking the rotating angle; a needle holder for holding a puncture needle. The spine minimally invasive positioning system avoids the phenomenon of important tissue damage caused by inaccurate puncture positions in the minimally invasive surgery process, reduces the risk of surgery of a patient, and accordingly enables the positioning of the spine minimally invasive surgery to be more accurate.
Description
Technical field
The present invention relates to minimally invasive surgical techniques fields, more particularly, to a kind of vertebral column minimally invasive positioning system and its in ridge
Application in the minimally invasive positioning of column.
Background technique
Micro-wound surgical operation is using advanced tool (such as computer, special puncture guide pin, special drag hook and image
Equipment), traditional operation is completed by special operative approach, and least tissue damage, most light is generated to patient to reach
Psychological impact, most fast rehabilitation and best surgical effect.
Minimally invasive spine surgical is the various spinal diseases for the treatment of (such as the osteoporotic compression fracture, ridge of rising in recent years
Column traumatic fractue, the protrasion of the lumbar intervertebral disci, lumbar spinal stenosis etc.) operation method, it have notch is small, wound is small, hand
Multiple advantages such as the art time is short, postoperative effect is good.But also have disadvantage, a key of the operation be accurately positioned, including
Skin incision, operation pathway and position where lesion etc..If position inaccurate, it is possible to cause more serious damage, such as
Important nerve, blood vessel etc. around damage.The methods of the various body surface symbols positioning of the past, metal marker positioning positioning are not quasi- enough
Really, it needs repeatedly to have an X-rayed in surgical procedure;Not only operating time is increased, but also medical staff and patient is made repeatedly to be exposed to x-ray spoke
It penetrates down, by the x-ray bombardment compared with routine operation several times or even dozens of times dosage.
Minimally invasive procedure is developing direction from now on, and the main operation of one of them is fixed in percutaneous screw.At present
It is completed under existing Internal fixation technology or incision direct-view or in the case where x-ray is continuously had an X-rayed, patient or medical worker is caused
Great damage.Existing locator, sighting device, guider cannot reach accurate purpose, only have the computer aided manufacturing assistant director of a film or play at present
Boat system can solve this problem, and structure is complicated for operation guiding system, and expensive (about 4,000,000/set), learning curve is long,
Accuracy is also to be improved.
An other minimally invasive spinal surgery technology is spinal endoscopes operation, for treating protrasion of the lumbar intervertebral disci etc..But
The operation must make the percutaneous Direct perforantes of surgical instrument, accurately arrive at " triangle of safety workspace ", could be in Microendoscopic safety
Successfully carry out the resection operation of lumbar disc herniation.Needle localization it is accurate whether, whether determining entire operation smoothly, very
To be the key that determine operation success or failure.Entire puncture process is carried out under the perspective monitoring of C-arm X-ray machine, and the puncture time gets over
Length, number are more, it is meant that the x-ray exposed amount of patient and patient obviously increase.
Summary of the invention
The purpose of the present invention is intended to provide a kind of vertebral column minimally invasive positioning system and its application in vertebral column minimally invasive positioning, from
And make the positioning of minimally invasive spine surgical more accurate, operating time is shortened, while it is sudden and violent too much to also avoid medical staff
It is exposed under radiation.
To solve the above-mentioned problems, according to an aspect of the invention, there is provided a kind of vertebral column minimally invasive positioning system, is used for
Puncture needle is positioned to scheduled puncture position, comprising: pedestal;Z-axis guide rod, is set on the base along the z-axis direction;For marking
Know the z-axis scale of z-axis position;The first graduated scale extended along the x-axis direction and the first trip that can be slided along the first graduated scale
Mark, the first graduated scale are connected to z-axis guide rod and can move in the z-axis direction along z-axis guide rod;Extend along the y-axis direction
Second graduated scale and the second vernier that can be slided along the second graduated scale, the second graduated scale be connected to the first vernier and can be with
First vernier is mobile;It is fixedly attached to the first angle disk of the second vernier, extend in x-z-plane and is had for identifying angle
The scale of degree;First rotating member, is connected to the second vernier and can be relative to the second vernier along first center parallel with y-axis
Pivot axis;It is fixedly attached to the second angle disk of the first rotating member, is prolonged in the plane perpendicular to first angle disk
It stretches and there is the scale for indicating angle;Second rotating member, connecting into the first rotating member can be along perpendicular to second jiao
The second rotation axis of scale rotates;The indicator connecting with the second rotating member can be rotated with the second rotating member, and adjacent
It is bordering on second angle disk arrangement, to identify rotational angle of second rotating member relative to second angle disk;Needle holder, connection
To the second rotating member and for keeping puncture needle.
Further, second angle disk is arranged adjacent to first angle disk, so that second angle disk is on first angle disk
Projection can be used in identifying rotational angle of first rotating member relative to first angle disk.
Further, first angle disk is made of transparent or semitransparent material;Optionally, second angle disk is by transparent or half
Transparent material is made.
Further, the second rotating member and needle holder are formed as an entirety.
Further, the second vernier includes a protrusion extended along the x-axis direction, first angle disk and the first rotating member cloth
It sets at protrusion, so that the first rotating member is far from the second graduated scale;Optionally, the first rotating member includes and first angle disk
The connecting shaft of connection and the block being set in connecting shaft.
It further, further include the x-axis guide rod extended along the x-axis direction, the first end of x-axis guide rod is movably fixed
It can move on z-axis guide rod and along z-axis guide rod;The second end of x-axis guide rod is connected by link block and the first graduated scale
It connects;Optionally, x-axis conductor rod is equipped with scale.
Further, pedestal is arranged to be detachably connectable to the station for being punctured.
Further, pedestal includes a y-axis guide rod extended along the y-axis direction, wherein z-axis guide rod slideably connects
It is connected to y-axis guide rod;Optionally, y-axis guide rod is equipped with scale.
Further, z-axis scale is formed in z-axis guide rod surface or z-axis scale are set independently of z-axis guide rod
It sets on pedestal (20).
According to another aspect of the present invention, a kind of vertebral column minimally invasive positioning system answering in vertebral column minimally invasive positioning is provided
With, comprising the following steps: any of the above-described kind of vertebral column minimally invasive positioning system is provided;The first x light picture, note are shot along the x-axis direction
Record is located at the first point of puncture in bone surface and believes positioned at first position of second point of puncture in y-z plane of inside bone
Breath;Shoot the 2nd x light picture along the y-axis direction, record is located at the first point of puncture in bone surface and positioned at the of inside bone
Second location information of two points of puncture in x-z-plane;It is determined according to first location information and second location information to be positioned
Direction and angle;Adjustment vertebral column minimally invasive positioning system makes puncture needle consistent with the direction of positioning and angle.
Beneficial effects of the present invention: vertebral column minimally invasive positioning system of the invention be straight line is determined according to two o'clock, and
It the position put in space can be made of the principle that three-dimensional coordinate is expressed.Using the vertebral column minimally invasive positioning system, can to avoid
Position inaccuracy when drilling is punctured in minimal invasive surgical procedures and vital tissue damage or interior fixed position is caused inaccurately to cause admittedly
Phenomena such as fixed shakiness, failure, the risk of patients surgery is reduced, so that the positioning of minimally invasive spine surgical is more accurate, is subtracted
The radiation of few medical staff, shortens operating time, market prospects are beyond measure.
According to the following detailed description of specific embodiments of the present invention in conjunction with the accompanying drawings, those skilled in the art will be brighter
The above and other objects, advantages and features of the present invention.
Detailed description of the invention
Some specific embodiments of the present invention is described in detail by way of example and not limitation with reference to the accompanying drawings hereinafter.
Identical appended drawing reference denotes same or similar part or part in attached drawing.It should be appreciated by those skilled in the art that these
What attached drawing was not necessarily drawn to scale.In attached drawing:
Fig. 1 is the structural schematic diagram according to the vertebral column minimally invasive positioning system of an embodiment of the present invention;
Fig. 2 is the part-structure enlarged drawing of the vertebral column minimally invasive positioning system in Fig. 1;And
Fig. 3 is a kind of first angle disk of embodiment according to the present invention and the structural schematic diagram of second angle disk.
Specific embodiment
As shown in Figs. 1-2, the present invention provides a kind of for positioning puncture needle 10 to the backbone of scheduled puncture position
Minimally invasive positioning system, structure include pedestal 20 and the z-axis guide rod 30 being slidably sleeved on pedestal 20, the first scale
Ruler 40, the second graduated scale 50, first angle disk 60 and second angle disk 70.
Specifically, as shown in Figure 1, pedestal 20 includes two fixing clamps 21 for firm banking 20 and along the y-axis direction prolongs
The y-axis guide rod 22 stretched, such pedestal 20 can be set to the station that can be detachably connectable to for being punctured.
Y-axis guide rod 22 is located between two fixing clamps 21.It is arranged on y-axis guide rod 22 and is vertically directed seat 23, z-axis guide rod 30
Y-axis guide rod 22 is slidably attached to by being vertically directed seat 23.Z-axis guiding can be adjusted and then being vertically directed seat 23
Bar 30, so that z-axis guide rod 30 can freely slide on horizontal coarse adjustment guide rod 22.Preferably, on y-axis guide rod 22
Equipped with scale.
In order to indicate the distance moved on z-axis direction, which further includes for identifying z-axis position
Z-axis scale 301.In one embodiment of the invention, as shown in Fig. 2, the z-axis scale 301 is independently of z-axis guide rod 30, and
It is parallel to each other with it.Z-axis scale 301 and z-axis guide rod 30 are arranged on horizontal coarse adjustment guide rod 22, and z-axis scale 301 can
To be to be arranged and be fixed by screws on horizontal coarse adjustment guide rod 22.In a unshowned embodiment of the invention, z-axis mark
Ruler 301 is also possible to be formed in the surface of z-axis guide rod 30, i.e., is provided with scale on the surface of z-axis guide rod 30.
As shown in Figure 1, being equipped with the x-axis guide rod 401 extended along the x-axis direction on z-axis guide rod 30.Wherein, x-axis is oriented to
The first end of bar 401 is movably fixed on z-axis guide rod 30 and can move in the z-axis direction along z-axis guide rod 30, x
The second end of axis guide rod 401 is connect by link block 402 with the first graduated scale 40.It preferably, can be on x-axis conductor rod 401
Equipped with scale.It in other embodiments of the invention, can also be straight by the first graduated scale 40 when the first 40 long enough of graduated scale
It is connected to z-axis guide rod 30 in succession, can thus not have to that x-axis guide rod 401 is arranged again, reduce process flow.
As depicted in figs. 1 and 2, one end of the first graduated scale 40 extends along the x-axis direction, and the other end is connected to by fastener
On z-axis guide rod 30, and it can be moved in the z-axis direction along z-axis guide rod 30.In one embodiment, fastener can be
Bolt.The first vernier 41 that can be slid along can be equipped on the first graduated scale 40.First vernier 41 can have through-hole
(not indicating in figure), the second graduated scale 50 are connected to the first vernier 41 and can be mobile with the first vernier 41.Specifically, second
Graduated scale 50 is set in the through-hole of the first vernier 41 and is fixed thereon.Second graduated scale 50 is along the y-axis vertical with x-axis direction
Direction extends, and also equally is provided with the second vernier 51 that can be slid along thereon.
In a preferred embodiment of the invention, which further includes the first rotating member 71,80.The
One rotating member 71,80 is connected to the second vernier 51 and can be relative to the second vernier 51 along first center rotating parallel with y-axis
Axis rotation.Specifically, the second vernier 51 includes a protrusion (not shown) extended along the x-axis direction, first angle disk
60 and first rotating member 71,80 be arranged at protrusion so that the first rotating member is avoided far from the second graduated scale 50 to second
Graduated scale 50 impacts.First rotating member 71,80 includes the connecting shaft 80 connecting with first angle disk 60 and the company of being set in
Block 71 in spindle 80.In a kind of exemplary embodiments of the invention, connecting shaft 80 is bolted on the second vernier 51
On, the block 71 being set in connecting shaft 80 can be rotated around connecting shaft 80.In another exemplary embodiments of the invention,
Connecting shaft 80 is to be fixedly connected, and do not relatively rotate with block 71 on it is arranged, and connecting shaft 80 can pass through adjusting
The bolt being fixed on the second vernier 51 is to be rotated.
First angle disk 60, which can be, to be fixedly attached on the protrusion of the second vernier 51 by the support being disposed below,
And first angle disk 60 extends in x-z-plane and has the scale for identifying angle.Second angle disk 70 is fixedly connected
To the block 71 of the first rotating member 71,80, and second angle disk 70 extends simultaneously in the plane perpendicular to first angle disk 60
With for indicating the scale of angle.
Preferably, second angle disk 70 is arranged adjacent to first angle disk 60, so that second angle disk 70 is in first angle
Projection on disk 60 can be used in identifying rotational angle of first rotating member 71,80 relative to first angle disk 60.Fig. 3 is first
The structural schematic diagram of angle scale and second angle disk can clearly read angle registration from above.Wherein, first angle disk 60 can
To be made of transparent or semitransparent material, accordingly even when at the back side of first angle disk 60 still it can also be seen that second angle disk
The registration of angle indicated by 70 projection on it.In one embodiment of the invention, second angle disk 70 can also be by saturating
Bright or trnaslucent materials is made, and can clearly read first angle disk 60 and with orientation in office or angle in this way
The registration of two angle scales 70, improves work efficiency.
In a preferred embodiment of the invention, as shown in Fig. 2, the vertebral column minimally invasive positioning system further includes the second rotation
Part 92.Second rotating member 92 and the first rotating member 71,80 connect into can be along the second rotation axis perpendicular to second angle disk 70
Line rotation.Indicator 93 connect with the second rotating member 92 and can rotate with the second rotating member 92.Preferably at of the invention one
In embodiment, as shown in Fig. 2, indicator 93 is arranged adjacent to second angle disk 70, more clearly to identify the second rotating member 92
Rotational angle relative to second angle disk 70.
As shown in Fig. 2, vertebral column minimally invasive positioning system further includes being connected to the second rotating member 92 and for keeping puncture needle 10
Needle holder 91.Specifically, needle holder 91 is arranged in the circular through hole of the second rotating member 92.In one embodiment,
Second rotating member 92 can be formed as an entirety with needle holder 91.In other embodiments, the second rotating member 92 is pressed from both sides with needle
Holder 91 can also be connected through a screw thread.
According to another aspect of the present invention, a kind of vertebral column minimally invasive positioning system answering in vertebral column minimally invasive positioning is additionally provided
With, comprising the following steps: firstly, providing any of the above-described kind of vertebral column minimally invasive positioning system.When patient lies in the operating bed or grasps
When making on platform, the three-dimensional in vertebral column minimally invasive positioning system is determined, shoot the first x light picture along the x-axis direction later, record position
In the first point of puncture in bone surface and positioned at first location information of second point of puncture in y-z plane of inside bone;
It shoots the 2nd x light picture along the y-axis direction again, records the first point of puncture being located in bone surface and positioned at the second of inside bone
Second location information of the point of puncture in x-z-plane;Side to be positioned is determined according to first location information and second location information
To and angle;And adjustment vertebral column minimally invasive positioning system makes puncture needle 10 consistent with the direction of positioning and angle.
So far, although those skilled in the art will appreciate that present invention has been shown and described in detail herein multiple shows
Example property embodiment still without departing from the spirit and scope of the present invention, still can according to the present disclosure directly
Determine or deduce out many other variations or modifications consistent with the principles of the invention.Therefore, the scope of the present invention is understood that and recognizes
It is set to and covers all such other variations or modifications.
Claims (11)
1. a kind of vertebral column minimally invasive positioning system, for positioning puncture needle (10) to scheduled puncture position, comprising:
Pedestal (20);
Z-axis guide rod (30) is arranged in along the z-axis direction on the pedestal (20);
For identifying the z-axis scale (301) of z-axis position;
The first graduated scale (40) extended along the x-axis direction and the first vernier that can be slided along first graduated scale (40)
(41), first graduated scale (40) is connected to the z-axis guide rod (30) and can be along the z-axis guide rod (30) in z-axis
It is moved on direction;
The second graduated scale (50) extended along the y-axis direction and the second vernier that can be slided along second graduated scale (50)
(51), second graduated scale (50) is connected to first vernier (41) and can be mobile with first vernier (41);
It is fixedly attached to the first angle disk (60) of second vernier (51), extend in x-z-plane and is had for marking
Know the scale of angle;
First rotating member (71,80), is connected to second vernier (51) and can be relative to the second vernier (51) edge
The first central axis of rotation rotation parallel with y-axis;
It is fixedly attached to the second angle disk (70) of first rotating member (71,80), perpendicular to the first angle disk
(60) extend in plane and there is the scale for indicating angle;
Second rotating member (92), connecting into first rotating member (71,80) can be along perpendicular to the second angle disk
(70) second rotation axis rotation;
The indicator (93) connecting with second rotating member (92) can be rotated with second rotating member (92), and
It is arranged adjacent to the second angle disk (70), to identify second rotating member (92) relative to the second angle disk (70)
Rotational angle;With
Needle holder (91) is connected to second rotating member (92) and for keeping the puncture needle (10);
It further include the x-axis guide rod (401) extended along the x-axis direction, x-axis guide rod (401) first end is movably fixed
And it can be mobile along the z-axis guide rod (30) on the z-axis guide rod (30);The second end of the x-axis guide rod (401)
It is connect by link block (402) with first graduated scale (40);The x-axis guide rod (401) is equipped with scale.
2. vertebral column minimally invasive positioning system according to claim 1, which is characterized in that the neighbouring institute of the second angle disk (70)
First angle disk (60) arrangement is stated, so that projection of the second angle disk (70) on the first angle disk (60) can
For identifying rotational angle of first rotating member (71,80) relative to the first angle disk (60).
3. vertebral column minimally invasive positioning system according to claim 1, which is characterized in that the first angle disk (60) is by transparent
Or trnaslucent materials is made.
4. vertebral column minimally invasive positioning system according to claim 3, which is characterized in that the second angle disk (70) is by transparent
Or trnaslucent materials is made.
5. vertebral column minimally invasive positioning system according to claim 1, which is characterized in that
Second rotating member (92) and the needle holder (91) are formed as an entirety.
6. vertebral column minimally invasive positioning system according to any one of claims 1-5, which is characterized in that
Second vernier (51) includes a protrusion extended along the x-axis direction, the first angle disk (60) and described first
Rotating member (71,80) is arranged at the protrusion, so that first rotating member (71,80) is far from second graduated scale
(50)。
7. vertebral column minimally invasive positioning system according to any one of claims 1-5, which is characterized in that
First rotating member (71,80) includes the connecting shaft (80) connecting with first angle disk (60) and is set in the company
Block (71) in spindle (80).
8. vertebral column minimally invasive positioning system according to any one of claims 1-5, which is characterized in that the pedestal (20) sets
It is set to the station that can be detachably connectable to for being punctured.
9. vertebral column minimally invasive positioning system according to any one of claims 1-5, which is characterized in that pedestal (20) packet
A y-axis guide rod (22) extended along the y-axis direction is included, the z-axis guide rod (30) is slidably attached to the y-axis guide rod
(22)。
10. vertebral column minimally invasive positioning system according to claim 9, which is characterized in that
The y-axis guide rod (22) is equipped with scale.
11. vertebral column minimally invasive positioning system according to any one of claims 1-5, which is characterized in that
The z-axis scale (301) is formed in the surface of the z-axis guide rod (30), or
The z-axis scale (301) is arranged on the pedestal (20) independently of the z-axis guide rod (30).
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CN111134798A (en) * | 2020-02-12 | 2020-05-12 | 山东航维骨科医疗器械股份有限公司 | Spine minimally invasive guider |
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Citations (10)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2930133A (en) * | 1957-07-08 | 1960-03-29 | Thompson Joseph Clay | Apparatus to aid in determining abnormal positions of spinal vertebrae |
US4750487A (en) * | 1986-11-24 | 1988-06-14 | Zanetti Paul H | Stereotactic frame |
CA2058906A1 (en) * | 1992-01-07 | 1993-07-08 | Kamaljit S. Paul | Spinal stereotaxic device |
US5308352A (en) * | 1989-11-17 | 1994-05-03 | Koutrouvelis Panos G | Stereotactic device |
CN2776327Y (en) * | 2005-04-05 | 2006-05-03 | 杨惠林 | Location guiding device for pyramis puncture through skin |
CN201179064Y (en) * | 2008-03-24 | 2009-01-14 | 关家文 | CT guided lower spine back puncture direction detector |
CN103654918A (en) * | 2012-08-31 | 2014-03-26 | 方晶晶 | Percutaneous puncture auxiliary device and percutaneous guide assembly |
CN104138293A (en) * | 2013-05-08 | 2014-11-12 | 刘瑾 | Lumbosacral vertebrae percutaneous pedicle screw placement positioner |
CN104523324A (en) * | 2014-12-24 | 2015-04-22 | 李昭中 | Intervertebral disc puncturing table performing accurate puncturing |
CN204734541U (en) * | 2015-05-19 | 2015-11-04 | 首都医科大学宣武医院 | Minimally invasive spinal positioning system |
-
2015
- 2015-05-19 CN CN201510256578.8A patent/CN106264702B/en not_active Expired - Fee Related
Patent Citations (10)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2930133A (en) * | 1957-07-08 | 1960-03-29 | Thompson Joseph Clay | Apparatus to aid in determining abnormal positions of spinal vertebrae |
US4750487A (en) * | 1986-11-24 | 1988-06-14 | Zanetti Paul H | Stereotactic frame |
US5308352A (en) * | 1989-11-17 | 1994-05-03 | Koutrouvelis Panos G | Stereotactic device |
CA2058906A1 (en) * | 1992-01-07 | 1993-07-08 | Kamaljit S. Paul | Spinal stereotaxic device |
CN2776327Y (en) * | 2005-04-05 | 2006-05-03 | 杨惠林 | Location guiding device for pyramis puncture through skin |
CN201179064Y (en) * | 2008-03-24 | 2009-01-14 | 关家文 | CT guided lower spine back puncture direction detector |
CN103654918A (en) * | 2012-08-31 | 2014-03-26 | 方晶晶 | Percutaneous puncture auxiliary device and percutaneous guide assembly |
CN104138293A (en) * | 2013-05-08 | 2014-11-12 | 刘瑾 | Lumbosacral vertebrae percutaneous pedicle screw placement positioner |
CN104523324A (en) * | 2014-12-24 | 2015-04-22 | 李昭中 | Intervertebral disc puncturing table performing accurate puncturing |
CN204734541U (en) * | 2015-05-19 | 2015-11-04 | 首都医科大学宣武医院 | Minimally invasive spinal positioning system |
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