CN107260330B - A kind of orthopaedics positional punch device - Google Patents

A kind of orthopaedics positional punch device Download PDF

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Publication number
CN107260330B
CN107260330B CN201710561073.1A CN201710561073A CN107260330B CN 107260330 B CN107260330 B CN 107260330B CN 201710561073 A CN201710561073 A CN 201710561073A CN 107260330 B CN107260330 B CN 107260330B
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China
Prior art keywords
adjusting mechanism
drill bit
drill
pair
laser head
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CN201710561073.1A
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Chinese (zh)
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CN107260330A (en
Inventor
涂敏
葛洪醒
刘安民
谢金菊
付艳雯
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Jingmen Second Peoples Hospital
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Jingmen Second Peoples Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/10Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/11Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
    • A61B90/13Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints guided by light, e.g. laser pointers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • 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
    • A61B2017/564Methods for bone or joint treatment

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Dentistry (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Optics & Photonics (AREA)
  • Pathology (AREA)
  • Earth Drilling (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a kind of orthopaedics positional punch devices, comprising: support frame;Position adjusting mechanism, position adjusting mechanism are arranged on the support frame, and position adjusting mechanism can horizontally do moving movement;Angle adjusting mechanism, angle adjusting mechanism is arranged in position adjusting mechanism, position adjusting mechanism drives angle adjusting mechanism to do longitudinal movement and elevating movement, wherein, the front end of angle adjusting mechanism is equipped with drill positioning device, and drill positioning device includes laser head and drill bit clamping jaw, and the axis of laser head is overlapped always with the axis of drill bit clamping jaw, laser head can be moved into drill bit clamping jaw, for determining specific location to be punctured;A pair of of human body fixing bracket, a pair of of human body fixing bracket is mobile to be arranged on the support frame, and a pair of of human body fixing bracket is located at the both ends of position adjusting mechanism.Drilling precision of the present invention is high, and using flexible is good.

Description

A kind of orthopaedics positional punch device
Technical field
The present invention relates to field of medical equipment technology, and in particular to a kind of orthopaedics positional punch device.
Background technique
Orthopedics patient needs to drill when being performed the operation, when treating recovery, to need to affected part to carry out spicule puncture Bone carries out punching administration or punching carries out fester drainage and will cause punch position if punch position cannot be accurately positioned Deviation influences therapeutic effect, typically now rely on laser locating apparatus be determined punch position, due to laser locating apparatus with Drill bit is usually to be arranged parallel to each other, and position to be punctured is calculated using the position that laser locating apparatus determines, due to human body It is irregular, so the requirement in the punching direction and affected part that obtain not necessarily complies fully with, punch position is caused deviation occur; For this purpose, it is proposed that a kind of orthopaedics positional punch device.
Summary of the invention
A kind of orthopaedics positional punch device provided by the invention, since the axis of laser head is overlapped with the axis of drill bit, and Laser head, which can be moved at drill bit clamping jaw, determines punch position, and laser head resets after the completion of determining, drill bit is clamped in In drill bit clamping jaw, determining position will not change, and improve drilling precision;Since drill positioning device can be along cross To, longitudinal movement, can be swung in vertical plane, can easily adjust the position of drill bit, keep drill process more flexible.
To achieve the above object, the invention provides the following technical scheme:
A kind of orthopaedics positional punch device, comprising: support frame;
Position adjusting mechanism, the position adjusting mechanism are arranged on support frame as described above, and the position adjusting mechanism can be Moving movement is done in transverse direction;
Angle adjusting mechanism, the angle adjusting mechanism are arranged in the position adjusting mechanism, the position adjusting mechanism The angle adjusting mechanism is driven to do longitudinal movement and elevating movement, wherein to set on the front end of the angle adjusting mechanism There is a drill positioning device, the drill positioning device includes laser head and drill bit clamping jaw, the axis of the laser head and institute The axis for stating drill bit clamping jaw is overlapped always, and the laser head can be moved into the drill bit clamping jaw, for determine to Punch specific location;
A pair of of human body fixing bracket, a pair of of human body fixing bracket is mobile to be arranged on support frame as described above, and a pair of of human body fixing bracket It is located at the both ends of the position adjusting mechanism.
Further, the drill positioning device further includes attachment base, fixed block, sliding shoe and a pair of links, described solid Determine block to be fixedly connected on the attachment base, the sliding shoe is slidably connected on the attachment base, one end point of a pair of links It is not articulated on the fixed block and the sliding shoe, the other end of a pair of links is articulated on the laser head, wherein a pair of Connecting rod is symmetrical arranged.
Further, the drill positioning device further includes a pair of of clamping limb, and one end of a pair of of clamping limb is fixed respectively It is connected on the fixed block and sliding shoe, a drill bit clamping head, a pair of of drill jig is respectively provided on the other end of a pair of of clamping limb It holds and forms the drill bit clamping jaw between the inside of head.
Further, the drill positioning device further includes lock screw, and the lock screw is threaded in described On attachment base, the front end of the lock screw can extend into the wedge groove of the sliding shoe and lock to the sliding shoe.
Further, the drill positioning device further includes reset spring, and the both ends of the reset spring are separately connected On the sliding shoe and attachment base, the reset spring makes the drill bit clamping jaw be in normally off.
Further, the clamping limb is equipped with a through slot, one end of the through slot and the drill bit clamping jaw phase Connection, the through slot pass through for the connecting rod.
Further, the angle adjusting mechanism further includes that coding motor and drill drive, the coding motor are fixed It is connected on the telescopic rod of the lifting cylinder of the position adjusting mechanism, the drill drive is fixedly connected on the coding electricity On the output shaft of machine, the drill positioning device is fixedly connected on the output shaft of the drill drive.
Further, when the laser head is clamped in the drill bit clamping jaw, positioned at the upper of the laser head The supporting rod at end and drill bit clamping jaw clamping are cooperatively connected.
Further, when the laser head and the drill bit clamping jaw are detached from, the laser head is to the drill bit Driver is close.
It can be seen from the above technical scheme that the invention has the advantages that the axis of (1) laser head and the axis weight of drill bit It closes, and laser head can be moved at drill bit clamping jaw and determine punch position, laser head resets after the completion of determining, by drill jig It holds in drill bit clamping jaw, determining position will not change, and improve drilling precision;(2) drill positioning device can edge Laterally, longitudinal movement, can swing in vertical plane, can easily adjust the position of drill bit, keep drill process more flexible.
Other than objects, features and advantages described above, there are also other objects, features and advantages by the present invention. Below with reference to figure, the present invention is described in further detail.
Detailed description of the invention
In order to more clearly explain the embodiment of the invention or the technical proposal in the existing technology, to embodiment or will show below There is attached drawing needed in technical description to be briefly described, it should be apparent that, the accompanying drawings in the following description is only this Some embodiments of invention for those of ordinary skill in the art without creative efforts, can be with It obtains other drawings based on these drawings.In the accompanying drawings:
Fig. 1 is main view of the invention.
Fig. 2 is top view of the invention.
Fig. 3 is the structural schematic diagram of angle adjusting mechanism of the invention.
Fig. 4 is a status diagram of drill positioning device of the invention.
Fig. 5 is the another status diagram of drill positioning device of the invention.
Fig. 6 is the top view of drill positioning device of the invention.
In the figure, it is marked as support frame 1, clamping screw 11, cross lead screw 12, polished rod 13, rocking handle 14, position adjusting mechanism 2, Transverse shifting seat 21, longitudinal screw mandrel 22, longitudinal movement seat 23, lifting cylinder 24, angle adjusting mechanism 3, coding motor 31, swing arm 32, drill drive 33, drill positioning device 34, attachment base 341, connecting plate 342, fixed block 343, sliding shoe 344, connecting rod 345, laser head 346, supporting rod 3461, clamping limb 347, drill bit clamping head 3471, through slot 3472, lock screw 348, reset bullet Spring 349, drill bit 35, human body fixing bracket 4, compression cylinder 41, arc backup plate 42.
Specific embodiment
Following will be combined with the drawings in the embodiments of the present invention, and technical solution in the embodiment of the present invention carries out clear, complete Site preparation description, it is clear that described embodiments are only a part of the embodiments of the present invention, instead of all the embodiments.It is based on Embodiment in the present invention, it is obtained by those of ordinary skill in the art without making creative efforts every other Embodiment shall fall within the protection scope of the present invention.
Referring to figs. 1 to Fig. 6, a kind of orthopaedics positional punch device as depicted in figs. 1 and 2, comprising: support frame 1, position tune Mechanism 2, angle adjusting mechanism 3 and a pair of of human body fixing bracket 4, the position adjusting mechanism 2 is saved to be arranged on support frame as described above 1, The position adjusting mechanism 2 can horizontally do moving movement;The angle adjusting mechanism 3 is arranged in the position adjusting mechanism 2, the position adjusting mechanism 2 drives the angle adjusting mechanism 3 to do longitudinal movement and elevating movement;A pair of of human body is fixed Frame 4 is mobile to be arranged on support frame as described above 1, and a pair of of human body fixing bracket 4 is located at the both ends of the position adjusting mechanism 2; Support frame as described above 1 can be moved along the side lever of operating bed, and the lower part of support frame as described above 1 is equipped with several clamping screws 11, the lock The front end of tight bolt 11, which can be kept out, is fixed together support frame as described above 1 with operating bed on the side lever of operating bed.
The top of support frame as described above 1 sets there are three cross lead screw 12 disposed in parallel and corresponding with the cross lead screw 12 sets The polished rod 13 set, the cross lead screw 12 are articulated on support frame as described above 1, and one end of the cross lead screw 12 is equipped with rocking handle 14, the rocking handle 14 is for driving the cross lead screw 12 to rotate, the transverse shifting seat 21 of the position adjusting mechanism 2 and a cross It is threadedly coupled to screw rod 12, while the transverse shifting seat 21 is slidably connected with corresponding polished rod 13, the human body fixing bracket 4 The pedestal of compression cylinder 41 is threadedly coupled with one, while the pedestal is slidably connected with corresponding polished rod 13, the compression cylinder The front end of 41 telescopic rod is equipped with arc backup plate 42, and the arc backup plate 42 avoids limbs and jumps in the course of surgery Cause punch position inaccurate with rotation, it, can be more preferable with limbs since the human body fixing bracket 4 can horizontally move adjustment Contact, applicability is more preferable.
A longitudinal screw mandrel 22 is articulated on the transverse shifting seat 21, one end of the longitudinal screw mandrel 22 is connected with a rocking handle 14, the longitudinal movement seat 23 of the position adjusting mechanism 2 is threaded in the longitudinal screw mandrel 22, is located at the longitudinal movement Convex block on seat 23 makes the longitudinal movement seat 23 do translational motion with the guide groove cooperation being located on the transverse shifting seat 21, institute It states longitudinal movement seat 23 and is equipped with a lifting cylinder 24, the angle adjusting mechanism 3 is fixedly connected on the lifting cylinder 24 On telescopic rod.
As shown in figure 3, the angle adjusting mechanism 3 includes that coding motor 31, swing arm 32, drill drive 33 and drill bit are fixed Position device 34, it is described on the telescopic rod of coding motor 31 lifting cylinder 24 that is fixedly connected on the position adjusting mechanism 2 Swing arm 32 is fixedly connected on the output shaft of the coding motor 31, and the drill drive 33 is fixedly connected on the swing arm 32 On, the drill positioning device 34 is fixedly connected on the output shaft of the drill drive 33, and the coding motor 31 drives The drill positioning device 34 is swung in perpendicular, and the drill drive 33 is driven using flexible spindle motor, the drill bit Dynamic device 33 drives the drill positioning device 34 to go up and down and rotate, by detecting the rotating cycle of the drill drive 33 come really Determine the feeding depth in hole.
As shown in Figure 4, Figure 5 and Figure 6, the drill positioning device 34 includes 341, two pairs of connecting plates 342 of attachment base, fixes Block 343, sliding shoe 344, a pair of links 345 and laser head 346, two pairs of connecting plates 342, which are parallel to each other, is connected to the attachment base On 341, a pair of of connecting plate 342 is oppositely arranged, and the fixed block 343 is fixedly connected between a pair of of connecting plate 342, the sliding Block 344 is slidably connected between a pair of of connecting plate 342, the fixed block 343 parallel with the moving direction of the sliding shoe 344 Axis, coincide together with the axis of the sliding shoe 344, one end of a pair of links 345 is articulated in the fixed block respectively On 343 front end face and on the front end face of the sliding shoe 344, the other end of a pair of links 345 is articulated in the laser head 346 On, wherein a pair of links 345 is symmetrical arranged, and the mobile sliding shoe 344 can drive a pair of links 345 to swing, and then is made described Laser head 346 is moved to the other side of the fixed block 343 from the side of the fixed block 343.
The drill positioning device 34 further includes a pair of of clamping limb 347, and one end of a pair of of clamping limb 347 is respectively fixedly connected with On the downside of the fixed block 343 and on the downside of sliding shoe 344, it is respectively provided on the other end of a pair of of clamping limb 347 One drill bit clamping head 3471 forms a drill bit clamping jaw, the drill bit clamping between the inside of a pair of of drill bit clamping head 3471 The axis of jaw and the axis of the laser head 346 coincide together always, and the mobile sliding shoe 344 can drive a clamping limb 347 movements expand or shrink the drill bit clamping jaw, wherein the clamping limb 347 is equipped with a through slot 3472, described logical One end of slot 3472 is connected with the drill bit clamping jaw, and the through slot 3472 passes through for the connecting rod 345.
The drill positioning device 34 further includes reset spring 349 and lock screw 348, and the two of the reset spring 349 End is connected on the sliding shoe 344 and attachment base 341, and the reset spring 349 is in the drill bit clamping jaw Normally off, the lock screw 348 are threaded on a connecting plate 342, and the front end of the lock screw 348 can be extend into Carrying out locking to the sliding shoe 344 in the wedge groove of the sliding shoe 344 keeps clamping reliable, stable.
Use process are as follows: the laser head 346 is detached from the drill bit clamping jaw, and the laser head 346 is close to institute Be original state when stating drill drive 33, stir the laser head 346 to drill bit clamping jaw direction it is close with it is described The connecting rod 345 that sliding shoe 344 connects will push the sliding shoe 344 and be displaced outwardly, and the laser head 346 crosses a pair of links 345 on the same straight line when critical point after, the sliding shoe 344 moves inward under the action of reset spring 349 It realizes and resets, when the laser head 346 reaches the limit of position, the laser head 346 is moved in the drill bit clamping jaw, And it is located at supporting rod 3461 and the drill bit clamping jaw clamping mating connection of the upper end of the laser head 346, then pass through Control device and removing to operate the rocking handle 14 manually rotates the cross lead screw 12 and longitudinal screw mandrel 22, by controlling the liter Sending down abnormally ascending cylinder 24 makes the laser head 346 make the laser head close to human body, by controlling the rotation angle of the coding motor 31 346 is vertical with affected part, for determining specific location to be punctured, then stirs the laser head 346 and moves up, principle is same as above, and works as institute Drill bit 35 is clamped in the drill bit clamping jaw when stating drill bit clamping jaw closure, while screwing the lock screw 348 Stablize the clamping of drill bit 35, since the drill bit clamping jaw is not sent out in axle center when clamping laser head 346 and drill bit 35 Changing improves drilling precision so the operating position of drill bit 35 determines that punch position is overlapped with the laser head 346.
These are only the preferred embodiment of the present invention, is not intended to restrict the invention, for those skilled in the art For member, the invention may be variously modified and varied.All within the spirits and principles of the present invention, it is made it is any modification, Equivalent replacement, improvement etc., should all be included in the protection scope of the present invention.

Claims (9)

1. a kind of orthopaedics positional punch device characterized by comprising
Support frame (1);
Position adjusting mechanism (2), the position adjusting mechanism (2) are arranged on support frame as described above (1), the position adjusting mechanism (2) moving movement can horizontally be done;
Angle adjusting mechanism (3), in the position adjusting mechanism (2), the position is adjusted for angle adjusting mechanism (3) setting Mechanism (2) drives the angle adjusting mechanism (3) to do longitudinal movement and elevating movement, wherein the angle adjusting mechanism (3) front end is equipped with drill positioning device (34), and the drill positioning device (34) includes attachment base (341), fixed block (343), sliding shoe (344), a pair of links (345), laser head (346) and drill bit clamping jaw, the fixed block (343) are fixed It is connected on the attachment base (341), the sliding shoe (344) is slidably connected on the attachment base (341), a pair of links (345) one end is articulated in respectively on the fixed block (343) and the sliding shoe (344), the other end of a pair of links (345) It is articulated on the laser head (346), the axis of the laser head (346) and the axis of the drill bit clamping jaw weigh always It closes, the laser head (346) can be moved into the drill bit clamping jaw, for determining specific location to be punctured;
A pair of of human body fixing bracket (4), a pair of of human body fixing bracket (4) is mobile to be arranged on support frame as described above (1), and a pair of of human body is solid Determine the both ends that frame (4) is located at the position adjusting mechanism (2).
2. orthopaedics positional punch device according to claim 1, which is characterized in that a pair of links (345) is symmetrical arranged.
3. orthopaedics positional punch device according to claim 2, which is characterized in that the drill positioning device (34) is also wrapped It includes a pair of of clamping limb (347), one end of a pair of of clamping limb (347) is respectively fixedly connected in the fixed block (343) and sliding shoe (344) on, a drill bit clamping head (3471), a pair of of drill bit clamping head are respectively provided on the other end of a pair of of clamping limb (347) (3471) the drill bit clamping jaw is formed between inside.
4. orthopaedics positional punch device according to claim 2, which is characterized in that the drill positioning device (34) is also wrapped It includes lock screw (348), the lock screw (348) is threaded on the attachment base (341), the lock screw (348) front end can extend into the wedge groove of the sliding shoe (344) and lock to the sliding shoe (344).
5. orthopaedics positional punch device according to claim 2, which is characterized in that the drill positioning device (34) is also wrapped It includes reset spring (349), the both ends of the reset spring (349) are connected to the sliding shoe (344) and attachment base (341) On, the reset spring (349) makes the drill bit clamping jaw be in normally off.
6. orthopaedics positional punch device according to claim 3, which is characterized in that the clamping limb (347) is equipped with one One end of through slot (3472), the through slot (3472) is connected with the drill bit clamping jaw, and the through slot (3472) is used for institute State passing through for connecting rod (345).
7. orthopaedics positional punch device according to claim 1, which is characterized in that the angle adjusting mechanism (3) is also wrapped It includes coding motor (31) and drill drive (33), the coding motor (31) is fixedly connected on the position adjusting mechanism (2) Lifting cylinder (24) telescopic rod on, the drill drive (33) be fixedly connected on it is described coding motor (31) output shaft On, the drill positioning device (34) is fixedly connected on the output shaft of the drill drive (33).
8. orthopaedics positional punch device according to claim 1, which is characterized in that when the laser head (346) are clamped When in the drill bit clamping jaw, the supporting rod (3461) and the drill bit for being located at the upper end of the laser head (346) are clamped Jaw clamping is cooperatively connected.
9. orthopaedics positional punch device according to claim 8, which is characterized in that when the laser head (346) with it is described When drill bit clamping jaw is detached from, laser head (346) the Xiang Suoshu drill drive (33) is close.
CN201710561073.1A 2017-07-11 2017-07-11 A kind of orthopaedics positional punch device Active CN107260330B (en)

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CN108420502B (en) * 2018-04-16 2019-06-25 赵训明 A kind of orthopaedics positional punch device
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CN109259973A (en) * 2018-08-16 2019-01-25 张莉 Orthopaedics positional punch device
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CN109893203A (en) * 2019-02-28 2019-06-18 成都真实维度科技有限公司 It is a kind of for automatically adjusting the bone drilling device pierced on angle device
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