CN107981910A - A kind of skull bone window end hole device - Google Patents

A kind of skull bone window end hole device Download PDF

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Publication number
CN107981910A
CN107981910A CN201711448797.1A CN201711448797A CN107981910A CN 107981910 A CN107981910 A CN 107981910A CN 201711448797 A CN201711448797 A CN 201711448797A CN 107981910 A CN107981910 A CN 107981910A
Authority
CN
China
Prior art keywords
grip part
bone window
hole device
end hole
drill bit
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201711448797.1A
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Chinese (zh)
Inventor
左大辉
蒋太鹏
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Shenzhen Second Peoples Hospital
Original Assignee
Shenzhen Second Peoples Hospital
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Shenzhen Second Peoples Hospital filed Critical Shenzhen Second Peoples Hospital
Priority to CN201711448797.1A priority Critical patent/CN107981910A/en
Publication of CN107981910A publication Critical patent/CN107981910A/en
Pending legal-status Critical Current

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Classifications

    • 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
    • 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
    • A61B17/1613Component parts
    • A61B17/1626Control means; Display units
    • 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
    • A61B17/1695Trepans or craniotomes, i.e. specially adapted for drilling thin bones such as the skull
    • 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
    • A61B17/171Guides or aligning means for drills, mills, pins or wires for external fixation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • A61B2017/00075Motion

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

Abstract

The invention discloses a kind of skull bone window end hole device, including the drill with drill bit, further include the grip part for installing the drill, the drill bit of the drill is stretched out from grip part one end, the grip part other end elasticity is pivotally connected locating piece, the free end of the locating piece is provided with the pressure section for the positioning of bone window edge, is rotated between the locating piece and grip part and sets gasket.The skull bone window end hole device of the present invention can realize safety, quickly drill on skull, strive for more treatment times for patient.

Description

A kind of skull bone window end hole device
Technical field
The present invention relates to neurosurgery the field of medical instrument technology, is filled more particularly to a kind of skull bone window end hole Put.
Background technology
In neurosurgery operation of opening cranium, bone window forms and is very important step, then suspends periphery endocranium in midair attached Nearly muscle/fascia/use abrasive drilling to avoid endocranium from peeling off to form hemotoncus with this on the cavity that bone edge is formed, reduces operation risk. But to bear dynamics poor for muscle/fascia, and cranial bone flap is restored and fixed when influencing to close cranium, and easy avulsion causes suspention to fail;And It is used to suspend endocranium in midair in the punching of bone edge with abrasive drilling, not only needs more people's auxiliary operations, and it is time-consuming, laborious, brain tissue is easily damaged, Also costly, also only large-scale neurosurgery hospital just carries out purchase abrasive drilling expense both at home and abroad at present.Therefore, for a long time, such as What it is convenient and efficient and time saving, laborsaving while bone edge punch again do not damage brain tissue be always clinic neurosurgery urgently Technical problem to be solved.
Existing bone window end hole is usually that the more people of neurosurgeon coordinate completion, and a people is punched using abrasive drilling, and one People prevents brill to hinder brain tissue using gasket, and a people, which pushes Surrounding muscles scalp open and reduces, to be hindered, time-consuming also to grow.
In existing operation of opening cranium, doctor can set the single fixed protection of skull bone edge drilling to protect brain tissue Device, such as Chinese Patent No. 96206635.4 disclose a kind of protection device, fixed encephalic protector skull perforation.But Although the device being separately provided can play a protective role, still need to abrasive drilling (generally only can just have in larger neurosurgery Apparatus) etc. apparatus costly be used cooperatively, need both hands to operate, it is still relatively time-consuming.
Therefore, existing skull bone window end hole technology has yet to be improved and developed.
The content of the invention
The present invention for the technical problem present on, there is provided it is a kind of it is safer, quickly in the skull bone window of sphenotresia End hole device.
Embodiment of the present invention provide technical solution be:A kind of skull bone window end hole device is provided, including with The drill of drill bit, further includes the grip part for installing the drill, and the drill bit of the drill is stretched out from grip part one end, the gripping Portion's other end elasticity is pivotally connected locating piece, and the free end of the locating piece is provided with the pressure section for the positioning of bone window edge, should Rotated between locating piece and grip part and gasket is set.
In order to push cortex open at the same time, which is pivoting setting cortex push and block portion, the skin close to the side of the drill bit The angle in layer push and block portion can adjust.
Preferably, which includes power supply, controller, power motor and switch, the power supply connect the controller with The output of power motor, the power motor is connected to the drill bit, which is used for the rotation for controlling the drill bit, switch connection The controller.
Further, which is also connected with the speed probe for measuring drill speed.
Further, which is also connected with the torque sensor for measuring drill bit rotating torque.
In order to find bore position accurately, which sets the headlamp of connection controller at the position close to the drill bit.
Preferential, which is rechargeable battery, is set on the grip part and is used for what is charged to the rechargeable battery Interface.
In order to adjust the size of sphenotresia, the drill bit is installed on the grip part by the way that clutch sub is replaceable, should Clutch sub is connected to power motor, which is connected to the power supply and the controller.
Wherein, which sets on the pivotal axis by pivoting the axis connection locating piece and compresses the gripping for elasticity The spring of portion's inner wall and the locating piece.
In another embodiment, which includes connection sheet and is detachably connected to the use gasket of the connection sheet, should Connection sheet is rotatably installed on the pivotal axis and between the locating piece and grip part, this sets skin using the connection of gasket end Layer push and block portion.
The beneficial effect of embodiment of the present invention is:The skull bone window end hole device of the present embodiment, by small-sized drilling Device is installed in grip part, and doctor's one hand can hold grip part, opens drill;At the same time in order to stab after ensureing bit bore Brain tissue, the grip part elasticity are pivotally connected locating piece, and the free end of the locating piece is provided with supporting for the positioning of bone window edge Splenium, for the pressure section of the hook shape while positioning of bone window edge is hooked, the side that drilling is completed in drill bit forms protection Pad, such as, drilling stretching bone window edge is completed in drill bit, or issuable bone bits etc. all fall in the curved of pressure section in drilling In pars convoluta, without influencing brain tissue.Therefore, offer skull bone window end hole device of the invention is safer, quick, is patient Strive for more treatment times.
Brief description of the drawings
Fig. 1 is the dimensional structure diagram of skull bone window end hole device of the embodiment of the present invention;
Fig. 2 is the dimensional structure diagram of the setting headlamp of skull bone window end hole device of the embodiment of the present invention;
Fig. 3 is the using state structure diagram of skull bone window end hole device of the embodiment of the present invention;
Fig. 4 is the use state partial enlargement structure chart of skull bone window end hole device of the embodiment of the present invention;
Fig. 5 is the partial enlargement structure chart in another embodiment of skull bone window end hole device of the embodiment of the present invention; And
Fig. 6 is the circuit devcie figure of skull bone window end hole device of the embodiment of the present invention.
Embodiment
For the purpose, technical scheme and advantage of the embodiment of the present invention are more clearly understood, below in conjunction with the accompanying drawings to this hair Bright embodiment is described in further details.Here, the schematic description and description of the present invention is used to explain the present invention, but simultaneously It is not as a limitation of the invention.
In brain tumor procedures, in order to remove the malignant tumour in brain tissue, it is necessary to the window that opens seam is treated, in order to avoid Endocranium bleeding is, it is necessary to which the endocranium near lesion is fixed near bone window., can be on skull bone window side in this surgical procedure The square upward perforating that edge is adapted to.
The skull bone window end hole device of the present invention is exactly to solve the problems, such as that punching designs.
Please refer to Fig.3, the skull bone window end hole device doctor of the present embodiment can hand-held operation.Wherein, the skull bone Window edge drilling equipment includes the drill for realizing skull punching, further includes and realizes that corresponding drill bit of hole puncher 41 realizes determining for positioning Position part 20, is additionally included in the gasket 30 set below drill bit, for 30 non-slip mat of gasket on skull 10, drill bit 40 is oblique on gasket Drilling.
Please also refer to Fig. 1, the skull bone window end hole device of the present embodiment includes the drill with drill bit 41, also Grip part 51, locating piece 20 and gasket 30 including installing the drill.41 end of drill bit of the present embodiment, which is set, bores tooth 42 For drilling through skull 10 faster.
The drill bit 41 of the drill is stretched out from one end of grip part 51, which is pivotally connected positioning Part 20.The free end of the locating piece 20 is provided with the pressure section 22 positioned for bone window edge 12.The locating piece 20 and grip part Rotated between 51 and gasket 30 is set.
As shown in figure 4, in order to realizing the punching of doctor's one-handed performance while can also push operation cortex, the end of gasket 30 open End pivots the cortex push and block portion 56 that sets, which is articulated in the use gasket 32 1 of gasket 30 by pivot axis End.The cortex push and block portion can be the push and block bar that sheet can also be push and block effect, and the present embodiment is with sheet scalp push and block portion Exemplified by introduced.Preferably, which is hollow non-enclosed elastic shaft, and inside sets fixation kit.The fixation group Part includes the fixed knob that portion is operated by doctor that extends, which screws in conical screw, fixed by rotating this Knob can be with the diameter of the minor alteration elastic shaft so that the angle in the cortex push and block portion 55 can adjust.
Fig. 5 show another embodiment in cortex push and block portion, in order to realize that doctor's one-handed performance punches while also can Push operation cortex open, which is pivoting setting cortex push and block portion 55, the cortex push and block portion close to the side of the drill bit 41 55 are articulated in 51 one end of grip part by pivot axis.Preferably, which is hollow non-enclosed elastic shaft, internal Fixation kit is set.The fixation kit includes the fixed knob that portion is operated by doctor that extends, which, which screws, is boring Shape screw rod, can be with the diameter of the minor alteration elastic shaft by rotating the fixed knob so that the angle in the cortex push and block portion 55 It can adjust.
As shown in Figure 1, in order to adjust the size of skull perforate in the present embodiment, the drill bit 41 can be more by clutch sub 40 That changes is installed on the grip part 51.The clutch sub 40 is connected to the power motor of electric part, which is connected to Power supply and controller.
The grip part 51 is by pivoting the axis connection locating piece 20.Set on the pivotal axis and compress the grip part for elasticity The spring of inner wall and the locating piece 20.So that doctor, in use, grip part 51 is held in the centre of the palm, finger tip operates the locating piece 20 and finds With selected punch position.
The gasket 30 includes connection sheet 31 and is detachably connected to the use gasket 32 of the connection sheet 31, the connection sheet 31 It is rotatably installed on the pivotal axis of connection grip part 51 and locating piece 20.And the connection sheet 31 is set to be located at the locating piece 20 and grip Between portion 51.
Electric part design introduced below:
Circuit connection diagram as shown in Figure 6, the drill include power supply 101, controller 100,130 revolution speed sensing of power motor Device 110, torque sensor 120 and switch 52.The power supply 101 connects the controller 100 and power motor 130, the power horse Output up to 130 is connected to the drill bit 41.The controller 100 is used for the rotation for controlling the drill bit 41, which connects the control Device 100 processed.When opening switch, power motor 130 starts to rotate, and drives drill bit 41 to rotate.
The controller 100 is connected to the speed probe 110 of measurement drill speed.The controller 100 is connected to survey Measure the torque sensor 120 of drill bit rotating torque.
In another embodiment, in order to find bore position accurately, which is set at the position close to the drill bit 41 Connect the headlamp 60 of controller 100.When opening switch, power motor 130 starts to rotate, and drives drill bit 41 to rotate, illumination Lamp 60 is also lighted at the same time.
The clutch sub 40 is connected to the power motor 130 of electric part, which is connected to 101 He of power supply Controller 100.Allow the controller according to the feedback information of the speed probe 110 and torque sensor 120 to drill bit Carry out speed governing.For example drill bit 41, when drilling through skull 10, which can feed back zero value, and controller 100 judges this When drilled through skull, therefore the automatic power supply connection for stopping cutting off the power motor 130.
As shown in Figure 1 to Figure 3, which is rechargeable battery, sets and is used for the chargeable electricity on the grip part 51 The interface 53 that pond is charged.
The skull bone window end hole device of the present embodiment, miniature drill is installed in grip part, doctor's one hand is It can hold grip part 51, open drill and when in use, doctor holds in the centre of the palm grip part 51, and finger tip operates the locating piece 20 Searching and selected punch position.At the same time in order to stab brain tissue after ensureing bit bore, which is pivotally connected fixed Position part 20, the free end of the locating piece 20 are provided with the pressure section 22 for the positioning of bone window edge, the pressure section of the hook shape 22 while the positioning of bone window edge is hooked, and the side that drilling is completed in drill bit forms neonychium, such as, complete to drill in drill bit Stretch out issuable bone bits etc. in bone window edge, or drilling all to fall in the bending section of pressure section 22, without influencing brain group Knit.Therefore, the skull bone window end hole device of the present embodiment is safer, quick, strives for more treatment times for patient.
The foregoing is merely embodiments of the present invention, are not intended to limit the scope of the invention, every to utilize this The equivalent structure or equivalent flow shift that description of the invention and accompanying drawing content are made, it is relevant to be directly or indirectly used in other Technical field, is included within the scope of the present invention.

Claims (10)

1. a kind of skull bone window end hole device, including the drill with drill bit, it is characterised in that further include described in installation The grip part of drill, the drill bit of the drill are stretched out from one end of grip part, and the other end elasticity of the grip part pivots Locating piece is connected, the free end of the locating piece is provided with the pressure section for the positioning of bone window edge, the locating piece and gripping Rotated between portion and gasket is set.
2. skull bone window end hole device according to claim 1, it is characterised in that the grip part is close to described The side of drill bit, which pivots, sets cortex push and block portion, and the angle in the cortex push and block portion can adjust.
3. skull bone window end hole device according to claim 2, it is characterised in that the drill include power supply, Controller, power motor and switch, the output that the power supply connects the controller and power motor, the power motor connect The drill bit is connected to, the controller is used for the rotation for controlling the drill bit, and the switch connects the controller.
4. skull bone window end hole device according to claim 3, it is characterised in that the controller is also connected with being used for Measure the speed probe of drill speed.
5. skull bone window end hole device according to claim 4, it is characterised in that the controller is also connected with being used for Measure the torque sensor of drill bit rotating torque.
6. skull bone window end hole device according to claim 5, it is characterised in that the grip part is close to described The headlamp for connecting the controller is set at the position of drill bit.
7. skull bone window end hole device according to claim 7, it is characterised in that the power supply is chargeable electricity Pond, the interface for being used for charging to the rechargeable battery is set on the grip part.
8. the skull bone window end hole device according to claim 3-7 any one, it is characterised in that the drill bit leads to Cross clutch sub it is replaceable be installed on the grip part on, the clutch sub is connected to the power motor.
9. skull bone window end hole device according to claim 8, it is characterised in that the grip part passes through pivotal axis The locating piece is connected, is set on the pivotal axis and is used for the spring that elasticity compresses the grip part inner wall and the locating piece.
10. skull bone window end hole device according to claim 1, it is characterised in that the gasket includes connection sheet And it is detachably connected to being rotatably installed on the pivotal axis using gasket, the connection sheet and be located at institute of the connection sheet State between locating piece and grip part, it is described that using the connection of gasket end, cortex push and block portion is set.
CN201711448797.1A 2017-12-27 2017-12-27 A kind of skull bone window end hole device Pending CN107981910A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201711448797.1A CN107981910A (en) 2017-12-27 2017-12-27 A kind of skull bone window end hole device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201711448797.1A CN107981910A (en) 2017-12-27 2017-12-27 A kind of skull bone window end hole device

Publications (1)

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CN107981910A true CN107981910A (en) 2018-05-04

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112220523A (en) * 2020-11-12 2021-01-15 陶建 Miniature bone drill of neurosurgery cranium

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2147835Y (en) * 1993-02-27 1993-12-01 杨剑秋 Skull drill
CN2279892Y (en) * 1996-01-12 1998-04-29 胜利石油管理局中心医院 Device for positioning edge of cranial bone and safety drilling
CN106510792A (en) * 2016-12-06 2017-03-22 中国医科大学附属盛京医院 Skull drill
CN106691537A (en) * 2015-11-16 2017-05-24 贵州医科大学附属医院 Multifunctional trephine
CN209315974U (en) * 2017-12-27 2019-08-30 深圳市第二人民医院 A kind of skull bone window end hole device

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2147835Y (en) * 1993-02-27 1993-12-01 杨剑秋 Skull drill
CN2279892Y (en) * 1996-01-12 1998-04-29 胜利石油管理局中心医院 Device for positioning edge of cranial bone and safety drilling
CN106691537A (en) * 2015-11-16 2017-05-24 贵州医科大学附属医院 Multifunctional trephine
CN106510792A (en) * 2016-12-06 2017-03-22 中国医科大学附属盛京医院 Skull drill
CN209315974U (en) * 2017-12-27 2019-08-30 深圳市第二人民医院 A kind of skull bone window end hole device

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112220523A (en) * 2020-11-12 2021-01-15 陶建 Miniature bone drill of neurosurgery cranium
CN112220523B (en) * 2020-11-12 2023-01-24 陶建 Miniature bone drill of neurosurgery cranium

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