CN108309396A - Ankle fusion operation fixing glue hammers into drive system - Google Patents

Ankle fusion operation fixing glue hammers into drive system Download PDF

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Publication number
CN108309396A
CN108309396A CN201810168606.4A CN201810168606A CN108309396A CN 108309396 A CN108309396 A CN 108309396A CN 201810168606 A CN201810168606 A CN 201810168606A CN 108309396 A CN108309396 A CN 108309396A
Authority
CN
China
Prior art keywords
fixed
bone drill
arm
seat
holder
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
CN201810168606.4A
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Chinese (zh)
Inventor
何鹏
张渝林
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.)
Chongqing Yingtaidike Technology Co Ltd
Original Assignee
Chongqing Yingtaidike Technology Co Ltd
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 Chongqing Yingtaidike Technology Co Ltd filed Critical Chongqing Yingtaidike Technology Co Ltd
Priority to CN201810168606.4A priority Critical patent/CN108309396A/en
Publication of CN108309396A publication Critical patent/CN108309396A/en
Pending legal-status Critical Current

Links

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
    • A61B17/1662Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
    • A61B17/1682Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the foot or ankle
    • 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
    • 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
    • A61B17/1739Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1775Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the foot or ankle
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • 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

Abstract

The invention discloses a kind of ankle fusion operation fixing glues to hammer into drive system, belongs to the field of medical instrument technology, including:Holder, with multiple degrees of freedom, in cartesian coordinate system, the at least one-movement-freedom-degree with Y direction, the rotary freedom of XOZ planes and YOZ planes, bone drill, it is fixed on the holder, be slidably matched seat, it is arranged between bone drill and holder, including fixed seat and sliding seat, fixed seat is fixed on cradle top, sliding seat is fixed on bone drill bottom, the T-type sliding slot parallel with bone drill axis direction is provided in fixed seat, the T-type draw runner being slidably matched with T-type sliding slot is provided on sliding seat, guide holder, including the left guide holder for being symmetricly set on bone drill axial direction both sides and right guide holder.The present invention is by being fixed on bone drill with the adjusting on multivariant holder, making bone drill that can carry out more spatial positions, to adapt to different fixed-directions, improves and calculates the matching level in path, and then improve and hammer into quality.

Description

Ankle fusion operation fixing glue hammers into drive system
Technical field
The invention belongs to the field of medical instrument technology, and in particular to and it is a kind of for treating bone or the device in joint, especially relate to And a kind of driving fixing glue enters the system of ankle-joint.
Background technology
Ankle fusion is a kind of operation for merging ankle-joint bony structure, can be so as to mitigating pain, terminating Lesion provides stability of joint.Main indication:Caused by the degenerative changes such as fracture of ankle joint or rheumatoid arthritis Secondary pain, ankle-joint malalignment related with arthritis progress sexual development cannot improve function through conventional therapy and alleviate Pain, it is required to consider to be treated by joint fusion.Including:1. tight caused by ankle joint wound arthritis Weight joint function disturbance, or obstinate arthralgia;2. the severe joint pain that Tuberculous or pyogenic arthritis later stage are left; 3. causing Muscle paralysis due to neuropathy or damage, cause joint seriously unstable, including sequela of poliomyelitis, it is serious Periphery or central nervous system injury etc.;4. congenital or acquired deformity;5. serious rheumatoid or osteoarthritis;6. artificial ankle joint is set Change art failure;7. ankle-joint tumour, infection;8. diaz disease.In ankle fusion operation, it usually needs with 2~3 Tibiofibula lower end, medial and lateral malleolus and body of talus are merged in piece fixing glue and fixed, to strengthen and SACHfoot adaptor.The prior art is fixed Manual operation is usually taken when fixed in nail, and fixing glue is hammered into joint by electric drill.However it manually holds electric drill and there is shakiness Situation makes travel path and calculates path there are deviation and then influence the line of force, simultaneously, it is also possible to expand the wound to bone or joint Evil.
The prior art, which also has, takes manipulator to be fixed, but since manipulator is to realize multiple degrees of freedom, each group It is mostly attached by turning joint between conjunction section, rigidity is relatively poor, and fixing glue is hammered into bone or joint, needs larger Active force and torque, when operation, inevitably there is unstable situation in manipulator, and calculates path and still have deviation, Jin Erying Ring the reliability of operation.
Therefore, it is necessary to research and develop a kind of drive system that fixing glue hammers into, fixing glue can reliably be gripped, Stable driving force is provided, and provides help for the reliability of operation with calculating route matching completely.
Invention content
In view of this, the purpose of the present invention is to provide a kind of ankle fusion operation fixing glues to hammer into drive system.
The purpose of the present invention is realized by following scheme:
Ankle fusion operation fixing glue hammers into drive system, including:
Holder has multiple degrees of freedom, in cartesian coordinate system, with the one-movement-freedom-degree of Y direction, XOZ planes and The rotary freedom of YOZ planes,
Holder includes Z-direction arm, X to arm and Y-direction telescoping cylinder, and X is fixed on the top of Z-direction arm, the Y-direction to arm by flexural pivot Telescoping cylinder is fixed on distal ends of the X to arm by electric rotating machine, and the fixed seat is fixed on the proximal end of Y-direction telescoping cylinder by flexural pivot, The Z-direction arm and X are provided with YOZ planes to XOZ Plane Rotation cylinders are arranged between arm between the Y-direction telescoping cylinder and fixed seat Rotating cylinder,
Bone drill is fixed on the holder,
Be slidably matched seat, is arranged between bone drill and holder, including fixed seat and sliding seat, fixed seat are fixed on top of support Portion, sliding seat are fixed on bone drill bottom, and the T-type sliding slot parallel with bone drill axis direction is provided in fixed seat, is set on sliding seat It is equipped with the T-type draw runner being slidably matched with T-type sliding slot,
Guide holder, including it is symmetricly set on the left guide holder of bone drill axial direction both sides and right guide holder, the left pedestal and the right side Pedestal is including fulcrum bearing, the adjusting for being oriented to semicircle set and both adjustable distance being arranged between fulcrum bearing and guiding semicircle cover Mechanism.
Further, further include the driving cylinder that traveling driving can be carried out to bone drill, the cylinder seat of the driving cylinder is fixed on fixation On seat, piston end is fixed on bone drill.
Further, the regulating mechanism is electric pushrod or oil cylinder or cylinder.
Further, the XOZ Plane Rotations cylinder and X are to being provided with sliding block I, the one side and XOZ of the sliding block I between arm Plane Rotation cylinder is rotatably connected, and another side is slidably connected with X to arm.
Further, be provided with sliding block II between the YOZ Plane Rotations cylinder and fixed seat, the one side of the sliding block with YOZ Plane Rotation cylinders are rotatably connected, and another side is slidably connected with fixed seat.
Further, the Z-direction arm and X to arm be telescopic arm.
Further, the guiding semicircle set is made of hardenable material.
The beneficial effects of the present invention are:
The present invention is by being fixed on bone drill with the tune on multivariant holder, making bone drill that can carry out more spatial positions Section improves to adapt to different fixed-directions and calculates the matching level in path, and then improve and hammer into quality;Matched by sliding Closing seat can make bone drill motion path reliable and stable, improve kinematic accuracy;The front end of bone drill bar is fixed by guide holder, and is oriented to It is correctly oriented, the accuracy of motion path can be improved, meanwhile, it can also enhance the overall stiffness of bone drill, reduce the amount of deflection of bone drill, The matching level for further increasing and calculating path.
Other advantages, target and the feature of the present invention will be illustrated in the following description to a certain extent, and And to a certain extent, based on will be apparent to those skilled in the art to investigating hereafter, Huo Zheke To be instructed from the practice of the present invention.The target and other advantages of the present invention can by following specification realizing and It obtains.
Description of the drawings
In order to keep the purpose of the present invention, technical solution and advantageous effect clearer, the present invention provides following attached drawing and carries out Explanation:
Fig. 1 is the schematic three dimensional views of the present invention;
Fig. 2 is the front view of the present invention;
Fig. 3 is the vertical view of Fig. 2;
Fig. 4 is the right view of Fig. 2;
Fig. 5 is the upward view of Fig. 2.
Reference numeral:
1- holders;2- bone drills;3- is slidably matched seat;4- guide holders;5-Z is to arm;6-X is to arm;7-Y is to telescoping cylinder;8- is solid Reservation;9- sliding seats;10- electric rotating machines;11-T type sliding slots;12-T type draw runners;13- fulcrum bearings;14- is oriented to semicircle set;15- tune Save mechanism;16- driving cylinders;17- sliding blocks I;18- sliding blocks II;19-XOZ Plane Rotation cylinders;20-YOZ Plane Rotation cylinders.
Specific implementation mode
Below in conjunction with attached drawing, the preferred embodiment of the present invention is described in detail.
As shown in Figures 1 to 5, it is that ankle fusion of the present invention operation fixing glue hammers into drive system, including holder 1, bone Bore 2, be slidably matched seat 3 and guide holder 4, in cartesian coordinate system, holder includes Z-direction arm 5, X to arm 6 and Y-direction telescoping cylinder 7, The seat that is slidably matched is arranged between bone drill and holder comprising fixed seat 8 and sliding seat 9, X are fixed on Z-direction to arm by flexural pivot The top of arm, Y-direction telescoping cylinder are fixed on distal ends of the X to arm by electric rotating machine 10, make Y-direction telescoping cylinder that can make to arm relative to X Rotary motion, fixed seat are fixed on the proximal end of Y-direction telescoping cylinder, Z-direction arm and X by flexural pivot to setting XOZ Plane Rotations between arm Cylinder 19 is provided with YOZ Plane Rotations cylinder 20 between Y-direction telescoping cylinder and fixed seat, thus, holder has the movement of Y direction certainly By degree, the rotary freedom of XOZ planes and YOZ planes, bone drill is fixed on the holder, thus bone drill is made also to have Y direction One-movement-freedom-degree, XOZ planes and YOZ planes rotary freedom, the adjusting of more spatial positions is carried out, to adapt to different consolidate Determine direction;Fixed seat is fixed on cradle top, and sliding seat is fixed on bone drill bottom, is provided in fixed seat and bone drill axis direction Parallel T-type sliding slot 11 is provided with the T-type draw runner 12 being slidably matched with T-type sliding slot on sliding seat, passes through T-type draw runner and is slided with T-type Slot is slidably matched, and keeps bone drill motion path reliable and stable;Guide holder includes the left guiding for being symmetricly set on bone drill axial direction both sides Seat and right guide holder, left pedestal and right pedestal include fulcrum bearing 13, guiding semicircle set 14 and setting in fulcrum bearing and are oriented to partly Regulating mechanism 15 between circle set, regulating mechanism can be electric pushrod, can also be the prior arts such as oil cylinder, and the present embodiment is Electric pushrod adjusts two and is oriented to the distance between semicircle set, make its diameter with drilling rod by the impetus of electric pushrod Match, drilling rod is formed and is oriented to, when working due to drilling rod, there is rotary freedom, therefore, to prevent to being oriented to semicircle set The guiding semicircle set of abrasion, the present embodiment is made of hardenable material, such as various high-carbon steel, mould steel, specific such as T10A, Its wearability can be improved in Cr12MoV, to improve its service life.
Above-mentioned guide holder takes the benefit of two composite structures for being oriented to semicircle set to also reside in:It can be oriented to semicircle by two It covers completely separable, makes drilling rod end without interferingly close to human body, no longer carrying out needing the behaviour that blocks since end protrudes from human body Make, conducive to simplifying procedures, improves procedure efficiency.
The present embodiment is by being fixed on bone drill on multivariant holder, making bone drill that can carry out more spatial positions It adjusts, to adapt to different fixed-directions, improves and calculate the matching level in path, and then improve and hammer into quality;Pass through sliding Matching seat can make bone drill motion path reliable and stable, improve kinematic accuracy;The front end of bone drill bar is fixed by guide holder, and is led To being correctly oriented, the accuracy of motion path can be improved, meanwhile, it can also enhance the overall stiffness of bone drill, reduce scratching for bone drill Degree further increases horizontal with the matching in calculating path.
Further include driving cylinder 16 as the improvement of the present embodiment, the cylinder seat of driving cylinder is fixed in fixed seat, and piston end is solid Be scheduled on bone drill, driving cylinder drives bone drill to be moved by certain speed, make the traveling of bone drill at the uniform velocity, stablize, avoid excessive velocities pair Drilling rod causes to damage, and also avoids influencing procedure efficiency slowly.
As the improvement of the present embodiment, XOZ Plane Rotations cylinder and X are to being provided with sliding block I 17 between arm, and the one of sliding block I Side is rotatably connected with XOZ Plane Rotation cylinders by flexural pivot, and another side forms sliding by guide sliding structure to arm with X and connects It connects, the structures such as guide sliding structure such as sliding block and slideway.
Equally, sliding block II 18, one side and the YOZ planes of sliding block II are provided between YOZ Plane Rotations cylinder and fixed seat Rotating cylinder is rotatably connected also by flexural pivot, and another side is slidably connected with the formation of fixed seat guide sliding structure.
To further increase the degree of freedom of bone drill, Z-direction arm and X are set as telescopic arm to arm, bone drill are made to have by the present embodiment Have Z-direction and X to one-movement-freedom-degree, can spatially carry out the extension of respective range, regulating power is further enhanced.
Finally illustrate, preferred embodiment above is merely illustrative of the technical solution of the present invention and unrestricted, although logical It crosses above preferred embodiment the present invention is described in detail, however, those skilled in the art should understand that, can be Various changes are made to it in form and in details, without departing from claims of the present invention limited range.

Claims (7)

1. ankle fusion operation fixing glue hammers into drive system, it is characterised in that:Including:
Holder has multiple degrees of freedom, in cartesian coordinate system, at least with the one-movement-freedom-degree of Y direction, XOZ planes and The rotary freedom of YOZ planes,
Holder includes Z-direction arm, X to arm and Y-direction telescoping cylinder, and X is fixed on the top of Z-direction arm to arm by flexural pivot, and the Y-direction is flexible Cylinder is fixed on distal ends of the X to arm by electric rotating machine, and the fixed seat is fixed on the proximal end of Y-direction telescoping cylinder, the Z by flexural pivot To arm and X to XOZ Plane Rotation cylinders are arranged between arm, YOZ Plane Rotations are provided between the Y-direction telescoping cylinder and fixed seat Cylinder.
Bone drill is fixed on the holder,
Be slidably matched seat, is arranged between bone drill and holder, including fixed seat and sliding seat, fixed seat are fixed on cradle top, Sliding seat is fixed on bone drill bottom, and the T-type sliding slot parallel with bone drill axis direction is provided in fixed seat, is provided on sliding seat The T-type draw runner being slidably matched with T-type sliding slot,
Guide holder, including it is symmetricly set on the left guide holder of bone drill axial direction both sides and right guide holder, the left pedestal and right pedestal Including fulcrum bearing, the adjusting machine for being oriented to semicircle set and both adjustable distance being arranged between fulcrum bearing and guiding semicircle cover Structure.
2. ankle fusion operation fixing glue hammers into drive system according to claim 1, it is characterised in that:Further including can be right Bone drill carries out the driving cylinder of traveling driving, and the cylinder seat of the driving cylinder is fixed in fixed seat, and piston end is fixed on bone drill.
3. ankle fusion operation fixing glue hammers into drive system according to claim 1, it is characterised in that:The adjusting machine Structure is electric pushrod or oil cylinder or cylinder.
4. ankle fusion operation fixing glue hammers into drive system according to claim 1, it is characterised in that:The XOZ is flat Face rotating cylinder and X are rotatably connected to the one side for being provided with sliding block I, the sliding block I between arm with XOZ Plane Rotation cylinders, separately One side is slidably connected with X to arm.
5. ankle fusion operation fixing glue hammers into drive system according to claim 1, it is characterised in that:The YOZ is flat Sliding block II is provided between face rotating cylinder and fixed seat, one side and the YOZ Plane Rotation cylinders of the sliding block are rotatably connected, separately One side is slidably connected with fixed seat.
6. ankle fusion operation fixing glue hammers into drive system according to claim 1, it is characterised in that:The Z-direction arm With X to arm be telescopic arm.
7. ankle fusion operation fixing glue hammers into drive system according to claim 1, it is characterised in that:It is described to be oriented to half Circle set is made of hardenable material.
CN201810168606.4A 2018-02-28 2018-02-28 Ankle fusion operation fixing glue hammers into drive system Pending CN108309396A (en)

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Cited By (4)

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Publication number Priority date Publication date Assignee Title
CN111991071A (en) * 2020-08-26 2020-11-27 中国科学院大学宁波华美医院 Hollow nail guider of thighbone neck
CN112022354A (en) * 2020-09-25 2020-12-04 重庆知遨科技有限公司 Polar coordinates paediatrics operation robot surgical instruments locating component
CN112022353A (en) * 2020-09-25 2020-12-04 重庆知遨科技有限公司 Surgical robot surgical instrument positioning assembly
CN112704553A (en) * 2020-12-24 2021-04-27 洛阳市中心医院(郑州大学附属洛阳中心医院) Nail locking device with positioning function for orthopedics department

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CN106344162A (en) * 2016-11-22 2017-01-25 哈尔滨工业大学 Minimally-invasive spine surgery robot
US20180036093A1 (en) * 2015-02-24 2018-02-08 Politechnika Lódzka Device for measuring femur displacement and method of making orthopedic measurements during a surgical procedure to correct a damaged hip
CN209074769U (en) * 2018-02-28 2019-07-09 重庆英泰帝克科技有限公司 Ankle fusion operation fixing glue hammers into drive system

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US20120043100A1 (en) * 2009-05-08 2012-02-23 Ntn Corporation Remote-controlled work robot
CN103300906A (en) * 2013-07-03 2013-09-18 青岛理工大学 Medical six-degree-of-freedom automatic adjusting manipulator grinding and clamping device for surgical operation
US20180036093A1 (en) * 2015-02-24 2018-02-08 Politechnika Lódzka Device for measuring femur displacement and method of making orthopedic measurements during a surgical procedure to correct a damaged hip
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Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111991071A (en) * 2020-08-26 2020-11-27 中国科学院大学宁波华美医院 Hollow nail guider of thighbone neck
CN112022354A (en) * 2020-09-25 2020-12-04 重庆知遨科技有限公司 Polar coordinates paediatrics operation robot surgical instruments locating component
CN112022353A (en) * 2020-09-25 2020-12-04 重庆知遨科技有限公司 Surgical robot surgical instrument positioning assembly
CN112022354B (en) * 2020-09-25 2022-02-01 青岛市妇女儿童医院 Polar coordinates paediatrics operation robot surgical instruments locating component
CN112022353B (en) * 2020-09-25 2022-03-01 周少华 Surgical robot surgical instrument positioning assembly
CN112704553A (en) * 2020-12-24 2021-04-27 洛阳市中心医院(郑州大学附属洛阳中心医院) Nail locking device with positioning function for orthopedics department
CN112704553B (en) * 2020-12-24 2022-03-01 洛阳市中心医院(郑州大学附属洛阳中心医院) Nail locking device with positioning function for orthopedics department

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