CN108378931A - Backbone Fluoroscopy location guide plate - Google Patents

Backbone Fluoroscopy location guide plate Download PDF

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Publication number
CN108378931A
CN108378931A CN201810005300.7A CN201810005300A CN108378931A CN 108378931 A CN108378931 A CN 108378931A CN 201810005300 A CN201810005300 A CN 201810005300A CN 108378931 A CN108378931 A CN 108378931A
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CN
China
Prior art keywords
guide plate
backbone
plate ontology
support bar
vertebrae
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Granted
Application number
CN201810005300.7A
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Chinese (zh)
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CN108378931B (en
Inventor
李绍光
张建政
孙天胜
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General Hospital Of Army Pla
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General Hospital Of Army Pla
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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
    • A61B90/14Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
    • 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

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

Abstract

The invention discloses a kind of backbone Fluoroscopy location guide plates, including:Guide plate ontology, one side is bonded positioning surface to be corresponding with operator's spinal shape, fitting positioning surface carries out surface fitting according to the backbone fluoro data of operator and obtains, vertebrae lines figure is marked with according to the backbone fluoro data of operator on guide plate ontology, and every vertebrae lines are marked using different symbols, in order to be distinguished to vertebrae lines;Wherein, surgical incision site is marked according to backbone fluoro data on guide plate ontology;Stabilizing components, are arranged in the both sides of guide plate ontology, removably carried out with guide plate ontology it is affixed, for being consolidated to guide plate ontology.The present invention can improve the accuracy of operation, reduce the number of hand fluoroscopy during operation, and reduce radiation.

Description

Backbone Fluoroscopy location guide plate
Technical field
The invention belongs to medical instruments fields.It is more particularly related to a kind of backbone Fluoroscopy location guide plate.
Background technology
Spinal surgery is the tip research field in bone surgery, due to backbone canalis spinalis accommodate be spinal cord, ridge Blood vessel is all important around column, therefore, spinal operation must accomplish the accurate errorless safety that just can guarantee operator, otherwise Surgical effect is undesirable, also damages the health of patient.Currently, in order to ensure operation safety, must carry out during surgery repeatedly thoroughly Depending on just can guarantee the accurate of surgery location, repeatedly having an X-rayed, undoubtedly increasing the radiation injury to patient.
Invention content
It is excellent it is an object of the invention to solve at least the above and/or defect, and provide at least to will be described later Point.
It is a still further object of the present invention to provide a kind of backbone Fluoroscopy location guide plates, can improve the accuracy of operation, The number of hand fluoroscopy during operation is reduced, and reduces radiation.
In order to realize these purposes and other advantages according to the present invention, a kind of backbone Fluoroscopy location guide plate is provided, is wrapped It includes:
Guide plate ontology, one side be it is corresponding with operator's spinal shape be bonded positioning surface, the fitting positioning surface according to The backbone fluoro data of operator carries out surface fitting and obtains, according to the backbone fluoro data of operator on the guide plate ontology It is marked with vertebrae lines figure, and every vertebrae lines are marked using different symbols, in order to vertebrae line Item distinguishes;Wherein, surgical incision site is marked according to backbone fluoro data on the guide plate ontology;
Stabilizing components are arranged in the both sides of the guide plate ontology, are removably carried out with the guide plate ontology It is affixed, for being consolidated to the guide plate ontology.
Preferably, the backbone Fluoroscopy location guide plate, the stabilizing components are provided with two groups, and each group includes two The both sides of the guide plate ontology are correspondingly arranged in a stabilizing components, two stabilizing components in each group.
Preferably, the backbone Fluoroscopy location guide plate, the stabilizing components are with the guide plate ontology with dismountable Mode carries out affixed, and specific set-up mode is:The stabilizing components include first support bar and hang down with the first support bar The other end of the second support bar being directly arranged, the second support bar is fixed on operating table, the first support bar it is another End is detachably connected with the guide plate ontology, specially:It is convex it to be both provided with first on the two sides of the guide plate ontology It rising, a groove is set in first protrusion, the other end of the first support bar is provided with one second protrusion, and described second It is raised to be adapted setting with the groove second protrusion is made to be inserted into the groove.
Preferably, the backbone Fluoroscopy location guide plate, the first support bar are configured in telescopic manner In order to accurately be adjusted according to the position of operator, specific set-up mode is:The first support bar includes first segment And second segment, a sliding slot is provided on the first segment, there is a sliding block that setting is adapted with the sliding slot on the second segment, The sliding block slides in the sliding slot to adjust the length of the first support bar.
Preferably, the inner surface of the backbone Fluoroscopy location guide plate, the sliding slot is metal layer, is gone back in the sliding slot It is provided with a moveable link stopper, the link stopper is made of magnetic material, to the fixation sliding block.
Preferably, the backbone Fluoroscopy location guide plate, the surgical incision site on the guide plate ontology are provided with Pilot hole.
Preferably, the backbone Fluoroscopy location guide plate, the second support bar by be adjusted its height in a manner of into Row setting, specific set-up mode are:The second support bar is made of three parts, first part, second part and Part III, Two ends of the second part are both provided with screw thread, the first part, Part III with the second part phase The inside of that one end connect is both provided with the internal thread to match with the screw thread on second part end, by rotating second part To adjust the height of second support.
The present invention includes at least following advantageous effect:Since the guide plate ontology side of setting is and operator's spinal shape phase The fitting positioning surface answered, the fitting positioning surface carry out surface fitting according to the backbone fluoro data of operator and obtain, lead in this way Plate ontology can with the body fit of operator, and ensure operation accuracy, according to operator's on the guide plate ontology Backbone fluoro data is marked with vertebrae lines figure, in this way, surgeon is in the case where can't see backbone inside patient body, Also the position that can accurately judge patient's vertebrae is marked every vertebrae lines using different symbols, convenient for ridge Vertebra lines distinguish, and surgeon can further be made to understand each lines corresponds to which vertebrae of patient, Surgical incision site is marked according to backbone fluoro data on the guide plate ontology, can make surgeon clearly requires at what Position is performed the operation, and therefore, the setting of guide plate ontology can improve the accuracy of operation, reduce the number of hand fluoroscopy during operation, and Reduce radiation;Stabilizing components are additionally provided with, since guide plate ontology is located on patient body, it is easy to which generation slightly moves Dynamic, the setting of stabilizing components can prevent guide plate ontology from moving, and further ensure that the accuracy of operation, stabilizing components and institute It states guide plate ontology and removably carries out affixed, also allow for dismantling, improve efficiency, save the time.
Part is illustrated to embody by further advantage, target and the feature of the present invention by following, and part will also be by this The research and practice of invention and be understood by the person skilled in the art.
Description of the drawings
Figure 1A and Figure 1B is respectively the structural schematic diagram of the guide plate ontology and inside of human body backbone in the embodiment of the present invention;
Fig. 2 is the stabilizing components in the embodiment of the present invention and the structural schematic diagram between guide plate ontology;
Fig. 3 is the structural schematic diagram of the first support bar in the embodiment of the present invention;
Fig. 4 is the structural schematic diagram of the second support bar in the embodiment of the present invention.
Specific implementation mode
Present invention will be described in further detail below with reference to the accompanying drawings, to enable those skilled in the art with reference to specification text Word can be implemented according to this.
It should be appreciated that such as " having ", "comprising" and " comprising " term used herein do not allot one or more The presence or addition of a other elements or combinations thereof.
Shown in Fig. 1, Fig. 2, backbone Fluoroscopy location guide plate provided in an embodiment of the present invention, including:Guide plate ontology 1, one side It is bonded positioning surface to be corresponding with operator's spinal shape, the fitting positioning surface is according to the backbone fluoro data march of patient Face is fitted to obtain, and is marked with vertebrae lines Fig. 2 according to the backbone fluoro data of operator on the guide plate ontology, and use Every vertebrae lines are marked in different symbols 3, in order to be distinguished to vertebrae lines;Wherein, it is led described Surgical incision site is marked according to backbone fluoro data on plate ontology;Stabilizing components are arranged in the both sides of the guide plate ontology, Removably carried out with the guide plate ontology it is affixed, for being consolidated to the guide plate ontology.
Since the guide plate ontology side of setting is bonded positioning surface to be corresponding with operator's spinal shape, can ensure to perform the operation Accuracy, vertebrae lines figure is marked with according to the backbone fluoro data of operator on the guide plate ontology, in this way, surgery Doctor also can accurately judge the position of patient's vertebrae, using different in the case where can't see backbone inside patient body Every vertebrae lines are marked in symbol, convenient for being distinguished to vertebrae lines, can further make surgeon Understand each lines corresponds to which vertebrae of patient, is marked and performed the operation according to backbone fluoro data on the guide plate ontology Incision site can be such that surgeon clearly requires and where perform the operation, therefore, the setting of guide plate ontology, Neng Gouti The accuracy of height operation, reduces the number of hand fluoroscopy during operation, and reduces radiation;Stabilizing components are additionally provided with, due to guide plate sheet Body is located on patient body, it is easy to which generation is slightly moved, and the setting of stabilizing components can prevent guide plate ontology from occurring It is mobile, further ensure that the accuracy of operation, stabilizing components removably carried out with the guide plate ontology it is affixed, also just In dismounting, efficiency is improved, saves the time.
It should be noted that waiting for that operative site backbone carries out 3-D scanning to operation patients, CT data can be got, CT data can be handled using medical image processing software, gets the threedimensional model of backbone, then further obtain It is corresponding with operator's spinal shape to be bonded positioning surface.For using different symbols that every vertebrae lines are marked, Symbol can preferably star-like, triangular form, positive square, diamond shape, circle etc..
In one of the embodiments, as shown in Fig. 2, the backbone Fluoroscopy location guide plate, the stabilizing components setting There are two groups, each group includes two stabilizing components, and the guide plate sheet is correspondingly arranged in two stabilizing components in each group The both sides of body.Stabilizing components are set as two groups, are separately positioned on the both ends of guide plate ontology, can well to guide plate ontology into Row is firm, prevents it from slight movement occurs, and influences the accuracy of operation.
In one of the embodiments, as shown in Fig. 2, the backbone Fluoroscopy location guide plate, the stabilizing components and institute It states guide plate ontology 1 and removably carries out affixed, specific set-up mode is:The stabilizing components include first support bar 5 and with the vertically disposed second support bar 6 of the first support bar, the other end of the second support bar 6 is fixed on operating table On, the other end of the first support bar 5 is detachably connected with the guide plate ontology, specially:In the guide plate ontology Two sides on be both provided with the first protrusion 4, a groove 8 is set in first protrusion, the first support bar it is another End is provided with one second protrusion 7, and second protrusion, which is adapted setting with the groove, to be made described in second protrusion is inserted into In groove.The setting of groove and protrusion, it is simple in structure, it also allows for operating.
In one of the embodiments, as shown in figure 3, the backbone Fluoroscopy location guide plate, the first support bar 5 with Telescopic mode is configured to accurately be adjusted according to the position of operator, and specific set-up mode is:It is described First support bar 5 includes first segment 14 and second segment 13, is provided with a sliding slot 11 on the first segment 14, on the second segment 13 There are a sliding block 10 for being adapted setting with the sliding slot, the sliding block to be slided in the sliding slot to adjust the first support bar Length.It sets first support bar to telescopic mode, facilitates and be finely adjusted according to the position of patient.
In one of the embodiments, as shown in figure 3, the backbone Fluoroscopy location guide plate, the inner surface of the sliding slot For metal layer, 11 are additionally provided with a moveable link stopper 12 in the sliding slot, and the link stopper is made of magnetic material, to fixation The sliding block.The setting of link stopper can prevent from moving between the first segment of first support bar and second segment, and link stopper is arranged It is simple in structure by being made of magnetic material, it also allows for operating.
The backbone Fluoroscopy location guide plate in one of the embodiments, the operative incision on the guide plate ontology Position is provided with pilot hole (being not drawn into figure), and the setting of pilot hole is performed the operation convenient for doctor, also increases accuracy.
In one of the embodiments, as shown in figure 4, the backbone Fluoroscopy location guide plate, the second support bar 6 with The mode that its height is adjusted is configured, and specific set-up mode is:The second support bar is made of three parts, first part Two ends of 15, second part 16 and Part III 17, the second part are both provided with screw thread, in the first part 15, the inside of that one end of Part III 17 to connect with the second part 16 is both provided with and the spiral shell on second part end The internal thread that line matches, by rotating second part to adjust the height of second support.Second support bar is with adjustable The mode of its height is arranged, convenient for reasonably being adjusted according to the fat or thin of patient body.
As described above, backbone Fluoroscopy location guide plate provided in an embodiment of the present invention, can improve the accuracy of operation, reduce The number of hand fluoroscopy during operation, and reduce radiation.
Although the embodiments of the present invention have been disclosed as above, but its is not only in the description and the implementation listed With.It can be applied to various suitable the field of the invention completely.It for those skilled in the art, can be easily Realize other modification.Therefore without departing from the general concept defined in the claims and the equivalent scope, the present invention is simultaneously unlimited In specific details and legend shown and described herein.

Claims (7)

1. backbone Fluoroscopy location guide plate, which is characterized in that including:
Guide plate ontology, one side are bonded positioning surface to be corresponding with operator's spinal shape, and the fitting positioning surface is according to operation The backbone fluoro data of person carries out surface fitting and obtains, and is marked according to the backbone fluoro data of operator on the guide plate ontology Have vertebrae lines figure, and every vertebrae lines be marked using different symbols, in order to vertebrae lines into Row is distinguished;Wherein, surgical incision site is marked according to backbone fluoro data on the guide plate ontology;
Stabilizing components are arranged in the both sides of the guide plate ontology, removably carried out with the guide plate ontology it is affixed, For being consolidated to the guide plate ontology.
2. backbone Fluoroscopy location guide plate as described in claim 1, which is characterized in that the stabilizing components are provided with two groups, often One group includes two stabilizing components, and the both sides of the guide plate ontology are correspondingly arranged in two stabilizing components in each group.
3. backbone Fluoroscopy location guide plate as claimed in claim 2, which is characterized in that the stabilizing components and the guide plate ontology Removably carry out affixed, specific set-up mode is:The stabilizing components include first support bar and with described The vertically disposed second support bar of one supporting rod, the other end of the second support bar are fixed on operating table, described first The other end of strut is detachably connected with the guide plate ontology, specially:It is all provided on the two sides of the guide plate ontology It is equipped with the first protrusion, a groove is set in first protrusion, it is convex that the other end of the first support bar is provided with one second It rises, second protrusion, which is adapted setting with the groove, makes second protrusion be inserted into the groove.
4. backbone Fluoroscopy location guide plate as claimed in claim 3, which is characterized in that the first support bar is with telescopic side Formula is configured to accurately be adjusted according to the position of operator, and specific set-up mode is:The first support bar Including first segment and second segment, it is provided with a sliding slot on the first segment, has one to be adapted with the sliding slot on the second segment The sliding block of setting, the sliding block slide in the sliding slot to adjust the length of the first support bar.
5. backbone Fluoroscopy location guide plate as claimed in claim 4, which is characterized in that the inner surface of the sliding slot is metal layer, A moveable link stopper is additionally provided in the sliding slot, the link stopper is made of magnetic material, to the fixation sliding block.
6. backbone Fluoroscopy location guide plate as described in claim 1, which is characterized in that the operative incision on the guide plate ontology Position is provided with pilot hole.
7. backbone Fluoroscopy location guide plate as claimed in claim 3, which is characterized in that the second support bar is high it is adjusted The mode of degree is configured, and specific set-up mode is:The second support bar is made of three parts, first part, second part And Part III, two ends of the second part are both provided with screw thread, the first part, Part III with it is described The inside of that one end that second part connects is both provided with the internal thread to match with the screw thread on second part end, by turning Dynamic second part is to adjust the height of second support.
CN201810005300.7A 2018-01-03 2018-01-03 Spine perspective positioning guide plate Active CN108378931B (en)

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Application Number Priority Date Filing Date Title
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Application Number Priority Date Filing Date Title
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CN108378931B CN108378931B (en) 2021-03-09

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111904556A (en) * 2020-09-04 2020-11-10 李拓 Ultrasonic therapy puncture needle positioning device

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Publication number Priority date Publication date Assignee Title
CN101690669A (en) * 2009-10-22 2010-04-07 贺石生 Spinal surgical positioning device
US20120290272A1 (en) * 2011-05-11 2012-11-15 Bryan Jason A Generating patient specific instruments for use as surgical aids
CN103830007A (en) * 2014-01-09 2014-06-04 杨宗德 Incision positioning device and method used before spine minimally invasive surgery
US20140350614A1 (en) * 2013-03-15 2014-11-27 George Frey Patient-matched apparatus and methods for performing surgical procedures
CN105213031A (en) * 2015-08-26 2016-01-06 温州医科大学附属第二医院 The clinical practice of vertebra posting in the prelocalization of Thoracolumbar disk surgery
CN105832386A (en) * 2016-06-22 2016-08-10 唐山同仁和微创医疗器械有限公司 Fixing device for 3D printing template for puncturing
CN107157580A (en) * 2017-06-27 2017-09-15 刘大鹏 A kind of Digital location minimally invasive spine surgical 3D printing guide plate and preparation method
CN107260286A (en) * 2017-07-31 2017-10-20 自贡市第四人民医院 Minimally invasive pedicle screw guider outside a kind of detachable skin of combination perspective
CN206675664U (en) * 2017-01-04 2017-11-28 李菁 A kind of care bed multi-function desktop

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101690669A (en) * 2009-10-22 2010-04-07 贺石生 Spinal surgical positioning device
US20120290272A1 (en) * 2011-05-11 2012-11-15 Bryan Jason A Generating patient specific instruments for use as surgical aids
US20140350614A1 (en) * 2013-03-15 2014-11-27 George Frey Patient-matched apparatus and methods for performing surgical procedures
CN103830007A (en) * 2014-01-09 2014-06-04 杨宗德 Incision positioning device and method used before spine minimally invasive surgery
CN105213031A (en) * 2015-08-26 2016-01-06 温州医科大学附属第二医院 The clinical practice of vertebra posting in the prelocalization of Thoracolumbar disk surgery
CN105832386A (en) * 2016-06-22 2016-08-10 唐山同仁和微创医疗器械有限公司 Fixing device for 3D printing template for puncturing
CN206675664U (en) * 2017-01-04 2017-11-28 李菁 A kind of care bed multi-function desktop
CN107157580A (en) * 2017-06-27 2017-09-15 刘大鹏 A kind of Digital location minimally invasive spine surgical 3D printing guide plate and preparation method
CN107260286A (en) * 2017-07-31 2017-10-20 自贡市第四人民医院 Minimally invasive pedicle screw guider outside a kind of detachable skin of combination perspective

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111904556A (en) * 2020-09-04 2020-11-10 李拓 Ultrasonic therapy puncture needle positioning device
CN111904556B (en) * 2020-09-04 2021-06-18 李拓 Ultrasonic therapy puncture needle positioning device

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