CN108378931B - Spine perspective positioning guide plate - Google Patents

Spine perspective positioning guide plate Download PDF

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Publication number
CN108378931B
CN108378931B CN201810005300.7A CN201810005300A CN108378931B CN 108378931 B CN108378931 B CN 108378931B CN 201810005300 A CN201810005300 A CN 201810005300A CN 108378931 B CN108378931 B CN 108378931B
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Prior art keywords
guide plate
plate body
spine
perspective
operator
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CN201810005300.7A
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CN108378931A (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 spine perspective positioning guide plate, which comprises: the guide plate comprises a guide plate body, wherein one side of the guide plate body is a fitting positioning surface corresponding to the shape of the spine of an operator, the fitting positioning surface is obtained by performing curved surface fitting according to the spine perspective data of the operator, a spine line graph is marked on the guide plate body according to the spine perspective data of the operator, and different symbols are used for marking each spine line so as to distinguish the spine lines; wherein, the position of the surgical incision is marked on the guide plate body according to the spinal perspective data; the stabilizing parts are arranged on two sides of the guide plate body and fixedly connected with the guide plate body in a detachable mode so as to stabilize the guide plate body. The invention can improve the accuracy of the operation, reduce the times of fluoroscopy in the operation and reduce the radiation.

Description

Spine perspective positioning guide plate
Technical Field
The invention belongs to the field of medical appliances. More particularly, the present invention relates to a spine perspective positioning guide.
Background
Spinal surgery is the most advanced research field among the bone surgery, because the spinal canal of backbone holds the spinal cord, all is important blood vessel around the backbone, consequently, the spinal surgery must accomplish accurate just can guarantee operator's safety, otherwise the operation effect is unsatisfactory, also impairs patient's health. At present, in order to ensure the operation safety, multiple times of fluoroscopy are needed in the operation to ensure the accuracy of the operation position, and the radiation injury to the patient is increased undoubtedly due to the multiple times of fluoroscopy.
Disclosure of Invention
An object of the present invention is to solve at least the above problems and/or disadvantages and to provide at least the advantages described hereinafter.
It is still another object of the present invention to provide a spinal fluoroscopy positioning guide that improves the accuracy of the surgery, reduces the number of fluoroscopy operations, and reduces radiation exposure.
To achieve these objects and other advantages in accordance with the purpose of the invention, there is provided a spine perspective positioning guide, comprising:
the guide plate comprises a guide plate body, wherein one side of the guide plate body is a fitting positioning surface corresponding to the shape of the spine of an operator, the fitting positioning surface is obtained by performing curved surface fitting according to the spine perspective data of the operator, a spine line bar graph is marked on the guide plate body according to the spine perspective data of the operator, and different symbols are used for marking each spine line bar so as to distinguish the spine lines; wherein the position of the surgical incision is marked on the guide plate body according to the spinal fluoroscopy data;
and the stabilizing parts are arranged on two sides of the guide plate body and are fixedly connected with the guide plate body in a detachable mode so as to be used for stabilizing the guide plate body.
Preferably, the spine perspective positioning guide plate is provided with two groups of stabilizing parts, each group comprises two stabilizing parts, and the two stabilizing parts in each group are correspondingly arranged on two sides of the guide plate body.
Preferably, the spine perspective positioning guide plate, the stabilizing member is fixedly connected with the guide plate body in a detachable manner, and the specific setting mode is as follows: firm part include first bracing piece and with the perpendicular second bracing piece that sets up of first bracing piece, the other end of second bracing piece is fixed on the operating table, the other end of first bracing piece with the baffle body can dismantle the connection, specifically does: the two sides of the guide plate body are provided with first bulges, the first bulges are provided with grooves, the other ends of the first supporting rods are provided with second bulges, and the second bulges are matched with the grooves and are inserted into the grooves.
Preferably, the first support rod is telescopically arranged so as to be accurately adjusted according to the position of an operator, and the specific arrangement mode is as follows: the first supporting rod comprises a first section and a second section, a sliding groove is formed in the first section, a sliding block matched with the sliding groove is arranged on the second section, and the sliding block slides in the sliding groove to adjust the length of the first supporting rod.
Preferably, the spine perspective positioning guide plate has a metal layer on the inner surface of the sliding groove, and a movable stopper is further disposed in the sliding groove and made of a magnetic material to fix the sliding block.
Preferably, the spine perspective positioning guide plate is provided with a guide hole at a surgical incision position on the guide plate body.
Preferably, the spine perspective positioning guide plate, the second support bar is arranged in a manner of adjusting the height thereof, and the specific arrangement manner is as follows: the second support rod is composed of three parts, namely a first part, a second part and a third part, wherein two ends of the second part are respectively provided with a thread, internal threads matched with the threads on the ends of the second part are respectively arranged in the first part and the third part at the ends connected with the second part, and the height of the second support is adjusted by rotating the second part.
The invention at least comprises the following beneficial effects: because one side of the arranged guide plate body is a fitting positioning surface corresponding to the shape of the spine of an operator, the fitting positioning surface is obtained by performing curved surface fitting according to the spine perspective data of the operator, so that the guide plate body can be fitted with the body of the operator, the accuracy of the operation is ensured, the guide plate body is marked with a spinal line bar graph according to the spine perspective data of the operator, so that a surgeon can accurately judge the position of the spinal bone of the patient under the condition that the spine in the body of the patient cannot be seen, different symbols are used for marking each spinal line bar, the spinal line bars are convenient to distinguish, the surgeon can further know which spinal bone of the patient each line corresponds to, the position of an operation incision is marked on the guide plate body according to the spine perspective data, and the surgeon can clearly know the position where the operation is needed, therefore, the arrangement of the guide plate body can improve the accuracy of the operation, reduce the number of times of perspective in the operation and reduce the radiation; still be provided with firm part, because the baffle body is placed on patient's health, take place to remove slightly very easily, firm part's setting can prevent that the baffle body from taking place to remove, further ensures the accuracy of operation, firm part with the baffle body carries out the rigid coupling with the detachable mode, also convenient to detach, has improved efficiency, has saved the time.
Additional advantages, objects, and features of the invention will be set forth in part in the description which follows and in part will become apparent to those having ordinary skill in the art upon examination of the following or may be learned from practice of the invention.
Drawings
FIGS. 1A and 1B are schematic views of a guide body and a human internal spine according to an embodiment of the present invention;
FIG. 2 is a schematic structural view of a securing member and a fence body according to an embodiment of the present invention;
FIG. 3 is a schematic structural diagram of a first support rod according to an embodiment of the present invention;
fig. 4 is a schematic structural diagram of a second support rod in the embodiment of the invention.
Detailed Description
The present invention is further described in detail below with reference to the attached drawings so that those skilled in the art can implement the invention by referring to the description text.
It will be understood that terms such as "having," "including," and "comprising," as used herein, do not preclude the presence or addition of one or more other elements or groups thereof.
Fig. 1 and 2 show that a perspective spinal positioning guide plate provided by an embodiment of the invention comprises: the guide plate comprises a guide plate body 1, wherein one side of the guide plate body is a fitting positioning surface corresponding to the shape of the spine of an operator, the fitting positioning surface is obtained by performing curved surface fitting according to spine perspective data of a patient, a spine line graph 2 is marked on the guide plate body according to the spine perspective data of the operator, and different symbols 3 are used for marking each spine line so as to distinguish the spine lines; wherein the position of the surgical incision is marked on the guide plate body according to the spinal fluoroscopy data; and the stabilizing parts are arranged on two sides of the guide plate body and are fixedly connected with the guide plate body in a detachable mode so as to be used for stabilizing the guide plate body.
Because one side of the guide plate body is provided with a fitting positioning surface corresponding to the shape of the spine of an operator, the accuracy of the operation can be ensured, the guide plate body is marked with a spinal skeleton line chart according to spinal perspective data of an operator, so that under the condition that a surgeon can not see the internal spinal column of a patient body, the position of the patient vertebra can be accurately judged, different symbols are used for marking each vertebra line, the vertebra lines can be conveniently distinguished, a surgeon can further know which vertebra of the patient corresponds to each line, the position of the operation incision is marked on the guide plate body according to the spinal perspective data, so that a surgeon can clearly determine the position where the operation is needed, therefore, the arrangement of the guide plate body can improve the accuracy of the operation, reduce the number of times of perspective in the operation and reduce the radiation; still be provided with firm part, because the baffle body is placed on patient's health, take place to remove slightly very easily, firm part's setting can prevent that the baffle body from taking place to remove, further ensures the accuracy of operation, firm part with the baffle body carries out the rigid coupling with the detachable mode, also convenient to detach, has improved efficiency, has saved the time.
It should be noted that, three-dimensional scanning is performed on the spine of the to-be-operated portion of the patient to be operated, CT data can be acquired, medical image processing software can be used for processing the CT data, a three-dimensional model of the spine is acquired, and then a fitting positioning surface corresponding to the shape of the spine of the operator is further acquired. For marking each spinal line with a different symbol, the symbol may preferably be star-shaped, triangular, square, diamond, circular, etc.
In one embodiment, as shown in fig. 2, the spine perspective positioning guide is provided with two groups of stabilizing members, each group comprises two stabilizing members, and the two stabilizing members in each group are correspondingly arranged on two sides of the guide body. The stabilizing parts are arranged into two groups and are respectively arranged at the two end parts of the guide plate body, so that the guide plate body can be well stabilized, and the guide plate body is prevented from slightly moving to influence the accuracy of the operation.
In one embodiment, as shown in fig. 2, the spine perspective positioning guide plate, the stabilizing member and the guide plate body 1 are detachably fixed, and the specific arrangement manner is as follows: firm part include first bracing piece 5 and with the perpendicular second bracing piece 6 that sets up of first bracing piece, the other end of second bracing piece 6 is fixed on the operating table, the other end of first bracing piece 5 with the connection can be dismantled to the baffle body, specifically is: the two sides of the guide plate body are respectively provided with a first bulge 4, the first bulges are provided with a groove 8, the other end of the first supporting rod is provided with a second bulge 7, and the second bulges are matched with the grooves to ensure that the second bulges are inserted into the grooves. The arrangement of the groove and the bulge has simple structure and convenient operation.
In one embodiment, as shown in fig. 3, the first support rod 5 of the spinal perspective positioning guide is telescopically arranged to be adjusted accurately according to the position of the operator, and the specific arrangement is as follows: the first supporting rod 5 comprises a first section 14 and a second section 13, a sliding groove 11 is formed in the first section 14, a sliding block 10 matched with the sliding groove is arranged on the second section 13, and the sliding block slides in the sliding groove to adjust the length of the first supporting rod. Set up first bracing piece into the telescopic mode, conveniently finely tune according to patient's position.
In one embodiment, as shown in fig. 3, the spine perspective positioning guide plate has a metal layer on the inner surface of the sliding groove, and a movable stopper 12 made of a magnetic material is further disposed in the sliding groove 11 for fixing the sliding block. The setting of dog can prevent to take place to remove between the first section and the second section of first bracing piece, and the dog sets up to be made by magnetic material, simple structure, also is convenient for operate.
In one embodiment, the spine perspective positioning guide plate is provided with a guide hole (not shown in the figure) at the position of a surgical incision on the guide plate body, and the guide hole is convenient for a doctor to perform surgery, so that the accuracy is increased.
In one embodiment, as shown in fig. 4, the second support rod 6 is arranged in a manner that the height of the second support rod can be adjusted, and the specific arrangement manner is as follows: the second support rod is composed of three parts, namely a first part 15, a second part 16 and a third part 17, wherein both ends of the second part are provided with threads, internal threads matched with the threads on the ends of the second part are arranged inside the ends, connected with the second part 16, of the first part 15 and the third part 17, and the height of the second support is adjusted by rotating the second part. The second bracing piece sets up with the mode of adjustable its height, is convenient for carry out reasonable regulation according to the fat thin of patient's health.
As described above, the spinal fluoroscopy positioning guide plate provided by the embodiment of the invention can improve the accuracy of the operation, reduce the number of fluoroscopy times in the operation and reduce radiation.
While embodiments of the invention have been disclosed above, it is not intended to be limited to the uses set forth in the specification and examples. It can be applied to all kinds of fields suitable for the present invention. Additional modifications will readily occur to those skilled in the art. It is therefore intended that the invention not be limited to the exact details and illustrations described and illustrated herein, but fall within the scope of the appended claims and equivalents thereof.

Claims (3)

1. Spinal column perspective location baffle, its characterized in that includes:
the guide plate comprises a guide plate body, wherein one side of the guide plate body is a fitting positioning surface corresponding to the shape of the spine of an operator, the fitting positioning surface is obtained by performing curved surface fitting according to the spine perspective data of the operator, a spine line bar graph is marked on the guide plate body according to the spine perspective data of the operator, and different symbols are used for marking each spine line bar so as to distinguish the spine lines; wherein the position of the surgical incision is marked on the guide plate body according to the spinal fluoroscopy data;
the fixing parts are arranged on two sides of the guide plate body and are fixedly connected with the guide plate body in a detachable mode so as to fix the guide plate body;
the guide plate comprises a guide plate body, a fixing component and a fixing component, wherein the fixing component is provided with two groups, each group comprises two fixing components, and the two fixing components in each group are correspondingly arranged on two sides of the guide plate body; firm part with the rigid coupling is carried out with the baffle body with the detachable mode, and its specific mode of setting is: firm part include first bracing piece and with the perpendicular second bracing piece that sets up of first bracing piece, the other end of second bracing piece is fixed on the operating table, the other end of first bracing piece with the baffle body can dismantle the connection, specifically does: the two side edges of the guide plate body are respectively provided with a first bulge, the first bulge is provided with a groove, the other end of the first supporting rod is provided with a second bulge, and the second bulge is matched with the groove so that the second bulge is inserted into the groove;
first bracing piece sets up so that carry out the accurate adjustment according to operator's position with the telescopic mode, and its specific setting mode is: the first supporting rod comprises a first section and a second section, a sliding groove is formed in the first section, a sliding block matched with the sliding groove is arranged on the second section, the sliding block slides in the sliding groove to adjust the length of the first supporting rod, the inner surface of the sliding groove is a metal layer, a movable stop block is further arranged in the sliding groove, and the stop block is made of magnetic materials and used for fixing the sliding block.
2. The spinal perspective positioning guide of claim 1, wherein a guide hole is provided at a surgical incision site on the guide body.
3. The spinal perspective positioning guide of claim 1, wherein the second support bar is arranged in a manner to adjust its height by: the second support rod is composed of three parts, namely a first part, a second part and a third part, wherein two ends of the second part are respectively provided with a thread, internal threads matched with the threads on the ends of the second part are respectively arranged in the first part and the third part at the ends connected with the second part, and the height of the second support is adjusted by rotating the second part.
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
CN201810005300.7A CN108378931B (en) 2018-01-03 2018-01-03 Spine perspective positioning guide plate

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Application Number Priority Date Filing Date Title
CN201810005300.7A CN108378931B (en) 2018-01-03 2018-01-03 Spine perspective positioning guide plate

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CN108378931A CN108378931A (en) 2018-08-10
CN108378931B true CN108378931B (en) 2021-03-09

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

Family Cites Families (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
WO2012154914A1 (en) * 2011-05-11 2012-11-15 The Cleveland Clinic Foundation Generating patient specific instruments for use as surgical aids
WO2014197844A1 (en) * 2013-06-07 2014-12-11 George Frey Patient-matched apparatus and methods for performing surgical procedures
CN103830007B (en) * 2014-01-09 2015-11-04 杨宗德 The preoperative otch positioner of minimally invasive spine surgical
CN105213031B (en) * 2015-08-26 2017-11-28 温州医科大学附属第二医院 A kind of vertebra posting
CN105832386B (en) * 2016-06-22 2018-11-06 唐山同仁和微创医疗器械有限公司 Puncture the fixing device with 3D printing template
CN206675664U (en) * 2017-01-04 2017-11-28 李菁 A kind of care bed multi-function desktop
CN107157580B (en) * 2017-06-27 2020-01-03 刘大鹏 3D printing guide plate for digital positioning spinal minimally invasive surgery 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

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