CN108524013A - A kind of Minimally Invasive Surgery flexible stereo positioning device - Google Patents
A kind of Minimally Invasive Surgery flexible stereo positioning device Download PDFInfo
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- CN108524013A CN108524013A CN201711259125.6A CN201711259125A CN108524013A CN 108524013 A CN108524013 A CN 108524013A CN 201711259125 A CN201711259125 A CN 201711259125A CN 108524013 A CN108524013 A CN 108524013A
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- limbs
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- flexible
- longitudinal register
- minimally invasive
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- 238000002324 minimally invasive surgery Methods 0.000 title claims abstract description 16
- 230000000694 effects Effects 0.000 claims abstract description 7
- 230000005484 gravity Effects 0.000 claims abstract description 7
- 239000000463 material Substances 0.000 claims description 6
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 claims description 4
- 239000000741 silica gel Substances 0.000 claims description 4
- 229910002027 silica gel Inorganic materials 0.000 claims description 4
- 229960001866 silicon dioxide Drugs 0.000 claims description 4
- 239000000843 powder Substances 0.000 claims description 3
- 239000000853 adhesive Substances 0.000 abstract description 2
- 230000001070 adhesive effect Effects 0.000 abstract description 2
- 238000011161 development Methods 0.000 abstract description 2
- 239000011505 plaster Substances 0.000 abstract description 2
- 229910052751 metal Inorganic materials 0.000 description 7
- 239000002184 metal Substances 0.000 description 7
- 238000000034 method Methods 0.000 description 5
- 238000010586 diagram Methods 0.000 description 3
- 238000005452 bending Methods 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 230000004807 localization Effects 0.000 description 2
- 239000000203 mixture Substances 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- XEEYBQQBJWHFJM-UHFFFAOYSA-N Iron Chemical compound [Fe] XEEYBQQBJWHFJM-UHFFFAOYSA-N 0.000 description 1
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 1
- 239000002390 adhesive tape Substances 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 238000007796 conventional method Methods 0.000 description 1
- 230000009545 invasion Effects 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 239000003550 marker Substances 0.000 description 1
- 238000005259 measurement Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000005855 radiation Effects 0.000 description 1
- 238000009738 saturating Methods 0.000 description 1
- 239000010936 titanium Substances 0.000 description 1
- 229910052719 titanium Inorganic materials 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, 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
- A61B90/10—Instruments, 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, 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
- A61B90/10—Instruments, 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
- A61B2090/101—Instruments, 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 for stereotaxic radiosurgery
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Pathology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The present invention is a kind of Minimally Invasive Surgery flexible stereo positioning device, the device is made of the flexible location coordinate grid that can adhere well to patient's limbs surface, it is described flexibility location coordinate can a part of horizontal docile in limbs place, another part is placed perpendicular to limbs under the effect of gravity, the flexibility location coordinate is formed by several flexibilities and to the located lateral line and longitudinal register line interconnection of X-ray development, it is characterized in that, the located lateral line is equipped with number or pictorial symbolization with longitudinal register line, the located lateral line is equipped with graduation mark with longitudinal register line.The present invention does not need the fixed nature docile such as adhesive plaster in limbs, in the case where not moving flexible positioning grid, P-A Cephalomatrics and lateral projection stereoscopic localized are carried out to affected area on patient's limbs simultaneously, and positioning operation is simple, locating speed is fast, station-keeping mode is abundant, can both carry out coarse positioning, can be also accurately positioned.
Description
Technical field
The present invention relates to the field of medical instrument technology, and in particular to a kind of Minimally Invasive Surgery flexible stereo positioning device.
Background technology
Due to popularizing for current Minimally Invasive Surgery, in the surgical procedures such as surgery, orthopaedics, often need to carry out operative site accurate
It determines position, could smoothly perform the operation.Such as the operation of backbone minimal invasion, the taking-up etc. of foreign matter.It is straight whether to affected part accurate positioning
It connects and is related to operation success, if Wrong localization, patient's bringing on a disaster property consequence will be given.Operative site is positioned
Conventional method is x-ray positioning, and it is to place that Kirschner wire is fixed or metal at operative site body surface clinically to commonly use localization method at present
The opacities metal marker object such as net, frame is positioned, and situation is shown according to X-ray film, and position, guidance doctor are positioned in body surface marking
Business personnel perform the operation." C " arm machine can be reduced using metal mesh, frame positioning mode and have an X-rayed number, reduce medical staff and patient's x-ray
Amount of radiation, still, since existing metal mesh, frame quality are harder, when positioning, needs immobilization with adhesive tape, especially oriented side position, by
In gravity, positioning net is fixed loosely, position inaccurate occurs, and a positioning net can only be realized in one plane and be determined
Position position level, perpendicular positioning will often need to 2 pieces of positioning nets simultaneously.Human waist and back bumps variation physiologic radian and
When cylindrical body fixed position, make metal mesh, frame between body surface in different parts there are at a distance from different, so as to cause perspective view
As generating corresponding error, the accuracy of location of operation is influenced.Also there is the improved structure to metal mesh, frame progress at present, mainly
It is that hinge arrangement is used to the junction of metal mesh, frame, certain plastic deformation ability is made it have, to be bonded limbs surface
Concaveconvex structure, and corresponding mark is set in grid line junction, it is positioned；The shortcomings that above structure is that deformability is small,
Not high with the compactness on limbs surface, positioning accuracy is low, and manufacturing cost is high.
Invention content
The object of the present invention is to overcome the problems of the prior art, provides a kind of Minimally Invasive Surgery flexible stereo positioning dress
It sets.
To realize above-mentioned technical purpose and the technique effect, the invention is realized by the following technical scheme：
A kind of Minimally Invasive Surgery flexible stereo positioning device, the device are sat by the flexible positioning that can adhere well to patient's limbs surface
Mark system grid is constituted, the flexibility location coordinate grid include at least can the part placed in limbs of horizontal docile and
The another part that can be placed under the effect of gravity perpendicular to limbs, while to P-A Cephalomatrics and lateral projection stereoscopic localized.
Further, the flexible location coordinate grid by located lateral line several flexible and to X-ray development and
Longitudinal register line interconnection forms.
Further, the located lateral line and/or longitudinal register line are equipped with number or pictorial symbolization.
Further, the located lateral line and/or longitudinal register line are equipped with graduation mark.
Further, the flexible material of the located lateral line and longitudinal register line is added using medical silica-gel or plastic material
X-ray developing powder is mixed.
The beneficial effects of the invention are as follows:
1, flexible coordinate system of the invention positions grid, and flexible coordinate system positions grid, the horizontal patch of a part under the effect of gravity
It takes in limbs plane, a part is perpendicular to positioning limbs plane, can be simultaneously to suffering from the case where not moving flexible positioning grid
Normotopia and side position stereoscopic localized are carried out at the limbs of side.
2, flexible coordinate system of the invention positions grid, and energy docile is not required to adhesive plaster etc. and fixes in limbs body surface, positioning operation
Simply, speed is fast.
3, some position lines of the invention are equipped with number, pictorial symbolization or graduation mark, you can using number and pictorial symbolization
Coarse positioning is carried out, can also be accurately positioned using graduation mark, station-keeping mode is abundant.
Description of the drawings
Fig. 1 is the flexible location coordinate network schematic diagram in one embodiment of the present invention；
Fig. 2 is the flexible location coordinate network schematic diagram in second embodiment of the present invention；
Fig. 3 is that flexible location coordinate grid and the limbs surface of the present invention is bonded schematic diagram；
Fig. 4 is the image for the lumbar vertebrae perspective P-A Cephalomatrics that flexible location coordinate grid is superimposed in use of the present invention；
Fig. 5 is the image for the lumbar vertebrae perspective lateral projection that flexible location coordinate grid is superimposed in use of the present invention..
Figure label explanation：1, located lateral line, 2, longitudinal register line.
Specific implementation mode
It is below with reference to the accompanying drawings and in conjunction with the embodiments, next that the present invention will be described in detail.
A kind of Minimally Invasive Surgery flexible stereo positioning device, the device are determined by the flexibility that can adhere well to patient's limbs surface
Position coordinate system grid is constituted, the flexibility location coordinate grid include at least can horizontal docile placed in limbs a part,
And the another part that can be placed under the effect of gravity perpendicular to limbs, while to P-A Cephalomatrics and lateral projection stereoscopic localized.
The flexibility location coordinate grid is by located lateral line 1 and longitudinal register several flexible and develop to X-ray
2 interconnection of line forms.
The located lateral line 1 and/or longitudinal register line 2 are equipped with number or pictorial symbolization.
The Minimally Invasive Surgery flexible stereo positioning device, the located lateral line 1 and/or longitudinal register line 2 are equipped with
Graduation mark.
The located lateral line 1 and longitudinal register line 2 intersect to form can flexible bending horizontal coordinate grid plan A, institute
State horizontal coordinate grid plan A at least include on flexible bending stroke a part perpendicular to horizontal coordinate grid plan A
Vertical coordinate grid plane B, is respectively used to the positioning to affected area horizontal position and upright position on patient's limbs.
As shown in Figure 1, in one embodiment, vertically handed over using five located lateral lines 1 and eight longitudinal register lines 2
The flexible positioning grid of fork connection composition（Not comprising outline border）, be respectively set on located lateral line 1 and longitudinal register line 2 one group or
Multigroup numerical chracter label, and from top to bottom（Or from the bottom to top）It chooses third root located lateral line 1 and is used as datum line, by a left side
To the right side（Or from right to left）In the third root located lateral line 1 folded by the 4th longitudinal register line 2 and the 5th longitudinal register line 2
The position of needs can also be oriented without the scale when common survey is positioned by being equipped with scale, and in certain bones of patient
When needing to be accurately positioned, it can be used as and measure reference.
As described in Figure 2, in another embodiment, also use five located lateral lines 1 and eight longitudinal register lines 2 vertical
The flexible positioning grid of interconnection composition, with one embodiment the difference is that：Choose all located lateral lines 1 and place
In most intermediate longitudinal register line 2（That is the 5th longitudinal register line 2）Graduation mark is set, to be referred to as measurement.
The material of the located lateral line 1 and longitudinal register line 2 adds x-ray to develop using medical silica-gel or other plastic materials
Powder（Such as iron powder, titanium valve）Hybrid process is made, and medical silica-gel is used in the present embodiment.
The principle of the invention and use process
1. as shown in figure 3, patient lies prone position, with sick vertebra（It needs to position position）Centered on will be in first embodiment of the invention
Minimally Invasive Surgery flexible stereo positioning device is placed in patient's the small of the back, and longitudinal register line is parallel to the small of the back posterior median line, one
Point（That is horizontal coordinate grid plan A）Horizontal docile is placed in limbs, another part（I.e. vertical coordinate grid plane B）In gravity
The lower nature of effect is perpendicular to limbs；
2. carrying out anteroposterior position perspective centered on sick vertebra using C arm machine, the lumbar vertebrae for obtaining the flexible location coordinate grid of superposition is saturating
Visible image, as shown in Figure 4 and Figure 5；
3. being identified shown in position line according in flexible location coordinate grid, the pedicle of vertebral arch that need to be positioned is projected on the flexible elements of a fix
It is grid, is made a mark on body surface according to the corresponding position of flexible location coordinate grid, realizes that the body surface of surgical site is fixed
Position；
4. need not move Minimally Invasive Surgery flexible stereo positioning device can be carried out at the same time side position perspective, sick vertebra is determined again and is marked
Pedicle of vertebral arch direction.
Those skilled in the art of the present technique are appreciated that unless expressly stated, singulative " one " used herein, " one
It is a ", " described " and "the" may also comprise plural form.It is to be further understood that is used in the specification of the present invention arranges
It refers to there are the feature, integer, step, operation, element and/or component, but it is not excluded that presence or addition to take leave " comprising "
Other one or more features, integer, step, operation, element, component and/or their group.Wording used herein " and/
Or " include any cell of one or more associated list items and whole combinations
The foregoing is only a preferred embodiment of the present invention, is not intended to restrict the invention, for those skilled in the art
For member, the invention may be variously modified and varied.Any modification made by all within the spirits and principles of the present invention,
Equivalent replacement, improvement etc., should all be included in the protection scope of the present invention.
Claims (5)
1. a kind of Minimally Invasive Surgery flexible stereo positioning device, which is characterized in that the device is by that can adhere well to patient's limbs table
The flexible location coordinate grid in face is constituted, the flexibility location coordinate grid include at least can horizontal docile placed in limbs
A part and the another part that can be placed under the effect of gravity perpendicular to limbs, while it is three-dimensional to P-A Cephalomatrics and lateral projection
Positioning.
2. Minimally Invasive Surgery flexible stereo positioning device according to claim 1, which is characterized in that the flexibility elements of a fix
It is grid by located lateral line that is several flexible and developing to X-ray（1）With longitudinal register line（2）Interconnection forms.
3. Minimally Invasive Surgery flexible stereo positioning device according to claim 2, which is characterized in that the located lateral line
（1）And/or longitudinal register line（2）It is equipped with number or pictorial symbolization.
4. Minimally Invasive Surgery flexible stereo positioning device according to claim 2 or 3, which is characterized in that the located lateral
Line（1）And/or longitudinal register line（2）It is equipped with graduation mark.
5. Minimally Invasive Surgery flexible stereo positioning device according to claim 1, which is characterized in that the located lateral line
（1）With longitudinal register line（2）Flexible material add x-ray developing powder to be mixed using medical silica-gel or plastic material.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201711259125.6A CN108524013A (en) | 2017-12-04 | 2017-12-04 | A kind of Minimally Invasive Surgery flexible stereo positioning device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201711259125.6A CN108524013A (en) | 2017-12-04 | 2017-12-04 | A kind of Minimally Invasive Surgery flexible stereo positioning device |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN108524013A true CN108524013A (en) | 2018-09-14 |
Family
ID=63488932
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201711259125.6A Pending CN108524013A (en) | 2017-12-04 | 2017-12-04 | A kind of Minimally Invasive Surgery flexible stereo positioning device |
Country Status (1)
| Country | Link |
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| CN (1) | CN108524013A (en) |
Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2201061Y (en) * | 1993-07-23 | 1995-06-21 | 唐河县人民医院 | X-ray developing rubber rule |
| CN2291895Y (en) * | 1997-03-13 | 1998-09-23 | 李鹤虹 | Universal CT insertion stereo positioning instrument |
| CN101690669A (en) * | 2009-10-22 | 2010-04-07 | 贺石生 | Spinal surgical positioning device |
| CN103845116A (en) * | 2014-03-24 | 2014-06-11 | 王卫国 | Percutaneous vertebral pedicle positioner |
| CN106137390A (en) * | 2015-04-13 | 2016-11-23 | 上海市嘉定区南翔医院 | A kind of flexible lumbar vertebra compression fracture micro-invasive operation locator |
| CN209595916U (en) * | 2017-12-04 | 2019-11-08 | 翟延荣 | A kind of Minimally Invasive Surgery flexible stereo positioning device |
-
2017
- 2017-12-04 CN CN201711259125.6A patent/CN108524013A/en active Pending
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2201061Y (en) * | 1993-07-23 | 1995-06-21 | 唐河县人民医院 | X-ray developing rubber rule |
| CN2291895Y (en) * | 1997-03-13 | 1998-09-23 | 李鹤虹 | Universal CT insertion stereo positioning instrument |
| CN101690669A (en) * | 2009-10-22 | 2010-04-07 | 贺石生 | Spinal surgical positioning device |
| CN103845116A (en) * | 2014-03-24 | 2014-06-11 | 王卫国 | Percutaneous vertebral pedicle positioner |
| CN106137390A (en) * | 2015-04-13 | 2016-11-23 | 上海市嘉定区南翔医院 | A kind of flexible lumbar vertebra compression fracture micro-invasive operation locator |
| CN209595916U (en) * | 2017-12-04 | 2019-11-08 | 翟延荣 | A kind of Minimally Invasive Surgery flexible stereo positioning device |
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| WD01 | Invention patent application deemed withdrawn after publication |
Application publication date: 20180914 |
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| WD01 | Invention patent application deemed withdrawn after publication |