CN108836508B - Accurate positioner of ordinary surgery operation - Google Patents
Accurate positioner of ordinary surgery operation Download PDFInfo
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- CN108836508B CN108836508B CN201810809011.2A CN201810809011A CN108836508B CN 108836508 B CN108836508 B CN 108836508B CN 201810809011 A CN201810809011 A CN 201810809011A CN 108836508 B CN108836508 B CN 108836508B
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- laser
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- 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
- A61B90/11—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 with guides for needles or instruments, e.g. arcuate slides or ball joints
-
- 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
- A61B90/11—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 with guides for needles or instruments, e.g. arcuate slides or ball joints
- A61B90/13—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 with guides for needles or instruments, e.g. arcuate slides or ball joints guided by light, e.g. laser pointers
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- Pathology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Physics & Mathematics (AREA)
- Optics & Photonics (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses an accurate positioning device for a common surgical operation, which relates to the field of clinical medical treatment, and comprises a base and a bracket arranged on the base, wherein the tail end of the bracket is provided with a positioning head, and the accurate positioning device is characterized in that: the positioning head comprises a shell, a transverse positioning module and a longitudinal positioning module are arranged in the shell, one end of the longitudinal positioning module is connected with the center of the transverse positioning module, and the transverse positioning module is perpendicular to the longitudinal positioning module; the transverse positioning module and the longitudinal positioning module respectively comprise a plurality of laser projection units which are arranged in parallel. The problem of avoiding operation at every turn to need many times X radiation location, cause the radiation volume too much is realized, location that can also be more accurate is avoided fixing a position unstably, and the inaccuracy needs assist through the operation experience and fixes a position to through laser illumination location, not influenced by shadowless lamp luminance, and no entity locator, the technological effect of the normal operation of not influencing the operation.
Description
Technical Field
The invention relates to the field of medical instruments, in particular to an accurate positioning device for common surgical operations.
Background
Minimally invasive surgery is the future trend of surgical operations, and the key to the success of minimally invasive surgery is positioning. How to position quickly and accurately in the operation is always a clinical problem which puzzles the international medical community.
At present, when an ordinary minimally invasive surgery is used for about one and a half hours, a doctor can perform positioning according to clinical experience during the operation, the positioning needs to be repeatedly performed by utilizing rays for positioning, and both a patient and the doctor can be exposed to the rays for a long time. Excessive radiation exposure, whether to the patient or the doctor, is an irreversible hazard, and accurate positioning of how normal surgery is performed without X-ray detection is therefore an important way to protect the doctor's patient.
In a movable three-dimensional rocker arc-shaped guide common puncture assistor with the publication number of CN 105125285B and a using method thereof, the movable three-dimensional rocker arc-shaped guide common puncture assistor comprises a ground movable supporting part, a three-dimensional rocker adjusting part and an arc-shaped angle guide puncture part. The bottom foot of the ground movable supporting part is a roller with a brake, and a vertical rod which is sleeved with a cylinder and maintains the integral balance is arranged above the ground movable supporting part; the three-dimensional rocker adjusting part is a three-dimensional adjusting structure consisting of three rockers with threads and three extension rods, and simultaneously comprises a horizontal calibrator and a horizontal locking wrench; the arc angle guide puncture part comprises an 1/4 arc track with an angle, a rocker capable of adjusting the arc track to realize 360-degree vertical rotation, two infrared fixed point instruments, a guide rod sliding along the arc track and a detachable sterile needle guide. The invention has the advantages of high puncture accuracy, short fluoroscopy time, less fluoroscopy times, low X-ray radiation quantity of medical care personnel and patients, sterilizable and reusable needle guide, no development in high polymer material X-ray fluoroscopy and the like, thereby being widely applied to the common operations of intervertebral foramen mirror positioning puncture, epidural anesthesia, common tumor biopsy, common abscess puncture drainage and the like.
The utility model discloses a can dismantle accurate positioning device of equipment operation in the accurate positioning device of removable assecmbly operation of publication No. CN 105232122A, include by a base and constitute L shape base with this base vertically vertical guide rail, be equipped with first fixed block on the vertical guide rail, it has sliding connection's lifter to run through on the first fixed block, be equipped with the second fixed block on the lifter top, it has the horizon bar to run through on the second fixed block, be equipped with the third fixed block on the horizon bar top, be equipped with first slider on the third fixed block, be connected with the circular orbit on the first slider, the guide arm passes through second slider and circular orbit connection. Compared with the prior art, the invention can be widely applied to common operations, neurosurgery operations, general surgery operations and the like, and has the advantages of ensuring that the puncture positioning of the operations is more accurate, shortening the operation time, reducing the radiation of medical care personnel and the like.
The positioning device for the general surgery disclosed in the above two patents is recently applied to the general surgery at the present stage and has a certain accuracy, however, there is still positioning inaccuracy, and the positioning needle or the positioner or the positioning frame is still mounted on the body of the patient, which seriously affects the operation.
Disclosure of Invention
The invention aims to provide an accurate positioning device for a common surgical operation, which can not only avoid the problem of excessive radiation caused by the fact that X-ray positioning is needed for multiple times in each operation, but also can realize more accurate positioning, avoid unstable and inaccurate positioning, need to assist in positioning through operation experience, realize positioning through laser illumination, and is not influenced by the brightness of a shadowless lamp, and has no solid positioner, so that the normal operation of the operation is not influenced.
In order to solve the problems, the invention discloses an accurate positioning device for a common surgical operation, which comprises a base and a bracket arranged on the base, wherein the tail end of the bracket is provided with a positioning head, and the accurate positioning device is characterized in that: the positioning head comprises a shell, a transverse positioning module and a longitudinal positioning module are arranged in the shell, one end of the longitudinal positioning module is connected with the center of the transverse positioning module, and the transverse positioning module is perpendicular to the longitudinal positioning module; the transverse positioning module and the longitudinal positioning module respectively comprise a plurality of laser projection units arranged in parallel, a rotating column is arranged at the top of each laser projection unit and hinged with a shell of the positioning head through the rotating column, and connecting points are arranged on the side edge of each laser projection unit and connected through connecting rods, so that all the laser projection units in the transverse positioning module or the longitudinal positioning module are linked to carry out angle conversion; laser emitters with two colors are arranged in the laser projection units, the laser emitters comprise red laser emitters and green laser emitters, and the laser projection units are independent from each other and perform laser color control through a control panel arranged outside the shell; and a convex lens group connected with the shell is further arranged above the transverse positioning module and the longitudinal positioning module.
Further wherein the bracket, housing, and partial construction of the lateral and longitudinal positioning modules are made of a plastic that does not affect X-rays.
Further, the support includes, but is not limited to, a section of mechanical support, and can also be a supporting structure formed by movable links among multiple sections, and the connecting rod extends out of the housing.
Furthermore, a wireless control module is arranged in the shell, and the on-off control of the laser transmitters with different colors can be carried out through remote control.
Further, the width of the laser line projected by the laser emitter does not exceed 2 mm.
Further, the laser projection unit is powered by an external direct current power supply.
Further, the convex lens group can adjust focal length and change the projection line distance of the laser projection unit.
The invention also discloses a using method of the precision positioning device for the common surgical operation, which comprises the following steps:
(1) the patient lies on the front of the sickbed, the power supply of the positioning device is turned on, and the angles of a plurality of transverse and longitudinal crossed laser lines projected by the laser are adjusted by adjusting the connecting rods on the transverse positioning module and the longitudinal positioning module;
(2) the main positioning points are positioned by X-rays, positioning needles used in the prior art are not needed, only the colors of two projected laser lines are needed to be changed, and the intersection point is the required positioning point;
(3) the other intersection point is coincided with the other positioning point of the X-ray machine by adjusting the height or the focal length of the convex lens group, and the color of the laser line is changed;
(4) and completing positioning, closing the X-ray machine and only keeping the positioning device for use.
The invention has the beneficial effects that:
through the unsettled setting of head of will fixing a position, in patient direct contact, realize the location through the laser emission device of adjustable angle and line interval and colour, only need in the beginning through X-ray irradiation assistance-localization real-time can, do not need entity location apparatus and pilot pin assistance-localization real-time, alleviateed working strength, reduced the interference thing that hinders the operation normal clear.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below. It is obvious that the drawings in the following description are some embodiments of the invention, and that for a person skilled in the art, other drawings can be derived from them without inventive effort.
FIG. 1 is a schematic view of the overall structure of the present invention;
FIG. 2 is a bottom view of the positioning head of the present invention;
FIG. 3 is a schematic view of the angular adjustment linkage of the laser line-casting unit in the transverse (longitudinal) positioning module of the present invention.
FIG. 1 illustrates a base; 2. a support; 3. positioning the head; 4. a housing; 5. a transverse positioning module; 6. a longitudinal positioning module; 7. a laser line projection unit; 8. a spin column; 9. a connection point; 10. a connecting rod; 11. a control panel; 12. a convex lens group; 13. and a wireless control module.
Detailed Description
In the description of the present invention, it is to be understood that the terms "center", "longitudinal", "lateral", "length", "width", "thickness", "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "clockwise", "counterclockwise", and the like, indicate orientations and positional relationships based on those shown in the drawings, and are used only for convenience of description and simplicity of description, and do not indicate or imply that the device or element being referred to must have a particular orientation, be constructed and operated in a particular orientation, and thus, are not to be construed as limiting the present invention.
Furthermore, the terms "first", "second" and "first" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance or implicitly indicating the number of technical features indicated. Thus, a feature defined as "first" or "second" may explicitly or implicitly include one or more of that feature. In the description of the present invention, unless otherwise specified, "a plurality" means two or more unless explicitly defined otherwise.
In the present invention, unless otherwise expressly specified or limited, the terms "mounted," "connected," "secured," and the like are to be construed broadly and can, for example, be fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meanings of the above terms in the present invention can be understood by those skilled in the art according to specific situations.
In the present invention, unless otherwise expressly stated or limited, "above" or "below" a first feature means that the first and second features are in direct contact, or that the first and second features are not in direct contact but are in contact with each other via another feature therebetween. Also, the first feature being "on," "above" and "over" the second feature includes the first feature being directly on and obliquely above the second feature, or merely indicating that the first feature is at a higher level than the second feature. A first feature being "under," "below," and "beneath" a second feature includes the first feature being directly under and obliquely below the second feature, or simply meaning that the first feature is at a lesser elevation than the second feature.
The first embodiment is as follows:
the accurate positioning device for the general surgical operation, as shown in fig. 1, 2 and 3, comprises a base 1 and a bracket 2 arranged on the base, wherein a positioning head 3 is arranged at the tail end of the bracket, and the accurate positioning device is characterized in that: the positioning head comprises a shell 4, a transverse positioning module 5 and a longitudinal positioning module 6 are arranged in the shell, one end of the longitudinal positioning module is connected with the center of the transverse positioning module, and the transverse positioning module is perpendicular to the longitudinal positioning module; the transverse positioning module and the longitudinal positioning module respectively comprise a plurality of laser projection units 7 which are arranged in parallel, the top of each laser projection unit is provided with a rotating column 8, the rotating columns are hinged with the shell of the positioning head, the side edge of each laser projection unit is provided with a connecting point 9, and the connecting points are connected through a connecting rod 10, so that all the laser projection units in the transverse positioning module or the longitudinal positioning module are linked to carry out angle transformation; laser emitters with two colors are arranged in the laser projection units, the laser emitters comprise red laser emitters and green laser emitters, and the laser projection units are independent from each other and perform laser color control through a control panel 11 arranged outside the shell; and a convex lens group 12 connected with the shell is also arranged above the transverse positioning module and the longitudinal positioning module.
Example two:
in the first embodiment, a precise positioning device for general surgery comprises a base 1 and a bracket 2 arranged on the base, wherein a positioning head 3 is arranged at the tail end of the bracket, and the precise positioning device is characterized in that: the positioning head comprises a shell 4, a transverse positioning module 5 and a longitudinal positioning module 6 are arranged in the shell, one end of the longitudinal positioning module is connected with the center of the transverse positioning module, and the transverse positioning module is perpendicular to the longitudinal positioning module; the transverse positioning module and the longitudinal positioning module respectively comprise a plurality of laser projection units 7 which are arranged in parallel, the top of each laser projection unit is provided with a rotating column 8, the rotating columns are hinged with the shell of the positioning head, the side edge of each laser projection unit is provided with a connecting point 9, and the connecting points are connected through a connecting rod 10, so that all the laser projection units in the transverse positioning module or the longitudinal positioning module are linked to carry out angle transformation; laser emitters with two colors are arranged in the laser projection units, the laser emitters comprise red laser emitters and green laser emitters, and the laser projection units are independent from each other and perform laser color control through a control panel 11 arranged outside the shell; and a convex lens group 12 connected with the shell is also arranged above the transverse positioning module and the longitudinal positioning module. On the basis, other structures are further limited, wherein a wireless control module 13 is further arranged in the shell, and the on-off control of the laser transmitters with different colors can be carried out through remote control. Wherein the width of the laser line projected by the laser emitter is not more than 2 mm. Wherein the laser projection unit is powered by an external direct current power supply. The convex lens group can adjust the focal length and change the distance between the projection lines of the laser projection unit.
Example three:
the invention also discloses a using method of the precision positioning device for the common surgical operation, which comprises the following steps:
(1) the patient lies on the front of the sickbed, the power supply of the positioning device is turned on, and the angles of a plurality of transverse and longitudinal crossed laser lines projected by the laser are adjusted by adjusting the connecting rods on the transverse positioning module and the longitudinal positioning module;
(2) the main positioning points are positioned by X-rays, positioning needles used in the prior art are not needed, only the colors of two projected laser lines are needed to be changed, and the intersection point is the required positioning point;
(3) the other intersection point is coincided with the other positioning point of the X-ray machine by adjusting the height or the focal length of the convex lens group, and the color of the laser line is changed;
(4) and completing positioning, closing the X-ray machine and only keeping the positioning device for use.
The invention has the beneficial effects that:
through the unsettled setting of head of will fixing a position, in patient direct contact, realize the location through the laser emission device of adjustable angle and line interval and colour, only need in the beginning through X-ray irradiation assistance-localization real-time can, do not need entity location apparatus and pilot pin assistance-localization real-time, alleviateed working strength, reduced the interference thing that hinders the operation normal clear.
Claims (8)
1. The utility model provides an accurate positioner of ordinary surgery operation, includes base (1) and sets up support (2) on the base, the support end is equipped with positioning head (3), its characterized in that: the positioning head comprises a shell (4), a transverse positioning module (5) and a longitudinal positioning module (6) are arranged in the shell, one end of the longitudinal positioning module is connected with the center of the transverse positioning module, and the transverse positioning module is perpendicular to the longitudinal positioning module; the transverse positioning module and the longitudinal positioning module respectively comprise a plurality of laser projection units (7) which are arranged in parallel, the top of each laser projection unit is provided with a rotating column (8) which is hinged with the shell of the positioning head through the rotating column, the side edge of each laser projection unit is provided with a connecting point (9), and the connecting points are connected through a connecting rod (10), so that all the laser projection units in the transverse positioning module or the longitudinal positioning module are linked to carry out angle transformation; laser emitters with two colors are arranged in the laser projection units, the laser emitters comprise red laser emitters and green laser emitters, and the laser projection units are independent from each other and perform laser color control through a control panel (11) arranged outside the shell; and a convex lens group (12) connected with the shell is also arranged above the transverse positioning module and the longitudinal positioning module.
2. A general surgical precision positioning device according to claim 1, wherein: the support, the housing, and the partial construction of the transverse and longitudinal positioning modules are made of a plastic that does not affect the X-rays.
3. A general surgical precision positioning device according to claim 1, wherein: the support comprises a supporting structure formed by one section of mechanical support or movable links among multiple sections.
4. A general surgical precision positioning device according to claim 1, wherein: and a wireless control module (13) is further arranged in the shell, and the on-off control of the laser transmitters with different colors can be carried out through remote control.
5. A general surgical precision positioning device according to claim 1, wherein: the width of a laser line projected by the laser emitter is not more than 2 mm.
6. A general surgical precision positioning device according to claim 1, wherein: the laser line casting unit is powered by an external direct current power supply.
7. A general surgical precision positioning device according to claim 1, wherein: the convex lens group can adjust focal length and change the distance between the projection lines of the laser projection unit.
8. The use method of the precision positioning device for general surgery as recited in claim 1, wherein: the method comprises the following steps:
(1) the patient lies on the front of a sickbed, the power supply of the positioning device is turned on, and the angles of a plurality of transverse and longitudinal crossed laser lines projected by laser are adjusted by adjusting connecting rods on the transverse positioning module and the longitudinal positioning module;
(2) the main positioning points are positioned by X-rays, positioning needles used in the prior art are not needed, only the colors of two projected laser lines are needed to be changed, and the intersection point is the required positioning point;
(3) the other intersection point is coincided with the other positioning point of the X-ray machine by adjusting the height or the focal length of the convex lens group, and the color of the laser line is changed;
(4) and completing positioning, closing the X-ray machine and only keeping the positioning device for use.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810809011.2A CN108836508B (en) | 2018-07-23 | 2018-07-23 | Accurate positioner of ordinary surgery operation |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810809011.2A CN108836508B (en) | 2018-07-23 | 2018-07-23 | Accurate positioner of ordinary surgery operation |
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| Publication Number | Publication Date |
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| CN108836508A CN108836508A (en) | 2018-11-20 |
| CN108836508B true CN108836508B (en) | 2020-08-14 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201810809011.2A Expired - Fee Related CN108836508B (en) | 2018-07-23 | 2018-07-23 | Accurate positioner of ordinary surgery operation |
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Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN112546447B (en) * | 2020-11-24 | 2021-07-27 | 四川君健万峰医疗器械有限责任公司 | Stimulating coil positioning device |
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| EP1292240A1 (en) * | 2000-06-09 | 2003-03-19 | Chumas, Nicola Jane | Method and apparatus for guiding a surgical instrument |
| CN103126703A (en) * | 2011-11-30 | 2013-06-05 | Ge医疗系统环球技术有限公司 | Body laser positioning system and method used for computed tomography (CT) system |
| CN203506742U (en) * | 2013-09-29 | 2014-04-02 | 中山大学附属第一医院 | Angiography machine convenient to laser positioning |
| CN105326572A (en) * | 2015-11-04 | 2016-02-17 | 庄源东 | Guide device of surgical laser positioning system and auxiliary tools thereof |
| CN205234654U (en) * | 2015-11-04 | 2016-05-18 | 庄源东 | Operation laser positioning system |
| CN106413621A (en) * | 2013-09-18 | 2017-02-15 | 伊美格医药公司 | Surgical assemblies for housing force transmitting members |
| CN205964127U (en) * | 2016-06-27 | 2017-02-22 | 朱静 | Human deep is worn nematophore table and is swashed optical locating director |
Family Cites Families (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7147371B2 (en) * | 2004-12-10 | 2006-12-12 | Joseph Hecker | Laser guides for X-ray device |
| US20140107473A1 (en) * | 2012-10-17 | 2014-04-17 | Cincinnati Children's Hospital Medical Center | Laser Guidance System for Interventions |
-
2018
- 2018-07-23 CN CN201810809011.2A patent/CN108836508B/en not_active Expired - Fee Related
Patent Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1198918A (en) * | 1997-03-13 | 1998-11-18 | 西门子公司 | Apparatus for marking guide path of instrument |
| EP1292240A1 (en) * | 2000-06-09 | 2003-03-19 | Chumas, Nicola Jane | Method and apparatus for guiding a surgical instrument |
| CN103126703A (en) * | 2011-11-30 | 2013-06-05 | Ge医疗系统环球技术有限公司 | Body laser positioning system and method used for computed tomography (CT) system |
| CN106413621A (en) * | 2013-09-18 | 2017-02-15 | 伊美格医药公司 | Surgical assemblies for housing force transmitting members |
| CN203506742U (en) * | 2013-09-29 | 2014-04-02 | 中山大学附属第一医院 | Angiography machine convenient to laser positioning |
| CN105326572A (en) * | 2015-11-04 | 2016-02-17 | 庄源东 | Guide device of surgical laser positioning system and auxiliary tools thereof |
| CN205234654U (en) * | 2015-11-04 | 2016-05-18 | 庄源东 | Operation laser positioning system |
| CN205964127U (en) * | 2016-06-27 | 2017-02-22 | 朱静 | Human deep is worn nematophore table and is swashed optical locating director |
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| CN108836508A (en) | 2018-11-20 |
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