CN109106454A - RC encephalic minimally-invasive treatment positioning device - Google Patents
RC encephalic minimally-invasive treatment positioning device Download PDFInfo
- Publication number
- CN109106454A CN109106454A CN201810776738.5A CN201810776738A CN109106454A CN 109106454 A CN109106454 A CN 109106454A CN 201810776738 A CN201810776738 A CN 201810776738A CN 109106454 A CN109106454 A CN 109106454A
- Authority
- CN
- China
- Prior art keywords
- axis
- encephalic
- line
- minimally
- adjustment
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
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
- 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
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
-
- 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
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3904—Markers, e.g. radio-opaque or breast lesions markers specially adapted for marking specified tissue
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 provides a kind of RC encephalic minimally-invasive treatment positioning identifier lines, it includes: canthomeatal line tag line, cross tag line and tag line fitting object;RC encephalic minimally-invasive treatment positioning device, it includes: C-arm, universal dividing head, Z axis adjusting slide unit, support arm, XY adjusting slide unit;The C-arm is garden arc, and radian is 90 ° -160 °;RC encephalic minimally-invasive treatment positioning system, it includes: above-mentioned RC encephalic minimally-invasive treatment positioning identifier line, above-mentioned RC encephalic minimally-invasive treatment positioning device, operating table;" depth ", " angle " in invasive surgery are more scientificlly and effectively controlled, operating difficulty is reduced, improves accuracy, reduce the injury to brain tissue, encephalic minimal invasive techniques are widely popularized, and patient can locally obtain good treatment;It is not limited by lesions position, non-blind area of performing the operation, precisely.Solve the problems, such as that 15mm patient below cannot implement encephalic Minimally Invasive Surgery.
Description
The application is the division Shen of patent of invention RC encephalic minimally-invasive treatment positioning device and positioning identifier line and positioning system
Please, original application date: on May 31st, 2016, application No. is 2016103719909, the positioning of denomination of invention RC encephalic minimally-invasive treatment was filled
It sets and positioning identifier line and positioning system.
Technical field
The invention belongs to medical instruments fields, and in particular to RC encephalic minimally-invasive treatment positioning device.
Background technique
The important means that treatment is intracranialed hemorrhage is had become from the extensive use of Minimally Invasive Surgery in 1997, but due to not accurate
The equipment to match, lesion lesser sufferer less for amount of bleeding can only select conservative palliative treatment, and reach operation
The patient of indication (15mml~50mml) relies on substantially the clinical experience of doctor individual, thus causes operation without standard, controls
Therapeutic effect ginseng time is uneven;15mm patient below much loses preciousness waiting golden hour early stage in be seen is (yellow
Gold 6 hours), and the patient to perform the operation due to " inserting needle position " " depth " of minimally invasive needle, " angle " can not accurate control, easily draw
Rise again, repeatedly inserting needle draws blood, bigger brain tissue impairment is brought to patient, cause disability rate, lethality increase, made to family
At great financial burden, the investment of medical insurance is increased to country.
People are constantly looking for a kind of universal method that is scientific, effective, easily operated, easily promoting, to solve puzzlement hand
Hemotoncus operative indication is reduced to 15ml hereinafter, and expanding small lesion and not opening the micro- of cranium by the inaccurate problem of control during art
Therapy field is created, bigger survival probability is created to patient, improves the life quality of postoperative patient.
The numerical value that can be obtained by scientific algorithm, doctor more scientificlly and effectively control in invasive surgery " depth ", " angle ".
Operating difficulty is reduced, encephalic minimal invasive techniques are popularized, so that more doctors be enable to be engaged in intracranial hematoma and lesion minimally-invasive treatment.
Patient can locally obtain accurate, good treatment, be the target that people pursue always.
Summary of the invention
The purpose of the present invention is to solve the clinical experiences that encephalic Minimally Invasive Surgery depends on doctor individual, thus lead to hand
Art is uneven without standard, therapeutic effect ginseng time;The problem of 15mm patient below cannot implement encephalic Minimally Invasive Surgery, and one kind is provided
" depth ", " angle " in invasive surgery are more scientificlly and effectively controlled, operating difficulty is reduced, popularizes encephalic minimal invasive techniques, Huan Zheneng
Locally obtain good treatment, RC encephalic minimally-invasive treatment positioning device and positioning identifier and positioning system.
RC encephalic minimally-invasive treatment positioning identifier line, it includes: canthomeatal line tag line 92, cross tag line and tag line fitting
Object, the cross tag line include: that the sagittal line tag line 93 for resting the head on outer knuckle, side temples to other side temples are crossed by nasion portion
Coronal line identify silk 91, the tag line is the metal identification line of not pass through x-ray;The coronal line mark silk 91 and sagittal
Line tag line 93 is mutually perpendicular to, and coronal line mark silk 91 is mutually perpendicular to canthomeatal line tag line 92;
The RC encephalic minimally-invasive treatment positioning identifier line 9 further includes inserting needle identification point;
The tag line further include: radiotransparent elastic slice 94, positioning identifier line 9 be arranged elastic slice 94 in, sagittal line tag line 93 with
Coronal line tag line 91 is mutually perpendicular to be fixedly connected;Canthomeatal line tag line 92 is mutually perpendicular to coronal line tag line 91, they it
Between be equipped with canthomeatal line moving locking device, reconcile position of the control canthomeatal line tag line 92 on coronal line tag line 91;
The canthomeatal line tag line 92 is equipped with earplug 921.
RC encephalic minimally-invasive treatment positioning device, it includes: C-arm 23, universal dividing head 1, Z axis adjusting slide unit, support arm
6, XY adjusts slide unit;
The C-arm 23 is garden arc, and radian is 90 ° -160 °, and C-arm 23 and universal dividing head 1, Z axis adjust slide unit, branch
Brace 6, XY axis adjust slide unit and are linked in sequence;The C-arm 23 is equipped with sliding seat 22, angular adjustment device 21, c-type guide rail
231, sliding seat 22 slides on c-type guide rail 231;Angular adjustment device 21 is located on sliding seat 22, and guiding is equipped in sliding seat 22
Needle multi-directional ball 226, guid needle multi-directional ball 226 and angular adjustment device 21 are equipped with guiding needle passageway;The c-type guide rail 231 is equipped with
Arc-shaped rack 232;Sliding seat 22 is equipped with gear 222, knob 223, the axis 224 to match with arc-shaped rack 232;Sliding seat 22 is
It is made of two identical point of valve sliding seats 225, guid needle multi-directional ball 226 is made of two identical hemisphere, is set on two hemispheres
There are a semi-circular recesses, composition guiding needle passageway when engagement;
The RC encephalic minimally-invasive treatment positioning device, further includes: laser range finder 81, mark light source 82;Identifying light source 82 is
Cross light source, on installation universal dividing head 1;
The angular adjustment device 21 includes: frame 2101, first angle adjustment section, second angle adjustment section;
Frame 2101 be it is box-like, lower part be equipped with hole 2110;
The first angle adjustment section includes: adjustment axis I 2106, worm gear I 2111, worm screw I 2103, knob I 2104;
Adjustment axis I 2106 is mounted on frame 2101, and adjustment axis I 2106 is equipped with adjustment II mounting portion 2114 of axis, adjusts axis II
2114 position of mounting portion is corresponding with hole 2110, and adjustment II mounting portion 2114 of axis includes a square groove and vertically disposed with square groove
Hole, square groove are corresponding with 2110 position of hole;
The two sides of square groove 2114 are additionally provided with II support 2106 of worm screw;
Worm gear I 2111 is mounted on one end of adjustment axis I 2106, and worm screw I 2103 is mounted on frame 2101, with I 2111 phase of worm gear
Matching, knob I 2104 are mounted on worm screw I 2103, and knob I 2104 is equipped with scale;
Second angle adjustment section is vertically arranged with first angle adjustment section;
Second angle adjustment section includes: adjustment axis II 2109, worm gear II 2112, worm screw II 2107, knob 2108;
It adjusts II 2109 one end of axis and is equipped with the guiding needle passageway 2114 being arranged with axis disposition;
Adjustment axis II 2109 is mounted on adjustment II mounting portion 2114 of axis, and the guiding needle passageway of adjustment II 2109 one end of axis, which is located at, to be adjusted
II mounting portion of bearing,;Adjustment II 2109 other end of axis is fixed with worm gear II 2112, and worm screw II 2107 is fixed on II support of worm screw
On 2106, knob 2108 is fixed on worm screw II 2107, and knob I 2104 is equipped with scale;
Sliding seat 22, guid needle multi-directional ball 226 are made of the fissions such as two, detachable, after guid needle enters encephalic, sliding seat
22, guid needle multi-directional ball 226 separates, and is detached from guid needle.
RC encephalic minimally-invasive treatment positioning system, it includes: above-mentioned RC encephalic minimally-invasive treatment positioning identifier line 9, above-mentioned
RC encephalic minimally-invasive treatment positioning device, operating table 4;
The operating table 4 is equipped with pillow bracket 3, and pillow bracket 3 is equipped with pillow bracket angular adjustment apparatus and head fixed band 31;
The operating table 4 is additionally provided with angular adjustment apparatus, 45-90 ° of left and right inclination angle.
The present inventor hospital be engaged in clinical medicine image work more than 20 years, touch largely intracranial hemorrhage, tumour trouble
Person.
The present invention provides RC encephalic minimally-invasive treatment positioning identifier lines, it includes: canthomeatal line tag line 92, cross tag line
And tag line is bonded object;RC encephalic minimally-invasive treatment positioning device, it includes: C-arm 23, universal dividing head 1, Z axis adjusting cunning
Platform, support arm 6, XY adjust slide unit;
The C-arm 23 is garden arc, and radian is 90 ° -160 °;RC encephalic minimally-invasive treatment positioning system, it includes: above-mentioned
RC encephalic minimally-invasive treatment positioning identifier line 9, above-mentioned RC encephalic minimally-invasive treatment positioning device, operating table 4;More scientificlly and effectively
" depth ", " angle " in invasive surgery are controlled, operating difficulty is reduced, improves accuracy, reduce the injury to brain tissue, encephalic
Minimal invasive techniques are widely popularized, and patient can locally obtain good treatment, and patient formulates surgical planning in advance,
It is not limited by existing routine operation lesions position, sets people-oriented, non-blind area of performing the operation, it is contactless, precisely.Solves 15mm or less
Patient the problem of cannot implementing encephalic Minimally Invasive Surgery.
Detailed description of the invention
Fig. 1 is patient's head positioning identifier DNA mitochondrial DNA figure;
Fig. 2 is RC encephalic minimally-invasive treatment positioning device structure figure;
Fig. 3 is C-arm perspective view;
Fig. 4 is C-arm perspective view;
Fig. 5 is angular adjustment device top view;
Fig. 6 is angular adjustment device perspective view;
Fig. 7 is RC encephalic minimally-invasive treatment positioning identifier line schematic front view;
Fig. 8 is RC encephalic minimally-invasive treatment positioning identifier DNA mitochondrial DNA figure.
Specific embodiment
1 RC encephalic minimally-invasive treatment positioning identifier line of embodiment
Referring to Figure 1,7,8, RC encephalic minimally-invasive treatment positioning identifier line 9, it includes: canthomeatal line tag line 92, cross tag line
And tag line is bonded object, the adhesive tape, the cross tag line includes: that the sagittal line tag line for resting the head on outer knuckle is crossed in nasion portion
93, the coronal line of side temples to other side temples identifies silk 91, and the tag line is the metal identification line of not pass through x-ray, example
Such as spongy lead.The tag line fitting object is adhesive tape
The coronal line mark silk 91 is mutually perpendicular to sagittal line tag line 93, coronal line mark silk 91 and canthomeatal line tag line
92 are mutually perpendicular to;
The RC encephalic minimally-invasive treatment positioning identifier line 9 further includes inserting needle identification point.
The scalp that outer knuckle is sticked to patient with adhesive tape is rested the head in use, sagittal line tag line 93 is crossed from nasion portion along sagittal line
On, with tape-stripping, (canthomeatal line is porus acusticus externus and same branch hole to canthomeatal line tag line 92 on the canthomeatal line of the both sides of the head of patient
Line between outer canthus, the also known as reference line of X-ray photographic), by coronal line identify silk 9 from side temples around the patient crown to another
Side temples keeps coronal line mark silk 91 to be mutually perpendicular to sagittal line tag line 93, and coronal line mark silk 91 and canthomeatal line identify
Line 92 is mutually perpendicular to, with tape-stripping on scalp.
Canthomeatal line tag line 92 when CT scan with two sides is to scan datum level to carry out spiral (wait layers away from, thickness) scanning
Faultage image generates 4 metal dots since cross hairs is identified in faultage image, connects two metal dots of forehead, occipitalia,
Two metal dots i.e. on sagittal line tag line 93 are appointed as in Y-axis (coronal-plane direction), connect two metals of two sides temples
Point line, i.e. two metal dots on coronal line mark silk 91, are appointed as X-axis (sagittal plane direction).Datum level is scanned to cranium
Top direction is appointed as Z axis.As spatial coordinate, by the accurate coordinate position that can be calculated lesion.
2 RC encephalic minimally-invasive treatment positioning identifier line of embodiment
Referring to Figure 1,7,8, RC encephalic minimally-invasive treatment positioning identifier line 9, it includes: canthomeatal line tag line 92, cross tag line
And adhesive tape, the cross tag line include: sagittal line tag line 93 of the nasion portion to the outer knuckle of pillow, side temples to side temporo
The coronal line in portion identifies silk 91, and the tag line is the metal identification line of not pass through x-ray, such as spongy lead;
The tag line further include: radiotransparent elastic slice 94, such as plastic shrapnel, positioning identifier line 9 are arranged in elastic slice 94, arrow
Shape line tag line 93 is mutually perpendicular to be fixedly connected with coronal line tag line 91;Canthomeatal line tag line 92 and coronal line tag line 91
It is mutually perpendicular to, canthomeatal line moving locking device is equipped between them, reconcile control canthomeatal line tag line 92 in coronal line tag line
Position on 91;
The canthomeatal line tag line 92 is equipped with earplug 921.
In use, cross identifies line card on the head of patient, sagittal line tag line 93 and coronal line tag line 91 and cranium
Fitting, allows sagittal line tag line 93 to be overlapped with brain sagittal line, adjusts canthomeatal line moving locking device, and canthomeatal line tag line 92 is mobile
Earplug 921 is filled in porus acusticus externus by suitable position, and along brain sagittal line, front and back adjusts cross tag line, make canthomeatal line tag line 92 with
Patient's canthomeatal line is overlapped;It is bonded in 9 scalp of positioning identifier line at stable each position, is fixed with adhesive tape.
3 RC encephalic minimally-invasive treatment positioning device of embodiment
Fig. 2-6 is referred to, RC encephalic minimally-invasive treatment positioning device, it includes: C-arm 23, universal dividing head 1, Z axis adjusting cunning
Platform, support arm 6, XY adjust slide unit;
The C-arm 23 is garden arc, and radian is 90 ° -160 °, and C-arm 23 and universal dividing head 1, Z axis adjust slide unit, branch
Brace 6, XY axis adjust slide unit and are linked in sequence;
The C-arm 23 is equipped with sliding seat 22, angular adjustment device 21, c-type guide rail 231, and sliding seat 22 is in c-type guide rail 231
Upper sliding;Angular adjustment device 21 is located on sliding seat 22, and guid needle multi-directional ball 226, guid needle multi-directional ball are equipped in sliding seat 22
226 and angular adjustment device 21 be equipped with guiding needle passageway;The c-type guide rail 231 is equipped with arc-shaped rack 232;Sliding seat 22 is equipped with
Gear 222, knob 223, the axis 224 to match with arc-shaped rack 232;
Sliding seat 22 is made of two identical point of valve sliding seats 225, and guid needle multi-directional ball 226 is by two identical hemisphere groups
Semi-circular recesses are equipped at, two hemispheres, composition guiding needle passageway when engagement;
The RC encephalic minimally-invasive treatment positioning device, further includes: laser range finder 81, mark light source 82;Identifying light source 82 is
Cross light source, on installation universal dividing head 1,
The angular adjustment device 21 includes: frame 2101, first angle adjustment section, second angle adjustment section;
Frame 2101 be it is box-like, lower part be equipped with hole 2110;
The first angle adjustment section includes: adjustment axis I 2106, worm gear I 2111, worm screw I 2103, knob I 2104;
Adjustment axis I 2106 is mounted on frame 2101, and adjustment axis I 2106 is equipped with adjustment II mounting portion 2114 of axis, adjusts axis II
2114 position of mounting portion is corresponding with hole 2110, and adjustment II mounting portion 2114 of axis includes a square groove and vertically disposed with square groove
Hole, square groove are corresponding with 2110 position of hole;
The two sides of square groove 2114 are additionally provided with II support 2106 of worm screw;
Worm gear I 2111 is mounted on one end of adjustment axis I 2106, and worm screw I 2103 is mounted on frame 2101, with I 2111 phase of worm gear
Matching, knob I 2104 are mounted on worm screw I 2103, and knob I 2104 is equipped with scale;
Second angle adjustment section is vertically arranged with first angle adjustment section;
Second angle adjustment section includes: adjustment axis II 2109, worm gear II 2112, worm screw II 2107, knob 2108;
It adjusts II 2109 one end of axis and is equipped with the guiding needle passageway 2114 being arranged with axis disposition;
Adjustment axis II 2109 is mounted on adjustment II mounting portion 2114 of axis, and the guiding needle passageway of adjustment II 2109 one end of axis, which is located at, to be adjusted
II mounting portion of bearing,;Adjustment II 2109 other end of axis is fixed with worm gear II 2112, and worm screw II 2107 is fixed on II support of worm screw
On 2106, knob 2108 is fixed on worm screw II 2107, and knob I 2104 is equipped with scale;
Sliding seat 22, guid needle multi-directional ball 226 are made of the fissions such as two, detachable, after guid needle enters encephalic, sliding seat
22, guid needle multi-directional ball 226 separates, and is detached from guid needle.
4 RC encephalic minimally-invasive treatment positioning system of embodiment
Referring to Figure 1-8, RC encephalic minimally-invasive treatment positioning system, it includes: that RC encephalic minimally-invasive treatment described in embodiment 2 is fixed
Bit identification line 9, RC encephalic minimally-invasive treatment positioning device described in embodiment 3, operating table 4;Operating table 4 is equipped with pillow bracket 3, pillow bracket 3
Equipped with pillow bracket angular adjustment apparatus and head fixed band 31;
Operating table 4 also is provided with angular adjustment apparatus, 45-90 ° of left and right inclination angle.
In use, cross identifies line card on the head of patient, sagittal line tag line 93 and coronal line tag line 91 and cranium
Fitting, allows sagittal line tag line 93 to be overlapped with brain sagittal line, adjusts canthomeatal line moving locking device, and canthomeatal line tag line 92 is mobile
Earplug 921 is filled in porus acusticus externus by suitable position, and along brain sagittal line, front and back adjusts cross tag line, make canthomeatal line tag line 92 with
Patient's canthomeatal line is overlapped;It is bonded in 9 scalp of positioning identifier line at stable each position, is fixed with adhesive tape.
Canthomeatal line tag line 92 when CT scan with two sides is to scan datum level to carry out spiral (wait layers away from, thickness) scanning
Faultage image generates 4 metal dots since cross hairs is identified in faultage image, connects two metal dots of forehead, occipitalia,
Two metal dots i.e. on sagittal line tag line 93 are appointed as in Y-axis (coronal-plane direction), connect two metals of two sides temples
Point line, i.e. two metal dots on coronal line mark silk 91, are appointed as in X-axis (sagittal plane direction), scanning datum level to cranium
Top direction is appointed as Z axis;The crosspoint of specified two coronal line mark silks 91 and canthomeatal line tag line 92 is cranium brain coordinate system
Coordinate dot.
When operation, patient is put on operating table 4, head is put into pillow bracket 3, the tight head fixed band 31 of rope, adjusts pillow bracket 3
On pillow bracket angular adjustment apparatus, until patient's coronal line mark silk 91 is horizontal;It adjusts Z axis and adjusts slide unit and XY adjusting slide unit, it will
The cross light source line of mark light source 82 is overlapped with the crosspoint of cross tag line, and laser range finder 81 is fixed on C-arm 23
90 ° of positions, rotation C-arm 23 to coronal line identify 91 position of silk, keep C-arm 23 parallel with coronal line mark silk 91, if not
The angle of parallel adjustment pillow bracket 3;The cursor point that Z axis adjusts slide unit to laser range finder 81 is reconciled to identify silk 91 with coronal line and listen
The crosspoint of corner of the eyes line tag line 92 is overlapped, while measuring distance, is then rotated C-arm 23 and is detected other side canthomeatal line tag line 92
Intersection;Resulting distance value adjustment XY axis, which is measured, according to two sides adjusts slide unit to the resulting distance value phase of two sides measurement
Deng at this moment, the coordinate dot of the rotational trajectory of C-arm 23 is overlapped with specified cranium brain coordinate dot;
Laser range finder 81 is removed, marks the rotation rail trace (circumference) of corresponding C-arm 23, foundation in CT faultage image
CT faultage image measures the D coordinates value of lesion, and doctor rotates C-arm 23, and mobile sliding seat 22 is chosen best entry point, locked
Determine C-arm 23, mobile sliding seat 22;According to CT image data and 226 centre of sphere of guid needle multi-directional ball of mobile sliding seat 22 (is revolving
On transition trace) in C-arm 23(latitude) and universal dividing head 1(warp) on the longitude and latitude that shows, calculate guid needle multi-directional ball
The D coordinates value of 226 centre ofs sphere.The D coordinates value of 226 centre of sphere of D coordinates value and draw pin multi-directional ball of lesion center calculates
226 centre of sphere of draw pin multi-directional ball is at a distance from lesion center out, and using 226 centre of sphere of draw pin multi-directional ball as axis (vertex) to lesion center
Left and right and pitch angle.
Guid needle insertion angular adjustment device 21 is guided into needle passageway, input left and right and pitch angle, locking;Angular adjustment device
226 centre of sphere of insertion guid needle multi-directional ball on 21 guides needle passageway, angular adjustment device 21 and 226 centre of sphere seat of guid needle multi-directional ball
Coincide it is close after, lock 226 centre of sphere of guid needle multi-directional ball, the minimally invasive needle of length needed for being clamped using electric drill special, drilling is fallen through sense
Stop to bore (can still keep intrinsic direction since the thickness of skull is allowed to minimally invasive needle) afterwards, separate c-type slide-and-guide rail and divides valve ten thousand
Knob is tightly pluged with molten metal to ball, and removes a single track, depth of needle needed for being then manually operated completes Minimally Invasive Surgery.
Claims (3)
1. RC encephalic minimally-invasive treatment positioning device, which is characterized in that it includes: C-arm (23), universal dividing head (1), Z axis
It adjusts slide unit, support arm (6), XY and adjusts slide unit;The C-arm (23) is garden arc, and radian is 90 ° -160 °, C-arm
(23) slide unit, support arm (6), XY axis is adjusted with universal dividing head (1), Z axis to adjust slide unit and be linked in sequence;The C-arm
(23) it is equipped with sliding seat (22), angular adjustment device (21), c-type guide rail (231), sliding seat (22) is on c-type guide rail (231)
Sliding;Angular adjustment device (21) is located on sliding seat (22), is equipped with guid needle multi-directional ball (226) in sliding seat (22), guid needle
Multi-directional ball (226) and angular adjustment device (21) are equipped with guiding needle passageway;The c-type guide rail (231) is equipped with arc-shaped rack
(232);Sliding seat (22) is equipped with gear (222), knob (223), the axis (224) to match with arc-shaped rack (232).
2. RC encephalic minimally-invasive treatment positioning device according to claim 1, it is characterised in that: the sliding seat (22)
It is made of two identical point of valve sliding seats (225), guid needle multi-directional ball (226) is made of two identical hemisphere, two halves
Ball is equipped with semi-circular recesses, composition guiding needle passageway when engagement;The RC encephalic minimally-invasive treatment positioning device, further includes:
Laser range finder (81), mark light source (82);Light source (82) are identified for cross light source, on installation universal dividing head (1).
3. RC encephalic minimally-invasive treatment positioning device according to claim 1 or 2, which is characterized in that the angle adjustment
Instrument (21) includes: frame (2101), first angle adjustment section, second angle adjustment section;Frame (2101) be it is box-like, lower part is set
There are hole (2110);The first angle adjustment section includes: adjustment axis I (2106), worm gear I (2111), worm screw I (2103), rotation
Button I (2104);Adjusting axis I, (2106 are mounted on frame (2101), and adjustment axis I (2106) is equipped with adjustment II mounting portion of axis
(2114), adjustment II mounting portion of axis (2114) position is corresponding with hole (2110), and adjustment II mounting portion of axis (2114) includes a side
Slot and with the vertically disposed hole of square groove, square groove is corresponding with hole (2110) position;The two sides of square groove (2114) are additionally provided with worm screw II
Support (2106);Worm gear I (2111) is mounted on one end of adjustment axis I (2106), and worm screw I (2103) is mounted on frame (2101)
On, match with worm gear I (2111), knob I (2104) is mounted on worm screw I (2103), and knob I (2104) is equipped with scale;
Second angle adjustment section is vertically arranged with first angle adjustment section;Second angle adjustment section includes: adjustment axis II (2109), worm gear
II (2112), worm screw II (2107), knob (2108);It adjusts axis II (2109) one end and is equipped with the guiding being arranged with axis disposition
Needle passageway (2114);Adjustment axis II (2109) is mounted in adjustment II mounting portion of axis (2114), adjustment axis II (2109) one end
It guides needle passageway and is located at adjustment II mounting portion of axis;Adjustment axis II (2109) other end is fixed with worm gear II (2112), worm screw II
(2107) it is fixed on II support of worm screw (2106), knob (2108) is fixed on worm screw II (2107), is set on knob I (2104)
There is scale;Sliding seat (22), guid needle multi-directional ball (226) are made of two equal fissions, detachable, after guid needle enters encephalic,
Sliding seat (22), guid needle multi-directional ball (226) separate, and are detached from guid needle.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201810776738.5A CN109106454B (en) | 2016-05-31 | 2016-05-31 | RC intracranial minimally invasive treatment positioning device |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201610371990.9A CN105943171B (en) | 2016-05-31 | 2016-05-31 | RC encephalic minimally-invasive treatment positioning devices and positioning tag line and positioning system |
CN201810776738.5A CN109106454B (en) | 2016-05-31 | 2016-05-31 | RC intracranial minimally invasive treatment positioning device |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN201610371990.9A Division CN105943171B (en) | 2016-05-31 | 2016-05-31 | RC encephalic minimally-invasive treatment positioning devices and positioning tag line and positioning system |
Publications (2)
Publication Number | Publication Date |
---|---|
CN109106454A true CN109106454A (en) | 2019-01-01 |
CN109106454B CN109106454B (en) | 2020-09-22 |
Family
ID=56910935
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN201810776738.5A Active CN109106454B (en) | 2016-05-31 | 2016-05-31 | RC intracranial minimally invasive treatment positioning device |
CN201610371990.9A Active CN105943171B (en) | 2016-05-31 | 2016-05-31 | RC encephalic minimally-invasive treatment positioning devices and positioning tag line and positioning system |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN201610371990.9A Active CN105943171B (en) | 2016-05-31 | 2016-05-31 | RC encephalic minimally-invasive treatment positioning devices and positioning tag line and positioning system |
Country Status (1)
Country | Link |
---|---|
CN (2) | CN109106454B (en) |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN111437045A (en) * | 2019-01-17 | 2020-07-24 | 西门子医疗有限公司 | Skull clamp device for fixing and aligning the head of a patient for a medical procedure |
CN111887877A (en) * | 2020-08-26 | 2020-11-06 | 杭州市第一人民医院 | Canthus ear line positioner |
Families Citing this family (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN113017857B (en) * | 2021-02-25 | 2022-12-20 | 上海联影医疗科技股份有限公司 | Positioning method, positioning device, computer equipment and storage medium |
Citations (13)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1995004501A1 (en) * | 1993-08-09 | 1995-02-16 | Photoelectron Corporation | Method for treating brain tumors |
CN2395705Y (en) * | 1999-10-29 | 2000-09-13 | 涂明义 | Puncture position finder for intracranial hematoma |
US20080306375A1 (en) * | 2007-06-07 | 2008-12-11 | Surgi-Vision, Inc. | Mri-guided medical interventional systems and methods |
CN101953715A (en) * | 2009-07-13 | 2011-01-26 | 长庚大学 | Stereo positioning device for minimally invasive surgery |
CN201743772U (en) * | 2010-08-20 | 2011-02-16 | 李彦文 | Three-dimensional positioning and orientating head-fixing system |
CN201870732U (en) * | 2010-11-10 | 2011-06-22 | 武玉娟 | Portable stereotaxic instrument for brain |
CN201870727U (en) * | 2010-09-03 | 2011-06-22 | 崔双友 | Semi-framework craniocerebral stereo positioning guiding instrument |
CN203252734U (en) * | 2013-04-28 | 2013-10-30 | 南京麦迪柯科技有限公司 | Three-point fixing type brain stereotactic surgical system |
CN103431897A (en) * | 2013-08-27 | 2013-12-11 | 上海中山医疗科技发展公司 | Lateral ventricle puncture location guiding device |
CN103690243A (en) * | 2013-12-20 | 2014-04-02 | 中国人民解放军第二军医大学 | Stereotactic head frame and surgery lying plate applicable to DSA (Digital Subtraction Angiography) machine minimally invasive surgery |
US20140336670A1 (en) * | 2009-01-22 | 2014-11-13 | Neorad As | Needle holder |
US20150119902A1 (en) * | 2013-10-31 | 2015-04-30 | Elekta Ab (Publ) | Frame for fixation of equipment to the head of a patient during neurological diagnosis, stereotactic imaging, therapy or surgery |
CN104667426A (en) * | 2013-11-29 | 2015-06-03 | 奈科斯迪姆公司 | Device support apparatus |
Family Cites Families (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5618288A (en) * | 1996-01-22 | 1997-04-08 | Calvo; Antonio M. | Stereotactic system for surgical procedures |
CN2780118Y (en) * | 2005-02-03 | 2006-05-17 | 华中科技大学同济医学院附属同济医院 | Helmet type intractranial focus location instrument |
US20080275466A1 (en) * | 2007-05-01 | 2008-11-06 | James Grant Skakoon | Dual cannula system and method for using same |
CN101099692A (en) * | 2007-07-31 | 2008-01-09 | 吕田明 | Structure simple stereoscopic director |
CN202505371U (en) * | 2012-04-05 | 2012-10-31 | 顾同胜 | Craniocerebral CT locator |
CN204951173U (en) * | 2015-09-22 | 2016-01-13 | 广州爱锘德医疗器械有限公司 | Inserting needle guider |
-
2016
- 2016-05-31 CN CN201810776738.5A patent/CN109106454B/en active Active
- 2016-05-31 CN CN201610371990.9A patent/CN105943171B/en active Active
Patent Citations (13)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1995004501A1 (en) * | 1993-08-09 | 1995-02-16 | Photoelectron Corporation | Method for treating brain tumors |
CN2395705Y (en) * | 1999-10-29 | 2000-09-13 | 涂明义 | Puncture position finder for intracranial hematoma |
US20080306375A1 (en) * | 2007-06-07 | 2008-12-11 | Surgi-Vision, Inc. | Mri-guided medical interventional systems and methods |
US20140336670A1 (en) * | 2009-01-22 | 2014-11-13 | Neorad As | Needle holder |
CN101953715A (en) * | 2009-07-13 | 2011-01-26 | 长庚大学 | Stereo positioning device for minimally invasive surgery |
CN201743772U (en) * | 2010-08-20 | 2011-02-16 | 李彦文 | Three-dimensional positioning and orientating head-fixing system |
CN201870727U (en) * | 2010-09-03 | 2011-06-22 | 崔双友 | Semi-framework craniocerebral stereo positioning guiding instrument |
CN201870732U (en) * | 2010-11-10 | 2011-06-22 | 武玉娟 | Portable stereotaxic instrument for brain |
CN203252734U (en) * | 2013-04-28 | 2013-10-30 | 南京麦迪柯科技有限公司 | Three-point fixing type brain stereotactic surgical system |
CN103431897A (en) * | 2013-08-27 | 2013-12-11 | 上海中山医疗科技发展公司 | Lateral ventricle puncture location guiding device |
US20150119902A1 (en) * | 2013-10-31 | 2015-04-30 | Elekta Ab (Publ) | Frame for fixation of equipment to the head of a patient during neurological diagnosis, stereotactic imaging, therapy or surgery |
CN104667426A (en) * | 2013-11-29 | 2015-06-03 | 奈科斯迪姆公司 | Device support apparatus |
CN103690243A (en) * | 2013-12-20 | 2014-04-02 | 中国人民解放军第二军医大学 | Stereotactic head frame and surgery lying plate applicable to DSA (Digital Subtraction Angiography) machine minimally invasive surgery |
Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN111437045A (en) * | 2019-01-17 | 2020-07-24 | 西门子医疗有限公司 | Skull clamp device for fixing and aligning the head of a patient for a medical procedure |
CN111437045B (en) * | 2019-01-17 | 2023-11-17 | 西门子医疗有限公司 | Skull clamp apparatus for fixing and aligning the head of a patient for medical surgery |
US11950942B2 (en) | 2019-01-17 | 2024-04-09 | Siemens Healthineers Ag | Skull clamping device for fixing and aligning a head of a patient for a medical intervention |
CN111887877A (en) * | 2020-08-26 | 2020-11-06 | 杭州市第一人民医院 | Canthus ear line positioner |
CN111887877B (en) * | 2020-08-26 | 2022-04-08 | 杭州市第一人民医院 | Canthus ear line positioner |
Also Published As
Publication number | Publication date |
---|---|
CN105943171B (en) | 2018-11-02 |
CN105943171A (en) | 2016-09-21 |
CN109106454B (en) | 2020-09-22 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US9649168B2 (en) | Systems and methods for frameless image-guided biopsy and therapeutic intervention | |
US11234789B2 (en) | Device and method for automatic recalibration for 3D intraoperative images | |
US6132437A (en) | Method and stereotactic apparatus for locating intracranial targets guiding surgical instruments | |
US6267769B1 (en) | Trajectory guide method and apparatus for use in magnetic resonance and computerized tomographic scanners | |
US9877795B2 (en) | Optical targeting and visualization of trajectories | |
CN105708528B (en) | A kind of intervertebral foramen guide device | |
EP3072472B1 (en) | Stereotactic whole-body guide system for precisely positioning surgical instruments inside the body | |
US11730389B2 (en) | Method and system for supporting medical interventions | |
JP2017509450A (en) | Stereotaxic access device and method | |
CN106264702B (en) | Vertebral column minimally invasive positioning system and its application in vertebral column minimally invasive positioning | |
CN105832427B (en) | The external laser alignment guidance system of intracranial hematoma microscopic wound dissection and localization method | |
CN105943171B (en) | RC encephalic minimally-invasive treatment positioning devices and positioning tag line and positioning system | |
CN201119901Y (en) | Encephalic directional puncture outfit with point and face location | |
CN205672061U (en) | A kind of intervertebral foramina guide device | |
WO2021253943A1 (en) | Laser locating frame system | |
Robertson et al. | Frameless neuronavigation with computer vision and real-time tracking for bedside external ventricular drain placement: a cadaveric study | |
Widmann et al. | Accuracy and clinical use of a novel aiming device for frameless stereotactic brain biopsy | |
Zheng et al. | Development status and application of neuronavigation system | |
Takizawa | Isocentric stereotactic three-dimensional digitizer for neurosurgery | |
CN108294810A (en) | A kind of Quantitative Study of Lateral Ventricle puncture of frontal angle guiding locator | |
CN205494032U (en) | A non -contact auxiliary positioning device for intracranial hematoma wicresoft clears away art | |
CN109893221B (en) | Puncture path positioning device for cerebral hemorrhage puncture drainage | |
CN116999129A (en) | Positioning navigation system and method for neurosurgery puncture operation | |
CN208942308U (en) | Portable stereotaxic instrument for brain | |
CN208388715U (en) | A kind of external positioning device of spinal operation puncture |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
PB01 | Publication | ||
PB01 | Publication | ||
SE01 | Entry into force of request for substantive examination | ||
SE01 | Entry into force of request for substantive examination | ||
GR01 | Patent grant | ||
GR01 | Patent grant |