CN109172001B - Pre-alignment device for X-ray equipment and X-ray equipment - Google Patents

Pre-alignment device for X-ray equipment and X-ray equipment Download PDF

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Publication number
CN109172001B
CN109172001B CN201811016899.0A CN201811016899A CN109172001B CN 109172001 B CN109172001 B CN 109172001B CN 201811016899 A CN201811016899 A CN 201811016899A CN 109172001 B CN109172001 B CN 109172001B
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China
Prior art keywords
laser
hole
ray
shaft
connection
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CN201811016899.0A
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CN109172001A (en
Inventor
申广林
杨标
郭娜
胡宁
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Suzhou Zhuzheng Robot Co ltd
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Suzhou Zhuzheng Robot Co ltd
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/20—Holders specially adapted for surgical or diagnostic appliances or instruments
    • A61B50/24—Stands
    • 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
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/90—Guides therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/10—Furniture specially adapted for surgical or diagnostic appliances or instruments
    • A61B50/13—Trolleys, e.g. carts
    • 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
    • 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
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2065—Tracking using image or pattern recognition

Abstract

The invention relates to a pre-alignment device for X-ray equipment and the X-ray equipment, wherein the pre-alignment device comprises two or more lasers, and the positioning device also comprises: a laser mount having a first connection configuration for making a connection with a housing of the X-ray detector and a second connection configuration for making a fixed connection with the two or more lasers; the two or more lasers are connected to the laser mount by the second connection arrangement. The pre-alignment device for the X-ray equipment and the X-ray equipment can be convenient for a doctor to determine the operation position in the minimally invasive surgery and the position relation between the X-ray image and the skin surface of a patient, thereby being convenient for the positioning of the operation position in the minimally invasive surgery and improving the success rate of the surgery.

Description

Pre-alignment device for X-ray equipment and X-ray equipment
Technical Field
The present invention relates to a surgical instrument, and more particularly, to a pre-alignment apparatus for an X-ray device and an X-ray device.
Background
In recent years, medical surgery approaches are gradually developed towards minimally invasive surgery with smaller wounds, such as spinal pedicle screw internal fixation, spinal bone screw implantation, vertebroplasty, intervertebral disc/foramen mirror surgery, and other bone surgeries such as pelvis and limbs. Advantages of minimally invasive surgery include small wound, rapid healing, less chance of infection and blood loss, etc. However, also because the wound is small, it increases the difficulty for the surgeon to invade and fix the position of the therapeutic instrument or implant during surgery.
Taking the internal fixation of vertebral pedicle screws as an example, a doctor must judge the operation position by means of an X-ray image and years of clinical experience, and then invade the body of a patient by using a surgical instrument to achieve the purpose of treating diseases. Therefore, it is necessary to have a better positioning device to improve the success rate of the operation. The method is particularly important for a doctor to determine the position of the operation position and the position relation between an X-ray image and the skin surface of a patient in the minimally invasive surgery.
Disclosure of Invention
The invention aims to provide a pre-alignment device for X-ray equipment and the X-ray equipment, which can be used for conveniently positioning an operation position in a minimally invasive operation and improving the success rate of the operation.
In order to achieve the purpose, the technical scheme of the invention is as follows:
a pre-alignment apparatus for an X-ray device comprising two or more lasers, the alignment apparatus further comprising:
a laser mount having a first connection configuration for making a connection with a housing of the X-ray detector and a second connection configuration for making a fixed connection with the two or more lasers;
the two or more lasers are connected to the laser mount by the second connection arrangement.
Preferably, the laser mount is ring-shaped and configured to fit the shape of a housing surface of an X-ray detector of the X-ray device on which X-rays are incident.
Preferably, the first connection is configured as a mounting hole provided on the laser mount, the mounting hole being provided to allow a screw to pass through.
Preferably, the second connection is configured as a mounting groove opened on a surface of the laser mount base, the mounting groove being configured to allow accommodation of the laser, the laser being fixed to the mounting groove.
Preferably, the laser is fixed to the mounting groove by an adhesive method.
Preferably, the laser mounting base further has a power supply box that houses a power supply that supplies power to the laser.
Preferably, a power switch is further arranged on the laser installation seat, and the power switch controls the on-off of the laser power supply loop.
Preferably, the second connection is configured as a screw hole opened in a surface of the laser mount, and the laser is screwed to the laser mount through the screw hole.
Preferably, the laser is configured to rotate about a first axis.
Preferably, the laser is further configured to rotate about a second axis.
Preferably, the first axis and the second axis are perpendicular to each other.
Preferably, the laser comprises:
a main body part, in which a word line laser and a power supply for supplying power to the word line laser are arranged;
a first shaft configured to be rotatably coupled to the body portion, the first shaft defining the first axis about which the body portion rotates;
a second shaft configured to relatively rotate with the first shaft in a first state and fixedly connected with the first shaft in a second state, the second shaft defining the second axis about which the body portion rotates under the drive of the first shaft;
and the support is in screw connection with the laser installation seat, and the first rotating shaft and the second rotating shaft are connected to the support.
Preferably, the support has a first portion, a second portion and a connecting portion, wherein the first portion and the second portion are arranged oppositely, the first portion is provided with a first through hole, and the second portion is provided with a second through hole opposite to the first through hole;
the first rotating shaft is provided with a third through hole matched with the first through hole and the second through hole;
the second rotating shaft is provided with a connecting part and a limiting part, the connecting part is configured to sequentially penetrate through the first through hole, the third through hole and the second through hole and is in threaded connection with the first through hole and the third through hole, and the limiting part is abutted against the first part of the support.
Preferably, the second rotating shaft further includes a knob portion for providing a rotating operation to the second rotating shaft, and when the second rotating shaft is rotated in a first direction, the first rotating shaft is locked to the holder, and when the second rotating shaft is rotated in a direction opposite to the first direction, the first rotating shaft is unlocked from the holder.
Preferably, the first state is that the first rotating shaft is locked to the support, and the second state is that the first rotating shaft is unlocked from being locked to the support.
The invention also provides an X-ray device, which comprises an X-ray emitter and an X-ray detector which are oppositely arranged, and also comprises the pre-alignment device which is connected to the surface of the shell of the X-ray detector, wherein the shell is used for receiving the incident X-rays.
Preferably, the X-ray detector further comprises an image correction calibration plate which is matched with the shape of the surface of the shell of the X-ray detector, which is incident to the X-ray, and is fixedly connected to the laser mounting seat, wherein the center of the image correction calibration plate is consistent with the center of the laser mounting seat.
The pre-alignment device for the X-ray equipment has the advantages that the pre-alignment device for the X-ray equipment comprises two or more lasers and a laser installation seat, wherein the laser installation seat is provided with a first connection configuration for realizing connection with a shell of the X-ray detector and a second connection configuration for realizing fixed connection with the two or more lasers; the two or more lasers are connected to the laser mount by the second connection arrangement. The pre-alignment device can be used for facilitating a doctor to determine the position of an operation position, the position relation between an X-ray image and the skin surface of a patient in a minimally invasive operation, thereby facilitating the positioning of the operation position in the minimally invasive operation and improving the success rate of the operation.
Drawings
FIG. 1 is a schematic view of a surgical positioning kit according to an embodiment of the present invention;
FIG. 2 is a schematic view of an X-ray apparatus with a pre-alignment arrangement according to an embodiment of the present invention;
FIG. 3 is an enlarged view of part A of FIG. 2;
FIG. 4 is a schematic view of a pre-alignment apparatus of an embodiment of the present invention;
FIG. 5 is a schematic view of a pre-alignment apparatus according to yet another embodiment of the present invention;
FIG. 6 is a schematic diagram of a laser of an embodiment of the present invention;
FIG. 7 is a schematic cross-sectional view A1-A1 of FIG. 6;
FIG. 8 is a schematic view of an X-ray apparatus having an angle detection device according to an embodiment of the present invention;
FIG. 9 is a further schematic view of an X-ray apparatus with an angle detection device according to an embodiment of the present invention;
FIG. 10 is a schematic view of an angle sensing device according to an embodiment of the present invention;
FIG. 11 is a schematic view of an X-ray apparatus having an angle detection device according to yet another embodiment of the present invention;
FIG. 12 is a schematic view of a surgical location marker device employing an embodiment of the present invention;
FIG. 13 is a schematic view of a surgical site marking device in a stowed position in accordance with an embodiment of the present invention;
FIG. 14 is a schematic view of a surgical position marker device in an expanded state in accordance with an embodiment of the present invention;
FIG. 15 is an enlarged partial schematic view of B of FIG. 14;
FIG. 16 is an enlarged partial schematic view of C of FIG. 14;
FIG. 17 is an enlarged partial schematic view of D of FIG. 13;
FIG. 18 is an enlarged partial schematic view of E of FIG. 13;
fig. 19 is a schematic view of a surgical alignment scale according to an embodiment of the present invention.
Detailed Description
The following describes embodiments of the present invention with reference to the drawings.
Example one
As shown in fig. 2-4, a pre-alignment apparatus 1 is shown, which pre-alignment apparatus 1 is connected to the x-ray device for pre-aligning a surgical site before the x-ray device is taken. The X-ray device 4, which may be referred to as a C-arm X-ray machine, is used to acquire X-ray images of a lesion in a patient. The X-ray device further comprises an oppositely arranged X-ray detector 41, an X-ray emitter 42 and a C-shaped bracket 43 connecting the X-ray detector 41 and the X-ray emitter 42.
The pre-alignment means 1 comprises two or more lasers 11.
The pre-alignment apparatus 1 further comprises a laser mount 12.
The laser mount 12 is ring-shaped and configured to fit the shape of a housing surface 411 of the X-ray detector 41 of the X-ray device 13 on which X-rays are incident. For example only, the conventional C-arm X-ray machine employs an image intensifier, the housing surface 411 of the X-ray detector 41 on which the X-rays are incident is circular, and the mounting base 5 is correspondingly circular. For another example, in the case of a flat-type C-arm X-ray machine, the housing surface 411 of the X-ray detector 41 on which the X-rays are incident is square, and the mount 5 is correspondingly square-ring-shaped.
The laser mount 12 has a first connection configuration for making a connection with a housing of an X-ray detector 41 of the X-ray device 4. The first connection is configured as a mounting hole 121 provided on the laser mount 12, the mounting hole 121 being provided to allow a screw to pass through.
The laser mount 12 also has a second connection configuration that fixedly connects to the two or more lasers 11. The two or more lasers 11 are connected to the laser mount 12 by the second connection arrangement. As shown in fig. 3 and 4, in a preferred embodiment, the second connection is configured as a mounting groove 122 formed on a surface of the laser mounting base 12, the mounting groove 122 is configured to allow the laser 11 to be accommodated, and the laser 11 may be a linear laser which can be fixed to the mounting groove 122. Further, the laser 11 may be fixed to the mounting groove 122 by an adhesive method.
The laser mount 12 further includes a power supply box 123, and the power supply box 123 receives a power supply for supplying power to the laser 11. The voltage of the power supply is preferably 9V.
The laser mounting base 12 is further provided with a power switch 124, and the power switch 124 controls the on-off of a power supply loop of the laser 11.
As another embodiment, as shown in fig. 5, the second connection arrangement may be a screw hole formed in a surface of the laser mount 12, and the laser 11 may be screwed to the laser mount 12 through the screw hole. Wherein the laser 11 is configured to rotate around a first axis, the laser 11 being further configured to rotate around a second axis. The first axis and the second axis are perpendicular to each other.
Specifically, as shown in fig. 6 and 7, the laser 11 includes a main body 111 in which a linear laser 1111 and a power supply 1112 for supplying power to the linear laser are provided. The laser 11 further comprises a first rotating shaft 112 configured to be rotatably connected to the body portion 111, the first rotating shaft 112 defining the first axis about which the body portion 111 rotates. The laser 11 further includes a second rotating shaft 113 configured to rotate relative to the first rotating shaft 112 in a first state and fixedly connect to the first rotating shaft 112 in a second state, the second rotating shaft 113 defining the second axis, and the main body 111 rotates around the second axis under the driving of the first rotating shaft 112.
The laser 11 further includes a support 114 screwed to the laser mounting base 12, and the first rotating shaft 112 and the second rotating shaft 113 are connected to the support 114.
The support 114 has a first portion 1141, a second portion 1142 disposed opposite to each other, and a connecting portion 1143 connecting the first portion 1141 and the second portion 1142. The first portion 1141 has a first through hole, the second portion 1142 has a second through hole opposite to the first through hole, and the first rotating shaft 112 has a third through hole adapted to both the first through hole and the second through hole. The second shaft 113 has a connecting portion 1131 and a limiting portion 1132, the connecting portion 1131 is configured to sequentially pass through the first through hole, the third through hole and the second through hole, and is in threaded connection with the first through hole and the third through hole, and the limiting portion 1132 is abutted to the first portion 1141 of the support 114.
The second shaft 113 further has a knob portion 1133 for providing a rotation operation to the second shaft 113, and when the second shaft is rotated in a first direction, the first shaft 112 is locked to the support 114, and when the second shaft is rotated in a direction opposite to the first direction, the first shaft 112 is unlocked from the support 114.
The first state refers to a state where the first rotating shaft 112 is locked to the support 114, and the second state refers to a state where the first rotating shaft 112 is unlocked from the support 114.
Example two
As shown in fig. 8 to 11, an angle detecting device 2 is shown, wherein the angle detecting device 2 is fixedly connected to the X-ray apparatus 4 for detecting the rotation angle of the X-ray apparatus.
The angle detection means 2 comprise an angle sensor 21 for detecting the angle of rotation of the X-ray device.
The angle detection device 2 further comprises an angle sensor mount 22, the angle sensor mount 22 having a third connection configuration for fixedly connecting to a rotating part of the X-ray apparatus 4. The rotating part may be any part of the X-ray device 4 that generates rotation. Taking the X-ray device 4 as a C-arm X-ray machine for example, the rotating part may be a C-shaped support, an X-ray emitter or an X-ray detector, etc. The third connection is configured as a mounting hole provided on the sensor mount 22, the mounting hole being provided to allow a screw to pass through. The angle sensor mounting seat 22 is in threaded connection with the X-ray device 4 through the mounting hole. Preferably, the angle sensor mount 22 is screwed to the C-shaped bracket 43 of the X-ray device 4 via the mounting hole.
As shown in fig. 8 and 9, the angle sensor mounting seat 22 further has a fourth connection configuration for connection with the angle sensor 21. The fourth connection is configured as a support 221 with a flat surface, and the housing of the angle sensor 21 has a counter bearing adapted to the support 221. In a preferred embodiment, the support 221 is made of one of a magnet and a magnetic material, and the bearing portion of the angle sensor 21 is made of the other of a magnet and a magnetic material, so that the angle sensor 21 can be magnetically attracted to the surface of the support 221 through the bearing portion thereof.
Alternatively, the angle sensor 21 may be fixed to the support member by an adhesive.
As another embodiment, as shown in fig. 10 and 11, the fourth connection is configured as a housing box 222 having an opening at one end, and the angle sensor 21 enters the housing box 222 through the opening. Further, the opening may be configured to allow only the angle sensor 21 to enter the accommodation box 222 in the horizontal direction.
The angle sensor 211 has a display screen 211, at least one surface of the housing box 222 has a viewing window 223 fitted with the display screen 221, and when the angle sensor 21 is fixed to the housing box 222, the display screen 221 is exposed from the viewing window 223.
At least one surface of the housing box 222 has a threaded hole 224, and the angle detecting device 2 further has a screw fitted into the threaded hole 224, and the screw passes through the threaded hole 224 and abuts against the angle sensor 211, so that the angle sensor 211 is fixed in the housing box 222.
As another embodiment, the angle sensor 21 includes an angle detection unit, a wireless transmission unit, and a built-in power supply. Wherein:
the angle detection unit is used for detecting the rotation angle of the X-ray equipment.
The wireless transmission unit is used for wirelessly transmitting the detected rotation angle value to a target terminal, and the target terminal can be a computer, a mobile phone or other intelligent equipment with a human-computer interaction interface. And the target terminal receives the detected rotation angle, and the rotation angle is calculated and then is displayed on a human-computer interaction interface directly or directly for observation.
The built-in power supply is used for supplying power to the angle detection unit and the wireless transmission unit, and is illustratively a button battery.
EXAMPLE III
As shown in fig. 12-18, a surgical location marker device 3 is shown for identification of location markers in X-ray images. The operation positioning marking device 3 is arranged between an X-ray detector 41 and an X-ray emitter 42 of the X-ray equipment, X-rays penetrate through the operation positioning marking device 3 to form images, the operation positioning marking device 3 is displayed on the images, and space positioning calculation can be carried out according to the images formed by the X-rays to determine the operation position.
The operation positioning marking device 3 includes a first positioning scale 31 made of a material that does not allow X-ray to pass through, and configured in a grid shape, and a plurality of marking points 311 are disposed on the grid.
The surgical positioning marker device 3 further includes a second positioning scale 32 which is made of a material that does not allow X-ray to be transmitted therethrough and is configured in a rod shape. The number of the second positioning scales 32 may be one, two, or more.
The second positioning scale 32 is connected to the first positioning scale 31 by a fifth connection configuration. As shown in fig. 15, the fifth connection is configured as a hinge 33, and the second positioning scale 32 and the first positioning scale 31 are connected by the hinge 33.
As shown in fig. 13, in the stored state, the second positioning scale 32 is substantially located on the plane defined by the first positioning scale 31. As shown in fig. 14, in the expanded state, the second positioning scale 32 is substantially perpendicular to the plane defined by the first positioning scale 31.
As shown in fig. 16 and 17, the first positioning scale 31 is provided with a first clamping groove 312, and at least a portion of the second positioning scale 32 is adapted to be clamped into the first clamping groove 312 to fix the second positioning scale 32 and the first positioning scale 31 relatively.
The second positioning scale 32 is composed of at least two rod-shaped members movably connected to each other. The number of the rod-like members may be two or more.
In a preferred embodiment, the second positioning scale 32 is composed of a first rod 321 and a second rod 322, and the first rod 321 is hinged to the first marking scale 31 at one end and hinged to the second rod 22 at the other end.
As shown in fig. 17, the hinge portion of the first rod-shaped member 321 and the second rod-shaped member 322 is adapted to be snapped into the first snap groove 312 to fix the first rod-shaped member 321 and the first positioning scale 31.
As shown in fig. 18, a second locking groove 3221 is disposed at the other end of the second rod 322, and at least a portion of the first rod 321 is adapted to be locked to the second locking groove 3221 to fix the first rod 321 and the second rod 322 relatively.
As another embodiment, the fifth connection is configured as a flexible rope, one end of the flexible rope is fixedly connected to the first positioning scale 31, and the other end of the flexible rope is fixedly connected to the second positioning scale 32. In the stowed condition the second positioning scale 32 lies substantially in the plane defined by the first positioning scale 31 in the deployed condition the second positioning scale 32 is substantially parallel to the plane defined by the first positioning scale 31.
Example four
As shown in fig. 19, it is a surgical positioning ruler 5 for identification of positioning marks in X-ray images. The operation positioning ruler 5 is placed between an X-ray detector 41 and an X-ray emitter 42 of an X-ray device, X-rays penetrate through the operation positioning marking device 3 to be imaged, the operation positioning ruler 5 is displayed on an image, space positioning calculation can be carried out according to the image formed by the X-rays, and an operation position is determined.
The operation positioning scale 5 is made of a material which does not allow the X-ray to pass through, and comprises a middle through hole 51 formed along the length direction of the operation positioning scale 5, and a first side through hole 52 and a second side through hole 53 which are formed along the width direction of the operation positioning scale 5, wherein the first side through hole 52 and the second side through hole 53 are symmetrical about an axis 54 determined by the middle through hole 51.
The size of the middle through hole 51, the size of the first side through hole 52 and the size of the second side through hole 53 are respectively configured to allow the pen point of the marking pen to pass through. The marking pen is a medical sterile pen capable of marking a mark on the surface of the skin, and may be a medical marking pen, by way of example only.
The number of the middle 51 through holes is multiple, and the through holes are arranged at equal intervals along the length direction of the operation positioning ruler. The number of the middle 51 through holes may be 2, 3, or more than 3, and for example only, as shown in fig. 19, the number of the middle 51 through holes is 3.
Similarly, the number of the first side through holes 52 and the second side through holes 53 may be plural, and the first side through holes and the second side through holes may be arranged at equal intervals along the length direction of the surgical positioning ruler.
Further, first side through-hole 52 includes first side slotted hole 521 and first side short through-hole 522, second side through-hole 53 includes second side slotted hole 531 and second side short through-hole 532, first side slotted hole 521 with second side slotted hole 531 about axis 54 symmetry that middle through-hole 51 was confirmed, just first side short through-hole 522 with second side short through-hole 532 about axis 54 symmetry that middle through-hole 51 was confirmed, the size of first side slotted hole 521 first side short through-hole 522 the size of second side slotted hole 531 the size of second side short through-hole 532 is configured into the nib that allows the marker pen to pass through respectively. The length of the first side long through hole 521 along the width direction is greater than the length of the first side short through hole 522 along the width direction, and the length of the second side long through hole 531 along the width direction is greater than the length of the second side short through hole 532 along the width direction.
As shown in fig. 19, the number of the first side long through holes 521 may be plural and arranged at equal intervals along the length direction of the surgical alignment staff 5, and the number of the first side short through holes 522 may be plural and arranged at equal intervals along the length direction of the surgical alignment staff 5 between every two first side long through holes 521 arranged in sequence.
Likewise, the quantity of second side slotted hole 531 can be a plurality of, and follows 5 length direction equidistance of operation positioning scale are arranged, the quantity of second side short through hole 522 is a plurality of, and is arranging in proper order two liang follow between the second side slotted hole 531 5 length direction equidistance of operation positioning scale is arranged.
Further, the scale may be provided in the longitudinal direction of the surgical positioning scale 5, and similarly, the scale may be provided in the width direction of the surgical positioning scale 5.
The surgical positioning ruler 5 is preferably rectangular in shape, and is adapted to the characteristics of the spine of a human body. The surgical alignment ruler 5 may also be shaped to accommodate other tissue characteristics of the human body.
EXAMPLE five
As shown in fig. 2, it is an X-ray apparatus comprising a pre-alignment device 1 according to the first embodiment. The pre-alignment means 1 is connected to the housing surface 411 of the X-ray detector 41 on which the X-rays are incident. The X-ray device is configured to emit a light beam in a direction towards an X-ray emitter 42 of the X-ray device. Taking the example that the pre-alignment apparatus 1 comprises two lasers 11, the two lasers 11 emit light beams in the direction of the X-ray emitter 42 of the X-ray device, the light beams intersect in the direction of the X-ray emitter 42 and form a cross-shaped mark.
Before using the X-ray device, the two or more lasers 11 are adjusted such that their "cross-over point" is located in the center of the X-ray emitter 42 of the X-ray device. After the above adjustment is completed, the adjusted positions of the two or more lasers 11 are locked.
Further, the X-ray apparatus further includes an image correction calibration plate 44 which is adapted to the shape of the housing surface 411 of the X-ray detector 41 on which the X-rays are incident and is fixedly attached to the laser mount 12, wherein the center of the image correction calibration plate 44 coincides with the center of the laser mount 12.
EXAMPLE six
As shown in fig. 9, it is an X-ray apparatus including the angle detecting device 2 in the second embodiment. The angle detection device 2 is fixedly connected to a rotating part of the X-ray apparatus 4, and is configured to detect a rotation angle of the X-ray apparatus. The rotating part may be any part of the X-ray device 4 that can be rotated. Taking the X-ray device 4 as a C-arm X-ray machine as an example, it includes an X-ray emitter, an X-ray detector and a C-shaped bracket connecting the X-ray emitter and the X-ray detector. The rotating part may be a C-shaped support, an X-ray emitter or an X-ray detector, etc.
The angle detection device may be fixedly connected to the C-shaped bracket, or the angle detection device may be fixedly connected to the X-ray detector, or the angle detection device may be fixedly connected to the X-ray emitter.
Preferably, the plane in which the angle sensor is located is parallel to a plane defined by a surface of the housing on which the X-ray detector is incident X-rays.
EXAMPLE seven
As shown in fig. 2 and 9, an X-ray apparatus includes a pre-alignment device 1 in the first embodiment and an angle detection device 2 in the second embodiment.
The pre-alignment means 1 is connected to the housing surface 411 of the X-ray detector 41 on which the X-rays are incident.
The X-ray device is configured to emit a light beam in the direction of an X-ray emitter 41 of the X-ray device. The beams form a cross-shaped mark in the direction of the x-ray emitter 41.
Further, the X-ray apparatus further includes an image correction calibration plate 44 which is adapted to the shape of the housing surface 411 of the X-ray detector 41 on which the X-rays are incident and is fixedly attached to the laser mount 12, wherein the center of the image correction calibration plate 44 coincides with the center of the laser mount 12.
The angle detection device 2 is fixedly connected to the X-ray equipment 4 and is used for detecting the rotation angle of the X-ray equipment.
Example eight
As shown in fig. 1, it is a surgical positioning kit, which is used in minimally invasive surgery to assist the use of an X-ray device 4 to achieve pre-positioning of a surgical site.
The operation positioning kit comprises the pre-alignment device 1 in the first embodiment, the angle detection device 2 in the second embodiment, and one of the operation positioning mark device 3 in the third embodiment and the operation positioning scale 5 in the fourth embodiment.
The above is only a preferred embodiment of the present invention, and is not intended to limit the present invention, and various modifications and changes will occur to those skilled in the art. Any modification, equivalent replacement, or improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims (11)

1. A pre-alignment apparatus for an X-ray device comprising two or more lasers, characterized in that the pre-alignment apparatus further comprises:
a laser mount having a first connection configuration for making a connection with a housing of the X-ray detector and a second connection configuration for making a fixed connection with the two or more lasers;
the two or more lasers are connected to the laser mount by the second connection arrangement;
the second connection configuration is a screw hole formed in the surface of the laser mounting seat, and the laser is in screw connection with the laser mounting seat through the screw hole;
the laser is configured to rotate about a first axis;
the laser is further configured to rotate about a second axis;
the first axis and the second axis are perpendicular to each other;
the laser includes:
a main body part, in which a word line laser and a power supply for supplying power to the word line laser are arranged;
a first shaft configured to be rotatably coupled to the body portion, the first shaft defining the first axis about which the body portion rotates;
a second shaft configured to relatively rotate with the first shaft in a first state and fixedly connected with the first shaft in a second state, the second shaft defining the second axis about which the body portion rotates under the drive of the first shaft;
the support is in screw connection with the laser installation seat, and the first rotating shaft and the second rotating shaft are connected to the support;
the support is provided with a first part, a second part and a connecting part, wherein the first part and the second part are oppositely arranged, the connecting part is used for connecting the first part and the second part, the first part is provided with a first through hole, and the second part is provided with a second through hole which is oppositely arranged with the first through hole;
the first rotating shaft is provided with a third through hole matched with the first through hole and the second through hole;
the second rotating shaft is provided with a connecting part and a limiting part, the connecting part is configured to sequentially penetrate through the first through hole, the third through hole and the second through hole and is in threaded connection with the first through hole and the third through hole, and the limiting part is abutted against the first part of the support.
2. The prealignment device of claim 1, wherein the laser mount is ring-shaped and configured to fit a shape of a housing surface of an X-ray detector of an X-ray apparatus on which X-rays are incident.
3. The prealignment device of claim 1, wherein the first connection is configured as a mounting hole provided on the laser mount, the mounting hole being provided to allow a screw to pass through.
4. The prealignment device according to claim 1, wherein the second connection is configured as a mounting slot provided in a surface of the laser mount, the mounting slot being configured to allow accommodation of the laser, the laser being secured to the mounting slot.
5. The prealignment device according to claim 4, wherein the laser is fixed to the mounting groove by means of gluing.
6. The prealignment device of claim 5, wherein the laser mount further has a power supply box that receives a power supply that powers the laser.
7. The prealignment device of claim 6, wherein a power switch is further disposed on the laser mounting base, and the power switch controls the on/off of the laser power supply loop.
8. The prealignment device of claim 1, wherein said second shaft further has a knob portion for providing a rotational operation of said second shaft to lock said first shaft to said support when rotated in a first direction and to unlock said first shaft from said support when rotated in an opposite direction to said first direction.
9. The prealignment device of claim 8, wherein the first state is the first spindle locked to the support and the second state is the first spindle unlocked from the support.
10. An X-ray apparatus comprising an X-ray emitter and an oppositely disposed X-ray detector, characterized by further comprising a pre-alignment device as claimed in any one of claims 1 to 9 attached to a surface of the housing of the X-ray detector on which X-rays are incident.
11. The X-ray apparatus of claim 10, further comprising an image correction calibration plate adapted to the shape of the housing surface of the X-ray detector on which X-rays are incident and fixedly attached to the laser mount, wherein the center of the image correction calibration plate coincides with the center of the laser mount.
CN201811016899.0A 2018-07-19 2018-09-01 Pre-alignment device for X-ray equipment and X-ray equipment Active CN109172001B (en)

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CN201821430044.8U Active CN209422093U (en) 2018-07-19 2018-09-01 Location of operation labelling apparatus
CN201821430019.XU Active CN209421962U (en) 2018-07-19 2018-09-01 X-ray equipment
CN201821430043.3U Active CN209422092U (en) 2018-07-19 2018-09-01 Location of operation scale
CN201811016899.0A Active CN109172001B (en) 2018-07-19 2018-09-01 Pre-alignment device for X-ray equipment and X-ray equipment
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