CN109276304A - A kind of orthopaedics personalized fixation steel plate preparation method and Rapid manufacturing device of high - Google Patents
A kind of orthopaedics personalized fixation steel plate preparation method and Rapid manufacturing device of high Download PDFInfo
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- CN109276304A CN109276304A CN201811475809.4A CN201811475809A CN109276304A CN 109276304 A CN109276304 A CN 109276304A CN 201811475809 A CN201811475809 A CN 201811475809A CN 109276304 A CN109276304 A CN 109276304A
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- steel plate
- punching press
- soft bag
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- 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
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- B—PERFORMING OPERATIONS; TRANSPORTING
- B21—MECHANICAL METAL-WORKING WITHOUT ESSENTIALLY REMOVING MATERIAL; PUNCHING METAL
- B21D—WORKING OR PROCESSING OF SHEET METAL OR METAL TUBES, RODS OR PROFILES WITHOUT ESSENTIALLY REMOVING MATERIAL; PUNCHING METAL
- B21D31/00—Other methods for working sheet metal, metal tubes, metal profiles
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00526—Methods of manufacturing
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- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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- Heart & Thoracic Surgery (AREA)
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Abstract
After fracturing at the bone of regular shape difference, the identical property of the steel plate prepared in advance is poor, the technical issues of influencing postoperative outcome, the invention discloses a kind of personalized fixation steel plate preparation methods of orthopaedics, its by operative site carry out can ambient temperature curing formed substance covering, pass through Scan Architecture accurate scanning bone face shape after curing molding afterwards, and it is handled to obtain personalized steel plate data using 3-D image processing technique, and stamping steel plate is carried out using punching structure, it obtains for patient personalized and being identical property steel plate.Cause is the identical property height of steel plate prepared when operation therefore outcome is good, has been additionally related to the film soft bag that may be implemented to use when the stamping device of above-mentioned preparation personalization steel plate and covering bone face.Moveable array mobile column is set by the pedestal and pressing part in punching structure, can be needed to move specific mobile column and moving distance according to operation, by moving up and down being correspondingly arranged for column, realize effective punching press.
Description
Technical field
The invention belongs to what is used after the bone fracture of orthopedic medical device technical field more particularly to regular shape difference
Steel plate and index method, and in particular to for a kind of personalized fixation steel plate preparation method of orthopaedics and Rapid manufacturing device of high.
Background technique
It is after fracture to need at pelvis or after the physical feeling of the bone of regular shape difference that other include fractures more
It is fixed using steel plate, steel plate is mostly the steel plate of the scale produced in advance, and personalization level is not high, needs when operation more
It temporarily to adjust, the difficulty of adjustment is big, and there are also problems for identical property adjusted.
In addition, though 3D printing technique is more mature at present, but because be preoperative scanning, and fracture often exists
The case where broken bone and textured bone, the meaning of 3D are to scan the data of existing fracture, but be directed to the fracture at irregular bone, hand
The shape and state that fracture or broken bone can restore when art, can't simulate recovery using 3D printing technique, therefore well at present
Also the bone plate generated completely can not promote fracture to heal into physiological anatomical traits twins sibs.And after opening of performing the operation, it finds and pre-
When the case where thinking difference, scan that the data obtained are often inaccurate in advance, the steel plate of 3D printing possibly can not with it is practical in operation
The shape of fracture is coincide, and there is still a need for adjustment when operation, but 3D printing technique can not fast implement the generation of steel plate.Thus cause
Operating time length and identical property are poor, lead to problems such as post-operative recovery effect poor.Fracture at the bone of regular shape difference, such as
Fruit have can quickly be prepared in -15 minutes 5 minutes when invasive procedures the high bone plate of identical property by it is great increase operation at
Function, and reduce the risk of operation.
With the development of present various plasticity and fast-curing material technology, there are after plasticity under various room temperature for the prior art
Effective cured material and method；In addition the technology and Numeric Control Technology of fast ram and the instrument of cutting are also one in the prior art
The mature technology of kind, if existing technology is prepared personalized fixation steel plate side applied to quick by creative improvement
Face can then generate fabulous technical effect.
After the present invention is for the bone position fracture of regular shape difference in the prior art, the identical property of the steel plate used is poor,
The problems such as preparation time is long provides a kind of personalized fixation steel plate preparation method of orthopaedics and Rapid manufacturing device of high.
Summary of the invention
After overcoming the bone position of regular shape difference in the prior art to fracture, the identical property of the steel plate used is poor, system
The problems such as standby time is long, the present invention provide a kind of orthopaedics personalization fixation steel plate preparation method and Rapid manufacturing device of high.
A kind of orthopaedics includes with personalized fixation steel plate preparation method, specific steps,
One, the consolidated structures preparation comprising irregular bone face
1) when performing the operation, one soft thin spacer structure is set in the fracture of wound；And it by soft thin spacer structure and adjusts
The bone face of bearing is needed effectively to be bonded afterwards；
2) on spacer structure or be arranged inside can quick normal temperature cure molding substance, include liquid, colloid or soft
Matter solid；Liquid is arranged in spacer structure, and spacer structure bottom surface is completely covered in liquid bottom surface；Soft solid bottom surface is also complete
Cover spacer structure bottom surface；To guarantee to have the face coincideing with bone face after shaping；
3) afterwards by introducing curing agent or rapid curing factor, make liquid on spacer structure or in it or soft solid at
Type becomes consolidated structures, and consolidated structures will not change shape because of taking-up, after solidification by spacer structure and cured structure from
Bone is removed on face；
Two, scanning is handled with 3 d image data
It is scanned using bottom curved surface of the Scan Architecture to consolidated structures, and the three-dimensional data after scanning is transferred to meter
Quick uniform thickness is carried out in calculation machine and cutting is handled, and obtains bottom surface and the consistent steel plate in bone face, and it is big to be cut to the steel plate needed
Small size and thickness；
Three, steel plate punched is made
By treated, three-dimensional bone plate data are transferred in the controller of connection stamping device, after placed in stamping device
Need stamping steel plate；Punching press is carried out to steel plate to stamping device from controller afterwards, the three dimension steel plate needed when operation is made.
Further, in the consolidated structures preparation comprising irregular bone face, the time of rate-determining steps one is 1 minute, step 2
It is 2-3 minutes with three curing times；The step of scanning is handled with 3 d image data is scanned and the processing time is 2-5 minutes；Steel
Step is made in plate punching press, the punching press time control within 1 minute, entire steel plate manufacturing process control in this way was at 6-10 minutes
Interior, such time control will not influence the operation progress of operation, and pass through relevant training and clinical experience, steel plate preparation process
The steel plate that will be effectively reduced, and prepared in this manner.
Further, spacer structure is a film soft bag.
Further, elastic opening is arranged in film soft bag upper end, will by protruding into film soft bag hair dryer by elastic opening
Film soft bag bottom, which is gently blown, to be taped against on bone face, is reached bottom and is bonded with the effective of bone face.
Further, a thin silicon glue-line is set outside film soft bag bottom, and such setting can increase coincideing for contact surface
Degree, and effectively distinguish topmost thin film soft bag with lower film soft bag, when effectivelying prevent finishing operations, film soft bag bottom
It falls.
Further, different size of film soft bag is set, it is soft to size thin-film is known a little about to meet different operative site sizes
The demand of bag.
Further, the molding liquid photosensitive resin material of normal temperature cure, photosensitive resin liquid are solid after excited by visible light
The liquid photosensitive resin material of change.Further, photosensitive resin liquid material can be arranged in ejecting gun, ejecting gun front is protruded into
In film soft bag, and injection while irradiate visible light, make the rapid curing molding of photosensitive resin liquid, after film soft bag is taken
It is lower.Aforesaid way can be very good to form the cured bottom surface closed with bone face paste.
Alternatively, the molding colloid of normal temperature cure is the soft crystal glue-dropping of normal temperature cured type, by the way that soft silica gel is sprayed on or
Be coated on film soft bag bottom, it is rear it is fast curing-formed after remove.
Alternatively, the soft solid of normal temperature cure is soft plasticine, by plasticine setting to film soft bag, make it completely
Cover bone face, after by curing agent setting in ejecting gun, sprayed in curing agent to film soft bag by ejecting gun and consolidate plasticine
Change.Further, curing agent is non-toxic epoxy curing agent.
Further, Scan Architecture is hand-held scanner structure；Further, wireless transport module is set in Scan Architecture, it will
The data of scanning are transmitted directly in computer.
Further, step is added, CT scan is carried out to operative site before surgery and according to the size of design data steel plate
And bounds, and data are stored in computer, when operation obtained when can be by the steel plate size of preoperative setting and operation 3
It ties up three-dimensional bone face data and carries out Rapid Combination, obtain the data of steel plate, and be transferred in controller, and control stamping device progress
Punching press.This step can effectively reduce the time of data processing, improve procedure efficiency.
Further, step is added, the steel plate of unified size is carried out according to the steel plate size of preoperative setting and bounds
Cutting and punching, and steel plate edge is passivated, the steel plate of suitable size is obtained for carrying out punching press when operation.This step adds
Required steel plate can effectively be got out in the preoperative by adding.
Further, cutting equipment is that miniature laser cuts equipment, and personalized cutting can be carried out according to patient's condition.It is such to set
Preoperative preparation more as far as possible can be guaranteed by setting, and reduce the time in surgical procedure, operating time is shortened to minimum, makes hand
Art Degree of Success reaches highest.
The invention also discloses the stamping device that the above method is related to, stamping device includes the punching press on bottom base and top
Portion, pressing part bottom and pedestal top are all arranged corresponding array and move punching press column group, the removable column of pressing part bottom
It extends downwardly or bounces back upwards, the removable column on pedestal top is corresponding to be retracted downwards or stretch out upwards；By control structure according to
The moving distance of three-dimensional bone plate data control punching press column；Pressing part and two sides of base, which are arranged, moves down structure for what pressing part moved down；
The removable punching press column group of array that pressing part bottom array formula moves punching press column group and pedestal top passes through control structure control
System forms the curved surface on corresponding three-dimensional steel plate；One array moves punching press column group and forms protrusion shape curved surface, another array
Formula moves punching press column group and forms concave shape curved surface, when pressing part and base into contact, is correspondingly arranged at pressing part bottom and base
The distance of the removable intercolumniation on seat top is equal to the thickness of steel plate, places steel plate above the array punching press column on pedestal top.
The distance that the mobile setting of different punching press columns is controlled by control structure, then can form the bending not supplied on array punching press column
And the curved surface of torsion, final punch forming, enough and close punching press columns then will form the bigger punching press curved surface of precision, make to be formed
Steel plate coincide property it is higher.Such setting can effectively realize personalized punching press and making sheet.
Further, it is moved in pressing part bottom array formula and forms concave shape curved surface on punching press column group；Portion's battle array on the base
Column, which moves, forms protrusion shape curved surface on punching press column group, by moving down pressing part, concave shape curved surface is pressed in convex by steel plate
Out on shape curved surface, steel plate is made to form the curve form needed.Further, it is described move down structure can using it is any it is existing can be with
The structure for moving down punching press is realized, wherein preferably Pneumatic stamping structure.
Further, the top of pedestal array move column in setting 2 locating rod, the array of pressing part can
Setting is corresponding in mobile columnar region protrudes into hole, and is correspondingly arranged the insertion hole of 2 longitudinal directions on the steel plate.2 locating rods are set
The fixation that can effectively realize to steel plate position is set, position in punching course is placed and moving influence punching press effect occurs.
Further, locating rod is arranged at the position of steel plate flat segments, and such setting can guarantee that punching press will not be to steel plate
Position impacts.
Further, the shape of pedestal and pressing part is square, side size range 40-80cm；The setting of such size can be with
Meet the preparation demand of most of steel plate.
Further, ball structure is arranged in punching press column front, and such structure can be effectively formed punching press, and will not make to steel plate
At damage.
Further, the distance range of every two punching press intercolumniation is 0.5-1.5mm.
Further, the diameter range of ball structure is 3-8mm, and such setting can be effectively ensured what steel plate after punching press coincide
Validity.
Further, mobile control structure is arranged in each punching press column rear portion, such as electric hydaulic control structure, electric hydaulic control
PLC control module is arranged in structure rear end, by PLC control module and Numeric Control Technology and connection, controls the movement of electric hydaulic structure
Distance.
Further, power interface is arranged in punching structure bottom, and control structure is digital control computer, and digital control computer passes through
Data line is connect with the data line interface of stamping device bottom, realizes the control to stamping device.
After stamping device is in use, the data that each punching press column is sent according to Numeric Control Technology machine carry out the setting of distance, often
Root hydraulic column stretch out or retract need distance, after steel plate is rushed on the hydraulic mounting table less than on pedestal by moving down
Pressure.
The invention also discloses one kind can be attached at the film soft bag on bone face, and elastic opening is arranged in film soft bag upper end, leads to
It crosses to protrude into gently to blow film soft bag bottom in film soft bag by elastic opening by hair dryer and be taped against on bone face, reach bottom and bone
Effective fitting in face.
Further, a thin silicon glue-line is set outside film soft bag bottom, and such setting can increase coincideing for contact surface
Degree, and effectively distinguish topmost thin film soft bag with lower film soft bag, when effectivelying prevent finishing operations, film soft bag bottom
It falls.
Further, different size of film soft bag is set, it is soft to size thin-film is known a little about to meet different operative site sizes
The demand of bag.
Further, film soft bag is medical soft material, and will not be with the molding liquid of quick normal temperature cure, colloid or soft
Matter solid reacts.
With the prior art irregular bone position fracture after bone plate using and coincideing property for the use of, preparation method of the invention can
Shape when with according to operation is scanned and prepares after directly solidifying plasticity, and the identical property of steel plate is high, and by combining operation
Preceding relevant operation, the operating time that delays can be with and because preparation time is short due to steel plate prepares when can effectively reduce operation
Preferably be applied to clinic following, be steel plate at irregular bone coincide property and stickiness it is higher, effectively increase successful surgery
Degree reduces operation risk.
Detailed description of the invention
Fig. 1 is fixation steel plate preparation flow figure of the present invention；
Fig. 2 is stamping device overall structure diagram of the present invention；
Fig. 3 is stamping device base part structural schematic diagram of the present invention；
Fig. 4 is pressing part side structure schematic view of the present invention；
Fig. 5 is to regard structural schematic diagram on pressing part of the present invention；
Fig. 6 is the pressing part structural schematic diagram of the invention with concave shape curved surface；
Fig. 7 is base part structural schematic diagram of the present invention with protrusion shape curved surface；
Fig. 8 is side structure schematic view in film soft bag of the present invention；
Fig. 9 is side structure schematic view under film soft bag of the present invention；
In figure, 1, film soft bag, 11, elastic opening；12, thin silicon glue-line；2, stamping device, 21, pedestal；22, pressing part；
23, array moves punching press column group；231, ball structure；24, locating rod；25, hole is protruded into；26, power interface；27, data
Line interface；28, Pneumatic stamping structure；291, shape curved surface is protruded；292, concave shape curved surface.
Specific embodiment
Others hair dryer of the present invention, laser cutting, the related equipments such as hand-held scanner structure can be used directly
Related equipment existing in the prior art, related equipment of the existing technology can be completed involved in this preparation method
Use function.Therefore specific design scheme is not provided in the accompanying drawings.
A kind of personalized fixation steel plate preparation method of the orthopaedics of embodiment 1
A kind of orthopaedics includes with personalized fixation steel plate preparation method, specific steps,
When operation, one film soft bag 1 is set in the fracture of wound；And it will be needed after the bottom surface of film soft bag 1 and adjustment
The bone face of bearing is effectively bonded；The molding liquid photosensitive resin material of normal temperature cure, photosensitive resin are set in film soft bag 1
Liquid is the cured liquid photosensitive resin material after excited by visible light；Photosensitive resin liquid material can be arranged in ejecting gun
Interior, 1 inner bottom surface of film soft bag is protruded into ejecting gun front, and irradiates visible light while injection, keeps photosensitive resin liquid fast
Fast curing molding forms consolidated structures, after film soft bag 1 is removed；It is bent using bottom of the Scan Architecture to consolidated structures afterwards
Face is scanned, and the three-dimensional data after scanning is transferred in computer and carries out quick uniform thickness and cutting processing, is obtained on earth
Face and the consistent steel plate in bone face, and it is cut to the size and thickness of the steel plate size needed；It afterwards will treated three-dimensional bone plate number
According to be transferred to connection stamping device 2 controller in, after in stamping device 2 place need stamping steel plate；Afterwards from controller to punching
Pressure device 2 carries out punching press to steel plate and the steel plate accurately needed when operation is made.
The time of rate-determining steps one is 1 minute, and step 2 curing time is 2-3 minutes, step 4 scanning and processing time
It is 2-5 minutes, step 5, the control of punching press time, within 1 minute, steel plate manufacturing process entire in this way was controlled in 6-10 minutes,
Such time control will not influence the operation progress of operation, and by relevant training and clinical experience, steel plate preparation process will
The steel plate for effectively being reduced, and being prepared in this manner.
Wherein elastic opening 11 is arranged in 1 upper end of film soft bag, by protruding into film soft bag 1 hair dryer by elastic opening 11
1 bottom of film soft bag is gently blown and is taped against on bone face, reaches bottom and is bonded with the effective of bone face.
One thin silicon glue-line 12 is set outside 1 bottom of film soft bag, such setting can increase the degree of agreement of contact surface,
And effectively distinguish topmost thin film soft bag 1 with lower film soft bag 1, when effectivelying prevent finishing operations, 1 bottom of film soft bag falls
It falls.
Different size of film soft bag 1 is set, to meet different operative site sizes to the need for knowing a little about size thin-film soft bag 1
It asks.
The molding liquid photosensitive resin material of normal temperature cure, photosensitive resin liquid are the cured liquid after excited by visible light
Photosensitive resin material.Photosensitive resin liquid material can be arranged in ejecting gun, ejecting gun front is protruded into film soft bag 1, and
Injection while irradiate visible light, make the rapid curing molding of photosensitive resin liquid, after film soft bag 1 is removed.It is above-mentioned
Mode can be very good to form the cured bottom surface closed with bone face paste.
Alternatively, the molding colloid of normal temperature cure is the soft crystal glue-dropping of normal temperature cured type, by the way that soft silica gel is sprayed on or
Be coated on 1 bottom of film soft bag, it is rear it is fast curing-formed after remove.
Alternatively, the soft solid of normal temperature cure is soft plasticine, by plasticine setting to film soft bag 1, keep its complete
All standing bone face, after by curing agent setting in ejecting gun, sprayed in curing agent to film soft bag 1 by ejecting gun by plasticine
Solidification.Curing agent is non-toxic epoxy curing agent.
Scan Architecture is hand-held scanner structure；Wireless transport module is set in Scan Architecture, the data of scanning are direct
It is transferred in computer.
Before surgery can be to operative site progress CT scan and according to the size boundary dimensions of design data steel plate, and will count
According to being stored in computer, when operation obtained when can be by the steel plate size of preoperative setting and operation 3 tie up three-dimensional bone face datas into
Row Rapid Combination obtains the data of steel plate, and is transferred in controller, and controls stamping device 2 and carry out punching press.
Cutting and punching, suitable size after cutting are carried out according to steel plate of the steel plate size of preoperative setting to unified size
Steel plate is for carrying out punching press when operation.
Cutting equipment is that miniature laser cuts equipment, and personalized cutting can be carried out according to patient's condition.Such setting can be with
Guarantee preoperative preparation more as far as possible, reduces the time in surgical procedure, successful surgery degree is reached into highest.
A kind of personalized fixation steel plate preparation method of the orthopaedics of embodiment 2
A kind of orthopaedics includes with personalized fixation steel plate preparation method, specific steps,
Before surgery can be to operative site progress CT scan and according to the size boundary dimensions of design data steel plate, and will count
According to being stored in computer, when operation obtained when can be by the steel plate size of preoperative setting and operation 3 tie up three-dimensional bone face datas into
Row Rapid Combination obtains the data of steel plate, and is transferred in controller, and controls stamping device 2 and carry out punching press.It is set according to preoperative
Fixed steel plate size carries out cutting and punching to the steel plate of unified size, and the steel plate of suitable size when operation for being rushed after cutting
Pressure.Cutting equipment is that miniature laser cuts equipment, and personalized cutting can be carried out according to patient's condition.Such setting can guarantee art
Preceding preparation more as far as possible, reduces the time in surgical procedure, successful surgery degree is reached highest.When operation, in wound
A film soft bag 1 is arranged in fracture；And the bone face of bearing will be needed effectively to be bonded behind the bottom surface of film soft bag 1 and adjustment；?
Normal temperature cure molding colloid is set in film soft bag 1, is specially the soft crystal glue-dropping of normal temperature cured type, by by soft silicon
Glue is sprayed on or is coated on 1 bottom of film soft bag, together with 1 one pieces of film soft bag from bone after rear fast curing-formed formation consolidated structures
It removes in face.It is scanned afterwards using bottom curved surface of the Scan Architecture to consolidated structures, and the three-dimensional data after scanning is passed
Defeated arrive in computer carries out quick uniform thickness and cutting processing, obtains bottom surface and the consistent steel plate in bone face, and be cut to needs
The size and thickness of steel plate size；By treated, three-dimensional bone plate data are transferred in the controller of connection stamping device 2 afterwards, after
Placing in stamping device 2 needs stamping steel plate；It is accurate when steel plate progress punching press being made operation to stamping device 2 from controller afterwards
The steel plate needed.
The time of rate-determining steps one is 1 minute, and step 2 curing time is 2-3 minutes, step 4 scanning and processing time
It is 2-5 minutes, step 5, the control of punching press time, within 1 minute, steel plate manufacturing process entire in this way was controlled in 6-10 minutes,
Such time control will not influence the operation progress of operation, and by relevant training and clinical experience, steel plate preparation process will
The steel plate for effectively being reduced, and being prepared in this manner.
Wherein elastic opening 11 is arranged in 1 upper end of film soft bag, by protruding into film soft bag 1 hair dryer by elastic opening 11
1 bottom of film soft bag is gently blown and is taped against on bone face, reaches bottom and is bonded with the effective of bone face.
One thin silicon glue-line 12 is set outside 1 bottom of film soft bag, such setting can increase the degree of agreement of contact surface,
And effectively distinguish topmost thin film soft bag 1 with lower film soft bag 1, when effectivelying prevent finishing operations, 1 bottom of film soft bag falls
It falls.
Different size of film soft bag 1 is set, to meet different operative site sizes to the need for knowing a little about size thin-film soft bag 1
It asks.
Alternatively, the soft solid of normal temperature cure is soft plasticine, by plasticine setting to film soft bag 1, keep its complete
All standing bone face, after by curing agent setting in ejecting gun, sprayed in curing agent to film soft bag 1 by ejecting gun by plasticine
Solidification.Curing agent is non-toxic epoxy curing agent.
Scan Architecture is hand-held scanner structure；Wireless transport module is set in Scan Architecture, the data of scanning are direct
It is transferred in computer.
A kind of personalized fixation steel plate preparation method of the orthopaedics of embodiment 3
A kind of orthopaedics includes with personalized fixation steel plate preparation method, specific steps,
Before surgery can be to operative site progress CT scan and according to the size boundary dimensions of design data steel plate, and will count
According to being stored in computer, when operation obtained when can be by the steel plate size of preoperative setting and operation 3 tie up three-dimensional bone face datas into
Row Rapid Combination obtains the data of steel plate, and is transferred in controller, and controls stamping device 2 and carry out punching press.It is set according to preoperative
Fixed steel plate size carries out cutting and punching to the steel plate of unified size, and the steel plate of suitable size when operation for being rushed after cutting
Pressure.Cutting equipment is that miniature laser cuts equipment, and personalized cutting can be carried out according to patient's condition.Such setting can guarantee art
Preceding preparation more as far as possible, reduces the time in surgical procedure, successful surgery degree is reached highest.When operation, in wound
A film soft bag 1 is arranged in fracture；And the bone face of bearing will be needed effectively to be bonded behind the bottom surface of film soft bag 1 and adjustment；?
Setting in film soft bag 1 is alternatively, the soft solid of normal temperature cure is soft plasticine, by plasticine setting to film soft bag 1,
Make it that bone face be completely covered, after curing agent setting sprayed into general in curing agent to film soft bag 1 to ejecting gun in ejecting gun, is passed through
Plasticine is formed by curing consolidated structures.Curing agent is non-toxic epoxy curing agent.Afterwards together with film soft bag 1 one after consolidated structures
Block is removed from bone face.It is scanned afterwards using bottom curved surface of the Scan Architecture to consolidated structures, and by the three-dimensional after scanning
Data, which are transferred in computer, carries out quick uniform thickness and cutting processing, obtains bottom surface and the consistent steel plate in bone face, and be cut to
The size and thickness of the steel plate size needed；Afterwards by the control of treated three-dimensional bone plate data are transferred to connection stamping device 2
In device, after in stamping device 2 place need stamping steel plate；Punching press is carried out to steel plate to stamping device 2 from controller afterwards, hand is made
The steel plate accurately needed when art.
The time of rate-determining steps one is 1 minute, and step 2 curing time is 2-3 minutes, step 4 scanning and processing time
It is 2-5 minutes, step 5, the control of punching press time, within 1 minute, steel plate manufacturing process entire in this way was controlled in 6-10 minutes,
Such time control will not influence the operation progress of operation, and by relevant training and clinical experience, steel plate preparation process will
The steel plate for effectively being reduced, and being prepared in this manner.
Wherein elastic opening 11 is arranged in 1 upper end of film soft bag, by protruding into film soft bag 1 hair dryer by elastic opening 11
1 bottom of film soft bag is gently blown and is taped against on bone face, reaches bottom and is bonded with the effective of bone face.
One thin silicon glue-line 12 is set outside 1 bottom of film soft bag, such setting can increase the degree of agreement of contact surface,
And effectively distinguish topmost thin film soft bag 1 with lower film soft bag 1, when effectivelying prevent finishing operations, 1 bottom of film soft bag falls
It falls.
Different size of film soft bag 1 is set, to meet different operative site sizes to the need for knowing a little about size thin-film soft bag 1
It asks.Scan Architecture is hand-held scanner structure；Wireless transport module is set in Scan Architecture, the data of scanning are transmitted directly to
In computer.
The film soft bag 1 used when a kind of personalized fixation steel plate preparation of the orthopaedics of embodiment 4
The film soft bag 1 used when a kind of personalized fixation steel plate preparation of orthopaedics, elastic opening is arranged in 1 upper end of film soft bag
11, it is taped against on bone face, is reached by protruding into gently to blow 1 bottom of film soft bag in film soft bag 1 hair dryer by elastic opening 11
It is bonded to bottom with the effective of bone face.
One thin silicon glue-line 12 is set outside 1 bottom of film soft bag, such setting can increase the degree of agreement of contact surface,
And effectively distinguish topmost thin film soft bag 1 with lower film soft bag 1, when effectivelying prevent finishing operations, 1 bottom of film soft bag falls
It falls.
Different size of film soft bag 1 is set, to meet different operative site sizes to the need for knowing a little about size thin-film soft bag 1
It asks.
Film soft bag 1 is medical soft material, and will not be with the molding liquid of quick normal temperature cure, colloid or soft solid
It reacts.
The stamping device 2 used when a kind of personalized fixation steel plate preparation of the orthopaedics of embodiment 5
The invention also discloses the stamping device 2 that the above method is related to, stamping device 2 includes bottom base 21 and top
Pressing part 22,22 bottom of pressing part and 21 top of pedestal are all arranged corresponding array and move punching press column group 23, pressing part 22
The removable column of bottom is extended downwardly or is bounced back upwards, and the removable column on 21 top of pedestal is corresponding to be retracted downwards or stretch upwards
Out；The moving distance of punching press column is controlled according to three-dimensional bone plate data by control structure；Pressing part 22 and the setting of 21 two sides of pedestal supply
What pressing part 22 moved down moves down structure；22 bottom array formula of pressing part moves the array on 21 top of punching press column group 23 and pedestal
Removable punching press column group 23 controls the curved surface to be formed on corresponding three-dimensional steel plate by control structure；One array moves punching press
Column group 23 forms protrusion shape curved surface 291, another array moves punching press column group 23 and forms concave shape curved surface 292, works as punching press
When portion 22 and pedestal 21 contact, it is correspondingly arranged at 22 bottom of pressing part and is equal at a distance from the removable intercolumniation on 21 top of pedestal
Place steel plate in the array punching press column top of the thickness of steel plate, 21 top of pedestal.Different punching press columns is controlled by control structure
The distance of mobile setting can then form the curved surface of the bending and torsion that do not supply, final punch forming, foot on array punching press column
More than enough and close punching press column then will form the bigger punching press curved surface of precision, keep the identical property of the steel plate to be formed higher.Such setting can
Effectively to realize personalized punching press and making sheet.
It is moved in 22 bottom array formula of pressing part and forms concave shape curved surface 292 on punching press column group 23；On 21 top of pedestal
Array, which moves, forms protrusion shape curved surface 291 on punching press column group 23, by moving down pressing part 22, concave shape curved surface 292 is logical
It crosses steel plate to be pressed on protrusion shape curved surface 291, steel plate is made to form the curve form needed.Moving down structure can be using any existing
The structure that may be implemented to move down punching press, wherein preferably Pneumatic stamping structure 28.Array on the top of pedestal 21 is removable
The locating rod 24 of setting 2 in column, the array of pressing part 22 move be arranged in columnar region it is corresponding protrude into hole 25, and in steel
The insertion hole of 2 longitudinal directions is correspondingly arranged on plate.The setting of 2 locating rods 24 can effectively realize the fixation to steel plate position, put
It sets position in punching course and moving influence punching press effect occurs.Locating rod 24 is arranged at the position of steel plate flat segments, Ci Zhongshe
Setting can guarantee that punching press will not impact steel plate position.
Pedestal 21 and the shape of pressing part 22 are square, side size range 40-80cm；Such size setting can satisfy
The preparation demand of most of steel plate.Ball structure 231 is arranged in punching press column front, and such structure can be effectively formed punching press, and not
Steel plate can be damaged.
The distance range of every two punching press intercolumniation is 0.5-1.5mm.The diameter range of ball structure 231 is 3-8mm, such
The validity that steel plate is identical after punching press can be effectively ensured is set.
Mobile control structure is arranged in each punching press column rear portion, such as electric hydaulic control structure, after electric hydaulic control structure
Setting PLC control module in end controls the moving distance of electric hydaulic structure by PLC control module and Numeric Control Technology and connection.Electricity
Source interface 26 is arranged in punching structure bottom, and control structure is digital control computer, and digital control computer is filled by data line and punching press
The data line interface 27 for setting 2 bottoms connects, and realizes the control to stamping device 2.
After stamping device 2 is in use, the data that each punching press column is sent according to Numeric Control Technology machine carry out the setting of distance, often
Root hydraulic column stretch out or retract need distance, after steel plate is rushed on the hydraulic mounting table less than on pedestal 21 by moving down
Pressure.
The explanation of above-described embodiment is only intended to understand the present invention.It should be pointed out that for those of ordinary skill in the art
For, without departing from the principle of the present invention, several improvement can also be carried out to the present invention, these improvement will also fall into this
In invention scope of protection of the claims.
Claims (10)
1. a kind of orthopaedics includes with personalized fixation steel plate preparation method, specific steps,
One, the consolidated structures preparation comprising irregular bone face
1) when performing the operation, one soft thin spacer structure is set in the fracture of wound；And it will be needed after soft thin spacer structure and adjustment
The bone face of bearing is wanted effectively to be bonded；
2) on spacer structure or be arranged inside being capable of quickly normal temperature cure molding liquid, colloid or soft solid；Liquid is set
It sets in spacer structure, and spacer structure bottom surface is completely covered in liquid bottom surface；Spacer structure is also completely covered in soft solid bottom surface
Bottom surface；To guarantee to have the face coincideing with bone face after shaping；
3) it is molded into liquid or soft solid on spacer structure or in it by introducing curing agent or rapid curing factor afterwards
For consolidated structures, and consolidated structures will not change shape because of taking-up, by spacer structure and cured structure from bone face after solidification
On remove；
Two, scanning is handled with 3 d image data
It is scanned using bottom curved surface of the Scan Architecture to consolidated structures, and the three-dimensional data after scanning is transferred to computer
It is interior to carry out quick uniform thickness and cutting processing, bottom surface and the consistent steel plate in bone face are obtained, and be cut to the steel plate size needed
Size and thickness；
Three, steel plate punched is made
Will treated that three-dimensional bone plate data are transferred in the controller of connection stamping device (2), after put on stamping device (2)
Setting needs stamping steel plate；Punching press is carried out to steel plate to stamping device (2) from controller afterwards, the three dimension steel plate needed when operation is made.
2. the personalized fixation steel plate preparation method of orthopaedics according to claim 1, which is characterized in that spacer structure one
Film soft bag (1).
3. the personalized fixation steel plate preparation method of orthopaedics according to claim 2, which is characterized in that the film soft bag
(1) upper end setting elastic opening (11).
4. the personalized fixation steel plate preparation method of orthopaedics according to claim 2, which is characterized in that the normal temperature cure
Molding liquid photosensitive resin material, photosensitive resin liquid are the cured liquid photosensitive resin material after excited by visible light；It can
Photosensitive resin liquid material is arranged in ejecting gun, ejecting gun front is protruded into film soft bag (1), and is shone while injection
Penetrate visible light, make the rapid curing molding of photosensitive resin liquid, after film soft bag (1) is removed.
5. the personalized fixation steel plate preparation method of orthopaedics according to claim 2, which is characterized in that the normal temperature cure
Molding colloid is the soft crystal glue-dropping of normal temperature cured type, by being sprayed on or being coated on film soft bag (1) bottom for soft silica gel,
It is removed after fast curing-formed afterwards.
6. the personalized fixation steel plate preparation method of orthopaedics according to claim 2, which is characterized in that the normal temperature cure
Soft solid be soft plasticine, by plasticine setting in film soft bag (1), make it that bone face be completely covered, after will solidification
In agent setting to ejecting gun, is sprayed in curing agent to film soft bag (1) by ejecting gun and solidify plasticine.
7. the personalized fixation steel plate preparation method of orthopaedics according to claim 1, which is characterized in that opponent before surgery
Art position carries out CT scan and size and bounds according to design data steel plate, and data is stored in computer, hand
3 obtained when can be by the steel plate size of preoperative setting and operation when art tie up three-dimensional bone face data and carry out Rapid Combination, obtain steel plate
Data, and be transferred in controller, and control stamping device (2) and carry out punching press.
8. the personalized fixation steel plate preparation method of orthopaedics according to claim 7, which is characterized in that according to preoperative setting
Steel plate size and bounds cut to the steel plate of unified size and punching, and steel plate edge is passivated, is obtained
The steel plate of suitable size is for carrying out punching press when operation.
9. stamping device (2) involved in claim 1-8 any one steel plate preparation method, stamping device (2) includes bottom
It is removable that corresponding array is all arranged in the pressing part (22) of pedestal (21) and top, pressing part (22) bottom and pedestal (21) top
Dynamic punching press column group (23), the removable column of pressing part (22) bottom are extended downwardly or are bounced back upwards, pedestal (21) top can
Mobile column is corresponding to be retracted downwards or stretches out upwards；The moving distance of punching press column is controlled according to three-dimensional bone plate data by control structure；
Pressing part (22) and pedestal (21) two sides, which are arranged, moves down structure for what pressing part (22) moved down；Pressing part (22) bottom array formula can
The array on mobile punching press column group (23) and pedestal (21) top moves punching press column group (23) and controls to be formed by control structure
Curved surface on corresponding three-dimensional steel plate；One array moves punching press column group (23) and forms protrusion shape curved surface (291), another battle array
Column moves punching press column group (23) and forms concave shape curved surface (292), and when pressing part (22) and pedestal (21) contact, correspondence is set
The thickness for being equal to steel plate at a distance from the removable intercolumniation on pedestal (21) top in pressing part (22) bottom is set, on pedestal (21)
Steel plate is placed above the array punching press column in portion.The distance that the mobile setting of different punching press columns is controlled by control structure, then can
The curved surface of the bending and torsion that do not supply is formed on array punching press column, final punch forming, enough and close punching press columns are then
It will form the bigger punching press curved surface of precision, keep the identical property of the steel plate to be formed higher.
10. the film soft bag (1) being related to according to claim 2-8 any one, which is characterized in that film soft bag (1) upper end is set
Elastic opening (11) are set, by protruding into film soft bag (1) bottom in film soft bag (1) gently hair dryer by elastic opening (11)
It blows and is taped against on bone face, reach bottom and be bonded with the effective of bone face.
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| CN201811475809.4A CN109276304A (en) | 2018-12-04 | 2018-12-04 | A kind of orthopaedics personalized fixation steel plate preparation method and Rapid manufacturing device of high |
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| CN201811475809.4A CN109276304A (en) | 2018-12-04 | 2018-12-04 | A kind of orthopaedics personalized fixation steel plate preparation method and Rapid manufacturing device of high |
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| CN207357900U (en) * | 2017-10-26 | 2018-05-15 | 福建龙净环保股份有限公司 | A kind of curved surface forming device |
| CN108246862A (en) * | 2017-12-30 | 2018-07-06 | 梅木精密工业(珠海)有限公司 | A kind of bone plate quick molding method |
| CN108635037A (en) * | 2018-07-24 | 2018-10-12 | 宁波市第六医院 | Orthopedic steel plate Hard link shaping device |
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| CN103501732A (en) * | 2010-12-21 | 2014-01-08 | 普罗斯特克西斯私人有限公司 | Prosthetic menisci and method of implanting in the human knee joint |
| CN105266880A (en) * | 2015-09-09 | 2016-01-27 | 四川大学华西医院 | Internal fixation steel plate shaping tool and shaping method for orthopaedics |
| WO2017101599A1 (en) * | 2015-12-15 | 2017-06-22 | 宁波华科润生物科技有限公司 | Interspinous process bracing system |
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