CN110063746B - Intraoperative perspective laser positioner - Google Patents

Intraoperative perspective laser positioner Download PDF

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Publication number
CN110063746B
CN110063746B CN201910256043.9A CN201910256043A CN110063746B CN 110063746 B CN110063746 B CN 110063746B CN 201910256043 A CN201910256043 A CN 201910256043A CN 110063746 B CN110063746 B CN 110063746B
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laser
perspective
belt
laser head
fixing
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CN110063746A (en
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蔡碰德
顾恩毅
陈康尧
郑忠
陈国龄
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Fuzhou Second Hospital
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Fuzhou Second Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/08Auxiliary means for directing the radiation beam to a particular spot, e.g. using light beams

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Engineering & Computer Science (AREA)
  • Radiology & Medical Imaging (AREA)
  • Molecular Biology (AREA)
  • Biophysics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Optics & Photonics (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • High Energy & Nuclear Physics (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Lasers (AREA)
  • Apparatus For Radiation Diagnosis (AREA)

Abstract

The invention provides an intraoperative perspective laser positioner which comprises a fixing belt, two linear laser transmitters and a power supply system, wherein the fixing belt is provided with a plurality of linear laser transmitters; the fixing belt is sleeved on the periphery of the X-ray receiving screen of the mobile perspective machine and comprises an inelastic belt, an elastic belt and a pair of connecting pieces, the three parts are connected with each other, the fixing belt is closed through the connection of the two connecting pieces, and the total length of the fixing belt is slightly smaller than the circumference of the X-ray receiving screen of the mobile perspective machine; the two I-shaped laser transmitters are arranged on the fixing belt, the interval distance between the two I-shaped laser transmitters is 1/4 of the circumference of the X-ray receiving screen of the mobile perspective machine, so that the laser intersection point is positioned at the center point of the X-ray transmitting bulb tube of the mobile perspective machine; the power supply system is connected with the linear laser emitter and supplies power for the linear laser emitter. The invention can be directly added with the localizer on the existing perspective machine, and forms the perspective center point of the perspective machine by the laser localizer, and accurately localizes the perspective center of the perspective machine.

Description

Intraoperative perspective laser positioner
Technical Field
The invention relates to the technical field of medical appliances, in particular to an intraoperative perspective laser positioner.
Background
Many current procedures, particularly orthopedic procedures, require a mobile fluoroscope for fluoroscopy during the procedure. In the reduction process of the bone surgery, especially the unstable fracture which is difficult to reduce, the conditions of non-ideal fracture reduction, poor internal fixation position, uncomfortable length and the like can be timely adjusted under perspective monitoring in the surgery, the reduction effect after correction can be immediately observed, and the fracture position is adjusted until the reduction is satisfied, so that the mobile perspective machine in the surgery is widely applied in the bone surgery.
Most of the existing movable perspective machine in operation does not have a positioning function, and a sterilizing sheet is often needed to cover an operation wound before perspective, so that the perspective in operation is often required to be repeatedly adjusted for many times, the center point of the perspective is positioned at the center of a target part to obtain an ideal perspective image, the operation time is prolonged, and meanwhile, the probability that a patient and an operator are exposed to rays is greatly increased due to multiple invalid perspectives.
Disclosure of Invention
The technical problem to be solved by the invention is to provide the intraoperative perspective laser positioner which can be directly added on the existing mobile perspective machine, is convenient to assemble and disassemble, is easy and convenient to operate and can accurately position the perspective center.
The invention is realized in the following way:
the intraoperative perspective laser positioner comprises a fixed belt, two linear laser transmitters and a power supply system;
the fixed belt is sleeved around the X-ray receiving screen of the mobile perspective machine and comprises a non-elastic belt, an elastic belt and a pair of connecting pieces; one end of the inelastic belt is connected with one end of the elastic belt, the other end of the inelastic belt is connected with one connecting piece, the other connecting piece is connected with the other end of the elastic belt, the fixing belt is closed through connection of the two connecting pieces, and the total length of the fixing belt is slightly smaller than the circumference of an X-ray receiving screen of the mobile perspective machine;
the two I-shaped laser transmitters are arranged on the fixing belt, the interval distance between the two I-shaped laser transmitters is 1/4 of the circumference of the X-ray receiving screen of the mobile perspective machine, so that the laser intersection point is positioned at the center point of the X-ray transmitting bulb tube of the mobile perspective machine;
the power supply system is connected with the two I-shaped laser transmitters and supplies power for the I-shaped laser transmitters.
Further, the linear laser transmitter comprises a movable box, a laser head sleeve and a linear laser head;
the rear parts of the two side surfaces of the movable box are respectively provided with a long hole, and the fixed belt is arranged in the long holes in a penetrating way and fixes the movable box at the appointed position of the fixed belt through a locking structure;
the laser head sleeve is installed in the front of the movable box, and the laser head is inserted in the laser head sleeve.
Further, a convex column is arranged on the front face of the movable box, and the laser head sleeve is sleeved on the convex column and is fixed through a spring and a screw.
Further, the locking structure comprises a rotating shaft, a fixing piece, a torsion spring and a handle; the rotating shaft is horizontally fixed on two side walls of the movable box, and the fixing pieces are fixedly arranged on the rotating shaft; the torsion spring is sleeved on the rotating shaft, one end part of the torsion spring is fixed on the inner wall of the movable box, and the other end part of the torsion spring is attached to the fixing piece, so that the fixing piece is propped against the fixing belt; the handle is connected with one end of the rotating shaft and arranged outside the movable box, and the rotating shaft and the fixing piece are driven to rotate by stirring the handle.
Further, the power supply system comprises a battery and a switch, and power supply is controlled through the switch.
Further, the inelastic strap is made of leather.
Further, the pair of connecting pieces are of a buckle structure.
The invention has the following advantages: the center point of the X-ray transmitting bulb tube of the perspective machine is aligned through the laser intersection point, so that the perspective center point is accurately positioned at a part needing perspective, the perspective times and the operation time are reduced, multiple invalid perspective is avoided, and the probability that a patient and an operator are exposed to rays is reduced. The invention has simple and convenient installation, does not need to refit the original mobile perspective machine, and only needs to be additionally arranged on the X-ray receiving screen cylinder of the mobile perspective machine, thereby avoiding polluting the operation area. The X-ray receiving screen cylinder of the perspective machine is easy to operate, convenient to carry, capable of being matched with X-ray receiving screen cylinders of the perspective machine with different diameters, and suitable for moving the perspective machine in operation with different models.
Drawings
The invention will be further described with reference to examples of embodiments with reference to the accompanying drawings.
FIG. 1 is a schematic diagram of an embodiment of the present invention.
Fig. 2 is a schematic circuit connection diagram of an embodiment of the present invention.
Fig. 3 is a schematic view of a laser transmitter according to an embodiment of the present invention.
Fig. 4 is a schematic diagram illustrating a usage state according to an embodiment of the present invention.
Reference numerals illustrate:
1-fixed band, 2-I-shaped laser emitter, 3-power supply system, 4-mobile perspective machine X-ray receiving screen, 5-mobile perspective machine X-ray emitting bulb, 11-inelastic band, 12-elastic band, 13-connecting piece, 21-mobile box, 22-laser head sleeve, 23-I-shaped laser head, 211-long hole, 212-locking structure, 213-convex column, 214-spring, 215-screw, 221-centre hole, 2121-rotating shaft, 2122-fixed sheet, 2123-torsion spring, 2124-handle.
Detailed Description
Referring to fig. 1 to 4, the embodiment of the present invention is implemented as follows:
the intraoperative perspective laser positioner comprises a fixing band 1, two linear laser transmitters 2 and a power supply system 3.
The fixing belt 1 is sleeved around the X-ray receiving screen of the mobile perspective machine and comprises an inelastic belt 11, an elastic belt 12 and a pair of connecting pieces 13; one end of the inelastic belt 11 is connected with one end of the elastic belt 12, the other end of the inelastic belt is connected with a connecting piece 13, the other connecting piece 13 is connected with the other end of the elastic belt 12, the fixing belt 1 is closed through connection of the two connecting pieces 13, the total length of the fixing belt 1 is slightly smaller than the circumference of the X-ray receiving screen 4 of the mobile perspective machine, the fixing belt is tightly attached to the circumference of the X-ray receiving screen 4 of the mobile perspective machine through the fastening function of the elastic belt 12, and meanwhile, due to the design of the fixing belt 1, the device is easy to install, detach and carry.
The two I-shaped laser transmitters 2 are arranged on the fixed belt 1, the interval distance between the two I-shaped laser transmitters 2 is 1/4 of the circumference of the X-ray receiving screen 4 of the mobile perspective machine, and the laser intersection point is located at the center point of the X-ray transmitting bulb 5 of the mobile perspective machine. The directions of the two I-shaped laser transmitters 2 are arranged so that the I-shaped rays emitted by the two I-shaped laser transmitters can pass through the center point of the X-ray emission bulb tube 5 of the mobile perspective machine, and the intersection point obtained by intersecting the two I-shaped rays is the perspective center point; the interval distance between the two linear laser transmitters 2 is 1/4 of the circumference of the X-ray receiving screen of the mobile perspective machine, so that the two rays vertically intersect, and the accurate positioning of the center point is facilitated.
The power supply system 3 is connected with the two linear laser transmitters 2 and supplies power for the linear laser transmitters 2. The power supply system 3 supplies power to the two in-line laser transmitters 2 at the same time, so that the operation is more convenient.
The in-line laser transmitter 2 comprises a movable box 21, a laser head sleeve 22 and an in-line laser head 23;
the rear parts of the two side surfaces of the movable box 21 are respectively provided with a long hole 211, the fixed belt 1 is penetrated in the long holes 211, and the movable box 21 is fixed at a designated position of the fixed belt 1 through a locking structure 212. The in-line laser transmitter 2 is moved in position by the long hole 211 provided in the moving case 21, and fixed in position by the locking structure 212 provided in the moving case 21.
The laser head sleeve 22 is mounted on the front surface of the movable box 21, and the linear laser head 23 is inserted into the laser head sleeve 22 and can rotate in the laser head sleeve 22.
The inner diameter of the laser head sleeve 22 is slightly larger than the outer diameter of the straight laser head 23, so that the laser head can rotate in the laser head sleeve by a certain angle to change the ray direction of the straight laser, and the laser head can pass through the center point of the X-ray emission bulb 5 of the mobile perspective machine.
The front surface of the moving box is provided with a convex column 213, and the laser head sleeve 22 is sleeved on the convex column 213 and is fixed by a spring 214 and a screw 215. The upper part of the laser head sleeve 22 is provided with a central hole 221 for fixing, and the fixing of the laser head sleeve is realized by sleeving the central hole 221 on the convex column 213, sleeving the spring 214 and screwing the screw 215. The elastic force of the spring 214 is used for realizing the fixation by extruding around the central hole 221, and the laser head sleeve 22 can swing left and right by taking the convex column 213 as the center of a circle, so that the laser positioner has a further adjustment space.
The locking structure 212 includes a shaft 2121, a stator 2122, a torsion spring 2123, and a handle 2124; the rotating shaft 2121 is horizontally fixed on two side walls of the moving box 21, and the fixing piece 2122 is fixedly arranged on the rotating shaft 2121; the torsion spring 2123 is sleeved on the rotating shaft 2121, one end part of the torsion spring is fixed on the inner wall of the moving box 21, and the other end part of the torsion spring is attached to the fixing piece 2122, so that the fixing piece 2122 is propped against the fixing belt 1; the handle 2123 is connected to one end of the shaft 2121 and is disposed outside the moving box 21, and the handle 2124 is moved to rotate the shaft 2121 and the fixing piece 2122, so as to release the locking state of the fixing piece 2122 and the fixing strap 1, and after the handle 2124 is released, the torsion spring 2123 returns to restore the fixing piece 2122 to the fixing strap 1.
The power supply system 3 comprises a battery 31 and a switch 32, the battery 31 and the switch 32 are connected with the linear laser transmitters 2 through wires, and the two linear laser transmitters can be simultaneously lightened or turned off through the control of the switch to supply power. The battery 31 may be a rechargeable battery, and the battery has a large capacity and can be repeatedly charged and utilized; the switch 32 may be a miniature push button power switch, and is lightweight, easy to fix and operate.
The inelastic belt 11 is made of leather, and is beneficial to being well attached to the X-ray receiving screen cylinder of the perspective machine.
The pair of connecting pieces 13 are of buckle structures, two ends of the fixing belt are free to open and close through buckles, the two ends of the fixing belt buckle are buckled and sleeved on the X-ray receiving screen of the mobile perspective machine, and the fixing belt and the two movable linear laser transmitters can be fixed on the X-ray receiving screen cylinder; after the operation is finished, the laser positioner can be easily taken down by taking the buckle open.
The working principle of the invention is as follows:
in the moving perspective operation, an intraoperative perspective laser positioner is firstly surrounded on an X-ray receiving screen cylinder of the moving perspective machine, and the positioner is fixed around the X-ray receiving screen of the moving perspective machine through fastening and buckling and fastening actions of an elastic band. The switch is pressed down to realize supplying power to the two I-shaped laser heads, the handle is stirred to drive the fixing piece to leave the fixing belt, the distance between the two I-shaped laser heads is adjusted by adjusting the moving box, the distance between the two laser heads is 1/4 circumference of the X-ray receiving screen cylinder, the laser heads are rotated to adjust the ray directions of the I-shaped laser so that the laser projections of the two laser heads are mutually perpendicular, the laser intersection point is positioned on the central point of the X-emitting bulb of the perspective machine, and the laser intersection point is the perspective central point. The perspective machine is moved to the position needing perspective, and accurate perspective positioning can be realized by aligning the position needing perspective.
The perspective laser locator in the operation of the invention aims at the center point of the X-ray emission bulb tube of the perspective machine through the laser intersection point, thereby realizing that the perspective center point is accurately positioned at the part needing perspective, reducing the perspective times and operation time, avoiding multiple invalid perspective and reducing the probability of exposing patients and operators to rays. The invention has simple and convenient installation, does not need to refit the original mobile perspective machine, and only needs to be additionally arranged on the X-ray receiving screen cylinder of the mobile perspective machine, thereby avoiding polluting the operation area. Realize the dismouting through opening and shutting of connecting piece, easy and simple to handle, convenient to carry, but the perspective machine X line of matching different diameters receives the screen cylinder, is applicable to the intraoperative mobile perspective machine of different models, can also lift rechargeable battery when not using and charge.
While specific embodiments of the invention have been described above, it will be appreciated by those skilled in the art that the specific embodiments described are illustrative only and not intended to limit the scope of the invention, and that equivalent modifications and variations of the invention in light of the spirit of the invention will be covered by the claims of the present invention.

Claims (3)

1. Perspective laser locator in art, its characterized in that: comprises a fixing belt, two linear laser transmitters and a power supply system;
the fixed belt is sleeved around the X-ray receiving screen of the mobile perspective machine and comprises a non-elastic belt, an elastic belt and a pair of connecting pieces; one end of the inelastic belt is connected with one end of the elastic belt, the other end of the inelastic belt is connected with one connecting piece, the other connecting piece is connected with the other end of the elastic belt, the fixing belt is closed through connection of the two connecting pieces, and the total length of the fixing belt is slightly smaller than the circumference of an X-ray receiving screen of the mobile perspective machine;
the two I-shaped laser transmitters are arranged on the fixing belt, the interval distance between the two I-shaped laser transmitters is 1/4 of the circumference of the X-ray receiving screen of the mobile perspective machine, so that the laser intersection point is positioned at the center point of the X-ray transmitting bulb tube of the mobile perspective machine;
the power supply system is connected with the linear laser transmitter and supplies power for the linear laser transmitter;
the linear laser transmitter comprises a movable box, a laser head sleeve and a linear laser head;
the rear parts of the two side surfaces of the movable box are respectively provided with a long hole, and the fixed belt is arranged in the long holes in a penetrating way and fixes the movable box at the appointed position of the fixed belt through a locking structure;
the laser head sleeve is arranged on the front surface of the movable box, and the linear laser head is inserted into the laser head sleeve; the inner diameter of the laser head sleeve is slightly larger than the outer diameter of the straight laser head, so that the laser head can rotate in the laser head sleeve by a certain angle to change the ray direction of the straight laser, and the laser head can pass through the center point of the X-ray emission bulb of the mobile perspective machine;
the laser head sleeve is sleeved on the convex column and is fixed through a spring and a screw; the upper part of the laser head sleeve is provided with a central hole for fixing, and the laser head sleeve is fixed by sleeving the central hole on the convex column, sleeving a spring and screwing a screw;
the locking structure comprises a rotating shaft, a fixing piece, a torsion spring and a handle; the rotating shaft is horizontally fixed on two side walls of the movable box, and the fixing pieces are fixedly arranged on the rotating shaft; the torsion spring is sleeved on the rotating shaft, one end part of the torsion spring is fixed on the inner wall of the movable box, and the other end part of the torsion spring is attached to the fixing piece, so that the fixing piece is propped against the fixing belt; the handle is connected with one end of the rotating shaft and arranged outside the movable box, and the rotating shaft and the fixing piece are driven to rotate by stirring the handle;
the pair of connecting pieces are of a buckle structure.
2. An intraoperative perspective laser locator according to claim 1, wherein: the power supply system comprises a battery and a switch, and is controlled to supply power through the switch.
3. An intraoperative perspective laser locator according to claim 1, wherein: the inelastic belt is made of leather.
CN201910256043.9A 2019-03-26 2019-03-26 Intraoperative perspective laser positioner Active CN110063746B (en)

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CN110063746B true CN110063746B (en) 2024-02-27

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114948158B (en) * 2021-06-01 2023-04-07 首都医科大学附属北京友谊医院 Positioning navigation device and method for femoral neck channel screw intraosseous channel

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP3147278U (en) * 2008-08-21 2008-12-25 真史 西川 Simple non-explosive fluoroscopic position determination device
US9439619B1 (en) * 2015-04-16 2016-09-13 Kirby Nance Targeting system for use with x-ray machines
CN206228361U (en) * 2016-08-16 2017-06-09 徐威 C-arm X-ray machine laser locating apparatus
CN206275695U (en) * 2017-03-31 2017-06-27 郝明 Fluoroscopy during operation machine auxiliary locator
CN106974673A (en) * 2017-04-18 2017-07-25 神农架林区人民医院 Movable type C arm X-ray machine positioning auxiliary devices in art
CN210144665U (en) * 2019-03-26 2020-03-17 福州市第二医院(福建省福州中西医结合医院、福州市职业病医院) Intraoperative perspective laser locator

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP3147278U (en) * 2008-08-21 2008-12-25 真史 西川 Simple non-explosive fluoroscopic position determination device
US9439619B1 (en) * 2015-04-16 2016-09-13 Kirby Nance Targeting system for use with x-ray machines
CN206228361U (en) * 2016-08-16 2017-06-09 徐威 C-arm X-ray machine laser locating apparatus
CN206275695U (en) * 2017-03-31 2017-06-27 郝明 Fluoroscopy during operation machine auxiliary locator
CN106974673A (en) * 2017-04-18 2017-07-25 神农架林区人民医院 Movable type C arm X-ray machine positioning auxiliary devices in art
CN210144665U (en) * 2019-03-26 2020-03-17 福州市第二医院(福建省福州中西医结合医院、福州市职业病医院) Intraoperative perspective laser locator

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