CN110693568A - Sighting device for drilling metacarpal steel plate - Google Patents

Sighting device for drilling metacarpal steel plate Download PDF

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Publication number
CN110693568A
CN110693568A CN201910900286.1A CN201910900286A CN110693568A CN 110693568 A CN110693568 A CN 110693568A CN 201910900286 A CN201910900286 A CN 201910900286A CN 110693568 A CN110693568 A CN 110693568A
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CN
China
Prior art keywords
drilling
gear
metacarpal
rotating
mounting
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201910900286.1A
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Chinese (zh)
Inventor
刘玉凤
林夏莲
郑世伟
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Shouguang Maternal And Child Health Hospital
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Shouguang Maternal And Child Health Hospital
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Shouguang Maternal And Child Health Hospital filed Critical Shouguang Maternal And Child Health Hospital
Priority to CN201910900286.1A priority Critical patent/CN110693568A/en
Publication of CN110693568A publication Critical patent/CN110693568A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1703Guides or aligning means for drills, mills, pins or wires using imaging means, e.g. by X-rays
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1728Guides or aligning means for drills, mills, pins or wires for holes for bone plates or plate screws
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1782Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the hand or wrist
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30Surgical robots
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70Manipulators specially adapted for use in surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30Surgical robots
    • A61B2034/305Details of wrist mechanisms at distal ends of robotic arms

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Robotics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Pathology (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a sighting device for drilling a metacarpal steel plate, which comprises a workbench, a sighting device body and auxiliary equipment, wherein the workbench is provided with a drilling hole; the sighting device body is arranged on the workbench; the auxiliary equipment is used for calibrating the aiming angle; the sighting device body comprises an installation base, an installation plate, a guide member and a drill positioning head; the drill positioning head is arranged on the second shell through a connecting rod; the auxiliary equipment is arranged on the mounting plate; the drill bit positioning device is reasonable in overall structural design, the control of the drill bit positioning head can be realized by utilizing the guide member, and great convenience is provided for medical staff; in addition, the auxiliary equipment can block and position the whole operation before and during drilling, so that the problems of inaccurate searching of the drilling position and deviation of the drilling position can be effectively avoided; is more suitable for drilling and positioning the metacarpal bone steel plate with smaller bone type.

Description

Sighting device for drilling metacarpal steel plate
Technical Field
The invention relates to the technical field of orthopedic auxiliary medical instruments, in particular to a sighting device for drilling a metacarpal steel plate.
Background
When a patient with serious fracture is treated, the fracture part of the patient needs to be reduced by an operation; after fracture reduction, because of instability, the fracture is easy to be relocated, so that the fracture needs to be fixed at a satisfactory position by adopting different methods to ensure that the fracture is gradually healed. The operation reduction is fixed by steel plates, steel needles, intramedullary needles, screws and the like for operation incision.
An orthopedic electric drill is needed when the surgical reduction is carried out; the conventional orthopedic electric drill has the use method that: and (4) holding the orthopedic electric drill for drilling. However, medical staff do not adopt any auxiliary equipment in actual operation, and the fracture position of the X-ray film and the position of the drilled hole are judged only by the fracture position of the X-ray film and experience.
However, since the bone shape is small relative to the human metacarpal portion, it is difficult to grasp the actual drilling position in the actual drilling, and the distance to the fracture portion cannot be determined in detail in the actual drilling, which causes a further pain to the patient.
Disclosure of Invention
In view of the problems, the invention provides a sighting device for drilling a metacarpal steel plate, which can judge the distance from a fracture part in detail.
The technical scheme of the invention is as follows: a sighting device for drilling a metacarpal steel plate comprises a workbench, a sighting device body and auxiliary equipment; the sighting device body is arranged on the workbench; the auxiliary equipment is used for calibrating the aiming angle; a guide rail sliding groove is formed in the workbench;
the sighting device body comprises an installation base, an installation plate, a guide member and a drill positioning head; the bottom of the mounting base is provided with a sliding block, and the mounting base is mounted on the guide rail sliding groove through the sliding block and can horizontally move on the guide rail sliding groove; the mounting plate is arranged at the end point of the upper surface of the mounting base through a support rod;
the guide component comprises a rotating assembly, an X-axis moving assembly and a Y-axis moving assembly; the rotating assembly comprises a rotating fluted disc, a rotating gear and a first rotating motor; the X-axis moving assembly comprises a rack mounting plate and a first slider member; the Y-axis moving assembly comprises a slide bar and a second slider member;
the rotary fluted disc is arranged at the lower end of the rack mounting plate, the rotary gear is arranged at the upper end of the base, the rotary fluted disc is meshed with the rotary gear, and the first rotary motor provides power for the rotary gear;
a first rack is arranged on the rack mounting plate; the first slider member includes a first housing, a first gear, and a second rotating motor; the first gear is arranged in the first shell, the second rotating motor is arranged on the side wall of the first shell, and the first gear is coaxially connected with the second rotating motor; the first gear is meshed with the first rack;
the sliding rod is arranged on the side wall of the first shell through a connecting rod and is perpendicular to the first rack; a sliding rod sliding groove is formed in the sliding rod, and a second rack is arranged on the side wall of the sliding rod sliding groove; the second slider member comprises a second housing, a second gear and an adjustment knob; the second gear is arranged in the second shell, the adjusting knob is positioned at the upper end of the upper side wall of the second shell, and the second gear is coaxially connected with the adjusting knob; the second gear is meshed with the second rack;
the drill positioning head is arranged on the second shell through a connecting rod; the auxiliary equipment is arranged on the mounting plate.
Furthermore, the workbench comprises a mounting seat provided with universal wheels, a telescopic supporting rod vertically arranged on the mounting seat and a mounting platform arranged on the telescopic supporting rod; the two guide rail sliding grooves are arranged on the mounting table in parallel; the installation seat provided with the universal wheels is more convenient for the movement of the device, and is more convenient and faster in use; the telescopic supporting rod can meet the requirement of an operating table with a wider height range.
Furthermore, the drill positioning head is mounted on the second shell through an L-shaped connecting rod, and the L-shaped connecting rod is perpendicular to the sliding rod; the inconvenience caused by the fact that the drill positioning head and the Y-axis moving assembly are crossed when the drill positioning head and the Y-axis moving assembly are used can be effectively avoided.
Further, the drill positioning head comprises a mounting block and a positioning block, and the positioning block is connected with the mounting block in a ratchet manner; a drill bit hole is arranged on the positioning block; the mounting block is mounted on the second shell through a connecting rod; the ratchet connection mode can be adjusted the drilling angle, and is more practical when the actual operation is operated.
Furthermore, the drill positioning head is connected with the L-shaped connecting rod through an adjustable rotary joint; the angle adjustment of three-dimensional position can be realized, and the use is more convenient and fast in the actual operation, and is not limited.
Furthermore, the auxiliary equipment adopts a small X-ray machine; specifically, an interventional therapy X-ray machine with a brand of a middle connector and a model of RX2 is adopted.
Further, the auxiliary equipment is arranged on the mounting plate through a mechanical arm; can realize the removal of all-round, multi-angle, accomplish the assistance-localization real-time operation.
Furthermore, the arrangement block is provided with a clamping block, the clamping block can clamp the auxiliary equipment, the auxiliary equipment can be fixed after being aligned with the drill bit hole, and in the actual drilling operation, the auxiliary equipment is aligned with the drill bit hole, clamped and fixed, and the deviation caused in the actual drilling operation process can be timely found to be corrected.
Compared with the prior art, the invention has the beneficial effects that: the drill bit positioning device is reasonable in overall structural design, the control of the drill bit positioning head can be realized by utilizing the guide member, and great convenience is provided for medical staff; in addition, the auxiliary equipment can block and position the whole operation before and during drilling, so that the problems of inaccurate searching of the drilling position and deviation of the drilling position can be effectively avoided; is more suitable for drilling and positioning the metacarpal bone steel plate with smaller bone type.
Drawings
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a schematic diagram of the construction of the drill bit positioning head of the present invention;
the automatic sighting device comprises a workbench 1, a guide rail sliding groove 10, an installation seat 11, a telescopic supporting rod 12, a telescopic supporting rod 13, an installation table 2, a sighting device body 21, an installation base 21, a sliding block 210, a mounting plate 22, a guide member 23, a rotating assembly 231, an axis 232-X moving assembly 2321, a rack mounting plate 2322, a first sliding block member 2322, an axis 233-Y moving assembly 2331, a sliding rod sliding groove 23310, a second sliding block member 2332, a drill bit positioning head 24, a mounting block 241, a clamping block 2410, a positioning block 242, a drill bit hole 2420 and auxiliary equipment 3.
Detailed Description
Example (b): the sighting device for drilling the metacarpal steel plate as shown in fig. 1 comprises a workbench 1, a sighting device body 2 and an auxiliary device 3; the sighting device body 2 is arranged on the workbench 1; the auxiliary device 3 is used for calibrating the aiming angle; a guide rail chute 10 is arranged on the workbench 1;
the workbench 1 comprises a mounting seat 11 provided with universal wheels, a telescopic supporting rod 12 vertically arranged on the mounting seat 11, and a mounting platform 13 arranged on the telescopic supporting rod 12; two guide rail sliding grooves 10 are arranged, and the two guide rail sliding grooves 10 are arranged on the mounting table 13 in parallel;
the sighting device body 2 comprises a mounting base 21, a mounting plate 22, a guide member 23 and a drill positioning head 24; the bottom of the installation base 21 is provided with a sliding block 210, and the installation base 21 is installed on the guide rail sliding groove 10 through the sliding block 210 and can horizontally move on the guide rail sliding groove 10; the mounting plate 22 is arranged at the end point of the upper surface of the mounting base 21 through a support rod;
the guide member 23 includes a rotation assembly 231, an X-axis movement assembly 232, and a Y-axis movement assembly 233; the rotating assembly 231 comprises a rotating fluted disc, a rotating gear and a first rotating motor; the X-axis movement assembly 232 includes a rack mounting plate 2321 and a first slider member 2322; the Y-axis moving assembly 233 includes a slide bar 2331 and a second slider member 2332;
the rotating fluted disc is arranged at the lower end of the rack mounting plate 2321, the rotating gear is arranged at the upper end of the base 21, the rotating fluted disc is meshed with the rotating gear, and the first rotating motor provides power for the rotating gear;
the rack mounting plate 2321 is provided with a first rack; the first slider member 2322 includes a first housing, a first gear, and a second rotary motor; the first gear is arranged in the first shell, the second rotating motor is arranged on the side wall of the first shell, and the first gear is coaxially connected with the second rotating motor; the first gear is meshed with the first rack;
the sliding rod 2331 is arranged on the side wall of the first shell through a connecting rod, and the sliding rod 2331 is perpendicular to the first rack; a slide bar 23310 is arranged on the slide bar 2331, and a second rack is arranged on the side wall of the slide bar 23310; the second slider member 2332 includes a second housing, a second gear, and an adjustment knob; the second gear is arranged in the second shell, the adjusting knob is positioned at the upper end of the upper side wall of the second shell, and the second gear is coaxially connected with the adjusting knob; the second gear is meshed with the second rack;
the first rotating motor and the second rotating motor are provided with independent forward and reverse rotating switch buttons;
the drill positioning head 24 is mounted on the second housing through an L-shaped connecting rod, and the L-shaped connecting rod is perpendicular to the sliding rod 2331;
as shown in fig. 2, the drill positioning head 24 includes a mounting block 241 and a positioning block 242, and the positioning block 242 is ratchet-connected with the mounting block 241; the positioning block 242 is provided with a drill bit hole 2420; the mounting block 241 is mounted on the second housing through a connecting rod; the placing block 241 is provided with a clamping block 2410, and the clamping block 2410 can hold the small X-ray machine to be aligned with the drill bit hole 2420 and then can be fixed; wherein, the drill positioning head 24 is connected with the L-shaped connecting rod through an adjustable rotary joint.
The auxiliary equipment 3 adopts a small-sized X-ray machine, and specifically adopts an interventional therapy X-ray machine with a central union brand and an RX2 model; the auxiliary device 3 is arranged on the mounting plate 22 by means of a robot arm.
When in use, the universal wheel is locked after the workbench 1 is moved to a proper position; then, after the first shell is moved to a certain position by adjusting the forward and reverse rotation switch button of the second motor, the drill positioning head 24 is moved to the position near the palm fracture part of the patient by adjusting the forward and reverse rotation switch button of the first motor and the adjusting knob of the second slider member 2332, then the specific fracture position is searched by the auxiliary device 3, and simultaneously the drill positioning head 24 is moved to the position above the specific fracture position by combining the forward and reverse rotation switch button of the first motor, the forward and reverse rotation switch button of the second motor and the adjusting knob of the second slider member 2332; the auxiliary device 3 is then fixed to the clamp 2410 such that the auxiliary device 3 is aligned with the drill bit hole 2420, the fracture position is avoided by fine-tuning the adjusting knob of the second slider member 2332, and then the positioning block 242 is adjusted to a suitable angle, and the electric drill for orthopedics is drilled through the drill bit hole 2420.

Claims (8)

1. A sighting device for drilling a metacarpal steel plate comprises a workbench (1), a sighting device body (2) and auxiliary equipment (3); the sighting device body (2) is arranged on the workbench (1); the auxiliary device (3) is used for calibrating the aiming angle; the device is characterized in that a guide rail sliding groove (10) is arranged on the workbench (1);
the sighting device body (2) comprises a mounting base (21), a mounting plate (22), a guide member (23) and a drill positioning head (24); the bottom of the mounting base (21) is provided with a sliding block (210), and the mounting base (21) is mounted on the guide rail sliding groove (10) through the sliding block (210) and can horizontally move on the guide rail sliding groove (10); the mounting plate (22) is arranged at the end point of the upper surface of the mounting base (21) through a support rod;
the guide member (23) comprises a rotating assembly (231), an X-axis moving assembly (232) and a Y-axis moving assembly (233); the rotating assembly (231) comprises a rotating fluted disc, a rotating gear and a first rotating motor; the X-axis movement assembly (232) includes a rack mounting plate (2321) and a first slider member (2322); the Y-axis movement assembly (233) comprises a slide bar (2331) and a second slider member (2332);
the rotating fluted disc is arranged at the lower end of the rack mounting plate (2321), the rotating gear is arranged at the upper end of the base (21), the rotating fluted disc is meshed with the rotating gear, and the first rotating motor provides power for the rotating gear;
a first rack is arranged on the rack mounting plate (2321); the first slider member (2322) includes a first housing, a first gear, and a second rotary motor; the first gear is arranged in the first shell, the second rotating motor is arranged on the side wall of the first shell, and the first gear is coaxially connected with the second rotating motor; the first gear is meshed with the first rack;
the sliding rod (2331) is arranged on the side wall of the first shell through a connecting rod, and the sliding rod (2331) is perpendicular to the first rack; a slide bar sliding groove (23310) is formed in the slide bar (2331), and a second rack is arranged on the side wall of the slide bar sliding groove (23310); the second slider member (2332) includes a second housing, a second gear, and an adjustment knob; the second gear is arranged in the second shell, the adjusting knob is positioned at the upper end of the upper side wall of the second shell, and the second gear is coaxially connected with the adjusting knob; the second gear is meshed with the second rack;
the drill positioning head (24) is arranged on the second shell through a connecting rod; the auxiliary device (3) is arranged on the mounting plate (22).
2. The aiming device for drilling the metacarpal steel plate is characterized in that the workbench (1) comprises a mounting seat (11) provided with universal wheels, a telescopic supporting rod (12) vertically arranged on the mounting seat (11), and a mounting platform (13) arranged on the telescopic supporting rod (12); the number of the guide rail sliding grooves (10) is two, and the two guide rail sliding grooves (10) are arranged on the mounting table (13) in parallel.
3. The aiming device for drilling the metacarpal steel plate as claimed in claim 1, wherein the drill positioning head (24) is mounted on the second housing through an L-shaped connecting rod, and the L-shaped connecting rod is perpendicular to the sliding rod (2331).
4. The aimer for drilling of metacarpal steel plates, according to claim 1, wherein the drill positioning head (24) comprises a seating block (241) and a positioning block (242), the positioning block (242) is ratchet-connected with the seating block (241); a drill bit hole (2420) is formed in the positioning block (242); the mounting block (241) is mounted on the second housing through a connecting rod.
5. The aiming device for drilling the metacarpal steel plate as claimed in any one of claims 1, 3 and 4, wherein the drill positioning head (24) is connected with the L-shaped connecting rod through an adjustable rotary joint.
6. The aiming device for drilling the steel metacarpal plate as claimed in claim 1, wherein the auxiliary equipment (3) adopts a small X-ray machine.
7. The sight for the drilling of metacarpal steel plates according to claim 6, characterized in that the auxiliary device (3) is arranged on the mounting plate (22) by a mechanical arm.
8. The aiming device for drilling the steel metacarpal plate as claimed in claim 2, wherein the telescopic supporting rod (12) is perpendicular to the mounting seat (11).
CN201910900286.1A 2019-09-23 2019-09-23 Sighting device for drilling metacarpal steel plate Pending CN110693568A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201910900286.1A CN110693568A (en) 2019-09-23 2019-09-23 Sighting device for drilling metacarpal steel plate

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201910900286.1A CN110693568A (en) 2019-09-23 2019-09-23 Sighting device for drilling metacarpal steel plate

Publications (1)

Publication Number Publication Date
CN110693568A true CN110693568A (en) 2020-01-17

Family

ID=69195307

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201910900286.1A Pending CN110693568A (en) 2019-09-23 2019-09-23 Sighting device for drilling metacarpal steel plate

Country Status (1)

Country Link
CN (1) CN110693568A (en)

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0552578A1 (en) * 1992-01-03 1993-07-28 Bertrand Bergue Surgical cement extractor
CN202223298U (en) * 2011-09-08 2012-05-23 刘铭 L-shaped sighting device
CN103989502A (en) * 2014-06-13 2014-08-20 王京生 Femoral head necrosis drilling and decompression drill and bone cement stiffening bar matched with drill in use
CN205183844U (en) * 2015-11-09 2016-04-27 大连智汇达科技有限公司 Full -automatic three -dimensional drilling equipment
CN206518579U (en) * 2016-11-13 2017-09-26 吴向坤 Orthopaedics positional punch equipment
CN108814698A (en) * 2010-11-01 2018-11-16 史密夫和内修有限公司 Aim at the label of orthopedic device
CN208822883U (en) * 2018-07-10 2019-05-07 暨南大学 A kind of medical treatment robot for punching

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0552578A1 (en) * 1992-01-03 1993-07-28 Bertrand Bergue Surgical cement extractor
CN108814698A (en) * 2010-11-01 2018-11-16 史密夫和内修有限公司 Aim at the label of orthopedic device
CN202223298U (en) * 2011-09-08 2012-05-23 刘铭 L-shaped sighting device
CN103989502A (en) * 2014-06-13 2014-08-20 王京生 Femoral head necrosis drilling and decompression drill and bone cement stiffening bar matched with drill in use
CN205183844U (en) * 2015-11-09 2016-04-27 大连智汇达科技有限公司 Full -automatic three -dimensional drilling equipment
CN206518579U (en) * 2016-11-13 2017-09-26 吴向坤 Orthopaedics positional punch equipment
CN208822883U (en) * 2018-07-10 2019-05-07 暨南大学 A kind of medical treatment robot for punching

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Application publication date: 20200117