CN110840533A - 3D-printed guide support for cerebral hemorrhage minimally invasive surgery and preparation method thereof - Google Patents

3D-printed guide support for cerebral hemorrhage minimally invasive surgery and preparation method thereof Download PDF

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Publication number
CN110840533A
CN110840533A CN201911207922.9A CN201911207922A CN110840533A CN 110840533 A CN110840533 A CN 110840533A CN 201911207922 A CN201911207922 A CN 201911207922A CN 110840533 A CN110840533 A CN 110840533A
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model
craniofacial
branch pipe
preparation
minimally invasive
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CN201911207922.9A
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李国良
钟亮
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Qingdao Chengyang Peoples Hospital
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Qingdao Chengyang Peoples Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3415Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10Computer-aided planning, simulation or modelling of surgical operations
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00526Methods of manufacturing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/101Computer-aided simulation of surgical operations
    • A61B2034/105Modelling of the patient, e.g. for ligaments or bones

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

Abstract

The invention discloses a 3D-printed guide support for cerebral hemorrhage minimally invasive surgery and a preparation method thereof, belonging to the technical field of medical appliances. According to the 3D-printed guide support for cerebral hemorrhage minimally invasive surgery and the preparation method thereof, the craniofacial joint part, the limiting sleeve and the guide branch pipe are manufactured through the 3D printing technology by arranging the craniofacial joint part, the limiting sleeve and the guide branch pipe, so that the craniofacial joint part is tightly jointed with the craniofacial part of a patient and is sleeved on the surface of the face of the patient through the limiting sleeve, and the guide direction of the guide branch pipe is aligned with the center of hematoma, the problem that a doctor cannot accurately puncture and position the hematoma position of the patient during minimally invasive surgery is avoided, the operation is convenient, the accuracy of puncture and positioning and the success rate of puncture surgery are improved, and the potential safety hazard of the puncture and positioning to the patient are reduced.

Description

3D-printed guide support for cerebral hemorrhage minimally invasive surgery and preparation method thereof
Technical Field
The invention belongs to the technical field of medical appliances, and particularly relates to a 3D-printed cerebral hemorrhage minimally invasive surgery guide support and a preparation method thereof.
Background
Cerebral hemorrhage has high disabling fatality rate, the healing of cerebral hemorrhage is closely related to bleeding parts, bleeding amount and rescue time, the cerebral hemorrhage parts are often generated in intracranial important nucleus distribution areas, and the areas are completely different from peripheral limb bone tissues, cranial facial muscle tissues and digestive visceral tissues, so that not only can important nerve fiber bundles pass through the areas, but also dense net vascular groups in a domination functional area pass through the areas, the operation difficulty is extremely high, and the requirement on the accuracy of the operation is extremely high.
Generally, the cerebral hemorrhage minimally invasive hematoma puncture is positioned by means of CT, a scalp puncture point, a puncture direction and a puncture depth are selected according to the maximum level of the intracranial hematoma for puncture, and clinical bare-handed puncture is carried out by only depending on experience, so that the technical requirement on an operator is high, even if the scalp puncture point is accurately positioned, due to the irregularity of the shape of the skull, particularly when a tube needs to form a certain angle with the skull, the tube placing path, the tube placing direction and depth can not be accurately controlled frequently, the puncture direction is prone to deviation, and the operation effect is poor.
Disclosure of Invention
Technical problem to be solved
In order to overcome the defects of the prior art, the invention provides a 3D printed guide support for cerebral hemorrhage minimally invasive surgery and a preparation method thereof, and solves the problem that the operation effect is poor due to the fact that the catheter placement path, the catheter placement direction and the depth cannot be controlled accurately and the puncture direction is prone to deviation when the catheter placement needs to form a certain angle with the skull due to the irregularity of the shape of the skull.
(II) technical scheme
In order to achieve the purpose, the invention provides the following technical scheme: A3D printed guide support for cerebral hemorrhage minimally invasive surgery and a preparation method thereof comprise a craniofacial joint part, wherein the lower surface of the craniofacial joint part is jointed on the surface of a craniofacial part, a limiting sleeve is arranged on the right side surface of the craniofacial joint part and sleeved on the surface of the craniofacial part, and a guide branch pipe is arranged on the upper surface of the craniofacial joint part.
A3D printed guide bracket for cerebral hemorrhage minimally invasive surgery and a preparation method thereof comprise the following preparation steps:
firstly, a 3D scanner is adopted to carry out entity scanning on the head of a patient to obtain three-dimensional data of the head image of the patient.
And step two, modeling by adopting modeling software, importing the three-dimensional data of the head influence of the patient obtained in the step one into the modeling software, and processing the data by the software to obtain a 3D (three-dimensional) model.
And step three, in the 3D model obtained in the step two, adopting 3D design software to construct a craniofacial joint part jointed with the 3D model on the surface of the 3D model.
And fourthly, carrying out coordinate positioning on the position of a brain puncture hole preset by the 3D model of the patient, constructing a hollow guide branch pipe 3D model above the brain puncture hole, designing the hollow guide branch pipe 3D model on a preset craniofacial joint part, and designing a limiting sleeve 3D model on one side of the craniofacial joint part 3D model.
And fifthly, after the basic craniofacial fit part 3D model, the hollow guide branch pipe 3D model and the limiting sleeve 3D model are constructed, adjusting and trimming the coverage area of the craniofacial fit part 3D model and the length of the hollow guide branch pipe 3D model.
And step six, integrating the adjusted craniofacial fit part 3D model, the adjusted hollow guide branch pipe 3D model and the adjusted limiting sleeve 3D model data into an integral 3D model data packet, and finally guiding the data in the 3D model data packet into 3D printing equipment for printing to obtain the whole guide support.
As a further scheme of the invention: the top of the guide branch pipe is provided with a guide notch, and the guide branch pipe passes through the craniofacial joint part and goes deep into a cerebral hemorrhage part of a patient.
As a further scheme of the invention: the craniofacial fit part is fit with the forehead, the nose and the eye external orbit in the craniofacial part.
As a further scheme of the invention: the limiting sleeve is U-shaped and is attached to the surface of the craniofacial part.
As a further scheme of the invention: the modeling software in the second step is 3DMax, and the 3D design software in the third step is 123D Catch.
As a further scheme of the invention: the raw material that 3D printing apparatus printed is polylactic acid.
As a further scheme of the invention: the guide direction of the guide branch pipe points to the hematoma center position of the brain of the patient.
(III) advantageous effects
Compared with the prior art, the invention has the beneficial effects that:
1. according to the 3D-printed guide support for cerebral hemorrhage minimally invasive surgery and the preparation method thereof, the craniofacial joint part, the limiting sleeve and the guide branch pipe are manufactured through the 3D printing technology by arranging the craniofacial joint part, the limiting sleeve and the guide branch pipe, so that the craniofacial joint part is tightly jointed with the craniofacial part of a patient and is sleeved on the surface of the face of the patient through the limiting sleeve, and the guide direction of the guide branch pipe is aligned with the center of hematoma, the problem that a doctor cannot accurately puncture and position the hematoma position of the patient during minimally invasive surgery is avoided, the operation is convenient, the accuracy of puncture and positioning and the success rate of puncture surgery are improved, and the potential safety hazard of the puncture and positioning to the patient are reduced.
Drawings
FIG. 1 is a front view of the present invention;
in the figure: 1 craniofacial part, 2 craniofacial joint parts, 3 spacing sleeves and 4 guide branch pipes.
Detailed Description
The technical solution of the present patent will be described in further detail with reference to the following embodiments.
As shown in fig. 1, the present invention provides a technical solution: A3D printed guide support for cerebral hemorrhage minimally invasive surgery and a preparation method thereof comprise a craniofacial joint part, wherein the lower surface of the craniofacial joint part is jointed on the surface of a craniofacial part, a limiting sleeve is arranged on the right side surface of the craniofacial joint part and sleeved on the surface of the craniofacial part, and a guide branch pipe is arranged on the upper surface of the craniofacial joint part.
A3D printed guide bracket for cerebral hemorrhage minimally invasive surgery and a preparation method thereof comprise the following preparation steps:
firstly, a 3D scanner is adopted to carry out entity scanning on the head of a patient to obtain three-dimensional data of the head image of the patient.
And step two, modeling by adopting modeling software, importing the three-dimensional data of the head influence of the patient obtained in the step one into the modeling software, and processing the data by the software to obtain a 3D (three-dimensional) model.
And step three, in the 3D model obtained in the step two, adopting 3D design software to construct a craniofacial joint part jointed with the 3D model on the surface of the 3D model.
And fourthly, carrying out coordinate positioning on the position of a brain puncture hole preset by the 3D model of the patient, constructing a hollow guide branch pipe 3D model above the brain puncture hole, designing the hollow guide branch pipe 3D model on a preset craniofacial joint part, and designing a limiting sleeve 3D model on one side of the craniofacial joint part 3D model.
And fifthly, after the basic craniofacial fit part 3D model, the hollow guide branch pipe 3D model and the limiting sleeve 3D model are constructed, adjusting and trimming the coverage area of the craniofacial fit part 3D model and the length of the hollow guide branch pipe 3D model.
And step six, integrating the adjusted craniofacial fit part 3D model, the adjusted hollow guide branch pipe 3D model and the adjusted limiting sleeve 3D model data into an integral 3D model data packet, and finally guiding the data in the 3D model data packet into 3D printing equipment for printing to obtain the whole guide support.
The top of the guide branch pipe is provided with a guide notch, the guide branch pipe penetrates through a craniofacial joint part and goes deep into a cerebral hemorrhage part of a patient, the craniofacial joint part is jointed with a forehead, a nose and an eye external orbit in the craniofacial part, the limiting sleeve is U-shaped and is jointed with the surface of the craniofacial part, the modeling software in the second step is 3DMax, the 3D design software in the third step is 123DCatch, the raw material printed by the 3D printing equipment is polylactic acid, and the guide direction of the guide branch pipe points to the central position of hematoma of the cerebral part of the patient.
The working principle of the invention is as follows:
when the guide support needs to be attached to the craniofacial part, a doctor firstly sleeves the limiting sleeve on the head of a patient, secondly contacts the craniofacial joint part with the craniofacial part of the patient, and slowly pushes the craniofacial joint part to enable the craniofacial joint part to be tightly attached to the craniofacial part, so that the guide branch pipe is aligned to a puncture hole preset in the head of the patient.
In the description of the present invention, it should be noted that, unless otherwise explicitly specified or limited, the terms "mounted," "connected," and "connected" are to be construed broadly, e.g., as meaning either a fixed connection, a removable connection, or an integral connection; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meaning of the above terms in the present invention can be understood by those of ordinary skill in the art through specific situations.
Although the preferred embodiments of the present patent have been described in detail, the present patent is not limited to the above embodiments, and various changes can be made without departing from the spirit of the present patent within the knowledge of those skilled in the art.

Claims (7)

1. A3D printing guide bracket for cerebral hemorrhage minimally invasive surgery and a preparation method thereof comprise a craniofacial joint part, and are characterized in that: the lower surface of the craniofacial joint part is jointed on the surface of the craniofacial part, the right side surface of the craniofacial joint part is provided with a limiting sleeve, the limiting sleeve is sleeved on the surface of the craniofacial part, and the upper surface of the craniofacial joint part is provided with a guide branch pipe.
A3D printed guide bracket for cerebral hemorrhage minimally invasive surgery and a preparation method thereof comprise the following preparation steps:
firstly, a 3D scanner is adopted to carry out entity scanning on the head of a patient to obtain three-dimensional data of the head image of the patient.
And step two, modeling by adopting modeling software, importing the three-dimensional data of the head influence of the patient obtained in the step one into the modeling software, and processing the data by the software to obtain a 3D (three-dimensional) model.
And step three, in the 3D model obtained in the step two, adopting 3D design software to construct a craniofacial joint part jointed with the 3D model on the surface of the 3D model.
And fourthly, carrying out coordinate positioning on the position of a brain puncture hole preset by the 3D model of the patient, constructing a hollow guide branch pipe 3D model above the brain puncture hole, designing the hollow guide branch pipe 3D model on a preset craniofacial joint part, and designing a limiting sleeve 3D model on one side of the craniofacial joint part 3D model.
And fifthly, after the basic craniofacial fit part 3D model, the hollow guide branch pipe 3D model and the limiting sleeve 3D model are constructed, adjusting and trimming the coverage area of the craniofacial fit part 3D model and the length of the hollow guide branch pipe 3D model.
And step six, integrating the adjusted craniofacial fit part 3D model, the adjusted hollow guide branch pipe 3D model and the adjusted limiting sleeve 3D model data into an integral 3D model data packet, and finally guiding the data in the 3D model data packet into 3D printing equipment for printing to obtain the whole guide support.
2. The 3D printing guide bracket for cerebral hemorrhage minimally invasive surgery and the preparation method thereof according to claim 1 are characterized in that: the top of the guide branch pipe is provided with a guide notch, and the guide branch pipe passes through the craniofacial joint part and goes deep into a cerebral hemorrhage part of a patient.
3. The 3D printing guide bracket for cerebral hemorrhage minimally invasive surgery and the preparation method thereof according to claim 1 are characterized in that: the craniofacial fit part is fit with the forehead, the nose and the eye external orbit in the craniofacial part.
4. The 3D printing guide bracket for cerebral hemorrhage minimally invasive surgery and the preparation method thereof according to claim 1 are characterized in that: the limiting sleeve is U-shaped and is attached to the surface of the craniofacial part.
5. The 3D printing guide bracket for cerebral hemorrhage minimally invasive surgery and the preparation method thereof according to claim 1 are characterized in that: the modeling software in the second step is 3DMax, and the 3D design software in the third step is 123D Catch.
6. The 3D printing guide bracket for cerebral hemorrhage minimally invasive surgery and the preparation method thereof according to claim 1 are characterized in that: the raw material that 3D printing apparatus printed is polylactic acid.
7. The 3D printing guide bracket for cerebral hemorrhage minimally invasive surgery and the preparation method thereof according to claim 1 are characterized in that: the guide direction of the guide branch pipe points to the hematoma center position of the brain of the patient.
CN201911207922.9A 2019-11-30 2019-11-30 3D-printed guide support for cerebral hemorrhage minimally invasive surgery and preparation method thereof Pending CN110840533A (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111887959A (en) * 2020-08-26 2020-11-06 杭州市第一人民医院 Cerebral hemorrhage minimally invasive surgery positioning device
CN117100367A (en) * 2023-08-22 2023-11-24 阜阳市人民医院 Cerebral hemorrhage puncture drainage device based on 3D printing and manufacturing method thereof

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105380712A (en) * 2015-10-27 2016-03-09 李泽福 Guiding stent based on 3D printing and used for cerebral hemorrhage minimally invasive surgery and preparation method thereof
CN109646087A (en) * 2018-12-10 2019-04-19 湘潭市第人民医院 A kind of puncture supporter and production method of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment
CN109893223A (en) * 2019-02-28 2019-06-18 成都真实维度科技有限公司 A kind of 3D printing cerebral hemorrhage puncture drainage path orientation device and preparation method thereof
CN109893224A (en) * 2019-02-28 2019-06-18 成都真实维度科技有限公司 It is a kind of to assist cerebral hemorrhage puncture drainage method using 3D printing fixed equipment
CN110432996A (en) * 2019-08-29 2019-11-12 南宁市疏微医学研究有限公司 A kind of positioner for intracranial hematoma puncture and its localization method

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105380712A (en) * 2015-10-27 2016-03-09 李泽福 Guiding stent based on 3D printing and used for cerebral hemorrhage minimally invasive surgery and preparation method thereof
CN109646087A (en) * 2018-12-10 2019-04-19 湘潭市第人民医院 A kind of puncture supporter and production method of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment
CN109893223A (en) * 2019-02-28 2019-06-18 成都真实维度科技有限公司 A kind of 3D printing cerebral hemorrhage puncture drainage path orientation device and preparation method thereof
CN109893224A (en) * 2019-02-28 2019-06-18 成都真实维度科技有限公司 It is a kind of to assist cerebral hemorrhage puncture drainage method using 3D printing fixed equipment
CN110432996A (en) * 2019-08-29 2019-11-12 南宁市疏微医学研究有限公司 A kind of positioner for intracranial hematoma puncture and its localization method

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111887959A (en) * 2020-08-26 2020-11-06 杭州市第一人民医院 Cerebral hemorrhage minimally invasive surgery positioning device
CN117100367A (en) * 2023-08-22 2023-11-24 阜阳市人民医院 Cerebral hemorrhage puncture drainage device based on 3D printing and manufacturing method thereof
CN117100367B (en) * 2023-08-22 2024-04-26 阜阳市人民医院 Cerebral hemorrhage puncture drainage device based on 3D printing and manufacturing method thereof

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Application publication date: 20200228

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