CN111407434A - Simple auxiliary support for neurosurgery three-dimensional directional operation - Google Patents

Simple auxiliary support for neurosurgery three-dimensional directional operation Download PDF

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Publication number
CN111407434A
CN111407434A CN202010298782.7A CN202010298782A CN111407434A CN 111407434 A CN111407434 A CN 111407434A CN 202010298782 A CN202010298782 A CN 202010298782A CN 111407434 A CN111407434 A CN 111407434A
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CN
China
Prior art keywords
support body
display device
dimensional image
module
stereotactic surgery
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Pending
Application number
CN202010298782.7A
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Chinese (zh)
Inventor
张建中
华福洲
万登峰
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Jiangxi Provincial Peoples Hospital
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Jiangxi Provincial Peoples Hospital
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Publication date
Application filed by Jiangxi Provincial Peoples Hospital filed Critical Jiangxi Provincial Peoples Hospital
Priority to CN202010298782.7A priority Critical patent/CN111407434A/en
Publication of CN111407434A publication Critical patent/CN111407434A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/10Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/14Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins

Abstract

The invention discloses a simple auxiliary support for neurosurgery three-dimensional directional surgery, which comprises a support body, wherein a headrest, a neck pillow and two semicircular head supports are arranged on the support body, the headrest and the neck pillow are respectively and fixedly connected with the support body, the two semicircular head supports and the support body are in sliding connection, ear grooves are arranged in the semicircular head supports, a positioning transmitter, a scanning image storage device, a three-dimensional directional surgery planning device and a display device are arranged above the support body, a camera device is arranged on the display device, the scanning image storage device and the three-dimensional directional surgery planning device are positioned in the display device, the three-dimensional directional surgery planning device is used for analyzing images in the scanning image storage device and giving out surgery planning paths, and required positioning indication signals can be projected to the two semicircular head supports through the positioning transmitter, the display device is used for displaying the scanning image and the operation path. The invention has the characteristics of high precision and safe operation.

Description

Simple auxiliary support for neurosurgery three-dimensional directional operation
Technical Field
The invention belongs to the technical field of stereotactic surgery, and relates to a simple auxiliary bracket for neurosurgery stereotactic surgery.
Background
Stereotactic neurosurgery is an important component of neurosurgery. The brain deep lesion diagnosis and operation treatment method is a new subject which utilizes the principle of stereotactic, special apparatus and equipment and stereotactic technology to diagnose and operate the brain deep lesion and is also applied to clinical experimental research of the brain. The medicament is mainly applied to the fields of dyskinesia diseases, epilepsy, pain, mental diseases and the like in clinic, and can also be applied to the aspects of biopsy of deep brain lesion, treatment of cerebrovascular disease and deep brain tumor, removal of intracranial metal foreign bodies and the like. Among neurosurgical procedures, stereotactic surgery is an important type, and requires the use of some stereotactic assistance facilities, so that when puncturing, a predetermined position can be reached more accurately, and excision of a lesion, biopsy or nerve nucleus damage can be completed. Cerebral hemorrhage is a disease with high morbidity and high disability rate, and hematoma can be cleared as early as possible, minimally invasively and accurately after bleeding, so that better prognosis can be obtained. At present, the cerebral hemorrhage puncture operation is mostly completed by visual inspection through some body surface marks as references according to preoperative imaging examination results, certain errors are possible, the situation that the puncture position is not ideal often occurs, and particularly for an inexperienced operator, the probability of puncture errors is higher. The stereotactic technique is a method which can improve the accuracy of the operation, but the traditional stereotactic equipment has relatively complex design and inconvenient installation and use, and is particularly difficult to be applied to the emergency operation of cerebral hemorrhage.
In order to overcome the above-mentioned defect, relevant prior art has, utility model name: simple auxiliary stand of neurosurgery stereotactic operation, application number: 201920211868.4 application date: 2019-02-14, which relates to a frame body, in particular to a simple auxiliary frame for neurosurgery stereotactic operation. According to the technical scheme that this utility model provides, neurosurgery stereotactic operation's simple and easy auxiliary stand, including be used for the head to place hold in the palm and with head holds in the palm adapter coupling's location link set up the head with the head support groove of head adaptation in the head holds in the palm, the first end and the head of location link hold in the palm and are connected, and the second end of location link sets up the location transmitter that can launch positioning signal, location transmitter is located the head and holds in the palm directly over the groove, can throw required location pilot signal to the head support groove through location transmitter. The utility model discloses a compact structure can realize the location of skull puncture fast, and the location is convenient, improves the precision of location, safe and reliable.
Although the prior art can achieve a certain technical effect, the accuracy and safety are relatively low due to the pure hardware structure.
Disclosure of Invention
The invention aims to provide a simple auxiliary bracket for neurosurgical stereotactic surgery, which has high accuracy and safety.
The specific technical scheme is as follows:
a simple auxiliary bracket for neurosurgery three-dimensional directional operation comprises a bracket body, a headrest, a neck pillow and two semicircular head supports are arranged on the bracket body, the headrest and the neck pillow are respectively fixedly connected with the bracket body, the two semicircular head supports are connected with the bracket body in a sliding way, ear grooves are arranged inside the semicircular head supports, a positioning emitter, a scanning image storage device, a three-dimensional directional operation planning device and a display device are arranged above the bracket body, the display device is provided with a camera device, the scanned image storage device and the stereotactic operation planning device are positioned in the display device, the stereotactic operation planning device is used for analyzing the images of the scanning image storage device and giving out an operation planning path, the display device is used for displaying a scanning image and a surgical path.
Furthermore, a three-dimensional image analysis module is arranged in the display device and used for selecting and determining a proper cranium entering angle on the three-dimensional image.
And the three-dimensional image analysis module comprises a three-dimensional image information extraction submodule, a three-dimensional image reconstruction submodule and a three-dimensional image analysis result display submodule which are sequentially connected.
Further, the scan image storage device is used for storing CT or MRI scan images.
Further, the two semicircular head supports are driven by the motor to be in sliding connection between the support bodies.
Furthermore, an infrared distance measuring device and an alarm device are arranged on the two semicircular head supports.
Has the advantages that:
the simple auxiliary support for the neurosurgical stereotactic operation can accurately complete preoperative lesion location, determine the optimal operation path, search the lesion in the operation process, determine the tumor resection range, and make the operation path visible, can effectively avoid important structures around the intracranial, such as ventricles, inner capsules and the like, and simultaneously reduces the error caused by the displacement of the structures in the brain due to the loss of cerebrospinal fluid caused by puncturing the ventricles. The invention has the characteristics of high accuracy and safe operation, and is suitable for popularization and application.
Drawings
FIG. 1 is an external view of a simplified auxiliary frame for neurosurgical stereotactic surgery according to the present invention;
fig. 2 is a schematic diagram of a three-dimensional image analysis module.
Detailed Description
The technical solution of the present invention will be described in further detail with reference to the accompanying drawings and specific embodiments.
Referring to fig. 1, a simple auxiliary support for neurosurgical stereotactic surgery comprises a support body 1, a headrest 2, a neck pillow 3 and two semicircular head holders 4 are arranged on the support body 1, the headrest 2 and the neck pillow 3 are respectively fixedly connected with the support body 1, the two semicircular head holders 4 are slidably connected with the support body 1, ear grooves 5 are arranged in the semicircular head holders 4, a positioning transmitter 6, a scanning image storage device 7, a stereotactic surgery planning device 8 and a display device 9 are arranged above the support body 1, a camera device 10 is arranged on the display device 9, the scanning image storage device 7 and the stereotactic surgery planning device 8 are arranged in the display device 9, the stereotactic surgery planning device 8 is used for analyzing images in the scanning image storage device 7 and providing a surgery planning path, the display device 9 is used for displaying the scanning image and the operation path, and the required positioning indication signals can be projected to the two semicircular head holders 4 through the positioning emitter 6.
And a three-dimensional image analysis module is also arranged in the display device and used for selecting and determining a proper cranium entering angle on the three-dimensional image.
As shown in fig. 2, the three-dimensional image analysis module includes a three-dimensional image information extraction submodule, a three-dimensional image reconstruction submodule, and a three-dimensional image analysis result display submodule, which are connected in sequence.
The scanning image storage device is used for storing CT or MRI scanning images.
The two semicircular head supports are driven by the motor to be in sliding connection between the support bodies. The motor is connected with an operation button positioned on the display.
And the two semicircular head supports are provided with an infrared distance measuring device and an alarm device.
In the specific application process of the simple auxiliary support for the neurosurgery three-dimensional directional operation, a patient lies on the support, the head and the neck of the patient are placed on the headrest 2 and the neck pillow 3 respectively, the motor is controlled to drive through the operation buttons, the positions of the two semicircular head supports 4 away from the head of the patient are adjusted in a sliding mode to be comfortable, the position can be accurately predicted through the infrared distance measuring device to avoid discomfort caused by over-tightening of the head supports, and an alarm device gives an alarm when the simple auxiliary support reaches a short distance away from the head of the patient. The alarm device is used for reminding in a music or light mode, and CT or MRI scanning is carried out after the two semicircular head supports 4 are adjusted. The scanned image data is stored in a scanned image storage device 7, a stereotactic surgery planning device 8 analyzes the images in the scanned image storage device 7 and gives a surgery planning path, a positioning transmitter 6 can project required positioning indication signals to two semicircular head supports 4, a display device 9 displays the scanned images and the surgery path, and a three-dimensional image analysis module selects and determines a proper cranium entering angle on the three-dimensional image.
The above description is only a preferred embodiment of the present invention, and the scope of the present invention is not limited thereto, and any simple modifications or equivalent substitutions of the technical solutions that can be obviously obtained by those skilled in the art within the technical scope of the present invention are within the scope of the present invention.

Claims (6)

1. A simple auxiliary support for neurosurgical stereotactic surgery is characterized by comprising a support body, wherein a headrest, a neck pillow and two semicircular head supports are arranged on the support body, the headrest and the neck pillow are respectively and fixedly connected with the support body, the two semicircular head supports and the support body are in sliding connection, ear grooves are formed in the semicircular head supports, a positioning transmitter, a scanning image storage device, a stereotactic surgery planning device and a display device are arranged above the support body, a camera device is arranged on the display device, the scanning image storage device and the stereotactic surgery planning device are located in the display device, the stereotactic surgery planning device is used for analyzing images in the scanning image storage device and giving out surgery planning paths, and required positioning indication signals can be projected to the two semicircular head supports through the positioning transmitter, the display device is used for displaying the scanning image and the operation path.
2. The simplified auxiliary support frame for neurosurgical stereotactic surgery of claim 1, wherein said display device is further provided with a three-dimensional stereo image analysis module therein for selecting and determining a suitable craniotomy angle on the three-dimensional stereo image.
3. The simple auxiliary support for neurosurgical stereotactic surgery of claim 2, wherein said three-dimensional image analysis module comprises a three-dimensional image information extraction sub-module, a three-dimensional image reconstruction sub-module, and a three-dimensional image analysis result display sub-module, said three-dimensional image information extraction sub-module, said three-dimensional image reconstruction sub-module, and said three-dimensional image analysis result display sub-module are connected in sequence.
4. The facile auxiliary stent of claim 1 wherein the scan image storage device is configured to store CT or MRI scan images.
5. The simple auxiliary support frame for neurosurgical stereotactic surgery of claim 1 wherein said two semicircular head holders are slidably connected between the support frame bodies by means of motor drive.
6. The simple auxiliary support for neurosurgical stereotactic surgery of claim 1 wherein said two semi-circular head holders are equipped with infrared distance measuring device and alarm device.
CN202010298782.7A 2020-04-16 2020-04-16 Simple auxiliary support for neurosurgery three-dimensional directional operation Pending CN111407434A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202010298782.7A CN111407434A (en) 2020-04-16 2020-04-16 Simple auxiliary support for neurosurgery three-dimensional directional operation

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Application Number Priority Date Filing Date Title
CN202010298782.7A CN111407434A (en) 2020-04-16 2020-04-16 Simple auxiliary support for neurosurgery three-dimensional directional operation

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CN111407434A true CN111407434A (en) 2020-07-14

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Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1162251A (en) * 1994-09-30 1997-10-15 俄亥俄医疗器械公司 Appuratus and method for neurosurgical stereotactic procedures
US20060084900A1 (en) * 2004-10-15 2006-04-20 Schule Edgar F Method and apparatus for attaching accessories to a surgical fixture
CN2836728Y (en) * 2005-09-15 2006-11-15 吴大怡 Skull jaw surface cone-beam computed tomography device
WO2010125218A1 (en) * 2009-04-29 2010-11-04 Fundación Andaluza Beturia Para La Investigación En Salud (Fabis) Diaphragm and abdominal compression system
CN104644415A (en) * 2015-03-09 2015-05-27 李彦文 Three-dimensional spatial orientation system for acupuncture point and using method for three-dimensional spatial orientation system
CN105832428A (en) * 2016-05-19 2016-08-10 周军 Three-dimensional positioning numerical control surgical device
CN107789071A (en) * 2017-11-07 2018-03-13 绠℃尝 A kind of neurosurgery servicing unit
CN209678700U (en) * 2019-02-14 2019-11-26 清远市人民医院 The simple auxiliary stand of neurosurgery stereotactic surgery

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1162251A (en) * 1994-09-30 1997-10-15 俄亥俄医疗器械公司 Appuratus and method for neurosurgical stereotactic procedures
US20060084900A1 (en) * 2004-10-15 2006-04-20 Schule Edgar F Method and apparatus for attaching accessories to a surgical fixture
CN2836728Y (en) * 2005-09-15 2006-11-15 吴大怡 Skull jaw surface cone-beam computed tomography device
WO2010125218A1 (en) * 2009-04-29 2010-11-04 Fundación Andaluza Beturia Para La Investigación En Salud (Fabis) Diaphragm and abdominal compression system
CN104644415A (en) * 2015-03-09 2015-05-27 李彦文 Three-dimensional spatial orientation system for acupuncture point and using method for three-dimensional spatial orientation system
CN105832428A (en) * 2016-05-19 2016-08-10 周军 Three-dimensional positioning numerical control surgical device
CN107789071A (en) * 2017-11-07 2018-03-13 绠℃尝 A kind of neurosurgery servicing unit
CN209678700U (en) * 2019-02-14 2019-11-26 清远市人民医院 The simple auxiliary stand of neurosurgery stereotactic surgery

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