CN111887959A - Cerebral hemorrhage minimally invasive surgery positioning device - Google Patents
Cerebral hemorrhage minimally invasive surgery positioning device Download PDFInfo
- Publication number
- CN111887959A CN111887959A CN202010868583.5A CN202010868583A CN111887959A CN 111887959 A CN111887959 A CN 111887959A CN 202010868583 A CN202010868583 A CN 202010868583A CN 111887959 A CN111887959 A CN 111887959A
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- China
- Prior art keywords
- positioning
- fixing plate
- head fixing
- cerebral hemorrhage
- minimally invasive
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, 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
- A61B90/10—Instruments, 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
- A61B90/11—Instruments, 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 with guides for needles or instruments, e.g. arcuate slides or ball joints
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
- A61B2017/3405—Needle locating or guiding means using mechanical guide means
- A61B2017/3407—Needle locating or guiding means using mechanical guide means including a base for support on the body
Abstract
The invention discloses a minimally invasive cerebral hemorrhage surgery positioning device, which can position a surgery opening position through special structures and positions of a nasal bone, an eyebrow and an auricle of a patient, align a positioning guide clamp to the opening position, clamp and guide a puncture tool to reach a hematoma target point through the guide clamp, and therefore, accurately perform surgery operation. The key points of the technical scheme are as follows: the locating mechanism comprises a head fixing plate, a face locating guide plate and an auricle locating guide plate, the face locating guide plate comprises an eyebrow locating part and a nose locating part, the eyebrow locating part and the nose locating part are integrated, and the face locating guide plate is fixedly connected with the front part of the head fixing plate; the two auricle positioning guide plates are symmetrically arranged on two sides of the head fixing plate; the guide clamp comprises a supporting rod and a chuck, the tail end of the supporting rod is connected with the head fixing plate, and the front end of the supporting rod is fixedly connected with the chuck.
Description
Technical Field
The invention relates to the field of medical instruments, in particular to a cerebral hemorrhage minimally invasive surgery positioning device.
Background
Cerebral hemorrhage (cerebral hemorrhage) refers to hemorrhage caused by vascular rupture in non-traumatic brain parenchyma, and accounts for 20% -30% of all cerebral apoplexy, and the death rate in acute stage is 30% -40%. The cause of the disease is mainly related to the pathological changes of the cerebral vessels, namely closely related to hyperlipidemia, diabetes, hypertension, vascular aging, smoking and the like.
About 80% of cerebral hemorrhage occurs in the cerebral hemisphere, and about 20% of hemorrhage occurs in the brain stem and cerebellum. Cerebral hemorrhage patients can cause blood outflow due to intracranial vascular rupture, and symptoms such as intracranial pressure increase, hematoma, cerebral edema and the like are generated, so that the light patients can have the problems of headache, dizziness, movement and language disorder, consciousness disorder and the like, and even can be life threatening in serious cases.
When the cerebral hemorrhage is serious, surgical operation treatment is needed, the purpose of the surgical treatment is mainly to remove hematoma and relieve intracranial pressure, and then the injury of the hematoma to peripheral brain tissues is reduced as much as possible, and the disability rate is reduced. At present, the treatment of cerebral hemorrhage through minimally invasive surgery is an effective and low-risk treatment method, and has the advantages of reducing surgical trauma, shortening surgical time, reducing anesthesia risk through local anesthesia and the like. The minimally invasive cerebral hemorrhage surgery is to establish an operation channel by opening a hole on the skull of a corresponding bleeding part, and use a special surgical instrument to reach a hematoma target point through the operation channel so as to perform a series of operations of sucking to determine a bleeding position, expanding a brain parenchyma path, placing an endoscope, sucking and removing hematoma, cleaning a hematoma cavity and the like.
In the cerebral hemorrhage minimal access surgery, accurate minimal access puncture is the key of guaranteeing treatment and prevention complication, but clinically because factors such as CT positioning error, operator's operational deviation and patient individual difference all can cause puncture direction, distance etc. to deviate, have a plurality of puncture steps in the operation process moreover, puncture at every turn all need guarantee the same puncture direction and distance, consequently how to carry out accurate location to the position of skull trompil, and fix a position the puncture operation of follow-up each step and become the urgent problem that waits to solve in the medical instrument field.
Disclosure of Invention
The invention aims to provide a cerebral hemorrhage minimally invasive surgery positioning device, which can position a surgery opening position through special structures and positions of a patient's nasal bone, an eyebrow bone and an auricle, align a positioning guide clamp to the opening position, clamp and guide a puncture tool to reach a hematoma target point through the guide clamp, and therefore accurately perform surgery operation.
In order to realize the purpose of the invention, the invention adopts the following technical scheme:
a cerebral hemorrhage minimally invasive surgery positioning device comprises a positioning mechanism and a guide clamp, wherein the positioning mechanism comprises a head fixing plate, a face positioning guide plate and an auricle positioning guide plate, the face positioning guide plate comprises an eyebrow bone positioning part and a nose bone positioning part, the eyebrow bone positioning part and the nose bone positioning part are integrated, and the face positioning guide plate is fixedly connected with the front part of the head fixing plate; the two auricle positioning guide plates are symmetrically arranged on two sides of the head fixing plate; the guide clamp comprises a supporting rod and a chuck, the tail end of the supporting rod is connected with the head fixing plate, and the front end of the supporting rod is fixedly connected with the chuck.
Compared with the prior art, the cerebral hemorrhage minimally invasive surgery positioning device adopting the technical scheme has the following beneficial effects:
by adopting the cerebral hemorrhage minimally invasive surgery positioning device, the eyebrow bone positioning part, the nose bone positioning part and the auricle positioning guide plate are used for positioning, the head fixing plate can be completely fixed at a specific position, the guide clamp arranged on the head fixing plate can also be accurately aligned to a required opening position without deviation, so that the subsequent puncture operation is ensured without deviation, and the accuracy and the safety of the cerebral hemorrhage minimally invasive surgery are improved.
Preferably, the inner sides of the eyebrow bone positioning part and the nose bone positioning part are attached to the eyebrow bone and the nose bone part of the patient; the auricle positioning guide plate is lapped on the back of an auricle of a patient and is attached to the back of the auricle.
Preferably, the bracing piece that the direction was pressed from both sides and the lateral wall swivelling joint of head fixed plate, the bracing piece is equipped with the fixed knot who is used for fixed direction to press from both sides the position with the junction of head fixed plate and constructs, in the different steps of cerebral hemorrhage minimal access surgery, it operates to need to move away the direction clamp, in this preferred scheme, only need to press from both sides the direction and overturn downwards and can move away the direction clamp, and upwards also need not secondary localization again after the direction clamp that resets again, can directly carry out next puncture operation, not only save time, and be favorable to improving the accuracy nature of puncture.
Preferably, the chuck of guide clamp is equipped with a plurality of reducing pipes, but reducing pipe imbeds in the chuck and does not take place the slippage, is equipped with the spacing hole that is used for puncture pipe or pjncture needle to pass through in the middle of the reducing pipe, and the inner wall in spacing hole is hugged closely to the outer wall of puncture pipe, can prevent that puncture pipe from taking place the skew, and the chuck is equipped with a plurality of different reducing pipes, and different reducing pipes correspond different grade type or not unidimensional puncture pipe.
Preferably, a notch is reserved at the rear end of the head fixing plate, and a fastening structure used for fastening the head fixing plate on the head is arranged at the notch.
Preferably, the fastening structure includes a fastening band, which is insertable and fixed in the buckle, and the buckle.
Preferably, the head fixing plate is made of a flexible material, the head fixing plate is made of PVC, PC, PE, PP, PS, PTFE, ABS, K-resin, polyurethane, polyamide, thermoplastic elastomer, polysulfone or polyether ether ketone and the like, the head fixing plate has support and flexibility, is suitable for a plurality of patients with different skull sizes, and can be stably fixed on the heads of the patients through the fastening belts and the buckles.
Preferably, the head fixing plate is further provided with an external auditory canal positioning mechanism, and the external auditory canal positioning mechanism is inserted into the external auditory canal of the patient, so that the positioning is more accurate and stable.
Preferably, an angular ear line positioning frame is arranged on the external auditory canal positioning mechanism, and an alignment structure for aligning with the outer angular corner of the eye is arranged at the end of the angular ear line positioning frame.
Preferably, the canthus ear line positioning frame is further provided with a liftable positioning rod and a scale line for measuring the lifting distance of the positioning rod, the positioning rod is always parallel to the canthus ear line positioning frame, the canthus ear line is a connecting line between an outer canthus of an eye and the center of an external auditory canal, a cross section is generally adopted for ct examination of a brain, a scanning base line is generally the canthus ear line, and the position of the canthus ear line can be conveniently determined by the canthus ear line positioning frame so as to facilitate subsequent ct tomography.
Drawings
Fig. 1 and fig. 2 are schematic structural views of a cerebral hemorrhage minimally invasive surgery positioning device 1 according to an embodiment of the invention.
Fig. 3 is a schematic structural view of a guide clip in embodiment 1.
FIG. 4 is a schematic diagram of the use of example 1.
Fig. 5 is a schematic structural diagram of the external ear canal positioning mechanism and the angular ear line positioning frame in example 2.
Fig. 6 and 7 are schematic diagrams of the structure and the use mode of the positioning rod in embodiment 2.
Reference numerals: 1. a positioning mechanism; 10. a head fixing plate; 11. a face positioning guide plate; 110. an eyebrow positioning section; 111. a nasal bone positioning portion; 12. a pinna positioning guide plate; 13. a fastening tape; 14. buckling; 15. an external auditory canal positioning mechanism; 16. an angular ear line positioning frame; 160. an alignment structure; 161. positioning a rod; 162. a rope; 163. a volute spiral spring; 164. rotating the rod; 17. scale lines; 2. a guide clamp; 20. a support bar; 21. a chuck; 210. a notch; 22. tightening the knob; 23. a reducer pipe; 230. a limiting hole; 3. a puncture needle.
Detailed Description
The invention is further described below with reference to the accompanying drawings.
Example 1:
the cerebral hemorrhage minimally invasive surgery positioning device shown in fig. 1 to 4 comprises a positioning mechanism 1 and a guide clamp 2, wherein the positioning mechanism 1 comprises a head fixing plate 10, a face positioning guide plate 11 and two auricle positioning guide plates 12, and the two auricle positioning guide plates 12 are symmetrically arranged on two sides of the head fixing plate 10; a gap is reserved at the rear end of the head fixing plate 10, a fastening belt 13 and a buckle 14 are respectively arranged on two sides of the rear end of the head fixing plate 10, and the fastening belt 13 can be inserted into and fixed in the buckle 14 and used for fastening the head fixing plate 10 on the head.
The head fixing plate 10 is made of a tough K-resin material (styrene-butadiene transparent impact-resistant resin) which has high toughness and biocompatibility and causes less irritation to the skin. The head fixing plate 10 with flexibility can be suitable for a plurality of patients with different skull sizes, and the head fixing plate 10 can be stably fixed on the heads of the patients through the fastening belts 13 and the buckles 14.
As shown in fig. 2, the face positioning guide plate 11 includes an eyebrow positioning portion 110 and a nose positioning portion 111, the eyebrow positioning portion 110 and the nose positioning portion 111 are integrated, and the face positioning guide plate 11 is fixedly connected with the front portion of the head fixing plate 10; the inner sides of the eyebrow positioning part 110 and the nasal bone positioning part 111 can be bonded to the eyebrow bone and the nasal bone part of the patient, and the face positioning guide plate 11 cannot move after being bonded due to the special structure of the eyebrow bone and the nasal bone.
As shown in fig. 2 and 3, the guiding clamp 2 includes a supporting rod 20 and a clamping head 21, the clamping head 21 is fixedly connected to the front end of the supporting rod 20, the clamping head 21 is tubular, and a gap is left on the side of the clamping head 21 away from the supporting rod 20.
The outer side wall of the support rod 20 and the outer side wall of the head fixing plate 10 are rotatably connected, a fastening knob 22 is arranged at the joint of the support rod 20 and the head fixing plate 10, and the fastening knob 22 is used for fixing the guide clamp 2 at a specific position to avoid the guide clamp 2 from swinging. In the different steps of cerebral hemorrhage minimal access surgery, need to move away guide clamp 2 and operate, in this embodiment, only need to press from both sides 2 with the guide and overturn downwards and can move away guide clamp 2, upwards reset again and also need not the secondary localization behind the guide clamp 2, can directly carry out next puncture operation, not only save time, be favorable to improving the accuracy nature of puncture moreover.
As shown in fig. 3, the collet 21 of the guide clip 2 is provided with a plurality of reducing pipes 23, the reducing pipes 23 can be embedded into the collet 21 and do not slip off, a limiting hole 230 for the puncture needle 3 to pass through is arranged in the middle of the reducing pipes 23, the outer wall of the puncture needle 3 is tightly attached to the inner wall of the limiting hole 230, the puncture needle 3 can be prevented from deviating, the collet 21 is provided with a plurality of different reducing pipes 23, and the different reducing pipes 23 correspond to different types or sizes of puncture needles 3.
Example 2:
as shown in fig. 5 to 7, this embodiment is similar to embodiment 1, and embodiment 2 is different from embodiment 1 in that:
still be equipped with external auditory canal positioning mechanism 15 on the head fixed plate, realize the purpose of location through inserting external auditory canal positioning mechanism 15 into patient's external auditory canal, (external auditory canal positioning mechanism 15 adopts the technique of customization artificial ear mould in the similar audiphone, can laminate patient's external auditory canal better).
The external ear canal positioning mechanism 15 is provided with an angular ear line positioning frame 16, an alignment structure 160 for aligning with the external angular corner of the eye is arranged at the end of the angular ear line positioning frame 16, the rear end of the angular ear line positioning frame 16 is integrated with the external ear canal positioning mechanism 15, when in use, the external ear canal positioning mechanism 15 is inserted into the external ear canal of the patient, and the alignment structure 160 is aligned with the external angular corner of the patient, namely, the angular ear line positioning frame 16 is located on the angular ear line of the patient.
The canthus ear line positioning frame 16 is further provided with a liftable positioning rod 161 and a scale mark 17 for measuring the lifting distance of the lifting rod, the canthus ear line positioning frame 16 is provided with a strip-shaped groove, a rotating rod 164 and a scroll spring 163 are arranged in the strip-shaped groove, the positioning rod 161 is connected with the rotating rod 164 through two ropes 162 with equal length, the ropes 162 are wound on the rotating rod 164, when the positioning rod 161 is pulled upwards, the ropes 162 are gradually separated from the rotating rod 164, and meanwhile, the rotating rod 164 rotates to enable the scroll spring 163 to contract; when the positioning rod 161 is released, the spiral spring 163 expands, so that the rope 162 is retracted and wound on the rotating rod 164, the positioning rod 161 is retracted into the strip-shaped groove, and the positioning rod 161 is always parallel to the canthus ear line positioning frame 16 in the whole process.
The foregoing is a preferred embodiment of the present invention, and it will be apparent to those skilled in the art that various changes and modifications may be made without departing from the spirit of the invention, and these should be considered to be within the scope of the invention.
Claims (10)
1. A cerebral hemorrhage minimally invasive surgery positioning device is characterized in that: comprises a positioning mechanism (1) and a guide clamp (2),
-the positioning mechanism (1) comprises a head fixing plate (10), a face positioning guide plate (11) and an auricle positioning guide plate (12), the face positioning guide plate (11) comprises an eyebrow positioning part (110) and a nose positioning part (111), the eyebrow positioning part (110) and the nose positioning part (111) are integrated, and the face positioning guide plate (11) is fixedly connected with the front part of the head fixing plate (10); the number of the auricle positioning guide plates (12) is two, and the two auricle positioning guide plates (12) are symmetrically arranged on two sides of the head fixing plate (10);
the guide clamp (2) comprises a support rod (20) and a clamping head (21), the tail end of the support rod (20) is connected with the head fixing plate (10), and the front end of the support rod (20) is fixedly connected with the clamping head (21).
2. The cerebral hemorrhage minimally invasive surgery positioning device according to claim 1, characterized in that: the inner sides of the eyebrow positioning part (110) and the nose positioning part (111) are jointed with the eyebrow and nose parts of the patient; the auricle positioning guide plate (12) is lapped on the back of an auricle of a patient and is attached to the back of the auricle.
3. The cerebral hemorrhage minimally invasive surgery positioning device according to claim 1, characterized in that: the support rod (20) of the guide clamp (2) is rotatably connected with the outer side wall of the head fixing plate (10), and a fixing structure for fixing the position of the guide clamp (2) is arranged at the joint of the support rod (20) and the head fixing plate (10).
4. The cerebral hemorrhage minimally invasive surgery positioning device according to claim 1, characterized in that: the guide clamp is characterized in that the clamping head (21) of the guide clamp (2) is provided with a plurality of reducing pipes (23), the reducing pipes (23) can be embedded into the clamping head (21) and do not slip, and a limiting hole (230) for a puncture pipe or a puncture needle to pass through is formed in the middle of each reducing pipe (23).
5. The cerebral hemorrhage minimally invasive surgery positioning device according to claim 1, characterized in that: a notch (210) is reserved at the rear end of the head fixing plate (10), and a fastening structure for fastening the head fixing plate (10) on the head is arranged at the notch (210).
6. The minimally invasive surgical positioning device for cerebral hemorrhage according to claim 6, wherein: the fastening structure includes a fastening band (13) and a buckle (14), and the fastening band (13) is insertable and fixed in the buckle (14).
7. The minimally invasive surgical positioning device for cerebral hemorrhage according to claim 6, wherein: the head fixing plate (10) is made of a tough material, and the head fixing plate (10) is made of PVC, PC, PE, PP, PS, PTFE, ABS, K-resin, polyurethane, polyamide, a thermoplastic elastomer, polysulfone or polyether ether ketone and the like.
8. The cerebral hemorrhage minimally invasive surgery positioning device according to claim 1, characterized in that: the head fixing plate (10) is also provided with an external auditory canal positioning mechanism (15).
9. The minimally invasive surgical positioning device for cerebral hemorrhage according to claim 8, wherein: an angular ear line positioning frame (16) is arranged on the external auditory canal positioning mechanism (15), and an alignment structure (160) for aligning with the outer angular corner of the eye is arranged at the end of the angular ear line positioning frame (16).
10. The minimally invasive surgical positioning device for cerebral hemorrhage according to claim 9, wherein: the angular ear line positioning frame (16) is also provided with a liftable positioning rod (161) and a scale mark (17) for measuring the lifting distance of the positioning rod (161), and the positioning rod (161) is always parallel to the angular ear line positioning frame (16).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202010868583.5A CN111887959A (en) | 2020-08-26 | 2020-08-26 | Cerebral hemorrhage minimally invasive surgery positioning device |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202010868583.5A CN111887959A (en) | 2020-08-26 | 2020-08-26 | Cerebral hemorrhage minimally invasive surgery positioning device |
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| CN111887959A true CN111887959A (en) | 2020-11-06 |
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| CN202010868583.5A Pending CN111887959A (en) | 2020-08-26 | 2020-08-26 | Cerebral hemorrhage minimally invasive surgery positioning device |
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| CN110840533A (en) * | 2019-11-30 | 2020-02-28 | 青岛市城阳区人民医院 | 3D-printed guide support for cerebral hemorrhage minimally invasive surgery and preparation method thereof |
| CN111195157A (en) * | 2020-02-28 | 2020-05-26 | 徐永革 | Guiding device for brain surgery positioning |
| CN210673413U (en) * | 2019-06-21 | 2020-06-05 | 青岛市城阳区人民医院 | Personalized forehead puncture drainage auxiliary guide plate based on 3D printing |
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2020
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| CN2404485Y (en) * | 2000-01-27 | 2000-11-08 | 姜士炜 | Instrument for positioning patient for scalp projection |
| CN2551213Y (en) * | 2002-07-11 | 2003-05-21 | 中国人民解放军第四军医大学 | Scalp projection 3-D positioning head rest for intracranial space-occupying lesion |
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Application publication date: 20201106 |
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