CN112603556A - Auxiliary correcting and positioning system for bone spine for orthopedics department - Google Patents

Auxiliary correcting and positioning system for bone spine for orthopedics department Download PDF

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CN112603556A
CN112603556A CN202011356707.8A CN202011356707A CN112603556A CN 112603556 A CN112603556 A CN 112603556A CN 202011356707 A CN202011356707 A CN 202011356707A CN 112603556 A CN112603556 A CN 112603556A
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spine
sampling
patient
positioning
deviation
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刘艳娟
伍可菲儿
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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
    • A61B90/11Instruments, 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
    • 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361Image-producing devices, e.g. surgical cameras
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    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • 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
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • 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
    • A61B2034/107Visualisation of planned trajectories or target regions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10Computer-aided planning, simulation or modelling of surgical operations
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    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046Tracking techniques
    • A61B2034/2055Optical tracking systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046Tracking techniques
    • A61B2034/2065Tracking using image or pattern recognition
    • 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • A61B2090/376Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • A61B2090/376Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
    • A61B2090/3762Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy using computed tomography systems [CT]
    • 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
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3904Markers, e.g. radio-opaque or breast lesions markers specially adapted for marking specified tissue
    • A61B2090/3916Bone tissue

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Abstract

The invention provides an orthopedic spine auxiliary deviation-rectifying and positioning system which comprises a detection device, an induction device, a guide device, a sampling device, a positioning device, an adjusting device and a processor, wherein the detection device is used for detecting physiological parameters of a patient and responding a deviation-rectifying scheme corresponding to the patient based on the physiological parameters; the sensing device is configured to sense a start point and an end point of a spine of the patient; the guiding device is configured to display the reference line of the spine based on the starting point and the end point of the sensing device and the deviation rectifying scheme; the sampling device is configured to sample the deviation of the current position of the spine and the reference line; the positioning device is configured to perform a positioning operation on the nail holes of the spine. According to the invention, the positioning device is adopted to position the open pore position on the deviated vertebra block based on the data of the sampling device and the guiding device and by utilizing each positioning designated mark of the positioning device, so that the deviated vertebra can be subjected to efficient correction operation.

Description

Auxiliary correcting and positioning system for bone spine for orthopedics department
Technical Field
The invention relates to the technical field of medical instruments, in particular to an orthopedic spine auxiliary deviation rectifying and positioning system.
Background
The definition and extent of spinal deformities and treatment options continue to evolve. Surgical goals for correction of spinal deformities include correction of curvature, prevention of further deformities, improvement or preservation of neurological function, and restoration of sagittal and coronal balance.
For example, CN107811691A discloses a spinal surgical tool and a method for guiding the spinal surgical tool, during the operation, the operator must operate a plurality of different surgical tools to mount the internal fixation system of the pedicle screws to the desired stable vertebral segment, and each operation must first locate the position of the previously implanted component, such as the pedicle screws, and then precisely move the different surgical tools thereto, which is the key to whether the operation is successful or not and to influence the recovery speed of the patient. Another typical prior art approach disclosed in WO2019020048a1 is a spinal image generation system and spinal surgery navigation positioning system based on ultrasound topography, and a high strength bone screw base disclosed in WO2016177303a1, which have developed the SRS-Schwab classification of ASDs to help surgeons classify ASDs in this way and provide a method of radiographic analysis. A protocol that helps provide pre-operative treatment planning and post-operative assessment requires the surgeon to examine the pre-operative patient's film and measure pelvic incidence, lumbar lordosis, pelvic tilt angle, and sagittal longitudinal axis, either manually or by using pre-operative software. There is a need for systems and methods for assessing changes to these intraoperative spinal parameters.
The invention aims to solve the problems of lack of positioning devices, inaccurate positioning operation, inaccurate spine correction, easy error by experience and the like in the field.
Disclosure of Invention
The invention aims to provide an orthopedic spine auxiliary deviation-rectifying and positioning system aiming at the defects existing in the positioning in the current spinal cord correction operation.
In order to overcome the defects of the prior art, the invention adopts the following technical scheme:
an orthopedic spine auxiliary deviation-rectifying positioning system comprises a detection device, an induction device, a guide device, a sampling device, a positioning device, an adjusting device and a processor, wherein the detection device is used for detecting physiological parameters of a patient and responding to a deviation-rectifying scheme corresponding to the patient based on the physiological parameters; the sensing device is configured to sense a start point and an end point of a spine of the patient; the guiding device is configured to display the reference line of the spine based on the starting point and the end point of the sensing device and the deviation rectification scheme; the sampling device is configured to sample a deviation of the current location of the spine from the reference line; the positioning device is configured to perform positioning operation on a nail hole of the spine; the adjustment device is configured to support the detection device, the sensing device, the guidance device, the sampling device, and the positioning device.
Optionally, the detection device includes a detection unit configured to detect a physiological parameter of the patient, and a data acquisition unit configured to be connected to the detection unit, store data acquired by the detection unit, and transmit the data to a storage unit of the processor; the detection unit includes a detection plate configured to detect a palm of the patient and the detection ring configured to nest and detect a wrist of the patient's limb.
Optionally, the sensing device includes a set of sensing boards, a pairing unit and a sensing unit, the sensing boards are configured to support the sensing unit and the pairing unit, and the pairing unit is configured to pair and transmit data collected by the sensing unit with the processor; the sensing unit is configured to detect an initial position and an end position of a corrected position of the patient's spine.
Optionally, the guiding device comprises a deflection mechanism and an optical path display mechanism, wherein the deflection mechanism is configured to support the optical path display mechanism and correct the angle of the optical path display mechanism; the light path display mechanism is configured to collect a starting point and an end point of the sensing device and display a reference datum line of the patient spine; the deflection mechanism comprises a deflection seat, an angle detection piece and a deflection rod, one end of the supporting rod is hinged with the deflection seat, and the other end of the deflection rod is connected with the light path display mechanism; the angle detection member is configured to detect an angle of deflection of the deflection lever.
Optionally, the sampling device comprises a sampling probe, a sampling algorithm and a data acquisition unit, wherein the sampling probe is configured to sample the deviation between the current position of the spine of the patient and the reference line; the sampling algorithm is configured to direct a sampling operation of the sampling probe; the data acquisition unit is configured to acquire data sampled by the sampling probe.
Optionally, the positioning device includes a plurality of designated marks, a dispersion mechanism, and a sliding mechanism, each of the designated marks being configured to be disposed on the dispersion mechanism; the dispersion mechanism is configured to be in sliding connection with the sliding mechanism, and the dispersion mechanism is configured to adjust the distance between each designated mark and the angle of each designated mark; the dispersing mechanism comprises a plurality of dispersing seats, a plurality of angle adjusting pieces and an angle driving mechanism, each assigned mark is configured to be connected with each dispersing seat, and each angle adjusting piece is configured to be connected with each dispersing seat; the angle drive mechanism is configured to drive with each of the angle adjusting pieces for adjusting an angle of each of the angle adjusting pieces.
Optionally, the adjusting device includes a supporting mechanism, a rotating mechanism and a lifting mechanism, the supporting mechanism is configured to be disposed at one side of the rotating mechanism and the lifting mechanism and operate to support the rotating mechanism and the lifting mechanism, the lifting mechanism is disposed in the middle of the supporting mechanism and the rotating mechanism, and two ends of the lifting mechanism are respectively connected with the supporting mechanism and the rotating mechanism; the lifting mechanism comprises a lifting rod, a height detection piece and a lifting driving mechanism, wherein the height detection piece is arranged on the lifting rod, the height detection piece is arranged to detect the extending height of the lifting rod, and the lifting driving mechanism is arranged to be in driving connection with the lifting rod.
Optionally, the rotating mechanism includes a rotating lever and a locking unit configured to lock a rotation angle of the rotating lever; the rotating rod is configured to support the guiding means, the sampling means and the positioning means.
Optionally, the sliding mechanism includes a sliding seat, a sliding rail, a plurality of position markers, and a sliding driving mechanism, the sliding seat is configured to be slidably connected with the sliding rail and slide along the orientation of the sliding rail under the driving connection of the sliding driving mechanism; the position markers are distributed at equal intervals along the length direction of the sliding track.
The beneficial effects obtained by the invention are as follows:
1. the spine position is detected by adopting the recognition camera of the dispersion mechanism, so that each designated mark can be matched with the recognition camera to mark the position of a rotatable hole on the spine, and a doctor is assisted in marking the position of the rotatable hole in the operation;
2. after the positioning device is adopted to carry out acquisition operation based on the data of the sampling device and the guiding device, the positioning of the opening position on the deviated vertebra block is carried out by utilizing each positioning designated mark of the positioning device, so that the vertebra can be corrected under the fixing operation of correcting the steel nail;
3. the light path display mechanism is adopted to display the datum line of the spine, so that a doctor can conveniently refer to the standard datum line in the operation process, and deviation caused by experience in the deviation rectifying operation process is prevented;
4. the data acquisition unit is adopted to perform real-time data sampling operation on the deviation value of the spine of the patient by utilizing the mutual cooperation of the acquisition algorithm and the sampling probe, and when the deviation value is still deviated from the reference line, the early warning signal is triggered, so that a doctor can perform deviation rectifying operation according to the sampling operation of the sampling device;
5. the induction device is matched with the guide device, the sampling device and the positioning device, so that the spine correction means can be positioned, and correction operation is performed by using the correction tool, the operation of positioning each section of spine in the operation process is effectively reduced, and the time required by the operation is reduced;
6. the parameters of the distance between the spines, the bone age and the like of the patient are obtained based on the collected data of the detection device and the machine language and the big data, and the distance between the spines is adjusted, namely: the spacing distance between each discrete seat and the distance between each vertebral level are matched so that each designated mark can be precisely marked on each vertebral level.
Drawings
The invention will be further understood from the following description in conjunction with the accompanying drawings. The components in the figures are not necessarily to scale, emphasis instead being placed upon illustrating the principles of the embodiments. Like reference numerals designate corresponding parts throughout the different views.
FIG. 1 is a schematic control flow diagram of the present invention.
Fig. 2 is a schematic structural diagram of the adjusting device.
Fig. 3 is a schematic structural diagram of the detection ring.
Fig. 4 is a schematic structural view of the detection plate.
Fig. 5 is a schematic structural diagram of the positioning device.
Fig. 6 is a schematic structural view of the deflection mechanism.
Fig. 7 is a schematic view of an application scenario of the optical path display mechanism.
Fig. 8 is a schematic diagram of an application scenario of each of the specified tags.
The reference numbers illustrate: 1-a lifting mechanism; 2-a locking unit; 3-a rotating mechanism; 4-a moving wheel; 5, supporting the table; 6-detection ring; 7-a deformation member; 8-detecting plate; 9-a sliding mechanism; 10-designation of a marker; 11-an angle adjustment; 12-an optical path display mechanism; 13-a deflection bar; 14-transposition base; 15-an angle detection member; 16-dispersing seats.
Detailed Description
In order to make the objects and advantages of the present invention more apparent, the present invention will be further described in detail with reference to the following embodiments; it should be understood that the specific embodiments described herein are merely illustrative of the invention and are not intended to limit the invention. Other systems, methods, and/or features of the present embodiments will become apparent to those skilled in the art upon review of the following detailed description. It is intended that all such additional systems, methods, features and advantages be included within this description, be within the scope of the invention, and be protected by the accompanying claims. Additional features of the disclosed embodiments are described in, and will be apparent from, the detailed description that follows.
The same or similar reference numerals in the drawings of the embodiments of the present invention correspond to the same or similar components; in the description of the present invention, it should be understood that if there is an orientation or positional relationship indicated by the terms "upper" and "lower" and "left" and "right" etc., it is only for convenience of description and simplification of the description based on the orientation or positional relationship shown in the drawings, but it is not indicated or implied that the device or assembly referred to must have a specific orientation.
The first embodiment is as follows: an orthopedic spine auxiliary deviation-rectifying positioning system comprises a detection device, an induction device, a guide device, a sampling device, a positioning device, an adjusting device and a processor, wherein the detection device is used for detecting physiological parameters of a patient and responding to a deviation-rectifying scheme corresponding to the patient based on the physiological parameters; the sensing device is configured to sense a start point and an end point of a spine of the patient; the guiding device is configured to display the reference line of the spine based on the starting point and the end point of the sensing device and the deviation rectification scheme; the sampling device is configured to sample a deviation of the current location of the spine from the reference line; the positioning device is configured to perform positioning operation on a nail hole of the spine; the adjustment device is configured to support the detection device, the sensing device, the guidance device, the sampling device, and the positioning device; the detection device comprises a detection unit and a data acquisition unit, wherein the detection unit is configured to detect physiological parameters of the patient, and the data acquisition unit is configured to be connected with the detection unit, store the data acquired by the detection unit and transmit the data to a storage unit of the processor; the detection unit comprises a detection plate and a detection ring, the detection plate is configured to detect the palm of the patient, and the detection ring is configured to nest and detect the wrist of the limb of the patient; the induction device comprises a group of induction plates, a matching unit and an induction unit, wherein the induction plates are configured to support the induction unit and the matching unit, and the matching unit is configured to match and transmit data acquired by the induction unit with the processor; the sensing unit is configured to detect an initial position and an end position of a corrected position of a spine of the patient; the guiding device comprises a deflection mechanism and an optical path display mechanism, wherein the deflection mechanism is configured to support the optical path display mechanism and correct the angle of the optical path display mechanism; the light path display mechanism is configured to collect a starting point and an end point of the sensing device and display a reference datum line of the patient spine; the deflection mechanism comprises a deflection seat, an angle detection piece and a deflection rod, one end of the supporting rod is hinged with the deflection seat, and the other end of the deflection rod is connected with the light path display mechanism; the angle detection member is configured to detect an angle of deflection of the deflection lever; the sampling device comprises a sampling probe, a sampling algorithm and a data acquisition unit, wherein the sampling probe is configured to sample the deviation of the current position of the spine of the patient and the reference line; the sampling algorithm is configured to direct a sampling operation of the sampling probe; the data acquisition unit is configured to acquire data sampled by the sampling probe; the positioning device includes a plurality of designation marks, a dispersion mechanism, and a slide mechanism, each of the designation marks being configured to be disposed on the dispersion mechanism; the dispersion mechanism is configured to be in sliding connection with the sliding mechanism, and the dispersion mechanism is configured to adjust the distance between each designated mark and the angle of each designated mark; the dispersing mechanism comprises a plurality of dispersing seats, a plurality of angle adjusting pieces and an angle driving mechanism, each assigned mark is configured to be connected with each dispersing seat, and each angle adjusting piece is configured to be connected with each dispersing seat; the angle driving mechanism is configured to drive with each of the angle adjusting pieces for adjusting an angle of each of the angle adjusting pieces; the adjusting device comprises a supporting mechanism, a rotating mechanism and a lifting mechanism, wherein the supporting mechanism is configured to be arranged at one side of the rotating mechanism and the lifting mechanism and is used for supporting the rotating mechanism and the lifting mechanism, the lifting mechanism is arranged between the supporting mechanism and the rotating mechanism, and two ends of the lifting mechanism are respectively connected with the supporting mechanism and the rotating mechanism; the lifting mechanism comprises a lifting rod, a height detection piece and a lifting driving mechanism, wherein the height detection piece is configured to be arranged on the lifting rod, the height detection piece is configured to detect the extending height of the lifting rod, and the lifting driving mechanism is configured to be in driving connection with the lifting rod; the rotating mechanism includes a rotating lever and a locking unit configured to lock a rotation angle of the rotating lever; the rotating rod is configured to support the guiding means, the sampling means and the positioning means; the sliding mechanism comprises a sliding seat, a sliding track, a plurality of position markers and a sliding driving mechanism, wherein the sliding seat is configured to be in sliding connection with the sliding track and slide along the direction of the sliding track under the driving connection of the sliding driving mechanism; the position markers are distributed at equal intervals along the length direction of the sliding track.
Example two: the present embodiment should be understood to at least include all the features of any one of the foregoing embodiments and further improve on the same, and in particular, provide an orthopedic spine correction assisting system, which includes a detecting device, a sensing device, a guiding device, a sampling device, a positioning device, an adjusting device and a processor, wherein the detecting device is configured to detect a physiological parameter of a patient and respond to a correction scheme corresponding to the patient based on the physiological parameter; the sensing device is configured to sense a start point and an end point of a spine of the patient; the guiding device is configured to display the reference line of the spine based on the starting point and the end point of the sensing device and the deviation rectification scheme; the sampling device is configured to sample a deviation of the current location of the spine from the reference line; the positioning device is configured to perform positioning operation on a nail hole of the spine; the adjustment device is configured to support the detection device, the sensing device, the guidance device, the sampling device, and the positioning device; specifically, in the embodiment, the whole system is used in the operation process, so that the correction of the spine can be corrected, and the doctor can be assisted to perform the correction operation quickly in the operation process, thereby greatly reducing the labor intensity of the doctor and further improving the operation precision; in this embodiment, the processor is respectively in control connection with the detection device, the sensing device, the guidance device, the sampling device and the positioning device, and under the centralized operation of the processor, the whole system can be more efficiently assisted under the cooperation of each system; in this embodiment, the detection device and the sensing device are used cooperatively, so that the physiological parameters of the patient and the parameter position of the spine and other information can be collected and adjusted in the processor according to the surgical strategy; in this embodiment, the policy is a process of entering according to big data and learning by using a machine language; in this embodiment, the machine language is a technical means known to those skilled in the art, and those skilled in the art can query related technical means to obtain the technology, so that details are not repeated in this embodiment; in addition, the induction device is matched with the guide device, the sampling device and the positioning device for use, so that the spine correction means can be positioned, and correction operation can be performed by using a correction tool, the operation of positioning each section of spine in the operation process is effectively reduced, and the time required by the operation is reduced;
the detection device comprises a detection unit and a data acquisition unit, wherein the detection unit is configured to detect physiological parameters of the patient, and the data acquisition unit is configured to be connected with the detection unit, store the data acquired by the detection unit and transmit the data to a storage unit of the processor; the detection unit comprises a detection plate and a detection ring, the detection plate is configured to detect the palm of the patient, and the detection ring is configured to nest and detect the wrist of the limb of the patient; in particular, the detection device is configured to acquire physiological parameters of the patient, including, but not limited to, the following: blood pressure, height, age of the bone, angle of displacement of the spine and other commonly used physiological parameters; in this embodiment, the detection device accesses the spine according to the physiological parameters by relying on big data, and by using or referring to the state of the spine of the same or similar person of the same age as the patient, the detection device increases the accuracy of correcting the spine; in this embodiment, the detection unit includes a detection plate and the detection ring, and both the detection plate and the detection ring detect the bone age or bone quality of the patient, so as to ensure that the state of the bone or vertebra of the patient can be detected; in this embodiment, the detection board is used for detecting the palm or the sole of the patient, so that the parameters of the patient, such as bone age, bone quality and the like, can be detected; further, the detection ring is configured to be removably nested with a wrist of the patient's limb for detecting a state of growth of the patient's bone; the data acquisition unit is connected with the detection unit, collects the data detected by the detection unit and transmits the data to the processor through the data acquisition unit; in this embodiment, the detection ring is provided with detection pieces configured to be distributed along an inner wall of the detection ring to ensure that data of the wrist can be acquired; the detection plate comprises a deformation piece, a sensing piece and a base, wherein the deformation piece is configured to wrap the sensing piece to form a sensing part, and the sensing part is configured to be arranged on the base; when the detection plate is used, the palm or the sole of the patient is extruded on the detection plate, so that the sensing part of the detection plate deforms, and the maximum deformation of the sensing part is detected, so that the parameters of the palm or the sole can be obtained; in addition, after one-time detection is finished, the sensing part of the detection plate can automatically return to the original state in a non-detection state;
the induction device comprises a group of induction plates, a matching unit and an induction unit, wherein the induction plates are configured to support the induction unit and the matching unit, and the matching unit is configured to match and transmit data acquired by the induction unit with the processor; the sensing unit is configured to detect an initial position and an end position of a corrected position of a spine of the patient; specifically, the sensing device is used for detecting the starting end and the end position of the spine, that is: the induction device is used for positioning the start-stop position of an abnormal spine segment, and the guiding device and the positioning device are used for correcting angles based on data collected by the induction device; in this embodiment, the induction device, the guidance device and the positioning device are used in cooperation, so that the correction of the spine can be effectively improved; in addition, the induction plate can also collect other physiological characteristics of the patient in the process of detecting the spine of the patient; in this embodiment, a set of the sensing plates is configured to be coupled to the back of the patient and to detect the position of the spine; in this embodiment, the sensing units are disposed on a group of the sensing boards; the sensing units include, but are not limited to, the following listed ones: whole body imaging, local bone plane imaging, bone triphase imaging, bone tomography imaging, bone SPECT/CT imaging, F18 (fluorine) positron bone imaging, etc.; the sensing unit is a means known to those skilled in the art, and those skilled in the art can query a related technical manual to learn the technical scheme, so that details are not repeated in this embodiment; meanwhile, after the detection unit detects the parameters of the bone marrow, the parameters are transmitted through a communication link established by the pairing unit and the processor, so that the guiding device, the sampling device, the adjusting device, the positioning device and the adjusting device can call the data of the detection unit; in this embodiment, the pairing unit can also establish a communication link with the guidance device, the sampling device, the adjustment device, the positioning device, and the adjustment device, so as to directly transmit the data and improve the auxiliary effect during the operation; in this embodiment, since the sensing device needs to perform positioning operation on the position of the spine by means of medical imaging data in the process of detecting the position of the spine, the sensing device may be disposed on the rotating mechanism of the adjusting device, or the data of the imaging department or the radiology department may be used in combination with the guiding device, the sampling device, the adjusting device, the positioning device, and the adjusting device to perform auxiliary positioning operation, and a person skilled in the art may perform further adaptive adjustment according to actual conditions in the surgical process, and thus, details are not repeated; in particular, if a miniaturized sensing device for detecting the spine is used, it is preferable to use a sensing device with a low dose, which prevents the exposure of the medical staff and the patient to high intensity radiation;
the guiding device comprises a deflection mechanism and an optical path display mechanism, wherein the deflection mechanism is configured to support the optical path display mechanism and correct the angle of the optical path display mechanism; the light path display mechanism is configured to collect a starting point and an end point of the sensing device and display a reference datum line of the patient spine; the deflection mechanism comprises a deflection seat, an angle detection piece and a deflection rod, one end of the supporting rod is hinged with the deflection seat, and the other end of the deflection rod is connected with the light path display mechanism; the angle detection member is configured to detect an angle of deflection of the deflection lever; specifically, the guidance device is configured to display the reference line of the reference, detect a current offset value of the spine in cooperation with a sampling operation of the sampling device, and ensure that the offset value can be adjusted between devices; the deflection mechanism supports the light path limiting mechanism, refers to data of the sensing device, detects an initial point and an end point of the spine, and displays a reference line through the light path display mechanism, so that the spine can be operated by means of the reference line in the process of correcting the spine; the reference line is shown in fig. 7 and 8; in the present embodiment, the cooperation of the optical path display mechanism and the deflection mechanism enables the position of the optical path display to be corrected; namely: one end of the supporting rod is hinged with the deflection seat, and the other end of the deflection rod is connected with the light path display mechanism, so that the deflection rod positions the starting end and the final end of the spine according to the data of the sensing device, and the light path display mechanism can display a reference line; in this embodiment, the deflection mechanism further includes a deflection driving mechanism configured to be drivingly connected to the deflection lever and detect an angle of the deflection lever under detection of the angle detecting member; in this embodiment, a feedback channel is formed between the angle detecting member and the data of the deflection rod, the processor and the sensing device, that is: the angle detection piece drives the deflection rod through a deflection driving mechanism under the control operation of the processor according to the data of the sensing device, detects whether the deflection angle of the deflection rod is consistent with set data in real time, and if the deflection angle of the deflection rod is not consistent with the set data, the deflection operation of the deflection driving mechanism is carried out until the deflection angle of the deflection rod is consistent with the position detected by the sensing device; the light path display mechanism displays visible light and can adjust the illumination intensity according to actual requirements; the light path display mechanism is constructed to display the datum line of the vertebra, so that a doctor can conveniently refer to a standard datum line in the operation process, and deviation caused by experience in the deviation rectifying operation process is prevented;
the sampling device comprises a sampling probe, a sampling algorithm and a data acquisition unit, wherein the sampling probe is configured to sample the deviation of the current position of the spine of the patient and the reference line; the sampling algorithm is configured to direct a sampling operation of the sampling probe; the data acquisition unit is configured to acquire data sampled by the sampling probe; specifically, the sampling device is configured to collect a deviation range between a maximum deviation value of the spine and a reference line of the guiding device, and effectively assist real-time monitoring and sampling of correction of the spine in a surgical process through a sampling assistance or guiding effect of the sampling algorithm; the data acquisition unit performs real-time data sampling operation on the deviation value of the patient vertebra by utilizing the mutual cooperation of the acquisition algorithm and the sampling probe, and triggers an early warning signal when the deviation value is also deviated from the datum line, so that a doctor can perform deviation rectifying operation according to the sampling operation of the sampling device; in addition, after the data acquisition unit acquires the data, the data acquisition unit is connected with the processor through the data, so that the process of correcting the spine by using a surgery can be more accurate;
the positioning device includes a plurality of designation marks, a dispersion mechanism, and a slide mechanism, each of the designation marks being configured to be disposed on the dispersion mechanism; the dispersion mechanism is configured to be in sliding connection with the sliding mechanism, and the dispersion mechanism is configured to adjust the distance between each designated mark and the angle of each designated mark; the dispersing mechanism comprises a plurality of dispersing seats, a plurality of angle adjusting pieces and an angle driving mechanism, each assigned mark is configured to be connected with each dispersing seat, and each angle adjusting piece is configured to be connected with each dispersing seat; the angle driving mechanism is configured to drive with each of the angle adjusting pieces for adjusting an angle of each of the angle adjusting pieces; specifically, the sliding mechanism comprises a sliding seat, a sliding track, a plurality of position markers and a sliding driving mechanism, wherein the sliding seat is configured to be in sliding connection with the sliding track and slide along the direction of the sliding track under the driving connection of the sliding driving mechanism; the position markers are distributed at equal intervals along the length direction of the sliding track; specifically, after the positioning device is configured to perform an operation of collecting data based on the sampling device and the guidance device, the positioning device positions the position of the opening on the deviated vertebral block by using each positioning designation mark of the positioning device, so that the vertebra can be corrected under the fixing operation of the correction steel nail; the position of the marked opening is shown in fig. 8; in this embodiment, the correction steel nail or the correction steel wire are consumables commonly used in a spine correction operation, and are technical means well known to those skilled in the art, and those skilled in the art can query a relevant technical manual to obtain the technology, so that details are not repeated in this embodiment; in the present embodiment, each of the designation marks is configured to be provided on the dispersion mechanism, and the dispersion mechanism is configured to be connected to the slide mechanism and slide along the orientation of the slide rail under the driving operation of the slide driving mechanism; in the embodiment, the position markers are distributed at equal intervals along the length direction of the sliding track; in addition, the dispersing seat of the dispersing mechanism is in matched clamping connection with the angle adjusting piece, is connected with each designated mark, and carries out positioning indication on the position of the rotary hole of the vertebra under the driving operation of the angle driving mechanism; in addition, the dispersion mechanism further comprises a recognition camera which is configured to detect the position of the spine, so that each designated mark can mark the position of a rotatable hole on the spine in cooperation with the recognition camera for assisting a doctor in marking the position of the rotatable hole of the operation; the identification camera can detect the spine which is not corrected yet, and ensure that each designated mark can be indicated to each spinal segment of the patient by each designated mark under the guidance of the data of the sampling device and the guidance device, and each spinal segment is matched with the position of a reference line of the guidance device after being corrected by a correction operation; meanwhile, the driving matching operation of each angle adjusting piece and the angle driving mechanism is based on the detection data of the guiding device and the data of the sampling device, and positioning operation is carried out by combining big data and a hole rotating strategy, so that each vertebra can be ensured to be consistent with the reference line of the guiding device in the correcting process; in this embodiment, the distance between the discrete seats needs to be acquired by the detection device, and parameters such as the distance between the vertebrae of the patient, the age of the bone, and the like are obtained based on machine language and big data, and the distance between the vertebrae is adjusted, that is: the spacing distance between each discrete seat and the distance between each vertebral segment are matched, so that each designated mark can be accurately marked on each vertebral segment; in this embodiment, each of the designated marks is used in cooperation with each of the angle adjusting members, so that each of the designated marks can be angularly deflected according to the position of the spinal segment, and is used for marking the position on each spinal segment; in addition, in this embodiment, each of the designated marks is set to be marked by using high-intensity visible light, so that the doctor can mark the position of the rotation hole in the process of rotating the rotation hole;
the adjusting device comprises a supporting mechanism, a rotating mechanism and a lifting mechanism, wherein the supporting mechanism is configured to be arranged at one side of the rotating mechanism and the lifting mechanism and is used for supporting the rotating mechanism and the lifting mechanism, the lifting mechanism is arranged between the supporting mechanism and the rotating mechanism, and two ends of the lifting mechanism are respectively connected with the supporting mechanism and the rotating mechanism; the lifting mechanism comprises a lifting rod, a height detection piece and a lifting driving mechanism, wherein the height detection piece is configured to be arranged on the lifting rod, the height detection piece is configured to detect the extending height of the lifting rod, and the lifting driving mechanism is configured to be in driving connection with the lifting rod; specifically, the rotating mechanism includes a rotating lever and a locking unit configured to lock a rotation angle of the rotating lever; the rotating rod is configured to support the guiding means, the sampling means and the positioning means; specifically, the adjusting device is used for supporting the whole system, and in the using process, the whole system needs to be placed right above the patient through the adjusting device, and the sampling device is used for positioning the back spine and other reference positions of the patient according to the data of the sensing device or the detection device, so that the guiding device, the sampling device and the positioning device can perform accurate positioning operation; in this embodiment, the detecting device and the sensing device are used as an initial acquisition device for acquiring the physiological parameters of the patient, and other devices are used for positioning and guiding the deployment according to the data of the detecting device and the sensing device, so that the detecting device and the sensing device can be integrated or split; in this embodiment, the supporting mechanism includes a moving wheel and a supporting platform, the moving wheel is disposed on one side of the supporting platform, the lifting mechanism is disposed on one side of the supporting platform away from the moving wheel, and one end of the lifting mechanism is configured to be vertically and fixedly connected with the supporting platform, and the other end of the lifting mechanism vertically extends towards one side away from the supporting platform, the lifting mechanism can adjust the lifting rod according to the operating table or actual needs, so as to ensure that each device disposed on the rotating mechanism can perform precise positioning operation on the spine of the patient; in the present embodiment, the rotating mechanism includes a rotating lever and a locking unit configured to perform an operation of locking the rotating lever after the rotating lever is rotated to a proper position; the rotating rod is provided with a fixing plate for supporting the guiding device, the sampling device and the positioning device; the fixing plate is configured to be connected with the rotating rod and follow the rotation of the rotating rod; in addition, the locking unit is a technical means known to those skilled in the art, and those skilled in the art can query a related technical manual to obtain the technology, so that details are not repeated in this embodiment.
Example three: the present embodiment should be understood to include at least all the features of any one of the foregoing embodiments and further improve on the same, and in particular, provide an orthopedic spine correction positioning system, which includes a detecting device, a sensing device, a guiding device, a sampling device, a positioning device, an adjusting device and a processor, wherein the detecting device is configured to detect a physiological parameter of a patient and respond to a correction scheme corresponding to the patient based on the physiological parameter; the sensing device is configured to sense a start point and an end point of a spine of the patient; the guiding device is configured to display the reference line of the spine based on the starting point and the end point of the sensing device and the deviation rectification scheme; the sampling device is configured to sample a deviation of the current location of the spine from the reference line; the positioning device is configured to perform positioning operation on a nail hole of the spine; the adjustment device is configured to support the detection device, the sensing device, the guidance device, the sampling device, and the positioning device; specifically, in the embodiment, the whole system is used in the operation process, so that the correction of the spine can be corrected, and the doctor can be assisted to perform the correction operation quickly in the operation process, thereby greatly reducing the labor intensity of the doctor and further improving the operation precision; in this embodiment, the processor is respectively in control connection with the detection device, the sensing device, the guidance device, the sampling device and the positioning device, and under the centralized operation of the processor, the whole system can be more efficiently assisted under the cooperation of each system; in this embodiment, the detection device and the sensing device are used cooperatively, so that the physiological parameters of the patient and the parameter position of the spine and other information can be collected and adjusted in the processor according to the surgical strategy; in this embodiment, the policy is a process of entering according to big data and learning by using a machine language; in this embodiment, the machine language is a technical means known to those skilled in the art, and those skilled in the art can query related technical means to obtain the technology, so that details are not repeated in this embodiment; in addition, the induction device is matched with the guide device, the sampling device and the positioning device for use, so that the spine correction means can be positioned, and correction operation can be performed by using a correction tool, the operation of positioning each section of spine in the operation process is effectively reduced, and the time required by the operation is reduced;
the sampling device comprises a sampling probe, a sampling algorithm and a data acquisition unit, wherein the sampling probe is configured to sample the deviation of the current position of the spine of the patient and the reference line; the sampling algorithm is configured to direct a sampling operation of the sampling probe; the data acquisition unit is configured to acquire data sampled by the sampling probe; specifically, the sampling device is configured to collect a deviation range between a maximum deviation value of the spine and a reference line of the guiding device, and effectively assist real-time monitoring and sampling of correction of the spine in a surgical process through a sampling assistance or guiding effect of the sampling algorithm; the data acquisition unit performs real-time data sampling operation on the deviation value of the patient vertebra by utilizing the mutual cooperation of the acquisition algorithm and the sampling probe, and triggers an early warning signal when the deviation value is also deviated from the datum line, so that a doctor can perform deviation rectifying operation according to the sampling operation of the sampling device; in addition, after the data acquisition unit acquires the data, the data acquisition unit is connected with the processor through the data, so that the process of correcting the spine by using a surgery can be more accurate;
the sampling algorithm is configured to locate based on a start-stop position of the sensing device while incorporating the baseline of the guidance device and collecting positional parameters of the patient's spine against the sensing device and data of the imaging discipline; and performing sampling operation based on the following formula;
data, A (x1, y1), of A, B at which the sensing device senses data; b (x2, y2), substituted into the following equation (1),
Figure BDA0002802795670000181
wherein, the value range in the formula is [ -1, +1], < 1 > represents strong negative correlation, +1 represents strong positive correlation, 0 represents no correlation; verifying the relevant position of the vertebral segment through the formula, constructing a complete vertebral parameter model through multiple detection, and determining a deviation value with a reference line of the guiding device after detecting the vertebral model;
forming N of vector parameters for the positions of the selected spinal segments, and predicting the maximum coordinate of the deviation value difference value for the N groups of vectors;
the result is obtained by the formula (2),
Figure BDA0002802795670000182
in the formula, k belongs to N, and P belongs to Qn,mThus, values are taken from N to p, namely: sorting N groups of parameters in the range of p by maximum deviation values;
meanwhile, in the process of detection through the sampling probe, scaling exists, so that the similarity needs to be calculated, any two values D (x3, y3) and F (x4, y4) are taken,
Figure BDA0002802795670000183
in the formula, alpha is the minimum value of the sampling probe pixel;
in the above embodiments, the descriptions of the respective embodiments have respective emphasis, and reference may be made to the related descriptions of other embodiments for parts that are not described or illustrated in a certain embodiment.
In summary, the orthopedic spine auxiliary deviation rectification positioning system provided by the invention detects the spine position by adopting the recognition camera of the dispersion mechanism, so that each designated mark can be matched with the recognition camera to mark the position of the rotatable hole on the spine, and is used for assisting a doctor to mark the position of the rotatable hole in the operation; after the positioning device is adopted to carry out acquisition operation based on the data of the sampling device and the guiding device, the positioning of the opening position on the deviated vertebra block is carried out by utilizing each positioning designated mark of the positioning device, so that the vertebra can be corrected under the fixing operation of correcting the steel nail; the light path display mechanism is adopted to display the datum line of the spine, so that a doctor can conveniently refer to the standard datum line in the operation process, and deviation caused by experience in the deviation rectifying operation process is prevented; the data acquisition unit is adopted to perform real-time data sampling operation on the deviation value of the spine of the patient by utilizing the mutual cooperation of the acquisition algorithm and the sampling probe, and when the deviation value is still deviated from the reference line, the early warning signal is triggered, so that a doctor can perform deviation rectifying operation according to the sampling operation of the sampling device; the induction device is matched with the guide device, the sampling device and the positioning device, so that the spine correction means can be positioned, and the correction tool is used for correcting, thereby effectively reducing the operation of positioning each section of spine in the operation process and reducing the time required by the operation; the parameters of the distance between the spines, the bone age and the like of the patient are obtained based on the collected data of the detection device and the machine language and the big data, and the distance between the spines is adjusted, namely: the spacing distance between each discrete seat and the distance between each vertebral level are matched so that each designated mark can be precisely marked on each vertebral level.
Although the invention has been described above with reference to various embodiments, it should be understood that many changes and modifications may be made without departing from the scope of the invention. That is, the methods, systems, and devices discussed above are examples. Various configurations may omit, substitute, or add various procedures or components as appropriate. For example, in alternative configurations, the methods may be performed in an order different than that described, and/or various components may be added, omitted, and/or combined. Moreover, features described with respect to certain configurations may be combined in various other configurations, as different aspects and elements of the configurations may be combined in a similar manner. Further, elements therein may be updated as technology evolves, i.e., many elements are examples and do not limit the scope of the disclosure or claims.
Specific details are given in the description to provide a thorough understanding of the exemplary configurations including implementations. However, configurations may be practiced without these specific details, for example, well-known circuits, processes, algorithms, structures, and techniques have been shown without unnecessary detail in order to avoid obscuring the configurations. This description provides example configurations only, and does not limit the scope, applicability, or configuration of the claims. Rather, the foregoing description of the configurations will provide those skilled in the art with an enabling description for implementing the described techniques. Various changes may be made in the function and arrangement of elements without departing from the spirit or scope of the disclosure.
In conclusion, it is intended that the foregoing detailed description be regarded as illustrative rather than limiting, and that it be understood that these examples are illustrative only and are not intended to limit the scope of the invention. After reading the description of the invention, the skilled person can make various changes or modifications to the invention, and these equivalent changes and modifications also fall into the scope of the invention defined by the claims.

Claims (9)

1. The orthopedic spine auxiliary deviation-rectifying positioning system is characterized by comprising a detection device, an induction device, a guide device, a sampling device, a positioning device, an adjusting device and a processor, wherein the detection device is used for detecting physiological parameters of a patient and responding to a deviation-rectifying scheme corresponding to the patient based on the physiological parameters; the sensing device is configured to sense a start point and an end point of a spine of the patient; the guiding device is configured to display the reference line of the spine based on the starting point and the end point of the sensing device and the deviation rectification scheme; the sampling device is configured to sample a deviation of the current location of the spine from the reference line; the positioning device is configured to perform positioning operation on a nail hole of the spine; the adjustment device is configured to support the detection device, the sensing device, the guidance device, the sampling device, and the positioning device.
2. The orthopedic spine auxiliary deviation-rectifying and positioning system as claimed in claim 1, wherein said detecting device comprises a detecting unit, a data collector, said detecting unit is configured to detect the physiological parameter of said patient, said data collector is configured to connect with said detecting unit, and store the data collected by said detecting unit, and transmit said data to the storage unit of said processor; the detection unit includes a detection plate configured to detect a palm of the patient and the detection ring configured to nest and detect a wrist of the patient's limb.
3. The orthopedic spine assistance deviation-rectifying positioning system according to any one of the preceding claims, wherein the sensing device comprises a set of sensing plates, a matching unit and a sensing unit, the sensing plates are configured to support the sensing unit and the matching unit, the matching unit is configured to match and transmit the data collected by the sensing unit with the processor; the sensing unit is configured to detect an initial position and an end position of a corrected position of the patient's spine.
4. The orthopedic spine auxiliary deviation rectifying and positioning system according to any of the preceding claims, wherein said guiding device comprises a deflection mechanism and a light path display mechanism, said deflection mechanism is configured to support said light path display mechanism and correct the angle of said light path display mechanism; the light path display mechanism is configured to collect a starting point and an end point of the sensing device and display a reference datum line of the patient spine; the deflection mechanism comprises a deflection seat, an angle detection piece and a deflection rod, one end of the supporting rod is hinged with the deflection seat, and the other end of the deflection rod is connected with the light path display mechanism; the angle detection member is configured to detect an angle of deflection of the deflection lever.
5. The orthopedic spine auxiliary deviation rectifying and positioning system according to one of the previous claims, wherein the sampling device comprises a sampling probe, a sampling algorithm and a data acquisition unit, the sampling probe is configured to sample the current position of the spine of the patient and the deviation of the reference line; the sampling algorithm is configured to direct a sampling operation of the sampling probe; the data acquisition unit is configured to acquire data sampled by the sampling probe.
6. The orthopedic spine auxiliary deviation correcting and positioning system according to any of the preceding claims, wherein said positioning device comprises a plurality of designated marks, a dispersion mechanism and a sliding mechanism, each of said designated marks being configured to be disposed on said dispersion mechanism; the dispersion mechanism is configured to be in sliding connection with the sliding mechanism, and the dispersion mechanism is configured to adjust the distance between each designated mark and the angle of each designated mark; the dispersing mechanism comprises a plurality of dispersing seats, a plurality of angle adjusting pieces and an angle driving mechanism, each assigned mark is configured to be connected with each dispersing seat, and each angle adjusting piece is configured to be connected with each dispersing seat; the angle drive mechanism is configured to drive with each of the angle adjusting pieces for adjusting an angle of each of the angle adjusting pieces.
7. The orthopedic spine auxiliary deviation correcting and positioning system according to any one of the preceding claims, wherein the adjusting device comprises a supporting mechanism, a rotating mechanism and a lifting mechanism, the supporting mechanism is configured to be disposed at one side of the rotating mechanism and the lifting mechanism and support the rotating mechanism and the lifting mechanism, the lifting mechanism is disposed in the middle of the supporting mechanism and the rotating mechanism, and two ends of the lifting mechanism are respectively connected with the supporting mechanism and the rotating mechanism; the lifting mechanism comprises a lifting rod, a height detection piece and a lifting driving mechanism, wherein the height detection piece is arranged on the lifting rod, the height detection piece is arranged to detect the extending height of the lifting rod, and the lifting driving mechanism is arranged to be in driving connection with the lifting rod.
8. The orthopedic spine assisted deviation rectifying and positioning system according to any one of the preceding claims, wherein said rotating mechanism comprises a rotating rod and a locking unit, said locking unit is configured to lock the rotating angle of said rotating rod; the rotating rod is configured to support the guiding means, the sampling means and the positioning means.
9. The orthopedic spine correction positioning system according to any of the preceding claims, wherein the sliding mechanism comprises a sliding seat, a sliding rail, a plurality of position markers, and a sliding driving mechanism, the sliding seat is configured to be slidably connected with the sliding rail and to slide along the orientation of the sliding rail under the driving connection of the sliding driving mechanism; the position markers are distributed at equal intervals along the length direction of the sliding track.
CN202011356707.8A 2020-11-26 2020-11-26 Auxiliary correcting and positioning system for bone spine for orthopedics department Withdrawn CN112603556A (en)

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