CN113041085B - Fixing device in neurosurgery operation - Google Patents

Fixing device in neurosurgery operation Download PDF

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CN113041085B
CN113041085B CN202110293921.1A CN202110293921A CN113041085B CN 113041085 B CN113041085 B CN 113041085B CN 202110293921 A CN202110293921 A CN 202110293921A CN 113041085 B CN113041085 B CN 113041085B
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trunk
positioning
head
piece
patient
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CN113041085A (en
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刘雪松
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West China Hospital of Sichuan University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • A61G13/12Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/1205Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
    • A61G13/121Head or neck
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/10Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/14Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • A61G13/12Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/1205Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body

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  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Neurosurgery (AREA)
  • Surgery (AREA)
  • Otolaryngology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Oral & Maxillofacial Surgery (AREA)
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  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

The invention discloses a fixing device in neurosurgery, which comprises an operating table, a head fixing component and a plurality of groups of trunk fixing components, wherein the head fixing component is arranged at one end of the operating table; the trunk fixing assembly comprises a trunk positioning piece and a trunk positioning needle movably connected with the trunk positioning piece; the truck positioning part comprises a truck positioning body, a square pulling plate slot arranged inside the truck positioning body, and a locking plate movably connected with the pulling plate slot, wherein the locking plate slides into the slot and is used for limiting a truck positioning needle passing through the truck positioning part after being pulled back. The fixing device in the neurosurgery provided by the invention has the advantages of reasonable design structure and simplicity and convenience in operation, the head and the trunk of a patient can be limited by adjusting the head positioning motor and the trunk positioning motor, and the phenomenon that the patient moves randomly and the treatment effect is influenced can be effectively avoided.

Description

一种神经外科术中固定装置An intraoperative fixation device for neurosurgery

技术领域technical field

本发明涉及医疗设备技术领域,尤其涉及一种神经外科术中固定装置。The present invention relates to the technical field of medical equipment, in particular to a neurosurgery intraoperative fixation device.

背景技术Background technique

神经外科手术通常是利用外科设备或仪器,在外科医师或其他专业人员的操作下,进入人体或其他生物组织,排除病变、改变构造或植入外来物的处理过程。Neurosurgery is usually a process of using surgical equipment or instruments, under the operation of surgeons or other professionals, to enter the human body or other biological tissues to exclude lesions, change structures or implant foreign objects.

在外科手术进行的过程中,需要将患者的肢体进行固定,现有技术中,神经外科手术固定器固定效果较差,在神经外科手术中,患者因意识不清等原因乱动而容易触动伤口,碰掉输氧管或其他输液及治疗装置,进而影响治疗效果。During the surgical operation, the patient's limb needs to be fixed. In the prior art, the neurosurgery fixator has a poor fixation effect. During the neurosurgery operation, the patient easily touches the wound due to confusion and other reasons. , knocking off the oxygen tube or other infusion and treatment devices, thereby affecting the treatment effect.

发明内容SUMMARY OF THE INVENTION

为解决上述问题,本发明提供了一种神经外科术中固定装置,包括手术台(1),设置在所述手术台(1)一端的头部固定组件(2),以及设置在所述手术台(1)两侧的多组躯干固定组件(3);其中,所述躯干固定组件(3)包括躯干定位件(35),以及与所述躯干定位件(35)活动连接的躯干定位针(36);所述躯干定位针(36)包括定位针本体(361),规则设置在所述定位针本体(361)上的插槽(362),以及分别设置在所述定位针本体(361)两端的第二限位帽(363)和缓冲件(364);所述躯干定位件(35)包括躯干定位本体(351),设置在所述躯干定位本体(351)内部的方形抽板插槽(352),以及与所述抽板插槽(352)活动连接的锁板(353),所述躯干定位本体(351)上设有多个通孔(3511);所述锁板(353)上设有与所述通孔(3511)相配合的固定孔(3531),其中,所述固定孔(3531)包括分别设置在锁板(353)上下两侧的锥形孔(35311),上下两侧的锥形孔(35311)相互配合,相连后在连接部位构成厚度逐渐增加的限位件(35312);所述锁板(353)滑入抽板插槽(352)中,用于回拉后使所述限位件(35312)卡入所述躯干定位针(36)的插槽(362)中,以对穿过躯干定位件(35)的躯干定位针(36)进行限位。In order to solve the above problems, the present invention provides an intraoperative fixation device for neurosurgery, comprising an operating table (1), a head fixing assembly (2) arranged at one end of the operating table (1), and Multiple groups of trunk fixing assemblies (3) on both sides of the table (1); wherein, the trunk fixing assemblies (3) include a trunk positioning member (35), and a trunk positioning pin movably connected with the trunk positioning member (35) (36); the trunk positioning needle (36) includes a positioning needle body (361), a slot (362) regularly arranged on the positioning needle body (361), and a positioning needle body (361) respectively arranged on the positioning needle body (361) ) at both ends of the second limiting cap (363) and the buffer member (364); the torso positioning member (35) includes a torso positioning body (351), and a square drawing board inserted inside the torso positioning body (351) a slot (352), and a lock plate (353) movably connected to the drawer slot (352), the torso positioning body (351) is provided with a plurality of through holes (3511); the lock plate (353) ) is provided with a fixing hole (3531) matched with the through hole (3511), wherein the fixing hole (3531) includes conical holes (35311) respectively arranged on the upper and lower sides of the lock plate (353), The conical holes (35311) on the upper and lower sides cooperate with each other, and after being connected, a limiter (35312) with a gradually increasing thickness is formed at the connecting part; the lock plate (353) slides into the drawer slot (352) for After pulling back, the limiting piece (35312) is snapped into the slot (362) of the trunk positioning pin (36), so as to limit the trunk positioning pin (36) passing through the trunk positioning piece (35) .

优选地,所述头部固定组件包括长方体形底座,与所述底座相连的头部定位电机,与所述底座滑动连接的横向滑块,以及设置在所述横向滑块顶部的头部固定件。Preferably, the head fixing assembly includes a cuboid base, a head positioning motor connected to the base, a lateral slider slidably connected to the base, and a head fixing member disposed on the top of the lateral slider .

优选地,所述头部固定件包括横向规则设置的多个头部定位槽,以及分别设置于头部定位槽中的头部定位件;其中,所述头部定位件包括头部定位针,与所述头部定位针一端相连的弹簧,以及与所述弹簧另一端相连的第一限位帽,其中,所述弹簧卡设于头部定位槽中。Preferably, the head fixing member includes a plurality of head positioning grooves regularly arranged in the transverse direction, and head positioning members respectively arranged in the head positioning grooves; wherein, the head positioning member includes a head positioning pin, A spring connected with one end of the head positioning needle, and a first limiting cap connected with the other end of the spring, wherein the spring is clamped in the head positioning groove.

优选地,所述头部定位槽包括圆柱状通槽,以及与所述通槽一端相连具有空心结构的圆柱限位块,其中,所述圆柱限位块空心结构的直径小于通槽的直径,大于所述头部定位针的直径。Preferably, the head positioning slot includes a cylindrical through slot, and a cylindrical limiting block connected with one end of the through slot and having a hollow structure, wherein the diameter of the hollow structure of the cylindrical limiting block is smaller than the diameter of the through slot, larger than the diameter of the head positioning needle.

优选地,所述躯干固定组件包括支座,设置在支座顶部的躯干定位电机,与所述躯干定位电机传动连接的纵向滑块,与所述纵向滑块相连的连接件,其中,所述连接件还与躯干定位件相连。Preferably, the torso fixing assembly includes a support, a torso positioning motor arranged on the top of the support, a longitudinal slider connected to the torso positioning motor in a driving manner, and a connecting piece connected to the longitudinal slider, wherein the The connecting piece is also connected to the torso positioning piece.

优选地,所述支座包括支撑座,与所述支撑座相连的延长板,以及与所述支撑座垂直设置的支撑柱;所述支撑柱上设有供纵向滑块纵向通过的纵向滑动槽。Preferably, the support comprises a support base, an extension plate connected with the support base, and a support column vertically arranged with the support base; the support column is provided with a longitudinal sliding groove for the longitudinal sliding block to pass through. .

优选地,所述锥形孔的斜面与水平面的夹角为45°。Preferably, the angle between the inclined plane of the tapered hole and the horizontal plane is 45°.

另一方面,本发明还提供了一种神经外科术中固定装置的使用方法,包括以下步骤:On the other hand, the present invention also provides a method for using the fixation device in neurosurgery, comprising the following steps:

S1、操作人员将锁板滑入抽板插槽中;S2、操作人员将躯干定位针依次穿过通孔,锁板的固定孔插接进躯干定位本体中;S3、躯干定位电机工作,带动纵向滑块,连接件以及躯干定位件构成的整体结构下降,躯干定位针与患者躯干抵接;S4、躯干定位电机继续工作,直至躯干定位针与患者躯干充分接触;S5、操作人员将锁板回拉,将锁板的限位件卡入躯干定位针的插槽中;S6、患者躺在手术台上;S7、操作人员启动头部定位电机,驱动横向滑块在滑动槽中滑动,使设置在头部固定件上的头部定位针与患者的头部相抵接;S8、操作人员启动躯干定位电机,驱动纵向滑块,连接件以及躯干定位件构成的整体结构在支撑柱上进行纵向移动,使躯干定位针的缓冲件与患者的躯干相抵接。S1. The operator slides the locking plate into the slot of the drawing plate; S2. The operator passes the torso positioning needle through the through hole in turn, and the fixing hole of the locking plate is inserted into the torso positioning body; S3. The torso positioning motor works to drive The overall structure composed of the longitudinal slider, the connecting piece and the trunk positioning piece descends, and the trunk positioning needle abuts against the patient's trunk; S4, the trunk positioning motor continues to work until the trunk positioning needle is in full contact with the patient's torso; S5, the operator locks the plate Pull back and snap the limiter of the locking plate into the slot of the torso positioning needle; S6, the patient lies on the operating table; S7, the operator starts the head positioning motor, and drives the lateral slider to slide in the sliding slot, so that the The head positioning needle set on the head fixing piece is in contact with the patient's head; S8, the operator starts the trunk positioning motor, drives the longitudinal slider, and the overall structure formed by the connecting piece and the trunk positioning piece is longitudinally carried out on the support column. Move so that the bumper of the torso positioning needle abuts the patient's torso.

通过采用上述技术方案,本发明主要具有以下技术效果:By adopting the above-mentioned technical scheme, the present invention mainly has the following technical effects:

1、通过将头部定位针与患者的头部相抵接,利用固定电机工作,使得头部定位针与患者头部在挤压过程中,压缩弹簧,利用被压缩后的弹簧的回复力,限制患者的头部运动,进而避免患者发生乱动现象,影响治疗效果。1. By abutting the head positioning needle with the patient's head and using a fixed motor to work, the head positioning needle and the patient's head will compress the spring during the extrusion process, and use the restoring force of the compressed spring to limit the The patient's head movement, thereby preventing the patient from turbulent phenomenon, affecting the treatment effect.

2、通过设置锁板,以及与锁板滑动连接的抽板插槽,将锁板滑入抽板插槽中后将躯干定位针插接进躯干定位本体中,经躯干定位电机工作,使躯干定位针与患者躯干充分接触,再利用将锁板回拉,将锁板的限位件卡入躯干定位针的插槽中,从而对躯干定位针进行限位,避免躯干定位针在对患者的躯干进行限位时因患者活动导致躯干定位针失去固定护理作用,同时通过多根躯干定位针对患者躯干进行限位,固定效果更好。2. By setting the lock plate and the drawer slot that is slidably connected to the lock plate, slide the lock plate into the drawer slot and insert the torso positioning pin into the torso positioning body, and the torso positioning motor works to make the torso The positioning needle is in full contact with the patient's torso, and then the locking plate is pulled back, and the limiter of the locking plate is inserted into the slot of the torso positioning needle, so as to limit the torso positioning needle and prevent the torso positioning needle from hitting the patient's body. When the trunk is limited, the trunk positioning needle loses its fixed nursing effect due to the patient's movement. At the same time, the positioning of the patient's trunk is limited by multiple trunk positioning, and the fixation effect is better.

3、通过将头部定位针以及缓冲件的材质为医用硅胶,医用硅胶具有一定的弹性和柔软度,固定装置在对患者的头部和躯干进行限位时,能够有效对患者造成二次伤害。3. By making the head positioning needle and the buffer material medical silicone, the medical silicone has a certain elasticity and softness, and the fixing device can effectively cause secondary injury to the patient when the patient's head and torso are limited. .

4、设计结构合理,操作简便,操作人员通过调节头部定位电机和躯干定位电机即可对患者的头部和躯干进行限位,实用性强。4. The design structure is reasonable and the operation is simple. The operator can limit the patient's head and torso by adjusting the head positioning motor and the trunk positioning motor, which is highly practical.

附图说明Description of drawings

图1为本发明一种神经外科术中固定装置的结构示意图;1 is a schematic structural diagram of a neurosurgery fixation device of the present invention;

图2为本发明一种神经外科术中固定装置中头部固定组件的结构示意图;2 is a schematic structural diagram of a head fixing assembly in a neurosurgery intraoperative fixing device of the present invention;

图3为图2中A部分的放大图;Fig. 3 is an enlarged view of part A in Fig. 2;

图4为本发明一种神经外科术中固定装置中躯干固定组件的结构示意图;4 is a schematic structural diagram of a trunk fixation component in a neurosurgery intraoperative fixation device of the present invention;

图5为图4中B部分的放大图;Fig. 5 is an enlarged view of part B in Fig. 4;

图6为本发明一种神经外科术中固定装置的躯干定位针结构示意图;6 is a schematic structural diagram of a trunk positioning needle of a neurosurgery intraoperative fixation device of the present invention;

图7为本发明一种神经外科术中固定装置中躯干定位件(锁板回拉前)的部分剖视图;7 is a partial cross-sectional view of the trunk positioning member (before the locking plate is pulled back) in a neurosurgery intraoperative fixation device of the present invention;

图8为本发明一种神经外科术中固定装置中躯干定位件(锁板回拉后)的部分剖视图。8 is a partial cross-sectional view of the trunk positioning member (after the locking plate is pulled back) in a neurosurgery intraoperative fixation device of the present invention.

其中,附图标记的含义如下:Among them, the meanings of the reference signs are as follows:

1、手术台;1. Operating table;

2、头部固定组件;21、底座;211、滑动槽;212、伸缩输出轴;22、头部定位电机;23、横向滑块;24、头部固定件;241、头部定位槽;2411、通槽;2412、圆柱限位块;242、头部定位件;2421、头部定位针;2422、弹簧;2423、第一限位帽;2. Head fixing assembly; 21, Base; 211, Sliding slot; 212, Telescopic output shaft; 22, Head positioning motor; 23, Horizontal slider; 24, Head fixing part; 241, Head positioning slot; 2411 , through slot; 2412, cylindrical limit block; 242, head positioning piece; 2421, head positioning needle; 2422, spring; 2423, first limit cap;

3、躯干固定组件;31、支座;311、支撑座;312、延长板;313、支撑柱;3131、纵向滑动槽;32、躯干定位电机;33、纵向滑块;331、螺纹孔;34、连接件;341、斜面;35、躯干定位件;351、躯干定位本体;3511、通孔;352、抽板插槽;353、锁板;3531、固定孔;35311、锥形孔;35312、限位件;3532、U型把手;36、躯干定位针;361、定位针本体;362、插槽;363、第二限位帽;364、缓冲件。3. Trunk fixing assembly; 31. Support; 311, Support seat; 312, Extension plate; 313, Support column; 3131, Longitudinal sliding slot; 32, Torso positioning motor; 33, Longitudinal slider; 331, Tapped hole; 34 341, inclined surface; 35, trunk positioning piece; 351, trunk positioning body; 3511, through hole; 352, draw plate slot; 353, lock plate; 3531, fixing hole; 35311, tapered hole; Limiting piece; 3532, U-shaped handle; 36, trunk positioning needle; 361, positioning needle body; 362, slot; 363, second limit cap; 364, buffer piece.

具体实施方式Detailed ways

为了使本技术领域的人员更好地理解本发明方案,下面将结合本发明中的说明书附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有作出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。In order to make those skilled in the art better understand the solutions of the present invention, the technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the description of the present invention. Obviously, the described embodiments are only Some, but not all, embodiments of the present invention. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative efforts shall fall within the protection scope of the present invention.

在本文中提及“实施例”意味着,结合实施例描述的特定特征、结构或特性可以包含在本发明的至少一个实施例中。在说明书中的各个位置出现该短语并不一定均是指相同的实施例,也不是与其它实施例互斥的独立的或备选的实施例。本领域技术人员显式地和隐式地理解的是,本文所描述的实施例可以与其它实施例相结合。Reference herein to an "embodiment" means that a particular feature, structure, or characteristic described in connection with the embodiment can be included in at least one embodiment of the present invention. The appearances of the phrase in various places in the specification are not necessarily all referring to the same embodiment, nor a separate or alternative embodiment that is mutually exclusive of other embodiments. It is explicitly and implicitly understood by those skilled in the art that the embodiments described herein may be combined with other embodiments.

参阅图1-8,本发明提供了一种神经外科术中固定装置,所述神经外科术中固定装置在实际应用中,为对进行神经外科手术患者的头部和躯干在不同的角度以及高度上进行固定护理,以避免术中患者因意识不清等原因乱动而触碰伤口,碰掉输氧管或其他输液及治疗装置,进而影响治疗效果。其包括手术台1,设置在所述手术台1的一端的头部固定组件2,以及设置在所述手术台1两侧的躯干固定组件3。Referring to FIGS. 1-8, the present invention provides a neurosurgery intraoperative fixation device. In practical application, the neurosurgery intraoperative fixation device is used for different angles and heights of the head and torso of a patient undergoing neurosurgery. In order to prevent the patient from touching the wound due to confusion and other reasons during the operation, and knocking off the oxygen delivery tube or other infusion and treatment devices, the treatment effect will be affected. It includes an operating table 1 , a head fixing component 2 arranged at one end of the operating table 1 , and a trunk fixing component 3 arranged on both sides of the operating table 1 .

所述手术台1为用于便于神经外科手术病人躺卧的平台,所述头部固定组件2可以根据病人的具体躺卧位置放置于病人头部两侧,用于对神经外科手术中患者的头部进行固定护理,其包括长方体形的底座21,与所述底座21相连的头部定位电机22,与所述底座21滑动连接的横向滑块23,以及设置在所述横向滑块23顶部的头部固定件24。其中,所述底座21与横向滑块23滑动连接,可通过横向滑块23在底座21上滑动带动设置在横向滑块23顶部的头部固定件24跟随横向滑块23横向移动。具体地,所述底座21上横向设有方形的滑动槽211,所述头部定位电机22为伸缩电机,该伸缩电机的伸缩输出轴212与横向滑块23的底部相连,通过头部定位电机22工作,利用伸缩输出轴212驱动横向滑块23在滑动槽211中滑动,进而带动头部固定件24移动。The operating table 1 is a platform for the patient to lie down in the neurosurgery operation, and the head fixing assembly 2 can be placed on both sides of the patient's head according to the specific lying position of the patient, and is used for the neurosurgery operation. The head performs fixed care, which includes a cuboid-shaped base 21, a head positioning motor 22 connected to the base 21, a lateral slider 23 slidably connected to the base 21, and arranged on the top of the lateral slider 23 The head mount 24. The base 21 is slidably connected to the lateral slider 23 , and the lateral slider 23 can slide on the base 21 to drive the head fixing member 24 disposed on the top of the lateral slider 23 to move laterally with the lateral slider 23 . Specifically, a square sliding slot 211 is laterally provided on the base 21, the head positioning motor 22 is a telescopic motor, and the telescopic output shaft 212 of the telescopic motor is connected to the bottom of the lateral slider 23, and the head positioning motor 22 works, and the horizontal sliding block 23 is driven by the telescopic output shaft 212 to slide in the sliding groove 211, thereby driving the head fixing member 24 to move.

进一步地,所述横向滑块23的顶部设有方形头部固定件24,所述头部固定件24包括呈方阵式分布的多个水平设置的头部定位槽241,以及可设置于头部定位槽241中的多个头部定位件242,使用固定时,可根据患者头部的实际位置,将多个所述头部定位件242的一端选择合适位置固定在头部定位槽241中,另一端与患者的头部相抵接,进而利用多个头部定位件242同时对患者的头部进行限位来避免患者的头部在术中乱动。Further, the top of the lateral slider 23 is provided with a square head fixing member 24, and the head fixing member 24 includes a plurality of horizontally arranged head positioning grooves 241 distributed in a square array, and can be arranged on the head The plurality of head positioning members 242 in the positioning groove 241 can be fixed in the head positioning groove 241 by selecting one end of the plurality of head positioning members 242 according to the actual position of the patient's head. , and the other end is in contact with the patient's head, and then multiple head positioning members 242 are used to limit the patient's head at the same time to prevent the patient's head from tampering during the operation.

进一步地,所述头部定位件242包括头部定位针2421,与所述头部定位针2421一端相连的弹簧2422,以及与所述弹簧2422另一端相连的第一限位帽2423,其中,所述弹簧2422卡设于头部定位槽241中,具体地,所述头部定位槽241包括圆柱状通槽2411,以及与所述通槽2411一端相连且具有中心空腔的圆柱限位块2412,其中,所述圆柱限位块2412的中心空腔的直径小于弹簧2422的直径,略大于头部定位针2421的直径,通过设置限位块2412,可以将弹簧2422限定在通槽2411中压缩或拉伸,而弹簧端部连接的头部定位针2421则能够穿过圆柱限位块2412的中心空腔而伸出头部定位槽241外,与患者的头部相抵接,从而对患者的头部进行固定护理,同时,为固定通槽2411中的弹簧2422,所述弹簧2422远离头部定位针2421的一端与第一限位帽2423相连,第一限位帽2423固定卡设于通槽2411的另一端,通过固定第一限位帽2423,即可将弹簧2422以及与弹簧2422相连的头部定位针2421固定。Further, the head positioning member 242 includes a head positioning pin 2421, a spring 2422 connected with one end of the head positioning pin 2421, and a first limiting cap 2423 connected with the other end of the spring 2422, wherein, The spring 2422 is clamped in the head positioning groove 241. Specifically, the head positioning groove 241 includes a cylindrical through groove 2411 and a cylindrical limit block connected with one end of the through groove 2411 and having a central cavity. 2412, wherein the diameter of the central cavity of the cylindrical limit block 2412 is smaller than the diameter of the spring 2422 and slightly larger than the diameter of the head positioning pin 2421. By setting the limit block 2412, the spring 2422 can be limited in the through groove 2411 Compression or tension, and the head positioning needle 2421 connected at the end of the spring can pass through the central cavity of the cylindrical limit block 2412 and protrude out of the head positioning groove 241, and abut with the patient's head, so that the patient At the same time, to fix the spring 2422 in the through groove 2411, the end of the spring 2422 away from the head positioning needle 2421 is connected with the first limit cap 2423, and the first limit cap 2423 is fixed and clamped on the At the other end of the through slot 2411 , by fixing the first limiting cap 2423 , the spring 2422 and the head positioning pin 2421 connected to the spring 2422 can be fixed.

在此需要说明的是,本发明中同时包括两组相对设置的头部固定组件2,因此,当两组相对设置的头部固定组件2相互靠近时,首先移动两组头部固定组件2使其头部定位针2421分别与患者的两侧头部相抵接,启动两组头部定位电机22使其推动两组横向滑块23相对运动,进而带动头部固定件24移动,使得头部定位针2421与患者头部进一步靠近抵接,而位于通槽2411内的弹簧2422被压缩至一定程度,头部固定电机22停止工作,在被压缩的弹簧2422回复力作用下,进一步限制患者的头部运动,进而避免患者发生乱动。It should be noted here that the present invention includes two sets of oppositely arranged head fixing assemblies 2 at the same time. Therefore, when the two sets of oppositely arranged head fixing assemblies 2 are close to each other, first move the two sets of head fixing assemblies 2 to make the The head positioning needles 2421 are respectively abutted on both sides of the patient's head, and the two sets of head positioning motors 22 are activated to push the two sets of lateral sliders 23 to move relative to each other, and then drive the head fixture 24 to move, so that the head is positioned. The needle 2421 is further in contact with the patient's head, and the spring 2422 located in the through groove 2411 is compressed to a certain extent, the head fixing motor 22 stops working, and under the action of the restoring force of the compressed spring 2422, the patient's head is further restricted. movement to prevent the patient from moving.

当然,所述头部定位针2421对患者的头部进行限位时,为避免头部定位针2421对患者挤压时造成二次伤害,所述头部定位针2421的材质为具有一定弹性和柔软度的材料,优选地,所述头部定位针2421的材质为医用硅胶,在另一可选的实施例中,所述头部定位针2421与头部抵接的一端上还连接有与头部形状相适配的防护罩,提高患者的使用舒适度。Of course, when the head positioning needle 2421 limits the position of the patient's head, in order to avoid secondary injury when the head positioning needle 2421 squeezes the patient, the head positioning needle 2421 is made of a material with a certain degree of elasticity and elasticity. The material of softness, preferably, the material of the head positioning needle 2421 is medical silica gel. The protective cover adapted to the shape of the head improves the comfort of the patient.

所述躯干固定组件3包括支座31,设置在支座31顶部的躯干定位电机32,设置在所述躯干定位电机32底端且与其传动连接的纵向滑块33,与所述纵向滑块33相连的连接件34,与所述连接件34相连的躯干定位件35,以及与所述躯干定位件35活动连接的躯干定位针36。其中,所述支座31包括支撑座311,与所述支撑座311相连的延长板312,以及与所述支撑座311垂直设置的支撑柱313,所述支撑座311用于支撑躯干固定组件3;所述延长板312与支撑座311相连,且位于同一平面上,工作时与支撑座311同时与地面接触,用于增加支座31与地面的接触面积,以平衡躯干固定组件3的重心,使得放置于地面上的躯干固定组件3更加稳定。The torso fixing assembly 3 includes a support 31 , a torso positioning motor 32 disposed on the top of the support 31 , a longitudinal slider 33 disposed at the bottom end of the torso positioning motor 32 and drivingly connected to it, and the longitudinal slider 33 . The connected connecting piece 34 , the trunk positioning piece 35 connected with the connecting piece 34 , and the trunk positioning pin 36 movably connected with the trunk positioning piece 35 . The support base 31 includes a support base 311 , an extension plate 312 connected to the support base 311 , and a support column 313 vertically arranged with the support base 311 , and the support base 311 is used to support the trunk fixing assembly 3 ; The extension plate 312 is connected with the support base 311, and is located on the same plane, and is in contact with the ground at the same time with the support base 311 during operation, for increasing the contact area between the support base 31 and the ground, to balance the center of gravity of the trunk fixing assembly 3, It makes the trunk fixing assembly 3 placed on the ground more stable.

进一步地,所述躯干定位电机32设置在支撑柱313的顶部,用于驱动纵向滑块33,连接件34以及躯干定位件35构成的整体结构在支撑柱313上进行纵向上的移动,从而对患者的躯干进行固定护理。具体地,所述支撑柱313上设有可供纵向滑块33纵向通过的纵向滑动槽3131,即本发明中,纵向滑块33,连接件34以及躯干定位件35构成的整体结够进行纵向移动的具体方式为,躯干定位电机32与纵向滑块33相连,其中,所述躯干定位电机32也为伸缩电机,利用躯干定位电机32工作即可驱动纵向滑块33,连接件34以及躯干定位件35构成的整体结构在纵向滑动槽3131上纵向移动,在此对躯干定位电机32与纵向滑块33的连接方式不作限定,优选地,本实施例中,所述纵向滑块33上纵向设有螺纹孔331,利用螺纹孔331即可将纵向滑块33与躯干定位电机32相连。Further, the trunk positioning motor 32 is arranged on the top of the support column 313, and is used to drive the longitudinal slider 33, the overall structure formed by the connecting piece 34 and the trunk positioning piece 35 to move longitudinally on the support column 313, so as to The patient's torso is immobilized. Specifically, the support column 313 is provided with a longitudinal sliding groove 3131 for the longitudinal sliding block 33 to pass through. The specific way of moving is that the trunk positioning motor 32 is connected with the longitudinal slider 33, wherein the trunk positioning motor 32 is also a telescopic motor, and the longitudinal slider 33, the connecting piece 34 and the trunk positioning can be driven by the trunk positioning motor 32 working. The overall structure formed by the member 35 moves longitudinally on the longitudinal sliding groove 3131. The connection method between the trunk positioning motor 32 and the longitudinal slider 33 is not limited here. Preferably, in this embodiment, the longitudinal slider 33 is provided with a longitudinal There are threaded holes 331 , through which the longitudinal slider 33 can be connected to the trunk positioning motor 32 .

进一步地,所述连接件34将纵向滑块33与躯干定位件35相连,进而将纵向滑块33,连接件34以及躯干定位件35构成整体结构,其中,所述连接件34的上表面设有斜面341,用于减小连接件34重量的同时,增加结构强度,满足力学结构要求。Further, the connecting piece 34 connects the longitudinal sliding block 33 with the trunk positioning piece 35, and then the longitudinal sliding block 33, the connecting piece 34 and the trunk positioning piece 35 form an integral structure, wherein the upper surface of the connecting piece 34 is provided with an integral structure. The inclined surface 341 is used to reduce the weight of the connecting piece 34 and at the same time increase the structural strength to meet the requirements of the mechanical structure.

所述躯干定位件35包括躯干定位本体351,设置在所述躯干定位本体351内部的方形抽板插槽352,以及与所述抽板插槽352活动连接的锁板353,其中,所述躯干定位本体351上设有多个可供躯干定位针36贯穿的通孔3511,当然,所述通孔3511同时穿过设置在躯干定位本体351内部的抽板插槽352,操作人员将锁板353滑入抽板插槽352中即可将锁板353与躯干定位本体351活动连接。The trunk positioning member 35 includes a trunk positioning body 351, a square drawing board slot 352 disposed inside the trunk positioning body 351, and a locking plate 353 movably connected with the drawing board slot 352, wherein the trunk The positioning body 351 is provided with a plurality of through holes 3511 through which the torso positioning needle 36 can pass through. Of course, the through holes 3511 also pass through the drawer slot 352 provided inside the torso positioning body 351. The operator locks the plate 353 The locking plate 353 can be movably connected with the torso positioning body 351 by sliding it into the drawing plate slot 352 .

进一步地,所述锁板353上设有与所述通孔3511位置对应且相配合的固定孔3531,其中,所述固定孔3531为通孔,且其包括分别设置在锁板353上下两侧的锥形孔35311,上下两侧的锥形孔35311相互配合,相连后在连接部位构成一从固定孔3531的内部至边缘处,厚度逐渐增加的限位件35312,当然,上下两侧的锥形孔35311尺寸完全相同,所述限位件35312位于固定孔3531的中央位置。在此对锥形孔35311的斜面与水平面的夹角不作限定,优选地,本实施例中,所述锥形孔35311的斜面与水平面的夹角为45°。Further, the locking plate 353 is provided with a fixing hole 3531 corresponding to and matching the position of the through hole 3511 , wherein, the fixing hole 3531 is a through hole, and the fixing holes 3531 are respectively arranged on the upper and lower sides of the locking plate 353 . The conical holes 35311 on the upper and lower sides cooperate with each other, and after being connected, a limiter 35312 whose thickness gradually increases from the inside of the fixing hole 3531 to the edge is formed at the connecting part. The size of the shaped hole 35311 is exactly the same, and the limiting member 35312 is located in the center of the fixing hole 3531 . The angle between the inclined plane of the tapered hole 35311 and the horizontal plane is not limited here. Preferably, in this embodiment, the angle between the inclined plane of the tapered hole 35311 and the horizontal plane is 45°.

进一步地,所述躯干定位针36包括定位针本体361,沿所述定位针本体361杆体长度方向规格设置的多个插槽362,以及分别设置在所述定位针本体361两端的第二限位帽363和缓冲件364,其中,插槽362与锥形孔35311的尺寸相适配,所述躯干定位针36与躯干定位本体351上的通孔3511相互配合,所述躯干定位针36能够经通孔3511穿过抽板插槽352插接在躯干定位本体351中。所述躯干定位针36插接在躯干定位本体351中时,用于对躺在手术台1上患者的躯干进行固定护理,其中,所述第二限位帽363的直径大于通孔3511的直径,用于对躯干定位针36进行限位,以避免整个躯干定位针36穿过通孔3511,使其无法插接在躯干定位本体351上,所述缓冲件364与患者的躯干相抵接,用于对患者的躯干限位,以限制患者的躯干运动,进而避免患者发生乱动。其方式与头部定位针2421对患者头部限位的方式相同,在此不再赘述,当然,所述缓冲件364的材质也为医用硅胶。Further, the trunk positioning needle 36 includes a positioning needle body 361, a plurality of slots 362 set along the length direction of the positioning needle body 361, and second limiters respectively arranged at both ends of the positioning needle body 361. The cap 363 and the buffer member 364, wherein the slot 362 is adapted to the size of the tapered hole 35311, the trunk positioning pin 36 cooperates with the through hole 3511 on the trunk positioning body 351, and the trunk positioning pin 36 can pass through The through hole 3511 is inserted into the trunk positioning body 351 through the drawer slot 352 . When the trunk positioning needle 36 is inserted into the trunk positioning body 351 , it is used to fix the trunk of the patient lying on the operating table 1 , wherein the diameter of the second limiting cap 363 is larger than the diameter of the through hole 3511 , is used to limit the trunk positioning needle 36 to prevent the entire trunk positioning needle 36 from passing through the through hole 3511 so that it cannot be inserted into the trunk positioning body 351. It is used to limit the patient's trunk to limit the movement of the patient's trunk, thereby preventing the patient from moving. The method is the same as that of the head positioning needle 2421 for limiting the position of the patient's head, which will not be repeated here. Of course, the material of the buffer member 364 is also medical silica gel.

本发明中,躯干定位针36对患者躯干进行限位的具体过程为,首先是操作人员将锁板353滑入抽板插槽352中,然后将躯干定位针36依次穿过通孔3511,锁板353的固定孔3531插接进躯干定位本体351中,然后利用躯干定位电机32工作,带动纵向滑块33,连接件34以及躯干定位件35构成的整体结构下降,直至躯干定位针36与患者躯干抵接,随着躯干定位电机32继续工作,直至躯干定位针36与患者躯干充分接触,此时,躯干定位电机32停止工作,操作人员将锁板353回拉,即可将锁板353的限位件35312卡入躯干定位针36的插槽362中,从而对躯干定位针36进行限位,避免躯干定位针36因患者活动而失效。当然,本实施例中,可通过同时设置多组躯干固定组件3的方式来增强发明的实用性。当然,通过在一组固定组件3中设置多根躯干定位针36,工作时,与患者躯干在抵接时充分接触,进一步对患者的躯干进行限位。In the present invention, the specific process of positioning the torso positioning needle 36 on the patient's torso is as follows. First, the operator slides the locking plate 353 into the drawer slot 352, and then passes the torso positioning needle 36 through the through hole 3511 in sequence, and locks the lock plate 353. The fixing hole 3531 of the plate 353 is inserted into the trunk positioning body 351, and then the trunk positioning motor 32 is used to work to drive the longitudinal slider 33, the connecting piece 34 and the trunk positioning piece 35. The overall structure is lowered until the trunk positioning needle 36 and the patient The torso abuts, and the torso positioning motor 32 continues to work until the torso positioning needle 36 is in full contact with the patient's torso. At this time, the torso positioning motor 32 stops working, and the operator pulls the lock plate 353 back, and the lock plate 353 can be locked. The limiting member 35312 is snapped into the slot 362 of the trunk positioning needle 36, so as to limit the trunk positioning needle 36 and prevent the trunk positioning needle 36 from failing due to patient movement. Of course, in this embodiment, the practicability of the invention can be enhanced by arranging multiple groups of trunk fixing assemblies 3 at the same time. Of course, by arranging a plurality of trunk positioning needles 36 in one set of fixing assemblies 3, during operation, they are fully contacted with the patient's trunk when abutting, so as to further limit the position of the patient's trunk.

具体地,参阅图7-8,躯干定位件35对躯干定位针36进行限位的过程为,开设在躯干定位件35上的通孔3511的尺寸与躯干定位针36的尺寸相配合,可对躯干定位针36进行横向上的限位,当操作人员将锁板353回拉后,限位件35312正好卡入躯干定位针35的插槽362中,即可对躯干定位针36进行纵向上的限位,进而实现躯干定位件35对躯干定位针36进行限位。在此需要说明的是,本发明中,由于躯干定位针36的材质为医用硅胶,具有一定弹性和柔软度,即使锁板353回拉时,所述限位件35312未与插槽362的缺口在同一水平线上,也可通过限位件35312挤压躯干定位针35,使躯干定位针36的定位针本体361被压缩至一定程度后,限位件35312能够经被压缩的定位针本体361滑入插槽362的缺口中,对躯干定位针36进行纵向限位。Specifically, referring to FIGS. 7-8 , the process of limiting the position of the trunk positioning pin 36 by the trunk positioning member 35 is as follows: The trunk positioning needle 36 is limited in the lateral direction. When the operator pulls back the locking plate 353, the limiter 35312 is just locked into the slot 362 of the trunk positioning needle 35, and the trunk positioning needle 36 can be vertically positioned. The position of the torso positioning member 35 is limited, and the position of the torso positioning needle 36 is limited. It should be noted that, in the present invention, since the trunk positioning needle 36 is made of medical silicone, which has certain elasticity and softness, even when the locking plate 353 is pulled back, the limiting member 35312 does not have a gap with the slot 362 On the same horizontal line, the trunk positioning needle 35 can also be squeezed by the limiting member 35312, so that after the positioning needle body 361 of the trunk positioning needle 36 is compressed to a certain extent, the limiting member 35312 can slide through the compressed positioning needle body 361. into the notch of the slot 362 to limit the longitudinal position of the trunk positioning needle 36 .

进一步地,为方便操作人员将锁板353滑入抽板插槽352中,以及将锁板353从抽板插槽352中回拉,所述锁板353的一端上还设有U型把手3532。Further, in order to facilitate the operator to slide the lock plate 353 into the drawer slot 352 and pull the lock plate 353 back from the drawer slot 352, one end of the lock plate 353 is also provided with a U-shaped handle 3532. .

本发明提供的固定装置对神经外科手术患者进行固定护理包括以下步骤:S1、操作人员将锁板353滑入抽板插槽352中;S2、操作人员将躯干定位针36依次穿过通孔3511,锁板353的固定孔3531插接进躯干定位本体351中;S3、躯干定位电机32工作,带动纵向滑块33,连接件34以及躯干定位件35构成的整体结构下降,躯干定位针36与患者躯干抵接;S4、躯干定位电机32继续工作,直至躯干定位针36与患者躯干充分接触;S5、操作人员将锁板353回拉,将锁板353的限位件35312卡入躯干定位针36的插槽362中;S6、患者躺在手术台1上;S7、操作人员启动头部定位电机22,驱动横向滑块23在滑动槽211中滑动,使设置在头部固定件24上的头部定位针2421与患者的头部相抵接;S8、操作人员启动躯干定位电机32,驱动纵向滑块33,连接件34以及躯干定位件35构成的整体结构在支撑柱313上进行纵向移动,使躯干定位针36的缓冲件364与患者的躯干相抵接。The fixation device provided by the present invention performs the following steps to fix the neurosurgery patient: S1, the operator slides the locking plate 353 into the drawing plate slot 352; S2, the operator sequentially passes the trunk positioning needle 36 through the through hole 3511 , the fixing hole 3531 of the lock plate 353 is inserted into the trunk positioning body 351; S3, the trunk positioning motor 32 works to drive the longitudinal slider 33, the overall structure formed by the connecting piece 34 and the trunk positioning piece 35 is lowered, and the trunk positioning needle 36 is connected to The patient's torso is in contact; S4, the trunk positioning motor 32 continues to work until the trunk positioning needle 36 is fully in contact with the patient's torso; S5, the operator pulls back the locking plate 353, and the limiter 35312 of the locking plate 353 is inserted into the torso positioning needle 36 in the slot 362; S6, the patient is lying on the operating table 1; S7, the operator starts the head positioning motor 22, drives the transverse slider 23 to slide in the sliding slot 211, and makes the The head positioning needle 2421 is in contact with the patient's head; S8, the operator starts the trunk positioning motor 32, drives the longitudinal slider 33, and the overall structure formed by the connecting piece 34 and the trunk positioning piece 35 moves longitudinally on the support column 313, The bumper 364 of the torso positioning needle 36 is brought into abutment with the torso of the patient.

最后应说明的是:本发明实施例公开的仅为本发明较佳实施例而已,仅用于说明本发明的技术方案,而非对其限制;尽管参照前述实施例对本发明进行了详细的说明,本领域的普通技术人员应当理解;其依然可以对前述各项实施例所记载的技术方案进行修改,或者对其中部分技术特征进行等同替换;而这些修改或替换,并不使相应的技术方案的本质脱离本发明各项实施例技术方案的精神和范围。Finally, it should be noted that the embodiments of the present invention disclose only preferred embodiments of the present invention, and are only used to illustrate the technical solutions of the present invention, but not to limit them; although the present invention has been described in detail with reference to the foregoing embodiments It should be understood by those of ordinary skill in the art; it is still possible to modify the technical solutions recorded in the foregoing embodiments, or perform equivalent replacements to some of the technical features; and these modifications or replacements do not make the corresponding technical solutions. The essence of the invention deviates from the spirit and scope of the technical solutions of the various embodiments of the present invention.

Claims (8)

1. The fixing device in the neurosurgery is characterized by comprising an operating table (1), a head fixing component (2) arranged at one end of the operating table (1) and a plurality of groups of trunk fixing components (3) arranged at two sides of the operating table (1); the trunk fixing component (3) comprises a trunk positioning piece (35) and a trunk positioning needle (36) movably connected with the trunk positioning piece (35); the trunk positioning needle (36) comprises a positioning needle body (361), a slot (362) regularly arranged on the positioning needle body (361), and second limiting caps (363) and buffers (364) respectively arranged at two ends of the positioning needle body (361); the trunk positioning piece (35) comprises a trunk positioning body (351), a square draw plate slot (352) arranged in the trunk positioning body (351), and a lock plate (353) movably connected with the draw plate slot (352), wherein a plurality of through holes (3511) are formed in the trunk positioning body (351); the lock plate (353) is provided with a fixing hole (3531) matched with the through hole (3511), wherein the fixing hole (3531) comprises tapered holes (35311) respectively arranged at the upper side and the lower side of the lock plate (353), the tapered holes (35311) at the upper side and the lower side are matched with each other, and after being connected, a limiting piece (35312) with gradually increased thickness is formed at a connecting part; the lock plate (353) slides into the drawing plate slot (352) and is used for enabling the limiting piece (35312) to be clamped into the slot (362) of the trunk positioning pin (36) after being pulled back so as to limit the trunk positioning pin (36) penetrating through the trunk positioning piece (35).
2. A neurosurgical fixation device according to claim 1, wherein the head fixation assembly (2) comprises a cuboid shaped base (21), a head positioning motor (22) connected to the base (21), a transverse slider (23) slidably connected to the base (21), and a head fixation member (24) arranged on top of the transverse slider (23).
3. A neurosurgical fixation device according to claim 2 wherein the head fixation member (24) comprises a plurality of head positioning slots (241) arranged laterally in a regular pattern, and head positioning members (242) respectively arranged in the head positioning slots (241); the head positioning piece (242) comprises a head positioning needle (2421), a spring (2422) connected with one end of the head positioning needle (2421), and a first limiting cap (2423) connected with the other end of the spring (2422), wherein the spring (2422) is clamped in the head positioning groove (241).
4. The neurosurgical fixing device according to claim 3, wherein the head positioning groove (241) comprises a cylindrical through groove (2411) and a cylindrical limiting block (2412) which is connected with one end of the through groove (2411) and has a hollow structure, wherein the diameter of the hollow structure of the cylindrical limiting block (2412) is smaller than that of the through groove (2411) and larger than that of the head positioning needle (2421).
5. A neurosurgical fixation device according to any one of claims 1-4, wherein the trunk fixation assembly (3) comprises a support (31), a trunk positioning motor (32) arranged on top of the support (31), a longitudinal slide (33) in transmission connection with the trunk positioning motor (32), and a connecting member (34) connected with the longitudinal slide (33), wherein the connecting member (34) is further connected with a trunk positioning member (35).
6. A neurosurgical fixation device according to claim 5, wherein the support (31) comprises a support base (311), an extension plate (312) connected to the support base (311), and a support post (313) arranged perpendicular to the support base (311); the supporting column (313) is provided with a longitudinal sliding groove (3131) for the longitudinal sliding block (33) to longitudinally pass through.
7. A neurosurgical fixation device according to claim 1 wherein the inclined surface of the tapered hole (35311) is angled at 45 ° to the horizontal.
8. A method of using a fixation device in neurosurgery, using a fixation device according to any of claims 1-7, comprising the steps of:
s1, an operator slides the lock plate (353) into the draw plate slot (352); s2, an operator sequentially penetrates the trunk positioning needle (36) through the through hole (3511), and the fixing hole (3531) of the lock plate (353) is inserted into the trunk positioning body (351); s3, the trunk positioning motor (32) works to drive the longitudinal slide block (33), the whole structure formed by the connecting piece (34) and the trunk positioning piece (35) to descend, and the trunk positioning needle (36) is abutted to the trunk of the patient; s4, the trunk positioning motor (32) continues to work until the trunk positioning needle (36) is fully contacted with the trunk of the patient; s5, an operator pulls back the lock plate (353), and the limit piece (35312) of the lock plate (353) is clamped into the slot (362) of the trunk positioning pin (36); s6, laying the patient on the operating table (1); s7, the operator starts the head positioning motor (22) to drive the transverse slide block (23) to slide in the slide groove (211), so that the head positioning needle (2421) arranged on the head fixing piece (24) is abutted to the head of the patient; s8, the operator starts the trunk positioning motor (32) to drive the whole structure composed of the longitudinal slide block (33), the connecting piece (34) and the trunk positioning piece (35) to move longitudinally on the supporting column (313), so that the buffer piece (364) of the trunk positioning needle (36) is abutted to the trunk of the patient.
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