CN113598873A - Multi-layer osteotomy navigation device for oral surgery - Google Patents
Multi-layer osteotomy navigation device for oral surgery Download PDFInfo
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- CN113598873A CN113598873A CN202110897162.XA CN202110897162A CN113598873A CN 113598873 A CN113598873 A CN 113598873A CN 202110897162 A CN202110897162 A CN 202110897162A CN 113598873 A CN113598873 A CN 113598873A
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- fixedly connected
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1732—Guides or aligning means for drills, mills, pins or wires for bone breaking devices
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/04—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/24—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the mouth, i.e. stomatoscopes, e.g. with tongue depressors; Instruments for opening or keeping open the mouth
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
- A61B2034/2046—Tracking techniques
- A61B2034/2065—Tracking using image or pattern recognition
Abstract
The invention relates to the technical field of oral surgery, in particular to a multi-layer osteotomy navigation device for oral surgery, which comprises a bracing module and a tube delivery module, wherein the bracing module is movably clamped with two opening plates, the tube delivery module comprises an L-shaped rod, the bottom end of the L-shaped rod is fixedly connected with the bracing module, one end of the top of the L-shaped rod is fixedly connected with a conveying box, the top surface of the conveying box is provided with a conveying groove, and the inner side surface of the conveying box is rotatably connected with two conveying blocks. According to the invention, the conveying box is rotatably connected with the conveying block, the endoscope tube can be conveyed through the conveying block, the round block can enable the endoscope tube to bend towards one side, the angle of the round block can be adjusted through the power mechanism, so that the bending direction of the endoscope tube can be adjusted, the endoscope tube does not need to be manually held, the same tube conveying length and direction can be carried out in subsequent inspection, the photographing angle and range are kept unchanged, and the observation of the postoperative wound recovery condition is facilitated.
Description
Technical Field
The invention relates to the technical field of oral surgery, in particular to a multi-layer osteotomy navigation device for oral surgery.
Background
Oral surgery is a subject mainly for surgical treatment and mainly aims at studying oral organs, facial soft tissues, maxilla, mandible, zygomatic bone and the like. And when excision operations such as angle of mandible, because the incision in the oral cavity can effectively hide the scar, and can reduce the risk of facial nerve damage during the operation, consequently operation incision also shifts inside the oral cavity by the outside in some osteotomy operations, but can make the art wild diminish when the operation is carried out inside the oral cavity, consequently in order to observe the inside condition of cutting the bone of oral cavity, can adopt endoscope etc. to observe the incision of oral cavity inside sometimes, go on in order to guarantee the smooth of operation and postoperative maintenance recovery.
When the osteotomy operation is carried out in the oral cavity, in order to increase the operation space, a mouth gag and the like are used for propping open the oral cavity of a patient, then a doctor holds an endoscope by hand to search the inside of the oral cavity, the wound recovery situation after the osteotomy operation is observed through a shot photo, but the wound is shot by the manual hand holding the endoscope, the angle and the range of each shot are easy to change, so that when the wound photo shot at this time is compared with the photo shot before, the position, the angle and the like of the wound presented by the two photos are easy to deviate, and the observation of the wound recovery situation after the operation is not facilitated.
Disclosure of Invention
In order to overcome the above technical problems, an object of the present invention is to provide a multi-layered osteotomy navigation device for oral surgery, in which a delivery block is rotatably connected to a delivery box, an endoscope tube can be delivered through the delivery block, and a round block can bend the endoscope tube to one side, and the angle of the round block can be adjusted by a power mechanism, so as to adjust the bending direction of the endoscope tube, and the endoscope tube does not need to be manually held by hand, and the same tube delivery length and direction can be performed in subsequent examination, so that the angle and range of photographing can be maintained, and observation of the recovery condition of a wound after surgery can be facilitated.
The purpose of the invention can be realized by the following technical scheme:
the multi-layer osteotomy navigation device comprises a bracing module and a tube delivery module, wherein the bracing module is movably clamped with two opening plates, the tube delivery module comprises an L-shaped rod, the bottom end of the L-shaped rod is fixedly connected with the bracing module, one end of the top of the L-shaped rod is fixedly connected with a delivery box, the top surface of the delivery box is provided with a delivery groove, the inner side surface of the delivery box is rotatably connected with two delivery blocks, an endoscope tube can pass through the delivery groove and pass through the delivery box between the two delivery blocks, the side surface of the delivery box is fixedly connected with a power mechanism for driving one delivery block to rotate, the power mechanism can drive one delivery block to rotate so as to deliver the endoscope tube, the bottom surface of the delivery box is rotatably connected with a rotating tube rotatably connected with the power mechanism corresponding to the delivery groove, and the side wall of the rotating tube is fixedly sleeved with a gear III in transmission connection with the power mechanism, the bottom of the side wall of the rotating pipe is fixedly connected with an adjusting plate, the bottom surface of the adjusting plate is connected with two connecting plates in a sliding manner, the bottoms of opposite surfaces of the two connecting plates are connected with a round block in a rotating manner corresponding to the conveying grooves, the endoscope pipe can enter the rotating pipe after penetrating through the conveying grooves, then the bottom end of the endoscope pipe is in contact with one side of the top of the side wall of the round block, the round block can rotate at will, so that the bottom end of the endoscope pipe can bend along the side wall of the round block, the rotating pipe can be driven to rotate by a power mechanism through three gears, the round block is driven to rotate by the connecting plate of the adjusting plate, the bottom end of the endoscope pipe faces one side of a wound to inspect the wound, the endoscope pipe does not need to be manually held, the bracing module and the pipe conveying module can be matched with a control system for controlling the start and stop of the power mechanism, and the start time of the power mechanism can be recorded by the control system, the length of the endoscope tube for the first time is known, the angle of the adjusting round block is recorded, the length and the bending direction of the tube for the first time are recorded, and the same length and direction of the endoscope tube can be conveyed in subsequent examination, so that the angle and the range of subsequent photographing are the same as those in the first time, the wound recovery condition can be conveniently compared, and the observation of the wound recovery condition after the operation is facilitated.
Further, the method comprises the following steps: the stretching module comprises a neck pillow, the neck pillow can be placed on a patient bed, the neck of a patient is attached to the neck pillow, the stretching module does not need to be held by hands, the use is convenient, side frames are fixedly connected to the bottoms of two sides of the neck pillow, a two-way screw rod is rotatably connected to the bottom of the side of the neck pillow, two sides of the neck pillow are respectively provided with a vertical rod which is slidably connected with the inner side surface of the adjacent side frame, the bottom end of the vertical rod is rotatably connected with the side wall of the two-way screw rod, the top of the side surface of the vertical rod is slidably connected with an adjusting rod, two opposite surfaces of the adjusting rods are respectively slidably connected with a pull rod, one end of each pull rod opposite to the adjacent opening plate is movably clamped with the adjacent opening plate, the pull rod can be moved along the adjusting rod, the opening plate is opposite to the mouth of the patient, then the adjusting rod is moved downwards to drive the pull rod and the opening plate to move downwards, so that the opening plate moves to the mouth of the patient, then rotate two-way lead screw, make two pole setting removals mutually in the opposite directions, the pole setting can make two division board removals mutually in the opposite directions through adjusting pole and pull rod, struts patient's mouth, easy operation, and can adapt to different age bracket, the people of mouth variation in size, be convenient for operate and the inspection, lie in with sending tub module with the pull rod top surface and L type pole bottom sliding connection of one side, and the adjustment tank has been seted up to the pull rod top surface, adjustment tank medial surface sliding connection have with L type pole bottom fixed connection's sliding block, L type pole and sliding block can follow the adjustment tank and remove, can remove sending tub module to the pull rod directly over like this, send tub module can not block patient oral cavity top like this, avoid influencing going on of patient's intraoral operation.
Further, the method comprises the following steps: one end of the adjusting rod is fixedly connected with a first limiting block which is connected with the inner side surface of the adjacent vertical rod in a sliding manner, the side surface of the vertical rod is fixedly connected with a fixed rod which is connected with the side surface of the adjusting rod in a sliding manner, the side surface of the adjusting rod is connected with a first screw which is in contact with the side surface of the fixed rod in a screwing manner, the fixed rod and the first limiting block can limit the moving direction of the adjusting rod, the first screw can be attached to the fixed rod after the first screw is screwed, so that the height of the adjusting rod is fixed, one end of the pull rod is fixedly connected with a second limiting block which is connected with the inner side surface of the adjacent adjusting rod in a sliding manner, the two limiting blocks are connected with a second screw which is in sliding connection with the inner side surface of the adjusting rod in a screwing manner, one end of the second screw is in contact with the outer side surface of the adjusting rod, the second limiting position of the pull rod, therefore, the position of the opening plate can be limited during operation, and the operation is simple and convenient.
Further, the method comprises the following steps: the adjusting groove inner side surface is rotatably connected with an adjusting screw rod connected with the sliding block in a rotating mode, a driving mechanism connected with one end of the adjusting screw rod in a transmission mode is arranged inside the pull rod, the adjusting screw rod can limit the position of the sliding block, the sliding block and the pipe conveying module are prevented from moving at will, the driving mechanism can drive the adjusting screw rod to rotate, and therefore the sliding block and the pipe conveying module can be adjusted in position, and starting and stopping of the driving mechanism can be controlled through the control system.
Further, the method comprises the following steps: the utility model discloses a mouth opening plate, including opening plate lateral wall, pull rod, opening plate lateral wall top fixedly connected with and pull rod side sliding connection's inserted block, the pull rod top surface closes soon to be connected with closes soon with the inserted block and closes the screw three of being connected, with the back of screwing out screw three, can separate inserted block and pull rod, is convenient for change new opening plate, can change the different opening plate of size simultaneously to adapt to the patient of mouth variation in size.
Further, the method comprises the following steps: the power mechanism comprises a power box, the side face of the power box is fixedly connected with the side face of a conveying box, the inner side face of the power box is fixedly connected with a motor I, the output end of the motor I is rotatably connected with the inner side face of the conveying box, the output end of the motor I is in transmission connection with the side face of a conveying block, the motor I can drive the conveying block to rotate, so that an endoscope tube is conveyed through the conveying block, the starting and stopping of the motor I can be controlled through a control system, the starting time of the motor I is recorded, the bottom face of the power box is fixedly connected with a fixing ring, the bottom face of the fixing ring is fixedly connected with a limiting box which is rotatably connected with the outer side wall of the rotating tube, the inner bottom face of the limiting box is rotatably connected with a transmission rod which penetrates through the fixing ring, the inner side face of the limiting box is fixedly connected with a motor II, the output end of the motor II is in transmission connection with the top end of the transmission rod, and the side face of the transmission rod, which is positioned in the limiting box, is fixedly sleeved with a gear I which is in meshing transmission with a gear III, the second motor can drive the transfer line and rotate, the transfer line can drive the rotating tube rotation through the first gear and the third gear, thereby drive the round block rotation through the regulating plate, can control the start and stop of the second motor through control system, and carry out the record to the start-up time of the second motor, thereby record the second motor and drive round block pivoted angle, after checking at every turn, can rotate the round block to initial position through the second motor, can control the round block pivoted angle at every turn through the start-up time of the second motor like this, carry box bottom surface fixedly connected with and rotate the spacing ring of being connected with the rotating tube top, the spacing ring can restrict the position of rotating tube.
Further, the method comprises the following steps: the conveying box is characterized in that a partition plate is fixedly connected to the inner side face of the conveying box, a U-shaped frame is slidably connected to the side face of the partition plate, one end of the inner side face of the U-shaped frame is rotatably connected to the side face of another conveying block, the partition plate deviates from the conveying block, the side face of the partition plate is fixedly connected with a spring fixedly connected to the side face of the U-shaped frame, the spring can enable another conveying block to attach the endoscope tube to one conveying block, and the endoscope tube can be conveyed through the conveying blocks only by driving one conveying block to rotate through a power mechanism.
Further, the method comprises the following steps: the top surface of the connecting plate is fixedly connected with a clamping block which is in sliding connection with the inner side surface of the bottom of the adjusting plate, the clamping block can limit the moving direction of the connecting plate, one side of the bottom surface of the adjusting plate, which is far away from the rotating pipe, is fixedly connected with a motor III, the output end of the motor III is in rotating connection with the inner side surface of the fixing box, the output end of the motor III is fixedly sleeved with a gear II, the bottom surface of the adjusting plate is in sliding connection with a toothed plate which is in meshing transmission with the gear II, one end of the toothed plate is fixedly connected with connecting blocks which are fixedly connected with the side surfaces of the two connecting plates, the top surface of the connecting blocks is in sliding connection with the bottom surface of the adjusting plate, the motor III can drive the connecting blocks to move through the gear II and the toothed plate, the connecting blocks can drive the round blocks to move through the connecting plates, so that the round blocks are far away from or close to the rotating pipe to move, and the bending degree of the endoscope pipe can be adjusted, be convenient for shoot the wound of different positions, simultaneously can be through the start-up of control system control motor three to the start time to motor three records, thereby record the distance that motor three drove the disk and remove, after the inspection at every turn, can remove the disk to initial position through motor three, can control the distance that the disk removed at every turn through the start time of control motor three like this, thereby the crooked degree of control endoscope pipe.
The invention has the beneficial effects that:
1. the conveying box is rotatably connected with the conveying block, an endoscope can penetrate through the conveying groove, then the conveying block is rotated through the power mechanism, so that the endoscope tube is conveyed into the oral cavity of a patient, after the endoscope tube is contacted with the round block, the round block can enable the endoscope tube to bend to one side, the adjusting plate can be rotated through the power mechanism, so that the bending direction of the endoscope tube is adjusted, the camera at the bottom end of the endoscope tube can face the wound of the patient, the endoscope tube does not need to be manually held, after the length and the bending direction of the tube are recorded for the first time, the same conveying length and direction of the endoscope tube can be carried out for subsequent examination, so that the angle and the range of subsequent shooting are the same as those for the first time, the recovery condition of the wound can be compared conveniently, and the observation of the recovery condition of the wound after operation is facilitated;
2. through pull rod one end and opening plate activity joint, when performing operation or inspection, patient's neck can lean on the neck pillow, then the position through regulation pole and pull rod, make opening plate position patient's oral cavity, then rotate two-way lead screw, make two oral cavity boards remove mutually in opposite directions, prop open patient's mouth, moreover, the operation is simple, and can adapt to different age bracket, the people of mouth variation in size, be convenient for perform operation and inspection, through inserted block and pull rod sliding connection, can unscrew the screw three, the opening plate that can more renew like this, thereby adapt to the people of different mouth sizes, and it is comparatively simple to change, the preparation work of being convenient for perform the operation.
Drawings
The invention will be further described with reference to the accompanying drawings.
FIG. 1 is a schematic view of the overall structure of the multi-layer osteotomy navigation device of the present invention;
FIG. 2 is a schematic structural view of a bracing module according to the present invention;
FIG. 3 is a front view of a bracing module of the present invention;
figure 4 is a schematic illustration of the pole construction of the present invention;
FIG. 5 is an inside elevational view of the tie rod of the present invention;
FIG. 6 is a schematic view of a tube-feeding module according to the present invention;
FIG. 7 is a schematic view of the bottom structure of the transport box of the present invention;
FIG. 8 is a top view of the interior of the transport box and power box of the present invention;
FIG. 9 is an inside view of the power cartridge and the retaining cartridge of the present invention;
fig. 10 is a schematic view of the bottom structure of the regulating plate in the present invention.
In the figure: 100. a bracing module; 110. a neck pillow; 111. a side frame; 120. erecting a rod; 121. fixing the rod; 130. a bidirectional screw rod; 140. adjusting a rod; 141. a first limiting block; 150. a pull rod; 151. a second limiting block; 152. adjusting the screw rod; 153. a slider; 200. a pipe conveying module; 210. an L-shaped rod; 220. a transport box; 221. a limiting ring; 222. a partition plate; 223. a spring; 224. a U-shaped frame; 230. a power mechanism; 231. a power cartridge; 232. a limiting box; 233. a first motor; 234. a second motor; 235. a transmission rod; 236. a first gear; 240. an adjusting plate; 241. a fixing box; 242. a toothed plate; 243. a third motor; 244. a second gear; 245. connecting blocks; 250. rotating the tube; 251. a third gear; 260. a connecting plate; 261. a round block; 262. a bit block; 270. a conveying block; 300. an opening plate; 310. and (5) inserting the blocks.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Referring to fig. 1-10, the multi-layered osteotomy navigation device for oral surgery comprises a tension module 100 and a tube delivery module 200, wherein the tension module 100 is movably clamped with two opening plates 300, the tube delivery module 200 comprises an L-shaped rod 210, the bottom end of the L-shaped rod 210 is fixedly connected with the tension module 100, one end of the top of the L-shaped rod 210 is fixedly connected with a delivery box 220, the top surface of the delivery box 220 is provided with a delivery slot, the inner side surface of the delivery box 220 is rotatably connected with two delivery blocks 270, an endoscope tube can pass through the delivery slot and pass through the delivery box 220 between the two delivery blocks 270, the side surface of the delivery box 220 is fixedly connected with a power mechanism 230 for driving one delivery block 270 to rotate, the power mechanism 230 can drive one delivery block 270 to rotate, so as to deliver the endoscope tube, the rotating tube 250 rotatably connected with the power mechanism 230 is rotatably connected to the bottom surface of the delivery box 220 corresponding to the delivery slot, the side wall of the rotating tube 250 is fixedly sleeved with a gear three 251 in transmission connection with the power mechanism 230, the bottom of the side wall of the rotating tube 250 is fixedly connected with an adjusting plate 240, the bottom surface of the adjusting plate 240 is connected with two connecting plates 260 in a sliding manner, the bottoms of opposite surfaces of the two connecting plates 260 are connected with a round block 261 in a rotating manner corresponding to a conveying groove, the endoscope tube can enter the rotating tube 250 after penetrating through the conveying groove, then the bottom end of the endoscope tube can be contacted with one side of the top of the side wall of the round block 261, as the round block 261 can rotate freely, the bottom end of the endoscope tube can be bent along the side wall of the round block 261, the power mechanism 230 can drive the rotating tube 250 to rotate through the gear three 251, so that the round block 261 is driven to rotate by the connecting plate 260 through the adjusting plate 240, the bottom end of the endoscope tube can be directed to one side of a wound to inspect the wound, and the wound is not required to manually hold the endoscope tube, and the tension module 100 and the tube feeding module 200 can be matched with a control system, the endoscope tube conveying device is used for controlling the starting and stopping of the power mechanism 230, meanwhile, the starting time of the power mechanism 230 can be recorded through the control system, the length of the endoscope tube conveyed for the first time can be known, the angle of the adjusting round block 261 can be recorded, the length and the bending direction of the tube conveyed for the first time can be recorded, and therefore the same length and direction of the endoscope tube can be conveyed for subsequent examination, the angle and the range of subsequent shooting are the same as those of the first time, the wound recovery condition can be conveniently compared, and observation of the wound recovery condition after the operation can be facilitated.
The bracing module 100 comprises a neck pillow 110, the neck pillow 110 can be placed on a patient bed to make the neck of a patient lean against the neck pillow 110, thus the bracing module 100 is convenient to use without being held by hands, the bottoms of two sides of the neck pillow 110 are fixedly connected with side frames 111, the bottom of the side of the neck pillow 110 is rotatably connected with a bidirectional screw 130 rotatably connected with the side frames 111, two sides of the neck pillow 110 are respectively provided with an upright rod 120 slidably connected with the inner side of the adjacent side frame 111, the bottom end of the upright rod 120 is rotatably connected with the side wall of the bidirectional screw 130, the top of the side of the upright rod 120 is slidably connected with an adjusting rod 140, the opposite surfaces of the two adjusting rods 140 are respectively slidably connected with a pull rod 150, the opposite ends of the two pull rods 150 are movably clamped with the adjacent opening plate 300, the pull rods 150 can be moved along the adjusting rods 140 to make the opening plate 300 face the mouth of the patient, then the adjusting rods 140 are moved downwards to drive the pull rods 150 and the opening plate 300 to move downwards, make opening plate 300 move patient's mouth, then rotate two-way lead screw 130, make two pole setting 120 move back to back, pole setting 120 can make two opening plate 300 move back to back through regulation pole 140 and pull rod 150, prop open patient's mouth, moreover, the operation is simple, and can adapt to different age bracket, people of mouth variation in size, be convenient for carry out operation and inspection, be located with sending tub module 200 with pull rod 150 top surface and L type pole 210 bottom sliding connection of one side, and pull rod 150 top surface has seted up the adjustment tank, adjustment tank medial surface sliding connection have with L type pole 210 bottom fixed connection's sliding block 153, L type pole 210 and sliding block 153 can be followed the adjustment tank and moved, can be so with sending tub module 200 and moving pull rod 150 directly over, send tub module 200 can not block patient oral cavity top like this, avoid influencing going on of operation in patient's oral cavity.
One end of the adjusting rod 140 is fixedly connected with a first limiting block 141 which is slidably connected with the inner side of the adjacent upright rod 120, the side of the upright rod 120 is fixedly connected with a fixed rod 121 which is slidably connected with the side of the adjusting rod 140, the side of the adjusting rod 140 is rotatably connected with a first screw which is in contact with the side of the fixed rod 121, the fixed rod 121 and the first limiting block 141 can limit the moving direction of the adjusting rod 140, after the first screw is screwed, the first screw can be attached to the fixed rod 121 so as to fix the height of the adjusting rod 140, one end of the pull rod 150 is fixedly connected with a second limiting block 151 which is slidably connected with the inner side of the adjacent adjusting rod 140, the side of the second limiting block 151 is rotatably connected with a second screw which is slidably connected with the inner side of the adjusting rod 140, one end of the second screw is in contact with the outer side of the adjusting rod 140, the second limiting block 151 can limit the moving direction of the pull rod 150, the second screw can be screwed so as to enable the second screw to be attached to the outer side wall of the adjusting rod 140, the position of the pull rod 150 is limited, so that the position of the opening plate 300 can be limited during operation, and the operation is simple and convenient.
The adjusting groove medial surface is connected with the accommodate screw 152 who closes the connection soon with sliding block 153 in a rotating way, and the inside actuating mechanism who is connected with accommodate screw 152 one end transmission that is provided with of pull rod 150, and accommodate screw 152 can limit the position of sliding block 153, avoids sliding block 153 and send tub module 200 to remove at will, and actuating mechanism can drive accommodate screw 152 and rotate to the position of adjusting sliding block 153 and sending tub module 200, can control actuating mechanism's start-up and stop through control system. The top of the side wall of the opening plate 300 is fixedly connected with an insertion block 310 which is connected with the side face of the pull rod 150 in a sliding mode, the top face of the pull rod 150 is connected with a third screw which is connected with the insertion block 310 in a screwing mode, the insertion block 310 and the pull rod 150 can be separated after the third screw is screwed out, the opening plate 300 which is convenient to replace, and meanwhile, the opening plate 300 with different sizes can be replaced, so that the novel opening plate is suitable for patients with different sizes of mouths.
The power mechanism 230 comprises a power box 231, the side surface of the power box 231 is fixedly connected with the side surface of the conveying box 220, the inner side surface of the power box 231 is fixedly connected with a motor I233, the output end of the motor I233 is rotatably connected with the inner side surface of the conveying box 220, the output end of the motor I233 is in transmission connection with the side surface of a conveying block 270, the motor I233 can drive the conveying block 270 to rotate, so that the endoscope tube is conveyed through the conveying block 270, the starting and stopping of the motor I233 can be controlled through a control system, the starting time of the motor I233 is recorded, a fixing ring is fixedly connected with the bottom surface of the power box 231, a limiting box 232 which is rotatably connected with the outer side wall of the rotating tube 250 is fixedly connected with the bottom surface of the fixing ring, a transmission rod 235 which penetrates through the fixing ring is rotatably connected with the inner bottom surface of the limiting box 232, a motor II 234 is fixedly connected with the inner side surface of the limiting box 232, and the output end of the motor II 234 is in transmission connection with the top end of the transmission rod 235, the side face of the transmission rod 235, which is located in the limiting box 232, is fixedly sleeved with a first gear 236 in meshing transmission with a third gear 251, a second motor 234 can drive the transmission rod 235 to rotate, the transmission rod 235 can drive the rotation tube 250 to rotate through the first gear 236 and the third gear 251, so that the round block 261 is driven to rotate through the adjusting plate 240, the start and stop of the second motor 234 can be controlled through the control system, the start time of the second motor 234 is recorded, the rotation angle of the round block 261 driven by the second motor 234 is recorded, after each inspection is finished, the round block 261 can be rotated to the initial position through the second motor 234, so that the rotation angle of the round block 261 can be controlled by controlling the start time of the second motor 234, the bottom face of the conveying box 220 is fixedly connected with a limiting ring 221 in rotating connection with the top end of the rotation tube 250, and the limiting ring 221 can limit the position of the rotation tube 250.
The inner side surface of the conveying box 220 is fixedly connected with a partition plate 222, the side surface of the partition plate 222 is slidably connected with a U-shaped frame 224 which is slidably connected with the conveying box 220, one end of the inner side surface of the U-shaped frame 224 is rotatably connected with the side surface of the other conveying block 270, the side surface of the partition plate 222 which is far away from the conveying block 270 is fixedly connected with a spring 223 which is fixedly connected with the side surface of the U-shaped frame 224, under the action of the spring 223, the other conveying block 270 can enable the endoscope tube to be attached to one conveying block 270, and therefore, only one conveying block 270 is driven to rotate through the power mechanism 230, and the endoscope tube can be conveyed through the conveying block 270. The top surface of the connecting plate 260 is fixedly connected with a clamping block 262 which is slidably connected with the inner side surface of the bottom of the adjusting plate 240, the clamping block 262 can limit the moving direction of the connecting plate 260, one side of the bottom surface of the adjusting plate 240, which is far away from the rotating tube 250, is fixedly connected with a fixing box 241, the inner bottom surface of the fixing box 241 is fixedly connected with a motor 243, the output end of the motor 243 is rotatably connected with the inner side surface of the fixing box 241, the output end of the motor 243 is fixedly sleeved with a gear II 244, the bottom surface of the adjusting plate 240 is slidably connected with a toothed plate 242 which is in meshed transmission with the gear II 244, one end of the toothed plate 242 is fixedly connected with connecting blocks 245 which are fixedly connected with the side surfaces of the two connecting plates 260, the top surface of the connecting block 245 is slidably connected with the bottom surface of the adjusting plate 240, the motor 243 can drive the connecting blocks 245 to move through the gear II 244 and the toothed plate 244, the connecting blocks 245 can drive the round blocks 261 to move through the connecting plates 260, thereby adjusting the position of the round blocks 261, make the circle block 261 keep away from or be close to the rotating tube 250 and remove, can adjust the circle block 261 like this and make the crooked degree of endoscope pipe, be convenient for shoot the wound of different positions, can control the start-up of motor three 243 through control system simultaneously, and record the start-up time of motor three 243, thereby record the distance that motor three 243 drove circle block 261 to move, after every inspection, can move circle block 261 to initial position through motor three 243, can control the distance that circle block 261 moved every time through the start-up time of control motor three 243 like this, thereby the crooked degree of control endoscope pipe.
The working principle is as follows: when the device is used, the opening plate 300 with the corresponding size is selected according to the size of the mouth of a patient, the insertion block 310 on the opening plate 300 is inserted on the pull rod 150, the screw is screwed on the pull rod 150 and the insertion block 310 to fix the position of the insertion block 310, the opening plate 300 is installed on the pull rod 150, after the opening plate 300 is installed, the head of the patient is lifted, the navigation device is moved to the neck of the patient from the top of the head of the patient, the neck of the patient is attached to the neck pillow 110, the pull rod 150 is moved along the adjusting rod 140, the opening plate 300 is opposite to the mouth of the patient, the screw is screwed to attach the screw to the adjusting rod 140, the position of the pull rod 150 is limited, the adjusting rod 140 is moved downwards, the pull rod 150 and the opening plate 300 are driven to move downwards, the opening plate 300 is moved to the mouth of the patient, the screw is screwed, the screw is attached to the fixing rod 121, and the height of the adjusting rod 140 is fixed, the two-way screw rod 130 is rotated to enable the two upright stanchions 120 to move back and forth, the upright stanchions 120 can enable the two opening plates 300 to move back and forth through the adjusting rods 140 and the pull rods 150, and the mouths of patients are opened;
when the inside of the oral cavity of a patient needs to be subjected to searchlight shooting, the driving mechanism is started, the driving mechanism can drive the adjusting screw rod 152 to rotate, so that the sliding block 153 moves, the sliding block 153 can drive the L-shaped rod 210, the tube feeding module 200 moves to the upper part of the oral cavity of the patient from the pull rod 150, then the endoscope tube can extend into the conveying groove and is positioned between the two conveying blocks 270, at this time, under the action of the spring 223, the endoscope tube can be clamped between the two conveying blocks 270, the motor two 234 and the motor three 243 can be started, the motor two 234 drives the transmission rod 235 to rotate, the transmission rod 235 can drive the rotating tube 250 to rotate through the gear one 236 and the gear three 251, so that the adjusting plate 240 rotates, the adjusting plate 240 can drive the connecting plate 260 and the round block 261 to rotate, so that the angle of the round block 261 is adjusted, and simultaneously the motor three 243 can drive the connecting block 245 to move through the gear two 244 and the toothed plate 242, the connecting block 245 can drive the round block 261 to move through the connecting plate 260, so that the position of the round block 261 is adjusted, the round block 261 is enabled to move away from or close to the rotating tube 250, then the motor I233 is started, the motor I233 can drive the conveying block 270 to rotate, so that the endoscope tube is conveyed downwards into the oral cavity of a patient, after the bottom end of the endoscope tube is contacted with the round block 261, the bottom end of the endoscope tube can move downwards along the side wall of the round block 261, so that the round block 261 can enable the endoscope tube to bend, a camera at the bottom end of the endoscope tube faces a wound area, and then the wound can be photographed and observed;
the control system can record the time of starting the first motor 233 so as to know the length of the endoscope tube to be conveyed, and record the angles and the positions of the round blocks 261 when the second motor 234 and the third motor 243 are started, so that the bent angle and the bent direction of the endoscope tube can be known, the endoscope tube can be conveyed with the same length and bent with the same angle and the same bent direction during subsequent wound examination, so that the same angle and range of pictures can be taken twice, and the two pictures are compared to know the wound recovery condition;
after the endoscope photographing inspection is finished, the first motor 233 drives the first conveying block 270 to rotate reversely, the endoscope tube moves upwards to be packed up, then the two-way screw rod 130 rotates reversely, the two vertical rods 120 move oppositely, the two opening plates 300 move oppositely, the mouth of a patient is not opened, the first screw can be unscrewed, the adjusting rod 140 moves upwards, the opening plates 300 are driven to move out of the oral cavity of the patient, then the head of the patient can be lifted, the navigation device moves towards the top of the head of the patient, the navigation device is separated from the patient, the third screw can be unscrewed, the plug block 310 is taken out, the opening plates 300 are taken down from the pull rod 150, and the device is stored.
In the description herein, references to the description of "one embodiment," "an example," "a specific example" or the like are intended to mean that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the invention. In this specification, the schematic representations of the terms used above do not necessarily refer to the same embodiment or example. Furthermore, the particular features, structures, materials, or characteristics described may be combined in any suitable manner in any one or more embodiments or examples.
The foregoing is illustrative and explanatory only and is not intended to be exhaustive or to limit the invention to the precise embodiments described, and various modifications, additions, and substitutions may be made by those skilled in the art without departing from the scope of the invention or exceeding the scope of the claims.
Claims (8)
1. The multi-layer osteotomy navigation device for the oral surgery is characterized by comprising a bracing module (100) and a tube feeding module (200), wherein the bracing module (100) is movably clamped with two opening plates (300), the tube feeding module (200) comprises an L-shaped rod (210), the bottom end of the L-shaped rod (210) is fixedly connected with the bracing module (100), one end of the top of the L-shaped rod (210) is fixedly connected with a conveying box (220), the top surface of the conveying box (220) is provided with a conveying groove, the inner side surface of the conveying box (220) is rotatably connected with two conveying blocks (270), the side surface of the conveying box (220) is fixedly connected with a power mechanism (230) for driving one conveying block (270) to rotate, the bottom surface of the conveying box (220) is rotatably connected with a rotating tube (250) rotatably connected with the power mechanism (230) corresponding to the conveying groove, and the side wall of the rotating tube (250) is fixedly sleeved with a gear III (251) in transmission connection with the power mechanism (230), rotating tube (250) lateral wall bottom fixedly connected with regulating plate (240), regulating plate (240) bottom surface sliding connection has two connecting plates (260), two connecting plate (260) opposite face bottom corresponds the conveyer trough and rotates and is connected with circle piece (261).
2. The multi-layer osteotomy navigation device of claim 1, wherein the bracing module (100) comprises a neck pillow (110), the bottom of each of two sides of the neck pillow (110) is fixedly connected with a side frame (111), the bottom of each side of the neck pillow (110) is rotatably connected with a bidirectional screw rod (130) rotatably connected with the side frame (111), each of two sides of the neck pillow (110) is provided with a vertical rod (120) slidably connected with the inner side of the adjacent side frame (111), the bottom end of each vertical rod (120) is rotatably connected with the side wall of the bidirectional screw rod (130), the top of each side of each vertical rod (120) is slidably connected with an adjusting rod (140), the opposite surfaces of the two adjusting rods (140) are slidably connected with pull rods (150), the opposite ends of the two pull rods (150) are movably clamped with the adjacent opening plates (300), the top surface of each pull rod (150) on the same side with the tube delivery module (200) is slidably connected with the bottom end of the L-shaped rod (210), and the top surface of the pull rod (150) is provided with an adjusting groove, and the inner side surface of the adjusting groove is slidably connected with a sliding block (153) fixedly connected with the bottom end of the L-shaped rod (210).
3. The multi-layer osteotomy navigation device of claim 2, wherein one end of the adjusting rod (140) is fixedly connected with a first limiting block (141) slidably connected with the inner side of the adjacent vertical rod (120), the side of the vertical rod (120) is fixedly connected with a fixed rod (121) slidably connected with the side of the adjusting rod (140), the side of the adjusting rod (140) is rotatably connected with a first screw in contact with the side of the fixed rod (121), one end of the pull rod (150) is fixedly connected with a second limiting block (151) slidably connected with the inner side of the adjacent adjusting rod (140), the side of the second limiting block (151) is rotatably connected with a second screw in sliding connection with the inner side of the adjusting rod (140), and one end of the second screw is in contact with the outer side of the adjusting rod (140).
4. The multi-layer osteotomy navigation device of claim 2, wherein an adjusting screw rod (152) rotatably connected with a sliding block (153) is rotatably connected to an inner side surface of the adjusting groove, and a driving mechanism in transmission connection with one end of the adjusting screw rod (152) is arranged inside the pull rod (150).
5. The multi-layer osteotomy navigation device of claim 2, wherein an insertion block (310) slidably connected with a side surface of the pull rod (150) is fixedly connected to a top portion of a side wall of the opening plate (300), and a third screw connected with the insertion block (310) is rotatably connected to a top surface of the pull rod (150).
6. The multi-layer osteotomy navigation device of claim 1, wherein the power mechanism (230) comprises a power box (231), the side surface of the power box (231) is fixedly connected with the side surface of the conveying box (220), the inner side surface of the power box (231) is fixedly connected with a first motor (233), the output end of the first motor (233) is rotatably connected with the inner side surface of the conveying box (220), the output end of the first motor (233) is in transmission connection with the side surface of one conveying block (270), the bottom surface of the power box (231) is fixedly connected with a fixing ring, the bottom surface of the fixing ring is fixedly connected with a limit box (232) which is rotatably connected with the outer side wall of the rotating pipe (250), the inner bottom surface of the limit box (232) is rotatably connected with a transmission rod (235) which penetrates through the fixing ring, the inner side surface of the limit box (232) is fixedly connected with a second motor (234), and the output end of the second motor (234) is in transmission connection with the top end of the transmission rod (235), the side face, located in the limiting box (232), of the transmission rod (235) is fixedly sleeved with a gear I (236) in meshing transmission with a gear III (251), and the bottom face of the conveying box (220) is fixedly connected with a limiting ring (221) in rotating connection with the top end of the rotating pipe (250).
7. The multi-layer osteotomy navigation device of claim 6, wherein a partition (222) is fixedly connected to an inner side surface of the delivery box (220), a U-shaped frame (224) slidably connected to the delivery box (220) is slidably connected to a side surface of the partition (222), one end of the inner side surface of the U-shaped frame (224) is rotatably connected to a side surface of another delivery block (270), and a spring (223) fixedly connected to the side surface of the U-shaped frame (224) is fixedly connected to a side surface of the partition (222) away from the delivery block (270).
8. The multi-layered osteotomy navigation device of claim 6, the top surface of the connecting plate (260) is fixedly connected with a clamping block (262) which is connected with the inner side surface of the bottom of the adjusting plate (240) in a sliding way, one side of the bottom surface of the adjusting plate (240) departing from the rotating pipe (250) is fixedly connected with a fixed box (241), the inner bottom surface of the fixed box (241) is fixedly connected with a motor III (243), the output end of the motor III (243) is rotatably connected with the inner side surface of the fixed box (241), a second gear (244) is fixedly sleeved at the output end of the third motor (243), a toothed plate (242) which is in meshing transmission with the second gear (244) is connected to the bottom surface of the adjusting plate (240) in a sliding manner, toothed plate (242) one end fixedly connected with two connecting plate (260) side fixed connection's connecting block (245), and connecting block (245) top surface and regulating plate (240) bottom surface sliding connection.
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| CN202110897162.XA CN113598873B (en) | 2021-08-05 | 2021-08-05 | Multi-layer osteotomy navigation device for oral surgery |
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| CN202110897162.XA CN113598873B (en) | 2021-08-05 | 2021-08-05 | Multi-layer osteotomy navigation device for oral surgery |
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| US20060003285A1 (en) * | 2003-06-12 | 2006-01-05 | Yasuo Kotsuchibashi | Articulation navigation equipment for dental surgery |
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| CN113598873B (en) | 2023-04-07 |
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