CN113598873B - Multi-layer osteotomy navigation device for oral surgery - Google Patents
Multi-layer osteotomy navigation device for oral surgery Download PDFInfo
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- CN113598873B CN113598873B CN202110897162.XA CN202110897162A CN113598873B CN 113598873 B CN113598873 B CN 113598873B CN 202110897162 A CN202110897162 A CN 202110897162A CN 113598873 B CN113598873 B CN 113598873B
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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
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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.
The method is further characterized in that: the stretching module comprises a neck pillow, the neck pillow can be placed on a sickbed, the neck of a patient is enabled to be 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 which is rotatably connected with the side frames is rotatably connected to the bottom of the side of the neck pillow, vertical rods which are slidably connected with the inner side surfaces of the adjacent side frames are arranged on the two sides of the neck pillow, the bottom ends of the vertical rods are rotatably connected with the side walls of the two-way screw rod, adjusting rods are slidably connected to the tops of the sides of the vertical rods, pull rods are slidably connected to the opposite surfaces of the two adjusting rods, one ends of the two pull rods, which are opposite to each other, are movably clamped with the adjacent opening plate, the pull rods can be moved along the adjusting rods, so that the opening plate is opposite to the mouth of the patient, then the adjusting rods are moved downwards to drive the pull rods and the opening plate to move downwards, make the opening plate remove patient's mouth, then rotate two-way lead screw, make two pole setting back of the body moves on the back, the pole setting can make two opening plate back of the body moves on the back 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 send tub module with the pull rod top surface and the 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 the send tub module directly over the pull rod like this, send tub module like this can not block patient oral cavity top, avoid influencing going on of patient's oral cavity operation.
Further, the method comprises the following steps: adjust pole one end fixedly connected with and adjacent pole setting medial surface sliding connection's stopper one, pole setting side fixedly connected with and adjust pole side sliding connection's dead lever, adjust the pole side and close soon and be connected with the screw one with dead lever side contact, the dead lever can restrict the moving direction of adjusting the pole with stopper one, screw the back with screw one, can make screw one paste on the dead lever to the height of fixed regulation pole, pull rod one end fixedly connected with and adjacent regulation pole medial surface sliding connection's stopper two, stopper side closes soon and is connected with and adjusts pole medial surface sliding connection's screw two, and screw two one end with adjust pole lateral surface contact, stopper two can restrict the moving direction of pull rod, can screw two, make screw two hug closely on the lateral wall of adjusting the pole, restrict the position of pull rod, like this when the operation, can restrict the position of opening board, easy operation, convenient to use.
Further, the method comprises the following steps: the adjusting groove inner side surface is rotatably connected with an adjusting screw rod which is connected with the sliding block in a screwing mode, a driving mechanism which is 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 the driving mechanism can be controlled to start and stop 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 the conveying block, the motor I can drive the conveying block to rotate, so that the 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 conveying tube, the inner bottom face of the limiting box is rotatably connected with a transmission rod which penetrates through the fixing ring, and 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, the side face, located in the limiting box, of the transmission rod is fixedly sleeved with the gear I in meshing transmission with the gear III, the motor II can drive the transmission rod to rotate, the transmission rod can drive the rotating pipe to rotate through the gear I and the gear III, so that the round block is driven to rotate through the adjusting plate, the starting and stopping of the motor II can be controlled through the control system, the starting time of the motor II is recorded, the round block rotating angle is driven by the recording motor II, after the checking is finished at every time, the round block can be rotated to the initial position through the motor II, the round block rotating angle at every time can be controlled through the starting time of the control motor II, the limiting ring is fixedly connected with the bottom face of the conveying box and can rotate to the top end of the rotating pipe, and the position of the rotating pipe can be limited by the limiting ring.
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 endoscope tube bending detection device is characterized in that the top surface of the connecting plate is fixedly connected with a clamping block which is slidably connected with the inner side face of the bottom of the adjusting plate, the clamping block can limit the moving direction of the connecting plate, the bottom surface of the adjusting plate deviates from a fixed box of one side fixedly connected with the rotating tube, the inner bottom surface of the fixed box is fixedly connected with a motor III, the output end of the motor III is rotatably connected with the inner side face of the fixed box, a gear II is fixedly sleeved at the output end of the motor III, the bottom surface of the adjusting plate is slidably connected 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 two side faces of the connecting plate, the top surface of the connecting block is slidably connected with the bottom surface of the adjusting plate, the motor III can drive the connecting blocks to move through the connecting plates, so that the round blocks are far away from or close to the rotating tube, the round blocks can be adjusted to enable the bending degree of the endoscope tube to be convenient to shoot wounds at different positions, meanwhile, the starting of the motor III can be controlled through a control the starting time of the motor III, the motor III can record the starting time of the motor III, the motor III to record the distance of the round blocks moving distance of the round blocks, and the endoscope tube bending degree can be controlled after each examination is controlled, so that the distance of the endoscope tube can be controlled.
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 is further described below 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 feed box and power box of the present invention;
FIG. 9 is a side view of the interior 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 a 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 bottom surface of the delivery box 220 is rotatably connected with a rotating tube 250 rotatably connected with the power mechanism 230 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 to patient's mouth, then rotate two-way lead screw 130, make two pole settings 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, and easy operation, and can adapt to different age bracket, people of different mouth sizes, be convenient for carry out operation and inspection, pull rod 150 top surface and L type pole 210 bottom sliding connection that lie in with sending tub module 200 with one side, and pull rod 150 top surface has seted up the adjustment tank, adjustment tank medial surface sliding connection has the sliding block 153 with L type pole 210 bottom fixed connection, L type pole 210 and sliding block 153 can follow the adjustment tank and move, can send tub module 200 to pull rod 150 directly over like this, 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 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 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, 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 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 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, 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, the second screw can be attached to the outer side of the adjusting rod 140, and the position of the pull rod 150 can be limited during an operation, thus, the position of the opening plate 300 can be limited, the operation is simple and convenient to use.
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. Opening board 300 lateral wall top fixedly connected with pull rod 150 side sliding connection's inserted block 310, pull rod 150 top surface closes soon to be connected with inserted block 310 closes soon the screw three of being connected, back of screwing out the screw three, can separate inserted block 310 and pull rod 150, be convenient for more renew opening board 300, can change the different opening board 300 of size simultaneously to adapt to the patient of mouth variation in size.
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 be enabled to cling the endoscopic tube to one conveying block 270, and therefore, the endoscopic tube can be conveyed through the conveying block 270 only by driving one conveying block 270 to rotate through the power mechanism 230. The top surface of the connecting plate 260 is fixedly connected with a clamping block 262 which is in sliding connection 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 motor III 243, the output end of the motor III 243 is in rotating connection with the inner side surface of the fixing box 241, the output end of the motor III 243 is fixedly sleeved with a gear II 244, the bottom surface of the adjusting plate 240 is in sliding connection with a toothed plate 242 which is in meshing 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 blocks 245 is in sliding connection with the bottom surface of the adjusting plate 240, the motor III 243 can drive the connecting blocks 245 to move through the gear II 244 and the toothed plate 242, the connecting blocks 245 can drive the round blocks 261 to move through the connecting plates 260, so that the round blocks 261 are moved, the bending degree of the endoscope tube 261 can be adjusted through the round blocks 243, the shooting of wounds at different positions can be conveniently, meanwhile, the starting time of the motor III can be controlled through a control the starting time of the motor 261, thereby the starting of the round blocks 261, the moving of the round blocks 261 at each time of the round blocks 261 can be controlled, and the endoscope can be controlled at each time of the starting of the endoscope.
The working principle is as follows: when the medical nursing bed is used, the opening plate 300 with the corresponding size is selected according to the size of the mouth of a patient, the inserting 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 inserting block 310, so that the position of the inserting block 310 is fixed, 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, the screw is attached to the adjusting rod 140, so that 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, so that the height of the adjusting rod 140 is fixed, the two upright rods 120 are moved in a reverse direction, and the mouth of the patient can be opened by rotating the adjusting rod 140 and the pull rod 150;
when a patient needs to be subjected to radiographic shooting in the oral cavity, a driving mechanism is started, the driving mechanism can drive an adjusting screw rod 152 to rotate, so that a sliding block 153 moves, the sliding block 153 can drive an L-shaped rod 210, a tube delivery module 200 moves from a pull rod 150 to the upper part of the oral cavity of the patient, then an endoscope tube can extend into a delivery groove, and the endoscope tube is located between two delivery blocks 270, at this time, under the action of a spring 223, the endoscope tube can be clamped between the two delivery blocks 270, a second motor 234 and a third motor 243 can be started, the second motor 234 can drive a transmission rod 235 to rotate, the transmission rod 235 can drive a rotating tube 250 to rotate through a first gear 236 and a third gear 251, so that an adjusting plate 240 rotates, the adjusting plate 240 can drive a connecting plate 260 and a round block 261 to rotate, so that the angle of the round block 261 is adjusted, meanwhile, the second motor 244 and a toothed plate 242 can drive a connecting block 245 to move, the connecting block 245 can drive the round block 261 to move through the connecting plate 260, so that the round block 261 can drive the round block 261 to move, so that the bottom end of the endoscope tube 261 is contacted with the wound of the endoscope tube, and then the endoscope tube is bent towards the wound area of the wound, so that the endoscope tube is observed in the wound area, and the bottom end 261 of the endoscope tube is downwards, so that the endoscope tube 261 can be conveyed to the wound area of the endoscope tube, and then the endoscope tube is bent under the endoscope tube 261;
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 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 photographs with the same angle and range are taken twice, and the two photographs 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 (4)
1. Oral surgery multilayer cuts bone navigation head, its characterized in that, including bracing module (100) and send tub module (200), bracing module (100) activity joint has two opening boards (300), send tub module (200) including L type pole (210), L type pole (210) bottom and bracing module (100) fixed connection, L type pole (210) top one end fixedly connected with carries box (220), the conveyer trough has been seted up to carry box (220) top surface, it is connected with two transport block (270) to carry box (220) medial surface rotation, carry box (220) side fixedly connected with be used for driving a transport block (270) pivoted power unit (230), it rotates to be connected with power unit (230) rotation tube (250) of being connected to carry box (220) bottom surface to correspond the conveyer trough, rotation tube (250) lateral wall fixed cup joint has gear three (251) of being connected with power unit (230) transmission, rotation tube (250) lateral wall bottom fixedly connected with regulating plate (240), regulating plate (240) bottom surface (260) are connected with two sliding connection board (260), two it rotates to correspond round conveying block (261) bottom.
2. The multi-layer osteotomy navigation device of oral surgery according to claim 1, wherein the power mechanism (230) comprises a power box (231), the side of the power box (231) is fixedly connected with the side of the delivery box (220), the inner side 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 of the delivery box (220), the output end of the first motor (233) is rotatably connected with one side of the delivery 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) rotatably connected with the outer side wall of the rotating tube (250), the inner bottom surface of the limit box (232) is rotatably connected with a transmission rod (235) penetrating through the fixing ring, the inner side of the limit box (232) is fixedly connected with a second motor (234), the output end of the second motor (234) is rotatably connected with the top end of the transmission rod (235), the side of the transmission rod (235) positioned in the limit box (232) is fixedly sleeved with a first transmission gear (236) engaged with a third gear (251), and the bottom surface of the delivery box (220) is fixedly connected with a limit ring (221 connected with the top end of the rotating tube (250).
3. The multi-layer osteotomy guiding device of claim 2, wherein a partition plate (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 plate (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 plate (222) away from the delivery block (270).
4. The multi-layer osteotomy navigation device of claim 2, wherein the top surface of the connecting plate (260) is fixedly connected with a clamping block (262) slidably connected with an inner side surface of a bottom of the adjusting plate (240), one side of the bottom surface of the adjusting plate (240) facing away from the rotating tube (250) is fixedly connected with a fixing box (241), a third motor (243) is fixedly connected with the inner side surface of the fixing box (241), an output end of the third motor (243) is rotatably connected with the inner side surface of the fixing box (241), a second gear (244) is fixedly sleeved on an output end of the third motor (243), a toothed plate (242) in meshing transmission with the second gear (244) is slidably connected with the bottom surface of the adjusting plate (240), one end of the toothed plate (242) is fixedly connected with connecting blocks (245) fixedly connected with side surfaces of the two connecting plates (260), and a top surface of the connecting blocks (245) is slidably connected with the bottom surface of the adjusting plate (240).
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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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| CN113598873B true CN113598873B (en) | 2023-04-07 |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN105361969A (en) * | 2015-12-17 | 2016-03-02 | 中国人民解放军第四军医大学 | Positioning device of oral implanting robot vision navigation system |
| CN211583592U (en) * | 2019-09-03 | 2020-09-29 | 赤峰学院附属医院 | Navigation positioning device for oral implantation |
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| JPWO2004110296A1 (en) * | 2003-06-12 | 2006-08-31 | 有限会社ベアーデンタルラボラトリー | Dental occlusal navigation system |
| CN108175457B (en) * | 2017-11-08 | 2020-03-17 | 南京畅丰生物科技有限公司 | Temporomandibular joint intraoral retractor |
| CN212521722U (en) * | 2020-04-17 | 2021-02-12 | 尹波 | Special inspection device of department of stomatology |
| CN111956174A (en) * | 2020-09-01 | 2020-11-20 | 河南医学高等专科学校 | Oral cavity examination device for department of stomatology |
| CN213216845U (en) * | 2020-09-24 | 2021-05-18 | 东阳市人民医院 | Medical examination device of department of stomatology |
| CN213721857U (en) * | 2020-11-24 | 2021-07-20 | 黄其云 | Department of stomatology inspects mouth mirror device |
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Patent Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105361969A (en) * | 2015-12-17 | 2016-03-02 | 中国人民解放军第四军医大学 | Positioning device of oral implanting robot vision navigation system |
| CN211583592U (en) * | 2019-09-03 | 2020-09-29 | 赤峰学院附属医院 | Navigation positioning device for oral implantation |
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