CN204219048U - A kind of stereo brain orienting instrument that accurately can guide indwelling drainage tube - Google Patents
A kind of stereo brain orienting instrument that accurately can guide indwelling drainage tube Download PDFInfo
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- CN204219048U CN204219048U CN201420653486.4U CN201420653486U CN204219048U CN 204219048 U CN204219048 U CN 204219048U CN 201420653486 U CN201420653486 U CN 201420653486U CN 204219048 U CN204219048 U CN 204219048U
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- bow
- shaped arm
- axle
- puncture needle
- drainage tube
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Abstract
A kind of stereo brain orienting instrument that accurately can guide indwelling drainage tube, comprise the main frame for being fixed on skull, also comprise X to axle, Y-direction axle, Z-direction axle, bow-shaped arm and puncture needle holder, bow-shaped arm is positioned at above main frame, by X to axle, Y-direction axle, Z-direction axle is connected with main frame, X is to axle, Y-direction axle, Z-direction axle is for controlling the three-dimensional coordinate of bow-shaped arm, puncture needle holder is arranged on bow-shaped arm, can slide along bow-shaped arm, X is to axle, Y-direction axle, Z-direction axle and bow-shaped arm all has graduation mark, a drainage tube entrance hole is provided with near puncture needle mounting points on puncture needle holder, entrance hole and puncture needle mounting points are along the radian directional spreding of bow-shaped arm, moving puncture needle holder along bow-shaped arm after puncture can make entrance hole relative with the puncture position on skull, puncture needle holder also has the graduation mark for marking puncture needle and drainage tube center.This utility model accurately can guide indwelling drainage tube.
Description
Technical field
This utility model relates to technical field of medical instruments, be specifically related to a kind of by operating theater instruments as microelectrode, puncture needle, drainage tube etc. accurately guide to the stereo brain orienting instrument of target spot.
Background technology
Universal along with accurate neurosurgery theory, stereo brain orienting instrument has been widely used in the precision navigation positioning operation of neurosurgery, and it has played important effect to the biopsy of intracranial lesion, navigation.
The clinical stereo brain orienting instrument generally used is all based on three-dimensional coordinate positioning principle at present, based on closed ring main frame, carried out X, Y, Z three-dimensional coordinate determining that target spot is corresponding by CT or MR scanning board and main frame after, rely on XYZ, to axle and bow-shaped arm and the various adnexaes that are attached thereto, the operating theater instruments such as microelectrode, puncture needle, drainage tube are delivered to the specific target spot of intracranial.
Although stereo brain orienting instrument has been widely used in clinical, but the common drawback that current stereo brain orienting instrument all exists, as Chinese patent 201320649735.8 1 kinds of brain puncture solid position finder, Chinese patent 200920205256.0 brain stereo-orientation device, Chinese patent 200920048677.7 stereotactic apparatus, Chinese patent 92203166.5 high precision Stereotaxic and Chinese patent 94217069.5 stereo brain orienting instrument, they are all without drainage tube guiding device, if need indwelling drainage tube after piercing, then mainly rely on feel and range estimation, inaccurate for deep target spot location, pipe accuracy is put in impact, affect surgical quality and curative effect.In addition, two front columns that stereo brain orienting instrument main frame has likely can stop surgical field of view and intubate, hinder operation technique, are unfavorable for general anesthesia operation.
Utility model content
Goal of the invention of the present utility model is to provide a kind of modified model stereo brain orienting instrument that accurately can guide indwelling drainage tube.
Goal of the invention of the present utility model is achieved through the following technical solutions: a kind of stereo brain orienting instrument that accurately can guide indwelling drainage tube, comprise the main frame for being fixed on skull, also comprise X to axle, Y-direction axle, Z-direction axle, bow-shaped arm and puncture needle holder, described bow-shaped arm is positioned at above described main frame, by described X to axle, Y-direction axle, Z-direction axle is connected with described main frame, X is to axle, Y-direction axle, Z-direction axle is for controlling the three-dimensional coordinate of described bow-shaped arm, described puncture needle holder is arranged on described bow-shaped arm, can slide along described bow-shaped arm, described X is to axle, Y-direction axle, Z-direction axle and bow-shaped arm all has graduation mark, it is characterized in that, a drainage tube entrance hole is provided with near puncture needle mounting points on described puncture needle holder, described entrance hole and puncture needle mounting points are along the radian directional spreding of described bow-shaped arm, moving described puncture needle holder along described bow-shaped arm after puncture can make described entrance hole relative with the puncture position on skull, described puncture needle holder also has the graduation mark for marking described puncture needle and drainage tube center.
After determining target coordinate, regulate bow-shaped arm X, Y, Z axis coordinate, by bow-shaped arm adjustment puncture direction and angle, puncture procedure can be carried out, when needs indwelling drainage tube, write down puncture needle center scale corresponding on bow-shaped arm and paracentesis depth, pull out puncture needle, then move puncture needle holder, make entrance hole center graduation mark aim at scale just now corresponding to puncture needle, import drainage tube by the paracentesis depth of above-mentioned record, the accurate importing of drainage tube can be realized.
Described stereo brain orienting instrument also comprises the fixed plug for being installed on by drainage tube in described entrance hole, described fixed plug external diameter and described entrance hole suitable, middle part has patchhole, the external diameter of patchhole and described drainage tube is adaptive, described fixed plug is crossed its patchhole and is separated into two lobes, different according to the model of drainage tube, the fixed plug with different inner diameters can be selected.
As a kind of preferred implementation of described fixed plug, be separated on the opposite face of the fixed plug of two lobes, be provided with the groove and fin structure that match, skid to prevent two lobe fixed plugs.
Described stereo brain orienting instrument also comprises two pieces of location-plates, and two pieces of location-plates are removably divided in the both sides of described main frame, and two pieces of location-plates are oppositely arranged.This utility model adopts rectangular coordinate three-dimensional localization, and three-dimensional coordinate measures X, Y-coordinate after CT, MR scanning in image picture, main frame installs location-plate, calculates Z coordinate by location-plate.
As preferred implementation of the present utility model, the end face of described bow-shaped arm is provided with a chute along its radian direction, described puncture needle holder is an arc sliding sheet being fitted in described bow-shaped arm end face, described entrance hole on wiper is relative with described chute with puncture needle mounting points, so that described drainage tube and puncture needle pass from described chute, the graduation mark on described bow-shaped arm and described wiper is located on their close surfaces.
Described main frame is a closed-loop, annular distance ovalize in it, the lateral surface of main frame both sides is two parallel square planars, described square planar is described X to axle, two pieces of described location-plates are divided on two described square planars, described Y-direction axle is vertically arranged, described X is vertically mounted on on axle by a slide block, described slide block can slide along described X to axle, described Y-direction axle can slide up and down along described slide block, described Z-direction axle is vertically fixed on described Y-direction axle, described Z-direction axle is cylindrical, the lower end of described bow-shaped arm is sleeved on described Z-direction axle, described bow-shaped arm can slide along described Z-direction axle and can rotate around described Z-direction axle, described bow-shaped arm and slide block are provided with pilot pin, for locking the X of described bow-shaped arm, Y, Z axis coordinate.
Described main frame front and back is made up of two arched arms, symmetrically on every bar arched arm is distributed with two screws, and be provided with solid skull nail in screw, screw is positioned at the top of described arched arm.
Relative to prior art, this utility model has following beneficial effect: this utility model structure is simple, easy to operate, can not only meet the functions such as conventional stereo stereotactic puncture, navigation, accurately can also guide indwelling drainage tube.
Accompanying drawing explanation
Fig. 1 is the axonometric chart of this utility model preferred embodiment;
Fig. 2 is the front view of this utility model preferred embodiment;
Fig. 3 is the upward view of this utility model preferred embodiment;
Fig. 4 is the partial enlarged drawing of this utility model preferred embodiment;
Fig. 5 is the sectional view of structure in Fig. 4;
Fig. 6 is the enlarged drawing of the wiper of this utility model preferred embodiment;
Fig. 7 is the fixed plug axonometric chart of this utility model preferred embodiment;
Fig. 8 is the main frame of this utility model preferred embodiment and the installation diagram of location-plate.
Detailed description of the invention
As shown in Fig. 1 ~ 8, of the present utility model can accurately guide the stereo brain orienting instrument of indwelling drainage tube and existing stereo brain orienting instrument operation principle similar, comprise the main frame 1 for being fixed on skull, X is to axle 41, Y-direction axle 42, Z-direction axle 43, bow-shaped arm 2 and puncture needle holder 3, bow-shaped arm 2 is positioned at above main frame 1, be skull operating space between the two, bow-shaped arm 2 by X to axle 41, Y-direction axle 42, Z-direction axle 43 is connected with main frame 1, X is to axle, Y-direction axle, Z-direction axle has graduation mark, for controlling the three-dimensional coordinate of bow-shaped arm 2, puncture needle holder 3 is arranged on bow-shaped arm 2, can slide along bow-shaped arm 2, bow-shaped arm 2 also has graduation mark.
Main frame 1 is a closed-loop, annular distance ovalize in it, the lateral surface of main frame 1 both sides is two parallel square planars, this square planar is X of the present utility model to axle 41, stereo brain orienting instrument also comprises two pieces of location-plates 5, two pieces of location-plates 5 are removably divided on two square planars, two pieces of location-plates 5 are oppositely arranged, as shown in Figure 8, the back side of location-plate 5 is provided with chute, X is contained in the chute on location-plate 5 to axle 41, forms the slide rail of location-plate 5, location-plate 5 is provided with pilot pin.Y-direction axle 42 is vertically arranged, X is vertically mounted on on axle 41 by a slide block 6, as shown in Figure 1, slide block 6 front and back is all provided with chute, and the chute of slide block 6 front and back is vertical, X is contained in the chute at slide block 6 back side to axle 41, Y-direction axle 42 is contained in the chute in slide block 6 front, slide block 6 can slide along X to axle 41, Y-direction axle 42 can slide up and down along slide block 6, Z-direction axle 43 is vertically fixed on Y-direction axle 42, Z-direction axle 43 is cylindrical, the lower end of bow-shaped arm 2 is provided with a sleeve, sleeve set is on Z-direction axle 43, bow-shaped arm 2 can slide along Z-direction axle 43 and can rotate around Z-direction axle 43, as Fig. 1, 2, shown in 3, bow-shaped arm 2 and slide block 6 are also provided with pilot pin 10, for locking the X of bow-shaped arm 2, Y, Z axis coordinate.
As shown in Fig. 1,4,5,6, puncture needle holder 3 is an arc sliding sheet being fitted in bow-shaped arm 2 end face, wiper has puncture needle mounting points 32, a drainage tube entrance hole 31 is provided with near puncture needle mounting points 32, entrance hole 31 and puncture needle mounting points 32 are along the radian directional spreding of bow-shaped arm 2, moving wiper along bow-shaped arm 2 after puncture can make entrance hole 31 relative with the puncture position on skull, wiper also has the graduation mark for marking puncture needle and drainage tube center on wiper, as shown in Figure 6.The end face of bow-shaped arm 2 is provided with a chute 21 along its radian direction, the entrance hole 31 of wiper is relative with chute 21 with puncture needle mounting points 32, so that drainage tube 7 and puncture needle 8 pass from chute 21, the graduation mark on bow-shaped arm 2 and wiper is located on their close surfaces.In the present embodiment, the concrete structure that wiper slides along bow-shaped arm 2 is: wiper bottom surface is provided with chute, and two cell walls of chute are divided into the both sides of wiper bottom surface, and wiper is buckled in the both sides of bow-shaped arm 2 end face by the chute of its bottom surface.In other embodiment of the present utility model, chute also can be arranged at the end face of bow-shaped arm 2, and wiper is contained in the chute of bow-shaped arm 2 end face.
Drainage tube 7 is arranged in entrance hole 31 by a fixed plug 9, as shown in Fig. 5,7, fixed plug 9 is plug, external diameter and entrance hole 31 suitable, middle part has patchhole, and the external diameter of patchhole and drainage tube 7 is adaptive, and fixed plug 9 is crossed its patchhole and is separated into two lobes, be separated on the opposite face of the fixed plug of two lobes, be provided with the groove and fin structure that match.Different according to the model of drainage tube 7, the fixed plug 9 with different inner diameters can be selected, and groove on fixed plug 9 opposite face and fin structure, can prevent two lobe fixed plugs from skidding.
Main frame 1 front and back is made up of two arched arms, symmetrically on every bar arched arm is distributed with two screws, is provided with solid skull nail in screw, and the end face that screw is positioned at arched arm protrudes from arched arm.
The location-plate of this utility model main frame both sides is in use parallel, after CT scan, X can be measured in image picture, Y-coordinate, Z coordinate is calculated by " N " shape positioning strip on the location-plate of both sides, according to target coordinate, regulate stereo brain orienting instrument relevant parameter, , then first puncture with puncturing kit, when needs indwelling drainage tube, write down puncture needle scale corresponding on bow-shaped arm and paracentesis depth, pull out puncture needle, then the wiper on bow-shaped arm is moved, the graduation mark of entrance hole center is made to aim at graduation mark just now corresponding to puncture needle, drainage tube accurately can be guided to target spot.
Claims (7)
1. one kind accurately can guide the stereo brain orienting instrument of indwelling drainage tube, comprise the main frame for being fixed on skull, also comprise X to axle, Y-direction axle, Z-direction axle, bow-shaped arm and puncture needle holder, described bow-shaped arm is positioned at above described main frame, by described X to axle, Y-direction axle, Z-direction axle is connected with described main frame, X is to axle, Y-direction axle, Z-direction axle is for controlling the three-dimensional coordinate of described bow-shaped arm, described puncture needle holder is arranged on described bow-shaped arm, can slide along described bow-shaped arm, described X is to axle, Y-direction axle, Z-direction axle and bow-shaped arm all has graduation mark, it is characterized in that, a drainage tube entrance hole is provided with near puncture needle mounting points on described puncture needle holder, described entrance hole and puncture needle mounting points are along the radian directional spreding of described bow-shaped arm, moving described puncture needle holder along described bow-shaped arm after puncture can make described entrance hole relative with the puncture position on skull, described puncture needle holder also has the graduation mark for marking described puncture needle and drainage tube center.
2. the stereo brain orienting instrument that accurately can guide indwelling drainage tube according to claim 1, it is characterized in that, described stereo brain orienting instrument also comprises the fixed plug for being installed on by drainage tube in described entrance hole, described fixed plug external diameter and described entrance hole suitable, middle part has patchhole, the external diameter of patchhole and described drainage tube is adaptive, and described fixed plug is crossed its patchhole and is separated into two lobes.
3. the stereo brain orienting instrument that accurately can guide indwelling drainage tube according to claim 2, is characterized in that, be separated on the opposite face of the fixed plug of two lobes, is provided with the groove and fin structure that match.
4. the stereo brain orienting instrument that accurately can guide indwelling drainage tube according to claim 1, it is characterized in that, described stereo brain orienting instrument also comprises two pieces of location-plates, and two pieces of location-plates are removably divided in the both sides of described main frame, and two pieces of location-plates are oppositely arranged.
5. the stereo brain orienting instrument that accurately can guide indwelling drainage tube according to claim 4, it is characterized in that, the end face of described bow-shaped arm is provided with a chute along its radian direction, described puncture needle holder is an arc sliding sheet being fitted in described bow-shaped arm end face, described entrance hole on wiper is relative with described chute with puncture needle mounting points, so that described drainage tube and puncture needle pass from described chute, the graduation mark on described bow-shaped arm and described wiper is located on their close surfaces.
6. the stereo brain orienting instrument that accurately can guide indwelling drainage tube according to claim 4, it is characterized in that, described main frame is a closed-loop, annular distance ovalize in it, the lateral surface of main frame both sides is two parallel square planars, described square planar is described X to axle, two pieces of described location-plates are divided on two described square planars, described Y-direction axle is vertically arranged, described X is vertically mounted on on axle by a slide block, described slide block can slide along described X to axle, described Y-direction axle can slide up and down along described slide block, described Z-direction axle is vertically fixed on described Y-direction axle, described Z-direction axle is cylindrical, the lower end of described bow-shaped arm is sleeved on described Z-direction axle, described bow-shaped arm can slide along described Z-direction axle and can rotate around described Z-direction axle, described bow-shaped arm and slide block are provided with pilot pin, for locking the X of described bow-shaped arm, Y, Z axis coordinate.
7. the stereo brain orienting instrument that accurately can guide indwelling drainage tube according to claim 6, it is characterized in that, described main frame front and back is made up of two arched arms, on every bar arched arm, symmetry is distributed with two screws, be provided with solid skull nail in screw, screw is positioned at the top of described arched arm.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201420653486.4U CN204219048U (en) | 2014-11-05 | 2014-11-05 | A kind of stereo brain orienting instrument that accurately can guide indwelling drainage tube |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201420653486.4U CN204219048U (en) | 2014-11-05 | 2014-11-05 | A kind of stereo brain orienting instrument that accurately can guide indwelling drainage tube |
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| CN204219048U true CN204219048U (en) | 2015-03-25 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201420653486.4U Expired - Fee Related CN204219048U (en) | 2014-11-05 | 2014-11-05 | A kind of stereo brain orienting instrument that accurately can guide indwelling drainage tube |
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| CN (1) | CN204219048U (en) |
Cited By (13)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104799916A (en) * | 2015-05-25 | 2015-07-29 | 首都医科大学附属北京朝阳医院 | Spinal puncture positioning device |
| CN105963001A (en) * | 2016-07-06 | 2016-09-28 | 张宝国 | Brain puncture guiding device |
| CN107019566A (en) * | 2017-04-07 | 2017-08-08 | 中国人民解放军南京军区福州总医院 | A kind of breast tumor positioner |
| CN107049600A (en) * | 2017-05-26 | 2017-08-18 | 西安医学院第二附属医院 | A kind of ear drum membrane therapeutic system |
| CN107361826A (en) * | 2016-10-28 | 2017-11-21 | 崔建忠 | A kind of intracerebral hematoma puncture guiding instrument of achievable precise positioning |
| CN108143502A (en) * | 2017-12-27 | 2018-06-12 | 冯颖 | A kind of stereo brain orienting instrument that can accurately guide indwelling drainage tube |
| TWI626928B (en) * | 2017-02-17 | 2018-06-21 | 陳昭先 | Stereotactic device |
| WO2019037229A1 (en) * | 2017-08-23 | 2019-02-28 | 艾科美医疗器械（深圳）有限公司 | Surgical instrument fixing device |
| CN109806012A (en) * | 2019-01-24 | 2019-05-28 | 段修武 | A kind of bone surgery angle positioning device |
| CN110368100A (en) * | 2019-08-23 | 2019-10-25 | 张追阳 | A kind of stereo brain orienting instrument |
| CN111432757A (en) * | 2017-09-27 | 2020-07-17 | 蒂法洛护理公司 | Tool and method for dacryocystorhinostomy |
| CN112263350A (en) * | 2020-11-10 | 2021-01-26 | 南华大学附属南华医院 | Rat craniocerebral three-dimensional positioning puncture device |
| CN112315593A (en) * | 2020-08-26 | 2021-02-05 | 杭州市大江东医院 | Universal cerebral hemorrhage minimally invasive surgery positioning device |
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2014
- 2014-11-05 CN CN201420653486.4U patent/CN204219048U/en not_active Expired - Fee Related
Cited By (19)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104799916B (en) * | 2015-05-25 | 2017-03-15 | 首都医科大学附属北京朝阳医院 | Spinal puncture positioner |
| CN104799916A (en) * | 2015-05-25 | 2015-07-29 | 首都医科大学附属北京朝阳医院 | Spinal puncture positioning device |
| CN105963001A (en) * | 2016-07-06 | 2016-09-28 | 张宝国 | Brain puncture guiding device |
| CN107361826A (en) * | 2016-10-28 | 2017-11-21 | 崔建忠 | A kind of intracerebral hematoma puncture guiding instrument of achievable precise positioning |
| US10610324B2 (en) | 2017-02-17 | 2020-04-07 | Chao-Hsien Chen | Stereotactic device |
| TWI626928B (en) * | 2017-02-17 | 2018-06-21 | 陳昭先 | Stereotactic device |
| CN107019566A (en) * | 2017-04-07 | 2017-08-08 | 中国人民解放军南京军区福州总医院 | A kind of breast tumor positioner |
| CN107049600A (en) * | 2017-05-26 | 2017-08-18 | 西安医学院第二附属医院 | A kind of ear drum membrane therapeutic system |
| CN107049600B (en) * | 2017-05-26 | 2023-09-22 | 西安医学院第二附属医院 | Eardrum membrane treatment device |
| WO2019037229A1 (en) * | 2017-08-23 | 2019-02-28 | 艾科美医疗器械（深圳）有限公司 | Surgical instrument fixing device |
| CN111432757A (en) * | 2017-09-27 | 2020-07-17 | 蒂法洛护理公司 | Tool and method for dacryocystorhinostomy |
| CN111432757B (en) * | 2017-09-27 | 2023-01-10 | 蒂法洛护理公司 | Tool and method for dacryocystorhinostomy |
| CN108143502A (en) * | 2017-12-27 | 2018-06-12 | 冯颖 | A kind of stereo brain orienting instrument that can accurately guide indwelling drainage tube |
| CN109806012A (en) * | 2019-01-24 | 2019-05-28 | 段修武 | A kind of bone surgery angle positioning device |
| CN109806012B (en) * | 2019-01-24 | 2024-01-16 | 段修武 | Angle positioning device for orthopedic surgery |
| CN110368100A (en) * | 2019-08-23 | 2019-10-25 | 张追阳 | A kind of stereo brain orienting instrument |
| CN110368100B (en) * | 2019-08-23 | 2024-03-29 | 张追阳 | Brain stereotactic instrument |
| CN112315593A (en) * | 2020-08-26 | 2021-02-05 | 杭州市大江东医院 | Universal cerebral hemorrhage minimally invasive surgery positioning device |
| CN112263350A (en) * | 2020-11-10 | 2021-01-26 | 南华大学附属南华医院 | Rat craniocerebral three-dimensional positioning puncture device |
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| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20150325 Termination date: 20201105 |
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| CF01 | Termination of patent right due to non-payment of annual fee |