CN205548645U - Facial puncture navigation head of jaw based on 3D printing technique - Google Patents

Facial puncture navigation head of jaw based on 3D printing technique Download PDF

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Publication number
CN205548645U
CN205548645U CN201620184286.8U CN201620184286U CN205548645U CN 205548645 U CN205548645 U CN 205548645U CN 201620184286 U CN201620184286 U CN 201620184286U CN 205548645 U CN205548645 U CN 205548645U
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China
Prior art keywords
puncture
post
facing
guider
punctures
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Withdrawn - After Issue
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CN201620184286.8U
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Chinese (zh)
Inventor
陆丽娟
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Nanjing Drum Tower Hospital
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Nanjing Drum Tower Hospital
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Abstract

The utility model discloses a facial puncture navigation head of jaw based on 3D printing technique, for 3D prints the integrated device that forms, including facing and at least one puncture post, still including the connecting device who is used for connecting facing and puncture post, establish the through -hole in the puncture post, for puncture hole. Utility model's facial puncture navigation head of jaw based on 3D printing technique is fixed in the upper tooth through the facing, and difficult the aversion is fixed a position more accurately. Simultaneously can set up a plurality of puncture hole on same navigation head, carry out the puncture of many target spots or with target spot different routes puncture, improve the operation success rate. In addition, can design two guide bars on same connecting device's dead lever, make the puncture hole of two puncture posts lie in same straight line, the further accuracy that improves the puncture needle track.

Description

Maxillary region based on 3D printing technique punctures guider
Technical field
This utility model relate to a kind of Maxillary region based on 3D printing technique puncture guider, belong to Medical Image Processing and Application.
Background technology
Cranial nerve pain (such as trigeminal neuralgia, glossopharyngeal neuralgia, sphenopalatine neuralgia etc.) is typical neuropathic pain, Sharp ache during outbreak, has a strong impact on the daily life of patient, and therefore What is more commits suicide.
Generally, cranial nerve pain patient can obtain certain control by Drug therapy, but when disease progression or because of each Kind of reason can not Drug therapy time, minimally-invasive treatment is the common choice of doctors and patients.Radio frequency thermoset is because having the most in the recent period and remote Phase curative effect and become the most the most frequently used Minimal invasive procedures, it be through Maxillofacial derma by radio frequency puncture needle enter cranium inside and outside , there is choosing at the positions such as target area (oval foramen, circular hole, jugular foramen, stylomastoid foramen etc.) neuroganglion, nerve root, nerve trunk Destroying the nerve fiber of corresponding afflicted areas with selecting, then reach the purpose of longer-term treatment cranial nerve pain, precisely puncturing is cranium The co-route of the minimally-invasive treatments such as nerve block, radio frequency and balloon compression and committed step.
Cranial nerve minimally-invasive treatment target area (as dry in oval foramen Trigeminal Semilunar Ganglion, circular hole maxillary nerve, jugular foramen tongue Nervus pharyngous goes out at cranium) distributed about there is important organizational structure, and also individual variation is relatively big, therefore requires puncture high. Under traditional mode, doctor carries out body surface Anatomical orientation according to working specification, punctures by personal experience completely, often needs anti- Multiple puncture and Fluoroscopy location.Puncture and not in place can not reach therapeutic effect;Repeated localised puncture also can cause ridge hemorrhage, blind, complete The serious adverse reactions such as marrow anesthesia;Image location adds doctors and patients' radiation exposure repeatedly, also occupies limited medical treatment money simultaneously Source.3D prints Personalized Navigation system can realize minimally-invasive treatment individuation and precision, relatively other location technology learning curve Shorter, front-end fee put into lower, replicability is higher.
At present, Chinese patent literature CN104287839A discloses the navigation template that structure is similar with CN204192714U, Template above utilizes 3D technology to print the face shield of a laminating patient facial region, above has the puncture post for puncturing, and this face shield leads to Cross nose cup, face shield frame is fixed on face.This navigation template mainly utilizes bridge of the nose gill root location, fixes, therefore face shield area Relatively big, the time-write interval is longer, relatively costly.It addition, because there being the interference factors such as hair, ear is the most easy to attach;Large stretch of Face shield is fitted in face can be to the sensation of people's discomfort;For the people that subcutaneous fat is thicker, facial expression also results in face shield Mobile, thus affect location.This formwork structure not consolidation, in transportation and disinfecting process, easily deforms and affects Its accuracy.
Utility model content
The purpose of this utility model is to provide a kind of Maxillary region based on 3D printing technique and punctures guider, and this device can be auxiliary Help and carry out safety, accurately Maxillary region puncture.
For reaching above-mentioned purpose, the technical solution adopted in the utility model is: a kind of Maxillary region based on 3D printing technique is worn Thorn guider, the integrated apparatus printed for 3D, including facing and at least one puncture post, also include for even Connect facing and puncture the attachment means of post, described puncture post setting through hole, for puncturing hole.
Described attachment means is made up of the fixing bar being connected with facing and the guide post being connected with puncture post, and described fixing bar quantity is one Root or several, every fixing bar can connect one or more guide post, every guide post can set one or more and puncture post,.
Described attachment means is made up of the fixing bar being connected with facing and the guide post being connected with puncture post, and described fixing bar quantity is one Root or several, every fixing bar can connect one or more guide post, and the guide post of more than two may be connected to same puncture post On,.Described facing is upper tooth facing, can entangle upper tooth 4-6.
Described facing is occlusion facing, is engaged by upper lower tooth simultaneously and plays fixation.
Described puncture post has two, and the puncturing hole of two puncture posts is positioned at same straight line.
Described puncture post more than two, any two of which punctures the puncturing hole of post and is positioned at same straight line, or is not positioned at same Straight line.
The invention also discloses above-mentioned Maxillary region based on 3D printing technique and puncture the preparation method of guider, its Step includes:
A, patient's maxillofacial region including tooth is carried out CT thin slice scan, obtain scan data;
B, scan data is imported medical science modeling software, set up the 3 D digital model of Maxillary region skeleton, and mark out The target location that may treat, this 3 D digital model includes the tooth mould of patient;
D, according to three-dimensional digit model, the simulation being established to target location with software most preferably punctures needle track and paracentesis depth, The optimal needle track that punctures needs to avoid the important blood vessels along road and nerve;
E, the optimal puncture needle track data of the 3 D digital model of patient and simulation is imported in software, generate claim Puncture guider model described in 1 so that puncturing hole is corresponding with the optimal puncture needle track of simulation;
F, the puncture guider data of generation are imported 3D printing equipment print.
Maxillary region based on 3D printing technique of the present utility model punctures guider and is fixed on upper tooth by facing, is difficult to move Position, more accurate positioning.Multiple puncturing hole can be set on same guider simultaneously, carry out Mutiple Targets (oval foramen, circle Hole, jugular foramen, stylomastoid foramen etc.) puncture or puncture (such as the approach under socket of the eye, zygomatic arch of circular hole) with target spot difference path, Improve success rate of operation further.Furthermore it is possible to design two guide posts on the fixing bar of same attachment means, make two The puncturing hole puncturing post is positioned at same straight line, improves the degree of accuracy puncturing needle track further;Also can set on same guide post Put more than or equal to two puncture posts, to meet Mutiple Targets puncture needs.Jaw face based on 3D printing technique of the present utility model Portion punctures guider, and compared with described in background technology two kinds, navigation template stability is strong, consumptive material is few, the time-write interval is short, cost performance Height, and more accurate positioning, range is more extensive, can carry out the puncture of multiple cranial nerve (such as nervi trigeminus, glossopharyngeum Nerve, nervus facialis, nervi pterygopalatini etc.).This navigation system can be not only used for the accurate puncture that Maxillary region is neural, Er Qieke For the diagnosis and treatment of other diseases, as accurate biopsy, the chemistry of Oral and facial tumor damage treatment, radion is inserted, shaping Prosthesis etc., in a word, all iconographys confirm the site of puncture that can arrive can use this navigation system to carry out auxiliary Help puncture.
Accompanying drawing explanation
Fig. 1 is the structural representation of the Maxillary region puncture guider of embodiment 2 of the present utility model.
Fig. 2 is the structural representation of the Maxillary region puncture guider of embodiment 3 of the present utility model.
Fig. 3 is the structural representation of the Maxillary region puncture guider of embodiment 4 of the present utility model.
Fig. 4 is the structural representation of the Maxillary region puncture guider of embodiment 5 of the present utility model.
Fig. 5 is the structural representation of the Maxillary region puncture guider of embodiment 6 of the present utility model.
Fig. 6 is the structural representation of the Maxillary region puncture guider of embodiment 6 of the present utility model.
Fig. 7 is the structural representation of the Maxillary region puncture guider of embodiment 7 of the present utility model.
Fig. 8 is the structural representation of the Maxillary region puncture guider of embodiment 8 of the present utility model.
Fig. 9 is the structural representation of the Maxillary region puncture guider of embodiment 9 of the present utility model.
Below in conjunction with the accompanying drawings embodiment of the present utility model is described further.
Detailed description of the invention
Embodiment 1
This Maxillary region based on 3D printing technique punctures the preparation method of guider, and its step includes:
A, region of interest (including tooth) to patient carry out CT thin slice scan, obtain scan data;
B, scan data is imported medical science modeling software, set up the Maxillary region skeleton 3 D digital model of region of interest, and Marking out target location, this 3 D digital model includes the tooth mould of patient;
D, according to three-dimensional digit model, the simulation being established to target location with software most preferably punctures needle track and paracentesis depth, The optimal needle track that punctures needs to avoid important blood vessels and nerve;
E, the optimal puncture needle track data of the 3 D digital model of patient and simulation is imported in software, generate claim Puncture guider model described in 1 so that puncturing hole is corresponding with the optimal puncture needle track of simulation;
F, the puncture guider data of generation are imported 3D printer print.
Embodiment 2
As it is shown in figure 1, this Maxillary region based on 3D printing technique punctures guider, for the integrated apparatus printed, Including fixing device and a guider, described fixing device includes fixing bar 1 and facing 2, and facing is upper tooth facing, Can entangle upper tooth 4-6, described guider includes guide post 3 and punctures post 4, sets through hole, for wearing in described puncture post Acanthopore 5, the fixing bar of described fixing device and the guide post of guider connect and compose attachment means.
Embodiment 3
As in figure 2 it is shown, this Maxillary region based on 3D printing technique punctures guider, for the integrated apparatus printed, Including fixing device and two guiders, described fixing device includes fixing bar 1 and facing 2, and facing is upper tooth facing, Can entangle upper tooth 4-6, described guider includes guide post 3;6 and puncture post 4;7, described puncture post sets through hole, for Puncturing hole 5;8, the fixing bar of described fixing device and the guide post of guider connect and compose attachment means, and two puncture posts 4;The puncturing hole 5 of 7;8 is coaxial through-hole, navigates on the same position of Maxillary region.
Embodiment 4
As it is shown on figure 3, this Maxillary region based on 3D printing technique punctures guider, for the integrated apparatus printed, Including fixing device and two guiders, described fixing device includes fixing bar 1 and facing 2, and facing is upper tooth facing, Can entangle upper tooth 4-6, described guider includes guide post 3 and punctures post 4, sets through hole, for wearing in described puncture post Acanthopore 5, the fixing bar of described fixing device and the guide post of guider connect and compose attachment means, and two puncture posts 4 Puncturing hole 5 is not arranged on the same straight line be, but navigates on two diverse locations of Maxillary region.
Embodiment 5
As shown in Figure 4, this Maxillary region based on 3D printing technique punctures guider, for the integrated apparatus printed, Including fixing device and three guiders, described fixing device includes fixing bar 1 and facing 2, and facing is upper tooth facing, Can entangle upper tooth 4-6, described guider includes guide post 3;6 and puncture post 4;7, described puncture post sets through hole, for Puncturing hole 5;8, the fixing bar of described fixing device and the guide post of guider connect and compose attachment means, and two puncture posts 4;The puncturing hole 5 of 7;8 is coaxial through-hole, navigates on the same position of Maxillary region, and another puncturing hole puncturing post navigates to jaw On the diverse location of face.
Embodiment 6
As seen in figs. 5-6, this Maxillary region based on 3D printing technique punctures guider, for the integrated apparatus printed, Including facing 2, puncture post 4 and attachment means 9, described puncture post 4 sets through hole, for puncturing hole 5.In this device, even Connection device two ends are respectively facing 2 and puncture post 4.
Embodiment 7
As it is shown in fig. 7, this Maxillary region based on 3D printing technique punctures guider, for the integrated apparatus printed, Including facing 2, puncture post 4 and connecting rod 9, described puncture post 4 sets through hole, for puncturing hole 5.Described facing is occlusion Facing, is available for lower tooth and is engaged simultaneously and plays fixation, and puncturing post has 2, is connected with between each puncture post and facing 2 connecting rods 9.
Embodiment 8
As shown in Figure 8, this Maxillary region based on 3D printing technique punctures guider, for the integrated apparatus printed, Including fixing device and a guider, described fixing device includes fixing bar 1 and facing 2, and facing is upper tooth facing, Can entangle upper tooth 4-6, described guider includes two guide posts 3 and punctures post 4, sets through hole in described puncture post, For puncturing hole 5, the fixing bar of described fixing device and the guide post of guider connect and compose attachment means.
Embodiment 9
As it is shown in figure 9, this Maxillary region based on 3D printing technique punctures guider, for the integrated apparatus printed, Including 2,2 puncture posts 4 of facing and attachment means 9, described puncture post 4 sets through hole, for puncturing hole 5.In this device, Attachment means one end is facing 2, and the other end is provided with two puncture posts 4.
These are only the certain embodiments that this utility model is applied, specifically used in, it is contemplated that use habit and printed design are convenient Etc. factor, puncturing post and be typically designed as cylinder, length is generally about 10mm, and through hole internal diameter is according to clinical different demands And change, but puncture post is designed to square, cuboid, cone not even regular shape does not affects its use, only The side that need to puncture post contact patient facial region is not sharp-pointed, and can get puncturing hole.
In Clinical practice, same guide post typically sets one to two puncture posts, in particular cases can arrange three and wear above Thorn post, such as facial tumors radio frequency or radion placement in the treatment.For fixing puncture post, prevent its fine motion, it is possible to puncturing post It is connected many guide posts with between fixing bar, or is connected by many connecting rods between post with puncturing at facing.
Because puncture needle cross section the most clinically mostly is circular, therefore puncturing hole is also configured as circle, if faced later Design the puncture needle of other shapes such as the most square, rhombus on bed, then the shape of puncturing hole should also be as changing accordingly.

Claims (7)

1. Maxillary region based on 3D printing technique punctures a guider, the integrated apparatus printed for 3D, including facing and at least one puncture post, also includes, for connecting facing and puncturing the attachment means of post, setting through hole, for puncturing hole in described puncture post.
Maxillary region the most according to claim 1 punctures guider, it is characterized in that: described attachment means is made up of the fixing bar being connected with facing and the guide post being connected with puncture post, described fixing bar quantity is one or several, one or more guide post can be connected on every fixing bar, every guide post can set one or more puncture post.
Maxillary region the most according to claim 1 punctures guider, it is characterized in that: described attachment means is made up of the fixing bar being connected with facing and the guide post being connected with puncture post, described fixing bar quantity is one or several, can connect one or more guide post on every fixing bar, the guide post of more than two can connect on same puncture post.
Maxillary region the most according to claim 1 and 2 punctures guider, it is characterised in that: described facing is upper tooth facing, can entangle upper tooth 4-6.
Maxillary region the most according to claim 1 and 2 punctures guider, it is characterised in that: described facing is occlusion facing, is engaged by upper lower tooth simultaneously and plays fixation.
Maxillary region the most according to claim 1 and 2 punctures guider, it is characterised in that: described puncture post has two, and the puncturing hole of two puncture posts is positioned at same straight line.
Maxillary region the most according to claim 1 and 2 punctures guider, it is characterised in that: described puncture post more than two, any two of which punctures the puncturing hole of post and is positioned at same straight line, or is not positioned at same straight line.
CN201620184286.8U 2016-03-10 2016-03-10 Facial puncture navigation head of jaw based on 3D printing technique Withdrawn - After Issue CN205548645U (en)

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Application Number Priority Date Filing Date Title
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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105662552A (en) * 2016-03-10 2016-06-15 南京鼓楼医院 Maxillofacial-region puncture navigation device based on three-dimensional print technology and preparing method thereof
CN106725854A (en) * 2017-03-03 2017-05-31 王奎重 A kind of guide plate for Cooperation in operation navigation rod guided puncture and preparation method thereof
WO2021077450A1 (en) * 2019-10-25 2021-04-29 四川大学 Tool for positioning foreign body deep in maxillofacial region, and use method thereof

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105662552A (en) * 2016-03-10 2016-06-15 南京鼓楼医院 Maxillofacial-region puncture navigation device based on three-dimensional print technology and preparing method thereof
CN106725854A (en) * 2017-03-03 2017-05-31 王奎重 A kind of guide plate for Cooperation in operation navigation rod guided puncture and preparation method thereof
CN106725854B (en) * 2017-03-03 2023-09-12 王奎重 Guide plate for guiding puncture by matching navigation rod in operation and manufacturing method thereof
WO2021077450A1 (en) * 2019-10-25 2021-04-29 四川大学 Tool for positioning foreign body deep in maxillofacial region, and use method thereof

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Granted publication date: 20160907

Effective date of abandoning: 20180515