CN207837652U - A kind of brain stereo-orientation device based on PACS system - Google Patents
A kind of brain stereo-orientation device based on PACS system Download PDFInfo
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- CN207837652U CN207837652U CN201720705120.0U CN201720705120U CN207837652U CN 207837652 U CN207837652 U CN 207837652U CN 201720705120 U CN201720705120 U CN 201720705120U CN 207837652 U CN207837652 U CN 207837652U
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- locating piece
- axis locating
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Abstract
The utility model proposes a kind of brain stereo-orientation devices based on PACS system, including support plate, segmental support, Y-axis locating piece, Z axis locating piece, X-axis locating piece；Y-axis, Z axis locating piece are located at support plate side；Y-axis locating piece includes Y-axis locating piece, Y-axis graduated scale, Y-axis sliding rail；Z axis locating piece includes Z axis locating piece, Z axis graduated scale, Z axis slide rail；The X-axis locating piece is set to the X of bows ends to support shaft；X is inserted in support shaft at Y-axis locating piece；Y-axis locating piece slide be placed in vertically to Y-axis sliding rail at；Y-axis sliding rail is fixed at Z axis locating piece；Z axis locating piece cunning is placed at the Z axis slide rail of horizontal；Y-axis sliding rail is vertical to support shaft with X；Segmental support is rotated around X to support shaft；Z axis locating piece, Y-axis locating piece and X are slid when carrying out target spot positioning to support shaft, and the central coordinate of circle of segmental support curved portion is made to coincide with target coordinate；This product can coordinate PACS system to position target spot in cranium puncture procedure.
Description
Technical field
The utility model is related to medical auxiliary apparatus technical field, especially a kind of brain stereotactic based on PACS system
Device.
Background technology
Neurosurgery such as lateral ventricular external drainage, hypertension lead to basal ganglia region deep hematoma puncture transforation and suction+draw outside
Stream is common neurosurgery and the common Surgical Operation of emergency treatment and mostly more accurately orients, positioning operation such as trigeminal neuralgia
Row Semilunar Ganglion Radiofrequency Ablation localization method is needed to be mainly the following mode at present：（1）It is simply positioned using iconography
Then the simple unarmed puncture carried out again is easy that orientation, positioning operation uncertainty or even multi-pass operation is brought to be susceptible to simultaneously
Sending out disease such as hemotoncus or accidentally penetrating other significant points leads to serious neurological dysfunction；（2）Using now relatively popular
More advanced navigation device if any the stereotactic apparatus of frame or frameless neuronavigation system equipment costly, it is unfavorable
In promoting the use of, and it is preoperative need relatively cumbersome installation stereotactic frame to need patient compliance, anxious endanger for ill-matched
Patient with severe symptoms is more unsuitable.The accuracy of which is high, convenient for neurosurgical doctor especially resident's study and in-depth pair
The understanding of intracranial lesion positioning.
There are many reports to utilize the stereotactic apparatus for having frame or frameless neuronavigation system equipment more in recent years
Costliness is unfavorable for promoting the use of, and it is preoperative need relatively cumbersome dress stereotactic frame to need patient compliance, acute disease is suffered from
Person is not suitable for.In recent years it was reported that using cell phone application software assistance row lesion positioning, but its positioning accurate parasexuality is poor, especially
It is also likely to occur deviation using the cell phone application software as telocoele is smaller for target spot is smaller, in addition if what mobile phone was taken
Angles and positions, which have deviation also, may cause the error of positioning that operation is caused to be in pickle.
PACS system is the abbreviation of Picture Archiving and Communication Systems, means image
Archiving and communication system.It is the system applied in hospital image section office, and main task is exactly the various doctors daily generation
Learn image（Including nuclear-magnetism, CT, ultrasound, various X-ray machines, the image that the equipment such as various radar stealthy materials, frequency microscope generate）By various
Interface（Simulation, DICOM, network）Magnanimity saves in a manner of digitized, when needed the energy under certain mandate
It is enough quickly recall to use, while increasing some auxiliary diagnosis management functions.Its transmission data and group between various image documentation equipments
Storage data are knitted to play an important roll；As can making a kind of device carrying out auxiliary positioning to puncture target spot using PACS data
Tool, it will help neurosurgery.
Invention content
The utility model proposes a kind of brain stereo-orientation devices based on PACS system, can coordinate in cranium puncture procedure
PACS system positions target spot.
The utility model uses following technical scheme.
A kind of brain stereo-orientation device based on PACS system, target spot positioning when being punctured for cranium, the brain are three-dimensional
Orienting device includes support plate, segmental support, Y-axis locating piece, Z axis locating piece, X-axis locating piece；The Y-axis locating piece, Z axis positioning
Part is located at support plate side；Y-axis locating piece includes Y-axis locating piece, Y-axis graduated scale, Y-axis sliding rail；Z axis locating piece includes that Z axis is fixed
Position block, Z axis graduated scale, Z axis slide rail；The X-axis locating piece is to be horizontally arranged at the X with a scale of bows ends to bearing
Axis；The X is slippingly inserted in support shaft at Y-axis locating piece；The Y-axis locating piece slide be placed in vertically to Y-axis sliding rail
Place；The Y-axis sliding rail is fixed at Z axis locating piece；The Z axis locating piece cunning is placed at the Z axis slide rail of horizontal；The Y-axis is slided
Rail is vertical to support shaft with X；The segmental support is rotated to support shaft as rotary shaft using X, and camber member stage casing is curved portion；The Y
Axis graduated scale it is parallel with Y-axis sliding rail and close to；Z axis graduated scale it is parallel with Z axis slide rail and close to；It is sliding when carrying out target spot positioning
Z axis locating piece, Y-axis locating piece and X are moved to support shaft, makes the target spot of the central coordinate of circle and PACS system measuring and calculating of segmental support curved portion
Coordinate coincides.
The segmental support curved portion is a semicircle；The X is located at the both ends of semi-circular arc to support shaft；Its semicircle circumference is
One puncturing guide rail with a scale is slided at the puncturing guide rail and is equipped with guide pad；It is equipped with perpendicular to puncturing guide rail at the guide pad
Puncture needle.
The support plate is a curved support plate, and the curved support plate forms the positioning groove in a Y direction.
The Y-axis locating piece, Y-axis graduated scale, Y-axis sliding rail are symmetrical arranged in two side of positioning groove；The Z axis positioning
Block, Z axis graduated scale, Z axis slide rail are symmetrical arranged in two side of positioning groove；The X is set to segmental support both ends to support shaft.
The laser lamp whether shifted for measuring cranium is equipped at the positioning groove both sides.
The support plate, Y-axis graduated scale, Y-axis sliding rail, Z axis locating piece, Z axis graduated scale, Z axis slide rail, swashs at Y-axis locating piece
Light lamp is fixed on device chassis；The support plate is fixed on angle adjustable bolt on device chassis.
The Y-axis locating piece is equipped with the fixing bolt that Y-axis locating piece can be locked at Y-axis sliding rail；The Y-axis locating piece
Equipped with lockable X to bearing shaft position fixing bolt；The Z axis locating piece, which is equipped with, to be locked in Z axis slide rail Z axis locating piece
The fixing bolt at place.
The utility model is due to positioning Z axis locating piece, Y-axis locating piece and X to the sliding of support shaft with universal scales value
It is weighed, so can be integrated with PACS system, the cerebral CT or MRI scan the data obtained pair for directly using PACS system to store
Target spot is positioned, and there is no need into the invasive fixation of patient's head progress is about to, need to only be carried out to patient's cranium with infrared ray
Mark carries out non-invasive " fixation " to patient, and using utilizing on PACS system, cerebral CT or MRI scan the data obtained can be to targets
Point carries out precise positioning, solves that unarmed method accuracy is poor, can also reduce the use cost of existing stereo directional device.
Description of the drawings
With reference to the accompanying drawings and detailed description to the further details of explanation of the utility model：
Attached drawing 1 is the schematic diagram of the utility model；
Attached drawing 2 is the schematic diagram on the utility model other direction；
In figure：1- segmental supports；2- curved support plates；3- device chassis；4-Y axis sliding rails；5- laser lamps；6- fixing bolts；
7-Z axis locating pieces；8-Z axis sliding rail support bases；9-Z axis graduated scales；10-Z axis sliding rails；11- guide pads；12- puncture needles；The angles 13-
Spend adjusting bolt；14-Y axis graduated scales；15-Y axis graduated scale support plates；16-Y axis locating pieces；17-X is to support shaft；18- is punctured
Guide rail.
Specific implementation mode
As shown in Figure 1, 2, a kind of brain stereo-orientation device based on PACS system, target spot when being punctured for cranium are fixed
Position, the brain stereo-orientation device includes support plate 2, segmental support 1, Y-axis locating piece, Z axis locating piece, X-axis locating piece；The Y
Axis locating piece, Z axis locating piece are located at 2 side of support plate；Y-axis locating piece includes Y-axis locating piece 16, Y-axis graduated scale 14, Y-axis cunning
Rail 4；Z axis locating piece includes Z axis locating piece 7, Z axis graduated scale 9, Z axis slide rail 10；The X-axis locating piece is to be horizontally arranged at bow
The X with a scale in shape frame end portion is to support shaft 17；The X is slippingly inserted in support shaft 17 at Y-axis locating piece 16；It is described
Y-axis locating piece 16 slide be placed in vertically to Y-axis sliding rail 4 at；The Y-axis sliding rail 4 is fixed at Z axis locating piece 7；The Z axis is fixed
The position cunning of block 7 is placed at the Z axis slide rail 10 of horizontal；The Y-axis sliding rail 4 is vertical to support shaft 17 with X；The segmental support 1 is with X to branch
It holds axis 17 to rotate for rotary shaft, 1 stage casing of camber member is curved portion；The Y-axis graduated scale 14 it is parallel with Y-axis sliding rail 4 and close to；Z
Axis graduated scale 9 it is parallel with Z axis slide rail 10 and close to；When carrying out target spot positioning, sliding Z axis locating piece, Y-axis locating piece and X to
Support shaft makes the target coordinate that the central coordinate of circle of segmental support curved portion is calculated with PACS system coincide.
The segmental support curved portion is a semicircle；The X is located at the both ends of semi-circular arc to support shaft；Its semicircle circumference is
One puncturing guide rail with a scale is slided at the puncturing guide rail 18 and is equipped with guide pad 11；It is equipped with perpendicular to puncture at the guide pad
The puncture needle 12 of guide rail.
The support plate is a curved support plate, and the curved support plate forms the positioning groove in a Y direction.
The Y-axis locating piece, Y-axis graduated scale, Y-axis sliding rail are symmetrical arranged in two side of positioning groove；The Z axis positioning
Block, Z axis graduated scale, Z axis slide rail are symmetrical arranged in two side of positioning groove；The X is set to segmental support both ends to support shaft.
The laser lamp 5 whether shifted for measuring cranium is equipped at the positioning groove both sides.
The support plate, Y-axis graduated scale, Y-axis sliding rail, Z axis locating piece, Z axis graduated scale, Z axis slide rail, swashs at Y-axis locating piece
Light lamp is fixed on device chassis 3；The support plate is fixed on angle adjustable bolt 13 on device chassis.
The Y-axis locating piece is equipped with the fixing bolt 6 that Y-axis locating piece can be locked at Y-axis sliding rail；The Y-axis positioning
Block is equipped with lockable X to the fixing bolt 6 of bearing shaft position；The Z axis locating piece, which is equipped with, to be locked in Z axis Z axis locating piece
Fixing bolt 6 at sliding rail.
Embodiment：
This product application method is as follows；
1) patient's head is put on the pedestal curved support plate of the device and carries out cerebral CT or MRI scan；Scanning process
Middle patient's head is sure not to move, and can be checked whether have displacement by the laser lamp in support plate.
2) X-axis of target spot, the data of Y-axis and Z axis are measured using PACS system after scanning, target spot is carried out using the data obtained
Precise positioning（Target spot calculating and position portion are seen in detail）.
3) operating room can be entered after patient scan（Some patientss can be operated on bedside or CT machines）, can be not necessarily into
The invasive fixation of row, only need to be checked whether have displacement by the laser lamp in support plate.
4) patient is subjected to routine disinfection, notices that the available sterile transparent film of laser lamp positioning covers for clearly performing the operation
Whether there is displacement in journey, if there is displacement to need to adjust.
5) segmental support system is loaded onto to be ready for positioning.
6) sliding Z axis locating piece need to be moved, Y-axis locating piece carries out target spot Y-axis and Z-direction positioning, the X-axis of target spot need to press
X is adjusted after data measured to the left and right position of support shaft 17（Target spot calculating and position portion are seen in detail）.
7) after target spot successfully being positioned, using guide pad on segmental support and puncture needle calculate target spot to scalp depth,
Position and direction.Then can precisely it be punctured after the completion of program before waiting for surgery to puncture.
Target spot in above-described embodiment calculates and localization method is as follows；
A, right Y-axis in figure and Z axis graduated scale intersection, Z axis locating piece, Y-axis locating piece intersection are set as " origin "；
B, the positioning of target spot Y-axis：Number can be obtained by directly measuring on pacs systems with a distance from Y-axis of the target spot from " origin "
According to, utilize graduated scale movement Y-axis locating piece carry out target spot Y direction positioning；
C, the positioning of target spot Z axis:The level directly where measurement target spot is from the layer where " origin " on pacs systems
Face * floor heights can obtain data, and target spot Z-direction positioning is carried out using graduated scale movement Z axis locating piece.
D, the positioning of target spot X-axis:It directly measures with a distance from X-axis of the target spot from " origin " on pacs systems（Fig. 2）, so
Data measured is subtracted into D/2 (D is half diameter of a circle of segmental support curved portion) afterwards, the data of gained are the number that segmental support moves left and right
Value（If positive number, segmental support needs to move toward the left side, and if negative, segmental support needs to move toward the right）.
Claims (7)
1. a kind of brain stereo-orientation device based on PACS system, target spot positioning when being punctured for cranium, it is characterised in that：Institute
It includes support plate, segmental support, Y-axis locating piece, Z axis locating piece, X-axis locating piece to state brain stereo-orientation device；The Y-axis positioning
Part, Z axis locating piece are located at support plate side；Y-axis locating piece includes Y-axis locating piece, Y-axis graduated scale, Y-axis sliding rail；Z axis locating piece
Including Z axis locating piece, Z axis graduated scale, Z axis slide rail；The X-axis locating piece is be horizontally arranged at bows ends with a scale
X is to support shaft；The X is slippingly inserted in support shaft at Y-axis locating piece；The Y-axis locating piece slide be placed in vertically to Y
At axis sliding rail；The Y-axis sliding rail is fixed at Z axis locating piece；The Z axis locating piece cunning is placed at the Z axis slide rail of horizontal；It is described
Y-axis sliding rail is vertical to support shaft with X；The segmental support is rotated to support shaft as rotary shaft using X, and camber member stage casing is curved portion；
The Y-axis graduated scale it is parallel with Y-axis sliding rail and close to；Z axis graduated scale it is parallel with Z axis slide rail and close to；When progress target spot positioning
When, sliding Z axis locating piece, Y-axis locating piece and X make the central coordinate of circle of segmental support curved portion calculate with PACS system to support shaft
Target coordinate coincide.
2. a kind of brain stereo-orientation device based on PACS system according to claim 1, it is characterised in that：The arch
Frame curved portion is a semicircle；The X is located at the both ends of semi-circular arc to support shaft；Its semicircle circumference is that a puncture with a scale is led
Rail is slided at the puncturing guide rail and is equipped with guide pad；The puncture needle perpendicular to puncturing guide rail is equipped at the guide pad.
3. a kind of brain stereo-orientation device based on PACS system according to claim 1, it is characterised in that：The support
Plate is a curved support plate, and the curved support plate forms the positioning groove in a Y direction.
4. a kind of brain stereo-orientation device based on PACS system according to claim 3, it is characterised in that：The Y-axis
Locating piece, Y-axis graduated scale, Y-axis sliding rail are symmetrical arranged in two side of positioning groove；The Z axis locating piece, Z axis graduated scale, Z axis
Sliding rail is symmetrical arranged in two side of positioning groove；The X is set to segmental support both ends to support shaft.
5. a kind of brain stereo-orientation device based on PACS system according to claim 4, it is characterised in that：The positioning
The laser lamp whether shifted for measuring cranium is equipped at groove both sides.
6. a kind of brain stereo-orientation device based on PACS system according to claim 5, it is characterised in that：The support
Plate, Y-axis locating piece, Y-axis graduated scale, Y-axis sliding rail, Z axis locating piece, Z axis graduated scale, Z axis slide rail, laser lamp are fixed on device bottom
On frame；The support plate is fixed on angle adjustable bolt on device chassis.
7. a kind of brain stereo-orientation device based on PACS system according to claim 1, it is characterised in that：The Y-axis
Locating piece is equipped with the fixing bolt that Y-axis locating piece can be locked at Y-axis sliding rail；The Y-axis locating piece is equipped with lockable X to branch
Hold the fixing bolt of shaft position；The Z axis locating piece is equipped with the fixing bolt that Z axis locating piece can be locked at Z axis slide rail.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201720705120.0U CN207837652U (en) | 2017-06-16 | 2017-06-16 | A kind of brain stereo-orientation device based on PACS system |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201720705120.0U CN207837652U (en) | 2017-06-16 | 2017-06-16 | A kind of brain stereo-orientation device based on PACS system |
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| Publication Number | Publication Date |
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| CN207837652U true CN207837652U (en) | 2018-09-11 |
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Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109498103A (en) * | 2018-12-29 | 2019-03-22 | 王志国 | A kind of Mirco-traumatic skull drill of improved neurosurgery clinical operation |
| CN112294452A (en) * | 2020-11-02 | 2021-02-02 | 徐跃明 | Auxiliary drilling device for rapid positioning of distal carpal and forearm surgical operation |
| CN113271865A (en) * | 2019-07-22 | 2021-08-17 | 西安大医集团股份有限公司 | Facial mask locating component and positioning system |
| CN113440269A (en) * | 2021-08-13 | 2021-09-28 | 吉林大学 | Positioning and guiding device for neurosurgical diagnosis and treatment |
| WO2021253943A1 (en) * | 2020-06-15 | 2021-12-23 | 湖南卓世创思科技有限公司 | Laser locating frame system |
| CN115590622A (en) * | 2022-10-26 | 2023-01-13 | 燕山大学（Cn） | Magnetic resonance compatible acupuncture operation robot |
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2017
- 2017-06-16 CN CN201720705120.0U patent/CN207837652U/en not_active Expired - Fee Related
Cited By (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109498103A (en) * | 2018-12-29 | 2019-03-22 | 王志国 | A kind of Mirco-traumatic skull drill of improved neurosurgery clinical operation |
| CN113271865A (en) * | 2019-07-22 | 2021-08-17 | 西安大医集团股份有限公司 | Facial mask locating component and positioning system |
| WO2021253943A1 (en) * | 2020-06-15 | 2021-12-23 | 湖南卓世创思科技有限公司 | Laser locating frame system |
| CN112294452A (en) * | 2020-11-02 | 2021-02-02 | 徐跃明 | Auxiliary drilling device for rapid positioning of distal carpal and forearm surgical operation |
| CN113440269A (en) * | 2021-08-13 | 2021-09-28 | 吉林大学 | Positioning and guiding device for neurosurgical diagnosis and treatment |
| CN113440269B (en) * | 2021-08-13 | 2022-08-26 | 吉林大学 | Positioning and guiding device for neurosurgical diagnosis and treatment |
| CN115590622A (en) * | 2022-10-26 | 2023-01-13 | 燕山大学（Cn） | Magnetic resonance compatible acupuncture operation robot |
| CN115590622B (en) * | 2022-10-26 | 2024-04-12 | 燕山大学 | Magnetic resonance compatible needling surgical robot |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| GR01 | Patent grant | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20180911 Termination date: 20210616 |
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| CF01 | Termination of patent right due to non-payment of annual fee |