CN209122429U - Surgical instrument insertion position-limit mechanism is surgically inserted into device and operating robot - Google Patents

Surgical instrument insertion position-limit mechanism is surgically inserted into device and operating robot Download PDF

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Publication number
CN209122429U
CN209122429U CN201820883104.5U CN201820883104U CN209122429U CN 209122429 U CN209122429 U CN 209122429U CN 201820883104 U CN201820883104 U CN 201820883104U CN 209122429 U CN209122429 U CN 209122429U
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CN
China
Prior art keywords
limited block
surgical instrument
limit mechanism
thickness
hole
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Active
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CN201820883104.5U
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Chinese (zh)
Inventor
郭娜
孙贝
于晓亮
申广林
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Suzhou Casting Robot Co Ltd
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Suzhou Casting Robot Co Ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/92Impactors or extractors, e.g. for removing intramedullary devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/90Guides therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30Surgical robots

Abstract

The utility model provides a kind of surgical instrument insertion position-limit mechanism, is surgically inserted into device and operating robot, wherein the position-limit mechanism includes limited block;The limited block has two surfaces being parallel to each other, and the distance between two described surfaces form the thickness of the limited block;The limited block is equipped with the hole for passing therethrough the surgical instrument, and the hole extends perpendicularly to that two surfaces are another from one of two surfaces of the limited block, the consistency of thickness of the depth in the hole and the limited block;The limited block passes through the surgical instrument and exposes described surgical instrument one end from a surface of the limited block, and the length exposed limits the depth at surgical instrument insertion patients surgery position.In this way, one end that surgical instrument is exposed from a surface of the limited block need to be only tapped, until the one end of the surgical instrument is flushed with the surface of the limited block, so that the surgical instrument is properly inserted patients surgery position.

Description

Surgical instrument insertion position-limit mechanism is surgically inserted into device and operating robot
Technical field
The utility model relates to technical field of surgical instruments, relate in particular to a kind of surgical instrument insertion position-limit mechanism, It is surgically inserted into device and operating robot.
Background technique
Backbone is one of most important organ of human body.With the acceleration of people's life rhythm, the increase of operating pressure, and it is each Kind traffic accident, the frequent generation of traumatic injury, the spinal lesion and fracture dislocation incidence of people are in rising trend.Minimally invasive hand Art, the advantages that can reducing blood loss due to it, reduce patient morbidity, reduce rehabilitation duration and hospital stays, in spinal surgery It plays an important role in operation.
In spine structure Minimally Invasive Surgery, Kirschner wire or similar seal wire or other guiding piece combination hollow surgical tools one It rises and uses, such as screwdriver is attacked, bored, boring or probe.Kirschner wire pass through hollow surgical tool inner cavity (casing) be inserted into and puncture into To the marrow in, if the process cannot accurately be implemented, can injured patient, especially encounter certain sensitive organizations in Kirschner wire When.In addition, in the example for tightening pedicle screw by pedicle screw knife, if Kirschner wire is not accurately located or inserts Enter, screw can slide in inlet point and surgeon is caused to tighten pedicle screw in the wrong direction.
In Kirschner wire insertion process, it usually needs using can cause the Kirschner wire being accurately positioned move forward into Enter the force of operative site, the position which can cause contact to need to avoid contact with if excessive.How force is controlled, Operation is smoothly implemented most important.
Utility model content
For this purpose, the technical problem to be solved by the utility model is to be difficult in the spine structure Minimally Invasive Surgery of the prior art Control exerts a force size to guarantee being properly inserted for Kirschner wire, to propose that a kind of surgical instrument is inserted into position-limit mechanism, is surgically inserted into Device and operating robot solve the problems, such as this.
In order to solve the above technical problems, the utility model provides a kind of surgical instrument insertion position-limit mechanism, comprising: limit Block;The limited block has two surfaces being parallel to each other, and the distance between two described surfaces form the thickness of the limited block;Institute It states limited block and is equipped with the hole for passing therethrough the surgical instrument, the hole is vertically prolonged from one of two surfaces of the limited block Extend to that two surfaces are another, the consistency of thickness of the depth in the hole and the limited block;The limited block passes through the surgical instrument And expose described surgical instrument one end from a surface of the limited block, the length exposed limits the surgical instrument It is inserted into the depth at patients surgery position.
Preferably, the quantity of the limited block is a plurality of, and each limited block is configured to respectively have corresponding thick Degree, the thickness of each limited block are superimposed the thickness to form the position-limit mechanism, and described surgical instrument one end is from wherein one institute Expose on the surface for stating limited block.
Preferably, in a plurality of limited blocks, the thickness of at least two limited blocks is identical.
Preferably, the center on the hole from one of two surfaces of the limited block extend perpendicularly to two surfaces it is another in The heart.
Preferably, its thickness value is marked on the limited block.
Preferably, the limited block is cylinder.
Preferably, the diameter of each limited block is consistent.
The utility model also provides one kind and is surgically inserted into device, comprising: locator is configured between patients surgery position With relative position;Guiding mechanism is configured to removably be assemblied in the locator;Guiding piece is configured to from the guidance Mechanism passes through, and end contradicts patients surgery position, and head end exposes the guiding mechanism;Described device further include: position-limit mechanism, It is configured to preset thickness, and passes through the guiding piece head end and offset with the guiding mechanism, and the guiding piece is first The length that end is exposed to the position-limit mechanism limits the depth at guiding piece insertion patients surgery position.
Preferably, the position-limit mechanism includes an at least limited block, and the limited block has two surfaces that are parallel to each other, and two The distance between described surface forms the thickness of the limited block, and each limited block respectively has corresponding thickness and folds Add to form the preset thickness of the position-limit mechanism.
Preferably, the limited block is equipped with the hole passed through for the guiding piece, and the hole is from two surfaces of the limited block One of extend perpendicularly to that two surfaces are another, the consistency of thickness of the depth in the hole and the limited block, the guiding piece head end from The one of the limited block of the one of the position-limit mechanism exposes on the surface.
Preferably, the guide marks have scale value, read the guiding piece head end from described by the scale value The length that the surface of limited block is exposed.
Preferably, the guiding mechanism includes: pilot sleeve, is removably assemblied in the locator;Guiding piece set Cylinder, is removably assemblied in the pilot sleeve, the guiding piece passes through from the guiding piece sleeve and contradicts the trouble Person's operative site.
The utility model also provides a kind of operating robot, is surgically inserted into device including above-mentioned.
The above-mentioned technical proposal of the utility model has the advantage that compared with prior art
The surgical instrument insertion position-limit mechanism of the utility model is surgically inserted into device and operating robot, by wherein institute Stating position-limit mechanism includes limited block;The limited block has two surfaces being parallel to each other, and the distance between two described surfaces are formed The thickness of the limited block;The limited block is equipped with the hole for passing therethrough the surgical instrument, and the hole is from the limit One of two surfaces of block extend perpendicularly to that two surfaces are another, the consistency of thickness of the depth in the hole and the limited block;The limit Position block passes through the surgical instrument and exposes described surgical instrument one end from a surface of the limited block, the length exposed Degree limits the depth at surgical instrument insertion patients surgery position.In this way, need to only tap surgical instrument from the limited block One end for exposing of a surface, until the one end of the surgical instrument is flushed with the surface of the limited block, so that institute It states surgical instrument and is properly inserted patients surgery position.
Detailed description of the invention
In order to be more likely to be clearly understood the content of the utility model, below according to the specific implementation of the utility model Example and in conjunction with attached drawing, the utility model is described in further detail, wherein
Fig. 1 is the structural schematic diagram of the limited block of the utility model embodiment;
Fig. 2 is the schematic top plan view of the limited block of the utility model embodiment;;
Fig. 3 is the structural schematic diagram for being surgically inserted into device of another embodiment of the utility model;
Fig. 4 is the structural schematic diagram of the Kirschner wire of another embodiment of the utility model;
Fig. 5 is the B partial enlargement diagram of Fig. 4;
Fig. 6 is the partial cross section's structural schematic diagram for being surgically inserted into device of another embodiment of the utility model;
Fig. 7 is the A partial enlargement diagram of Fig. 6.
Specific embodiment
Fig. 1 shows a kind of surgical instrument insertion position-limit mechanism provided by the embodiment of the utility model.The position-limit mechanism Including limited block 51, the limited block 51 has the first surface (511) and second surface (512) being parallel to each other, first surface (511) there is distance L2 between second surface (512).The distance between first surface (511) and second surface (512) L2 shape At the thickness of the limited block 51, in other words, the size of the thickness of the limited block 51 is equal to the size of distance L2.
As shown in Fig. 2, the limited block 51 is equipped with hole 513, the surgical instrument can be passed through from the hole 513.It is described The first surface 511 of hole 513 from the limited block 51 extends perpendicularly to second surface 512, alternatively, the hole 513 is from the limit The second surface 512 of position block 51 extends perpendicularly to first surface 511.The thickness of the depth in the hole 513 and the limited block 51 Unanimously.
In the embodiments of the present invention, shown surgical instrument can be Kirschner wire or similar seal wire or guiding piece. By taking Kirschner wire as an example, as shown in figure 3, the limited block 51 passes through Kirschner wire 4, and make described 4 one end of Kirschner wire (such as head end 42) expose from the first surface 511 of the limited block 51.Gram 4 head end 42 of people's needle reveals from the first surface 511 of the limited block 51 Length L1 out limits the depth that the Kirschner wire 4 is inserted into patients surgery position 2.In this way, need to only tap Kirschner wire 4 from described The head end 42 that the first surface 51 of limited block 51 exposes, until first table of the head end 42 of Kirschner wire 4 and the limited block 51 Face 511 flushes, so that the Kirschner wire 4 is properly inserted patients surgery position 2.Wherein, limited block 51 can be added using machine Work is made, and can not only guarantee dimensional accuracy, but also realizes accurately controlling for Kirschner wire insertion depth simultaneously.
As can be seen that surgical instrument provided by the utility model insertion position-limit mechanism have the characteristics that it is simple, durable, and Convenient sterilizing sterilization.In addition, it also has the characteristics that the Kirschner wire depth control versatile, various scene differences is suitble to require System.
In the embodiments of the present invention, the quantity of the limited block 51 can be it is a plurality of, such as 2,3,4 A, 5,6 etc., particular number can be configured as needed by those skilled in the art.Each limited block 51 is matched Being set to respectively has corresponding thickness, and the thickness of each limited block 51 is superimposed the thickness to form the position-limit mechanism, performs the operation Expose from a surface 511 of wherein one limited block 51 instrument one end (illustratively, 4 one end 42 of Kirschner wire).
In the embodiments of the present invention, in a plurality of limited blocks 51, the thickness of at least two limited blocks 51 It is identical.For example, the thickness of two limited blocks 51 is 20mm, 25mm, certain those skilled in the art also can according to need 3 or The thickness of the limited block of person's other quantity is identical, and thickness value can also be configured according to actual needs.
In the embodiments of the present invention, the center on the hole 513 from one of two surfaces of the limited block 51 is vertical Extend to another center in two surfaces.For example, the center of the hole 513 from the first surface 511 of the limited block 51 is vertically prolonged Extend to the center of second surface 512.In other words, the center of limited block 51 is arranged in hole 513.
In the embodiments of the present invention, its thickness value is marked on the limited block 51.It is thick shown in referring to Figures 1 and 2 Angle value can mark on the whole body of limited block 51, either mark first surface 511 or second surface in limited block 51 512。
In the embodiments of the present invention, the limited block 51 is cylinder, further, each limited block 51 Diameter be consistent.As other embodiments, limited block 51 can also be arranged to cuboid, triangulo column etc..
Referring to shown in Fig. 3, Fig. 6 and Fig. 7, one kind that another embodiment of the utility model provides is surgically inserted into device.The hand Art insertion apparatus includes: locator 1, is configured to have relative position between patients surgery position 2;Guiding mechanism 3, is configured to Removably it is assemblied in the locator 1;Guiding piece is configured to pass through from the guiding mechanism 3, and end contradicts patients surgery Position 2, head end expose the guiding mechanism 3.In the embodiments of the present invention, shown guiding piece can be Kirschner wire or class As seal wire.Below only by taking the guide member is Kirschner wire 4 as an example, i.e., Kirschner wire is passed through from the guiding mechanism 3, end 41 Patients surgery position 2 is contradicted, head end 42 exposes the guiding mechanism 3.
Outside it, the insertion apparatus further include: position-limit mechanism 5 is configured to preset thickness, and passes through kirschner 4 head end 42 of needle offsets with the guiding mechanism 3, and the length L1 that the Kirschner wire head end 42 is exposed to the position-limit mechanism 5 is limited The Kirschner wire 4 is inserted into the depth at patients surgery position 2 out.In this way, need to only tap Kirschner wire 4 from the first of the limited block 51 The head end 42 that surface 511 is exposed, until the head end 42 of Kirschner wire 4 is flushed with the first surface 511 of the limited block 51, thus So that the Kirschner wire 4 is properly inserted patients surgery position 2.
In the embodiments of the present invention, the position-limit mechanism 5 includes an at least limited block 51, and the limited block 51 has There are two surfaces being parallel to each other, the distance between two described surfaces L2 forms the thickness of the limited block 51, each limit Block 51 respectively has corresponding thickness and is superimposed the preset thickness for forming the position-limit mechanism 5.
In the embodiments of the present invention, the limited block 51 is equipped with the hole 513 crossed for the Kirschner wire 4, the hole 513 extend perpendicularly to that two surfaces are another from one of two surfaces of the limited block 51, the depth in the hole 513 and the limited block 51 consistency of thickness, the surface that 4 head end 42 of Kirschner wire states a limited block 51 of position-limit mechanism 5 are exposed.
Referring to fig. 4, shown in Fig. 5, in the embodiments of the present invention, the Kirschner wire 4 is marked with scale value, passes through institute It states scale value and reads the length that 4 head end 42 of Kirschner wire states the surface exposing of limited block 51.
Referring to fig. 4, and as shown in connection with fig. 6, in the embodiments of the present invention, the guiding mechanism 3 includes: guide sleeve Cylinder 31, is removably assemblied in the locator 1.Specifically, locator 1 is equipped with through-hole, and the diameter of the through-hole is configured to The main part of pilot sleeve 31 is allowed to pass through.The diameter of the end of pilot sleeve 31 is greater than the diameter of its main part, thus is oriented to The main part of sleeve 31 can be by the through-hole of locator 1, but its end is limited by the through-hole of locator 31.
The guiding mechanism 3 further includes guiding piece sleeve 32, is removably assemblied in the pilot sleeve 31, Kirschner wire 4 pass through from the guiding piece sleeve 31 and contradict the patients surgery position 2.Specifically, pilot sleeve 31 is equipped with through-hole, The diameter of the through-hole is configured to allow for the main part of guiding piece sleeve 32 to pass through.The diameter of the end of guiding piece sleeve 32 is greater than it The diameter of main part, thus, the main part of guiding piece sleeve 32 can be by the through-hole of pilot sleeve 31, but its end is by being oriented to The through-hole of sleeve 31 limits.
In the course of surgery, pilot sleeve 31 is placed in locator 1, guiding piece sleeve 32 is then placed in pilot sleeve 31, then Kirschner wire 4 is passed through from the guiding piece sleeve 31 and contradicts the patients surgery position 2.
It is inserted into the requirement of 2 depth of patients surgery position according to Kirschner wire 4, selects corresponding limited block 51 successively from Kirschner wire 4 Head end 42 passes through, and when the scale value of observation gram people's needle 4 is consistent with the insertion of Kirschner wire 4 depth at patients surgery position 2 is required, taps The head end 42 that Kirschner wire 4 exposes from the first surface 51 of the limited block 51, until the head end 42 of Kirschner wire 4 and the limit The first surface 511 of block 51 flushes, so that the Kirschner wire 4 is properly inserted patients surgery position 2.Wherein, for tapping The operation tool of Kirschner wire 4 can be the percussion hammer of custom-made, and certainly, those skilled in the art also can choose suitable with other The tool of conjunction taps.
As the another embodiment of the utility model, a kind of operating robot is also provided comprising above-mentioned operation is inserted Enter device.
Obviously, the above embodiments are merely examples for clarifying the description, and does not limit the embodiments.It is right For those of ordinary skill in the art, can also make on the basis of the above description it is other it is various forms of variation or It changes.There is no necessity and possibility to exhaust all the enbodiments.And it is extended from this it is obvious variation or It changes among the protection scope created still in the utility model.

Claims (13)

1. a kind of surgical instrument is inserted into position-limit mechanism characterized by comprising
Limited block (51);
The limited block (51) has two surfaces being parallel to each other, and the distance between two described surfaces (L2) form the limited block (51) thickness;
The limited block (51) is equipped with the hole (513) for passing therethrough the surgical instrument, and the hole (513) is from the limit One of two surfaces of block (51) extend perpendicularly to that two surfaces are another, the depth of the hole (513) and the thickness of the limited block (51) Degree is consistent;
The limited block (51) passes through the surgical instrument and makes described surgical instrument one end from the one of the limited block (51) Surface is exposed, and the length (L1) exposed limits the depth of surgical instrument insertion patients surgery position (2).
2. surgical instrument according to claim 1 is inserted into position-limit mechanism, it is characterised in that:
The quantity of the limited block (51) be it is a plurality of, each limited block (51) be configured to respectively have corresponding thickness, The thickness of each limited block (51) is superimposed the thickness to form the position-limit mechanism, and described surgical instrument one end is from wherein one institute Expose on the surface for stating limited block (51).
3. surgical instrument according to claim 2 is inserted into position-limit mechanism, it is characterised in that:
In a plurality of limited blocks (51), the thickness of at least two limited blocks (51) is identical.
4. surgical instrument according to claim 1 is inserted into position-limit mechanism, it is characterised in that:
The center on hole (513) from one of two surfaces of the limited block (51) extends perpendicularly to another center in two surfaces.
5. surgical instrument according to claim 1 is inserted into position-limit mechanism, it is characterised in that:
Its thickness value is marked on the limited block (51).
6. surgical instrument according to claim 1 is inserted into position-limit mechanism, it is characterised in that:
The limited block (51) is cylinder.
7. surgical instrument according to claim 6 is inserted into position-limit mechanism, it is characterised in that:
The diameter of each limited block (51) is consistent.
8. one kind is surgically inserted into device, comprising:
Locator (1) is configured to have relative position between patients surgery position (2);
Guiding mechanism (3) is configured to removably be assemblied in the locator (1);
Guiding piece (4) is configured to pass through from the guiding mechanism (3), and end (41) contradict patients surgery position, head end (42) Expose the guiding mechanism (3);
It is characterized in that, described device further include:
Position-limit mechanism (5), is configured to preset thickness, and head end (42) and the guidance across the guiding piece Mechanism (3) offsets, and the length (L1) that the head end (42) of the guiding piece is exposed to the position-limit mechanism (5) limits the guidance Part (4) is inserted into the depth of patients surgery position (2).
9. according to claim 8 be surgically inserted into device characterized by comprising
The position-limit mechanism (5) includes an at least limited block (51), and the limited block (51) has two surfaces that are parallel to each other, and two The distance between described surface (L2) forms the thickness of the limited block (51), and each limited block (51) respectively has corresponding Thickness and superposition form the preset thickness of the position-limit mechanism (5).
10. according to claim 9 be surgically inserted into device, which is characterized in that
The limited block (51) is equipped with the hole (513) passed through for the guiding piece (4), and the hole (513) is from the limited block (51) one of two surfaces extend perpendicularly to that two surfaces are another, the depth of the hole (513) and the thickness of the limited block (51) Unanimously, the head end (42) of the guiding piece exposes from a surface of a limited block (51) of the position-limit mechanism (5).
11. according to claim 10 be surgically inserted into device, which is characterized in that
The guiding piece (4) is marked with scale value, reads the head end (42) of the guiding piece from the limit by the scale value The length that the surface of position block (51) is exposed.
12. described being surgically inserted into device according to claim 8-11 is any, which is characterized in that the guiding mechanism (3) includes:
Pilot sleeve (31) is removably assemblied in the locator (1);
Guiding piece sleeve (32) is removably assemblied in the pilot sleeve (31), and the guiding piece (4) is from the guide sleeve It is passed through in cylinder (31) and contradicts the patients surgery position (2).
13. a kind of operating robot, which is characterized in that described be surgically inserted into device including claim 8-12 is any.
CN201820883104.5U 2018-04-23 2018-06-06 Surgical instrument insertion position-limit mechanism is surgically inserted into device and operating robot Active CN209122429U (en)

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Cited By (1)

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CN111839654A (en) * 2020-07-24 2020-10-30 中南大学湘雅医院 Electronic bone drill of direction location type

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AU2003234718A1 (en) * 2002-04-15 2003-11-03 Tyco Healthcare Group, Lp Instrument introducer
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MX2013001950A (en) * 2010-08-16 2013-07-29 Smith & Nephew Inc Patient-matched tissue guide for placing a surgical device.
US20130274778A1 (en) * 2012-04-16 2013-10-17 Orthosoft Inc. Patient specific surgical guide
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CN107137112B (en) * 2017-05-22 2023-08-11 太和县人民医院 Mammary gland biopsy puncture device under ultrasonic guidance

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Publication number Priority date Publication date Assignee Title
CN111839654A (en) * 2020-07-24 2020-10-30 中南大学湘雅医院 Electronic bone drill of direction location type
CN111839654B (en) * 2020-07-24 2022-05-20 中南大学湘雅医院 Guide positioning type electric bone drill

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