CN211066924U - Operation positioner of pathological change in brain - Google Patents
Operation positioner of pathological change in brain Download PDFInfo
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- CN211066924U CN211066924U CN201921801502.9U CN201921801502U CN211066924U CN 211066924 U CN211066924 U CN 211066924U CN 201921801502 U CN201921801502 U CN 201921801502U CN 211066924 U CN211066924 U CN 211066924U
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Abstract
An operation positioning device for intracerebral lesion comprises a guide plate base, a guide plate bracket, a boss and a bracket clamping seat; the guide plate base is arranged in a facial anatomical landmark area of a patient, and a first groove is formed in the guide plate base; the two ends of the guide plate bracket are respectively provided with a boss and a bracket clamping seat, the projections of the guide plate bracket, the boss and the bracket clamping seat are in a concave structure, and the end surface of the guide plate bracket is provided with a second groove; the bottom surface of the second groove is a curved surface and is used for forming a conduit tunnel for a conduit to pass through; the bosses are respectively inserted into the first grooves in a matching way; the guide plate brackets are respectively connected with the guide plate base; the end faces of the support clamping seats facing the head of the patient respectively press the scalp of the patient, and the intersection points of the central line direction of the catheter tunnel and the scalp surface and the deep skull surface of the patient are set as intracranial lesion operation puncture central points. The utility model provides an operation positioner for intracerebral lesion convenient to use, small can improve the precision of intracerebral lesion operation puncture.
Description
Technical Field
The utility model relates to the technical field of medical surgical instruments, in particular to an operation positioning device for intracerebral lesion.
Background
Cerebral hemorrhage is a common neurosurgical disease; cerebral hemorrhage has high disabling fatality rate, and the operation of clearing intracerebral hematoma is often required to be performed as early as possible during the treatment of the cerebral hemorrhage; the key to the success of cerebral hemorrhage surgery is the precise location of intracerebral hematoma by the operating physician. At present, when cerebral hemorrhage surgery is performed, a doctor adopts a freehand puncture method, but whether puncture is successful or not mainly depends on experience and feeling of an operator, and the method has great uncertainty and risk.
The existing intracerebral lesion accurate positioning system used for the cerebral hemorrhage operation is mainly a frame stereotaxic apparatus and a frameless stereotaxic navigation apparatus; however, these two types of medical equipment are expensive and have large volume; is not beneficial to be popularized in most medical institutions, especially basic medical units;
Accordingly, a surgical locator device for an intracerebral lesion is presented herein.
SUMMERY OF THE UTILITY MODEL
Objects of the invention
For the technical problem who exists among the solution background art, the utility model provides an operation positioner of intracerebral pathological change, the utility model provides a positioning device for intracerebral pathological change operation convenient to use, small can improve the precision of intracerebral pathological change operation puncture, and low in manufacturing cost.
(II) technical scheme
The utility model provides an operation positioning device for intracerebral lesion, which comprises a guide plate base, a guide plate bracket, a boss and a bracket clamping seat;
The guide plate base is arranged in a facial anatomical landmark area of a patient, and a first groove is formed in the guide plate base;
The two ends of the guide plate bracket are respectively provided with a boss and a bracket clamping seat, the projections of the guide plate bracket, the boss and the bracket clamping seat are in a concave structure, and the end surface of the guide plate bracket is provided with a second groove; the bottom surface of the second groove is a curved surface and is used for forming a conduit tunnel for a conduit to pass through;
The bosses are respectively inserted into the first grooves in a matching way; the guide plate brackets are respectively connected with the guide plate base; the end faces of the support clamping seats facing the head of the patient respectively press the scalp of the patient, and the intersection points of the central line direction of the catheter tunnel and the scalp surface and the deep skull surface of the patient are set as intracranial lesion operation puncture central points.
Preferably, the catheter tunnel is provided with an inclined inner wall for the catheter in the catheter tunnel to reach the intended target site for the operation in the brain.
Preferably, the cross-sectional size of the boss is 5x5mm-10x10 mm.
Preferably, the guide plate base, the guide plate support, the boss and the support clamping seat are all manufactured by adopting 3D printing forming.
Preferably, the guide plate base, the guide plate bracket, the boss and the bracket clamping seat are subjected to sterilization treatment before use.
The utility model provides a method for using an operation positioning device for intracerebral lesion, which comprises the following steps:
S1, taking a guide plate base, a guide plate bracket, a boss and a bracket clamping seat required by the intracerebral lesion operation of a patient;
S2, arranging the guide plate base at the eyebrow arch-nose of the face of the patient;
S3, respectively installing the bosses in the first grooves in a matching manner; the guide plate brackets are respectively connected with the guide plate base; after the bracket clamping seat is attached to the scalp of a patient, the intersection points of the central line direction of the catheter tunnel and the scalp surface and the deep skull surface of the patient are set as intracranial lesion operation puncture central points;
S4, separating the boss from the first groove, and temporarily removing the guide plate bracket;
S5, connecting the guide plate base and the guide plate bracket again after craniotomy of the patient; taking the puncture catheter for operation, puncturing the puncture catheter into the brain along the catheter tunnel, and observing that the upper edge of the horizontal section of the guide plate base is flush with the preset depth of the puncture catheter;
S6, after the puncture catheter is punctured successfully and is punctured in place, the puncture catheter is connected with an injector and used for removing the intracerebral hematoma of the patient;
And S7, removing the guide plate bracket and the guide plate base in sequence.
Preferably, the guide base, the guide holder, the boss, and the holder in S1 are used after being sterilized.
Preferably, the guide plate base, the guide plate support, the boss and the support clamping seat are all manufactured by adopting 3D printing forming.
The above technical scheme of the utility model has following profitable technological effect:
The existing 3D printing guide plates are all of an integrated structure; the integrated 3D printing guide plate can shield the area of a patient needing an operation, and also prevents the head of the patient from being disinfected and the conventional craniotomy, so that only the skull operation of a hard channel can be performed on the patient; the skull-tapering operation easily causes the accidental injury bleeding of intracranial blood vessels, which is not beneficial to the control of the operation safety, and on the other hand, in the skull-tapering process, the external force applied to the 3D printing guide plate is too large, so that the 3D printing guide plate is easily displaced, and the positioning accuracy of the 3D printing guide plate is greatly reduced;
Compared with the prior art, the utility model, have following advantage:
The guide plate base and the guide plate bracket are of an assembled structure, the surgical positioning device provided by the utility model is sterilized before use, meets the requirements of surgical aseptic principle and the operation habit of conventional craniotomy, and greatly improves the safety and operability of the operation;
Secondly, the utility model designs the parts of the operation positioning device from the preoperative imaging data of the patient and the virtual operation plan, and prepares the parts of the operation positioning device in a 3D printing mode; compared with the bare-handed puncture, the surgical positioning device provided by the utility model obviously improves the precision of the surgical puncture;
Thirdly, the components of the operation positioning device are manufactured in a 3D printing mode, and the production cost of the operation positioning device is greatly reduced on the premise of ensuring the high requirement on the operation accuracy;
The utility model provides an operation positioner of intracerebral pathological changes easy operation convenient to use can improve the accurate nature of intracerebral pathological changes puncture, and low in manufacturing cost, is worth promoting.
Drawings
Fig. 1 is a schematic structural view of the surgical positioning device for intracerebral lesions provided by the present invention.
Reference numerals: 1. a guide plate base; 2. a guide plate bracket; 3. a first groove; 4. a boss; 5. a catheter tunnel; 6. a bracket clamping seat.
Detailed Description
In order to make the objects, technical solutions and advantages of the present invention more apparent, the present invention will be described in detail with reference to the accompanying drawings. It should be understood that the description is intended to be illustrative only and is not intended to limit the scope of the present invention. Moreover, in the following description, descriptions of well-known structures and techniques are omitted so as to not unnecessarily obscure the concepts of the present invention.
As shown in fig. 1, the surgical positioning device for intracerebral lesion provided by the present invention comprises a guide plate base 1, a guide plate bracket 2, a boss 4 and a bracket holder 6;
The guide plate base 1 is arranged in a facial anatomical landmark area of a patient, and a first groove 3 is formed in the guide plate base 1;
The two ends of the guide plate bracket 2 are respectively provided with a boss 4 and a bracket clamping seat 6, the projection of the guide plate bracket 2, the boss 4 and the bracket clamping seat 6 is in a concave structure, and the end surface of the guide plate bracket 2 is provided with a second groove; the end surfaces of the guide plate bracket 2, which are positioned on the boss 4 and the bracket clamping seat 6, are horizontally arranged, and the edge of the upper horizontal section of the guide plate bracket 2 is straightly and smoothly arranged for observing the entering depth of the reference mark conduit from the side surface;
The bottom surface of the second groove is a curved surface for forming a conduit tunnel 5 for a conduit to pass through;
The bosses 4 are respectively inserted into the first grooves 3 in a matching way; the guide plate brackets 2 are respectively connected with the guide plate base 1; the end surfaces of the bracket clamping seats 6 facing the head of the patient respectively press the scalp of the patient, and the intersection points of the central line direction of the catheter tunnel 5 and the scalp surface and the deep skull surface of the patient are set as intracranial lesion operation puncture central points.
In an alternative embodiment, the catheter tunnel 5 is provided with an inclined inner wall for the catheter in the catheter tunnel 5 to reach the intended target surgical site in the brain.
In an alternative embodiment, the cross-sectional size of the boss 4 is 5x5mm-10x10 mm.
In an optional embodiment, the guide plate base 1, the guide plate bracket 2, the boss 4 and the bracket clamping seat 6 are all manufactured by 3D printing; it should be noted that the specific forms of the guide plate base 1, the guide plate support 2, the boss 4 and the support clamping seat 6 are newly customized according to individuals such as different facial features, specific positions of intracerebral lesions, operation target spots and the like of specific patients, and are manufactured by adopting a 3D printing and forming technology.
In an alternative embodiment, the flipper base 1, flipper holder 2, boss 4, and holder cartridge 6 are sterilized prior to use.
The utility model provides a method for using operation positioner of intracerebral lesion, which comprises the following steps:
S1, taking a guide plate base 1, a guide plate bracket 2, a boss 4 and a bracket clamping seat 6 required by an intracerebral lesion operation of a patient;
S2, arranging the guide plate base 1 at the eyebrow arch-nose of the face of the patient;
S3, respectively installing the bosses 4 in the first grooves 3 in a matching manner; the guide plate brackets 2 are respectively connected with the guide plate base 1; after the bracket clamping seat 6 is attached to the scalp of a patient, the intersection points of the central line direction of the catheter tunnel 5 and the scalp surface and the deep skull surface of the patient are set as intracranial lesion operation puncture central points;
S4, separating the boss 4 from the first groove 3, and temporarily removing the guide plate bracket 2;
S5, connecting the guide plate base 1 and the guide plate bracket 2 again after craniotomy of the patient; taking the puncture catheter for operation, puncturing the puncture catheter into the brain along the catheter tunnel 5, and observing that the upper edge of the horizontal section of the guide plate base 1 is flush with the preset depth of the puncture catheter;
S6, after the puncture catheter is punctured successfully and is punctured in place, the puncture catheter is connected with an injector and used for removing the intracerebral hematoma of the patient;
And S7, removing the guide plate bracket 2 and the guide plate base 1 in sequence.
In an alternative embodiment, the guide plate base 1, the guide plate holder 2, the boss 4 and the holder 6 in S1 are used after being sterilized separately.
In an optional embodiment, the guide plate base 1, the guide plate bracket 2, the boss 4 and the bracket clamping seat 6 are all manufactured by 3D printing; it should be noted that the specific forms of the guide plate base 1, the guide plate support 2, the boss 4 and the support clamping seat 6 are newly customized according to individuals such as different facial features, specific positions of intracerebral lesions, operation target spots and the like of specific patients, and are manufactured by adopting a 3D printing and forming technology.
In the utility model, the operation positioning device is a detachable structure, which is convenient for assembly; the puncture catheter in the cerebral hemorrhage surgery can be accurately positioned by using the surgery positioning device, and compared with the puncturing by a doctor with hands, the precision of treatment is obviously improved; the operation positioning device is sterilized before use, meets the requirement of an operation aseptic principle, meets the operation habit of a conventional craniotomy, and improves the safety and operability of the operation; the parts of the operation positioning device are manufactured by using the 3D printing technology, and the manufacturing cost of the whole operation positioning device is lower on the premise of ensuring the large requirement of the accuracy of the operation.
It is to be understood that the above-described embodiments of the present invention are merely illustrative of or explaining the principles of the invention and are not to be construed as limiting the invention. Therefore, any modification, equivalent replacement, improvement and the like made without departing from the spirit and scope of the present invention should be included in the protection scope of the present invention. Further, it is intended that the appended claims cover all such variations and modifications as fall within the scope and boundaries of the appended claims or the equivalents of such scope and boundaries.
Claims (5)
1. An operation positioning device for intracerebral lesions is characterized by comprising a guide plate base (1), a guide plate bracket (2), a boss (4) and a bracket clamping seat (6);
The guide plate base (1) is arranged in a facial anatomical landmark area of a patient, and a first groove (3) is formed in the guide plate base (1);
The two ends of the guide plate bracket (2) are respectively provided with a boss (4) and a bracket clamping seat (6), the projections of the guide plate bracket (2), the boss (4) and the bracket clamping seat (6) are of a concave structure, and the end surface of the guide plate bracket (2) is provided with a second groove; the bottom surface of the second groove is a curved surface for forming a conduit tunnel (5) for the conduit to pass through;
The bosses (4) are respectively inserted into the first grooves (3) in a matching way; the guide plate bracket (2) is respectively connected with the guide plate base (1); the end faces of the bracket clamping seats (6) facing the head of the patient respectively press the scalp of the patient, and the intersection points of the central line direction of the catheter tunnel (5) and the scalp surface and the deep skull surface of the patient are set as intracranial lesion operation puncture central points.
2. The surgical localization device of an intracerebral lesion according to claim 1, wherein the catheter tunnel (5) is provided with an inclined inner wall for reaching the intended target site of the intracerebral lesion by the catheter in the catheter tunnel (5).
3. A surgical location device for brain lesions as claimed in claim 1, characterized in that the cross-sectional size of the boss (4) is 5x5mm-10x10 mm.
4. The surgical positioning device for the intracerebral lesion, according to claim 1, characterized in that the guide plate base (1), the guide plate holder (2), the boss (4) and the holder (6) are formed by 3D printing.
5. The surgical positioning device for the intracerebral lesion, according to claim 4, is characterized in that the guide plate base (1), the guide plate bracket (2), the boss (4) and the bracket clamping seat (6) are sterilized before use.
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CN201921801502.9U CN211066924U (en) | 2019-10-24 | 2019-10-24 | Operation positioner of pathological change in brain |
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Cited By (1)
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CN110584755A (en) * | 2019-10-24 | 2019-12-20 | 山西雅韵雕医疗科技有限公司 | Operation positioner of pathological change in brain |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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CN110584755A (en) * | 2019-10-24 | 2019-12-20 | 山西雅韵雕医疗科技有限公司 | Operation positioner of pathological change in brain |
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