CN214549519U

CN214549519U - Skull positioning and punching device

Info

Publication number: CN214549519U
Application number: CN202022197501.7U
Authority: CN
Inventors: 濮月华; 杨波; 刘丽萍; 杨中华
Original assignee: Beijing Tiantan Hospital
Current assignee: Beijing Tiantan Hospital
Priority date: 2020-09-30
Filing date: 2020-09-30
Publication date: 2021-11-02
Anticipated expiration: 2030-09-30

Abstract

A skull positioning and perforating device, comprising: the bed body is used for lying and fixing the head of a patient, the hole puncher is used for punching a certain position of the head of the patient, and the adjusting bracket is used for adjusting the horizontal, longitudinal and vertical heights of the hole puncher; the device is characterized in that the adjusting bracket is provided with a vertical section which is vertical to the ground and adjusts the vertical height of the puncher and a horizontal section which is parallel to the ground and adjusts the horizontal longitudinal displacement of the puncher, and the upper end of the vertical section is connected with one end of the horizontal section; a transverse adjusting frame for adjusting the horizontal transverse displacement of the bed body is arranged at the lower end of the bed body, and the transverse adjusting frame is fixedly connected with the lower end of the vertical section; a puncher and a control panel are arranged on the end surface of the horizontal section; the control panel respectively controls the adjusting amplitude of the transverse adjusting frame, the horizontal section and the vertical section.

Description

Skull positioning and punching device

Technical Field

The utility model belongs to the field of medical equipment, concretely relates to skull location perforating device.

Background

Spontaneous cerebral hemorrhage is a clinically common type of stroke, the mortality rate and the disability rate of the stroke are high, and an effective treatment method is lacked at present. Current studies show that craniotomy hematoma removal surgery is more traumatic and does not significantly improve the functional prognosis of patients compared to conservative treatments. Therefore, such a procedure is not routinely recommended in current clinical work. The minimally invasive intracranial hematoma aspiration has small wound and simple operation, and is conventionally developed in a plurality of hospitals at home at present. The key techniques of the operation are hematoma positioning, skull drilling and drainage tube implantation. The procedures and methods of operation vary from hospital to hospital or regional to regional. Some hospitals adopt a neurosurgical craniocerebral operation three-dimensional positioning system, the positioning is more accurate, but the operation is more complex, the price is high, and the wide popularization is not easy; some hospitals adopt simpler positioning methods, such as CT plain film measurement positioning and bedside puncture, the method has higher requirements on the experience of surgeons, and in the operation process, because the anesthesia depth of a patient is shallow, a fixing device is not firm, the head is often moved, so that the positioning is inaccurate. In addition, the use of pistol drills has the following disadvantages: 1. due to the separability of the scalp and the skull and the vibration of a drill bit of a pistol drill, the position of the scalp is changed, and the skull punching position cannot be preset according to the scalp judgment; 2. after the punching is finished, the punched position cannot be judged from the scalp due to the change of the position of the scalp, so that the operation time is prolonged or secondary punching is needed, the pain of a patient is increased, and the corresponding risks of infection and bleeding are increased. The utility model discloses to current pistol drill can't provide a skull location perforating device to the accurate problem of punching and the fixed difficulty in art patient's head position of skull.

SUMMERY OF THE UTILITY MODEL

In order to overcome the problem that current pistol drill can't punch the skull accurately, the utility model provides a skull location perforating device.

A skull positioning and perforating device, comprising: the bed body is used for lying and fixing the head of a patient, the hole puncher is used for punching a certain position of the head of the patient, and the adjusting bracket is used for adjusting the horizontal, longitudinal and vertical heights of the hole puncher; the device is characterized in that the adjusting bracket is provided with a vertical section which is vertical to the ground and adjusts the vertical height of the puncher and a horizontal section which is parallel to the ground and adjusts the horizontal longitudinal displacement of the puncher, and the upper end of the vertical section is connected with one end of the horizontal section; a transverse adjusting frame for adjusting the horizontal transverse displacement of the bed body is arranged at the lower end of the bed body, and the transverse adjusting frame is fixedly connected with the lower end of the vertical section; a puncher and a control panel are arranged on the end surface of the horizontal section; the control panel respectively controls the adjusting amplitude of the transverse adjusting frame, the horizontal section and the vertical section; when in use, the bed body which is horizontally and transversely displaced and the puncher which is vertically adjusted in vertical height and horizontal direction realize the accurate positioning of the puncher on the punching position of the head of the patient.

Furthermore, a semicircular ring-shaped bracket for fixing the head of the patient and a neck pillow for providing the neck supporting force for the patient are arranged at the upper end of the bed body, and locking nuts are uniformly arranged on the periphery of the semicircular ring-shaped bracket along the radial direction of the semicircular ring-shaped bracket; the head differentiation requirements of different patients can be met by the arrangement, and the head of the patient can be locked immediately by utilizing the locking nut.

Further, the bolt port of the locking nut is sharp; the arrangement facilitates the scalp penetration, thereby achieving accurate fixation of the position of the skull.

Further, set up the neck pillow that is convenient for medical personnel to adjust patient's neck height along human neck position, and set up the first electric putter of adjustment patient left side neck height and the second electric putter of adjustment patient right side neck height at neck pillow lower extreme along neck both sides end.

Further, the lateral adjustment bracket includes: the mounting rack, the ball screw pair, the reduction gear set, the first motor and the transmission chain are arranged; the mounting rack is a plate body which is similar to the size of the bed body and is laid in parallel with the bed body, and the vertical section is fixedly arranged on the periphery of the mounting rack; 2 ball screw pairs are laid on the upper end face of the mounting frame along the transverse movement direction of the bed body, and the lower end of the bed body is fixedly connected with nuts in the ball screw pairs; the input ends of the 2 ball screw pairs are respectively provided with a speed reduction gear set for rotating a screw in the ball screw pair, and a transmission chain meshed with the input end of the speed reduction gear set is laid along the input ends of the 2 speed reduction gear sets; a first motor is laid on the mounting frame along the transverse movement direction of the bed body, and the direction of a motor shaft in the first motor is the same as the transverse movement direction of the bed body; a transmission gear meshed with the reduction gear set is arranged at the output end of the first motor; when the horizontal transverse displacement bed is used, the first motor is utilized to rotate the lead screw in the ball screw pair through gear transmission, and then the horizontal transverse displacement of the bed body is realized through the screw transmission of the lead screw and the ball nut.

Furthermore, the vertical section is two sleeved sleeves, and the inner diameter of the first sleeve is larger than the outer diameter of the second sleeve; a first sleeve is fixedly arranged on the periphery of the mounting frame; a jacking mechanism for pushing the second sleeve to do longitudinal linear reciprocating motion is arranged in the first sleeve; and a horizontal section vertical to the second sleeve is arranged at the upper end of the second sleeve.

Further, the jacking mechanism includes: the driving screw, the internal thread nut, the external thread nut, the driven screw, the frame and the thrust type rolling bearing; a rack, a thrust type rolling bearing and an external thread nut are fixedly arranged in the first sleeve from bottom to top in sequence along the axial direction of the first sleeve; an active screw rod meshed with the external thread nut is arranged on the periphery of the external thread nut along the horizontal center line of the external thread nut, and the axial center line of the active screw rod is vertical to the vertical center line of the external thread nut; an internal thread nut is fixedly arranged in the external thread nut, a driven screw rod meshed with the internal thread nut is arranged along the vertical central line of the internal thread nut, and a second sleeve is arranged at the upper end of the driven screw rod; when the linear reciprocating motion device is used, the driving screw rod is rotated, and the axial linear reciprocating motion of the second sleeve is realized by utilizing the spiral transmission of the driving screw rod and the external thread nut, the fixed connection of the external thread nut and the internal thread nut and the spiral transmission of the internal thread nut and the driven screw rod.

Further, a second motor is arranged on the inner wall of the first sleeve along the axial center line of the driving screw; and a motor shaft of the second motor is meshed with the driving screw rod.

Or the jacking mechanism is arranged as a third electric push rod; and a third electric push rod is arranged at the bottom end of the first sleeve along the axial direction of the first sleeve, and a second sleeve is arranged at the working end of the third electric push rod.

Furthermore, the horizontal section is a hollow cylinder, and the other end of the cylinder is provided with a strip plate which does linear reciprocating motion in the horizontal section; a puncher is arranged below one end of the strip plate extending out of the horizontal section; the horizontal longitudinal displacement of the horizontal segment adjusting puncher can be realized through the arrangement.

Furthermore, a third motor and a round rod are respectively arranged on the inner side wall of the cylinder along the same longitudinal horizontal line of the horizontal section, and a motor shaft of the third motor and the round rod are provided with gears which are meshed with each other; the outer diameter of the gear on the motor shaft is smaller than that of the gear on the round rod; a strip plate horizontally tangent to the outer edge of the gear is arranged in the column body along the outer edge of the gear on the round rod, and a rack meshed with the gear on the round rod is arranged on the strip plate along the contact surface of the strip plate and the gear on the round rod; the third motor shaft is rotated to drive the gear on the motor shaft to rotate, and then the long strip plate is driven to slide in the horizontal section through gear engagement.

Further, a sliding block and a sliding rail which are matched are correspondingly arranged between the two side ends of the long slat and the two side ends of the horizontal section; and the lower end of the long slat is provided with a pulley; the puncher weight arranged below the long slat can be distributed by the sliding block and the sliding rail, and the sliding resistance of the long slat in the horizontal section can be reduced by the pulley.

Further, the punch includes: rotating the perforated needle head and finely adjusting the height of the needle head by a ball screw pair; a fourth motor is arranged at the lower end of the long slat, and a motor shaft of the fourth motor is fixedly connected with a lead screw in the ball screw pair; a needle head is arranged on one end face of a ball nut in the ball screw pair; the requirement that the fine adjustment of the height of the needle head is achieved by means of the accurate adjustment of the ball screw pair is utilized in the setting.

Further, a hollow straight rod with the inner diameter larger than the outer diameter of a screw rod in the ball screw pair is arranged on the outer surface of the ball nut, a hollow cylinder is arranged at one end of the straight rod, a fifth motor is arranged at one end of the cylinder, and a motor shaft of the fifth motor is fixedly connected with the needle head; the above arrangement enables the needle to be rotatable.

Furthermore, a control panel for controlling the positive and negative rotation of the motor and the stretching amount of the electric push rod is arranged on the outer surface of the horizontal section, and a first button for controlling the positive and negative rotation of the first motor, a second button for controlling the positive and negative rotation of the second motor or the stretching amount of the third electric push rod, a third button for controlling the positive and negative rotation of the third motor, a fourth button for controlling the positive and negative rotation of the fourth motor and a fifth button for controlling the positive and negative rotation of the fifth motor are respectively arranged on the end surface of the control panel; the sixth button is used for controlling the extension amount of the first electric push rod, and the seventh button is used for controlling the extension amount of the second electric push rod.

Furthermore, an angle-adjustable camera is arranged on the outer surface of the cylinder along the needle head, and a display screen is arranged at the upper end of the control panel; the punching condition can be conveniently observed by medical staff.

Further, an infrared emitter with an adjustable angle is arranged on the outer surface of the first sleeve in the vertical end; the arrangement is convenient for medical staff to observe the position of the punching hole in real time without change.

Furthermore, a first circuit path and a second circuit are arranged at the swinging position in the device body along the motor, and the control panel can control the positive and negative rotation of the motor and the telescopic amount of the electric push rod by arranging the first circuit path and the second circuit path.

Furthermore, a circuit board electrically connected with an external power supply is arranged in the horizontal section, and the circuit board provides electric energy for the motor and the electric push rod along the first path and the second path.

Further, the first circuit path is electrically connected with a third motor, a second motor or a third electric push rod, a first motor, a first electric push rod and a second electric push rod in sequence; the second circuit path is electrically connected with the fourth motor and the fifth motor in sequence.

Furthermore, the third motor, the second motor, the first motor, the fourth motor and the fifth motor are all small brushless motors.

Compared with the head punching apparatus in the prior art, the technical scheme of the invention realizes the accurate positioning of the punching position of the puncher on the head of the patient through the transversely displaced bed body and the puncher regulated longitudinally and vertically. The accurate fixation of the position of the skull is realized by utilizing a sharp locking nut. The puncher with the height capable of being finely adjusted is used for realizing the punching depth change of the punching drill.

Drawings

Fig. 1 is a schematic view of the overall structure of the present invention;

FIG. 2 is a schematic view of the internal structure of the middle neck pillow of the present invention;

FIG. 3 is a schematic structural view of the horizontal adjusting bracket of the present invention;

FIG. 4 is a schematic structural section view of the lateral adjustment frame of the present invention;

FIG. 5 is an enlarged schematic view of a part of the structure of the horizontal adjusting bracket of the present invention;

FIG. 6 is a schematic view of the internal structure of the vertical section of the present invention;

fig. 7 is a schematic structural view of the jacking mechanism of the present invention;

FIG. 8 is a schematic view of the internal structure of the horizontal section of the present invention;

FIG. 9 is an enlarged view of the structure of the horizontal section of the present invention;

FIG. 10 is a schematic view of the internal structure of the hole puncher of the present invention;

in the figure, 1, a transverse adjusting frame; 2. a neck pillow; 3. a hole puncher; 4. a horizontal segment; 5. a vertical section; 6. a bed body; 7. an infrared emitter; 601. a semicircular ring bracket; 602. locking the nut; 201. a first electric push rod; 202. a second electric push rod; 101. a ball screw pair in the transverse adjusting frame; 102. installing a frame; 103. A first motor; 104. a reduction gear set; 105. a drive chain; 501. a second sleeve; 502. a first sleeve; 503. a third motor; 503. a second motor; 504. an internally threaded nut; 505. a driven screw; 506. a driving screw; 507. a thrust type rolling bearing; 508. a frame; 509. an externally threaded nut; 8. A control panel; 9. a display screen; 10. connecting an external power supply; 11. a camera; 12. a circuit board; 401. a strip plate; 402. a gear on the round bar; 403. a third motor; 404. a rack; 405. a pulley; 301. a fourth motor; 302. a ball screw pair in the puncher; 303. a straight rod; 304. a needle head; 305. and a fifth motor.

Detailed Description

The technical solutions in the embodiments of the present invention will be described in detail below with reference to specific embodiments, and it should be understood that the described embodiments are only a part of the embodiments of the present invention, rather than all embodiments, and those skilled in the art can easily understand other advantages and effects of the present invention from the disclosure in the specification. The utility model discloses can also implement or use through other different concrete implementation manners, under the condition of conflict-free, the characteristics in following embodiment and the embodiment can make up each other, based on the embodiment in the utility model, all other embodiments that the ordinary skilled in the art obtained under the prerequisite of not making creative work all belong to the scope of protection of the utility model.

Embodiment 1 skull positioning and punching device

A skull positioning and perforating device, comprising: the bed body 6 for lying and fixing the head of the patient, the puncher 3 for punching a certain position of the head of the patient and the adjusting bracket for adjusting the horizontal, longitudinal and vertical heights of the puncher 3; the device is characterized in that the adjusting bracket is provided with a vertical section 5 which is vertical to the ground and adjusts the vertical height of the puncher 3 and a horizontal section 4 which is parallel to the ground and adjusts the horizontal longitudinal displacement of the puncher 3, and the upper end of the vertical section 5 is connected with one end of the horizontal section 4; a transverse adjusting frame 1 for adjusting the horizontal transverse displacement of the bed body 6 is arranged at the lower end of the bed body 6, and the transverse adjusting frame 1 is fixedly connected with the lower end of the vertical section 5; a puncher 3 and a control panel 8 are arranged on the end surface of the horizontal section 4; the control panel 8 controls the adjusting amplitude of the transverse adjusting frame 1, the horizontal section 4 and the vertical section 5 respectively.

The upper end of the bed body 6 is provided with a semicircular ring bracket for fixing the head of a patient and a neck pillow 2 for providing the neck supporting force of the patient, and the periphery of the semicircular ring bracket 601 is uniformly provided with a sharp locking nut 602 along the radial direction of the semicircular ring bracket 601.

Set up the neck pillow 2 that is convenient for medical personnel to adjust patient's neck height along human neck position, and set up the first electric putter 201 of adjustment patient left side neck height and the second electric putter 202 of adjustment patient right side neck height at neck pillow 2 lower extreme along neck both sides end.

The lateral adjustment bracket includes: the mounting machine comprises a mounting rack 102, a ball screw pair 101, a reduction gear set 104, a first motor 103 and a transmission chain 105; the installation rack 102 is a plate body which is similar to the size of the bed body 6 and is laid in parallel with the bed body 6, and the vertical section 5 is fixedly arranged on the periphery of the installation rack 102; 2 ball screw pairs 101 are laid on the upper end face of the mounting rack 102 along the transverse movement direction of the bed body 6, and the lower end of the bed body 6 is fixedly connected with nuts in the ball screw pairs 101; the input ends of the 2 ball screw pairs 101 are respectively provided with a speed reduction gear set 104 for rotating the screw in the ball screw pair 101, and a transmission chain 105 meshed with the input end of the speed reduction gear set 104 is laid along the input ends of the 2 speed reduction gear sets 104; a first motor 103 is laid on the installation rack 102 along the transverse movement direction of the bed body 6, and the motor shaft in the first motor 103 faces the same direction as the transverse movement direction of the bed body 6; a transmission gear engaged with the reduction gear set 104 is installed at an output end of the first motor 103.

The vertical section 5 is two sleeved sleeves, and the inner diameter of the first sleeve 502 is larger than the outer diameter of the second sleeve 501; a first sleeve 502 is fixedly arranged on the periphery of the installation frame 102; a jacking mechanism for pushing the second sleeve 501 to do longitudinal linear reciprocating motion is arranged in the first sleeve 502; the jacking mechanism comprises: a driving screw 506, an internal thread nut 504, an external thread nut 509, a driven screw 505, a frame 508 and a thrust type rolling bearing 507; a frame 508, a thrust rolling bearing 507 and an external thread nut 509 are fixedly arranged in the first sleeve 502 from bottom to top in sequence along the axial direction of the first sleeve 502; a driving screw 506 meshed with the external thread nut 509 is arranged on the periphery of the external thread nut 509 along the horizontal center line of the external thread nut 509, and the axial center line of the driving screw 506 is vertical to the vertical center line of the external thread nut 509; a second motor 503 is arranged on the inner wall of the first sleeve 502 along the axial center line of the driving screw 506, and a motor shaft of the second motor 503 is meshed with the driving screw 506; an internal thread nut 504 is fixedly arranged in the external thread nut 509, a driven screw 505 meshed with the internal thread nut 504 is arranged along the vertical center line of the internal thread nut 504, and a second sleeve 501 is arranged at the upper end of the driven screw 505; at the upper end of the second sleeve 501 a horizontal section 4 is provided perpendicular to the second sleeve.

The horizontal section 4 is a hollow cylinder, a third motor 403 and a round rod are respectively arranged on the inner side wall of the cylinder along the same longitudinal horizontal line of the horizontal section 4, and a motor shaft of the third motor 403 and the round rod are provided with gears which are meshed with each other; the outer diameter of the gear on the motor shaft is smaller than the outer diameter of the gear 402 on the round rod; a long strip plate 401 which is horizontally tangent to the outer edge of the gear 402 on the round bar is arranged in the column along the outer edge of the gear 402 on the round bar, and a rack 404 which is meshed with the gear 402 on the round bar is arranged on the long strip plate 401 along the contact surface of the long strip plate 401 and the gear 402 on the round bar; a puncher 3 is arranged below one end of the strip plate 401 extending out of the horizontal section 4; the above arrangement enables the horizontal section 4 to adjust the horizontal longitudinal displacement of the punch 3.

Sliding blocks and sliding rails which are matched are correspondingly arranged between two side ends of the long slat 401 and two side ends of the horizontal section 4; and a pulley 405 is provided at the lower end of the strip 401.

The punch 3 includes: rotating the perforated needle 304 and finely adjusting the height of the needle 304 by a ball screw pair 302; a fourth motor 301 is arranged at the lower end of the strip plate 401, and a motor shaft of the fourth motor 301 is fixedly connected with a lead screw in the ball screw pair 302; a hollow straight rod 303 with the inner diameter larger than the outer diameter of a screw rod in the ball screw pair 302 is arranged on the outer surface of a nut in the ball screw pair 302, a hollow cylinder is arranged at one end of the straight rod 303, a fifth motor 305 is arranged at one end of the cylinder, and a motor shaft of the fifth motor 305 is fixedly connected with a needle 304.

A control panel 8 for controlling the forward and reverse rotation of the motor and the stretching amount of the electric push rod is arranged on the outer surface of the horizontal section 4, and a first button for controlling the forward and reverse rotation of the first motor 103, a second button for controlling the forward and reverse rotation of the second motor 503, a third button for controlling the forward and reverse rotation of the third motor 403, a fourth button for controlling the forward and reverse rotation of the fourth motor 301 and a fifth button for controlling the forward and reverse rotation of the fifth motor 305 are respectively arranged on the end surface of the control panel 8; a sixth button for controlling the extension amount of the first electric push rod 201 and a seventh button for controlling the extension amount of the second electric push rod 202; an angle-adjustable camera is arranged on the outer surface of the cylinder along the position of the needle head 304, and a display screen 9 is arranged at the upper end of the control panel 8; the arrangement is convenient for medical staff to observe the punching condition; in the vertical end the outer surface of the first sleeve 502 is provided with an angle adjustable infrared emitter 7.

A circuit board 12 electrically connected with an external power supply 10 is arranged in the horizontal section 4, a first circuit path and a second circuit are arranged at the swinging position in the device body along the motor, the control panel 8 can control the positive and negative rotation of the motor and the stretching amount of the electric push rod along the first circuit and the second circuit, and the circuit board 12 provides electric energy for the motor and the electric push rod along the first circuit and the second circuit; the first circuit path is electrically connected with the third motor 403, the second motor 503, the first motor 103, the first electric push rod 201 and the second electric push rod 202 in sequence; the second circuit path is electrically connected to the fourth motor 301 and the fifth motor 305 in this order.

The third motor 403, the second motor 503, the first motor 103, the fourth motor 301 and the fifth motor 305 are all small brushless motors.

Embodiment 2 skull positioning and punching device

The vertical section 5 is two sleeved sleeves, and the inner diameter of the first sleeve 502 is larger than the outer diameter of the second sleeve 501; a first sleeve 502 is fixedly arranged on the periphery of the installation frame 102; a jacking mechanism for pushing the second sleeve 501 to do longitudinal linear reciprocating motion is arranged in the first sleeve 502; the jacking mechanism is arranged as a third electric push rod; a third electric push rod is arranged at the bottom end in the first sleeve along the axial direction of the first sleeve 502, and the working end of the third electric push rod is provided with the bottom end of the second sleeve 501; at the upper end of the second sleeve 501 a horizontal section 4 is provided perpendicular to the second sleeve.

A control panel 8 for controlling the forward and reverse rotation of the motor and the stretching amount of the electric push rod is arranged on the outer surface of the horizontal section 4, and a first button for controlling the forward and reverse rotation of the first motor 103, a second button for controlling the forward and reverse rotation of the third electric push rod, a third button for controlling the forward and reverse rotation of the third motor 403, a fourth button for controlling the forward and reverse rotation of the fourth motor 301 and a fifth button for controlling the forward and reverse rotation of the fifth motor 305 are respectively arranged on the end surface of the control panel 8; a sixth button for controlling the extension amount of the first electric push rod 201 and a seventh button for controlling the extension amount of the second electric push rod 202; a camera with adjustable angle is arranged on the outer surface of the cylinder along the position of the needle head 304, and a display screen 9 is arranged at the upper end of the control panel 8; the arrangement is convenient for medical staff to observe the punching condition; in the vertical end the outer surface of the first sleeve 502 is provided with an angle adjustable infrared emitter 7.

A circuit board 12 electrically connected with an external power supply 10 is arranged in the horizontal section 4, a first circuit path and a second circuit are arranged at the swinging position in the device body along the motor, the control panel 8 can control the positive and negative rotation of the motor and the stretching amount of the electric push rod along the first circuit and the second circuit, and the circuit board 12 provides electric energy for the motor and the electric push rod along the first circuit and the second circuit; the first circuit path is electrically connected with the third motor 403, the third electric push rod, the first motor 103, the first electric push rod 201 and the second electric push rod 202 in sequence; the second circuit path is electrically connected to the fourth motor 301 and the fifth motor 305 in this order.

The third motor 403, the first motor 103, the fourth motor 301 and the fifth motor 305 are all small brushless motors.

The above description of the embodiments is only intended to illustrate the present invention. It should be noted that, for those skilled in the art, without departing from the principle of the present invention, several modifications can be made to the present invention, and these modifications will fall within the protection scope of the claims of the present invention.

Claims

1. A skull positioning and perforating device, comprising: the bed body is used for lying and fixing the head of a patient, the hole puncher is used for punching a certain position of the head of the patient, and the adjusting bracket is used for adjusting the horizontal, longitudinal and vertical heights of the hole puncher; the device is characterized in that the adjusting bracket is provided with a vertical section which is vertical to the ground and adjusts the vertical height of the puncher and a horizontal section which is parallel to the ground and adjusts the horizontal longitudinal displacement of the puncher, and the upper end of the vertical section is connected with one end of the horizontal section; a transverse adjusting frame for adjusting the horizontal transverse displacement of the bed body is arranged at the lower end of the bed body, and the transverse adjusting frame is fixedly connected with the lower end of the vertical section; a puncher and a control panel are arranged on the end surface of the horizontal section; the control panel respectively controls the adjusting amplitude of the transverse adjusting frame, the horizontal section and the vertical section.

2. The skull positioning and perforating device as recited in claim 1, wherein a semicircular ring bracket for fixing the head of the patient is arranged at the upper end of the bed body, and locking nuts with sharp ports are uniformly arranged on the periphery of the semicircular ring bracket along the radial direction of the semicircular ring bracket; set up the neck pillow that is convenient for medical personnel to adjust patient's neck height along human neck position, and set up the first electric putter of adjustment patient left side neck height and the second electric putter of adjustment patient right side neck height at neck pillow lower extreme along neck both sides end.

3. The skull positioning and perforating device of claim 1, wherein the lateral adjustment mount comprises: the mounting rack, the ball screw pair, the reduction gear set, the first motor and the transmission chain are arranged; the mounting rack is a plate body which is similar to the size of the bed body and is laid in parallel with the bed body, and the vertical section is fixedly arranged on the periphery of the mounting rack; 2 ball screw pairs are laid on the upper end face of the mounting frame along the transverse movement direction of the bed body, and the lower end of the bed body is fixedly connected with nuts in the ball screw pairs; the input ends of the 2 ball screw pairs are respectively provided with a speed reduction gear set for rotating a screw in the ball screw pair, and a transmission chain meshed with the input end of the speed reduction gear set is laid along the input ends of the 2 speed reduction gear sets; a first motor is laid on the mounting frame along the transverse movement direction of the bed body, and the direction of a motor shaft in the first motor is the same as the transverse movement direction of the bed body; and a transmission gear meshed with the reduction gear set is arranged at the output end of the first motor.

4. The skull positioning and perforating device as recited in claim 1, wherein the vertical section is two sleeves that are sleeved together, and an inner diameter of the first sleeve is larger than an outer diameter of the second sleeve; a first sleeve is fixedly arranged on the periphery of the mounting frame; a jacking mechanism for pushing the second sleeve to do longitudinal linear reciprocating motion is arranged in the first sleeve; and a horizontal section vertical to the second sleeve is arranged at the upper end of the second sleeve.

5. The skull positioning and perforating device of claim 4, wherein the jacking mechanism comprises: the driving screw, the internal thread nut, the external thread nut, the driven screw, the frame and the thrust type rolling bearing; a rack, a thrust type rolling bearing and an external thread nut are fixedly arranged in the first sleeve from bottom to top in sequence along the axial direction of the first sleeve; an active screw rod meshed with the external thread nut is arranged on the periphery of the external thread nut along the horizontal center line of the external thread nut, and the axial center line of the active screw rod is vertical to the vertical center line of the external thread nut; a second motor is arranged on the inner wall of the first sleeve along the axial center line of the driving screw, and a motor shaft of the second motor is meshed with the driving screw; an internal thread nut is fixedly arranged in the external thread nut, a driven screw rod meshed with the internal thread nut is arranged along the vertical central line of the internal thread nut, and a second sleeve is arranged at the upper end of the driven screw rod.

6. The skull positioning and perforating device as recited in claim 1, wherein the horizontal section is a hollow cylinder, a third motor and a round bar are respectively arranged on the inner side wall of the cylinder along the same longitudinal horizontal line of the horizontal section, and a motor shaft of the third motor and a gear engaged with each other are arranged on the round bar; the outer diameter of the gear on the motor shaft is smaller than that of the gear on the round rod; a strip plate horizontally tangent to the outer edge of the gear is arranged in the column body along the outer edge of the gear on the round rod, and a rack meshed with the gear on the round rod is arranged on the strip plate along the contact surface of the strip plate and the gear on the round rod; a puncher is arranged below one end of the strip plate extending out of the horizontal section.

7. The skull positioning and punching device of claim 6, wherein the punch comprises: rotating the perforated needle head and finely adjusting the height of the needle head by a ball screw pair; a fourth motor is arranged at the lower end of the long slat, and a motor shaft of the fourth motor is fixedly connected with a lead screw in the ball screw pair; the outer surface of the ball nut is provided with a hollow straight rod, the inner diameter of the straight rod is larger than the outer diameter of a screw rod in the ball screw pair, one end of the straight rod is provided with a hollow cylinder, one end of the cylinder is provided with a fifth motor, and a motor shaft of the fifth motor is fixedly connected with the needle head.

8. The skull positioning and punching device according to claim 6, wherein a control panel for controlling the forward and reverse rotation of the motor and the extension and retraction amount of the electric push rod is arranged on the outer surface of the horizontal section, and a first button for controlling the forward and reverse rotation of the first motor, a second button for controlling the forward and reverse rotation of the second motor, a third button for controlling the forward and reverse rotation of the third motor, a fourth button for controlling the forward and reverse rotation of the fourth motor, and a fifth button for controlling the forward and reverse rotation of the fifth motor are respectively arranged on the end surface of the control panel; the sixth button is used for controlling the extension amount of the first electric push rod, and the seventh button is used for controlling the extension amount of the second electric push rod.

9. The skull positioning and perforating device as recited in claim 8, wherein a circuit board electrically connected to an external power source is disposed in the horizontal section, a first circuit path and a second circuit are disposed along the swinging position of the motor in the device body, the control panel can control the forward and reverse rotation of the motor and the expansion and contraction amount of the electric push rod along the first circuit and the second circuit, and the circuit board provides electric energy for the motor and the electric push rod along the first circuit and the second circuit; the first circuit path is electrically connected with the third motor, the second motor, the first electric push rod and the second electric push rod in sequence; the second circuit path is electrically connected with the fourth motor and the fifth motor in sequence.

10. A skull positioning and perforating device as claimed in any of claims 4 to 7, wherein an angularly adjustable camera is provided on the outer surface of the cylinder along the needle position, and a display screen is provided at the upper end of the control panel; an infrared emitter with an adjustable angle is arranged on the outer surface of the first sleeve in the vertical end.