TW202103645A - A mixed-augmented reality instrument for internal fixation of metatarsal fractures - Google Patents
A mixed-augmented reality instrument for internal fixation of metatarsal fractures Download PDFInfo
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本發明係有關於一種骨科內固定手術的輔助裝置,特別是一種用於蹠骨內定位手術的混合擴增實境裝置。The present invention relates to an auxiliary device for orthopedic internal fixation surgery, in particular to a hybrid augmented reality device used for metatarsal internal positioning surgery.
在一般的蹠骨內固定手術中,其示意圖請參照圖1,其係先以一X光攝影設備10對一骨折蹠骨進行X光攝影,接著,再依據所得之一X光影像及一手術者的經驗將一骨釘插入該骨折蹠骨。圖2繪示一骨釘20插入一骨折蹠骨30後之一示意圖。In a general metatarsal internal fixation operation, please refer to Fig. 1 for the schematic diagram. It is first to perform X-ray photography on a fractured metatarsal with an
然而,由於人為誤差難以避免,因此須對該骨折蹠骨再進行X光攝影以確認該骨釘的插入位置是否正確。若不正確,則須將該骨釘拔出再重新插入,然後再進行X光攝影,如此反覆進行,直到正確為止。然而,反覆進行X光攝影不僅對人體有害,以骨釘多次穿入一骨折部位亦會對該骨折部位造成二次傷害。However, because human error is unavoidable, X-ray photography must be performed on the fractured metatarsal to confirm whether the insertion position of the bone nail is correct. If it is not correct, the bone nail must be pulled out and re-inserted, and then X-ray photography will be performed again and again until it is correct. However, repeated X-ray photography is not only harmful to the human body, and multiple penetration of a bone nail into a fracture site will also cause secondary damage to the fracture site.
為解決前述之問題,本領域亟需一新穎的蹠骨內定位導引裝置。In order to solve the aforementioned problems, a novel positioning and guiding device in the metatarsal bone is urgently needed in the art.
本發明之一目的在於揭露一種用於蹠骨內定位的混合擴增實境裝置,其可在植入一骨釘至一骨折蹠骨的過程中提供一精準的骨釘導引路徑以確實固定該骨折蹠骨。One purpose of the present invention is to disclose a hybrid augmented reality device for positioning in the metatarsal bone, which can provide a precise bone nail guiding path during the process of implanting a bone nail to a fractured metatarsal to securely fix the fracture Metatarsals.
本發明之另一目的在於揭露一種用於蹠骨內定位的混合擴增實境裝置,其可提供高精準度之定位作業以微創方式減小手術切口。Another object of the present invention is to disclose a hybrid augmented reality device for metatarsal positioning, which can provide high-precision positioning operations and reduce surgical incisions in a minimally invasive manner.
本發明之又一目的在於揭露一種用於蹠骨內定位的混合擴增實境裝置,其可降低因人為錯誤而產生的骨釘插拔次數,以避免對一骨折部位造成二次傷害。Another object of the present invention is to disclose a hybrid augmented reality device for positioning in the metatarsal bone, which can reduce the number of insertion and extraction of bone nails due to human error, so as to avoid secondary damage to a fracture site.
為達前述目的,一種用於蹠骨內定位的混合擴增實境裝置乃被提出,其具有二目鏡單元、二攝影單元及一控制單元,其中,所述二目鏡單元具有3D顯示功能,該控制單元具有一影像介面及一通信介面,該影像介面係與所述二攝影單元及所述二目鏡單元耦接,且該通信介面係用以與一資訊處理裝置以有線或無線的方式耦接,其特徵在於:To achieve the foregoing objective, a hybrid augmented reality device for positioning in the metatarsal bone is proposed, which has two eyepiece units, two photographing units, and a control unit. The two eyepiece units have a 3D display function. The unit has an image interface and a communication interface, the image interface is coupled to the two camera units and the two eyepiece unit, and the communication interface is used to couple with an information processing device in a wired or wireless manner, Its characteristics are:
該控制單元係藉由該通信介面接收一病患腳掌的3D掃描資料,再將所述的3D掃描資料經由該影像介面傳送至所述二目鏡單元以產生一3D腳掌虛擬影像,該3D腳掌虛擬影像具有一骨折蹠骨之影像,且該控制單元係藉由所述二攝影單元提供一追蹤定位功能,以使該3D腳掌虛擬影像能和設置有一蹠骨夾持件之該病患腳掌之一3D腳掌現實影像重疊以產生一3D腳掌擴增實境影像,俾利一手術操作者能夠藉由該3D擴增實境影像所提供的一導引軌跡將一骨釘插入該骨折蹠骨中。The control unit receives 3D scan data of a patient's sole through the communication interface, and then transmits the 3D scan data to the second eyepiece unit through the image interface to generate a 3D virtual image of the sole of the foot. The image has an image of a fractured metatarsal, and the control unit provides a tracking and positioning function through the two photographing units, so that the 3D virtual image of the sole can be matched with a 3D sole of the patient's sole provided with a metatarsal holder The real images are overlapped to generate a 3D augmented reality image of the sole of the foot, so that a surgical operator can insert a bone nail into the fractured metatarsal through a guiding trajectory provided by the 3D augmented reality image.
在一實施例中,該蹠骨夾持件係由金屬材料構成。In one embodiment, the metatarsal holder is made of metal material.
在一實施例中,所述骨釘係由鋼或鈦合金製成。In one embodiment, the bone nail is made of steel or titanium alloy.
在一實施例中,所述的3D掃描資料係X光電腦斷層掃描影像資料。In one embodiment, the 3D scan data is X-ray computed tomography image data.
在一實施例中,該控制單元包含一微處理器及一記憶體。In one embodiment, the control unit includes a microprocessor and a memory.
為使 貴審查委員能進一步瞭解本發明之結構、特徵及其目的,茲附以圖式及較佳具體實施例之詳細說明如後。In order to enable your reviewer to further understand the structure, features and purpose of the present invention, the drawings and detailed descriptions of preferred specific embodiments are attached as follows.
請參照圖3,其為本發明用於蹠骨內定位的混合擴增實境裝置一較佳實施例之示意圖。Please refer to FIG. 3, which is a schematic diagram of a preferred embodiment of a hybrid augmented reality device for positioning in metatarsals of the present invention.
如圖3所示,一用於蹠骨內定位的混合擴增實境裝置100包括二目鏡單元110、二攝影單元120、一控制單元(未示於圖1中)、二耳掛件130及一頭部固定件140。As shown in FIG. 3, a hybrid augmented
所述二目鏡單元110具有3D(3 dimentions;三維)顯示功能。於操作時,該控制單元會分別傳送一左眼影像及一右眼影像至所述二目鏡單元110之一左邊顯示單元及一右邊顯示單元以使一手術操作者看到一3D影像。The two
所述二攝影單元120係用以提供一追蹤定位功能,二耳掛件130及頭部固定件140則係用以將混合擴增實境裝置100固定在一手術操作者的頭部。The two
圖4繪示該控制單元之一實施例的方塊圖,如圖4所示,一控制單元150具有一影像介面151、一通信介面152、一微處理器153及一記憶體154,其中,微處理器153係與影像介面151、通信介面152及記憶體154耦接,影像介面151係與二攝影單元120及二目鏡單元110耦接,且通信介面152係用以與一資訊處理裝置170以有線或無線的方式耦接。FIG. 4 shows a block diagram of an embodiment of the control unit. As shown in FIG. 4, a
控制單元150係藉由通信介面152接收一病患腳掌的3D掃描資料,再將所述的3D掃描資料經由該影像介面151傳送至所述二目鏡單元110以產生一3D腳掌虛擬影像,該3D腳掌虛擬影像具有一骨折蹠骨之影像,且該控制單元150係藉由所述二攝影單元120提供一追蹤定位功能,以使該3D腳掌虛擬影像能和設置有一蹠骨夾持件之該病患腳掌之一3D腳掌現實影像重疊以產生一3D腳掌擴增實境影像,俾利一手術操作者能夠藉由該3D擴增實境影像所提供的一導引軌跡將一骨釘插入該骨折蹠骨中。The
於操作時,請參照圖5,一手術操作者先依據一病患腳掌之一X光影像對一骨折蹠骨30之周圍肌肉劃開一個切口40;接著,請參照圖6a,該手術操作者藉由戴著本發明之用於蹠骨內定位的混合擴增實境裝置100看到所述的3D腳掌擴增實境影像所提供的一導引軌跡31,其中,所述的3D腳掌擴增實境影像包含所述的3D腳掌虛擬影像和所述的3D腳掌現實影像,所述的3D腳掌現實影像包含夾持該病患腳掌之骨折蹠骨30之一蹠骨夾持件50的影像;以及,請參照圖6b,該手術操作者藉由所述3D擴增實境影像所提供的導引軌跡31將一骨釘20插入該骨折蹠骨30中。During the operation, please refer to Figure 5. A surgical operator first makes an
另外,蹠骨夾持件50可由金屬材料構成。In addition, the
另外,所述的3D掃描資料可為X光電腦斷層掃描影像資料。In addition, the 3D scan data may be X-ray computed tomography scan image data.
另外,骨釘20可由鋼或鈦合金製成。In addition, the
藉由前述所揭露的設計,本發明乃具有以下的優點:With the design disclosed above, the present invention has the following advantages:
1.本發明的用於蹠骨內定位的混合擴增實境裝置可在植入一骨釘至一骨折蹠骨的過程中提供一精準的骨釘導引路徑以確實固定該骨折蹠骨。1. The hybrid augmented reality device for intra-metatarsal positioning of the present invention can provide a precise bone nail guiding path during the process of implanting a bone nail to a fractured metatarsal to securely fix the fractured metatarsal.
2.本發明的用於蹠骨內定位的混合擴增實境裝置可提供高精準度之定位作業以微創方式減小手術切口。2. The hybrid augmented reality device for metatarsal positioning of the present invention can provide high-precision positioning operations to reduce surgical incisions in a minimally invasive manner.
3.本發明的用於蹠骨內定位的混合擴增實境裝置可降低因人為錯誤而產生的骨釘插拔次數,以避免對一骨折部位造成二次傷害。3. The hybrid augmented reality device for positioning in the metatarsal bone of the present invention can reduce the number of insertion and extraction of bone nails due to human error, so as to avoid secondary damage to a fracture site.
本案所揭示者,乃較佳實施例,舉凡局部之變更或修飾而源於本案之技術思想而為熟習該項技藝之人所易於推知者,俱不脫本案之專利權範疇。The disclosure in this case is a preferred embodiment, and any partial changes or modifications that are derived from the technical ideas of the case and can be easily inferred by those who are familiar with the art will not deviate from the scope of the patent right of the case.
綜上所陳,本案無論目的、手段或功效,皆顯示其迥異於習知技術,且其首先發明合於實用,確實符合發明之專利要件,懇請 貴審查委員明察,並祈早日賜予專利俾嘉惠社會,是為至禱。In summary, regardless of the purpose, means or effect of this case, it is shown that it is very different from the conventional technology, and its first invention is suitable for practicality, and it does meet the patent requirements of the invention. I implore the examiner to check it out and pray for the patent to be granted as soon as possible. To benefit the society is to pray for the most.
10:X光攝影設備 20:骨釘 30:骨折蹠骨 31:導引軌跡 40:切口 50:蹠骨夾持件 100:用於蹠骨內定位的混合擴增實境裝置 110:目鏡單元 120:攝影單元 130:耳掛件 140:頭部固定件 150:控制單元 151:影像介面 152:通信介面 153:微處理器 154:記憶體 170:資訊處理裝置10: X-ray photography equipment 20: Bone nail 30: Fracture metatarsal bone 31: Guiding trajectory 40: incision 50: Metatarsal clamp 100: Hybrid augmented reality device for positioning within metatarsals 110: Eyepiece unit 120: Photography unit 130: ear pendant 140: head fixing 150: control unit 151: Video Interface 152: Communication Interface 153: Microprocessor 154: Memory 170: Information Processing Device
圖1為在一骨科常用的內固定手術中對一骨折蹠骨進行X光攝影的示意圖。 圖2為依據圖1之X光攝影所得之一X光影像及一手術者的經驗將一骨釘插入該骨折蹠骨後的示意圖。 圖3為本發明用於蹠骨內定位的混合擴增實境裝置一較佳實施例之示意圖。 圖4繪示圖3用於蹠骨內定位的混合擴增實境裝置之一控制單元之一實施例的方塊圖。 圖5為在圖3之用於蹠骨內定位的混合擴增實境裝置之一應用實施例中,先依據一骨折蹠骨之一X光影像對該骨折蹠骨之周圍肌肉劃開一個切口的示意圖。 圖6a為一手術操作者藉由戴著圖3之用於蹠骨內定位的混合擴增實境裝置看到一3D腳掌擴增實境影像所提供的一導引軌跡的示意圖。 圖6b為一手術操作者藉由圖6a所示的所述導引軌跡將一骨釘插入一骨折蹠骨中的示意圖。Fig. 1 is a schematic diagram of X-ray photography of a fractured metatarsal in an internal fixation operation commonly used in orthopedics. Fig. 2 is a schematic diagram of inserting a bone nail into the fractured metatarsal bone based on an X-ray image obtained from the X-ray photography of Fig. 1 and an operator’s experience. FIG. 3 is a schematic diagram of a preferred embodiment of the hybrid augmented reality device for positioning in the metatarsal bones of the present invention. FIG. 4 is a block diagram of an embodiment of a control unit of the hybrid augmented reality device for positioning in the metatarsal bone of FIG. 3. Fig. 5 is a schematic diagram of an application embodiment of the hybrid augmented reality device for positioning in the metatarsal bone of Fig. 3, in which an incision is first made according to an X-ray image of a fractured metatarsal bone in the surrounding muscles of the fractured metatarsal bone. FIG. 6a is a schematic diagram of a guide trajectory provided by a 3D augmented reality image of the sole of the foot seen by a surgical operator wearing the hybrid augmented reality device for positioning in the metatarsal bone of FIG. 3. Fig. 6b is a schematic diagram of a surgical operator inserting a bone nail into a fractured metatarsal through the guiding track shown in Fig. 6a.
100:用於蹠骨內定位的混合擴增實境裝置 100: Hybrid augmented reality device for positioning within metatarsals
110:目鏡單元 110: Eyepiece unit
120:攝影單元 120: Photography unit
130:耳掛件 130: ear pendant
140:頭部固定件 140: head fixing
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