TWI762393B - Nasal osteotomy surgical guide - Google Patents

Nasal osteotomy surgical guide Download PDF

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TWI762393B
TWI762393B TW110127637A TW110127637A TWI762393B TW I762393 B TWI762393 B TW I762393B TW 110127637 A TW110127637 A TW 110127637A TW 110127637 A TW110127637 A TW 110127637A TW I762393 B TWI762393 B TW I762393B
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Taiwan
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guide
fixing
nasal bone
bracket
hole
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TW110127637A
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Chinese (zh)
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TW202304396A (en
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蕭彥彰
顏琤嬑
吳杰才
詹淳勝
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長庚醫療財團法人林口長庚紀念醫院
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Abstract

The present invention relates to a nasal osteotomy surgical guide, comprising a fastening member, a first guiding member, a second guiding member, a supporting member, and a third guiding member. Herein, the first guiding member is assembled on the fastening member. The second guiding member is assembled on the fastening member. In addition, the supporting member is assembled on the fastening member and disposed between the first guiding member and the second guiding member. Furthermore, the third guiding member is assembled on the fastening member and provided with a first bracket and a second bracket, wherein the first bracket of the third guiding member is connected with the first guiding member, and the second bracket of the third guiding member is connected with the second guiding member.

Description

鼻骨手術導板 Nasal bone surgery guide

本發明是關於一種鼻骨手術導板。 The present invention relates to a nasal bone surgical guide plate.

鼻子是由鼻骨、軟骨以及軟組織所組成,屬於呼吸系統的一部份,具有過濾/吸收塵埃及雜質、潤濕吸入空氣的功能。鼻子的創傷可能致使鼻子外觀畸形,甚至是造成鼻子功能性障礙。一般來說,鼻子的創傷可細分為化學性創傷或機械性創傷,其中化學性創傷主要是由於受到刺激性化學藥劑、或燒傷等,機械性創傷則多來自於車禍、鬥毆、職業相關事故或運動傷害等。 The nose is made up of nasal bones, cartilage and soft tissue. It is a part of the respiratory system and has the function of filtering/absorbing dust and impurities, and moisturizing the inhaled air. Trauma to the nose may result in a deformed appearance of the nose or even functional impairment of the nose. Generally speaking, trauma to the nose can be subdivided into chemical trauma or mechanical trauma. Chemical trauma is mainly due to irritating chemicals or burns, while mechanical trauma is mostly from car accidents, fights, occupation-related accidents or sports injuries, etc.

習知的鼻骨手術多仰賴執刀醫師的經驗,憑藉內視鏡的輔助,並以手感敲擊進行矯正,因此難以確保矯正效果,且會隨著執刀醫師而有所不同,並可能產生人為失誤等。此外,由於需要使用內視鏡進行輔助,因此容易造成患者鼻腔內組織受損。如上所述,由於習知技術無法確保矯正效果,因而存在手術時間長、或矯正效果不佳等問題。 The conventional nasal bone surgery relies on the experience of the surgeon, with the assistance of an endoscope, and corrects by touching the touch, so it is difficult to ensure the corrective effect, and it will vary depending on the surgeon, and human errors may occur, etc. . In addition, due to the need to use an endoscope for assistance, it is easy to cause tissue damage in the patient's nasal cavity. As described above, since the conventional technique cannot ensure the corrective effect, there are problems such as long operation time and poor corrective effect.

因此,亟須提出一種鼻骨手術導板,以消除或緩和上述問題。 Therefore, there is an urgent need to provide a nasal bone surgical guide to eliminate or alleviate the above problems.

有鑑於此,本發明提出一種鼻骨手術導板,具有縮短手術時間、矯正效果佳、減少患者鼻腔內組織損傷、或減少人為失誤等優點。為達到上述目的,根據本發明的一種觀點,鼻骨手術導板包括固定件、第一導引件、第二導引件、第三導引件、支撐件。其中,固定件可具有第一表面及第二表面,固定件的第一表面可輕觸在患者的牙齒上,固定件的第二表面可輕觸在患者的牙齦上,藉此將固定件固定於患者的嘴部,使用固定件來支撐鼻骨手術導板,但本發明不限於此。 In view of this, the present invention proposes a nasal bone surgery guide, which has the advantages of shortening operation time, good correction effect, reducing tissue damage in the patient's nasal cavity, or reducing human errors. In order to achieve the above objective, according to an aspect of the present invention, a nasal bone surgical guide plate includes a fixing member, a first guiding member, a second guiding member, a third guiding member, and a supporting member. The fixture may have a first surface and a second surface, the first surface of the fixture may touch the patient's teeth lightly, and the second surface of the fixture may lightly touch the patient's gums, thereby fixing the fixture In the patient's mouth, a fixing member is used to support the nasal bone surgical guide, but the present invention is not limited thereto.

此外,固定件可具有第一固定孔,第一導引件可具有第一通孔,且第一導引件可透過第一固定單元組設於第一固定孔上;固定件可具有第二固定孔,第二導引件可具有第二通孔,且第二導引件可透過第二固定單元組設於第二固定孔上;固定件可具有第三固定孔,支撐件可具有第三通孔,且支撐件可透過第三固定單元組設於第三固定孔上,但本發明不限於此。因此,可以使第一導引件、第二導引件、支撐件分別與固定件連接,將鼻骨手術導板穩固地固定在患者的鼻子上。在此,第一固定孔、第二固定孔、及第三固定孔的形狀為圓形,但本發明不限於此,亦可為多邊形(例如,三角形、長方形等),只要第一固定孔、第二固定孔、及第三固定孔的形狀可分別對應於所連接的第一導引件、第二導引件、及支撐件即可。 In addition, the fixing piece may have a first fixing hole, the first guiding piece may have a first through hole, and the first guiding piece may be assembled on the first fixing hole through the first fixing unit; the fixing piece may have a second fixing hole The fixing hole, the second guide piece can have a second through hole, and the second guide piece can be assembled on the second fixing hole through the second fixing unit; the fixing piece can have a third fixing hole, and the support piece can have a first fixing hole. There are three through holes, and the support member can be assembled on the third fixing hole through the third fixing unit, but the invention is not limited to this. Therefore, the first guide member, the second guide member, and the support member can be respectively connected with the fixing member, so that the nasal bone surgical guide plate can be stably fixed on the nose of the patient. Here, the shapes of the first fixing hole, the second fixing hole, and the third fixing hole are circular, but the present invention is not limited to this, and may be polygonal (eg, triangle, rectangle, etc.), as long as the first fixing hole, The shapes of the second fixing hole and the third fixing hole may correspond to the connected first guide member, second guide member, and support member, respectively.

再者,第一導引件組設於該固定件上,第二導引件組設於固定件上,其中第一導引件與第二導引件可為對稱設計,但本發明不限於此,可依據患者的鼻子形狀對其個別進行調整。此外,第一導引件及第二導引件係分別置於患者的左右鼻腔內,用以撐開患者鼻腔空間,並固定鼻骨手術導板。 Furthermore, the first guide member is assembled on the fixing member, and the second guide member is assembled on the fixing member, wherein the first guide member and the second guide member can be symmetrically designed, but the present invention is not limited to Therefore, it can be individually adjusted according to the shape of the patient's nose. In addition, the first guide member and the second guide member are respectively placed in the left and right nasal cavities of the patient to open the nasal cavity space of the patient and fix the nasal bone surgery guide plate.

另外,第三導引件組設於支撐件上,且具有第一支架及第二支架,其中第三導引件的第一支架與第一導引件連接,用來撐開患者一邊的鼻腔,而第三導引件的第二支架與第二導引件連接,用來撐開患者另一邊的鼻腔。透過第一支架與第二支架貼合於鼻骨,以輔助鼻骨矯正手術。此外,第三導引件的第一支架及第二支架的形狀及長度可依據患者鼻骨形狀對其個別進行調整,只要能與第一導引件及第二導引件進行連接即可,例如,第三導引件的第一支架及第二支架的長度可為1~6cm,較佳為1~4cm,更佳為1~3cm。 In addition, the third guide member is assembled on the support member, and has a first bracket and a second bracket, wherein the first bracket of the third guide member is connected with the first guide member, and is used to open the nasal cavity on the side of the patient , and the second bracket of the third guide piece is connected with the second guide piece for propping up the nasal cavity on the other side of the patient. The first bracket and the second bracket are attached to the nasal bone to assist the nasal bone correction operation. In addition, the shape and length of the first bracket and the second bracket of the third guide can be individually adjusted according to the shape of the patient's nasal bone, as long as they can be connected with the first guide and the second guide, for example , the length of the first bracket and the second bracket of the third guide can be 1-6 cm, preferably 1-4 cm, more preferably 1-3 cm.

其次,支撐件組設於固定件上且設置於第一導引件與第二導引件之間。支撐件可具有孔洞,第三導引件可透過第四固定單元組設於孔洞上,但本發明不限於此,藉此將第三導引件與支撐件組設為一體。 Secondly, the support element is assembled on the fixing element and disposed between the first guide element and the second guide element. The support member may have a hole, and the third guide member can be assembled on the hole through the fourth fixing unit, but the invention is not limited to this, so that the third guide member and the support member are assembled into one body.

於本發明的鼻骨手術導板中,第一固定單元、第二固定單元、第三固定單元、及第四固定單元可為卡榫、螺絲、插銷、或任何適合用來固定的元件,但本發明不限於此。 In the nasal bone surgery guide of the present invention, the first fixing unit, the second fixing unit, the third fixing unit, and the fourth fixing unit can be tenons, screws, latches, or any other components suitable for fixing. The invention is not limited to this.

於本發明的鼻骨手術導板中,第三導引件的第一支架可設置有第一凹部,第三導引件的第二支架可設置有第二凹部,而第一導引件的第一導引部可組設於第一凹部中,第二導引件的第二導引部可組設於第二凹部中,但本發明不限於此。透過第一凹部及第二凹部的設置,可以使第一導引件及第二導引件更穩固地分別固定在第一支架及第二支架上,防止第一支架與第二支架偏離預定位置。 In the nasal bone surgery guide of the present invention, the first bracket of the third guide can be provided with a first recess, the second bracket of the third guide can be provided with a second recess, and the first bracket of the first guide can be provided with a second recess. A guide portion may be assembled in the first concave portion, and the second guide portion of the second guide member may be assembled in the second concave portion, but the invention is not limited thereto. Through the arrangement of the first concave portion and the second concave portion, the first guide member and the second guide member can be more firmly fixed on the first bracket and the second bracket respectively, preventing the first bracket and the second bracket from deviating from the predetermined position. .

於本發明的鼻骨手術導板中,可更包括第一固定針,可設置於支撐件的第一穿孔中,其中第一固定針的第一端可鄰近第一導引件的第一導引部,但本發明不限於此。此外,第一導引件可包括第一支撐部及第一導引部, 第一支撐部可與第一導引部連接,且第一固定針的第一端可鄰近第一支撐部與第一導引部的連接處,但本發明不限於此,藉由第一固定針的設置,可強化第一導引件的支撐效果,避免因承受過大應力而在第一支撐部與第一導引部的連接處產生斷裂。 In the nasal bone surgery guide of the present invention, it may further include a first fixing needle, which may be arranged in the first through hole of the support, wherein the first end of the first fixing needle may be adjacent to the first guide of the first guide. part, but the present invention is not limited to this. In addition, the first guide member may include a first support portion and a first guide portion, The first support part can be connected with the first guide part, and the first end of the first fixing pin can be adjacent to the connection between the first support part and the first guide part, but the present invention is not limited to this, by the first fixing The arrangement of the needles can strengthen the supporting effect of the first guide member, and avoid breakage at the connection between the first support portion and the first guide portion due to excessive stress.

於本發明的鼻骨手術導板中,可更包括第二固定針,可設置於支撐件的第二穿孔中,其中第二固定針的第二端可鄰近第二導引件的第二導引部,但本發明不限於此。此外,第二導引件可包括第二支撐部及第二導引部,第二支撐部可與第二導引部連接,且第二固定針的第二端可鄰近第二支撐部與第二導引部的連接處,但本發明不限於此,藉由第二固定針的設置,可強化第二導引件的支撐效果,避免因承受過大應力而在第二支撐部與第二導引部的連接處產生斷裂。 In the nasal bone surgical guide of the present invention, it may further include a second fixing pin, which may be disposed in the second through hole of the support, wherein the second end of the second fixing pin may be adjacent to the second guide of the second guide. part, but the present invention is not limited to this. In addition, the second guide member may include a second support portion and a second guide portion, the second support portion may be connected with the second guide portion, and the second end of the second fixing needle may be adjacent to the second support portion and the first guide portion. The connection between the two guide parts, but the present invention is not limited to this. By the arrangement of the second fixing pin, the supporting effect of the second guide part can be strengthened, so as to avoid excessive stress between the second support part and the second guide part. The lead connection is broken.

於本發明的鼻骨手術導板中,鼻骨手術導板可由丙烯酸化合物所製備,但本發明不限於此,只要是具有足夠強度的生物相容性材料即可。此外,鼻骨手術導板可以以3D列印積層製造法所製備,但本發明不限於此。當使用3D列印積層製造法製備本發明的鼻骨手術導板時,可依據患者的鼻腔構造、醫師的操作手法或其他需求,以客製化的製備鼻骨手術導板。 In the nasal bone surgical guide of the present invention, the nasal bone surgical guide can be prepared from an acrylic compound, but the present invention is not limited thereto, as long as it is a biocompatible material with sufficient strength. In addition, the nasal bone surgical guide can be prepared by a 3D printing laminate manufacturing method, but the present invention is not limited thereto. When using the 3D printing lamination manufacturing method to prepare the nasal bone surgical guide of the present invention, the nasal bone surgical guide can be customized according to the patient's nasal cavity structure, the doctor's operation technique or other requirements.

下文將配合圖式並詳細說明,使本發明的其他目的、優點、及新穎特徵更明顯。 The accompanying drawings and detailed descriptions will hereinafter make other objects, advantages, and novel features of the present invention more apparent.

1:鼻骨手術導板 1: Nasal bone surgery guide

10:固定件 10: Fixing parts

11:第一導引件 11: The first guide

12:第二導引件 12: Second guide

13:第三導引件 13: The third guide

14:支撐件 14: Supports

101:第一固定孔 101: The first fixing hole

102:第二固定孔 102: Second fixing hole

103:第三固定孔 103: The third fixing hole

104:第一表面 104: First Surface

105:第二表面 105: Second Surface

111:第一支撐部 111: The first support part

112:第一導引部 112: The first guide

113:第一接合部 113: The first joint

114:第一接合單元 114: The first joint unit

121:第二支撐部 121: Second support part

122:第二導引部 122: The second guide

123:第二接合部 123: Second joint

124:第二接合單元 124: Second junction unit

131:第一支架 131: The first bracket

132:第二支架 132: Second bracket

141:孔洞 141: Hole

143:第一穿孔 143: First Piercing

144:第二穿孔 144: Second Perforation

145:第三接合單元 145: Third engagement unit

146:第三通孔 146: Third through hole

151:第一固定單元 151: The first fixed unit

152:第二固定單元 152: Second fixed unit

153:第三固定單元 153: The third fixed unit

154:第四固定單元 154: Fourth fixed unit

161:第一固定針 161: The first fixed needle

161a:第一端 161a: First End

162:第二固定針 162:Second fixed pin

162a:第二端 162a: second end

1112a:第一連接處 1112a: First connection

1131:第一通孔 1131: first through hole

1212a:第二連接處 1212a: Second junction

1231:第二通孔 1231: second through hole

1311:第一凹部 1311: The first recess

1322:第二凹部 1322: Second recess

圖1顯示本發明一實施例的鼻骨手術導板之爆炸圖。 FIG. 1 shows an exploded view of a nasal bone surgical guide according to an embodiment of the present invention.

圖2顯示本發明一實施例的鼻骨手術導板之背面立體圖。 FIG. 2 shows a rear perspective view of a nasal bone surgical guide according to an embodiment of the present invention.

圖3顯示本發明一實施例的鼻骨手術導板之正面立體圖。 3 shows a front perspective view of a nasal bone surgical guide according to an embodiment of the present invention.

圖4顯示本發明一實施例的鼻骨手術導板安裝於患者臉部之示意圖。 FIG. 4 shows a schematic diagram of a nasal bone surgical guide installed on a patient's face according to an embodiment of the present invention.

以下提供本發明的不同實施例。這些實施例是用於說明本發明的技術內容,而非用於限制本發明的權利範圍。一實施例的一特徵可透過合適的修飾、置換、組合、分離以應用於其他實施例。 Various embodiments of the present invention are provided below. These embodiments are used to illustrate the technical content of the present invention, but not to limit the scope of the right of the present invention. A feature of one embodiment can be applied to other embodiments by suitable modification, substitution, combination, isolation.

應注意的是,在本文中,除了特別指明者之外,具備「一」元件不限於具備單一的該元件,而可具備一或更多的該元件。 It should be noted that, in this document, unless otherwise specified, having "a" element is not limited to having a single such element, but may include one or more such elements.

此外,在本文中,除了特別指明者之外,「第一」、「第二」等序數,只是用於區別具有相同名稱的多個元件,並不表示它們之間存在位階、層級、執行順序、或製程順序。一「第一」元件與一「第二」元件可能一起出現在同一構件中,或分別出現在不同構件中。序數較大的一元件的存在不必然表示序數較小的另一元件的存在。 In addition, in this document, unless otherwise specified, ordinal numbers such as "first" and "second" are only used to distinguish multiple elements with the same name, and do not mean that there is a rank, hierarchy, or execution order among them , or process sequence. A "first" element and a "second" element may appear together in the same component or separately in different components. The presence of an element with a higher ordinal number does not necessarily imply the presence of another element with a lower ordinal number.

此外,在本文中,所謂的「上」、「下」或「之間」等用語,只是用於描述多個元件之間的相對位置,並在解釋上可推廣成包括平移、旋轉、或鏡射的情形。 In addition, in this text, the so-called "upper", "lower" or "between" and other terms are only used to describe the relative positions between multiple elements, and can be extended to include translation, rotation, or mirroring in interpretation shooting situation.

此外,在本文中,除了特別指明者之外,「一元件在另一元件上」或類似敘述不必然表示該元件接觸該另一元件。 Furthermore, herein, unless specifically stated otherwise, "an element is on another element" or the like does not necessarily mean that the element is in contact with the other element.

此外,在本文中,「較佳」、「更佳」或「最佳」是用於描述可選的或附加的元件或特徵,亦即,這些元件或特徵並不是必要的,而可能加以省略。 Furthermore, herein, "preferred", "better" or "best" are used to describe optional or additional elements or features, ie, those elements or features are not required and may be omitted .

圖1顯示本發明一實施例的鼻骨手術導板1之爆炸圖。 FIG. 1 shows an exploded view of a nasal bone surgical guide 1 according to an embodiment of the present invention.

圖2顯示本發明一實施例的鼻骨手術導板1之背面立體圖。 FIG. 2 shows a rear perspective view of the nasal bone surgical guide 1 according to an embodiment of the present invention.

圖3顯示本發明一實施例的鼻骨手術導板1之正面立體圖。 FIG. 3 shows a front perspective view of the nasal bone surgical guide 1 according to an embodiment of the present invention.

圖4顯示本發明一實施例的鼻骨手術導板1安裝於患者臉部之示意圖。 FIG. 4 shows a schematic diagram of the nasal bone surgical guide 1 installed on the patient's face according to an embodiment of the present invention.

如圖1~圖4所示,本實施例之鼻骨手術導板1包括固定件10、第一導引件11、第二導引件12、第三導引件13、支撐件14、第三接合單元145、第一固定單元151、第二固定單元152、第三固定單元153、第四固定單元154、第一固定針161、以及第二固定針162。其中,固定件10具有第一固定孔101、第二固定孔102、第三固定孔103、第一表面104、及第二表面105,第一表面104輕觸在患者的牙齒上,第二表面105輕觸在患者的牙齦上,藉此將固定件10固定於患者的嘴部,使用固定件10來支撐鼻骨手術導板1。於本實施例中,第一固定孔101、第二固定孔102、及第三固定孔103的形狀為圓形,但本發明不限於此,於其他實施例中,第一固定孔101、第二固定孔102、及第三固定孔103的形狀可為多邊形(例如:三角形、長方形等),只要第一固定孔101、第二固定孔102、及第三固定孔103的形狀可分別對應於所連接的第一導引件11、第二導引件12、及支撐件14即可。 As shown in FIGS. 1 to 4 , the nasal bone surgical guide 1 of this embodiment includes a fixing member 10 , a first guiding member 11 , a second guiding member 12 , a third guiding member 13 , a supporting member 14 , and a third guiding member 14 . The engaging unit 145 , the first fixing unit 151 , the second fixing unit 152 , the third fixing unit 153 , the fourth fixing unit 154 , the first fixing needle 161 , and the second fixing needle 162 . The fixing member 10 has a first fixing hole 101, a second fixing hole 102, a third fixing hole 103, a first surface 104, and a second surface 105. The first surface 104 touches the patient's teeth lightly, and the second surface 105 is lightly touched on the patient's gums, thereby fixing the fixing member 10 to the patient's mouth, and using the fixing member 10 to support the nasal bone surgical guide 1 . In this embodiment, the shapes of the first fixing hole 101 , the second fixing hole 102 , and the third fixing hole 103 are circular, but the invention is not limited thereto. The shapes of the second fixing holes 102 and the third fixing holes 103 can be polygons (eg, triangles, rectangles, etc.), as long as the shapes of the first fixing holes 101 , the second fixing holes 102 , and the third fixing holes 103 can be respectively corresponding to The connected first guide member 11 , the second guide member 12 , and the support member 14 are sufficient.

再者,第一導引件11包括第一支撐部111、第一導引部112、一第一接合部113、及第一接合單元114,第一接合部113具有第一通孔1131,且透過第一固定單元151組設於固定件10的第一固定孔101上,第一接合部113透過第一接合單元114與第一支撐部111連接。第二導引件12包括第二支撐部121、第二導 引部122、第二接合部123、第二接合單元124,第二接合部123具有第二通孔1231,且透過第二固定單元152組設於固定件10的第二固定孔102上,第二接合部123透過第二接合單元124與第二支撐部121連接。第一導引件11及第二導引件12係分別置於患者的左右鼻腔內,用以撐開患者鼻腔空間,並固定鼻骨手術導板1。於本實施例中,第一導引件11與第二導引件12為對稱設計,但不限於此,於其他實施例中,第一導引件11與第二導引件12可依據患者的鼻子形狀對其個別進行調整。 Furthermore, the first guide member 11 includes a first support portion 111 , a first guide portion 112 , a first engaging portion 113 , and a first engaging unit 114 . The first engaging portion 113 has a first through hole 1131 , and The first fixing unit 151 is assembled on the first fixing hole 101 of the fixing member 10 through the first fixing unit 151 , and the first engaging portion 113 is connected to the first supporting portion 111 through the first engaging unit 114 . The second guide member 12 includes a second support portion 121, a second guide The lead portion 122 , the second engaging portion 123 , and the second engaging unit 124 . The second engaging portion 123 has a second through hole 1231 and is assembled on the second fixing hole 102 of the fixing member 10 through the second fixing unit 152 . The two engaging portions 123 are connected to the second supporting portion 121 through the second engaging unit 124 . The first guide member 11 and the second guide member 12 are respectively placed in the left and right nasal cavities of the patient to open the nasal cavity space of the patient and fix the nasal bone surgery guide plate 1 . In this embodiment, the first guide member 11 and the second guide member 12 are symmetrically designed, but not limited thereto. In other embodiments, the first guide member 11 and the second guide member 12 can be designed according to the patient The shape of the nose can be adjusted individually.

另外,支撐件14具有第三通孔146,第三接合單元145具有孔洞141、第一穿孔143、及第二穿孔144。其中,支撐件14透過第三固定單元153組設於固定件10的第三固定孔103上,且支撐件14設置於第一導引件11與第二導引件12之間。第三導引件13透過第四固定單元154組設於第三接合單元145的孔洞141中,藉此將第三導引件13與支撐件14組設為一體。此外,第三導引件13具有第一支架131及第二支架132,其中第三導引件13的第一支架131設置有第一凹部1311,第一導引件11的第一導引部112組設於第一凹部1311中,而第三導引件13的第二支架132設置有第二凹部1322,第二導引件12的第二導引部122組設於第二凹部1322中,透過第一凹部1311及第二凹部1322的設置,可以使第一導引件11及第二導引件12更穩固地固定在第一支架131及第二支架132上,防止第一支架131與第二支架132偏離預定位置。另一方面,可藉此撐開患者鼻腔,並透過第一支架131與第二支架132貼合於鼻骨,以輔助進行鼻骨矯正手術。 In addition, the support member 14 has a third through hole 146 , and the third engaging unit 145 has a hole 141 , a first through hole 143 , and a second through hole 144 . The supporting member 14 is assembled on the third fixing hole 103 of the fixing member 10 through the third fixing unit 153 , and the supporting member 14 is disposed between the first guiding member 11 and the second guiding member 12 . The third guide member 13 is assembled in the hole 141 of the third joint unit 145 through the fourth fixing unit 154 , thereby integrating the third guide member 13 and the support member 14 into one. In addition, the third guide member 13 has a first bracket 131 and a second bracket 132 , wherein the first bracket 131 of the third guide member 13 is provided with a first concave portion 1311 , and the first guide portion of the first guide member 11 112 is set in the first recess 1311 , the second bracket 132 of the third guide 13 is set with a second recess 1322 , and the second guide 122 of the second guide 12 is set in the second recess 1322 , through the arrangement of the first concave portion 1311 and the second concave portion 1322, the first guide member 11 and the second guide member 12 can be more stably fixed on the first bracket 131 and the second bracket 132, preventing the first bracket 131 A predetermined position is deviated from the second bracket 132 . On the other hand, the nasal cavity of the patient can be opened, and the first bracket 131 and the second bracket 132 can be attached to the nasal bone to assist in the nasal bone correction operation.

於本實施例中,第三導引件13的第一支架131及第二支架132的形狀為弧形,且長度為3公分,但不限於此,於其他實施例中,第三導引件13的第一支架131及第二支架132的形狀及長度可依據患者鼻骨形狀對其個別進行調 整,只要能與第一導引件11及第二導引件12進行連接即可,例如,第三導引件的第一支架及第二支架的長度可為1~6cm,較佳為1~4cm,更佳為1~3cm。 In this embodiment, the shape of the first bracket 131 and the second bracket 132 of the third guide member 13 is arc-shaped, and the length is 3 cm, but not limited to this, in other embodiments, the third guide member The shape and length of the first bracket 131 and the second bracket 132 of 13 can be adjusted individually according to the shape of the patient's nasal bone. As long as it can be connected with the first guide 11 and the second guide 12, for example, the length of the first bracket and the second bracket of the third guide can be 1-6 cm, preferably 1 ~4cm, more preferably 1~3cm.

其次,第一固定針161設置於第三接合單元145的第一穿孔143中,其中第一固定針161的第一端161a鄰近第一導引件11的第一導引部112,而連接在第一支撐部111與第一導引部112之間的第一連接處1112a,藉由第一固定針161的設置,可強化第一導引件11的支撐效果,避免因承受過大應力而在第一支撐部111與第一導引部112之間的第一連接處1112a產生斷裂。第二固定針162設置於第三接合單元145的第二穿孔144中,其中第二固定針162的第二端162a鄰近第二導引件12的第二導引部122,而連接在第二支撐部121與第二導引部122之間的第二連接處1212a,藉由第二固定針162的設置,可強化第二導引件12的支撐效果,避免因承受過大應力而在第二支撐部121與第二導引部122之間的第二連接處1212a產生斷裂。 Next, the first fixing needle 161 is disposed in the first through hole 143 of the third engaging unit 145 , wherein the first end 161 a of the first fixing needle 161 is adjacent to the first guide portion 112 of the first guide member 11 and is connected to the The first connection portion 1112a between the first support portion 111 and the first guide portion 112 can strengthen the support effect of the first guide member 11 due to the arrangement of the first fixing needle 161 to avoid excessive stress. The first connection 1112a between the first support portion 111 and the first guide portion 112 is broken. The second fixing needle 162 is disposed in the second through hole 144 of the third engaging unit 145 , wherein the second end 162 a of the second fixing needle 162 is adjacent to the second guiding portion 122 of the second guiding member 12 and is connected to the second The second connection portion 1212a between the support portion 121 and the second guide portion 122 can strengthen the support effect of the second guide member 12 due to the arrangement of the second fixing pin 162, so as to prevent the second guide member 12 from being damaged due to excessive stress. The second connection 1212a between the support portion 121 and the second guide portion 122 is broken.

於本實施例中,第一固定單元151、第二固定單元152、第三固定單元153、及第四固定單元154為卡榫,但不限於此,於其他實施例中,第一固定單元151、第二固定單元152、第三固定單元153、及第四固定單元154可為螺絲、插銷、或任何適合用來固定的元件。 In this embodiment, the first fixing unit 151 , the second fixing unit 152 , the third fixing unit 153 , and the fourth fixing unit 154 are tenons, but not limited to this. In other embodiments, the first fixing unit 151 , the second fixing unit 152 , the third fixing unit 153 , and the fourth fixing unit 154 can be screws, bolts, or any suitable fixing elements.

於本實施例中,鼻骨手術導板1中的固定件10、第一導引件11、第二導引件12、第三導引件13、支撐件14、第三接合單元145、第一固定單元151、第二固定單元152、第三固定單元153、第四固定單元154、第一固定針161、以及第二固定針162是由丙烯酸化合物所製備,並以3D列印積層製造法所製備,但不限於此,於其他實施例中,上述元件可使用具有足夠強度的生物相容性材料所製備而成。 In this embodiment, the fixing member 10 , the first guiding member 11 , the second guiding member 12 , the third guiding member 13 , the supporting member 14 , the third engaging unit 145 , the first The fixing unit 151 , the second fixing unit 152 , the third fixing unit 153 , the fourth fixing unit 154 , the first fixing pin 161 , and the second fixing pin 162 are made of acrylic compound and manufactured by a 3D printing lamination method. Fabrication, but not limited thereto, in other embodiments, the above-mentioned elements may be fabricated using biocompatible materials with sufficient strength.

綜上所述,本發明的鼻骨手術導板1確實具有縮短手術時間、減少患者鼻腔內組織損傷、或減少人為失誤等優點,可顯著提升鼻骨矯正手術效率、或鼻骨矯正效果。 To sum up, the nasal bone surgical guide 1 of the present invention does have the advantages of shortening the operation time, reducing the tissue damage in the patient's nasal cavity, or reducing human error, etc., and can significantly improve the efficiency of the nasal bone correction operation or the nasal bone correction effect.

儘管本發明已透過多個實施例來說明,應理解的是,只要不背離本創作的精神及申請專利範圍所主張者,可作出許多其他可能的修飾及變化。 Although the present invention has been described in terms of various embodiments, it should be understood that many other possible modifications and changes can be made without departing from the spirit of the invention and the claimed scope of the claimed invention.

1:鼻骨手術導板 1: Nasal bone surgery guide

10:固定件 10: Fixing parts

11:第一導引件 11: The first guide

12:第二導引件 12: Second guide

13:第三導引件 13: The third guide

14:支撐件 14: Supports

101:第一固定孔 101: The first fixing hole

102:第二固定孔 102: Second fixing hole

103:第三固定孔 103: The third fixing hole

111:第一支撐部 111: The first support part

112:第一導引部 112: The first guide

113:第一接合部 113: The first joint

114:第一接合單元 114: The first joint unit

121:第二支撐部 121: Second support part

122:第二導引部 122: The second guide

123:第二接合部 123: Second joint

124:第二接合單元 124: Second junction unit

131:第一支架 131: The first bracket

132:第二支架 132: Second bracket

141:孔洞 141: Hole

143:第一穿孔 143: First Piercing

144:第二穿孔 144: Second Perforation

145:第三接合單元 145: Third engagement unit

146:第三通孔 146: Third through hole

151:第一固定單元 151: The first fixed unit

152:第二固定單元 152: Second fixed unit

153:第三固定單元 153: The third fixed unit

154:第四固定單元 154: Fourth fixed unit

161:第一固定針 161: The first fixed needle

161a:第一端 161a: First End

162:第二固定針 162:Second fixed pin

162a:第二端 162a: second end

1112a:第一連接處 1112a: First connection

1131:第一通孔 1131: first through hole

1212a:第二連接處 1212a: Second junction

1231:第二通孔 1231: second through hole

1311:第一凹部 1311: The first recess

1322:第二凹部 1322: Second recess

Claims (11)

一種鼻骨手術導板,包括:一固定件;一第一導引件,組設於該固定件上;一第二導引件,組設於該固定件上;一支撐件,組設於該固定件上且設置於該第一導引件與該第二導引件之間;以及一第三導引件,組設於該支撐件上,且具有一第一支架及一第二支架,其中該第三導引件的該第一支架與該第一導引件連接,該第三導引件的該第二支架與該第二導引件連接。 A nasal bone surgery guide plate, comprising: a fixing part; a first guiding part assembled on the fixing part; a second guiding part assembled on the fixing part; a support part assembled on the fixing part the fixing part is arranged between the first guide part and the second guide part; and a third guide part is assembled on the support part and has a first bracket and a second bracket, The first bracket of the third guide piece is connected with the first guide piece, and the second bracket of the third guide piece is connected with the second guide piece. 如請求項1所述之鼻骨手術導板,其中該固定件具有一第一固定孔,該第一導引件透過一第一固定單元組設於該第一固定孔上。 The nasal bone surgery guide according to claim 1, wherein the fixing member has a first fixing hole, and the first guiding member is assembled on the first fixing hole through a first fixing unit. 如請求項1所述之鼻骨手術導板,其中該固定件具有一第二固定孔,該第二導引件透過一第二固定單元組設於該第二固定孔上。 The nasal bone surgery guide according to claim 1, wherein the fixing member has a second fixing hole, and the second guiding member is assembled on the second fixing hole through a second fixing unit. 如請求項1所述之鼻骨手術導板,其中該固定件具有一第三固定孔,該支撐件透過一第三固定單元組設於該第三固定孔上。 The nasal bone surgery guide according to claim 1, wherein the fixing member has a third fixing hole, and the support member is assembled on the third fixing hole through a third fixing unit. 如請求項1所述之鼻骨手術導板,其中該支撐件具有一孔洞,該第三導引件透過一第四固定單元組設於該孔洞上。 The nasal bone surgery guide according to claim 1, wherein the support member has a hole, and the third guide member is assembled on the hole through a fourth fixing unit. 如請求項1所述之鼻骨手術導板,其中該第三導引件的該第一支架設置有一第一凹部,該第三導引件的該第二支架設置有一第二凹部,而該第一導引件組設於該第一凹部中,該第二導引件組設於該第二凹部中。 The nasal bone surgery guide as claimed in claim 1, wherein the first bracket of the third guide is provided with a first recess, the second bracket of the third guide is provided with a second recess, and the first A guide element is assembled in the first concave portion, and the second guide element is assembled in the second concave portion. 如請求項1所述之鼻骨手術導板,更包括一第一固定針,設置於該支撐件的一第一穿孔中,其中該第一固定針的一端鄰近該第一導引件。 The nasal bone surgery guide as claimed in claim 1, further comprising a first fixation needle disposed in a first through hole of the support member, wherein one end of the first fixation needle is adjacent to the first guide member. 如請求項7所述之鼻骨手術導板,其中該第一導引件包括一第一支撐部及一第一導引部,該第一支撐部與該第一導引部連接,且該第一固定針的該端鄰近該第一支撐部與該第一導引部的連接處。 The nasal bone surgery guide according to claim 7, wherein the first guide member comprises a first support part and a first guide part, the first support part is connected with the first guide part, and the first guide part The end of a fixed needle is adjacent to the connection between the first support portion and the first guide portion. 如請求項1所述之鼻骨手術導板,更包括一第二固定針,設置於該支撐件的一第二穿孔中,其中該第二固定針的一端鄰近該第二導引件。 The nasal bone surgery guide as claimed in claim 1, further comprising a second fixing needle disposed in a second through hole of the support member, wherein one end of the second fixing needle is adjacent to the second guiding member. 如請求項9所述之鼻骨手術導板,其中該第二導引件包括一第二支撐部及一第二導引部,該第二支撐部與該第二導引部連接,且該第二固定針的該端鄰近該第二支撐部與該第二導引部的連接處。 The nasal bone surgery guide as claimed in claim 9, wherein the second guide member comprises a second support part and a second guide part, the second support part is connected with the second guide part, and the first The ends of the two fixing pins are adjacent to the connection between the second support portion and the second guide portion. 如請求項1所述之鼻骨手術導板,其中該鼻骨手術導板係以一3D列印積層製造法所製備。 The nasal bone surgical guide as claimed in claim 1, wherein the nasal bone surgical guide is prepared by a 3D printing lamination manufacturing method.
TW110127637A 2021-07-28 2021-07-28 Nasal osteotomy surgical guide TWI762393B (en)

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Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107753162A (en) * 2017-09-29 2018-03-06 翎秀生物科技(上海)有限公司 The intranasal rack assembly of self-expansion type
CN212326684U (en) * 2020-06-22 2021-01-12 华中科技大学同济医学院附属协和医院 Esophageal stent fixing device

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107753162A (en) * 2017-09-29 2018-03-06 翎秀生物科技(上海)有限公司 The intranasal rack assembly of self-expansion type
CN212326684U (en) * 2020-06-22 2021-01-12 华中科技大学同济医学院附属协和医院 Esophageal stent fixing device

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