WO2023277279A1 - Dispositif de fixation de la tête et du cou lors d'opération chirurgicale - Google Patents

Dispositif de fixation de la tête et du cou lors d'opération chirurgicale Download PDF

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Publication number
WO2023277279A1
WO2023277279A1 PCT/KR2021/018105 KR2021018105W WO2023277279A1 WO 2023277279 A1 WO2023277279 A1 WO 2023277279A1 KR 2021018105 W KR2021018105 W KR 2021018105W WO 2023277279 A1 WO2023277279 A1 WO 2023277279A1
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WO
WIPO (PCT)
Prior art keywords
guide part
lower guide
fixing
tooth
upper guide
Prior art date
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PCT/KR2021/018105
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English (en)
Korean (ko)
Inventor
김용휘
윤종규
김정철
하영재
Original Assignee
(주)씨비에이치
김용휘
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Application filed by (주)씨비에이치, 김용휘 filed Critical (주)씨비에이치
Publication of WO2023277279A1 publication Critical patent/WO2023277279A1/fr

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/11—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/14—Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins

Definitions

  • the present invention relates to a surgical head and neck fixation device, and more particularly, to a surgical head and neck fixation device fixed to a patient's skull and capable of setting the position of a stereotactic surgical instrument to effectively correspond to the location of a lesion in the patient's brain. .
  • brain stereotactic surgery can remove bleeding, tissue biopsy, or abscess without craniotomy.
  • it is important to fix the patient's skull using a fixing pin and to accurately reach the location of the lesion confirmed by MRI or the like.
  • Prior Document 2 discloses a stabilization device capable of relatively efficiently adjusting the position of the fixing pin by rotating a part of the fixing pin, but the position of the fixing pin can be controlled only in the left-right or rotational direction, There is a problem that is not suitable for use when the fixing pin must be moved upward in order to fix a relatively large skull.
  • An object of the present invention is to provide a surgical head and neck fixture that is fixed to a patient's skull and can set the position of a stereotactic surgical tool to effectively correspond to the location of a lesion in the patient's brain.
  • the present invention is a surgical head and neck fixing device, comprising: a plurality of stereotactic surgical tools for fixing the position of a patient's skull; A first fixing unit to which the single stereotactic surgical tool is coupled to one side; A second fixing part to which a plurality of the stereotactic surgical tools are coupled to one side; a first upper guide part accommodating a part of the first fixing part into a through hole formed at one end; a second upper guide part rotatably accommodating a part of the second fixing part inside the through hole formed at one end; a first lower guide unit accommodating a portion of the first upper guide unit to be movable up and down therein; a second lower guide unit accommodating a portion of the second upper guide unit to move up and down therein; And one end rotatably engaged with the end-side outer surface of the first lower guide portion, the other end rotatably engaged with the end-side outer surface of the second lower guide portion, and a horizontal guide; including, wherein the first The relative position of
  • a part of the second fixing part is rotatable based on a direction perpendicular to the axial direction of the second upper guide part, and another part of the second fixing part is of the second fixing part. It is rotatable within a predetermined angular range based on a direction perpendicular to a part of the rotation axis, and the relative position of the second fixing part and the second upper guide part is changed by rotation of the second fixing part, so that the plurality of localizations The position of the surgical instrument may be determined.
  • the first upper guide part is disposed coaxially with the first lower guide part and can move vertically in the direction of the axis, and the first upper guide part is moved by the vertical movement of the first upper guide part.
  • the position of the stereotactic surgical tool is determined by varying the relative position of the first lower guide part and the second upper guide part, and the second upper guide part is disposed coaxially with the second lower guide part and can move up and down in the direction of the axis, The relative position of the second upper guide part and the second lower guide part is changed by the vertical movement of the second upper guide part, so that the position of the stereotactic surgical tool can be determined.
  • the first lower guide portion is disposed on a lower outer surface, a first tooth surface is formed on one surface, and a first tooth fastening member having an accommodation space therein; includes, wherein the The second lower guide part includes a second tooth fastening member disposed on a lower outer surface, having a second tooth surface formed on one surface, and having an accommodation space therein, wherein the horizontal guide part is disposed at one end, a third tooth fastening member having a third tooth surface corresponding to the first tooth surface formed on one surface thereof and having an accommodation space therein; a first saw-tooth fastening bolt accommodated in the receiving space inside the first tooth fastening member and the inside receiving space of the third tooth fastening member; a fourth tooth fastening member disposed at the other end, having a fourth tooth surface corresponding to the second tooth surface formed on one surface, and having an accommodation space therein; and a second saw-tooth fastening bolt accommodated in the receiving space inside the second tooth-fastening member and the receiving
  • the first lower guide portion is rotatably engaged with one end of the horizontal guide portion by the first sawtooth fastening bolt through the first tooth fastening member and the third tooth fastening member
  • the second lower guide part may be rotatably engaged with the other end of the horizontal guide part by the second saw-tooth fastening bolt through the second tooth-fastening member and the fourth tooth-fastening member.
  • the first lower guide portion is rotatable based on a direction perpendicular to the central axis of the first lower guide portion
  • the second lower guide portion is perpendicular to the central axis of the second lower guide portion. It is rotatable based on the direction, and by rotation of at least one of the rotation of the first lower guide portion and the rotation of the second lower guide portion, the first lower guide portion, the second lower guide portion, and the horizontal guide portion are relative to each other.
  • the position of the stereotactic tool may be determined by varying the position.
  • the horizontal guide portion corresponds to a C-shaped assembly in which a plurality of members are coupled to be movable left and right, and the plurality of members, one end of which is rotatably engaged with the first lower guide portion ,
  • the other end is a base member having a fifth tooth surface formed on a part of the inner surface and a through hole formed on a part of the other end; a left-right movement member, a part of which is movably accommodated inside the base member, one end of which is rotatably engaged with the second lower guide part, and the other end of which a sixth tooth surface is formed on a part of an outer surface; and a horizontal guide part stopper accommodated in the through hole of the base member to fix the position of the left and right moving member.
  • the positioning device further includes a connection part including; a connection part body having a seventh tooth surface formed on one surface thereof, and the connection part body is one of an upper surface and a lower surface of the horizontal guide part.
  • a connection part including; a connection part body having a seventh tooth surface formed on one surface thereof, and the connection part body is one of an upper surface and a lower surface of the horizontal guide part.
  • the positioning device includes a connection part; a connection part body having a seventh tooth surface formed on one surface thereof; and one or more connection part extension bodies having an eighth tooth surface formed on one surface and having a through hole in the center thereof; And a connection extension part including; a connection extension fixing bolt that can be inserted into the through hole; wherein the connection part body is disposed on at least one of an upper surface and a lower surface of the horizontal guide part, and the connection extension part One surface of the part is disposed to face one surface of the connection part body, and the seventh tooth surface and the eighth tooth surface are engaged and fixed by the connection extension fixing bolt, so that the connection part and the connection extension part are coupled to the positioning A plurality of surgical tools may be additionally connected to the device.
  • the position of the combined stereotactic surgical tool can be moved more quickly, and the effect of improving the precision of the position movement can be exerted.
  • surgical tools can be additionally connected through the connecting portion and the connecting extension portion, so that not only a single surgical tool but also an effect that can be used in stereotactic surgery requiring a plurality of surgical tools can be exerted.
  • the surgical head and neck fixation device can exert an effect that can effectively respond to the location of the lesion in the brain.
  • the position-changeable fixing device in which a plurality of stereotactic tools are disposed is rotatable in a plurality of directions, the positions of the plurality of stereotactic tools can be more precisely adjusted, and user convenience is improved. can exert an effect that can promote
  • the plurality of arms can be separated from the horizontal guide unit, the effect of enabling the surgical head and neck fixation device to be used in more diverse ways can be exerted.
  • the left and right moving member by moving the left and right moving member according to the size of the skull, it is possible to achieve the effect of safely performing brain stereotactic surgery in response to various head sizes of patients.
  • FIG. 1 schematically illustrates a perspective view of a surgical head and neck fixation device to which a position variable fixing device according to an embodiment of the present invention is applied.
  • Figure 2 schematically shows a perspective view of a variable position fixing device according to an embodiment of the present invention.
  • FIG. 3 schematically shows the components of the variable position fixing device according to an embodiment of the present invention.
  • Figure 4 schematically shows a cross-sectional view of a variable position fixing device according to an embodiment of the present invention.
  • Figure 5 schematically shows a variable position fixing device according to an embodiment of the present invention.
  • Figure 6 schematically shows an exploded perspective view of a variable position fixing device according to an embodiment of the present invention.
  • FIG. 7 schematically shows a first assembly pin and a second assembly pin according to an embodiment of the present invention.
  • Figure 8 schematically illustrates the operation of the variable position fixing device according to an embodiment of the present invention.
  • Figure 9 schematically illustrates the operation of the variable position fixing device according to an embodiment of the present invention.
  • FIG 10 schematically illustrates an operation of an upper guide unit according to an embodiment of the present invention.
  • FIG 11 schematically shows the operation of the lower guide unit according to an embodiment of the present invention.
  • FIG. 12 schematically illustrates a coupling structure between a first lower guide part and a horizontal guide part according to an embodiment of the present invention.
  • FIG. 13 schematically illustrates a surgical head and neck fixation device from which a first lower guide unit is separated according to an embodiment of the present invention.
  • FIG. 14 schematically illustrates a bottom view of a surgical head and neck fixator according to an embodiment of the present invention.
  • FIG. 16 schematically illustrates a connecting portion and a connecting extension portion according to an embodiment of the present invention.
  • the term “or” is intended to mean an inclusive “or” rather than an exclusive “or”. That is, unless otherwise specified or clear from the context, “X employs A or B” is intended to mean one of the natural inclusive substitutions. That is, X uses A; X uses B; Or, if X uses both A and B, "X uses either A or B" may apply to either of these cases. Also, the term “and/or” as used herein should be understood to refer to and include all possible combinations of one or more of the listed related items.
  • first and second may be used to describe various components, but the components are not limited by the terms. These terms are only used for the purpose of distinguishing one component from another. For example, a first element may be termed a second element, and similarly, a second element may be termed a first element, without departing from the scope of the present invention.
  • the terms and/or include any combination of a plurality of related recited items or any of a plurality of related recited items.
  • Figure 1 schematically shows a perspective view of a surgical head and neck fixation device 1 to which a positionable fixation device 3000 according to an embodiment of the present invention is applied.
  • a surgical head and neck fixing device (1) includes a plurality of stereotactic surgical tools (1000) for fixing the position of a patient's skull; A first fixing part (2000) to which the single stereotactic surgical tool (1000) is coupled to one side; A second fixing part 3000 to which a plurality of the stereotactic surgical tools 1000 are coupled to one side; a first upper guide part 4100 accommodating a part of the first fixing part 2000 inside a through hole formed at one end; a second upper guide part 4200 rotatably accommodating a part of the second fixing part 3000 into a through hole formed at one end; a first lower guide part 5100 accommodating a part of the first upper guide part 4100 therein so as to be movable up and down; a second lower guide part 5200 accommodating a part of the second upper guide part 4200 therein so as to be movable up and down; and one end rotatably engaged with the end-side outer surface of the first lower guide part 5100 and the other end rotatably engaged with
  • a surgical head and neck fixation device (1) is a device for locating a lesion in the brain for brain stereotactic surgery, fixing the position of the patient's skull and using the location of the lesion confirmed by MRI, etc. can be accurately reached.
  • the conventional surgical head and neck fixation device 1 moves the surgical tool based on the X, Y, and Z coordinates engraved on one side, there is a problem in that it takes a relatively long time to set the position of the surgical tool. .
  • the present invention provides a surgical head and neck fixation device (1) capable of moving the position of the stereotactic surgical tool 1000 more quickly by subdividing the joints of the stereotaxic device and improving the precision of the positional movement. wanted to
  • the surgical head and neck fixing device 1 includes the plurality of stereotactic surgical tools 1000, the first fixing part 2000, and the second fixing part. 3000, the upper guide part 4000 including the first upper guide part 4100 and the second upper guide part 4200, the first lower guide part 5100 and the second lower guide part ( 5200) may include a lower guide part 5000, and the horizontal guide part 6000.
  • Each of the guide part 5100, the second lower guide part 5200, and the horizontal guide part 6000 may correspond to a plurality of joints provided in the surgical head and neck fixing device 1
  • the plurality Each of the assembly in which a part of the joint is assembled and the assembly in which the other part of the plurality of joints is assembled may correspond to each of a plurality of arms provided in the surgical head and neck fixing device 1.
  • Positions of the plurality of stereotactic instruments 1000 may be determined by the relative positions of the components provided in the surgical head and neck fixing device 1 .
  • a fixing pin for fixing the position by being partially inserted into the patient's skull may include.
  • one fixing pin may be disposed on one side of the surgical head and neck fixing device 1, and two fixing pins may be disposed on the other side.
  • the surgical head and neck fixing device 1 including the plurality of stereotactic surgical tools 1000 stably stabilizes the patient's skull by arranging the fixing pins on both sides of the patient's skull. can be fixed.
  • the first fixing part 2000 may be coupled to a single stereotactic surgical tool 1000 on one side.
  • the first fixing part 2000 arranges the single stereotactic surgical tool 1000 inside the surgical head and neck fixing device 1, and fixes the surgical head and neck.
  • the stereotactic surgical tool 1000 can be coupled to one end of the first upper guide part 4100 by means of the first fixing bolt 2100 inserted from the outside of the apparatus 1 .
  • the first upper guide part 4100 may accommodate a part of the first fixing part 2000 inside a through hole formed at one end.
  • the first upper guide part 4100 has the through hole formed at one end, and is disposed below the first fixing part 2000, so that the first fixing part ( 2000) may be accommodated inside the through hole.
  • the first lower guide part 5100 may accommodate a part of the first upper guide part 4100 inside to be movable up and down.
  • the first lower guide part 5100 may have an accommodation space therein, and is disposed below the first upper guide part 4100, so that the first upper guide part 5100 may have an accommodation space therein.
  • a part of 4100 can be accommodated in the interior of the receiving space so as to be able to move up and down.
  • the position of the stereotactic surgical instrument 1000 coupled to the first fixing part 2000 located at one end of the first upper guide part 4100 is the first upper guide part 4100 and the It can be determined by the relative position of the first lower guide part 5100.
  • the stereotactic surgical tool 1000 coupled to the first fixing part 2000 The position of may be moved relatively upward.
  • the first upper guide part 4100 is disposed coaxially with the first lower guide part 5100 and can move vertically in the direction of the axis, and the first upper guide part 4100 moves vertically.
  • the relative positions of the first upper guide part 4100 and the first lower guide part 5100 are varied so that the position of the stereotactic surgical tool 1000 can be determined.
  • the first fixing part 2000, the first upper guide part 4100, and the first lower guide part 5100 are the surgical head and neck fixing device 1 It is disposed on one side of, it can form one assembly.
  • first fixing part 2000 is fixed to one end of the first upper guide part 4100, and the first upper guide part 4100 is the first lower guide part 5100.
  • first fixing part 2000 , the first upper guide part 4100 , and the first lower guide part 5100 can form one assembly.
  • each of the first fixing part 2000, the first upper guide part 4100, and the first lower guide part 5100 is part of a plurality of joints constituting the surgical head and neck fixing device 1. It may correspond to, and the assembly may correspond to a part of a plurality of arms constituting the surgical head and neck fixing device 1.
  • the second fixing part 3000 in one embodiment of the present invention, a plurality of the stereotactic surgical instruments 1000 may be coupled to one side.
  • the second fixing part 3000 may have a shape different from that of the first fixing part 2000.
  • the second fixing part 3000 includes a member to which a plurality of the stereotactic surgical tools 1000 are coupled to one side, and a part of the member is rotatably fixed to a body disposed on the other side,
  • the body can be rotatably accommodated in an adjacent upper guide part 4000, and can be coupled to the upper guide part 4000 by a bolt inserted from the outside of the upper guide part 4000.
  • the adjacent upper guide part 4000 may correspond to the second upper guide part 4200
  • the member to which the stereotactic surgical tool 1000 is coupled is a rocker member ( 3100)
  • the body supported by a part of the member may correspond to the fixing part body 3200
  • the bolt may correspond to the fixing bolt 3400.
  • the second upper guide part 4200 may rotatably accommodate a part of the second fixing part 3000 inside the through hole formed at one end.
  • the second upper guide part 4200 has the through hole formed at one end, and is disposed below the second fixing part 3000, so that the second fixing part ( 3000) may be rotatably accommodated in the through hole.
  • the positions of the plurality of stereotactic surgical tools 1000 coupled to the second fixing part 3000 are determined by the relative positions of the second fixing part 3000 and the second upper guide part 4200.
  • the plurality of stereotactic surgical tools coupled to the second fixing part 3000 may be rotated and moved by 90 degrees based on a direction perpendicular to the axial direction of the second upper guide part (4200).
  • the plurality of stereotactic surgical tools coupled to the second fixing part 3000 ( 1000) may be rotated and moved by 90 degrees based on a direction perpendicular to an axis on which the part of the second fixing part 3000 rotates.
  • a part of the second fixing part 3000 is rotatable based on a direction perpendicular to the axial direction of the second upper guide part 4200, and the other part of the second fixing part 3000 is rotatable.
  • a part of the second fixing part 3000 is rotatable within a predetermined angular range based on a direction perpendicular to the rotational axis, and the second fixing part 3000 and the second fixing part 3000 are rotated by rotation of the second fixing part 3000.
  • the positions of the plurality of stereotactic surgical instruments 1000 may be determined by varying the relative position of the second upper guide part 4200 .
  • the second lower guide part 5200 may accommodate a part of the second upper guide part 4200 inside to be movable up and down.
  • the second lower guide part 5200 may have an accommodation space therein, and is disposed below the second upper guide part 4200, so that the second upper guide part 5200 may have an accommodation space therein.
  • a part of 4200 can be accommodated inside the accommodation space so as to be able to move up and down.
  • the position of the stereotactic surgical tool 1000 coupled to the second fixing part 3000 located at one end of the second upper guide part 4200 is the second upper guide part 4200 and the It can be determined by the relative position of the second lower guide part 5200.
  • the stereotactic surgical tool 1000 coupled to the second fixing part 3000 may be moved relatively upward.
  • the second upper guide part 4200 is disposed coaxially with the second lower guide part 5200 and can move vertically in the direction of the axis, and the second upper guide part 4200 moves vertically.
  • the relative positions of the second upper guide part 4200 and the second lower guide part 5200 are varied so that the position of the stereotactic surgical instrument 1000 can be determined.
  • the second fixing part 3000, the second upper guide part 4200, and the second lower guide part 5200 are the surgical head and neck fixing device 1 It is disposed on one side of, it can form one assembly.
  • each of the second fixing part 3000, the second upper guide part 4200, and the second lower guide part 5200 is part of a plurality of joints constituting the surgical head and neck fixing device 1. It may correspond to, and the assembly may correspond to another part of a plurality of arms constituting the surgical head and neck fixing device 1.
  • the surgical head and neck fixing device 1 corresponds to a device having a plurality of arms, and a plurality of stereotactic surgical tools coupled to the arms by the relative position of each of the plurality of guide parts. (1000) can be precisely moved.
  • the horizontal guide part 6000 has one end rotatably engaged with the outer surface of the end side of the first lower guide part 5100, and the other end of the second lower guide part 5200. ) It can be rotatably engaged with the outer surface of the end side.
  • the horizontal guide part 6000 is disposed at lower ends of the first lower guide part 5100 and the second lower guide part 5200, , Both ends may be rotatably engaged with the first lower guide part 5100 and the second lower guide part 5200, respectively.
  • the horizontal guide part 6000 may include a base member 6100 and a left and right moving member 6200, as shown in FIGS. 1 (a) and 1 (b), and the base It may correspond to a C-shaped assembly in which a plurality of members including the member 6100 and the left and right moving member 6200 are coupled to move left and right.
  • the horizontal guide unit 6000 will be described in detail using drawings to be described later.
  • the positions of the plurality of stereotactic surgical tools 1000 may be determined by the relative positions of the first lower guide part 5100, the second lower guide part 5200, and the horizontal guide part 6000. there is. More specifically, the positions of the plurality of stereotactic surgical tools 1000 are relative to the first lower guide part 5100 and the horizontal guide part 6000 according to rotational movement, and the second according to rotational movement. The relative positions of the lower guide part 5200 and the horizontal guide part 6000, and the first lower guide part 5100, the second lower guide part 5200 and the horizontal guide part 6000 according to the left and right movement can be determined by the relative position of
  • the The position of the stereotactic surgical tool 1000 may be rotated 30 degrees relative to a direction perpendicular to the central axis of the first lower guide part 5100 .
  • the stereotactic surgery may be rotated and moved by 30 degrees based on a direction perpendicular to the central axis of the second lower guide part 5200 .
  • the first lower guide part 5100 is rotatable based on a direction perpendicular to the central axis of the first lower guide part 5100
  • the second lower guide part 5200 is the second lower guide part 5200. It is rotatable based on a direction perpendicular to the central axis of the lower guide part 5200, and by rotation of one or more of the rotation of the first lower guide part 5100 and the rotation of the second lower guide part 5200.
  • the relative positions of the first lower guide part 5100, the second lower guide part 5200, and the horizontal guide part 6000 are varied so that the position of the stereotactic surgical tool 1000 can be determined.
  • some of the plurality of members constituting the horizontal guide part 6000 may cause the first lower guide part ( 5100) and the second lower guide part 5200 may move left and right based on a direction perpendicular to the axial direction.
  • the position of the stereotactic surgical instrument 1000 may be moved left and right based on a direction perpendicular to the axial directions of the first lower guide part 5100 and the second lower guide part 5200 .
  • the horizontal guide part 6000 is movable left and right based on a direction perpendicular to the axial directions of the first lower guide part 5100 and the second lower guide part 5200, and the horizontal guide part
  • the relative positions of the first lower guide part 5100, the second lower guide part 5200, and the horizontal guide part 6000 change, so that the position of the stereotactic surgical tool 1000 changes.
  • the surgical head and neck fixing device 1 subdivides the joints of the surgical head and neck fixing device 1, so that the position of the combined stereotactic surgical tool 1000 can be seen more clearly. It can move quickly and exert an effect of improving the precision of position movement.
  • the surgical head and neck fixing device 1 includes a connection part 7000 including a connection part body 7100 having a seventh tooth surface 7110 formed thereon; and at least one connection extension body 8100 having an eighth tooth surface 8110 formed on one surface thereof and having a through hole in the center thereof; and a connection extension part 8000 including; and a connection extension fixing bolt 8200 that can be inserted into the through hole.
  • the surgical head and neck fixing device 1 may additionally connect a surgical tool by arranging the connecting portion 7000.
  • connection part body 7100 provided in the connection part 7000 is disposed on at least one of an upper surface and a lower surface of the horizontal guide part 6000, and is attached to the surgical tool for the head and neck fixing device 1. can be additionally connected.
  • connection part 7000 is disposed, and one surface of the connection extension part 8000 is disposed so as to face one surface of the connection part 7000.
  • a plurality of surgical tools may be additionally connected to the surgical head and neck fixing device (1).
  • connection part body 7100 provided in the connection part 7000 is disposed on at least one of an upper surface and a lower surface of the horizontal guide part 6000, and one surface of the connection extension part 8000 is the connection part.
  • the seventh tooth surface 7110 formed on one surface of the connection body 7100 and the eighth tooth surface 8110 formed on one surface of the connection extension body 8100 are arranged to face one surface of the body 7100.
  • 1 corresponds to a view showing an embodiment in which the connection part 7000 is disposed on the upper and lower surfaces of the horizontal guide part 6000 and the connection extension part 8000 is coupled to the connection part 7000.
  • a surgical tool can be additionally connected through the connection part 7000 and the connection extension part 8000, so that it can be used in stereotactic surgery requiring not only a single surgical tool but also a plurality of surgical tools. effect can be exerted.
  • the second fixing part 3000 may correspond to the repositionable fixing device 3000, and the surgical head and neck fixing device 1 is the repositionable fixing device 3000. can be applied.
  • variable position fixing device 3000 according to an embodiment of the present invention will be described in detail.
  • variable position fixing device 3000 schematically shows a perspective view of a variable position fixing device 3000 according to an embodiment of the present invention.
  • the second fixing part 3000 includes a rocker member 3100 corresponding to a member to which a plurality of stereotactic surgical tools 1000 are coupled to one side, and a part of the member is disposed on the other side It is rotatably fixed to the fixing part body 3200 corresponding to the body, and the body can be rotatably accommodated in the second upper guide part 4200 corresponding to the adjacent upper guide part 4000. It can be coupled to the second upper guide part 4200 by a fixing bolt 3400 corresponding to a bolt that can be inserted from the outside of the second upper guide part 4200 .
  • the position variable fixing device 3000 may include the rocker member 3100, the fixing part body 3200, and the fixing bolt 3400. At this time, the variable position fixing device 3000, as shown in FIG. 2, may further include a fixing part connection member 3300 between the fixing part body 3200 and the fixing bolt 3400. there is.
  • the rocker member 3100, the fixing part body 3200, the fixing part connecting member 3300, and the fixing bolt 3400 are coaxially disposed and coupled continuously, One assembly can be formed.
  • the variable position fixing device 3000 Detailed components of the variable position fixing device 3000 will be described later in detail with reference to FIG. 3 .
  • Figure 3 schematically shows the components of a variable position fixing device 3000 according to an embodiment of the present invention.
  • a position variable fixation device 3000 applied to the surgical head and neck fixation device 1 is formed in the shape of an arc and a plurality of stereotactic surgical tools 1000 can be disposed on both inner end surfaces, , a rocker member 3100 having a first through hole 3130 formed therein; a first rib 3210 in which a first side through hole 3211 corresponding to the first through hole 3130 is formed; a second rib 3220 in which a second side through hole 3221 corresponding to the first through hole 3130 is formed; a bottom portion 3230 formed below the first rib 3210 and the second rib 3220; And a circular connecting portion 3240 extending downward from the bottom portion 3230, having a circular cross-sectional shape so as to be rotatably coupled to another guide member, and having an accommodation space therein; body 3200; A fixing part connecting member 3300 having one surface disposed in contact with the fixing part body 3200 and having a toothed surface formed on the other surface; and a
  • Figure 3 (a) schematically shows the rocker member 3100 according to an embodiment of the present invention.
  • the rocker member 3100 in one embodiment of the present invention, is formed in the shape of an arc so that a plurality of stereotactic surgical tools 1000 can be disposed on both inner end surfaces, and a first through hole 3130 is formed therein It can be.
  • the rocker member 3100 includes a rocker member body 3110 having an arc shape; Tool placement grooves 3120 in which a plurality of stereotactic surgical tools 1000 can be placed on both inner end surfaces; and the first through hole 3130 formed therein.
  • the rocker member 3100 may be formed in the shape of an arc having an angle ranging from 33 degrees to 37 degrees based on a position where the plurality of stereotactic surgical instruments 1000 can be disposed.
  • the rocker member body 3110 may be formed in the shape of an arc having an angle ranging from 33 degrees to 37 degrees based on a position where the plurality of stereotactic surgical tools 1000 can be disposed.
  • Figure 3 (b) schematically shows the fixing body 3200 according to an embodiment of the present invention.
  • the fixing part body 3200 includes the first rib 3210, the second rib 3220, the bottom part 3230, and the circular connection part 3240. can include
  • first rib 3210 and the second rib 3220 may be disposed at positions facing each other, and the bottom portion is below the first rib 3210 and the second rib 3220.
  • 3230 is formed to form a space capable of supporting a partial surface of the rocker member 3100.
  • first side through-hole 3211 and the second side through-hole 3221 are preferably coaxially arranged.
  • the first through-hole 3130 formed inside the rocker member 3100, the first side through-hole 3211 corresponding to the first through-hole 3130, and the second side through-hole A plurality of assembly pins can be inserted into 3221, so that a part of the rocker member 3100 can be rotatably supported and fixed to the fixing part body 3200.
  • the circular connection portion 3240 may be formed below the bottom portion 3230 and may have a circular cross-sectional shape. At this time, it is preferable that the size of the cross section of the circular connection part 3240 is smaller than the size of the cross section of the bottom part 3230.
  • FIG. 3 (c) schematically shows the fixing part connection member 3300 according to an embodiment of the present invention.
  • the fixing part connection member 3300 in one embodiment of the present invention, one surface is arranged to contact the fixing part body 3200, the other surface may be formed with a toothed surface. As shown in FIG. 3(c), the fixing part connecting member 3300 may include a through hole formed in the center. At this time, the fixing part connecting member 3300 may accommodate a part of the circular connecting part 3240 provided in the fixing part body 3200 inside the through hole.
  • the fixing part connecting member 3300 may include a plurality of fixing part connecting member through holes 3310 formed therein.
  • the fixing part connecting member 3300 may include a third assembly pin 3320 that can be inserted into the fixing part connecting member through hole 3310.
  • the fixing part connecting member 3300 is connected to the third assembly pin 3320 through the fixing part body 3200 and the plurality of fixing part connecting member through holes 3310 disposed coaxially. ) can be combined.
  • Figure 3 (d) schematically shows the fixing bolt 3400 according to an embodiment of the present invention.
  • the fixing bolt 3400 in one embodiment of the present invention, can be accommodated in the inner accommodation space of the circular connection part 3240. As the fixing bolt 3400 is accommodated in the receiving space inside the circular connection part 3240, the fixing bolt 3400 and the fixing part body 3200 can be coupled. In addition, as shown in FIG. 3(d), the fixing bolt 3400 may include a second screw thread 3420 that may be formed on the lower outer circumferential surface.
  • the surgical head and neck fixing device 1 applies the variable position fixing device 3000 including the above components, the surgical head and neck fixing device 1 can exert an effect that can effectively respond to the location of the lesion in the brain.
  • each of the detailed components of the variable position fixing device 3000 may include a permeable composite material such as polyether ether ketone (PEEK), but may be permeable depending on the surgical environment. It may contain one of the composite materials.
  • PEEK polyether ether ketone
  • the rocker member 3100 and the fixing part body 3200 may be manufactured by a machining method, and the fixing part connecting member 3300 may be manufactured using a mold.
  • Figure 4 schematically shows a cross-sectional view of a variable position fixing device 3000 according to an embodiment of the present invention.
  • the position variable fixing device 3000 may place a stereotactic surgical tool 1000 on the inner end surface of the rocker member 3100, and the fixing part body 3200 provided The bottom portion ( The fixing part connection member 3300 may be disposed on the lower surface of 3230), and the fixing bolt 3400 may be disposed inside the circular connection part 3240.
  • a part of the fixing part body 3200, the fixing part connecting member 3300, and a part of the fixing bolt 3400 may be accommodated inside another adjacent guide member.
  • a part of the fixing part body 3200 may correspond to the circular connection part 3240 and a part of the fixing bolt 3400 may correspond to the second screw thread 3420 .
  • a part of the second fixing part 3000 may be rotatable based on a direction perpendicular to the axial direction of the second upper guide part 4200, and the second fixing part 3000 may correspond to the variable position fixing device 3000, and the fixing part body 3200 passes through the plurality of fixing part connecting member through holes 3310 provided in the fixing part connecting member 3300. It may be combined with the government connection member 3300.
  • a part of the second fixing part 3000 may correspond to the fixing part body 3200 provided in the position variable fixing device 3000, and the fixing part body 3200 is connected to the fixing part. It is coupled to the member 3300 and may be rotatable based on a direction perpendicular to the axial direction of the second upper guide part 4200 . At this time, in one embodiment of the present invention, the toothed surface formed on the other surface of the fixing part connecting member 3300 may come into contact with a part of the inner surface of the other guide member.
  • the fixing part body 3200 rotates based on the direction perpendicular to the axial direction of the second upper guide part 4200, it can be rotated by each tooth constituting the tooth surface. Accordingly, the positions of the plurality of stereotactic surgical tools 1000 disposed on the rocker member 3100 supported by the fixing body 3200 can be relatively precisely moved.
  • Figure 5 schematically shows a variable position fixing device 3000 according to an embodiment of the present invention.
  • the fixing part body 3200 may have a first screw thread 3241 formed on the inner circumferential surface of the accommodation space therein.
  • a second screw thread 3420 may be formed on a part of the outer circumferential surface of the fixing bolt 3400.
  • the first screw thread 3241 and the second screw thread 3420 A part of the fixing bolt 3400 may be coupled to the fixing part body 3200.
  • Figure 6 schematically shows an exploded perspective view of a variable position fixing device 3000 according to an embodiment of the present invention.
  • the fixing part body 3200 includes a first assembly pin 3212 that can be inserted into the first side through hole 3211; And a second assembly pin 3222 that can be inserted into the second side through hole 3221; further comprising, the rocker member 3100 ) can be seated and supported, and by the combination of the first assembly pin 3212 and the second assembly pin 3222, the fixing body 3200 rotates the rocker member 3100 Possibly fixed.
  • the first through hole 3130 formed inside the rocker member 3100, the first side through hole 3211 corresponding to the first through hole 3130, and the second side A plurality of assembly pins may be inserted into the through hole 3221 .
  • the plurality of assembly pins include the first assembly pin 3212 and the second assembly pin 3222, and a part of the rocker member 3100 is supported by the fixing part body 3200, Inside the first through-hole 3130 formed inside the rocker member 3100 and the first side through-hole 3211 and the second side through-hole 3221 formed in the fixing body 3200 The first assembly pin 3212 and the second assembly pin 3222 are received and rotatably fixed to the fixing part body 3200, and the fixing part connecting member 3300 passes through the plurality of fixing part connecting members. It is coupled to the fixing part body 3200 through a hole 3310, and the fixing bolt 3400 passes through the through hole formed in the center of the fixing part connecting member 3300 to the inside of the circular connection part 3240.
  • the rocker member 3100, the fixing part body 3200, the fixing part connection member 3300, and the fixing bolt 3400 can implement the position variable fixing device 3000.
  • FIG. 7 schematically shows a first assembly pin 3212 and a second assembly pin 3222 according to an embodiment of the present invention.
  • Figure 7 (a) schematically shows the first assembly pin 3212 according to an embodiment of the present invention.
  • the first assembly pin 3212 includes a first assembly pin body 3212.1; and a first coupling part 3212.2 extending downward from the first assembly pin body 3212.1 and having an accommodation space therein. At this time, it is preferable that the diameter of the first coupling part 3212.2 is relatively smaller than the diameter of the first assembly pin body 3212.1.
  • the second assembly pin 3222 includes a second assembly pin body 3222.1; a second coupling portion 3222.2 extending downward from the second assembly pin body 3222.1; and a third coupling portion 3222.3 extending downward from the second coupling portion 3222.2.
  • the diameter of the second coupling part 3222.2 is relatively smaller than the diameter of the second assembly pin body 3222.1
  • the diameter of the third coupling part 3222.3 is smaller than the diameter of the second coupling part 3222.2.
  • a relatively small one is preferred.
  • the first assembly pin 3212 and the second assembly pin 3222 can be engaged with each other, and the coupling between the first assembly pin 3212 and the second assembly pin 3222
  • the fixing part body 3200 rotatably fixes the rocker member 3100
  • the third coupling part 3222.3 is accommodated in the receiving space inside the first coupling part 3212.2, or
  • the second coupling part 3222.2 and the third coupling part 3222.3 may be accommodated in the receiving space inside the first coupling part 3212.2.
  • the relative positions of the first fixing part 2000 and the first upper guide part 4100 and the relative positions of the second fixing part 3000 and the second upper guide part 4200 , the relative position of the first upper guide part 4100 and the first lower guide part 5100, the relative position of the second upper guide part 4200 and the second lower guide part 5200, and the first Positions of the plurality of stereotactic surgical instruments 1000 may be determined by the relative positions of the first lower guide part 5100, the second lower guide part 5200, and the horizontal guide part 6000.
  • Figure 8 schematically shows the operation of the variable position fixing device 3000 according to an embodiment of the present invention.
  • the fixing part body 3200 may be rotatable based on a direction perpendicular to the axial direction of the other guide member.
  • FIG. 8(a) schematically shows a state in which the fixing body 3200 provided in the position variable fixing device 3000 does not rotate
  • FIG. 8(b) shows a state in which the position variable fixing device 3000 It schematically shows a state in which the fixing body 3200 is rotated based on a direction perpendicular to the axial direction of the other guide member.
  • the other guide member corresponds to the second upper guide part 4200 .
  • the fixing part body 3200 may be rotatable based on a direction perpendicular to the axial direction of the second upper guide part 4200 .
  • the relative position of the second fixing part 3000 and the second upper guide part 4200 can be varied, and thus the inner side of the rocker member 3100 supported by the fixing part body 3200 Positions of the plurality of stereotactic surgical tools 1000 disposed on both end surfaces may be determined.
  • Figure 9 schematically illustrates the operation of the variable position fixing device 3000 according to an embodiment of the present invention.
  • the rocker member 3100 may be rotatable within a preset angular range based on a direction perpendicular to the rotational axis of the fixing body 3200.
  • FIG. 9(a) schematically shows a state in which the rocker member 3100 provided in the position variable fixing device 3000 is not rotated
  • FIG. 9(b) is provided in the position variable fixing device 3000
  • a state in which the rocker member 3100 is rotated within a preset angular range based on a direction perpendicular to the rotational axis of the fixing body 3200 is schematically illustrated.
  • the rocker member 3100 is perpendicular to the rotational axis of the fixing part body 3200 rotating based on a direction perpendicular to the axial direction of the second upper guide part 4200. It can be rotated based on the direction.
  • the relative positions of the second fixing part 3000 and the second upper guide part 4200 can be varied, and thereby the plurality of stereotactic surgeries disposed on both inner end surfaces of the rocker member 3100.
  • a location of the tool 1000 may be determined.
  • the position variable fixing device 3000 according to an embodiment of the present invention, one of the rotation of the fixing part body 3200 shown in FIG. 8 and the rotation of the rocker member 3100 shown in FIG. 9 By the above rotation, the positions of the plurality of stereotactic surgical tools 1000 that can be disposed on the rocker member 3100 can be determined.
  • the position variable fixing device 3000 that is, the relative position of the second fixing part 3000 and the second upper guide part 4200 is changed. Positions of the plurality of stereotactic surgical tools 1000 may be moved.
  • the rocker member 3100 rotates, the relative position of the second fixing part 3000 and the second upper guide part 4200 is changed to move the positions of the plurality of stereotactic surgical tools 1000 can make it.
  • the rocker member 3100 rotates while the fixing body 3200 rotates, the relative positions of the second fixing portion 3000 and the second upper guide portion 4200 are variable in a plurality of directions It is possible to move the position of the plurality of stereotactic surgical tools (1000).
  • the position variable fixing device 3000 in which the plurality of stereotactic surgical tools 1000 are disposed is rotatable in a plurality of directions, the precision of setting the positions of the plurality of stereotactic surgical tools 1000 is improved. can be improved, and it is possible to exert an effect capable of improving user convenience.
  • FIG 10 schematically illustrates the operation of the upper guide part 4000 according to an embodiment of the present invention.
  • the first upper guide part 4100 is disposed coaxially with the first lower guide part 5100 and can move up and down in the direction of the axis
  • the second upper guide part 4200 can move up and down in the direction of the axis. It is disposed coaxially with the second lower guide part 5200 and can move up and down in the direction of the axis.
  • the direction of the axis is the first upper guide part 4100, the first lower guide part 5100, the second upper guide part 4200, and the second lower guide part ( 5200) is preferably in the axial direction.
  • the first upper guide part 4100 may include a toothed surface formed on a partial outer surface, and the first lower guide part 5100 is formed on a partial inner surface. It may include a toothed surface and a first lower guide portion stopper 5110 that can be inserted into a through hole formed on the outside.
  • the second upper guide portion 4200 may include a toothed surface formed on a partial outer surface, and the second lower guide portion 5200 is formed on a partial inner surface. It may include a second lower guide part stopper 5210 that can be inserted into the toothed surface and the through hole formed on the outside.
  • the first lower guide part stopper ( 5110) when the first upper guide part 4100 moves up and down inside the first lower guide part 5100, after moving by each tooth constituting the toothed surface, the first lower guide part stopper ( 5110), the position of the first upper guide part 4100 can be fixed, and when the second upper guide part 4200 moves up and down inside the second lower guide part 5200, the sawtooth The position of the second upper guide part 4200 may be fixed by the second lower guide part stopper 5210 after moving by each tooth constituting the surface.
  • the first upper guide part 4100 and the second upper guide part 4200 can relatively accurately move the positions of the plurality of stereotactic surgical tools 1000 located on the upper side of each.
  • the first upper guide part 4100 and the second upper guide part 4200 can move up and down in the axial direction within a length range of 1 to 150 mm.
  • FIG. 11 schematically illustrates the operation of the lower guide part 5000 according to an embodiment of the present invention.
  • the first lower guide part 5100 is rotatable based on a direction perpendicular to the central axis of the first lower guide part 5100
  • the second lower guide part 5200 is 2 may be rotatable based on a direction perpendicular to the central axis of the lower guide part 5200.
  • the direction is perpendicular to the central axes of the first lower guide part 5100 and the second lower guide part 5200 or passes through both ends of the horizontal guide part 6000. It is preferable that the direction
  • the first lower guide part 5100 is disposed on a lower outer surface, has a first tooth surface 5121 formed on one surface, and has a first receiving space therein.
  • the second lower guide part 5200 is disposed on the lower outer surface, has a second tooth surface 5221 formed on one surface, and has a receiving space therein.
  • a tooth fastening member 5220 including, the horizontal guide portion 6000 is disposed on one end, and a third tooth surface 6111 corresponding to the first tooth surface 5121 is formed on one surface, a third tooth fastening member 6110 having an accommodation space therein; a first saw-tooth fastening bolt 6130 accommodated in the receiving space inside the first tooth fastening member 5120 and the inside receiving space of the third tooth fastening member 6110; a fourth tooth fastening member 6210 disposed at the other end, having a fourth tooth surface 6211 corresponding to the second tooth surface 5221 formed on one surface, and having an accommodation space therein; and a second saw-tooth fastening bolt 6230 accommodated in the receiving space inside the second tooth-fastening member 5220 and the receiving space inside the fourth tooth-fastening member 6210.
  • the first lower guide part 5100 is formed by the first tooth fastening member 5120, the third tooth fastening member 6110, and the first tooth fastening bolt 6130. It is coupled to one end of the horizontal guide part 6000, and the second lower guide part 5200 includes the second tooth fastening member 5220, the fourth tooth fastening member 6210, and the second tooth fastening bolt. It can be coupled to the other end of the horizontal guide part 6000 by 6230.
  • the first tooth surface 5121 formed on the first tooth fastening member 5120 and the third tooth surface 6111 formed on the third tooth fastening member 6110 are meshed with each other.
  • the first saw-tooth fastening bolt 6130 is accommodated in the inner accommodation space formed in each of the first tooth-fastening member 5120 and the third tooth-fastening member 6110
  • the first lower guide part 5100 It may be rotatably engaged with one end of the horizontal guide part 6000.
  • the second tooth surface 5221 formed on the second tooth fastening member 5220 and the fourth tooth surface 6211 formed on the fourth tooth fastening member 6210 are meshed with each other, and the second tooth fastening member 5220 is meshed with each other.
  • the second lower guide part 5200 is the horizontal guide. It may be rotatably engaged with the other end of the portion 6000.
  • the first lower guide part 5100 is connected to the horizontal guide part by the first saw-tooth fastening bolt 6130 via the first tooth fastening member 5120 and the third tooth fastening member 6110. (6000) is rotatably engaged with one end, and the second lower guide part 5200 connects the second sawtooth fastening bolt ( 6230), it can be rotatably engaged with the other end of the horizontal guide part 6000.
  • first lower guide part 5100 and the second lower guide part 5200 are in the axial direction of the first lower guide part 5100 and the second lower guide part 5200.
  • each tooth forming the tooth surface can be rotated, and the coupling stability of the first lower guide portion 5100 and the second lower guide portion 5200 is further improved. can make it
  • the effect of further improving the coupling stability between each joint can be exerted.
  • FIG. 12 schematically shows a coupling structure between the first lower guide part 5100 and the horizontal guide part 6000 according to an embodiment of the present invention.
  • FIG. 12 schematically shows the portion indicated by A in FIG. 11 when viewed from the rear surface of the surgical head and neck fixing device 1.
  • the first tooth fastening member 5120 and the third tooth fastening member 6110 are formed by the engagement of the first tooth surface 5121 and the third tooth surface 6111. It can be coupled relatively stably, and can be fixed with the first saw-tooth fastening bolt 6130 to prevent movement of the first tooth fastening member 5120 and the third tooth fastening member 6110 meshed with each other. .
  • the first tooth fastening member 5120 can be arranged by a method that can be stably arranged on the first lower guide part 5100, examples thereof being welding and bolts. contracts, etc., but are not limited thereto.
  • FIG 13 schematically shows the surgical head and neck fixing device 1 from which the first lower guide part 5100 is separated according to an embodiment of the present invention.
  • the first lower guide part 5100 is the horizontal guide by the first tooth fastening bolt 6130 through the first tooth fastening member 5120 and the third tooth fastening member 6110. It is rotatably engaged with one end of the part 6000, and the second lower guide part 5200 connects the second sawtooth fastening bolt through the second tooth fastening member 5220 and the fourth tooth fastening member 6210. By means of 6230, it can be rotatably engaged with the other end of the horizontal guide part 6000.
  • the first lower guide part 5100 can be separated from the horizontal guide part 6000 as shown in FIG. 13 .
  • the second lower guide part 5200 may be separated from the horizontal guide part 6000. That is, the surgical head and neck fixing device 1 according to an embodiment of the present invention may separate or combine some of the plurality of arms according to the surgical method or the degree of necessity.
  • the surgical head and neck fixing device 1 can be used in a variety of ways.
  • FIG. 14 schematically shows a bottom view of a surgical head and neck fixation device 1 according to an embodiment of the present invention.
  • the horizontal guide part 6000 corresponds to a C-shaped assembly in which a plurality of members are coupled to be movable left and right, and the plurality of members, one end of which is the first lower guide part 5100 ) and rotatably engaged, the other end has a fifth tooth surface 6120 formed on a part of the inner surface, and a base member 6100 having a through hole formed on a part of the other end; A part is movably accommodated inside the base member 6100, one end is rotatably engaged with the second lower guide part 5200, and the other end has a sixth tooth surface 6220 on a part of the outer surface. It may include; the left and right moving member 6200 is formed.
  • the horizontal guide part 6000 may include a form in which the base member 6100 and the left and right moving member 6200 are coupled to each other so as to be able to move left and right.
  • the first lower guide part 5100 and the second lower guide part 5200 are engaged with the ends of the base member 6100 and the left and right moving member 6200, respectively.
  • the left and right moving member 6200 can move left and right based on a direction perpendicular to the axial directions of the first lower guide part 5100 and the second lower guide part 5200 .
  • the relative positions of the first lower guide part 5100, the second lower guide part 5200, and the horizontal guide part 6000 are varied, so that the positions of the plurality of stereotactic surgical tools 1000 can be determined. there is.
  • the left and right moving member 6200 may include a toothed surface formed on a partial outer surface.
  • a tooth surface corresponding to the tooth surface or a pinion gear may be formed on a portion of the inner surface of the base member 6100.
  • the present invention is not limited thereto, and one of all methods in which the left and right moving member 6200 can move left and right inside the base member 6100 according to the surgical environment may be applied.
  • the horizontal guide part 6000 corresponds to a C-shaped assembly in which a plurality of members are coupled to be movable left and right, and the plurality of members are connected to the through hole of the base member 6100 It may include; a horizontal guide part stopper 6300 that can be accommodated and fix the position of the left and right moving member 6200.
  • the left and right moving member 6200 moves in a direction perpendicular to the axial directions of the first lower guide part 5100 and the second lower guide part 5200 inside the base member 6100.
  • the position of the left and right moving member 6200 can be fixed by the horizontal guide part stopper 6300.
  • the left and right moving member 6200 does not move to the left side for surgical head and neck fixation. It can be applied to brain stereotactic surgery of a patient whose skull is relatively larger than the device (1).
  • connection part 7000 schematically shows a connection part 7000 and a connection extension part 8000 according to an embodiment of the present invention.
  • the positioning device includes a connection part 7000 including a connection part body 7100 having a seventh tooth surface 7110 formed thereon; and at least one connection extension body 8100 having an eighth tooth surface 8110 formed on one surface thereof and having a through hole in the center thereof; and a connection extension part 8000 including; and a connection extension fixing bolt 8200 that can be inserted into the through hole.
  • connection part 7000 may be disposed on at least one of an upper surface and a lower surface of the horizontal guide part 6000, and the connection extension part 8000 faces the connection part 7000. Can be placed for viewing.
  • connection part 7000 and the connection extension part 8000 it is possible to additionally connect a surgical tool to the surgical head and neck fixing device 1, so that not only a single surgical tool but also a plurality of surgical tools are required for positioning. It can also be used in surgery.
  • the position of the combined stereotactic surgical tool can be moved more quickly, and the effect of improving the precision of the position movement can be exerted.
  • surgical tools can be additionally connected through the connecting portion and the connecting extension portion, so that not only a single surgical tool but also an effect that can be used in stereotactic surgery requiring a plurality of surgical tools can be exerted.
  • the surgical head and neck fixation device can exert an effect that can effectively respond to the location of the lesion in the brain.
  • the position-changeable fixing device in which a plurality of stereotactic tools are disposed is rotatable in a plurality of directions, the positions of the plurality of stereotactic tools can be more precisely adjusted, and user convenience is improved. can exert an effect that can promote
  • the plurality of arms can be separated from the horizontal guide unit, the effect of enabling the surgical head and neck fixation device to be used in more diverse ways can be exerted.
  • the left and right moving member by moving the left and right moving member according to the size of the skull, it is possible to achieve the effect of safely performing brain stereotactic surgery in response to various head sizes of patients.

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  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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  • Surgical Instruments (AREA)

Abstract

La présente invention concerne un dispositif de fixation de la tête et du cou lors d'une opération chirurgicale et, plus particulièrement, un dispositif de fixation de la tête et du cou lors d'une opération chirurgicale, qui est fixé au crâne du patient et qui permet de régler la position d'un instrument chirurgical stéréotaxique pour correspondre efficacement à l'emplacement de la lésion dans le cerveau du patient.
PCT/KR2021/018105 2021-06-30 2021-12-02 Dispositif de fixation de la tête et du cou lors d'opération chirurgicale WO2023277279A1 (fr)

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KR1020210085941A KR102322651B1 (ko) 2021-06-30 2021-06-30 수술용 두경부 고정장치

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US20200093563A1 (en) * 2018-09-25 2020-03-26 Pro Med Instruments Gmbh Head stabilization device with non-uniform pins
KR102322651B1 (ko) * 2021-06-30 2021-11-08 (주)씨비에이치 수술용 두경부 고정장치

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