CN201157401Y - Minimally invasive percutaneous transpedicular surgery positioning and guiding device - Google Patents

Abstract

Translated fromChinese

本实用新型公开了一种微创经皮经椎弓根手术定位导向装置，其技术方案的要点是，其包括可固定在手术台上的固定支架，所述的固定支架上连接有支座，支座上铰设有可调节任意方向上任意角度的旋转件，所述的旋转件一端设有可调节角度和方向调节装置，所述的方向调节装置上装有导向件。本实用新型目的是克服了现有技术中手术时间长，医生劳动强度大，容易疲劳；手术成本高，易对医生和病人人体造成伤害，手术失败的风险的不足，提供一种可准确定位，缩短手术时间，减少人体在成像射线下的暴露时间，减小对患者创伤，降低手术成本的经皮经椎弓根手术定位导向装置。

The utility model discloses a minimally invasive percutaneous transpedicular surgery positioning guide device, the key points of the technical solution are that it includes a fixed bracket that can be fixed on an operating table, the fixed bracket is connected to a support, the support is hinged with a rotating member that can adjust any angle in any direction, one end of the rotating member is provided with an adjustable angle and direction adjustment device, and the direction adjustment device is equipped with a guide member. The purpose of the utility model is to overcome the shortcomings of the prior art, such as long operation time, high labor intensity of doctors, easy fatigue; high operation cost, easy to cause harm to doctors and patients, and the risk of operation failure, and provide a percutaneous transpedicular surgery positioning guide device that can accurately position, shorten operation time, reduce the exposure time of the human body to imaging rays, reduce trauma to patients, and reduce operation costs.

Description

Translated fromChinese

一种微创经皮经椎弓根手术定位导向装置A positioning guide device for minimally invasive percutaneous transpedicular surgery

【技术领域】【Technical field】

本实用新型涉及一种外科手术定位导向装置，更具体地说是一种经皮经椎弓根手术定位导向装置。The utility model relates to a positioning and guiding device for surgical operations, in particular to a positioning and guiding device for percutaneous transpedicle surgery.

【背景技术】【Background technique】

经皮经椎弓根手术是脊柱微创外科技术的一个重要方面。主要有经皮椎弓根螺钉植入技术和计算机辅助外科、经皮脊柱后路内固定融合装置、应用经皮椎弓根螺钉植入技术于胸腰椎骨折的微创外科治疗、应用经皮椎弓根螺钉植入技术于脊柱滑脱症的微创外科治疗、球囊扩张椎体后凸成形术、椎体成形术、应用经皮椎弓根螺钉的脊柱外固定、应用经皮椎弓根途径外科活检赋于脊柱肿瘤诊断方面的价值脊柱成形手术。可以对胸腰椎骨折、腰椎滑脱症、骨质疏松性椎体压缩性骨折等进行有效的微创治疗。经皮经椎弓根技术均采用后路经皮经椎弓根入路，在成像设备监视下，经皮穿刺到达椎弓根，再根据不同手术要求置入椎弓根钉或进行椎弓根穿刺。为了避免触及脊椎及外侧血管、神经组织，穿刺时需要反复多次进行成像监视，校正进针的角度方向，以确保安全，这就会造成手术时间长，病人麻醉和疼痛加剧，医生劳动强度大，容易疲劳；长时间使用成像设备，手术成本高，对手术医生的技术要求也很高，更大的缺陷在于病人和医生长时间暴露在成像射线下，易对人体造成伤害，同时也加大了手术失败的风险。Percutaneous transpedicular surgery is an important aspect of minimally invasive spinal surgery techniques. Mainly include percutaneous pedicle screw implantation technology and computer-assisted surgery, percutaneous posterior spinal internal fixation and fusion device, application of percutaneous pedicle screw implantation technology in minimally invasive surgical treatment of thoracolumbar fractures, application of percutaneous pedicle screw implantation Pedicle screw implantation technology in minimally invasive surgical treatment of spondylolisthesis, balloon kyphoplasty, vertebroplasty, external fixation of the spine with percutaneous pedicle screws, and percutaneous pedicle approach Surgical biopsy confers value in the diagnosis of spinal neoplasms in vertebroplasty surgery. Effective minimally invasive treatment for thoracolumbar fractures, spondylolisthesis, and osteoporotic vertebral compression fractures. The percutaneous transpedicular technique adopts the posterior percutaneous transpedicular approach. Under the monitoring of imaging equipment, the percutaneous puncture reaches the pedicle, and then the pedicle screw or pedicle is inserted according to different surgical requirements. puncture. In order to avoid touching the spine and outer blood vessels and nerve tissues, it is necessary to perform imaging monitoring many times during the puncture and correct the angle and direction of the needle insertion to ensure safety. This will result in long operation time, increased anesthesia and pain for the patient, and high labor intensity for the doctor. , easy to fatigue; using imaging equipment for a long time, the cost of surgery is high, and the technical requirements for surgeons are also very high. The bigger defect is that patients and doctors are exposed to imaging rays for a long time, which is easy to cause harm to the human body risk of surgical failure.

为了解决上述现有技术中的不足，本实用新型作了有益改进。In order to solve the above-mentioned deficiencies in the prior art, the utility model has made beneficial improvements.

【实用新型内容】【Content of utility model】

本实用新型目的是克服了现有技术中手术时间长，医生劳动强度大，容易疲劳；手术成本高，易对医生和病人人体造成伤害，手术失败的风险的不足，提供一种可准确定位，缩短手术时间，减少人体在成像射线下的暴露时间，减小对患者创伤，降低手术成本的经皮经椎弓根手术定位导向装置。The purpose of the utility model is to overcome the shortcomings of the prior art, such as long operation time, high labor intensity for doctors, easy fatigue, high operation cost, easy injury to doctors and patients, and risk of operation failure, and provide a device that can accurately locate, The positioning and guiding device for percutaneous transpedicle surgery shortens the operation time, reduces the exposure time of the human body under imaging rays, reduces the trauma to the patient, and reduces the operation cost.

本实用新型是通过以下技术方案实现的：The utility model is achieved through the following technical solutions:

一种微创经皮经椎弓根手术定位导向装置，其特征在于其包括可固定在手术台上的固定支架，所述的固定支架上连接有支座，支座上铰设有可调节任意方向上任意角度的旋转件，所述的旋转件一端设有可调节角度和方向调节装置，所述的方向调节装置上装有导向件。A positioning guide device for minimally invasive percutaneous transpedicular surgery, characterized in that it includes a fixed bracket that can be fixed on the operating table, the fixed bracket is connected with a support, and the support is hinged with adjustable arbitrary A rotating member with any angle in the direction, one end of the rotating member is provided with an adjustable angle and direction adjustment device, and the direction adjustment device is equipped with a guide.

如上所述的一种微创经皮经椎弓根手术定位导向装置，其特征在于所述的方向调节装置包括设置在旋转件上可相对旋转件转动的第一调节块，在第一调节块上设有可相对第一调节块转动的第二调节块，所述的导向件固定在二级调节块上。A positioning guide device for minimally invasive percutaneous transpedicular surgery as described above is characterized in that the direction adjustment device includes a first adjustment block that is arranged on the rotation member and can rotate relative to the rotation member. There is a second adjusting block that can rotate relative to the first adjusting block, and the guide is fixed on the secondary adjusting block.

如上所述的一种微创经皮经椎弓根手术定位导向装置，其特征在于所述的旋转件一侧面设有角度刻度盘，第一调节块可在角度刻度盘平面内转动且至少有一侧面与角度刻度盘垂直，在第一调节块与角度刻度盘垂直的侧面上设有第二角度刻度盘，第二调节块可在第二角度刻度盘平面内转动。A minimally invasive percutaneous transpedicle surgery positioning and guiding device as described above is characterized in that one side of the rotating member is provided with an angle dial, the first adjustment block can rotate in the plane of the angle dial and at least one The side is perpendicular to the angle dial, and a second angle dial is arranged on the side of the first adjustment block perpendicular to the angle dial, and the second adjustment block can rotate in the plane of the second angle dial.

如上所述的一种微创经皮经椎弓根手术定位导向装置，其特征在于所述的旋转件上设有相互垂直的双向水平尺，所述的水平尺上设有凹槽，凹槽内插装有标尺。A positioning and guiding device for minimally invasive percutaneous transpedicular surgery as described above is characterized in that the rotating member is provided with two-way levels perpendicular to each other, the level is provided with grooves, and the grooves The insert is fitted with a ruler.

如上所述的一种微创经皮经椎弓根手术定位导向装置，其特征在于所述的支座与旋转件之间由万向铰铰接，所述的万向铰包括支座内的球窝和转动件一端可在球窝内转动的球头，在所述的支座上设有可将万向铰的固定螺钉。A minimally invasive percutaneous transpedicle surgery positioning and guiding device as described above is characterized in that the support and the rotating member are hinged by a universal hinge, and the universal hinge includes a ball in the support. The socket and the ball head that one end of the rotating part can rotate in the ball socket are provided with a fixing screw that can connect the universal hinge on the support.

如上所述的一种微创经皮经椎弓根手术定位导向装置，其特征在于所述的支座与固定支架之间由伸缩横杆连接。The above-mentioned minimally invasive percutaneous transpedicular surgery positioning and guiding device is characterized in that the support and the fixed bracket are connected by a telescopic cross bar.

如上所述的一种微创经皮经椎弓根手术定位导向装置，其特征在于所述的伸缩横杆与固定支架垂直相交，并在交叉点铰接，伸缩横杆可横向转动。A positioning and guiding device for minimally invasive percutaneous transpedicular surgery as described above is characterized in that the telescopic crossbar intersects the fixed bracket vertically and is hinged at the intersection point, and the telescopic crossbar can rotate laterally.

如上所述的一种微创经皮经椎弓根手术定位导向装置，其特征在于所述的第一调节块上设有第一指针，第二调节块上设有第二指针。The above-mentioned minimally invasive percutaneous transpedicle surgery positioning and guiding device is characterized in that the first adjustment block is provided with a first pointer, and the second adjustment block is provided with a second pointer.

如上所述的一种微创经皮经椎弓根手术定位导向装置，其特征在于所述的固定支架包括下支管和可在下支管内滑动伸缩的上支管。A minimally invasive percutaneous transpedicular surgery positioning and guiding device as described above is characterized in that the fixed bracket includes a lower branch tube and an upper branch tube that can slide and expand in the lower branch tube.

如上所述的一种微创经皮经椎弓根手术定位导向装置，其特征在于所述的球窝由第一半球窝和第二半球窝组成。The above-mentioned minimally invasive percutaneous transpedicle surgery positioning and guiding device is characterized in that the ball socket is composed of a first hemispherical socket and a second hemispherical socket.

与现有技术相比，本实用新型有如下优点：Compared with the prior art, the utility model has the following advantages:

本实用新型结构简单，可准确地调节三维空间角度方向，准确定位导向，容易调节，缩短手术时间，减少人体在成像射线下的暴露时间，降低手术成本，减小对患者创伤。The utility model has a simple structure, can accurately adjust the three-dimensional space angle direction, accurately locate and guide, is easy to adjust, shortens the operation time, reduces the exposure time of the human body under the imaging ray, reduces the operation cost, and reduces the trauma to the patient.

【附图说明】【Description of drawings】

图1是本实用新型立体图；Fig. 1 is a perspective view of the utility model;

图2是本实用新型局部结构图；Fig. 2 is a partial structural diagram of the utility model;

图3是本实用新型分解图；Fig. 3 is an exploded view of the utility model;

图4是本实用新型剖视图。Fig. 4 is a sectional view of the utility model.

【具体实施方式】【Detailed ways】

一种微创经皮经椎弓根手术定位导向装置，其包括可固定在手术台上的固定支架1，所述的固定支架1上连接有支座2，支座2上铰设有可调节任意方向上任意角度的旋转件3，所述的旋转件3一端设有可调节角度和方向调节装置4，所述的方向调节装置4上装有导向件5。所述的方向调节装置4包括设置在旋转件3上可相对旋转件3转动的第一调节块10，在第一调节块10上设有可相对第一调节块10转动的第二调节块11，所述的导向件5固定在二级调节块11上。所述的旋转件3一侧面设有角度刻度盘301，第一调节块10可在角度刻度盘301平面内转动且至少有一侧面与角度刻度盘301垂直，在第一调节块10与角度刻度盘301垂直的侧面上设有第二角度刻度盘1001，第二调节块11可在第二角度刻度盘1001平面内转动。所述的旋转件3上设有相互垂直的双向水平尺12，所述的水平尺12上设有凹槽1201，凹槽内插装有标尺13。所述的支座2与旋转件3之间由万向铰15铰接，所述的万向铰15包括支座2内的球窝201和转动件3一端可在球窝201内转动的球头302，在所述的支座2上设有可将万向铰15的固定螺钉16。所述的支座2与固定支架1之间由伸缩横杆20连接。所述的伸缩横杆20与固定支架1垂直相交，并在交叉点铰接，伸缩横杆20可横向转动。所述的第一调节块10上设有第一指针1002，第二调节块11上设有第二指针1102。所述的固定支架1包括下支管101和可在下支管101内滑动伸缩的上支管102。所述的球窝201由第一半球窝202和第二半球窝203组成。A positioning and guiding device for minimally invasive percutaneous transpedicular surgery, which includes afixed support 1 that can be fixed on the operating table. Thefixed support 1 is connected with asupport 2, and thesupport 2 is hinged with anadjustable Rotating member 3 with any angle in any direction, one end of the rotatingmember 3 is provided with an adjustable angle anddirection adjusting device 4, and thedirection adjusting device 4 is equipped with aguide member 5. The direction adjustingdevice 4 includes a first adjustingblock 10 that is arranged on the rotatingmember 3 and can rotate relative to the rotatingmember 3 , and a second adjustingblock 11 that can rotate relative to thefirst adjusting block 10 is provided on the first adjustingblock 10 , theguide 5 is fixed on thesecondary adjustment block 11. One side of the rotatingmember 3 is provided with anangle dial 301, thefirst adjusting block 10 can rotate in the plane of theangle dial 301 and at least one side is perpendicular to theangle dial 301, and the first adjustingblock 10 and the angle dial Asecond angle dial 1001 is provided on the vertical side of 301 , and the second adjustingblock 11 can rotate within the plane of thesecond angle dial 1001 . The rotatingmember 3 is provided with two-way levels 12 perpendicular to each other, and thelevel 12 is provided with agroove 1201, and ascale 13 is inserted into the groove. Thesupport 2 and the rotatingmember 3 are articulated by a universal hinge 15, and the universal hinge 15 includes aball socket 201 in thesupport 2 and a ball head that one end of the rotatingmember 3 can rotate in theball socket 201 302 , thefixing screw 16 that can fix the universal hinge 15 is provided on thesupport 2 . Thesupport 2 and thefixed support 1 are connected by atelescopic cross bar 20 . Thetelescopic cross bar 20 is vertically intersected with thefixed bracket 1, and is hinged at the intersection point, and thetelescopic cross bar 20 can rotate laterally. Thefirst adjustment block 10 is provided with afirst pointer 1002 , and thesecond adjustment block 11 is provided with asecond pointer 1102 . Thefixed bracket 1 includes alower branch pipe 101 and anupper branch pipe 102 that can slide and expand in thelower branch pipe 101 . Theball socket 201 is composed of a firsthemispherical socket 202 and a secondhemispherical socket 203 .

使用时，先将固定支架1固定在手术台侧边，然后将伸缩横杆20铰接在固定支架1上，将支座2的球头302置入球窝201内，预拧紧两半球窝，调整旋转件3两个方向调整水平，就是将整个双向水平尺12的平面水平，即保证角度刻度盘301与水平面垂直，拧紧固定螺钉16，将第一指针1002和第二指针1102均放置在零刻度处，将标尺13方入凹槽1201内，调整旋转件3或伸缩横杆20使标尺13与经皮经椎弓根的端面大致平行，将其固定，调整第一调节块10和第二调节块11，使导向管5对准椎弓根100，拧紧固定螺钉，然后再将穿刺针从导向管5内插入椎体内，成像设备监视下调整进针方向。When in use, first fix thefixed bracket 1 on the side of the operating table, then hinge thetelescopic cross bar 20 on thefixed bracket 1, put theball head 302 of thesupport 2 into theball socket 201, pre-tighten the two hemispherical sockets, adjust Adjust the level of the rotatingpart 3 in two directions, that is, level the plane of the entire two-way level 12, that is, ensure that theangle dial 301 is perpendicular to the horizontal plane, tighten thefixing screw 16, and place thefirst pointer 1002 and thesecond pointer 1102 on the zero scale Place thescale 13 into thegroove 1201, adjust the rotatingmember 3 or thetelescopic cross bar 20 so that thescale 13 is roughly parallel to the end face of the percutaneous transpedicular pedicle, fix it, adjust thefirst adjustment block 10 and the secondadjustment block Block 11, make theguide tube 5 align with thepedicle 100, tighten the fixing screw, and then insert the puncture needle from theguide tube 5 into the vertebral body, and adjust the needle insertion direction under the monitoring of the imaging equipment.

本实用新型结构简单，可准确地调节三维空间角度方向，准确定位导向，容易调节，缩短手术时间，减少人体在成像射线下的暴露时间，降低手术成本，减小对患者创伤。The utility model has a simple structure, can accurately adjust the three-dimensional space angle direction, accurately locate and guide, is easy to adjust, shortens the operation time, reduces the exposure time of the human body under the imaging ray, reduces the operation cost, and reduces the trauma to the patient.

Claims (10)

1, a kind of micro-wound percutaneous pedicle location of operation guider, it is characterized in that it comprises the fixed support (1) that can be fixed on the operating-table, be connected with bearing (2) on the described fixed support (1), be hinged with on the scalable any direction revolving part (3) at any angle on the bearing (2), described revolving part (3) one ends are provided with adjustable-angle and direction adjusting apparatus (4), and guide (5) is housed on the described direction adjusting apparatus (4).

2, a kind of micro-wound percutaneous pedicle location of operation guider according to claim 1, it is characterized in that described direction adjusting apparatus (4) comprises is arranged on first regulating block (10) that can rotate relative to revolving part (3) on the revolving part (3), be provided with second regulating block (11) that can rotate relative to first regulating block (10) on first regulating block (10), described guide (5) is fixed on the secondary regulating block (11).

3, a kind of micro-wound percutaneous pedicle location of operation guider according to claim 2, it is characterized in that described revolving part (3) one sides are provided with angle dial (301), first regulating block (10) can rotate in angle dial (301) plane and have at least a side vertical with angle dial (301), be provided with second angle dial (1001) on first regulating block (10) and the vertical side of angle dial (301), second regulating block (11) can rotate in second angle dial (1001) plane.

4, a kind of micro-wound percutaneous pedicle location of operation guider according to claim 1, it is characterized in that described revolving part (3) is provided with orthogonal two-way horizontal chi (12), described horizon rule (12) is provided with groove (1201), is fitted with scale (13) in the groove.

5, according to the described a kind of micro-wound percutaneous pedicle location of operation guider of claim 1, it is characterized in that between described bearing (2) and the revolving part (3) hinged by universal hinge (15), described universal hinge (15) comprises the bulb (302) that ball-and-socket (201) in the bearing (2) and tumbler (3) one ends can rotate in ball-and-socket (201), being provided with on described bearing (2) can be with the hold-down screw (16) of universal hinge (15).

6,, it is characterized in that being connected by flexible cross bar (20) between described bearing (2) and the fixed support (1) according to the described a kind of micro-wound percutaneous pedicle location of operation guider of claim 1.

7, according to the described a kind of micro-wound percutaneous pedicle location of operation guider of claim 6, it is characterized in that described flexible cross bar (20) and fixed support (1) intersect vertically, and hinged in the cross point, flexible cross bar (20) but lateral rotation.

8, according to the described a kind of micro-wound percutaneous pedicle location of operation guider of claim 3, it is characterized in that described first regulating block (10) is provided with first pointer (1002), second regulating block (11) is provided with second pointer (1102).

9, according to the described a kind of micro-wound percutaneous pedicle location of operation guider of claim 1, it is characterized in that described fixed support (1) comprise lower branch line (101) and can be in lower branch line (101) the last arm (102) of sliding extension.

10,, it is characterized in that described ball-and-socket (201) is made up of the first hemisphere nest (202) and the second hemisphere nest (203) according to the described a kind of micro-wound percutaneous pedicle location of operation guider of claim 5.

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