CN105852986A - Laser-assisted positioning guide device for three-dimensional virtual reality fitting pedicle screw placement - Google Patents

Laser-assisted positioning guide device for three-dimensional virtual reality fitting pedicle screw placement Download PDF

Info

Publication number
CN105852986A
CN105852986A CN201610221617.5A CN201610221617A CN105852986A CN 105852986 A CN105852986 A CN 105852986A CN 201610221617 A CN201610221617 A CN 201610221617A CN 105852986 A CN105852986 A CN 105852986A
Authority
CN
China
Prior art keywords
registration arm
locking mechanism
positioning
virtual reality
arm
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CN201610221617.5A
Other languages
Chinese (zh)
Other versions
CN105852986B (en
Inventor
庄源东
陈春美
张能深
傅超锋
王春华
王锐
赵伟
沙溢
蔡然泽
沈超雄
蔡昭文
吴剑锋
王殷庆
康成栋
涂松杰
张华斌
蔡刚峰
张伟强
韦浩
宋启民
陈萍萍
陈琰
李峰
江研伟
陈权
徐建红
孟沙闽
石松生
杨卫忠
吴俪丽
林兰钦
林娟
黄文丽
钟桂钦
陈�光
陈少豪
吴芸
黄庆山
李榕
陆进
温娇婷
许锋
瞿光仁
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to CN201610221617.5A priority Critical patent/CN105852986B/en
Publication of CN105852986A publication Critical patent/CN105852986A/en
Application granted granted Critical
Publication of CN105852986B publication Critical patent/CN105852986B/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/90Guides therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/564Methods for bone or joint treatment

Abstract

The invention relates to the field of medical apparatuses, in particular to a laser-assisted positioning guide device for three-dimensional virtual reality fitting pedicle screw placement. The laser-assisted positioning guide device comprises a positioning component, a pair of positioning pins and a pair of drilling pins; the positioning component comprises a horizontal distance adjusting device, a pair of telescopic sleeve bars and a pair of positioning arms, the two telescopic sleeve bars form an angle adjusting bracket, the two positioning arms are mounted at the rear ends of the two telescopic sleeve bars respectively, and a first locking mechanism is further arranged on the angle adjusting bracket; each telescopic sleeve bar is formed by sequential sleeving of two sleeve bar bodies, and a second locking mechanism is arranged between every two sleeve bar bodies; a guide passage is arranged in each positioning arm, the positioning pins and the drilling pins are penetratingly arranged in the guide passages correspondingly, and a third locking mechanism is arranged between each positioning arm and the corresponding positioning pin; the horizontal distance adjusting device comprises a sleeve, a vertical bar, a passage tube, a gear and a pair of racks, and a fourth locking mechanism is arranged on the sleeve; the two racks are hinged to the two telescopic sleeve bars respectively. The laser-assisted positioning guide device is capable of realizing precise positioning and low in cost.

Description

Three-dimension virtual reality matching pedicle nail inserts laser assisted position guiding device
Technical field
The present invention relates to medical instruments field, insert laser assisted position guiding device specifically for a kind of three-dimension virtual reality matching pedicle nail.
Background technology
Can pedicle screw internal fixation operation be a kind of operation critically important in current neurosurgery, be inserted by screw pedicle exactly and not damage the key that neural vertebral body is these operation success or failure.
And whether the approach position, direction and the angle that how to be accurately controlled pedicle nail in art determine it and can enter in vertebral body smoothly, this problem relating to pedicle nail is positioned.
At present the mode to pedicle nail location is divided into two big classes:
One class is preoperative location, its be utilize preoperative patient is done all kinds of scanning computed tomographies, MRI to be to determine lesions position, then rely on the path of insertion of the Professional knowledge plan pedicle nail of doctor and perform the operation, operation being aided with X-ray examination again and the path of insertion of pedicle nail is corrected and assists;
This is the most most common current way, but such method error is bigger, need repeatedly to carry out putting nail route with reference to constantly correction is actual by the image of X-ray examination in art, this by be greatly increased operation complexity, add operation ray exposed amount, add operating time, patient is proposed the highest requirement simultaneously.
If it addition, carry out repeatedly X-ray examination in operation also can increase the amount of radiation of patient and medical worker, human body being worked the mischief.
Another kind of is Intraoperative position navigation, this is one of the most state-of-the-art current location mode, it is known that the information constantly of probe location, guidance precisely operation, but it is expensive, being difficult to popularize, common City Hospitals, most County Hospital could not power be bought.
Thus, invent a kind of current City Hospitals and the actual demand of most County Hospital and purchasing power of meeting, can either be accurately positioned the most lower-cost pedicle screw positioning device simultaneously becomes the task of top priority.
Summary of the invention
It is an object of the invention to: provide one can either be accurately positioned the most lower-cost three-dimension virtual reality matching pedicle nail simultaneously and insert laser assisted position guiding device.
The present invention is achieved through the following technical solutions:
A kind of three-dimension virtual reality matching pedicle nail inserts laser assisted position guiding device, it is characterised in that: include positioning element, a pair for carrying out the positioning needle of pre-determined bit and a pair for drilling through the needle for trephination in duct on vertebra on vertebra;
Described positioning element includes horizontal range adjusting means, a pair telescopic sleeving rod and a pair registration arm, the hinged formation in front portion one of two telescopic sleeving rods is for regulating the angular adjustment frame of angle, it is arranged in the rearward end of two telescopic sleeving rods two registration arm Detachables respectively, angular adjustment frame is additionally provided with the first locking mechanism that can lock two telescopic sleeving rod relative rotation positions or unlock;
Described telescopic sleeving rod is socketed to form successively by least two joint loop bars, is provided with the second locking mechanism locking two loop bar displaced posi or unlocking between two loop bars of arbitrary neighborhood;
The guiding channel axially penetrating through registration arm along registration arm it is provided with in described registration arm, described positioning needle and needle for trephination are all located in guiding channel and freely up and down can move in guiding channel, are provided with the 3rd locking mechanism that can lock both displaced posi or unlock between registration arm and positioning needle;
Described horizontal range adjusting means includes the sleeve pipe being vertically fixed on the jointed shaft front end of angular adjustment frame, the vertical rod through sleeve pipe and freely up and down can moved in sleeve pipe, the channel being vertically fixed on vertical rod bottom, can be rotatably set in the gear that channel is internal and rotation centerline is perpendicular with channel centrage and the tooth bar penetrating in channel from the axial both sides level of channel respectively a pair, and sleeve pipe is provided with the 4th locking mechanism that can lock both sleeve pipe and vertical rod displaced posi or unlock;
Two tooth bars engage with the gear being arranged in channel respectively so that two tooth bars can in channel synchronizing moving in opposite direction, the rearward end of two tooth bars is respectively hinged on two telescopic sleeving rods.
Being provided with screw thread on the tip periphery wall of described needle for trephination lower end, needle for trephination rear end can connect electric boring instrument.
Its operation principle and process are as follows:
Step one: operation consent, utilizes computer software to carry out the most preoperative planning and determines pedicle nail path of insertion, and calculates in the present invention distance between angle and the two registration arm bottoms between two telescopic sleeving rods.
Step 2: in operation, according to preoperative planning, angular adjustment frame being adjusted to the angle that precomputes and locks the first locking mechanism, the distance simultaneously adjusted between two registration arm bottoms to the length precomputed and locks the second locking mechanism and the 4th locking mechanism.
Step 3: two positioning needles are inserted respectively in two registration arm and lock the 3rd locking mechanism, confirm position and the angle of approach by the auxiliary of X-ray examination image in the collimation laser accepted on chengguang plate and art simultaneously, then two registration arm are placed in the patient, until the leading section of two positioning needles penetrates into reservation position on vertebra thus realizes pre-determined bit;
After again finely tuning and confirm the route that registration arm is inserted, release the locking of the 3rd position-limit mechanism, and utilize the fixing tooth on registration arm bottom registration arm to be fixed on vertebra;
After registration arm realizes fixing, positioning needle is exited.
Step 4: after two needle for trephinations guiding channel in registration arm is stretched into, carry out tapping on vertebra and drill through duct;
Then needle for trephination is exited, pedicle nail is inserted fixing can the completing of realization along guiding channel and performs the operation.
In order to preferably implement this programme, also provide for following prioritization scheme:
Further, it also includes fixed component;Described fixed component include leading section fix with the jointed shaft rear end of angular adjustment frame the linking arm of connection, the handle being arranged on linking arm rearward end, fixed the first mounting seat on the connecting arm, the first chengguang plate being arranged in the first mounting seat, fixed on the connecting arm and be positioned at the second mounting seat below the first mounting seat and be arranged in the second mounting seat and the second chengguang plate parallel with the first chengguang plate;Described second chengguang plate extends forward so that the first chengguang plate and the second chengguang plate form stair-stepping drop up and down.
It is radiated at the light path of cross laser on two chengguang plates by observation simultaneously and the most i.e. may know that whether the present invention collimates.
Further, the rearward end of two tooth bars realizes being articulated and connected each via a hinged seat and two telescopic sleeving rods respectively;
Described hinged seat is made up of the pedestal being installed on corresponding telescopic sleeving rod and the Coupling that is hinged with pedestal;The rearward end of tooth bar is socketed in the trepanning of Coupling.
So making the present invention not using when, whole horizontal range adjusting means can remove is easy to preoperative disinfecting.
Further, described fixed component also includes that upper suspension connects on the connecting arm and lower surface can keep the self-balancing comparable device of level when static.
Here, the effect of self-balancing comparable device is to provide a reference to patient, allow patient know the present invention to insert angle the most vertical to the tangent line at this place, corresponding point of contact, approach position on spinal column posterior longitudinal ligament line.
Further, the upper end of described registration arm is provided with depth adjustment helical member, and the lower thread of depth adjustment helical member is connected in the upper port of registration arm, and the middle part of depth adjustment helical member is provided with the duct that the guiding channel with registration arm is connected.
Depth adjustment helical member is for adjusting the total length of whole registration arm to adapt to different operation path lengths.
Further, the lower port end face of described registration arm is equipped with fixing tooth.
Further, the periphery wall subscript of described each registration arm is provided with different labellings.
Described labelling is able in the different registration arm of x-ray plain film display.
Further, the top of described needle for trephination is provided with the spacing preiection penetrating registration arm length for limiting needle for trephination.
Further, described first locking mechanism, the second locking mechanism and the 4th locking mechanism are compensating roller bolt;
Described 3rd locking mechanism is the limited impression being arranged on positioning needle sidewall and is arranged on the locating part on registration arm sidewall;
Described locating part includes the spacing ring being located on registration arm sidewall and can front and back moving freely and is arranged on the spring between spacing ring right side wall and registration arm internal perisporium.
Further, one of them telescopic sleeving rod described is provided with protractor.
Before relatively for technology, the invention have the benefit that
1. the laser system during the present invention can utilize preoperative CT, MRI scan image and operation is accurately positioned operation route, registration, it may also be used for percutaneous nailing;
Advantage of lower cost the most of the present invention, it is possible to meet the purchasing power of country hospital;
3. after using the present invention, it is possible to substantially reduce the number of times of scanning in art, greatly reduce the amount of radiation to patient and medical worker, reduce operating time;
4. after using, the operation making pedicle nail insert left-hand seat simpler, easy, it is to avoid damage neural and bonehew cortex risk, hemorrhage less;
5. the present invention is dismantled and assembled, it is simple to sterilization.
Accompanying drawing explanation
Fig. 1 is present configuration schematic diagram;
Fig. 2 is the left view of Fig. 1;
Fig. 3 is channel internal structure schematic cross-section;
Fig. 4 is telescopic sleeving rod and registration arm junction partial schematic diagram;
Fig. 5 is the schematic cross-section of positioning needle and registration arm;
Fig. 6 is the schematic cross-section of needle for trephination and registration arm;
Fig. 7 is that the present invention uses view one;
Fig. 8 is that the present invention uses view two.
Label declaration:
1-positioning element, 11-telescopic sleeving rod, 111-the first locking mechanism, 112-the second locking mechanism, 113-protractor, 12-registration arm, 121-the 3rd locking mechanism, 122-depth adjustment helical member, 123-fix tooth, 124-spacing ring, 125-spring, 126-labelling, 13-horizontal range adjusting means, 131-sleeve pipe, 132-vertical rod, 133-channel, 134-gear, 135-tooth bar, 136-hinged seat, 137-the 4th locking mechanism;
2-fixed component, 21-linking arm, 211-the first mounting seat, 212-the first chengguang plate, 213-the second mounting seat, 214-the second chengguang plate, 215-self-balancing comparable device, 22-handle, 23-fixed block;
3-positioning needle, 31-limited impression, 4-needle for trephination, 41-spacing preiection.
Detailed description of the invention
Illustrate below in conjunction with the accompanying drawings the present invention is elaborated:
As shown in figures 1-8, the present invention includes positioning element 1, a pair for carrying out the positioning needle 3 of pre-determined bit and a pair for drilling through the needle for trephination 4 in duct on vertebra on vertebra;
Described positioning element 1 includes horizontal range adjusting means 13, a pair telescopic sleeving rod 11 and a pair registration arm 12, the hinged formation in front portion one of two telescopic sleeving rods 11 is for regulating the angular adjustment frame of angle, it is arranged in the rearward end of two telescopic sleeving rods 11 two registration arm 12 Detachables respectively, angular adjustment frame is additionally provided with the first locking mechanism 111 that can lock two telescopic sleeving rod 11 relative rotation positions or unlock;
Described telescopic sleeving rod 11 is socketed to form successively by least two joint loop bars, is provided with the second locking mechanism 112 locking two loop bar displaced posi or unlocking between two loop bars of arbitrary neighborhood;
It is provided with, in described registration arm 12, the guiding channel axially penetrating through registration arm 12 along registration arm 12, described positioning needle 3 and needle for trephination 4 are all located in guiding channel and freely up and down can move in guiding channel, are provided with the 3rd locking mechanism 121 that can lock both displaced posi or unlock between registration arm 12 and positioning needle 3;
Described horizontal range adjusting means 13 includes the sleeve pipe 131 being vertically fixed on the jointed shaft front end of angular adjustment frame, through sleeve pipe 131 vertical rod 132 that freely up and down can move in sleeve pipe 131, it is vertically fixed on the channel 133 on vertical rod 132 bottom, can be rotatably set in the gear 134 that channel 133 is internal and rotation centerline is perpendicular with channel 133 centrage and the tooth bar 135 penetrating in channel 133 from the axial both sides level of channel 133 respectively a pair, sleeve pipe 131 is provided with the 4th locking mechanism 137 that both sleeve pipe 131 and vertical rod 132 displaced posi can be locked or be unlocked;
Two tooth bars 135 engage with the gear 134 being arranged in channel 133 respectively so that two tooth bars 135 can in channel 133 synchronizing moving in opposite direction, the rearward end of two tooth bars 135 is respectively hinged on two telescopic sleeving rods 11.
In order to preferably implement this programme, also provide for following prioritization scheme:
Further, it also includes fixed component 2;
Described fixed component 2 includes that leading section is fixed the linking arm 21 of connection, the handle 22 being arranged on linking arm 21 rearward end, the first mounting seat 211 being installed on linking arm 21, the first chengguang plate 212 being arranged in the first mounting seat 211, is installed on linking arm 21 and is positioned at the second mounting seat 213 below the first mounting seat 211 and be arranged in the second mounting seat 213 and the second chengguang plate 214 parallel with the first chengguang plate 212 with the jointed shaft rear end of angular adjustment frame;
Described second chengguang plate 214 extends forward and makes the first chengguang plate 212 and the second chengguang plate about 214 form stair-stepping drop.
It is radiated at the light path of cross laser on two chengguang plates by observation simultaneously and the most i.e. may know that the present invention is the most vertical.
Further, the rearward end of two tooth bars 135 realizes being articulated and connected each via a hinged seat 136 and two telescopic sleeving rods 11 respectively;
Described hinged seat 136 is made up of the pedestal being installed on corresponding telescopic sleeving rod 11 and the Coupling that is hinged with pedestal;The rearward end of tooth bar 135 is socketed in the trepanning of Coupling.
So making the present invention not using when, whole horizontal range adjusting means 13 can remove is easy to preoperative disinfecting.
Further, described fixed component 2 also includes the self-balancing comparable device 215 that upper suspension is connected on linking arm 21 and lower surface can keep level when static.
Here, the effect of self-balancing comparable device 216 is to provide a reference to patient, allow patient know the present invention to insert angle the most vertical to the tangent line at this place, corresponding point of contact, approach position on spinal column posterior longitudinal ligament line.
Further, the upper end of described registration arm 12 is provided with depth adjustment helical member 122, the lower thread of depth adjustment helical member 122 is connected in the upper port of registration arm 12, and the middle part of depth adjustment helical member 122 is provided with the duct that the guiding channel with registration arm 12 is connected.
Depth adjustment helical member 122 is for adjusting the total length of whole registration arm 12 to adapt to different operation path lengths.
Further, the lower port end face of described registration arm 12 is equipped with fixing tooth 123.
Further, the periphery wall subscript of described each registration arm 12 is provided with different labellings 126.
Further, the top of described needle for trephination 4 is provided with the spacing preiection 41 penetrating registration arm 12 length for limiting needle for trephination 4.
Further, described first locking mechanism the 111, second locking mechanism 112 and the 4th locking mechanism 137 are compensating roller bolt;
Described 3rd locking mechanism 121 is the limited impression 31 being arranged on positioning needle 3 sidewall and is arranged on the locating part on registration arm 12 sidewall;
Described locating part includes the spacing ring 124 being located on registration arm 12 sidewall and can front and back moving freely and is arranged on the spring 125 between spacing ring 124 right side wall and registration arm 12 internal perisporium.
Further, one of them telescopic sleeving rod 11 described is provided with protractor 113.
Further, the rearward end of described handle 22 is installed with fixed block.
The effect of fixed block is to provide a fixed position for some other medical treatment the most snakelike arm of retainer instrument, after being fixed on snakelike arm by fixed block, can discharge both hands without gripping the present invention again.
Although the present invention uses specific embodiment and alternative thereof illustrate the present invention and illustrate, it is to be understood that, all can implement without departing from the variations and modifications in the scope of the present invention.It is therefore understood that in addition to being limited by appended claims and condition of equivalent thereof, the present invention is not limited by all senses.

Claims (10)

1. three-dimension virtual reality matching pedicle nail inserts a laser assisted position guiding device, and its feature exists In: include positioning element (1), the positioning needle (3) being used for carrying out pre-determined bit for a pair on vertebra and a pair use In the needle for trephination (4) drilling through duct on vertebra;
Described positioning element (1) include horizontal range adjusting means (13), a pair telescopic sleeving rod (11) and A pair registration arm (12), the hinged formation in front portion one of two telescopic sleeving rods (11) is used for regulating angle The angular adjustment frame of degree, is arranged on two telescopic sleeving rods (11) two registration arm (12) Detachables respectively In rearward end, angular adjustment frame is additionally provided with and two telescopic sleeving rods (11) relative rotation position can be locked The first locking mechanism (111) that is fixed or that unlock;
Described telescopic sleeving rod (11) by least two joint loop bars be socketed to form successively, two loop bars of arbitrary neighborhood it Between be provided with the second locking mechanism of two loop bar displaced posi being locked or unlocking (112);
Be provided with in described registration arm (12) along registration arm (12) axially penetrate through registration arm (12) guiding lead to Road, described positioning needle (3) and needle for trephination (4) are all located in guiding channel and can be in guiding channels Freely up and down moving, being provided with between registration arm (12) and positioning needle (3) can be to both displaced posi Carry out the 3rd locking mechanism (121) locking or unlocking;
Described horizontal range adjusting means (13) includes being vertically fixed on the jointed shaft front end of angular adjustment frame Sleeve pipe (131), the vertical rod (132) through sleeve pipe (131) and freely up and down can moved in sleeve pipe (131), The channel (133) that is vertically fixed on vertical rod (132) bottom, can be rotatably set in channel (133) Gear (134) that internal and rotation centerline is perpendicular with channel (133) centrage and distinguishing for a pair The tooth bar (135) in channel (133), sleeve pipe (131) is penetrated from the axial both sides level of channel (133) It is provided with and sleeve pipe (131) and both displaced posi of vertical rod (132) can be locked or release lock The 4th fixed locking mechanism (137);
Two tooth bars (135) engage so that two with the gear (134) being arranged in channel (133) respectively Tooth bar (135) can in channel (133) synchronizing moving in opposite direction, two tooth bars (135) Rearward end is respectively hinged on two telescopic sleeving rods (11).
Three-dimension virtual reality matching pedicle nail the most according to claim 1 is inserted laser assisted location and is drawn Lead device, it is characterised in that: it also includes fixed component (2);
Described fixed component (2) includes that the connection being connected is fixed, with the jointed shaft rear end of angular adjustment frame, in leading section Arm (21), it is arranged on the handle (22) of linking arm (21) rearward end, is installed on linking arm (21) First mounting seat (211), the first chengguang plate (212) being arranged in the first mounting seat (211), it is installed in Linking arm (21) is upper and is positioned at second mounting seat (213) of the first mounting seat (211) lower section and installs At the second chengguang plate (214) that the second mounting seat (213) is upper and parallel with the first chengguang plate (212);
Described second chengguang plate (214) extends forward and makes the first chengguang plate (212) and the second chengguang plate (214) Form stair-stepping drop up and down.
Three-dimension virtual reality matching pedicle nail the most according to claim 1 is inserted laser assisted location and is drawn Lead device, it is characterised in that: the rearward end of two tooth bars (135) is respectively each via a hinged seat (136) Realize being articulated and connected with two telescopic sleeving rods (11);
Described hinged seat (136) by the pedestal being installed on corresponding telescopic sleeving rod (11) and cuts with scissors mutually with pedestal The Coupling composition connect;The rearward end of tooth bar (135) is socketed in the trepanning of Coupling.
Three-dimension virtual reality matching pedicle nail the most according to claim 2 is inserted laser assisted location and is drawn Lead device, it is characterised in that: described fixed component (2) also includes that upper suspension is connected to linking arm (21) Go up and lower surface can keep the self-balancing comparable device (215) of level when static.
Three-dimension virtual reality matching pedicle nail the most according to claim 1 is inserted laser assisted location and is drawn Lead device, it is characterised in that: the upper end of described registration arm (12) is provided with depth adjustment helical member (122), The lower thread of depth adjustment helical member (122) is connected in the upper port of registration arm (12), depth adjustment The middle part of helical member (122) is provided with the duct that the guiding channel with registration arm (12) is connected.
Three-dimension virtual reality matching pedicle nail the most according to claim 1 is inserted laser assisted location and is drawn Lead device, it is characterised in that: the lower port end face of described registration arm (12) is equipped with fixing tooth (123).
Three-dimension virtual reality matching pedicle nail the most according to claim 1 is inserted laser assisted location and is drawn Lead device, it is characterised in that: the periphery wall subscript of described each registration arm (12) is provided with different labellings (126).
Three-dimension virtual reality matching pedicle nail the most according to claim 1 is inserted laser assisted location and is drawn Lead device, it is characterised in that: the top of described needle for trephination (4) is provided with and wears for limiting needle for trephination (4) Enter the spacing preiection (41) of registration arm (12) length.
Three-dimension virtual reality matching pedicle nail the most according to claim 1 is inserted laser assisted location and is drawn Lead device, it is characterised in that: described first locking mechanism (111), the second locking mechanism (112) and the 4th Locking mechanism (137) is compensating roller bolt;
Described 3rd locking mechanism (121) is the limited impression (31) being arranged on positioning needle (3) sidewall And it is arranged on the locating part on registration arm (12) sidewall;
Described locating part includes the spacing ring being located on registration arm (12) sidewall and can front and back moving freely And the spring (125) that is arranged between spacing ring (124) right side wall and registration arm (12) internal perisporium (124).
Three-dimension virtual reality matching pedicle nail the most according to claim 1 is inserted laser assisted location and is drawn Lead device, it is characterised in that: on described one of them telescopic sleeving rod (11), protractor (113) is installed.
CN201610221617.5A 2016-04-11 2016-04-11 Three-dimension virtual reality fitting pedicle nail inserts laser assisted position guiding device Active CN105852986B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201610221617.5A CN105852986B (en) 2016-04-11 2016-04-11 Three-dimension virtual reality fitting pedicle nail inserts laser assisted position guiding device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201610221617.5A CN105852986B (en) 2016-04-11 2016-04-11 Three-dimension virtual reality fitting pedicle nail inserts laser assisted position guiding device

Publications (2)

Publication Number Publication Date
CN105852986A true CN105852986A (en) 2016-08-17
CN105852986B CN105852986B (en) 2018-03-20

Family

ID=56637377

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201610221617.5A Active CN105852986B (en) 2016-04-11 2016-04-11 Three-dimension virtual reality fitting pedicle nail inserts laser assisted position guiding device

Country Status (1)

Country Link
CN (1) CN105852986B (en)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106937883A (en) * 2017-04-11 2017-07-11 福建医科大学附属协和医院 Based on the percutaneous microchannel Cervical vertebra pedicle nail guiding locator of CT data three-dimensionals
CN115653500A (en) * 2022-12-29 2023-01-31 陕西晖煌建筑劳务有限公司 Traffic engineering construction drilling equipment
CN115902501A (en) * 2023-02-28 2023-04-04 山东中兴科技开发有限公司 Test equipment that block terminal was used

Citations (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4907577A (en) * 1989-04-03 1990-03-13 Wu Shing Sheng Spinal transpedicle drill jig
CN1360878A (en) * 2002-01-22 2002-07-31 中国人民解放军南京军区南京总医院 Three-dimensional locator for pedicle for cervical vertebra arch
CN2552482Y (en) * 2002-06-18 2003-05-28 陈永铵 Adjustable nail-entry angle two-sided pediculus arcus vertebrae screw boring guide
US20050159756A1 (en) * 2003-12-31 2005-07-21 Ray Charles D. Tapered bone fusion cages or blocks, implantation means and method
CN101312693A (en) * 2005-10-06 2008-11-26 帕拉迪格脊骨有限责任公司 Self-disengaging device for rib distractor
CN201404283Y (en) * 2009-04-13 2010-02-17 郑明辉 Locating device of vertebral pedicle nail
US20100076446A1 (en) * 2002-03-21 2010-03-25 Gorek Josef E Gravity Dependent Pedicle Screw Tap Hole Guide and Data Processing Device
CN101828966A (en) * 2010-04-28 2010-09-15 郑明辉 Positioning device of percutaneous lumbar intervertebral disc operation path and positioning method
US20120197297A1 (en) * 2010-09-09 2012-08-02 Zoher Bootwala Vertebral adjustment systems for spine alignment
CN203468729U (en) * 2013-09-30 2014-03-12 窦志 Sighting device for orthopedic surgery operations
WO2014197451A1 (en) * 2013-06-03 2014-12-11 Murphy Stephen B Method and apparatus for performing anterior hip surgery
US20150080740A1 (en) * 2013-09-18 2015-03-19 iMIRGE Medical INC. Optical targeting and visualization of trajectories
US20160030067A1 (en) * 2010-06-29 2016-02-04 George Frey Patient-Matched Apparatus and Methods for Performing Surgical Procedures
CN205698052U (en) * 2016-04-11 2016-11-23 庄源东 Three-dimension virtual reality matching pedicle nail inserts laser assisted position guiding device

Patent Citations (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4907577A (en) * 1989-04-03 1990-03-13 Wu Shing Sheng Spinal transpedicle drill jig
CN1360878A (en) * 2002-01-22 2002-07-31 中国人民解放军南京军区南京总医院 Three-dimensional locator for pedicle for cervical vertebra arch
US20100076446A1 (en) * 2002-03-21 2010-03-25 Gorek Josef E Gravity Dependent Pedicle Screw Tap Hole Guide and Data Processing Device
CN2552482Y (en) * 2002-06-18 2003-05-28 陈永铵 Adjustable nail-entry angle two-sided pediculus arcus vertebrae screw boring guide
US20050159756A1 (en) * 2003-12-31 2005-07-21 Ray Charles D. Tapered bone fusion cages or blocks, implantation means and method
CN101312693A (en) * 2005-10-06 2008-11-26 帕拉迪格脊骨有限责任公司 Self-disengaging device for rib distractor
CN201404283Y (en) * 2009-04-13 2010-02-17 郑明辉 Locating device of vertebral pedicle nail
CN101828966A (en) * 2010-04-28 2010-09-15 郑明辉 Positioning device of percutaneous lumbar intervertebral disc operation path and positioning method
US20160030067A1 (en) * 2010-06-29 2016-02-04 George Frey Patient-Matched Apparatus and Methods for Performing Surgical Procedures
US20120197297A1 (en) * 2010-09-09 2012-08-02 Zoher Bootwala Vertebral adjustment systems for spine alignment
WO2014197451A1 (en) * 2013-06-03 2014-12-11 Murphy Stephen B Method and apparatus for performing anterior hip surgery
US20150080740A1 (en) * 2013-09-18 2015-03-19 iMIRGE Medical INC. Optical targeting and visualization of trajectories
CN203468729U (en) * 2013-09-30 2014-03-12 窦志 Sighting device for orthopedic surgery operations
CN205698052U (en) * 2016-04-11 2016-11-23 庄源东 Three-dimension virtual reality matching pedicle nail inserts laser assisted position guiding device

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106937883A (en) * 2017-04-11 2017-07-11 福建医科大学附属协和医院 Based on the percutaneous microchannel Cervical vertebra pedicle nail guiding locator of CT data three-dimensionals
CN106937883B (en) * 2017-04-11 2023-07-25 福建医科大学附属协和医院 CT data-based three-dimensional percutaneous micro-channel lower cervical pedicle screw guiding and positioning device
CN115653500A (en) * 2022-12-29 2023-01-31 陕西晖煌建筑劳务有限公司 Traffic engineering construction drilling equipment
CN115902501A (en) * 2023-02-28 2023-04-04 山东中兴科技开发有限公司 Test equipment that block terminal was used
CN115902501B (en) * 2023-02-28 2023-06-16 山东中兴科技开发有限公司 Test equipment for distribution box

Also Published As

Publication number Publication date
CN105852986B (en) 2018-03-20

Similar Documents

Publication Publication Date Title
Lieberman et al. Bone-mounted miniature robotic guidance for pedicle screw and translaminar facet screw placement: Part I—Technical development and a test case result
Choi et al. Computer-assisted fluoroscopic targeting system for pedicle screw insertion
Kaneyama et al. A novel screw guiding method with a screw guide template system for posterior C-2 fixation
EP2567668B1 (en) Axial surgical trajectory guide for guiding a medical device
US8768437B2 (en) Fluoroscopic image guided surgery system with intraoperative registration
Berry et al. Personalised image-based templates for intra-operative guidance
EP1121061B1 (en) Method and apparatus for positioning a device in a body
US6718194B2 (en) Computer assisted intramedullary rod surgery system with enhanced features
EP1491151B1 (en) Process for the acquisition of information intended for the insertion of a locking screw into an orifice of an endomedullary device
US20080154262A1 (en) Navigated application guide for targeted spinal drug delivery
CN105916463A (en) Detachable-mountable arc-shaped precise positioning equipment
WO2001056479A1 (en) Surgical drill guide and method for using the same
TW201408254A (en) Assistance device and guiding assembly for percutaneous surgery
CN104983459A (en) Three-dimensional adjustable combined guiding device for assisting in implanting screws into vertebral pedicle and using method
CN105615941A (en) Drill guide system
CN105310782A (en) Surgical laser positioning system
CN105852986A (en) Laser-assisted positioning guide device for three-dimensional virtual reality fitting pedicle screw placement
CN105592810A (en) Guidance system and method for bone fusion
CN205698052U (en) Three-dimension virtual reality matching pedicle nail inserts laser assisted position guiding device
JP2002509750A (en) Method and apparatus for setting a drilling position
CN205234654U (en) Operation laser positioning system
Gao et al. Fluoroscopy-guided robotic system for transforaminal lumbar epidural injections
CN112137698B (en) Portable puncture outfit and puncture device and method formed by same
Matsukawa et al. Novel technique for sacral-alar-iliac screw placement using three-dimensional patient-specific template guide
CN108938088B (en) Path guiding method of linear laser beam and laser drilling operation positioning method

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
GR01 Patent grant
GR01 Patent grant