CN104706421A - Auxiliary supporting device for spinal fixation and operation - Google Patents

Auxiliary supporting device for spinal fixation and operation Download PDF

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Publication number
CN104706421A
CN104706421A CN201310671740.3A CN201310671740A CN104706421A CN 104706421 A CN104706421 A CN 104706421A CN 201310671740 A CN201310671740 A CN 201310671740A CN 104706421 A CN104706421 A CN 104706421A
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China
Prior art keywords
longeron
bed
block
set lever
lever
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Granted
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CN201310671740.3A
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Chinese (zh)
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CN104706421B (en
Inventor
田伟
刘亚军
范明星
韩晓光
胡颖
郭宝强
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Beijing Jishuitan Hospital
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Beijing Jishuitan Hospital
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Priority to CN201310671740.3A priority Critical patent/CN104706421B/en
Publication of CN104706421A publication Critical patent/CN104706421A/en
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Publication of CN104706421B publication Critical patent/CN104706421B/en
Expired - Fee Related legal-status Critical Current
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Abstract

The invention discloses an auxiliary supporting device for spinal fixation and operation. The auxiliary supporting device consists of two bedside support levers, a support lever lovking mechanism and an adjusting slide table mechanism, wherein the two bedside support levers are connected with an operating bed; the adjusting slide table mechanism is transversely connected with the bedside support levers through crossbeams and locked and fixed through an upper locking handle and a lower locking handle; a longeron penetrates a sliding adjustment block in a manner of being crossed with the crossbeams; a plurality of positioning holes are formed in the side surface of the longeron; the longeron and the sliding adjustment block are locked lengthways by a longitudinal locking handle; a plurality of counter bores and observation holes are formed in the upper side of the longeron; spinal process forceps are inserted into the counter bores in the longeron through spinal process forceps connecting pieces; a support sleeves one end of the longeron and is positioned lengthways through a fine-tuning positioning locking screw; and cross target spots are fixedly mounted at the top of the longeron. The auxiliary supporting device can guarantee the operation continuity and precision and reduce adverse effects caused by long-time operation, provides auxiliary supporting and positioning for well-suited operation assisting instruments to facilitate medical image scanning and computer information registration, and is flexible in operation and convenient to use.

Description

Spinal column is fixed and performs the operation auxiliary support apparatus
Art
The present invention relates to medical auxiliary apparatus technical field, particularly relate to and a kind ofly to fix and performing the operation auxiliary support apparatus for the spinal column in spinal surgery.
Background technology
The domestic spinal surgery that carries out importantly is performed the operation by people is manual at present, and because spinal surgery is excessive risk operation, doctor carries out for a long time performing the operation and is difficult to ensure the persistence precision of manual operation technique.Utilize spinal operation assistive device such as conductor etc. can improve the precision of operation technique, reduce the injury probability that prolonged operations causes patient because of factors such as doctor's fatigue or hand tremors.
Along with computer, microelectric technique and medical science applied fast development, various computer aided medicine technology and equipment emerges in an endless stream.In art under three-dimensional navigation guides, airmanship has started to use widely.The image that doctor's dirt root pick computer-aided equipment provides, determines position and the attitude of operation.
When utilizing computer aided system to carry out spinal operation to patient, need the information registering of sufferer position in computer, once registration will ensure that sufferer position does not occur again to move in art after terminating, therefore need the device of a spinal fixation, prevent the movement occurred after sufferer spinal column information registering again.Surgery assistor tool needs the device with supplemental support and location simultaneously, as mechanical arm etc., the present invention and five-freedom degree vertebral column operation guiding device or six degree of freedom spinal operation conductor with the use of, for joint of vertebral column size positions provides an external reference, simultaneously also for the placement of spinal operation conductor provides a moveable pedestal, and it forms whole spinal surgery aid system jointly.The current mechanism for spinal operation conductor location and support is common bracket, and its structure takes up room greatly, is unfavorable for that CT navigation system obtains medical image and computerized information registration.Therefore, invent a kind of spinal column for spinal operation to fix and perform the operation auxiliary support apparatus, can ensure patient's spinal column and sick bed in art position relative fixing, support spinal column operation guiding device and facilitate the scanner uni computerized information of medical image to register to be the important need of the art.
Summary of the invention
The object of the present invention is to provide and a kind ofly can make relative fixing, the sliding support spinal operation conductor of patient's spinal column and sick bed position in art, facilitate that the scanner uni computerized information of medical image is registered, the spinal column for spinal operation of flexible and convenient operation is fixed and auxiliary support apparatus of performing the operation.
In order to achieve the above object, by the following technical solutions, a kind of spinal column is fixed and performs the operation auxiliary support apparatus in the present invention, by two collateral hack levers of bed, cradling piece retaining mechanism, regulates slipway mechanism to form, two collateral hack levers of bed are connected with the slide of operation table both sides respectively, multiple draw-in grooves that on the collateral hack lever of bed, vertical setting tightens up with operation table, cradling piece retaining mechanism is made up of upper set lever, lower set lever, tightening regulating block and centering block, tightening regulating block structure is sleeved on the collateral hack lever of bed, fixed by upper set lever, centering block side and tightening regulating block hinged, centering block opposite side is threaded lower set lever, two crossbeams, two contiguous blocks, slide rail, slidable adjustment block, longeron, horizontal set lever, longitudinal set lever, bearing, spinous process clamps, target spot and fine setting dog screw form adjustment slipway mechanism, in the corresponding hole of inserting in cradling piece retaining mechanism centering block of one end difference of two crossbeams, and fixed by lower set lever, two crossbeam other ends are held dorsad with two contiguous blocks respectively and are fixedly connected with, two one slide rails are fixedly connected with the corresponding end in opposite directions of two contiguous blocks through slidable adjustment block, slidable adjustment block is by the laterally locking of the set lever on it, longeron and crossbeam are that crosswise is through slidable adjustment block, multiple locating holes that the side setting space of longeron is equal, by longitudinal set lever by longeron and regulating block longitudinally locking, above longeron, multiple counterbore and observation port are set, spinous process pincers insert in the counterbore on longeron by spinous process clipper joint part, bearing is set in one end of longeron, by fine setting positioning and locking screw longitudinal register, cross target spot is fixedly installed in the top of longeron.
Longeron described above, regulating block, bearing, manufactured by medical polymer weight northylen material, can reduce the tail shadow in medical image acquisition process;
Collateral to adjustment slipway mechanism and bed hack lever is connected by support retaining mechanism described above, and it allows that the position of adjustment slipway mechanism and attitude put slightly deviation, after locking, regulates slipway mechanism and bed side stand position and attitude to remain unchanged;
Bearing described above is the erection support of spinal operation conductor, can be connected with spinal operation conductor fast.
The dimensions of longeron described above can adjust according to the difference of operative site, so that the spinal column adapting to lumbar vertebra, thoracic vertebra and cervical vertebra is fixed and hands art; The spacing in described longeron top view hole is the half of the adjacent two joint spinal column spacing of human body natural's spinal column, and be 2.5 times of longeron side locating hole spacing, the spacing of observation port and the spacing of locating hole can adjust within the specific limits.
Support retaining mechanism described above connects bed side stand and crossbeam connecting hole is circle, can allow the alignment error regulating slipway mechanism position and attitude to a certain extent, facilitate device to install, reduce stress.
The cross target spot being fixedly installed in the top of longeron described above is the tracking subject matter of the navigation systems such as NDI optical alignment tracking system.
The present invention effectively can ensure the persistence precision of operation technique, reduces the harmful effect that prolonged operations brings.Supplemental support and location can be provided for the surgery assistor tool be applicable to, facilitate the scanner uni computerized information of medical image to register.The present invention is also for joint of vertebral column size positions provides an external reference, placement for spinal operation conductor provides a moveable pedestal, with its common whole spinal surgery aid system of composition, flexible operation, easy to use, reach goal of the invention.
Accompanying drawing explanation
Fig. 1 is overall structure schematic diagram of the present invention;
Fig. 2 is the structural representation of the support retaining mechanism in Fig. 1;
Fig. 3 is the seat structure schematic diagram in Fig. 1.
Detailed description of the invention
For the ease of understanding the present invention, referring to attached detailed description the present invention, can find out from Fig. 1 to Fig. 3 and give concrete structure of the present invention: a kind of spinal column is fixed and perform the operation auxiliary support apparatus, by two collateral hack levers of bed, cradling piece retaining mechanism and regulate slipway mechanism to form, two collateral hack levers 1 of bed are connected with the slide of operation table both sides respectively, multiple draw-in grooves that on the collateral hack lever of bed 1, vertical setting tightens up with operation table, cradling piece retaining mechanism 100 is made up of upper set lever 104, lower set lever 101, tightening regulating block 103 and centering block 102, tightening regulating block 1 () 3 structure is sleeved on the collateral hack lever 1 of bed, fixed by upper set lever 104, centering block 102 side and tightening regulating block 103 hinged, centering block 102 opposite side is threaded lower set lever 101, two crossbeams 2, two contiguous blocks 3, slide rail 7, slidable adjustment block 5, longeron 4, horizontal set lever 6, longitudinal set lever 12, bearing 8, spinous process pincers 10, target spot 9 and fine setting dog screw 11 form adjustment slipway mechanism, in the corresponding hole of inserting in cradling piece retaining mechanism centering block 102 of one end difference of two crossbeams 2, and fixed by lower set lever 101, two crossbeam 2 other ends are held dorsad with two contiguous blocks 3 respectively and are fixedly connected with, two one slide rails 7 are fixedly connected with the corresponding end in opposite directions of two contiguous blocks 3 through slidable adjustment block 5, slidable adjustment block 5 is by the laterally locking of the horizontal set lever 6 on it, longeron 4 passes slidable adjustment block 5 with crossbeam 2 in crosswise, multiple locating holes 16 that the side setting space of longeron 4 is equal, by longitudinal set lever 12 by longeron 4 and slidable adjustment block 5 longitudinally locking, above longeron 4, multiple counterbore 19 and observation port 17 are set, spinous process pincers 10 insert in the counterbore 19 on longeron 4 by spinous process clipper joint part 18, bearing 8 is set in one end of longeron 4, by fine setting positioning and locking screw 11 longitudinal register, cross target spot 9 is fixedly installed in the top of longeron 4.
The above embodiment only have expressed one embodiment of the present invention; but therefore can not be interpreted as the restriction to the scope of the claims of the present invention; without departing from the inventive concept of the premise, can also make some distortion and improvement, these all belong to protection scope of the present invention.

Claims (6)

1. spinal column is fixed and performs the operation an auxiliary support apparatus, by two collateral hack levers of bed, cradling piece retaining mechanism, regulates slipway mechanism to form, it is characterized in that, two collateral hack levers of bed (1) are connected with the slide of operation table both sides respectively, multiple draw-in grooves that the upper vertical setting of the collateral hack lever of bed (1) tightens up with operation table, cradling piece retaining mechanism (100) is made up of upper set lever (104), lower set lever (101), tightening regulating block (103) and centering block (102), tightening regulating block (103) is sleeved on the collateral hack lever of bed (1), fixed by upper set lever (104), centering block (102) side and tightening regulating block (103) hinged, centering block (102) opposite side is threaded lower set lever (101), two crossbeams (2), two contiguous blocks (3), slide rail (7), slidable adjustment block (5), longeron (4), horizontal set lever (6), longitudinal set lever (12), bearing (8), spinous process pincers (10), target spot (9) and fine setting dog screw (11) form adjustment slipway mechanism, one end of two crossbeams (2) is corresponding respectively inserts in the hole of (102) in cradling piece retaining mechanism centering block, and fixed by lower set lever (101), two crossbeam (2) other ends are held dorsad with two contiguous blocks (3) respectively and are fixedly connected with, two one slide rails (7) are fixedly connected with the corresponding end in opposite directions of two contiguous blocks (3) through slidable adjustment block (5), slidable adjustment block (5) is by the laterally locking of the horizontal set lever (6) on it, longeron (4) and crossbeam (2) pass slidable adjustment block (5) in crosswise, multiple locating holes (16) that the side setting space of longeron (4) is equal, by longitudinal set lever (12) by longeron (4) and slidable adjustment block (5) longitudinally locking, above longeron (4), multiple counterbore (19) and observation port (17) are set, spinous process pincers (10) inserts in the counterbore (19) on longeron (4) by spinous process clipper joint part (18), bearing (8) is set in one end of longeron (4), by fine setting positioning and locking screw (11) longitudinal register, cross target spot (9) is fixedly installed in the top of longeron (4).
2. spinal column according to claim 1 is fixed and performs the operation auxiliary support apparatus, it is characterized in that: described longeron (4), lateral adjustments block (5), bearing (8), is manufactured by medical polymer weight northylen material.
3. spinal column according to claim 1 is fixed and performs the operation auxiliary support apparatus, it is characterized in that: described cradling piece retaining mechanism (100) will regulate the collateral hack lever of slipway mechanism and bed (1) to be connected, it allows that the position of adjustment slipway mechanism and attitude put slightly deviation, after locking, slipway mechanism and bed side stand position and attitude is regulated to remain unchanged.
4. spinal column according to claim 1 is fixed and performs the operation auxiliary support apparatus, it is characterized in that: described bearing (8) is the erection support of spinal operation conductor.
5. the dimensions of longeron described in (4) can adjust according to the difference of operative site; The spacing in described longeron (4) top view hole (17) is the half of the adjacent two joint spinal column spacing of human body natural's spinal column, be 2.5 times of longeron (4) side locating hole (16) spacing, the spacing of observation port (17) and the spacing of locating hole (16) can adjust within the specific limits.
6. cradling piece retaining mechanism (100) described in connects the collateral hack lever of bed and crossbeam (2) connecting hole is circle.
CN201310671740.3A 2013-12-12 2013-12-12 Auxiliary supporting device for spinal fixation and operation Expired - Fee Related CN104706421B (en)

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105997250A (en) * 2016-04-27 2016-10-12 中国科学院深圳先进技术研究院 Grinding device for spine vertebral plate
CN107349019A (en) * 2017-07-03 2017-11-17 苏州铸正机器人有限公司 A kind of modified aids in minimally invasive spine surgical path orientation device
CN110338898A (en) * 2018-04-03 2019-10-18 李益香 A kind of adjustable bending plate of orthopaedics implanted scoliosis surgery auxiliary
CN111839696A (en) * 2020-06-02 2020-10-30 温州医科大学附属第二医院、温州医科大学附属育英儿童医院 Accurate control type reduction device for scoliosis deformity correction
CN111839963A (en) * 2020-06-02 2020-10-30 温州医科大学附属第二医院、温州医科大学附属育英儿童医院 Movable spinal surgery support platform

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CN2100875U (en) * 1991-10-24 1992-04-08 陈利 Spine surgical operation support
US20050131394A1 (en) * 2003-12-10 2005-06-16 Minnesota Scientific, Inc. Clamping device
US20080243064A1 (en) * 2007-02-15 2008-10-02 Hansen Medical, Inc. Support structure for robotic medical instrument
CN201160895Y (en) * 2007-07-25 2008-12-10 林�建 Spine puncture guide
CN202589638U (en) * 2012-05-24 2012-12-12 中国科学院深圳先进技术研究院 Five-freedom-degree vertebral column operation guiding device
CN203662912U (en) * 2013-12-12 2014-06-25 北京积水潭医院 Spine fixing and operation auxiliary supporting device

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2100875U (en) * 1991-10-24 1992-04-08 陈利 Spine surgical operation support
US20050131394A1 (en) * 2003-12-10 2005-06-16 Minnesota Scientific, Inc. Clamping device
US20080243064A1 (en) * 2007-02-15 2008-10-02 Hansen Medical, Inc. Support structure for robotic medical instrument
CN201160895Y (en) * 2007-07-25 2008-12-10 林�建 Spine puncture guide
CN202589638U (en) * 2012-05-24 2012-12-12 中国科学院深圳先进技术研究院 Five-freedom-degree vertebral column operation guiding device
CN203662912U (en) * 2013-12-12 2014-06-25 北京积水潭医院 Spine fixing and operation auxiliary supporting device

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105997250A (en) * 2016-04-27 2016-10-12 中国科学院深圳先进技术研究院 Grinding device for spine vertebral plate
CN105997250B (en) * 2016-04-27 2018-11-20 中国科学院深圳先进技术研究院 A kind of spinal lamina grinding attachment
CN107349019A (en) * 2017-07-03 2017-11-17 苏州铸正机器人有限公司 A kind of modified aids in minimally invasive spine surgical path orientation device
CN107349019B (en) * 2017-07-03 2024-01-30 苏州铸正机器人有限公司 Improved auxiliary spine minimally invasive surgery path positioning device
CN110338898A (en) * 2018-04-03 2019-10-18 李益香 A kind of adjustable bending plate of orthopaedics implanted scoliosis surgery auxiliary
CN111839696A (en) * 2020-06-02 2020-10-30 温州医科大学附属第二医院、温州医科大学附属育英儿童医院 Accurate control type reduction device for scoliosis deformity correction
CN111839963A (en) * 2020-06-02 2020-10-30 温州医科大学附属第二医院、温州医科大学附属育英儿童医院 Movable spinal surgery support platform

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