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WO2011047517A1 - 一种脊柱手术定位装置 - Google Patents

一种脊柱手术定位装置 Download PDF

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Publication number
WO2011047517A1
WO2011047517A1 PCT/CN2009/076104 CN2009076104W WO2011047517A1 WO 2011047517 A1 WO2011047517 A1 WO 2011047517A1 CN 2009076104 W CN2009076104 W CN 2009076104W WO 2011047517 A1 WO2011047517 A1 WO 2011047517A1
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WO
WIPO (PCT)
Prior art keywords
fence
fences
positioning
vertical
spinal surgery
Prior art date
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Ceased
Application number
PCT/CN2009/076104
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English (en)
French (fr)
Inventor
贺石生
陈自强
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Individual
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Individual
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Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of WO2011047517A1 publication Critical patent/WO2011047517A1/zh
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • 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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • 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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3904—Markers, e.g. radio-opaque or breast lesions markers specially adapted for marking specified tissue

Definitions

  • the present invention relates to the field of medical device technology, and in particular to a spinal surgery positioning device. Background technique
  • Intraoperative positioning of spinal surgery is the key to ensuring accurate surgical segments and successful surgery.
  • the combination of spinal surgery technology and imaging technology has made the positioning technology develop to a certain extent during the operation.
  • Intraoperative perspective has become a routine method of surgical positioning, but the traditional positioning method has complicated operation, inaccurate positioning, and repeated projections.
  • Shortcomings of surgery time and radiation exposure of patients and medical staff, the important development trend of spinal surgery is minimally invasive surgery.
  • Minimally invasive surgery has the advantages of small trauma, small scar, satisfactory curative effect, quick recovery, etc.
  • Minimally invasive spinal incision Small especially requires the accuracy of positioning, accurate positioning is the premise to ensure the smooth implementation of surgery and shorten the operation time. I use modern concepts to design a special positioning device for spinal surgery with simple operation and accurate positioning. It is of great and practical value for facilitating surgical operation, improving treatment effect and promoting the development of spine surgery in China. Summary of the invention
  • the present invention provides a spinal surgery positioning device, which is composed of a longitudinal fence 1, a horizontal fence 2 and a positioning symbol 3. wherein the vertical fence 1 and the horizontal fence 2 are fixedly connected to each other to form a grid structure, and the positioning symbol 3 is located
  • the vertical fence 1 is connected to the horizontal fence 2; or:
  • the horizontal fence 2 is two, and the two ends of each vertical fence 1 are respectively connected to the horizontal fence 2, which constitutes a "mesh" structure, and the positioning symbol 3 is located on the vertical fence 1.
  • the vertical fence 1 constituting the lattice structure is equally spaced from the horizontal fence 2.
  • the vertical fence 1 constituting the mesh structure is equally spaced.
  • the positioning symbol may be one or more of a star shape, a triangle shape, a rectangle shape, a heart shape, a crescent shape, a cross shape, a polygon shape, a diamond shape, a concentric circle, and the like.
  • the various shapes of the positioning symbols can be easily identified, so that the corresponding position can be accurately determined.
  • the invention has the advantages of simple structure, novel concept, accurate positioning and convenient use, and can meet the positioning requirements of the spinal surgery. BRIEF abstract
  • FIG. 1 Schematic diagram of the spine locator structure.
  • Figure 2 A locator with a vertical fence.
  • the spinal surgery positioning device proposed by the present invention is composed of a longitudinal fence 1 and a positioning symbol 3.
  • the positioning symbol 3 has multiple pieces and has different shapes, and multiple pieces of various shapes (triangle, rectangle, heart shape, crescent shape, cross shape, polygon).
  • the positioning symbol 3 is evenly distributed on the longitudinal fence 1 .
  • the various shapes of the positioning symbol 3 can be easily identified, so that the corresponding position can be accurately determined.
  • the positioning device is used after the patient is anesthetized, and the patient is placed and fixed according to the position of the operation (hereinafter, the patient's prone position is taken as an example), and the X-ray machine is positioned in the left and right directions, and the positioning device is placed vertically. On the side of the patient's body, then X-ray is used for fluoroscopy. After the projection, the relative position of the surgical target spinal segment is determined according to the position of the displayed vertical fence 1 and the locator mark 3, and then the marker is used on the back of the patient. Mark the positioning.
  • the invention has simple structure and convenient use, and can be smoothly implemented by those skilled in the art.
  • Embodiment 2 The spinal surgery positioning device proposed by the present invention is composed of a longitudinal fence 1, a horizontal fence 2, and a symbol 3.
  • the positioning symbol 3 has a plurality of shapes and has different shapes (triangle, rectangle, heart shape, crescent shape, cross shape, polygon shape, diamond shape, concentric circle), wherein a plurality of vertical fences 1 and a plurality of horizontal fences 2 are equally spaced.
  • the pitch can be 0.5cm, and the vertical fence 1 and the horizontal fence 2 are intertwined and spliced together to form a grid shape, and a plurality of positioning symbols 3 of various shapes are evenly distributed and connected to the vertical fence 1 and the horizontal fence 2 Connected to the point.
  • the various shapes of the positioning symbol 3 can be easily identified, so that the corresponding position can be accurately determined.
  • the positioning device is used after the patient is anesthetized, and the patient is placed and fixed according to the position of the operation (hereinafter, the patient's prone position is taken as an example), and the X-ray machine is positioned in the vertical direction, and the positioning device is placed flat.
  • the position of column 1 and locator marker 3 determines the relative position of the target spinal segment.
  • the pedicle position of the corresponding spinal segment can be determined based on the position of the transverse barrier 2 and the locator marker 3, and then the marker is used on the back of the patient. Mark the positioning.
  • the invention has simple structure and convenient use, and can be smoothly implemented by those skilled in the art.

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • 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)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Radiation-Therapy Devices (AREA)

Description

一种脊柱手术定位装置 技术领域
本发明涉及医疗器械技术领域， 具体涉及一种脊柱手术定位装置。 背景技术
脊柱外科手术的术中定位是保证手术节段准确及手术成功的关键。 脊柱外科 技术和影像学技术的结合， 使得手术过程中定位技术得到一定程度的发展， 术中 透视成为手术定位的常规方法， 但是传统的定位方式， 有操作复杂， 定位不准 确， 反复投照增加手术时间及患者和医护人员的射线照射量等缺点， 脊柱外科的 重要发展趋势是手术的微创化， 微创手术具有创伤小， 疤痕小， 疗效满意， 恢复 快等优点， 脊柱微创手术切口小， 特别要求定位的准确性， 准确的定位是保证手 术顺利实施及缩短手术时间的前提。 I运用现代理念来设计一种操作简单， 定位准 确的脊柱手术专用定位装置对于方便手术操作， 提高治疗效果， 促进我国脊柱外 科发展水平具有十分重要和实用的价值。 发明内容
本发明的目的在于提供一种脊柱手术定位装置。
本发明提出的一种脊柱手术定位装置， 由纵行栅栏 1， 横行栅栏 2和定位符号 3组成， 其中， 纵行栅栏 1与横行栅栏 2两两固定连接， 组成网格结构， 定位符号 3 位于纵行栅栏 1与横行栅栏 2相连处； 或者：
横行栅栏 2为两根， 每根纵行栅栏 1的两端分别连接横行栅栏 2， 组成 "目" 字结构， 定位符号 3位于纵行栅栏 1上。
本发明中， 所述组成网格结构的纵行栅栏 1与横行栅栏 2等间距。
本发明中， 所述组成目字结构的纵行栅栏 1等间距。
本发明中， 所述定位符号可以采用星形、 三角形、 矩形、 心形、 月牙形、 十 字形、 多边形、 菱形、 同心圆等中一至多种。 定位符号的各种不同的形状， 能够 方便识别， 从而能够准确判断出相应位置。
本发明结构简单， 构思新颖， 定位准确， 使用方便， 能够满足脊柱手术定位 要求。 附图概述
本发明的具体特征、 性能由以下的实施例及其附图进一步给出。
图 1 脊柱手术定位器结构图示。
图 2 单独有纵行栅栏的定位器。
图中标号： 1纵行栅栏， 2横行栅栏， 3为定位符号。 本发明的最佳实施方式
下面通过实施例进一步说明本发明。
实施例 1 : 本发明所提出的脊柱手术定位装置由纵行栅栏 1、 定位符号 3组 成。 其中定位符号 3具有多枚， 并具有不同形状， 各种不同形状的多枚（三角形、 矩形、 心形、 月牙形、 十字形、 多边形） 定位符号 3均匀分布悍接在纵行栅栏 1 上。 定位符号 3的各种不同的形状， 能够方便识别， 从而能够准确判断出相应位 置。
定位装置使用方式为， 病人麻醉后， 将病人按照手术需要体位进行摆放并固 定 （以下以患者俯卧位为例进行说明） ， X光机透视定位方向为左右投照， 将定 位装置竖直放置在病人身体的一侧， 然后使用 X线进行透视， 投照后， 根据所显 示的纵行栅栏 1及定位器标记 3的位置确定手术目标脊柱节段的相对位置， 接着使 用记号笔在患者背部进行标记定位。
本发明， 结构简单， 使用方便， 该领域技术人员均能顺利实施。
实施例 2 : 本发明所提出的脊柱手术定位装置由纵行栅栏 1、 横行栅栏 2、 定 为符号 3组成。 其中定位符号 3具有多枚， 并具有不同形状 （三角形、 矩形、 心 形、 月牙形、 十字形、 多边形、 菱形、 同心圆） ， 其中多根纵行栅栏 1和多根横行 栅栏 2等间距， 间距可以为 0.5cm， 纵行栅栏 1和横行栅栏 2相互交织并悍接在一 起， 构成网格状， 各种不同形状的多枚定位符号 3均匀分布悍接在纵行栅栏 1和横 行栅栏 2连接点上。 定位符号 3的各种不同的形状， 能够方便识别， 从而能够准确 判断出相应位置。
定位装置使用方式为， 病人麻醉后， 将病人按照手术需要体位进行摆放并固 定 （以下以患者俯卧位为例进行说明） ， X光机透视定位方向为上下投照， 将定 位装置平放于病人背部， 然后使用 X线进行透视， 投照后， 根据所显示的纵行栅 栏 1和定位器标记 3的位置确定目标脊柱节段的相对位置， 另外， 可根据横行栅栏 2 和定位器标记 3的位置确定相应脊柱节段的椎弓根位置， 接着使用记号笔在患者背 部进行标记定位。
本发明， 结构简单， 使用方便， 该领域技术人员均能顺利实施。

Claims

权利要求
1、 一种脊柱手术定位装置， 由纵行栅栏（1)， 横行栅栏 (2)和定位符号 (3)组 成， 其特征在于纵行栅栏（1)与横行栅栏 (2)两两固定连接， 组成网格结构， 定位 符号 (3)位于纵行栅栏（1)与横行栅栏 (2)相连处； 或者：
横行栅栏 (2)为两根， 每根纵行栅栏（1)的两端分别连接横行栅栏 (2)， 组成 "目"字结构， 定位符号 (3)位于纵行栅栏（1)上。
2、 根据权利要求 1所述的脊柱手术定位装置， 其特征在于所述组成网格结构 的纵行栅栏（1)与横行栅栏 (2)等间距。
3、 根据权利要求 1所述的脊柱手术定位装置， 其特征在于所述组成目字结构 的纵行栅栏（1)等间距。
4、 根据权利要求 1所述的脊柱手术定位装置， 其特征在于所述定位符号 ( 3 ) 可以采用星形、 三角形、 矩形、 心形、 月牙形、 十字形、 多边形、 菱形或同 心圆中一至多种。
PCT/CN2009/076104 2009-10-22 2009-12-28 一种脊柱手术定位装置 Ceased WO2011047517A1 (zh)

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WO2021046411A1 (en) 2019-09-05 2021-03-11 Children's National Medical Center System, method, and device for performing arthrography

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CN102357266A (zh) * 2011-07-05 2012-02-22 山东冠龙医疗用品有限公司 一种脊柱手术定位装置的制造方法
US9408671B2 (en) * 2011-12-08 2016-08-09 Parker Laboratories, Inc. Biopsy grid
CN103637816B (zh) * 2013-12-26 2015-06-24 王琪 一种用于胸腰椎术前定位的胸腰椎弓根透视定位盘
CN103830007B (zh) * 2014-01-09 2015-11-04 杨宗德 脊柱微创手术术前切口定位装置
CN103845116A (zh) * 2014-03-24 2014-06-11 王卫国 一种经皮椎弓根定位器
CN106137390A (zh) * 2015-04-13 2016-11-23 上海市嘉定区南翔医院 一种柔性胸腰椎骨折微创手术定位器
CN105499447A (zh) * 2015-12-25 2016-04-20 上海建工四建集团有限公司 钢筋网片弯折及拼装的定位夹具及其施工方法
CN106420064A (zh) * 2016-08-30 2017-02-22 崔轶 一种脊椎手术透视定位器
CN108524013A (zh) * 2017-12-04 2018-09-14 翟延荣 一种微创手术柔性立体定位装置
CN108378931B (zh) * 2018-01-03 2021-03-09 中国人民解放军陆军总医院 脊柱透视定位导板
CN113456092B (zh) * 2021-05-14 2022-11-29 赵胜 一种术中脊柱冠状位平衡评估工具

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WO2021046411A1 (en) 2019-09-05 2021-03-11 Children's National Medical Center System, method, and device for performing arthrography
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US12433635B2 (en) 2019-09-05 2025-10-07 Children's National Medical Center System, method, and device for performing arthrography

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