CN107714193A - A kind of stereotaxis guide - Google Patents
A kind of stereotaxis guide Download PDFInfo
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- CN107714193A CN107714193A CN201710955061.7A CN201710955061A CN107714193A CN 107714193 A CN107714193 A CN 107714193A CN 201710955061 A CN201710955061 A CN 201710955061A CN 107714193 A CN107714193 A CN 107714193A
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- positioning cap
- ventriculoscope
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- 230000033912 thigmotaxis Effects 0.000 title claims 2
- 210000005013 brain tissue Anatomy 0.000 abstract description 5
- 210000004556 brain Anatomy 0.000 description 7
- 230000007423 decrease Effects 0.000 description 3
- 238000013019 agitation Methods 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000008878 coupling Effects 0.000 description 1
- 238000010168 coupling process Methods 0.000 description 1
- 238000005859 coupling reaction Methods 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 210000003625 skull Anatomy 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/11—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
- A61B2034/107—Visualisation of planned trajectories or target regions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B2090/101—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis for stereotaxic radiosurgery
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Heart & Thoracic Surgery (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Pathology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Robotics (AREA)
- Magnetic Resonance Imaging Apparatus (AREA)
Abstract
本发明公开了一种立体定向导引器,包括定位帽和导向锥体,所述定位帽开有中心圆孔,导向锥体上部为圆柱形结构,下部为倒圆台结构,内部具有孔径从上到下逐渐变小的通孔,且所述通孔下端直径与中心圆孔相同;所述导向椎体上端沿具有圆角,定位帽具有与导向椎体上端沿相耦合的内圆角。本发明不仅可通过定向帽中心圆孔与导向锥体下端的圆孔确定穿刺路径,引导脑室镜沿预设的路径推进至手术的目标区域;且为脑室镜提供了以穿刺路径为中心轴的锥形的可调空间,穿刺前将导向锥体下端的圆孔放置在脑组织表面,从而脑室镜以最小化的脑组织扰动,获得最大化的观察范围。The invention discloses a stereotaxic guide, which comprises a positioning cap and a guiding cone. The positioning cap has a central circular hole. The upper part of the guiding cone is a cylindrical structure, and the lower part is a rounded platform structure. The diameter of the lower end of the through hole is the same as that of the central circular hole; the upper edge of the guide cone has rounded corners, and the positioning cap has an inner fillet coupled with the upper edge of the guide vertebral body. The present invention can not only determine the puncture path through the central round hole of the directional cap and the round hole at the lower end of the guide cone, guide the ventriculoscope to advance to the target area of the operation along the preset path; The cone-shaped adjustable space, the round hole at the lower end of the guide cone is placed on the surface of the brain tissue before puncture, so that the ventriculoscope can minimize the disturbance of the brain tissue and obtain a maximum observation range.
Description
技术领域technical field
本发明属于医疗器械领域,涉及一种立体定向导引器,用于脑室镜的立体定向。The invention belongs to the field of medical equipment, and relates to a stereotaxic guide, which is used for the stereotaxic of a ventriculoscope.
背景技术Background technique
目前,常用的脑立体定向仪有Leksell定向系统、BRW/CRW定向系统、Todd‐well定向系统;国内有深圳安科高技术有限公司的ASA‐601、602定向仪等,以上所有立体定向仪的原理都是需要首先在头颅外安装一个框架,再将这个框架和病人一起进行CT或MRI的扫描,然后得到带有框架坐标参数标记的病人颅脑CT或MRI的图像,病人颅脑内的各个影像解剖结构都会在这个坐标体系内有一个相应的坐标值,然后通过脑立体定向仪定义的机械数据定位该坐标点,并且由导向器与停止器所确定的穿刺路径,将器械引导至该坐标点,从而实现脑立体定向。At present, the commonly used stereotaxic instruments include Leksell orientation system, BRW/CRW orientation system, and Todd‐well orientation system; in China, there are ASA‐601 and 602 orientation instruments from Shenzhen Anke High-Tech Co., Ltd. The principle is that a frame needs to be installed outside the skull first, and then the frame and the patient are scanned by CT or MRI, and then the CT or MRI image of the patient's brain with frame coordinate parameters is obtained. The anatomical structure of the image will have a corresponding coordinate value in this coordinate system, and then the coordinate point is positioned by the mechanical data defined by the brain stereotaxic instrument, and the puncture path determined by the guide and stopper guides the instrument to this coordinate point to achieve brain stereotaxy.
然而上述定向仪的问题在于导向器与停止器对导针的固定作用,只能用于指定位置和路径的导向,而无法扩展到周围环境。However, the problem with the above-mentioned orientation instrument is that the fixing effect of the guide and the stopper on the guide pin can only be used for guiding the specified position and path, and cannot be extended to the surrounding environment.
发明内容Contents of the invention
本发明的目的在于针对现有技术的不足,提供一种立体定向导引器,该导引器适用于脑立体定向仪和无框架立体定向,即适合靶点的定位,也可在一定范围内,实现对靶点周围的处理。The purpose of the present invention is to address the deficiencies in the prior art, to provide a stereotaxic guide, which is suitable for brain stereotaxic instrument and frameless stereotaxic, that is, suitable for the positioning of the target point, and can also be used within a certain range , to achieve the treatment around the target.
本发明的目的是通过以下技术方案实现的:一种立体定向导引器,包括定位帽和导向锥体,所述定位帽开有中心圆孔,导向锥体上部为圆柱形结构,下部为倒圆台结构,内部具有孔径从上到下逐渐变小的通孔,且所述通孔下端直径与中心圆孔相同;所述导向椎体上端沿具有圆角,定位帽具有与导向椎体上端沿相耦合的内圆角。The object of the present invention is achieved through the following technical solutions: a stereotaxic guide, comprising a positioning cap and a guiding cone, the positioning cap has a central circular hole, the upper part of the guiding cone is a cylindrical structure, and the lower part is an inverted It has a circular platform structure, with a through hole whose diameter gradually decreases from top to bottom, and the diameter of the lower end of the through hole is the same as that of the central circular hole; the upper edge of the guide vertebra has rounded corners, and the positioning cap has the same shape as the upper edge of the guide vertebra. Coupled fillets.
进一步地,所述中心圆孔孔壁具有橡胶圈。Further, the wall of the central circular hole has a rubber ring.
进一步地,所述导向锥体上端具有凸缘。Further, the upper end of the guide cone has a flange.
本发明的有益效果:Beneficial effects of the present invention:
1.定位帽与导向椎体在耦合的情况下,可通过定向帽中心圆孔与导向锥体下端的圆孔确定穿刺路径,将脑室镜沿预设的路径引导至手术的目标区域;1. When the positioning cap and the guiding vertebral body are coupled, the puncture path can be determined through the round hole in the center of the positioning cap and the round hole at the lower end of the guiding cone, and the ventriculoscope will be guided to the target area of the operation along the preset path;
2.到达手术的目标区域后,将定位帽与导向锥体脱离耦合关系,脑室镜具有以穿刺路径为中心轴的锥形的可调空间,穿刺前将导向锥体下端的圆孔放置在脑组织表面,从而脑室镜以最小化的脑组织扰动,获得最大化的观察范围。2. After reaching the target area of the operation, decouple the positioning cap from the guide cone. The ventriculoscope has a tapered adjustable space with the puncture path as the central axis. Before puncture, place the round hole at the lower end of the guide cone on the brain. The surface of the tissue, so that the ventriculoscope can minimize the disturbance of the brain tissue and obtain the maximum observation range.
附图说明Description of drawings
图1为本发明立体定向导引器的结构示意图;Fig. 1 is the structural representation of stereotaxic guide device of the present invention;
图2为定位帽的结构示意图;Fig. 2 is the structural representation of positioning cap;
图3为导向锥体的结构示意图;Fig. 3 is the structural representation of guide cone;
图4为脑室镜在立体定向导引器中转动的示意图;Fig. 4 is a schematic diagram of the rotation of the ventriculoscope in the stereotaxic guide;
图中,定位帽1、导向锥体2、中心圆孔11、通孔21。In the figure, a positioning cap 1, a guide cone 2, a central circular hole 11, and a through hole 21 are shown.
具体实施方式detailed description
如图1所示,一种立体定向导引器,适用于现有的脑立体定向仪和无框架立体定向;包括定位帽1和导向锥体2,所述定位帽1开有中心圆孔11;导向锥体2上部为圆柱形结构,使之适用于现有的脑立体定向仪的导引器底座或者无框架立体定向的固定支架上,下部为倒圆台结构,方便对准指定部位,内部具有孔径从上到下逐渐变小的通孔21;所述导向椎体2上端沿具有圆角,定位帽1具有与导向椎体2上端沿相配合的内圆角。As shown in Figure 1, a kind of stereotaxic guider is applicable to existing brain stereotaxic instrument and frameless stereotaxic; It comprises positioning cap 1 and guiding cone 2, and described positioning cap 1 has central circular hole 11 ; The upper part of the guide cone 2 is a cylindrical structure, so that it is suitable for the guide base of the existing stereotaxic instrument or the fixed support of the frameless stereotaxic, and the lower part is a rounded table structure, which is convenient for aligning with the designated position. It has a through hole 21 whose diameter gradually decreases from top to bottom; the upper edge of the guide cone 2 has rounded corners, and the positioning cap 1 has an inner fillet matched with the upper edge of the guide vertebral body 2 .
使用时,通过立体定向仪的停止器和导引器确定脑室镜穿刺路径,使得脑室镜沿预设的路径推进至手术的目标区域,并可循至路径探查不同深度的区域情况;然后卸除停止器,位于导引器通孔21内的脑室镜即可以沿通孔21侧壁进行转向,如图4所示。导向锥体2的内腔,即从上到下逐渐变小的通孔21可为脑室镜提供一个锥体形状的可调空间,脑室镜的镜体位于锥形空间的顶端,接近大脑表面时,前端的镜头无论怎样调整,镜体对大脑表面的搅动都很小,随着镜体深入脑组织的深度加大,其可调空间变大,即越深部的病灶,观察范围越大,从而以最小化的脑组织扰动,获得最大化的观察范围。When in use, the puncture path of the ventriculoscope is determined by the stopper and guide of the stereotaxic instrument, so that the ventriculoscope advances to the target area of the operation along the preset path, and can follow the path to explore the conditions of different depths; then remove The stopper, the ventriculoscope located in the through hole 21 of the introducer can be turned along the side wall of the through hole 21, as shown in FIG. 4 . The lumen of the guide cone 2, that is, the through hole 21 that gradually decreases from top to bottom can provide a cone-shaped adjustable space for the ventriculoscope. , no matter how the lens at the front end is adjusted, the agitation of the lens body on the surface of the brain is very small. As the depth of the lens body penetrates into the brain tissue increases, its adjustable space becomes larger, that is, the deeper the lesion, the larger the observation range. Thus, with the minimum disturbance of brain tissue, the maximum observation range is obtained.
而当操作过程中迷失方向的时间,只需将定位帽1滑移至导向锥体2的耦合位置,脑室镜即恢复至原先的穿刺路径上,此时即可利用导航或手术计划的图像进行可视化评估。圆角的设计可以避免导针活动时被锁死的问题。And when you lose your way during the operation, just slide the positioning cap 1 to the coupling position of the guide cone 2, and the ventriculoscope will return to the original puncture path. Visual assessment. The rounded corner design can avoid the problem of the guide pin being locked when it moves.
同理,将导引器放置在无框架立体定向的固定支架上,完成定位导向的操作后,将导引器的位置锁定,即可实现上述同样的功能。In the same way, the same function as above can be realized by placing the introducer on the frameless stereotaxic fixed support, and locking the position of the introducer after completing the positioning and guiding operation.
作为优选的技术方案,所述导向锥体2上端具有凸缘,辅助导引器底座的固定作用。所述中心圆孔11孔壁具有橡胶圈,使得定位帽1与脑室镜之间具有较高的摩擦力,避免相对滑动。As a preferred technical solution, the upper end of the guide cone 2 has a flange to assist the fixation of the guide base. The hole wall of the central circular hole 11 has a rubber ring, so that there is a relatively high friction force between the positioning cap 1 and the ventriculoscope, so as to avoid relative sliding.
Claims (3)
- A kind of 1. stereotaxis guide, it is characterised in that including positioning cap (1) and guiding cone (2), the positioning cap (1) Be provided with center hole (11), guiding cone (2) top is cylindrical structural, and bottom is inverted round stage structure, inside have aperture from The through hole (21) that top to bottm tapers into, and the through hole (21) lower end diameter is identical with center hole (11);The guiding vertebra Body (2) upper end edge has fillet, and positioning cap (1) has the filleted corner being coupled with being oriented to centrum (2) upper end edge.
- 2. guide according to claim 1, it is characterised in that center hole (11) hole wall has rubber ring.
- 3. guide according to claim 1, it is characterised in that guiding cone (2) upper end has flange.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201710955061.7A CN107714193A (en) | 2017-10-13 | 2017-10-13 | A kind of stereotaxis guide |
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| CN201710955061.7A CN107714193A (en) | 2017-10-13 | 2017-10-13 | A kind of stereotaxis guide |
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Application publication date: 20180223 |