CN109009402B - Kirschner wire pre-fixing guide device for orthopedic operation - Google Patents
Kirschner wire pre-fixing guide device for orthopedic operation Download PDFInfo
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- CN109009402B CN109009402B CN201810903737.2A CN201810903737A CN109009402B CN 109009402 B CN109009402 B CN 109009402B CN 201810903737 A CN201810903737 A CN 201810903737A CN 109009402 B CN109009402 B CN 109009402B
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/90—Guides therefor
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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
- A61B90/13—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 guided by light, e.g. laser pointers
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B2017/564—Methods for bone or joint treatment
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- Orthopedic Medicine & Surgery (AREA)
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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- Heart & Thoracic Surgery (AREA)
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- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
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- Oral & Maxillofacial Surgery (AREA)
- Optics & Photonics (AREA)
- Surgical Instruments (AREA)
Abstract
The invention relates to a kirschner wire pre-fixing guide device for orthopedic surgery, which comprises: the fixing seat comprises a fixing clamp and a base, the lower end of the fixing clamp is connected with the base, three quarters of the fixing clamp are hollowed into a slide rail, the slide rail is provided with a slide seat, the slide seat is provided with an extension table, the extension table is provided with an infrared emission device, the infrared emission device is used for emitting infrared according to the fixing direction of the Kirschner wire, and the infrared emission device is connected with the extension table through a first universal joint; the terminal second universal joint and the kirschner wire fixing device of including of support top, kirschner wire fixing device include the cylinder, first infrared ray receiving ring, second infrared ray receiving ring, and first infrared ray receiving ring sets up in the second universal joint outer lane, and second infrared ray receiving ring sets up in the cylinder mouth, and first infrared ray receiving ring and second infrared ray receiving ring are used for confirming the cylinder orientation and the angle is squeezed into to the kirschner wire according to the infrared ray of infrared ray emission device transmission.
Description
Technical Field
The invention relates to the field of medical instruments, in particular to a Kirschner wire pre-fixing guide device for orthopedic surgery.
Background
Fracture refers to a disease of partial or complete fracture of bone due to trauma or pathology, when treating fracture, the broken end of the displaced bone after fracture is usually restored to normal or close to the original normal position, after fracture reduction, the bone is easy to be displaced again because of its instability, so it should be fixed on the satisfied position by different methods to heal gradually, and the fixing method includes external fixation and internal fixation.
The Kirschner wire fixation is a common internal fixation method, usually adopts the Kirschner wire fixation for some unstable fractures, and has better clinical Kirschner wire fixation effect for short bones, irregular bones, adjacent joint fracture fixation and trans-joint fixation; when fixing the kirschner wire, at first need install the one end of kirschner wire on the electric drill, then open the electric drill, squeeze into the skeleton that needs to be fixed with the kirschner wire, the kirschner wire need be squeezed into according to predetermined angle and position accuracy, in operation process, the doctor holds the electric drill in case and takes place the shake, cause the angle and the position of squeezing into inaccurate, at this moment just need extract the kirschner wire, squeeze into again, often need squeeze into many times for an operation, invisibly aggravated vice damage, further destroyed the blood supply, the operation time has been prolonged, and then influenced treatment, angle and position at the process of squeezing into the kirschner wire are difficult to master, so the disposable success rate of kirschner wire fixation operation is lower.
Disclosure of Invention
The purpose of the invention is as follows:
the invention provides a kirschner wire pre-fixing guide device for orthopedic surgery, aiming at the problems that once an electric drill held by a doctor shakes in the operation process, the driving angle and position are inaccurate, the kirschner wire needs to be pulled out and driven again, the electric drill is often driven in for many times in one surgery, side damage is increased invisibly, blood supply is further damaged, the surgery time is prolonged, the treatment effect is further influenced, the angle and position in the kirschner wire driving process are difficult to master, and the one-time success rate of the kirschner wire fixing surgery is low.
The technical scheme is as follows:
a k-wire pre-fixation guide for orthopedic surgery, comprising: the fixing seat comprises a fixing clamp and a base, one quarter of the lower end of the fixing clamp is connected with the base, three quarters of the fixing clamp are hollowed out to form a slide rail, the slide rail is provided with a slide seat, two sides of the slide seat are provided with extension tables, the extension tables are provided with infrared emission devices, the infrared emission devices are used for emitting infrared rays according to the fixing direction of the Kirschner wire confirmed by a doctor, and the infrared emission devices are connected with the extension tables through first universal joints; the support top end includes second universal joint and kirschner wire fixing device, the second universal joint is connected the support is terminal, kirschner wire fixing device connects universal joint, kirschner wire fixing device includes cylinder, first infrared ray receiving ring, second infrared ray receiving ring, first infrared ray receiving ring sets up in the second universal joint outer lane, second infrared ray receiving ring sets up in the cylinder mouth, first infrared ray receiving ring and second infrared ray receiving ring are used for the basis the infrared ray of infrared emission device transmission is confirmed the cylinder orientation and the angle is squeezed into to kirschner wire.
In a preferred aspect of the present invention, the first infrared receiving ring is provided with a first infrared sensing chip, the second infrared receiving ring is provided with a second infrared sensing chip, and the second universal joint is provided with a control device connected to the first infrared sensing chip and the second infrared sensing chip, respectively.
In a preferred embodiment of the present invention, the control device controls the second universal joint to rotate to a position of the first infrared sensing chip receiving the infrared ray when the first infrared sensing chip senses the infrared ray, and controls the second universal joint to stop rotating when the second infrared sensing chip senses the infrared ray.
In a preferred embodiment of the present invention, the cross-sectional dimension of the end of the syringe corresponds to the dimension of the outer ring of the first infrared-ray receiving ring, and the dimension of the second universal joint corresponds to the dimension of the inner ring of the first infrared-ray receiving ring.
In a preferred aspect of the present invention, the first infrared ray receiving ring and the second infrared ray receiving ring are projected to overlap each other in a state where the syringe is vertical.
As a preferable mode of the present invention, the needle cylinder includes a cylinder base, a telescopic shaft, a cylinder body, a motor, and a rotary through-hole shaft, the telescopic shaft connects the cylinder base and the cylinder body, the cylinder base connects the second universal joint, the motor is disposed in the cylinder body, the rotary through-hole shaft connects the motor, and the rotary through-hole shaft is used for fixing the kirschner wire.
In a preferred aspect of the present invention, the motor is connected to the control device, and the control device controls the motor to operate and further controls the extension of the telescopic shaft when the first infrared sensing chip and the second infrared sensing chip confirm the driving angle of the k-wire.
As a preferable mode of the present invention, a limiting ring is disposed on a side surface of the infrared emission device, and a size of an inner ring of the limiting ring is consistent with a size of a cross section of the cylinder.
The invention realizes the following beneficial effects:
utilize the infrared ray to carry out the affirmation that the ke shi needle squeezed into the direction, make the ke shi needle squeeze into the direction fixed, solved in operation process, doctor's handheld electric drill in case takes place the shake, cause the angle and the position of squeezing into inaccurate, at this moment just need extract the ke shi needle, squeeze into again, once only the operation often need squeeze into many times, the pair damage has been aggravated in the intangible, further destroyed the blood supply, the operation time has been prolonged, and then treatment has been influenced, angle and position at the ke shi needle in-process of squeezing into are difficult to master, so the lower problem of disposable success rate of the operation is fixed to the ke shi needle.
Drawings
The accompanying drawings, which are incorporated in and constitute a part of this specification, illustrate embodiments consistent with the present disclosure and together with the description, serve to explain the principles of the disclosure.
FIG. 1 is a schematic view of the apparatus;
FIG. 2 is a schematic view of a fixing base;
FIG. 3 is a schematic view of a K-wire fixing device;
FIG. 4 is a schematic view of a syringe;
fig. 5 is a system framework diagram.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments.
The first embodiment is as follows:
the reference figures are fig. 1, fig. 2, fig. 3 and fig. 5. A k-wire pre-fixation guide for orthopedic surgery, comprising: the fixing device comprises a platform 1, a support 2 and a fixing seat 3, wherein the support 2 and the fixing seat 3 are arranged on the platform 1, the fixing seat 3 comprises a fixing clamp 4 and a base 5, one quarter of the lower end of the fixing clamp 4 is connected with the base 5, three quarters of the fixing clamp 4 are hollowed into a sliding rail 6, the sliding rail 6 is provided with a sliding seat, two sides of the sliding seat are respectively provided with an extending table 8, the extending tables 8 are respectively provided with an infrared emitting device 9, the infrared emitting devices 9 are used for emitting infrared rays according to the fixing direction of a Kirschner wire confirmed by a doctor, and the infrared emitting devices 9 are connected with the extending tables 8 through a first universal joint 10; the end includes second universal joint 12 and kirschner wire fixing device 13 in 2 tops of support, second universal joint 12 is connected 2 ends of support, kirschner wire fixing device 13 connects universal joint, kirschner wire fixing device 13 includes syringe 14, first infrared ray receiving ring 15, second infrared ray receiving ring 16, first infrared ray receiving ring 15 set up in second universal joint 12 outer lane, second infrared ray receiving ring 16 set up in 14 mouths of syringe, first infrared ray receiving ring 15 and second infrared ray receiving ring 16 are used for the basis the infrared ray that infrared ray emitter 9 transmitted is confirmed syringe 14 orientation and kirschner wire are squeezed into the angle.
In a preferred embodiment of the present invention, the first infrared ray receiving ring 15 is provided with a first infrared ray sensing chip 17, the second infrared ray receiving ring 16 is provided with a second infrared ray sensing chip 18, the second universal joint 12 is provided with a control device 19, and the control device 19 is connected to the first infrared ray sensing chip 17 and the second infrared ray sensing chip 18, respectively.
In a preferred embodiment of the present invention, the control device 19 controls the second universal joint 12 to rotate to the position of the first infrared sensing chip 17 that receives the infrared ray when the first infrared sensing chip 17 senses the infrared ray, and the control device 19 controls the second universal joint 12 to stop rotating when the second infrared sensing chip 18 senses the infrared ray.
In a preferred embodiment of the present invention, the cross-sectional size of the distal end of the needle cylinder 14 corresponds to the size of the outer ring of the first infrared-ray receiving ring 15, and the size of the second universal joint 12 corresponds to the size of the inner ring of the first infrared-ray receiving ring 15.
In a preferred embodiment of the present invention, the first infrared ray receiving ring 15 and the second infrared ray receiving ring 16 are projected and overlapped with each other in a state where the cylinder 14 is vertical.
In the specific implementation process, a doctor determines the driving direction of the kirschner wire on the fracture part by means of nuclear magnetic resonance and the like, adjusts the infrared emitting device 9 according to the driving direction, and changes the emitting direction of the infrared emitting device 9 to the position consistent with the direction of the straight line of the driving direction of the kirschner wire. For a fractured part of a patient, such as a leg, the fractured part of the leg is fixed by the fixing clip 4, and the extension table 8 on the sliding seat is slid to a position corresponding to the position where a doctor confirms that the kirschner wire needs to be driven by sliding the sliding seat in the slide rail 6. It should be noted that the first infrared receiving ring 15 and the second infrared receiving ring 16 are perpendicular to the syringe 14.
When the above steps are completed, the doctor preliminarily adjusts the kirschner wire fixing device 13 on the distal end of the holder 2 to the extension line of the emission direction of the infrared ray emission means 9, wherein, in particular, it is confirmed that the first infrared ray receiving ring 15 is adjusted to the extension line of the emission direction of the infrared ray emission means 9. The infrared emitting device 9 emits infrared rays to the outside after being turned on, the infrared rays irradiate the first infrared receiving ring 15, the first infrared sensing chip 17 arranged in the first infrared receiving ring 15 senses the infrared center position of the infrared rays and judges whether the infrared center position falls on the first infrared receiving ring 15, and if not, the control device 19 adjusts the position of the kirschner wire fixing device 13 until the infrared rays emitted by the infrared emitting device 9 fall on the first infrared receiving ring 15. When the center position of the infrared ray sensed by the first infrared sensing chip 17 falls on the first infrared receiving ring 15, the control device 19 controls the second universal joint 12 to rotate towards the direction corresponding to the position of the first infrared sensing chip 17 which senses the position of the infrared ray in the first infrared receiving ring 15, so as to drive the kirschner wire fixing device 13 to rotate towards the direction, during the rotation process, the second infrared receiving ring 16 gradually approaches the infrared ray emitted by the infrared emitting device 9, the infrared ray gradually irradiates on the second infrared receiving ring 16, the second infrared sensing chip 18 arranged in the second infrared receiving ring 16 judges the current rotation condition according to the position of the second infrared receiving ring 16 irradiated by the infrared ray, when the center position irradiated by the infrared ray is judged not to reach the second infrared receiving ring 16, the control device 19 continuously controls the kirschner wire fixing device 13 to rotate, when the second infrared sensing chip 18 senses that the central position of the second infrared receiving ring 16 irradiated by the infrared ray is the second infrared receiving ring 16, the second infrared sensing chip 18 starts to measure the intensity of the infrared ray, when the intensity of the infrared ray reaches the intensity value of the direct irradiation set by the infrared emitting device 9, the second infrared sensing chip 18 judges that the second infrared receiving ring 16 is just opposite to the infrared ray at the moment, namely, the infrared ray is perpendicular to the second infrared receiving ring 16, because the second infrared receiving ring 16 is perpendicular to the needle cylinder 14, the needle cylinder 14 is parallel to the infrared ray, and at the moment, the driving direction of the kirschner wire is the same as the driving direction of the kirschner wire set by the doctor. At this time, the control device 19 controls the second universal joint 12 to move to a position close to the syringe 14 where the second infrared ray sensing chip 18 senses infrared rays according to the position of the second infrared ray sensing chip 18 sensing infrared rays. At this time, the K-wire is just opposite to the position of the K-wire driving direction set by the doctor.
Example two:
the reference figure is fig. 4. For the first embodiment, the present embodiment is different in that:
in a preferred embodiment of the present invention, the needle cylinder 14 includes a cylinder base 20, a telescopic shaft 21, a cylinder body 22, a motor 23, and a rotary through-hole shaft 24, the telescopic shaft 21 connects the cylinder base 20 and the cylinder body 22, the cylinder base 20 connects the second universal joint 12, the motor 23 is disposed in the cylinder body 22, the rotary through-hole shaft 24 connects the motor 23, and the rotary through-hole shaft 24 is used for fixing the kirschner wire.
In a preferred embodiment of the present invention, the motor 23 is connected to the control device 19, and when the first infrared sensor chip 17 and the second infrared sensor chip 18 confirm the driving angle of the k-wire, the control device 19 controls the motor 23 to operate, and further controls the extension of the telescopic shaft 21.
As a preferred mode of the present invention, a limiting ring is disposed on a side surface of the infrared emitting device 9, and a size of an inner ring of the limiting ring is consistent with a size of a cross section of the cylinder 22.
In a specific implementation process, when the kirschner wire fixing device 13 reaches the driving position, the control device 19 controls the motor 23 to be started, and the motor 23 controls the telescopic shaft 21 to extend out and the rotating through hole shaft 24 to rotate, so that the kirschner wire is driven to rotate and extend out along a set direction, and the kirschner wire is driven into a preset position. It should be noted that, in the present invention, the distance between the infrared ray emitted from the infrared ray emitting device 9 and the driving position of the kirschner wire is the same as the distance between the chip close to the first infrared ray receiving ring 15 and the second infrared ray receiving ring 16 of the needle cylinder 14 and the rotating through-hole shaft 24, and the spacing ring is just opposite to the driving position of the kirschner wire after adjustment.
The above embodiments are merely illustrative of the technical ideas and features of the present invention, and are intended to enable those skilled in the art to understand the contents of the present invention and implement the present invention, and not to limit the scope of the present invention. All equivalent changes or modifications made according to the spirit of the present invention should be covered within the protection scope of the present invention.
Claims (6)
1. A k-wire pre-fixation guide for orthopedic surgery, comprising: platform, support, fixing base, support and fixing base set up in on the platform, its characterized in that: the fixing seat comprises a fixing clamp and a base, one quarter of the lower end of the fixing clamp is connected with the base, three quarters of the fixing clamp is hollowed into a slide rail, the slide rail is provided with a slide seat, two sides of the slide seat are respectively provided with an extending table, the extending tables are respectively provided with an infrared emitting device, the infrared emitting devices are used for emitting infrared according to the fixing direction of the Kirschner wire confirmed by a doctor, and the infrared emitting devices are connected with the extending tables through first universal joints; the top end of the support comprises a second universal joint and a Kirschner wire fixing device, the second universal joint is connected with the tail end of the support, the Kirschner wire fixing device is connected with the second universal joint, the Kirschner wire fixing device comprises a needle cylinder, a first infrared receiving ring and a second infrared receiving ring, the first infrared receiving ring is arranged on the outer ring of the second universal joint, the second infrared receiving ring is arranged at the opening of the needle cylinder, the first infrared receiving ring and the second infrared receiving ring are used for confirming the orientation of the needle cylinder and the driving angle of the Kirschner wire according to the infrared rays emitted by the infrared emitting device, the first infrared receiving ring is provided with a first infrared sensing chip, the second infrared receiving ring is provided with a second infrared sensing chip, the second universal joint is provided with a control device, and the control device is respectively connected with the first infrared sensing chip and the second infrared sensing chip, when first infrared ray sensing chip sensing detects the infrared ray, controlling means control second universal joint rotates to the position of receiving infrared ray's first infrared ray sensing chip, and when second infrared ray sensing chip sensing detects the infrared ray, controlling means control second universal joint stall.
2. The orthopedic needle pre-fixation guide of claim 1, wherein: the size of the cross section of the tail end of the needle cylinder is consistent with the size of the outer ring of the first infrared receiving ring, and the size of the second universal joint is consistent with the size of the inner ring of the first infrared receiving ring.
3. The orthopedic needle pre-fixation guide of claim 2, wherein: the first infrared receiving ring and the second infrared receiving ring are projected and superposed in the vertical state of the needle cylinder.
4. The orthopedic needle pre-fixation guide of claim 3, wherein: the cylinder includes mount, telescopic shaft, barrel, motor, rotatory through-hole axle, the telescopic shaft is connected mount and barrel, the mount is connected the second universal joint, the motor set up in the barrel, rotatory through-hole hub connection the motor, rotatory through-hole axle is used for fixed kirschner wire.
5. The orthopedic needle pre-fixation guide of claim 4, wherein: the motor is connected with the control device, and when the first infrared sensing chip and the second infrared sensing chip confirm that the Kirschner wire is driven into the angle, the control device controls the motor to work so as to control the extension of the telescopic shaft.
6. The orthopedic needle pre-fixation guide of claim 4, wherein: the side surface of the infrared transmitting device is provided with a limiting ring, and the size of the inner ring of the limiting ring is consistent with that of the cross section of the cylinder.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810903737.2A CN109009402B (en) | 2018-08-09 | 2018-08-09 | Kirschner wire pre-fixing guide device for orthopedic operation |
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| Application Number | Priority Date | Filing Date | Title |
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| CN201810903737.2A CN109009402B (en) | 2018-08-09 | 2018-08-09 | Kirschner wire pre-fixing guide device for orthopedic operation |
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| CN109009402A CN109009402A (en) | 2018-12-18 |
| CN109009402B true CN109009402B (en) | 2020-06-19 |
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| CN201810903737.2A Active CN109009402B (en) | 2018-08-09 | 2018-08-09 | Kirschner wire pre-fixing guide device for orthopedic operation |
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| CN111839654B (en) * | 2020-07-24 | 2022-05-20 | 中南大学湘雅医院 | Guide positioning type electric bone drill |
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| CN204446011U (en) * | 2015-02-06 | 2015-07-08 | 汤玮 | A kind of orthopaedics card punch |
| US10682156B2 (en) * | 2015-05-28 | 2020-06-16 | Akm A. Rahman | Angle-guidance device and method for CT guided drainage and biopsy procedures |
| CN206080650U (en) * | 2016-06-08 | 2017-04-12 | 上海市肺科医院 | Take LED position light's lung puncture angle positioner |
| CN107049431A (en) * | 2016-12-30 | 2017-08-18 | 西安中科微光影像技术有限公司 | A kind of automatic puncturing robot |
| CN108095818B (en) * | 2018-01-19 | 2019-08-13 | 刘超 | The orthopedic kirschner pin locating guider that can quickly adjust |
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