CN110840548A - Percutaneous minimally invasive pedicle of vertebral arch puncture guiding system - Google Patents
Percutaneous minimally invasive pedicle of vertebral arch puncture guiding system Download PDFInfo
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- CN110840548A CN110840548A CN201911251119.5A CN201911251119A CN110840548A CN 110840548 A CN110840548 A CN 110840548A CN 201911251119 A CN201911251119 A CN 201911251119A CN 110840548 A CN110840548 A CN 110840548A
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- 239000002184 metal Substances 0.000 claims abstract description 37
- 239000004696 Poly ether ether ketone Substances 0.000 claims description 6
- 229920002530 polyetherether ketone Polymers 0.000 claims description 6
- 229920006351 engineering plastic Polymers 0.000 claims description 3
- 229910001220 stainless steel Inorganic materials 0.000 claims description 3
- 239000010935 stainless steel Substances 0.000 claims description 2
- 238000002513 implantation Methods 0.000 description 8
- 230000002457 bidirectional effect Effects 0.000 description 3
- 210000003484 anatomy Anatomy 0.000 description 2
- 230000009286 beneficial effect Effects 0.000 description 2
- 238000009434 installation Methods 0.000 description 2
- 230000005540 biological transmission Effects 0.000 description 1
- 230000002349 favourable effect Effects 0.000 description 1
- 238000002594 fluoroscopy Methods 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 230000002035 prolonged effect Effects 0.000 description 1
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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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7074—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
- A61B17/7076—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation
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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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- Orthopedic Medicine & Surgery (AREA)
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- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
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Abstract
The invention relates to a percutaneous minimally invasive pedicle puncture guiding system, which comprises a pedicle puncture auxiliary positioning guiding template, a guiding tube, a puncture needle expansion sleeve, a puncture needle and a fixed handle, wherein the auxiliary positioning guiding template is provided with a metal grid and a plurality of guiding holes for marking positions, the guiding holes are used for inserting the guiding tube, the puncture needle expansion sleeve is inserted in the guiding tube, and the puncture needle is fixed by the fixed handle and extends into the expansion sleeve; the metal grid assists the guide tube to position under the irradiation of X-ray, the central axis angle of the guide hole is consistent with the internal inclination angle and the tail inclination angle of the screw feeding direction of the vertebral body; the central axis angles of the plurality of guide holes of the positioning guide template are different from each other so as to adapt to the inclination angles and the tail inclination angles of different centrum nail feeding directions. According to the invention, the auxiliary positioning guide template is provided with the plurality of guide holes or guide chutes in advance, so that the proper guide holes or guide chutes can be selected quickly during the operation, the time for a doctor to repeatedly observe and confirm the nail feeding direction through X-rays is reduced, and the operation efficiency is improved.
Description
Technical Field
The invention relates to the technical field of medical instruments, in particular to a positioning and guiding system for percutaneous minimally invasive pedicle puncture.
Background
Chinese utility model patent with publication number 203042422U discloses pedicle of vertebral arch sighting device and sight thereof, and the patent number is: 201320055077. X. The pedicle sighting device comprises a guide sleeve and a sighting device which can be guided to slide and inserted into the guide sleeve, the sighting device is of a cylinder structure made of a material capable of transmitting X rays, one end of the sighting device is of a conical structure, at least two positioning through holes for penetrating the Kirschner wires are formed in the sighting device along the axis direction of the sighting device, the positioning through holes are distributed in an array mode on the end face of the sighting device, and a metal structure used for displaying the positions of the positioning through holes under the X-ray irradiation is arranged on the sighting device. Use the utility model discloses a sight can demonstrate positioning hole's position on the X-ray projection when C arm transmission patient backbone positive position piece, finds out the projection of the positioning hole that pedicle of vertebral arch central point put, and the positioning hole that this projection corresponds is the needle point of entry of pedicle of vertebral arch promptly, inserts the location that the pedicle of vertebral arch can be realized to the kirschner wire from this positioning hole.
The Chinese patent with publication number 107518936A discloses a full spine pedicle positioning sleeve, and the patent application numbers are as follows: 201710730125.3, filing date: 2017-08-23. The multifunctional positioning piece is T-shaped and can indicate the level, sagittal azimuth positioning scales are marked at the end part of the multifunctional positioning piece connected with the bidirectional positioning vernier, the bidirectional positioning vernier can slide along the dial to position the horizontal azimuth and can rotate along the multifunctional positioning piece to position the sagittal azimuth, and the bidirectional positioning vernier is perpendicular to the rotating plane along the sliding of the dial and the multifunctional positioning piece. The invention can quantify the three-dimensional direction of the pedicle screw implantation, avoid the limitation of spinal segments and the limitation of anatomical structures and ensure the accuracy of the pedicle screw implantation positioning.
Although the first patent mentioned above can insert kirschner wires through the positioning through holes to realize pedicle positioning, since the three-dimensional anatomical structure of the spine has an inclination angle and a tail inclination angle, only the positioning points for pedicle screw implantation are found, and the appropriate inclination angle and tail inclination angle in the vertebral body screw feeding direction cannot be found quickly, and the pedicle screw implantation positioning accuracy cannot be ensured.
The second patent can quantify the three-dimensional direction of pedicle screw implantation, but fails to effectively perform the quick positioning of the pedicle of vertebral arch, and is also difficult to ensure the accuracy of pedicle screw implantation positioning. The pedicle aiming and positioning instrument disclosed by the two patents has the advantages of large volume, high cost, complex structure, inconvenient operation, prolonged operation time and long X-ray irradiation time for doctors and patients, thereby damaging the physical health of the doctors and patients.
Disclosure of Invention
The invention aims to provide a positioning and guiding system for percutaneous minimally invasive pedicle screw puncture, which is beneficial to quickly positioning the pedicle of vertebral arch, can quickly find out a proper internal inclination angle and a proper tail inclination angle in the screw feeding direction of a vertebral body and realizes accurate positioning of pedicle screw implantation.
The purpose of the invention is realized by adopting the following technical scheme:
the percutaneous minimally invasive pedicle puncture guide system comprises a pedicle puncture auxiliary positioning guide template, a guide tube, a puncture needle expansion sleeve, a puncture needle and a fixing handle thereof, wherein the auxiliary positioning guide template is provided with a metal grid and a plurality of guide holes for marking positions, the guide tube is inserted into the guide holes, the puncture needle expansion sleeve is inserted into the guide tube, and the puncture needle is fixed by the fixing handle and can extend into the expansion sleeve;
the metal grid is used for assisting in positioning the guide tube under the irradiation of X-rays, the thickness of the positioning guide template is more than or equal to 2mm, and the angle of the central axis of the guide hole is consistent with the inner inclination angle and the tail inclination angle of the screw feeding direction of the vertebral body;
the central axis angles of the plurality of guide holes of the positioning guide template are different from each other so as to adapt to the inclination angles and the tail inclination angles of different centrum nail feeding directions.
As a preferable technical solution of the present invention, the positioning guide template is a rectangular structure, the metal mesh includes a plurality of transverse lines and longitudinal lines which are perpendicular to each other, and the plurality of guide holes are arranged at both sides of the middle longitudinal line in a transverse direction and are symmetrically arranged with each other.
As a preferred technical scheme of the invention, the middle longitudinal line of the metal grid is a thickened main longitudinal line, the two sides of the main longitudinal line are respectively provided with a left longitudinal line and a right longitudinal line which are uniformly distributed and arranged in sequence, and the left longitudinal line and the right longitudinal line are symmetrically arranged; the transverse lines of the metal grids are uniformly distributed and arranged in sequence.
As a preferable technical scheme of the invention, the diameter of the guide holes is 2.5mm-6mm, the diameters of a plurality of guide holes transversely arranged in the same row are the same, the angles of the central axes of the guide holes are different, wherein the hole distance between two adjacent guide holes is smaller than the diameter of the guide holes, and a plurality of continuously intersected guide holes form the guide chute.
As a preferred technical scheme of the invention, at least two rows of guide holes which are parallel to each other are arranged on the positioning guide template, and the diameters of the two adjacent rows of guide holes are different.
As a preferred technical scheme of the invention, the angle of the central axis of the guide hole comprises a tail inclination angle and an inner inclination angle; the location direction template is equipped with three group's guiding holes at least, and every group guiding hole comprises last hole, mesopore and lower hole, and wherein, the angle of every group guiding hole central axis is as follows:
first set of pilot holes: the tail inclination angle of the upper hole is 0 degree, the inner inclination angle of the upper hole is 8 degrees, the tail inclination angle of the middle hole is 0 degree, the inner inclination angle of the middle hole is 10 degrees, the tail inclination angle of the lower hole is 0 degree, and the inner inclination angle of the lower hole is 12 degrees;
a second set of pilot holes: the tail inclination angle of the upper hole is 6 degrees, the inner inclination angle of the upper hole is 8 degrees, the tail inclination angle of the middle hole is 6 degrees, the inner inclination angle of the middle hole is 10 degrees, the tail inclination angle of the lower hole is 6 degrees, and the inner inclination angle of the lower hole is 12 degrees;
third group of pilot holes: the dip angle of the tail of the upper hole is 10 degrees, the dip angle of the tail of the upper hole is 8 degrees, the dip angle of the tail of the middle hole is 10 degrees, the dip angle of the inner hole of the middle hole is 10 degrees, the dip angle of the tail of the lower hole is 10 degrees, and the dip angle of the tail of the lower hole is 12.
As the preferred technical scheme of the invention, the positioning guide template is made of polyether-ether-ketone special engineering Plastics (PEEK), and the upper surface of the positioning guide template is provided with a metal grid; the upper end of the puncture needle is inserted into the fixing hole of the fixing handle, one side of the fixing hole is provided with a locking screw, and the puncture needle and the fixing handle can be connected and fixed through the locking screw.
As a preferable technical scheme of the invention, the metal grid is made of medical stainless steel wires.
As the preferred technical scheme of the invention, the upper surface of the positioning guide template is provided with a grid groove matched with the metal grid, and the metal grid is placed in the grid groove and is set to be in a separable movable installation mode.
As a preferred technical scheme of the present invention, the positioning and guiding template is fixed to the medical operating table by a connection adjusting device, the connection adjusting device includes a saddle-shaped support, a horizontal detector and a bolt adjusting mechanism, the support is connected and fixed to the operating table, the horizontal detector is disposed on the upper surface of the support, the upper surface of the support is connected and fixed to the positioning and guiding template, and the levelness of the positioning and guiding template can be adjusted by the bolt adjusting mechanism.
The invention has the beneficial effects that: compared with the prior art, the invention has the following characteristics:
1. the auxiliary positioning guide template adopts a flat plate structure, and a metal grid on the template is used for quickly positioning under X-ray fluoroscopy.
2. According to the pedicle of vertebral arch inclination and the tail inclination data collected from different human bodies, a plurality of guide holes or guide chutes are preset on the auxiliary positioning guide template, so that the suitable guide holes or guide chutes can be conveniently and quickly selected during the operation, the time for a doctor to repeatedly observe and confirm the nail feeding direction through X-rays is reduced, and the operation efficiency is greatly improved.
3. According to the vertebral pedicle internal inclination angle and the tail inclination angle data of the compressive vertebral body deformation, the auxiliary positioning guide template is provided with a special guide hole, so that the auxiliary positioning guide template can be conveniently used for performing operations on different patients.
4. Through the metal grid and the preset guide hole or the guide sliding groove, the quality and the efficiency of the vertebral body operation are improved, the times and the time of X-ray irradiation are reduced, and the health of doctors and patients is protected.
5. The auxiliary positioning guide template has the advantages of simple structure, small size, low cost and convenient operation, is favorable for reducing the overall cost of the operation, and relieves the burden of medical expenses of patients and countries.
The percutaneous minimally invasive pedicle screw puncture positioning and guiding device can quickly position the pedicle of vertebral arch, quickly find the proper internal inclination angle and tail inclination angle in the screw feeding direction of the vertebral body and ensure the accuracy of the position and the direction of the pedicle screw implantation.
Drawings
Fig. 1 is a schematic front view of the present invention.
FIG. 2 is a schematic sectional view A-A of FIG. 1.
Fig. 3 is a schematic sectional structure view of B-B of fig. 1.
Fig. 4 is a schematic structural view of the connection of the puncture needle and the fixed handle of the present invention.
In the figure: 1. the device comprises a positioning guide template, 2, a metal grid, 3, a guide hole, 4, a main longitudinal line, 5, a left longitudinal line, 6, a right longitudinal line, 7, a transverse line, 8, a guide chute, 9, a fixed handle, 10, a puncture needle, 11 and a locking screw.
Detailed Description
The invention will be further described with reference to the following detailed description of embodiments and with reference to the accompanying drawings in which:
as shown in fig. 1 to 4, the percutaneous minimally invasive pedicle puncture guiding system comprises a pedicle puncture auxiliary positioning guide template 1, a guide tube, a puncture needle expansion sleeve, a puncture needle 10 and a fixing handle 9 thereof, wherein the auxiliary positioning guide template 1 is provided with a metal grid 2 for marking positions and a plurality of guide holes 3, the guide holes 3 are used for inserting the guide tube, the puncture needle expansion sleeve is inserted into the guide tube, and the puncture needle 10 is fixed by the fixing handle 9 and can extend into the expansion sleeve; the metal grid 2 is used for assisting the positioning of the guide tube under the irradiation of X-rays, the thickness of the positioning guide template 1 is more than or equal to 2mm, and the angle of the central axis of the guide hole 3 is consistent with the internal inclination angle and the tail inclination angle of the screw feeding direction of the vertebral body; the central axis angles of the plurality of guide holes 3 of the positioning guide template 1 are different from each other so as to adapt to the internal inclination angle and the tail inclination angle of different centrum nail feeding directions.
In this embodiment, the positioning and guiding template 1 is a rectangular structure, the metal grid 2 includes a plurality of transverse lines 7 and longitudinal lines which are perpendicular to each other, and the plurality of guiding holes 3 are transversely arranged on two sides of the central longitudinal line and are symmetrically arranged with respect to each other. The middle longitudinal line of the metal grid 2 is set as a thickened main longitudinal line 4, the two sides of the main longitudinal line 4 are respectively provided with a left longitudinal line 5 and a right longitudinal line 6 which are uniformly distributed and arranged in sequence, and the left longitudinal line and the right longitudinal line are symmetrically arranged; the transverse lines 7 of the metal grid 2 are arranged evenly in turn.
The diameter of the guide holes 3 is 2.5mm-6mm, the diameters of a plurality of guide holes 3 transversely arranged in the same row are the same, the angles of the central axes of the guide holes 3 are different, wherein the pitch of the adjacent two guide holes 3 is smaller than the diameter of the guide holes 3, and a plurality of guide holes which are continuously intersected form a guide chute 8. The angle of the central axis of the guide hole 3 comprises a tail inclination angle and an inner inclination angle.
As shown in fig. 1, two rows of independent guide holes parallel to each other are provided on the positioning guide template 1, and the diameters of the two rows of guide holes are different. The positioning guide template 1 is also provided with three rows and two columns of guide chutes 8 which are parallel to each other, and the two columns of guide chutes 8 are in mirror symmetry relative to the main longitudinal line 4.
In this embodiment, the guiding holes that constitute the guiding chute 8 on the positioning guiding template 1 are at least provided with three groups, each group of guiding holes is composed of an upper hole, a middle hole and a lower hole, wherein the angle of the central axis of each group of guiding holes is as follows:
first set of pilot holes: the tail inclination angle of the upper hole is 0 degree, the inner inclination angle of the upper hole is 8 degrees, the tail inclination angle of the middle hole is 0 degree, the inner inclination angle of the middle hole is 10 degrees, the tail inclination angle of the lower hole is 0 degree, and the inner inclination angle of the lower hole is 12 degrees;
a second set of pilot holes: the tail inclination angle of the upper hole is 6 degrees, the inner inclination angle of the upper hole is 8 degrees, the tail inclination angle of the middle hole is 6 degrees, the inner inclination angle of the middle hole is 10 degrees, the tail inclination angle of the lower hole is 6 degrees, and the inner inclination angle of the lower hole is 12 degrees;
third group of pilot holes: the dip angle of the tail of the upper hole is 10 degrees, the dip angle of the tail of the upper hole is 8 degrees, the dip angle of the tail of the middle hole is 10 degrees, the dip angle of the inner hole of the middle hole is 10 degrees, the dip angle of the tail of the lower hole is 10 degrees, and the dip angle of the tail of the lower hole is 12.
In this embodiment, the positioning guide template 1 is made of a polyetheretherketone special engineering Plastic (PEEK), the upper surface of the positioning guide template 1 is provided with a metal mesh 2, and the metal mesh 2 is made of a medical stainless steel wire. The upper end of the puncture needle 10 is inserted into a fixing hole of the fixing handle 9, one side of the fixing hole is provided with a locking screw 11, and the puncture needle 10 and the fixing handle 9 can be connected and fixed through the locking screw 11.
As another embodiment of the present invention, the upper surface of the positioning and guiding template 1 is further provided with a grid groove matched with the metal grid 2, the metal grid 2 comprises a first metal grid fixedly arranged on the positioning and guiding template 1 and a second metal grid arranged in the grid groove, and the second metal grid is set to be a detachable movable installation mode. If necessary, a second metal grid can be placed in the grid groove for checking the positioning of the guide runners 8 or guide holes 3 in the positioning guide form 1.
The positioning and guiding template 1 can also be fixed with a medical operating table through a connecting and adjusting device, the connecting and adjusting device comprises a saddle-shaped support, a horizontal detector and a bolt adjusting mechanism, the support is connected and fixed with the operating table, the horizontal detector is arranged on the upper surface of the support, the upper surface of the support is connected and fixed with the positioning and guiding template, and the levelness of the positioning and guiding template can be adjusted through the bolt adjusting mechanism. Therefore, the reference surface of the positioning guide template 1 can be adjusted before operation, and the adaptability adjustment can be carried out according to the body type characteristics of different patients.
The above examples are only for illustrating the concept and technical features of the present invention, and are intended to enable those skilled in the art to understand the technical scheme and implementation manner of the present invention, and the protection scope of the present invention is not limited thereby. All equivalents and modifications of the technical solution according to the present invention are intended to be covered by the scope of the claims.
Claims (10)
1. The utility model provides a percutaneous wicresoft pedicle of vertebral arch puncture guide system, includes pedicle of vertebral arch puncture assistance-localization real-time direction template, stand pipe, pjncture needle expansion sleeve, pjncture needle and fixed handle, characterized by: the auxiliary positioning guide template is provided with a metal grid for marking positions and a plurality of guide holes, the guide holes are used for inserting the guide pipes, a puncture needle expansion sleeve is inserted in the guide pipes, and a puncture needle is fixed by a fixing handle and can extend into the expansion sleeve;
the metal grid is used for assisting in positioning the guide tube under the irradiation of X-rays, the thickness of the positioning guide template is more than or equal to 2mm, and the angle of the central axis of the guide hole is consistent with the inner inclination angle and the tail inclination angle of the screw feeding direction of the vertebral body;
the central axis angles of the plurality of guide holes of the positioning guide template are different from each other so as to adapt to the inclination angles and the tail inclination angles of different centrum nail feeding directions.
2. The percutaneous minimally invasive pedicle puncture guide system according to claim 1, wherein: the positioning guide template is of a rectangular structure, the metal grid comprises a plurality of transverse lines and longitudinal lines which are perpendicular to each other, and the guide holes are transversely arranged on two sides of the middle longitudinal line and are symmetrically arranged with each other.
3. The percutaneous minimally invasive pedicle puncture guide system according to claim 2, wherein: the middle longitudinal line of the metal grid is a thickened main longitudinal line, left longitudinal lines and right longitudinal lines which are sequentially and uniformly distributed are arranged on two sides of the main longitudinal line respectively, and the left longitudinal lines and the right longitudinal lines are symmetrically arranged; the transverse lines of the metal grids are uniformly distributed and arranged in sequence.
4. The percutaneous minimally invasive pedicle puncture guide system according to claim 2, wherein: the diameter of the guide holes is 2.5mm-6mm, the diameters of a plurality of guide holes transversely arranged in the same row are the same, the angles of the central axes of the guide holes are different, the hole distance between two adjacent guide holes is smaller than the diameter of the guide holes, and a plurality of guide holes which are continuously intersected form a guide sliding groove.
5. The percutaneous minimally invasive pedicle puncture guiding system according to claim 4, wherein: the positioning guide template is at least provided with two rows of guide holes which are parallel to each other, and the diameters of the two adjacent rows of guide holes are different.
6. The percutaneous minimally invasive pedicle puncture guide system according to claim 1, wherein: the angle of the central axis of the guide hole comprises a tail inclination angle and an inner inclination angle; the location direction template is equipped with three group's guiding holes at least, and every group guiding hole comprises last hole, mesopore and lower hole, and wherein, the angle of every group guiding hole central axis is as follows:
first set of pilot holes: the tail inclination angle of the upper hole is 0 degree, the inner inclination angle of the upper hole is 8 degrees, the tail inclination angle of the middle hole is 0 degree, the inner inclination angle of the middle hole is 10 degrees, the tail inclination angle of the lower hole is 0 degree, and the inner inclination angle of the lower hole is 12 degrees;
a second set of pilot holes: the tail inclination angle of the upper hole is 6 degrees, the inner inclination angle of the upper hole is 8 degrees, the tail inclination angle of the middle hole is 6 degrees, the inner inclination angle of the middle hole is 10 degrees, the tail inclination angle of the lower hole is 6 degrees, and the inner inclination angle of the lower hole is 12 degrees;
third group of pilot holes: the dip angle of the tail of the upper hole is 10 degrees, the dip angle of the tail of the upper hole is 8 degrees, the dip angle of the tail of the middle hole is 10 degrees, the dip angle of the inner hole of the middle hole is 10 degrees, the dip angle of the tail of the lower hole is 10 degrees, and the dip angle of the tail of the lower hole is 12.
7. The percutaneous minimally invasive pedicle puncture guide system according to any one of claims 1 to 6, wherein: the positioning guide template is made of polyether-ether-ketone special engineering Plastics (PEEK), and a metal grid is arranged on the upper surface of the positioning guide template;
the upper end of the puncture needle is inserted into the fixing hole of the fixing handle, one side of the fixing hole is provided with a locking screw, and the puncture needle and the fixing handle can be connected and fixed through the locking screw.
8. The percutaneous minimally invasive pedicle puncture guiding system according to claim 7, wherein: the metal grid is made of medical stainless steel wires.
9. The percutaneous minimally invasive pedicle puncture guiding system according to claim 7, wherein: the upper surface of the positioning guide template is provided with a grid groove matched with the metal grid, and the metal grid is placed in the grid groove and is set into a detachable movable mounting mode.
10. The percutaneous minimally invasive pedicle puncture guide system according to claim 1, wherein: the utility model discloses a medical operation table, including the medical operation table of support, horizontal detector and bolt adjustment mechanism, the location direction template is fixed with medical operation table through connecting adjusting device, connect adjusting device and include saddle-shaped support, horizontal detector and bolt adjustment mechanism, the support is connected with the operation table and is fixed, and horizontal detector establishes the upper surface at the support, and the support upper surface is connected and is fixed with location direction template to the levelness of accessible bolt adjustment mechanism adjustment location direction template.
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CN115154154A (en) * | 2022-07-11 | 2022-10-11 | 青岛滨海学院 | Orthopedic operating bed |
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CN206151551U (en) * | 2016-08-26 | 2017-05-10 | 河南省洛阳正骨医院河南省骨科医院 | Percutaneous pedicle of vertebral arch puncture system |
CN206325116U (en) * | 2016-10-21 | 2017-07-14 | 北京启麟科技有限公司 | A kind of 3D printing guide plate for Minimally Invasive Surgery |
CN206473383U (en) * | 2016-10-28 | 2017-09-08 | 刘寰 | The quick servicing unit for determining puncture path in a kind of operation for spinal puncture |
CN107349003A (en) * | 2017-07-11 | 2017-11-17 | 哈尔滨理工大学 | A kind of lumbar vertebrae screw placement guide plate and preparation method based on FEM mechanics analysis |
CN211633545U (en) * | 2019-12-09 | 2020-10-09 | 王国喜 | Percutaneous minimally invasive pedicle of vertebral arch puncture guiding system |
Cited By (1)
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CN115154154A (en) * | 2022-07-11 | 2022-10-11 | 青岛滨海学院 | Orthopedic operating bed |
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