CN115444568A - A three-dimensional director for centre gripping neurosurgery surgical instruments - Google Patents

A three-dimensional director for centre gripping neurosurgery surgical instruments Download PDF

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Publication number
CN115444568A
CN115444568A CN202211125427.5A CN202211125427A CN115444568A CN 115444568 A CN115444568 A CN 115444568A CN 202211125427 A CN202211125427 A CN 202211125427A CN 115444568 A CN115444568 A CN 115444568A
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supporting
clamping
arm
seat
assembly
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CN202211125427.5A
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杨彦松
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Zhengzhou Yihe Hospital
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Zhengzhou Yihe Hospital
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Priority to CN202211125427.5A priority Critical patent/CN115444568A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70Manipulators specially adapted for use in surgery
    • A61B34/73Manipulators for magnetic surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30Surgical robots
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/30Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
    • A61B50/33Trays
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30Surgical robots
    • A61B2034/305Details of wrist mechanisms at distal ends of robotic arms

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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)
  • Robotics (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)

Abstract

The invention relates to the technical field of surgical auxiliary instruments, in particular to a three-dimensional guider for clamping neurosurgical surgical instruments, which comprises a mounting assembly, wherein a supporting assembly is arranged at the top of the mounting assembly, a clamping assembly is arranged at the top of the supporting assembly, and a tray assembly is arranged in the middle of the supporting assembly; the mounting assembly comprises a mounting plate; the support assembly comprises a carriage; the clamping component comprises a supporting arm, the other end of the supporting arm is provided with a connecting seat, the connecting seat is movably connected with a clamping seat through a damping pin shaft, one end of the clamping seat is provided with two symmetrically distributed supporting blocks, and the middle part of each supporting block is provided with a strip-shaped groove in a penetrating manner; the invention effectively reduces the labor intensity of medical personnel, has high operation precision and simple operation, has good clamping fixation of the elastic clamping mouth on the surgical instrument, adaptively adjusts the clamping force, and ensures that the clamping component is parallel to the surgical instrument, the clamping stability is strong, and the clamping is lasting and stable.

Description

A three-dimensional director for centre gripping neurosurgery surgical instruments
Technical Field
The invention relates to the technical field of auxiliary surgical instruments, in particular to a three-dimensional guider for clamping neurosurgical surgical instruments.
Background
The origin of neurosurgical operation dates back to 1935, at that time, grapery psychiatrist, moniz and neurosurgeon Lima cooperated to perform bilateral prefrontal leukopheresis, pioneering neurosurgery was initiated, and the operation was named as "Moniz-Lima" operation, which can make manic schizophrenia patients become mild and impulsive attack behavior is significantly reduced, and its inventors have earnestly in north america and european medical world, so he had earnestly the nobel biology and medicine prize of 1949.
In the process of neurosurgery, involve the use of some surgical instruments, in some cases, need the doctor to use surgical instruments such as pliers to fix the neural tissue centre gripping of patient to the operation is gone on, because neurosurgery is comparatively complicated, the required time is longer, doctor or nurse probably need hold the surgical instruments for a long time and centre gripping patient's neural tissue, and this can consume doctor and nurse a large amount of efforts, consequently can cause the influence to the success rate of operation to a certain extent.
Meanwhile, after the nerve tissue is clamped and fixed by the aid of the surgical instrument, if the guider is not parallel to the surgical instrument and has an included angle, the guider can drive the surgical instrument to rotate so as to damage the clamping position of the nerve tissue, and therefore the nerve tissue is damaged; meanwhile, when the clamping force of the guider and the surgical instrument is changed, the clamping force on the nerve tissue is influenced, so that the clamping force of the surgical instrument and the nerve tissue is changed, and the nerve tissue is damaged.
Disclosure of Invention
The present invention is directed to a stereoguide for holding neurosurgical instruments that addresses the problems set forth above in the background.
In order to achieve the purpose, the invention provides the following technical scheme: a three-dimensional guider for clamping neurosurgical instruments comprises a mounting assembly, wherein a supporting assembly is arranged at the top of the mounting assembly, a clamping assembly is arranged at the top of the supporting assembly, and a tray assembly is arranged in the middle of the supporting assembly;
the mounting assembly comprises a mounting plate;
the support assembly comprises a carriage;
the clamping assembly comprises a supporting arm, the other end of the supporting arm is provided with a connecting seat, the connecting seat is movably connected with a clamping seat through a damping pin shaft, one end of the clamping seat is provided with two symmetrically distributed supporting blocks, the middle part of each supporting block is provided with a strip-shaped groove in a penetrating manner, the inner bottom of each strip-shaped groove is provided with a magnetic sheet, an electromagnetic block is connected in the strip-shaped groove in a penetrating manner, two sides of the electromagnetic block are both movably connected with connecting arms through pin shafts, one end of each connecting arm is movably connected with a clamping arm through a pin shaft, one end of each clamping arm is provided with an elastic clamping mouth, and the outer end part of each elastic clamping mouth is uniformly provided with a plurality of groups of pressure sensors in an array manner from the end of the electromagnetic block to the other end;
the tray assembly includes an annular sleeve.
Preferably, the lower surface of mounting panel is equipped with the intubate of two symmetric distributions, the inside grafting of intubate is connected with the inserted bar, the threaded internal grafting that intubate lateral surface middle part was seted up has been connected with locking bolt, locking bolt's one end is laminated mutually with the lateral surface middle part of inserted bar, the one end of inserted bar is equipped with the mount pad, the slot has all been seted up in running through at the upper surface both ends of mount pad, the threaded internal grafting that slot one side middle part was seted up has been connected with positioning bolt, the inside grafting of slot has square post, positioning bolt's one end is laminated mutually with the outside wall of square post.
Preferably, the top of square post is equipped with the slide rail, the slide rail is established to the arc structure, the arc wall has been seted up at the lateral surface middle part of slide rail, the upper surface of slide rail is equipped with the scale mark, the both ends of slide rail all are equipped with the limiting plate, the lower surface four corners department of mounting panel has all run through and has seted up the mounting hole.
Preferably, the slide is located one side of mounting panel, slide and slide rail looks adaptation, the slide is established to the arc structure, the cross-section of slide is established to "U" shape structure, the top inner wall of slide is inlayed and is had a plurality of balls, the ball is laminated with the upper surface of slide rail mutually, the lateral surface middle part of slide is inlayed and is had the positioning seat, the screw interpolation that positioning seat lateral surface middle part was seted up has been pegged graft and has been connected limit screw, limit screw's one end has the gyro wheel through bearing swing joint, gyro wheel and arc groove looks adaptation, the lateral surface middle part of gyro wheel is equipped with the clamp plate.
Preferably, the supporting component is provided with a plurality of supporting pipes, a supporting pipe is arranged in the middle of the upper surface of the sliding seat, the top of the supporting pipe is connected with a supporting rod in an inserting mode, a pressing bolt is connected in a screw hole formed in the top of the outer side surface of the supporting pipe in an inserting mode, one end of the pressing bolt is attached to the outer side wall of the supporting rod, a supporting column is arranged at the top of the supporting rod, a supporting arm is movably connected to the top of the supporting column through a damping pin shaft, and the supporting arm is arranged in an inclined structure.
Preferably, the top of support arm is equipped with the spliced pole, be equipped with the rubber circle in the recess that the lateral surface top of spliced pole was seted up, the rubber circle is established to the annular structure, the top of support arm is equipped with the adapter sleeve, the spread groove has been seted up to the bottom of adapter sleeve, the spread groove with the spliced pole cup joints the connection, the outside of spliced pole cup joints and is connected with the rubber pad, the top of adapter sleeve is equipped with the fixed block, the fixed block is established to "L" shape structure, there is the digging arm at the top of fixed block through round pin axle swing joint, there is the sliding seat one end of digging arm through round pin axle swing joint, the sliding seat is established to "inverted T" shape structure, there is damping telescopic link one end of sliding seat through round pin axle swing joint, the bottom swing joint of round pin axle and fixed block is passed through to damping telescopic link's one end.
Preferably, the one end of sliding seat has the movable block through damping pin axle swing joint, the one end of movable block is equipped with extends the seat, the one end of extending the seat is equipped with extends the cover, the inside wall one end of extending the cover is equipped with the lug of two symmetric distributions, the lug is established to the arc structure, the bottom inner wall of extending the cover is equipped with the stopper of two symmetric distributions.
Preferably, the support arm is located the top of mounting panel, the one end of support arm is equipped with the connecting block, the connecting block with extend set looks adaptation, the both sides of connecting block all are equipped with the fixture block, fixture block and lug looks adaptation, two symmetric distribution's spacing groove is seted up to the one end of connecting block, stopper and spacing groove looks adaptation.
Preferably, one end of the electromagnetic block is movably connected with one end of the clamping seat through a spring, the middle part of the clamping arm is movably connected with a positioning arm through a pin shaft, and one end of the positioning arm is movably connected with one end of the supporting block through a pin shaft.
Preferably, the annular sleeve is positioned at the top of the mounting plate and is connected with the support column in a sleeved mode, a damping pad is arranged between the annular sleeve and the support column, supports are arranged on two sides of the annular sleeve and are of a '21274' shaped structure, the inner sides of the supports are movably connected with support seats through damping pin shafts, a support frame is arranged at one end of each support seat, multiple groups of weight sensors are uniformly arranged on the inner top of each support frame in an array mode, a medical tray is connected to the inner portion of each support frame in an inserted mode, extension grooves are formed in the middle portions of two sides of each support frame, positioning blocks are movably connected to notches of the extension grooves through pin shafts, pressing blocks are arranged at the bottom ends of the positioning blocks, and positioning plates are arranged at the tops of the positioning blocks.
The invention has the technical effects and advantages that:
1. according to the invention, the installation assembly is arranged, the support assembly can adjust a plurality of degrees of freedom of angle, length and inclination, the clamping assembly can realize clamping and fixing of the neurosurgical instrument and play a role in three-dimensional guiding of the neurosurgical instrument, the tray assembly can support the neurosurgical instrument, and doctors and nurses can conveniently take and place the neurosurgical instrument in the surgical process.
2. By arranging the supporting component, a doctor can conveniently adjust the position of the supporting component and the position of the clamping component in the operation process, and the three-dimensional guiding effect on the surgical instrument is realized.
3. The medical tray assembly is arranged, so that medical staff can conveniently and quickly take and place surgical instruments in the surgical process, the medical tray is limited in the supporting frame through the positioning block, the stability of placing the medical tray is guaranteed, and the operation is facilitated.
4. This application is through setting up the elastic clamp mouth, reduces medical personnel's intensity of labour, and the operation precision is high, operation easy operation, and the elastic clamp mouth is good to surgical instruments's tight fixity of clamp simultaneously, and clamping force self-adaptation is adjusted to accomplish that the centre gripping subassembly is parallel with surgical instruments, press from both sides tight stability strong, press from both sides tightly steady lastingly.
Drawings
Fig. 1 is a schematic view of the overall structure of the present invention.
Fig. 2 is a schematic view of the mounting assembly of the present invention.
FIG. 3 is a bottom view of the mounting plate structure of the present invention.
Fig. 4 is a schematic view of the slide rail structure of the present invention.
Fig. 5 is a schematic structural diagram of the support assembly of the present invention.
FIG. 6 is a schematic view of a support arm structure according to the present invention.
Fig. 7 is a schematic view of the movable arm structure of the present invention.
Fig. 8 is a schematic view of an extension seat structure of the present invention.
FIG. 9 is a schematic view of a clamping assembly of the present invention.
Fig. 10 is a schematic view of the connecting block structure of the invention.
Fig. 11 is a schematic view of the clamp arm structure of the present invention.
Fig. 12 is a schematic structural view of the tray assembly of the present invention.
In the figure: 1. mounting the component; 2. a support assembly; 3. a clamping assembly; 4. a tray assembly; 101. mounting a plate; 102. inserting a tube; 103. inserting a rod; 105. a mounting seat; 106. a slot; 108. a square column; 109. a slide rail; 113. mounting holes; 201. a slide base; 207. supporting a tube; 208. a support bar; 211. a support arm; 217. a fixed block; 218. a movable arm; 219. a movable seat; 220. damping telescopic rods; 223. an extension sleeve; 225. a limiting block; 301. a support arm; 302. connecting blocks; 304. a limiting groove; 306. a clamping seat; 308. a strip-shaped groove; 309. an electromagnetic block; 310. a connecting arm; 311. clamping arms; 312. a positioning arm; 313. an elastic clamping mouth; 401. an annular sleeve; 405. a medical tray.
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. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
The invention provides a three-dimensional guider for clamping neurosurgical instruments, which comprises a mounting assembly 1, a supporting assembly 2, a plurality of clamping assemblies 3 and a tray assembly 4, wherein the supporting assembly 2 is arranged at the top of the mounting assembly 1, the plurality of supporting assemblies 2 are arranged, the clamping assemblies 3 are arranged at the top of the supporting assembly 2, and the tray assembly 4 is arranged in the middle of the supporting assembly 2.
Installation component 1 includes mounting panel 101, one side of mounting panel 101 is equipped with the controller, each electrical component of controller electrical control, the lower surface of mounting panel 101 is equipped with two symmetric distribution's intubate 102, the inside grafting connection of intubate 102 has inserted bar 103, the screw interpolation connection that intubate 102 lateral surface middle part was seted up has been connected with locking bolt, locking bolt's one end and the laminating of the lateral surface middle part of inserted bar 103, inserted bar 103 is pegged graft fixedly with the cooperation of intubate 102, the one end of inserted bar 103 is equipped with mount pad 105, slot 106 has all been seted up in the upper surface both ends of mount pad 105 run through, the screw interpolation connection that slot 106 one side middle part was seted up has been connected with positioning bolt.
The inside grafting of slot 106 is connected with square post 108, positioning bolt's one end and the outside wall of square post 108 are laminated mutually, square post 108's top is equipped with slide rail 109, slide rail 109 is established to the arc structure, the arc wall has been seted up at slide rail 109's lateral surface middle part, slide rail 109's upper surface is equipped with the scale mark, acquire the displacement distance of slide 201 on slide rail 109 with the help of the scale mark, slide rail 109's both ends all are equipped with the limiting plate, the lower surface four corners department of mounting panel 101 all runs through and has seted up mounting hole 113.
Supporting component 2 includes slide 201, slide 201 is located one side of mounting panel 101, slide 201 and slide rail 109 looks adaptation, slide 201 is established to the arc structure, the cross-section of slide 201 is established to "n" shape structure, the top inner wall of slide 201 is inlayed and is had a plurality of balls, the ball is laminated with the upper surface of slide rail 109 mutually, the lateral surface middle part of slide 201 is inlayed and is had the positioning seat, the screw interpolation that the positioning seat lateral surface middle part was seted up has been pegged graft and has been had stop screw, stop screw's one end has the gyro wheel through bearing swing joint.
Gyro wheel and arc groove looks adaptation, the lateral surface middle part of gyro wheel is equipped with the clamp plate, rotate stop screw, stop screw and screw cooperation, make the gyro wheel horizontal slip, until in gyro wheel motion to the positioning seat, can place slide 201 at the top of slide rail 109 this moment, adjust the position of slide 201, make the gyro wheel correspond with the arc groove, then rotate stop screw, make stop screw drive the gyro wheel motion, until in the gyro wheel inserts the arc groove, slide 201 is spacing at the top of slide rail 109 this moment, slide 201 can slide at the top of slide rail 109 this moment.
The upper surface middle part of slide 201 is equipped with stay tube 207, the top plug-in connection of stay tube 207 has bracing piece 208, the threaded hole internal connection that stay tube 207 lateral surface top was seted up has compressing bolt, compressing bolt's one end and bracing piece 208's outside wall are laminated mutually, bracing piece 208's top is equipped with the support column, there is support arm 211 at the top of support column through damping pin axle swing joint, support arm 211 establishes to the slope structure, the top of support arm 211 is equipped with the spliced pole, be equipped with the rubber circle in the recess that the lateral surface top of spliced pole was seted up, the rubber circle is established to the loop configuration, the assurance spliced pole of rubber circle and the connection effect of adapter sleeve.
And, the top of support arm 211 is equipped with the adapter sleeve, the spread groove has been seted up to the bottom of adapter sleeve, the spread groove cup joints with the spliced pole and is connected, the outside cup joint of spliced pole is connected with the rubber pad, the top of adapter sleeve is equipped with fixed block 217, fixed block 217 is established to "L" shape structure, the top of fixed block 217 has digging arm 218 through round pin axle swing joint, the one end of digging arm 218 has free seat 219 through round pin axle swing joint, digging seat 219 establishes to "inverted T" shape structure, the one end of digging seat 219 has damping telescopic link 220 through round pin axle swing joint, the one end of damping telescopic link 220 is through the bottom swing joint of round pin axle with fixed block 217.
Moreover, because the digging arm 218, the fixed block 217, the sliding seat 219 and the damping telescopic link 220 constitute quadrilateral structure, and the length of side at damping telescopic link 220 place can change, and when a length of side of quadrilateral structure changes, the tetragonal contained angle can change, this just makes the angle of sliding seat 219 can change, there is the sliding block one end of sliding seat 219 through damping round pin axle swing joint, the one end of sliding block is equipped with the extension seat, the one end of extending the seat is equipped with extends the cover 223, the inside wall one end that extends the cover 223 is equipped with the lug of two symmetric distributions, the lug is established to the arc structure, the bottom inner wall that extends the cover 223 is equipped with the stopper 225 of two symmetric distributions.
Centre gripping subassembly 3 includes support arm 301, support arm 301 is located the top of mounting panel 101, the one end of support arm 301 is equipped with connecting block 302, the both sides of connecting block 302 all are equipped with the fixture block, two symmetric distribution's spacing groove 304 is seted up to the one end of connecting block 302, connecting block 302 with extend cover 223 looks adaptation, place connecting block 302 in the one end of extending cover 223, and make fixture block and lug dislocation, connecting block 302 can insert in extending cover 223 this moment, rotate connecting block 302, until fixture block and lug coincidence, connecting block 302 is spacing at extension cover 223 this moment, in-process, connecting block 302 extrudees stopper 225, make stopper 225 take place deformation, insert spacing groove 304 until stopper 225, can realize being connected between centre gripping subassembly 3 and the supporting component 2.
The fixture block is matched with the bump, the limiting block 225 is matched with the limiting groove 304, the other end of the supporting arm 301 is provided with a connecting seat, the connecting seat is movably connected with a clamping seat 306 through a damping pin shaft, one end of the clamping seat 306 is provided with two symmetrically distributed supporting blocks, the middle of each supporting block is provided with a strip-shaped groove 308 in a penetrating manner, an electromagnetic block 309 is connected in the strip-shaped groove 308 in a penetrating manner, and one end of the electromagnetic block 309 is movably connected with one end of the clamping seat 306 through a spring.
Both sides of electromagnetism piece 309 all have linking arm 310 through round pin axle swing joint, the one end of linking arm 310 has arm lock 311 through round pin axle swing joint, there is positioning arm 312 at arm lock 311's middle part through round pin axle swing joint, the one end swing joint of one end through round pin axle and supporting shoe of positioning arm 312, the spring is to electromagnetism piece 309 effect, make electromagnetism piece 309 receive the effort, and electromagnetism piece 309 can drive linking arm 310 motion, drive arm lock 311 motion, make two arm lock 311 can press from both sides surgical instruments and tightly fix, arm lock 311's one end is equipped with elasticity clamp mouth 313, the one end of arm lock 311 that has been guaranteed in the setting of elasticity clamp mouth 313 can laminate with surgical instruments all the time, thereby the centre gripping effect has been guaranteed.
And the magnetism that electromagnetic block 309 and magnetic sheet faced is different, then can drive electromagnetic block 309 extrusion spring to being close to the magnetic sheet end with the help of the magnetic attraction of electromagnetic block 309 to the magnetic sheet and remove, can adjust the distance between two elastic clamp mouth 313 through linking arm 310 and arm lock 311 of both sides with the help of the removal of electromagnetic block 309, and then realize the clamping process of elastic clamp mouth 313 to surgical instruments, the outer tip of elastic clamp mouth 313 just is equipped with multiunit pressure sensor to the even array of other end along electromagnetic block 309 end, detect the clamp force size of elastic clamp mouth 313 to surgical instruments with the help of pressure sensor, especially, in order to guarantee that elastic clamp mouth 313 and surgical instruments are in the parallel state, the parallel state can effectual improvement clamp force and the clamping stability of elastic clamp mouth 313 to surgical instruments.
The clamping assembly 3, especially the parallelism of the elastic clamping nozzle 313 and the surgical instrument, can be adjusted by the pressure values between the multiple sets of pressure sensors on the surface of the elastic clamping nozzle 313, and simultaneously, after the elastic clamping nozzle 313 and the surgical instrument are adjusted to be parallel, the clamping force of the elastic clamping nozzle 313 and the surgical instrument can be correspondingly obtained by the pressure values detected by the pressure sensors, and the clamping force is adjusted by the electromagnetic block 309, so that the clamping stability and accuracy of the surgical instrument are further improved.
The tray assembly 4 comprises an annular sleeve 401, the annular sleeve 401 is located at the top of the mounting plate 101, the annular sleeve 401 is connected with a support column in a sleeved mode, a damping pad is arranged between the annular sleeve 401 and the support column, supports are arranged on two sides of the annular sleeve 401 and are of a '21274', the inner sides of the supports are movably connected with support seats through damping pin shafts, a support frame is arranged at one end of each support seat, multiple groups of weight sensors are evenly arranged on the top of the support frame in an array mode, weight detection is carried out on the medical tray 405 and internal surgical instruments through the weight sensors, when weight values detected by the weight sensors are reduced, the difference values are reduced through the weight values to obtain the types of the surgical instruments correspondingly, and corresponding clamping and positioning are carried out according to the types of the surgical instruments.
The inside grafting of carriage is connected with medical tray 405, the extending groove has all been seted up at the both sides middle part of carriage, the notch department of extending groove has the locating piece through round pin axle swing joint, the bottom of locating piece is equipped with the briquetting, the top of locating piece is equipped with the locating plate, the locating plate is established to the elastic material of deformability, specifically can be medical plastics, the in-process of medical tray 405 downstream, the bottom extrusion briquetting of medical tray 405, the briquetting drives the motion of locating piece, make the locating piece rotate around the round pin axle, and the locating piece can drive the motion of locating plate, make the top joint of locating plate and medical tray 405, can realize the installation of medical tray 405 this moment.
This device is when using, pass through the bolt fastening in the below of operating table with installation component 1, then with the slide 201 joint of supporting component 2 bottom on installation component 1's slide rail 109, with the connecting block 302 joint of clamping component 3 one end on supporting component 2's extension cover 223, and place medical tray 405 on the carriage, can accomplish the preparation of device, in operation process, can realize the adjustment to clamping component 3 position through the position of adjustment supporting component 2, through the height and the angle of adjustment supporting component 2, can realize the three-dimensional direction to clamping component 3 position, in operation process, clamping component 3 can realize that the centre gripping to surgical instruments is fixed, thereby can play the effect that supplementary operation went on, and can place used and unused surgical instruments on two medical trays 405 respectively, thereby the normal clear of operation has been made things convenient for.
When the installation assembly 1 is installed, firstly, the installation plate 101 is placed below an operating table, the installation plate 101 is fixed below the operating table through bolts, then the insertion rod 103 is inserted into the insertion pipe 102, the locking bolt is screwed, one end of the locking bolt presses the insertion rod 103, the position of the insertion rod 103 can be fixed, then the square column 108 is inserted into the insertion groove 106, the positioning bolt is screwed, the positioning bolt presses the square column 108, the position between the square column 108 and the insertion groove 106 is fixed, the position between the sliding rail 109 and the insertion rod 103 is fixed, and the installation assembly 1 completes installation.
When installing supporting component 2, at first, rotate limit screw, limit screw and screw cooperation make the gyro wheel horizontal slip, until the gyro wheel motion to the positioning seat in, can place slide 201 at the top of slide rail 109 this moment, adjust the position of slide 201, make the gyro wheel correspond with the arc wall, then rotate limit screw, make limit screw drive the gyro wheel motion, insert in the arc wall until the gyro wheel, slide 201 is spacing at the top of slide rail 109 this moment, slide 201 can slide at the top of slide rail 109 this moment, supporting component 2's position is adjusted, supporting component 2's position control finishes the back, continue to rotate limit screw, make limit screw drive the gyro wheel motion, drive the clamp plate motion, compress tightly the inner wall at the arc wall until the clamp plate, can realize the fixed to slide 201 position, can realize the fixed to supporting component 2 position.
When the height of the supporting component 2 is adjusted, the pressing bolt is rotated, the pressing bolt is separated from the supporting rod 208, at the moment, the limit of the supporting rod 208 is relieved, the height of the supporting component 2 can be adjusted by adjusting the height of the supporting rod 208, the supporting arm 211 is rotated around the damping pin shaft by rotating the supporting arm 211, the angle of the supporting component 2 can be adjusted, when the angle of the movable arm 218 is adjusted, because the movable arm 218, the fixed block 217, the movable seat 219 and the damping telescopic rod 220 form a quadrilateral structure, the length of the side where the damping telescopic rod 220 is located can be changed, when the length of one side of the quadrilateral structure is changed, the included angle of the quadrilateral can be changed, the angle of the movable seat 219 can be changed, and the movable seat 219 can drive the extending seat to move, the clamping component 3 can be driven to move, and the position of the clamping component 3 can be adjusted.
When installation clamping component 3, at first place the connecting block 302 of clamping component 3 one end in the one end that extends cover 223, and make fixture block and lug dislocation, connecting block 302 can insert and extend in the cover 223 this moment, rotate connecting block 302, until fixture block and lug coincidence, connecting block 302 is spacing in extending the cover 223 this moment, at this in-process, connecting block 302 extrudes stopper 225, make stopper 225 take place to deform, insert in spacing groove 304 until stopper 225, can realize being connected between clamping component 3 and the supporting component 2.
When using clamping component 3 to carry out the centre gripping fixed to surgical instruments, pull two arm lock 311, arm lock 311 can drive arm lock 310 and the motion of locating arm 312 through the round pin axle, and arm lock 310 can drive the motion of electromagnetic block 309, make electromagnetic block 309 slide in bar groove 308, two arm lock 311 keep away from each other this moment, surgical instruments can be placed between two arm lock 311, after releasing arm lock 311, the spring is to electromagnetic block 309 effect, make electromagnetic block 309 receive the effort, and electromagnetic block 309 can drive arm lock 310 motion, drive arm lock 311 motion, make two arm lock 311 can press from both sides surgical instruments tightly fixedly.
When placing medical tray 405, at first place medical tray 405 at the top of carriage, then push down medical tray 405, make medical tray 405 downstream, at this in-process, the bottom extrusion briquetting of medical tray 405, the briquetting drives the locating piece motion, make the locating piece rotate around the round pin axle, and the locating piece can drive the locating plate motion, make the top joint of locating plate and medical tray 405, can realize the installation of medical tray 405 this moment, when demolising medical tray 405, pull the locating plate, make the locating plate take place to deform, can relieve the spacing of medical tray 405.
In actual use, firstly, the surgical instrument in the corresponding medical tray 405 needs to be taken out, the weight value detected by the weight sensor is reduced, the type of the surgical instrument is obtained correspondingly according to the reduction amount of the weight value, and the position and the angle of the clamping assembly 3 are adjusted in advance according to the type of the surgical instrument.
Then, the medical staff is required to clamp and fix the nerve tissue by means of the surgical instrument, the direction and the angle of the surgical instrument are adjusted according to the subsequent operation, and the clamping force of the surgical instrument on the nerve tissue is met, namely, the surgical instrument cannot cause obstruction to the subsequent operation, and the like, the angle of the clamping component 3 is adjusted to continuously move towards the end of the surgical instrument, and the two opposite elastic clamping mouths 313 are opened towards two sides, at the moment, the clamping arm 311 drives the electromagnetic block 309 to move towards the end far away from the surgical instrument through the connecting arm 310, the gap between the two elastic clamping mouths 313 is increased, then the clamping component 3 is moved to move the two elastic clamping mouths 313 to two sides of the surgical instrument, the position of the elastic clamping mouth 313 is adjusted according to the type of the surgical instrument, the elastic clamping mouths 313 and two sides of the surgical instrument are mutually clamped, the clamping mouths 313 and two sides of the surgical instrument cannot influence the clamping work of the nerve tissue by the surgical instrument, the surgical instrument is still held by the medical staff, the surgical instrument, the position of the clamping component 3 is continuously adjusted, when pressure values detected by the multiple sets of the pressure sensors of the elastic clamping mouths 313 have pressure differences, when the pressure differences detected by the multiple sets of the pressure sensors, the pressure values of the multiple sets of the pressure sensors are continuously adjusted, the clamping components 313, the angle and the angle of the elastic clamping component 313 is further parallel to the surgical instrument.
Specifically, when the pressure value detected by the pressure sensor at the end of the elastic clip nozzle 313 located at the bottom of the surgical instrument, which is far away from the electromagnetic block 309, is greater than the pressure value detected by the pressure sensor at the other positions, it is indicated that an included angle exists between the elastic clip nozzle 313 and the surgical instrument, and the included angle between the elastic clip nozzle 313 and the horizontal plane is smaller than the included angle between the surgical instrument and the horizontal plane, at this time, the included angle between the elastic clip nozzle 313 and the horizontal plane needs to be continuously increased by adjusting the elastic clip nozzle 313, so that the state that the elastic clip nozzle 313 is parallel to the surgical instrument is realized, the stability and the angle of the surgical instrument cannot be affected by the elastic clip nozzle 313, the clamping stability and the clamping durability of the clamping assembly 3 on the surgical instrument are further improved, and the accuracy of the surgical instrument on clamping and fixing the nerve assembly is ensured.
After the angle of the elastic clamping mouth 313 is adjusted, the elastic clamping mouth 313 and two side ends of the surgical instrument are clamped, the surgical instrument is effectively and elastically clamped by means of the elastic force of the elastic clamping mouth 313 in the clamping process, so that the protection and the support of the device to the surgical instrument are improved, in the conventional device, the electromagnetic block 309 is elastically limited and supported only by a spring, the electromagnetic block 309 clamps the elastic clamping mouth 313 through the connecting arms 310 and the clamping arms 311 on the two sides, the clamping force of the elastic clamping mouth 313 to the surgical instrument is constant, the clamping force of the surgical instrument on the nerve tissue is different due to different types of the surgical instrument, the opening angle of the surgical instrument after clamping the nerve tissue is different, the clamping force applied by the surgical instrument on the nerve component is different, when the clamping force is too large, the damage of the nerve tissue is caused, when the clamping force is too small, the falling of the nerve tissue is caused, the effect on the neurosurgery is caused, therefore, after the elastic clamping mouth 313 and the surgical instrument are clamped, the pressure values detected by multiple groups of the pressure sensors are continuously increased, and when the pressure values detected by the pressure sensors are greater than the preset pressure value detected by the magnetic clamping arm 309, the magnetic clamping block 309, the magnetic clamping arm is further reduced by means of the magnetic clamping arm, and the magnetic clamping arm 311 of the magnetic clamping block 309, and the magnetic clamping arm is further reduced.
In particular, the weight difference values detected by the weight sensors are different corresponding to different surgical instruments, when the pressure sensors on the surface of the elastic clamping nozzle 313 detect pressure values, the elastic clamping nozzle 313 is in contact with the surgical instrument, and when the pressure sensors do not detect the pressure values, the elastic clamping nozzle 313 is not in contact with the surgical instrument at the part, the opening angle of the surgical instrument is correspondingly obtained, the clamping force required by the surgical instrument under the condition is correspondingly obtained according to the type of the surgical instrument, and further the pressure preset value of the pressure sensor is obtained, so that the pressure preset value of the pressure sensor is related to the weight difference value detected by the weight sensor and the pressure values detected by the pressure sensors.
After clamping the surgical instrument, medical personnel can loosen the surgical instrument and start follow-up surgery, the surgical instrument is clamped and fixed by the aid of the elastic clamp mouth 313, further, the surgery strength of the medical personnel is reduced, the accuracy and the stability of the surgery are improved, after the surgery is finished, the medical personnel are required to hold the surgical instrument, the controller controls the electromagnetic block 309 to be powered off, the clamping arm 311 is opened reversely, the elastic clamp mouth 313 and the surgical instrument are separated, the supporting tube 207 is pushed to enable the device to be far away from the surgery position, and then the surgical instrument is taken down to complete the surgery.
The device reduces the labor intensity of medical personnel, has high operation precision and simple operation, simultaneously has good clamping fixation of the elastic clamping mouth 313 to the operation instrument, self-adaptively adjusts the clamping force, makes the clamping component 3 parallel to the operation instrument, has strong clamping stability and is durable and stable in clamping.
Finally, it should be noted that: although the present invention has been described in detail with reference to the foregoing embodiments, it will be apparent to those skilled in the art that modifications may be made to the embodiments or portions thereof without departing from the spirit and scope of the invention.

Claims (10)

1. A three-dimensional guider for clamping neurosurgical instruments is characterized by comprising a mounting assembly, wherein a supporting assembly is arranged at the top of the mounting assembly, a clamping assembly is arranged at the top of the supporting assembly, and a tray assembly is arranged in the middle of the supporting assembly;
the mounting assembly comprises a mounting plate;
the support assembly comprises a carriage;
the clamping assembly comprises a supporting arm, the other end of the supporting arm is provided with a connecting seat, the connecting seat is movably connected with a clamping seat through a damping pin shaft, one end of the clamping seat is provided with two symmetrically distributed supporting blocks, the middle part of each supporting block is provided with a strip-shaped groove in a penetrating manner, the inner bottom of each strip-shaped groove is provided with a magnetic sheet, an electromagnetic block is connected in the strip-shaped groove in a penetrating manner, two sides of the electromagnetic block are both movably connected with connecting arms through pin shafts, one end of each connecting arm is movably connected with a clamping arm through a pin shaft, one end of each clamping arm is provided with an elastic clamping mouth, and the outer end part of each elastic clamping mouth is uniformly provided with a plurality of groups of pressure sensors in an array manner from the end of the electromagnetic block to the other end;
the tray assembly includes an annular sleeve.
2. A stereoguide for holding a neurosurgical instrument according to claim 1 wherein: the lower surface of mounting panel is equipped with the intubate of two symmetric distributions, the inside grafting of intubate is connected with the inserted bar, the screw interpolation grafting that intubate lateral surface middle part was seted up has connect locking bolt, locking bolt's one end is laminated mutually with the lateral surface middle part of inserted bar, the one end of inserted bar is equipped with the mount pad, the slot has all been run through at the upper surface both ends of mount pad, the screw interpolation grafting that slot one side middle part was seted up has connect positioning bolt, the inside grafting of slot has square post, positioning bolt's one end is laminated mutually with the outside wall of square post.
3. A stereoguide for holding a neurosurgical instrument according to claim 2 wherein: the top of square post is equipped with the slide rail, the slide rail is established to the arc structure, the arc wall has been seted up at the lateral surface middle part of slide rail, the upper surface of slide rail is equipped with the scale mark, the both ends of slide rail all are equipped with the limiting plate, the lower surface four corners department of mounting panel has all run through and has seted up the mounting hole.
4. A stereoguide for holding a neurosurgical instrument according to claim 3 wherein: the slide is located one side of mounting panel, slide and slide rail looks adaptation, the slide is established to the arc structure, the cross-section of slide is established to "n" shape structure, the top inner wall of slide is inlayed and is had a plurality of balls, the ball is laminated with the upper surface of slide rail mutually, the lateral surface middle part of slide is inlayed and is had the positioning seat, screw interpolation that positioning seat lateral surface middle part was seted up has been pegged graft and has been had stop screw, stop screw's one end has the gyro wheel through bearing swing joint, gyro wheel and arc groove looks adaptation, the lateral surface middle part of gyro wheel is equipped with the clamp plate.
5. A stereoguide for holding a neurosurgical instrument according to claim 4 wherein: the supporting component is provided with a plurality of supporting rods, a supporting tube is arranged in the middle of the upper surface of the sliding seat, a supporting rod is connected to the top of the supporting tube in an inserting mode, a pressing bolt is connected to the inner portion of a screw hole formed in the top of the outer side face of the supporting tube in an inserting mode, one end of the pressing bolt is attached to the outer side wall of the supporting rod, a supporting column is arranged at the top of the supporting rod, a supporting arm is movably connected to the top of the supporting column through a damping pin shaft, and the supporting arm is arranged in an inclined structure.
6. A stereoguide for holding a neurosurgical instrument according to claim 5 wherein: the top of support arm is equipped with the spliced pole, be equipped with the rubber circle in the recess that the lateral surface top of spliced pole was seted up, the rubber circle is established to the annular structure, the top of support arm is equipped with the adapter sleeve, the spread groove has been seted up to the bottom of adapter sleeve, the spread groove with the spliced pole cup joints the connection, the outside of spliced pole cup joints and is connected with the rubber pad, the top of adapter sleeve is equipped with the fixed block, the fixed block is established to "L" shape structure, there is the digging arm at the top of fixed block through round pin axle swing joint, there is the sliding seat one end of digging arm through round pin axle swing joint, the sliding seat is established to "inverted T" shape structure, there is the damping telescopic link one end of sliding seat through round pin axle swing joint with the bottom of fixed block, the one end of damping telescopic link is through the round pin axle.
7. A stereoguide for holding a neurosurgical instrument according to claim 6 wherein: the one end of sliding seat has the movable block through damping pin axle swing joint, the one end of movable block is equipped with extends the seat, the one end of extending the seat is equipped with extends the cover, the inside wall one end of extending the cover is equipped with the lug of two symmetric distributions, the lug is established to the arc structure, the bottom inner wall of extending the cover is equipped with the stopper of two symmetric distributions.
8. A stereoguide for holding a neurosurgical instrument according to claim 7, wherein: the support arm is located the top of mounting panel, the one end of support arm is equipped with the connecting block, the connecting block with extend set looks adaptation, the both sides of connecting block all are equipped with the fixture block, fixture block and lug looks adaptation, the spacing groove of two symmetric distributions is seted up to the one end of connecting block, stopper and spacing groove looks adaptation.
9. A stereoguide for holding a neurosurgical instrument according to claim 1, wherein: one end of the electromagnetic block is movably connected with one end of the clamping seat through a spring, the middle part of the clamping arm is movably connected with a positioning arm through a pin shaft, and one end of the positioning arm is movably connected with one end of the supporting block through a pin shaft.
10. A stereoguide according to claim 5, wherein: the annular sleeve is positioned at the top of the mounting plate and is connected with the support columns in a sleeved mode, the damping pads are arranged between the annular sleeve and the support columns, supports are arranged on two sides of the annular sleeve and are of a '21274' shaped structure, the inner sides of the supports are movably connected with supporting seats through damping hinge pins, a supporting frame is arranged at one end of each supporting seat, multiple groups of weight sensors are uniformly arranged on the top of the supporting frame in an array mode, a medical tray is connected to the inside of the supporting frame in an inserted mode, extending grooves are formed in the middle portions of two sides of each supporting frame, positioning blocks are movably connected to the notches of the extending grooves through hinge pins, pressing blocks are arranged at the bottom ends of the positioning blocks, and positioning plates are arranged at the tops of the positioning blocks.
CN202211125427.5A 2022-09-14 2022-09-14 A three-dimensional director for centre gripping neurosurgery surgical instruments Withdrawn CN115444568A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202211125427.5A CN115444568A (en) 2022-09-14 2022-09-14 A three-dimensional director for centre gripping neurosurgery surgical instruments

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202211125427.5A CN115444568A (en) 2022-09-14 2022-09-14 A three-dimensional director for centre gripping neurosurgery surgical instruments

Publications (1)

Publication Number Publication Date
CN115444568A true CN115444568A (en) 2022-12-09

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN202211125427.5A Withdrawn CN115444568A (en) 2022-09-14 2022-09-14 A three-dimensional director for centre gripping neurosurgery surgical instruments

Country Status (1)

Country Link
CN (1) CN115444568A (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116570211A (en) * 2023-04-17 2023-08-11 应急总医院 Soft and hard mirror adjusting and fixing device

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116570211A (en) * 2023-04-17 2023-08-11 应急总医院 Soft and hard mirror adjusting and fixing device
CN116570211B (en) * 2023-04-17 2024-04-19 应急总医院 Soft and hard mirror adjusting and fixing device

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Application publication date: 20221209