Operation auxiliary positioning device
Technical Field
The utility model relates to a medical instrument, in particular to an operation auxiliary positioning device.
Background
Bone and soft tissue tumors are diseases seriously harming human health and life, the incidence rate gradually rises in recent years, the onset age gradually declines, and early detection, correct diagnosis and timely treatment have important influence on the future. With the continuous improvement of examination means and methods, the diagnosis accuracy is gradually improved, but a large part of tumors still have no typical imaging characteristics and are difficult to diagnose. The correct diagnosis requires three combinations of clinical, imaging and pathology. Among them, pathological diagnosis plays a key role in the selection of a treatment regimen. In clinical application, the B-ultrasonic can clearly display various sectional images of organs and peripheral organs, and the images are rich in solid body sense and close to the real anatomical structure, so that the early clear diagnosis can be realized by applying the ultrasonic.
Needle biopsy is the main approach to obtain pathological diagnosis in conjunction with B-ultrasound examination. As the limb protection treatment of malignant tumor has become a main trend, the requirement of biopsy has more strict requirements on the access and method of material collection. Incorrect biopsy often causes contamination of local important structures such as blood vessels and nerve bundles by tumors during material drawing, so that the tumors cannot be completely excised, and the limb protection treatment fails. Therefore, prior to needle biopsy, the nature, stage and treatment of the tumor should be well understood, a full preoperative plan is made, and the needle path from which the material is drawn is ensured to be located over the surgical incision so that it can be completely resected at the time of surgery. Therefore, a great deal of literature emphasizes that the needle biopsy should be performed by an experienced specialist, and the biopsy is preferably performed by a doctor of primary staff in person, so as to improve the accuracy of the needle biopsy and reduce complications. However, if the method is far from sufficient by a doctor with abundant experience, the positioning accuracy of the auxiliary medical apparatus can be improved, and the success rate of the needle biopsy can be improved.
SUMMERY OF THE UTILITY MODEL
In order to overcome the defects of the prior art, the utility model aims to provide an operation auxiliary positioning device with high positioning precision and capable of improving the success rate of puncture biopsy.
The purpose of the utility model is realized by adopting the following technical scheme:
an operation auxiliary positioning device comprises a B ultrasonic device, a biopsy needle, a linear driving structure, a rotary driving structure and an angle adjusting structure, wherein the rotary driving structure is fixedly arranged on the linear driving structure and can be driven by the linear driving structure to move linearly, the B ultrasonic device and the angle adjusting structure are fixedly arranged on the rotary driving structure and can rotate through the rotary driving structure, and the biopsy needle is arranged on the angle adjusting structure and can adjust the angle of the biopsy needle through the angle adjusting structure.
Further, the linear driving structure comprises a bottom plate, a linear driving part, a linear sliding rail and a linear sliding block, the linear driving part and the linear sliding rail are fixedly installed on the bottom plate, the linear sliding block is slidably installed on the linear sliding rail and fixedly connected with the output end of the linear driving part, and the rotary driving structure is fixedly installed on the linear sliding block.
Further, the linear driving structure further comprises a coupler and a lead screw, one end of the coupler is fixedly connected with the output end of the linear driving piece, the other end of the coupler is fixedly connected with the lead screw, the lead screw is in threaded fit with the linear sliding block, and the linear sliding block moves linearly through the rotational driving of the lead screw.
Furthermore, the rotary driving structure comprises a shell, a rotary driving piece, a first transmission piece and a rotation piece, wherein the shell is fixedly connected with the linear driving structure, the rotary driving piece is fixedly arranged on the shell, the first transmission piece is rotatably arranged on the shell and fixedly connected with the rotary driving piece, and the rotation piece is rotatably arranged in the shell and matched with the first transmission piece.
Further, the first transmission piece is a worm, the transmission piece is a gear, and the worm is meshed with the gear.
Further, the first transmission piece is a gear, the transmission piece is a gear, and the two gears are meshed with each other.
Furthermore, the rotary driving structure further comprises a B-ultrasonic card holder, the B-ultrasonic card holder comprises a card holder main body and four clamping parts, the card holder main body is fixedly arranged on the rotating part, and the four clamping parts are respectively fixed at two opposite ends of the card holder main body and are symmetrically arranged.
Further, the angle adjusting structure comprises a support, a rack, an angle adjusting driving piece and a second transmission piece, the support is fixedly installed on the rotary driving structure, the rack is fixedly installed on the support, the second transmission piece is a gear, the second transmission piece is fixedly installed on an output shaft of the angle adjusting driving piece, and the rack is meshed with the second transmission piece.
Further, the angle adjusting structure further comprises an angle adjusting slider and an angle adjusting slide rail, the angle adjusting slider is fixedly mounted on the output shaft of the angle adjusting driving piece, the angle adjusting slide rail is fixedly mounted on the support, and the angle adjusting slider and the angle adjusting slide rail are in sliding fit.
Further, the angle adjusting structure further comprises a stator and a rotor, the stator and the rotor are fixedly arranged on the support, the rotor is fixedly arranged on an output shaft of the angle adjusting driving piece, and the biopsy needle is arranged between the stator and the rotor.
Compared with the prior art, the utility model discloses operation auxiliary positioning device's rotary drive structure fixed mounting can be in linear drive structure and linear movement under the drive of linear drive structure, B surpasses and angle modulation structure fixed mounting can rotate through rotary drive structure in rotary drive structure, the biopsy needle is installed in angle modulation structure and the angle of adjusting the biopsy needle through angle modulation structure, B surpasses both can linear motion, also can the original place rotation, the three-dimensional image of scanning out is more comprehensive, confirm the pathological change position, then angle modulation motor rotates certain number of turns according to the corresponding direction according to the position, adjust the angle of advancing, after angle modulation is good, the doctor only needs along this angle, insert the biopsy needle into patient internal and take a sample, fix a position more accurate swift, thereby improve the accuracy of puncture biopsy.
Drawings
FIG. 1 is a perspective view of the surgical auxiliary positioning device of the present invention;
FIG. 2 is a perspective view of the linear drive configuration of the surgical accessory positioning apparatus of FIG. 1;
FIG. 3 is a perspective view of the rotational drive structure of the surgical assistant positioning device of FIG. 1;
FIG. 4 is a perspective view of the angular adjustment structure of the surgical assistant positioning device of FIG. 1;
fig. 5 is an internal structural view of the angle adjusting structure of fig. 4.
In the figure: 10. a linear drive structure; 11. a base plate; 12. a linear drive; 13. a coupling; 14. a linear slide rail; 15. a linear slider; 20. a rotation driving structure; 21. a housing; 22. a rotary drive member; 23. a first transmission member; 24. a rotating member; 25. b ultrasonic card seat; 250. a card seat main body; 251. a fastening part; 30. b ultrasonic; 40. an angle adjustment structure; 41. a support; 42. a rack; 43. an angle adjustment drive; 44. a second transmission member; 45. an angle adjusting slider; 46. a moving rotor; 47. an angle adjustment slide rail; 48. a stator and a rotor; 50. a biopsy needle.
Detailed Description
The technical solutions in the embodiments of the present invention will be described clearly and completely with reference to the accompanying drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only some embodiments of the present invention, not all embodiments. Based on the embodiments in the present invention, all other embodiments obtained by a person skilled in the art without creative work belong to the protection scope of the present invention.
It will be understood that when an element is referred to as being "secured to" another element, it can be directly on the other element or intervening elements may also be present, secured by intervening elements. When a component is referred to as being "connected" to another component, it can be directly connected to the other component or intervening components may also be present. When an element is referred to as being "disposed on" another element, it can be directly disposed on the other element or intervening elements may also be present. The terms "vertical," "horizontal," "left," "right," and the like as used herein are for illustrative purposes only.
Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. The terminology used in the description of the invention herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the invention. As used herein, the term "and/or" includes any and all combinations of one or more of the associated listed items.
Referring to fig. 1 to 5, the auxiliary positioning device for surgery of the present invention includes a linear driving structure 10, a rotary driving structure 20, a B-ultrasonic probe 30, an angle adjusting structure 40, and a biopsy needle 50.
The linear driving structure 10 includes a base plate 11, a linear driving member 12, a coupler 13, a lead screw, a linear slide 14, and a linear slider 15. The linear driving member 12 is a linear motion driving motor, and the driving motor can be selected from a motor with closed-loop signal transmission, such as a direct current micro motor with an encoder or a servo motor. The linear driving element 12 is fixed on the base plate 11 and the output end is connected with the coupling 13, the inner diameter of the coupling 13 is matched with the diameter of the output end of the motor and the diameter of the lead screw, and the material of the lead screw is alloy steel, such as 304 stainless steel. The linear slide block 15 fixed with the lead screw is made of a lighter alloy material, such as aluminum alloy A6061. The screw thread is tapped at the center of the linear sliding block 15, the linear sliding block is in threaded fit with a guide screw rod, the two sides of the linear sliding block are in a convex semicircular shape, the linear sliding block is matched with the linear sliding rail 14 on the outer side, the linear sliding rail 14 has a shell function, a doctor can operate the outer side by holding the doctor, the linear sliding rail 14 is fixed on the bottom plate 11, and the linear driving structure 10 mainly realizes short-distance linear back and forth movement of.
The rotary driving structure 20 includes a housing 21, a rotary driving member 22, a first transmission member 23, a rotation member 24, and a B-ultrasonic card holder 25. The rotary drive 22 may be a motor having a closed-loop signal transmission, such as a dc micro motor with an encoder or a servo motor. The rotary driver 22 is fixedly mounted to the housing 21. The first transmission member 23 is a worm, and the first transmission member 23 is rotatably mounted on the housing 21 and fixedly connected with the rotary driving member 22 through a bolt, so that relative displacement between the first transmission member and the rotary driving member is not allowed in the rotating process. In another embodiment, the first transmission member 23 is a gear. The first transmission member 23 is made of alloy steel, such as 304 stainless steel. The rotor 24 is rotatably mounted to the housing 21. The rotating member 24 is a gear, and the rotating member 24 is engaged with the first transmission member 23. The type-B ultrasonic cartridge 25 includes a cartridge body 250 and four locking portions 251. The cartridge main body 250 is fixed to the rotation member 24 by a bolt, and the cartridge main body 250 rotates in synchronization with the rotation member 24. The cartridge body 250 is made of a relatively low density alloy material, such as aluminum alloy A6061. The B-ultrasonic 30 is arranged in the cassette main body 250, and a thin and soft material with certain friction force, such as a rubber thin layer, is attached to the inner side of the cassette main body 250, which is in contact with the B-ultrasonic 30. After the B-ultrasonic 30 is stuck in, the buckling part 251 made of high molecular material (such as POM) is fastened to prevent the B-ultrasonic 30 from falling off and moving. Due to the symmetrical structure of the buckling part 251, the B-ultrasonic 30 can be automatically positioned in the middle, the rotating part of the parts is basically placed in the shell 21, and the rotation driving structure 20 ensures that the B-ultrasonic 30 realizes at least 180-degree rotation in situ, so that the B-ultrasonic 30 can be ensured to scan a complete cylindrical three-dimensional image.
The angle adjusting structure 40 includes a bracket 41, a rack 42, an angle adjusting driving member 43, a second transmission member 44, an angle adjusting slider 45, a moving rotor 46, an angle adjusting slide 47, and a fixed rotor 48. The bracket 41 is fixed to the rotation member 24 and rotates with the rotation member 24. The bracket 41 is machined from alloy steel. The stator and rotor 48, the angle adjusting slide 47 and the rack 42 are fixedly mounted on the bracket 41. The angle adjustment driving member 43 may be a motor having a closed-loop signal transmission, such as a dc micro motor with an encoder or a servo motor. The output end of the angle adjusting driving member 43 is connected to a second transmission member 44, and the second transmission member 44 is a gear. The second transmission member 44 is engaged with the rack 42. An angle adjusting slide block 45 and a moving rotor 46 are fixed on an output shaft of the angle adjusting driving piece 43. The angle adjustment slider 45 is fitted with an angle adjustment slide 47. The biopsy needle 50 is mounted between the stator and rotor 48, 46. After the B-ultrasonic 30 outputs a complete scanning image, a doctor can determine the position of a disease source by combining software analysis, samples corresponding positions, rotates the angle adjusting driving part 43 to drive the angle adjusting sliding block 45 to move to a required angle position, and when the biopsy needle 50 passes through the movable rotor 46 and the fixed rotor 48 and enters a position below the B-ultrasonic 30 in a body, the doctor can see the motion track of the needle, accurately position the disease source and improve the success rate of puncture biopsy.
When the auxiliary positioning device for operation is used, the linear driving structure 10 enables the B-ultrasonic 30 to move a certain distance in the linear direction, and the B-ultrasonic can automatically move to the optimal position according to the scanned image without the need of a doctor to align the position a little by a little. The rotary driving structure 20 and the linear driving structure 10 are connected by fastening bolts and move linearly synchronously with the rotary driving structure. The angle adjusting structure 40 is fixed on the rotary driving structure 20 through a bolt and synchronously rotates with the rotary driving structure 20, so that the biopsy needle 50 is ensured to be permanently far on the central plane of the B-ultrasonic apparatus 30, and the accuracy of the needle inserting position is ensured.
Various other modifications and changes may be made by those skilled in the art based on the above-described technical solutions and concepts, and all such modifications and changes are intended to fall within the scope of the claims.