CN215229764U - Operating table and have its bone surgery auxiliary system - Google Patents

Abstract

The embodiment of the disclosure provides an operating table and an orthopedic operation auxiliary system with the same. The operation table includes: the bed frame is characterized by comprising a bed frame, wherein the top surface of the bed frame is a supporting surface for supporting a patient, and the supporting surface is a plane; the X-ray flat panel detector is used for receiving X-rays and converting the X-rays into image information and is arranged on the supporting surface of the bed frame. In the operation process, the X-ray emitting device can be arranged above the X-ray flat panel detector, and meanwhile, the part of the patient to be observed in a perspective mode is kept on the X-ray flat panel detector, so that a doctor can observe the bone state of the patient in real time in the operation process, and the operation can be accurately carried out. Because the X-ray from top to bottom shines, the position of treating the perspective observation of patient directly arranges on X-ray flat panel detector, and X-ray flat panel detector can directly receive the X-ray of shining to patient, guarantees from this that the structure on the art bed can not cause the position of treating the perspective observation to shelter from.

Description

Operating table and have its bone surgery auxiliary system

Technical Field

The disclosure relates to the field of medical equipment, in particular to an operating table and an orthopedic operation auxiliary system with the operating table.

Background

In recent years, with the development of medicine and the continuous improvement of technology, orthopedic surgery has advanced into a new stage. In some orthopedic surgeries, an intraoperative X-ray fluoroscopy technology is introduced, so that the state of the bone of a patient can be observed in real time in the process of performing the surgeries, which is beneficial to improving the precision of the surgeries, and a better treatment effect is obtained. Taking the internal fixation operation of the four limbs fracture as an example, the conditions of unsatisfactory fracture reduction, poor internal fixation position and the like can be found in time through intraoperative fluoroscopy, so that the problems can be corrected and solved in time in the operation, and a better operation effect can be obtained.

In the current orthopedic surgery, a C-arm X-ray machine is mostly used as a fluoroscopy device. However, the existing operating tables are usually ordinary operating tables or orthopedic surgery traction tables, and these operating tables are characterized by more metal structures and are easy to block X-rays, thereby affecting the observation of doctors on the bones of patients. In addition, an operating bed made of all carbon fibers cannot shield X-rays, but is expensive in manufacturing cost and difficult to popularize and apply in a large range.

SUMMERY OF THE UTILITY MODEL

An object of the disclosed embodiment is to provide an operating table and an orthopedic surgery auxiliary system with the same, so as to solve the problem that the existing operating table is easy to shield X-rays. The specific technical scheme is as follows:

embodiments of a first aspect of the present disclosure provide an operating table, comprising: the bed frame is characterized in that the top surface of the bed frame is a supporting surface for supporting a patient, and the supporting surface is a plane; the X-ray flat panel detector is used for receiving X-rays and converting the X-rays into image information, and the X-ray flat panel detector is arranged on the supporting surface of the bed frame.

According to the operation table of the embodiment of the disclosure, the X-ray flat panel detector is arranged on the supporting surface of the bed frame. In the process of performing the operation, the X-ray emission device can be arranged above the X-ray flat panel detector, and meanwhile, the part to be observed in a perspective mode of the patient is kept on the X-ray flat panel detector, so that a doctor can observe the bone state of the patient in real time by using an X-ray perspective technology in the process of performing the operation, and the operation can be accurately performed to obtain a better operation effect. In addition, because X ray from top to bottom shines, and X ray flat panel detector sets up the top surface at the bedstead, patient's the position of treating the perspective observation directly arranges X ray flat panel detector in simultaneously, like this, X ray flat panel detector can directly receive the X ray of shining patient, even if the metal structure of sick bed itself is more, metal structure can not extend to on the transmission orbit of X ray yet, therefore, guaranteed that structure on the operation table can not lead to the fact to shelter from patient's the position of treating the perspective observation, and then guarantee that the doctor can carry out clear and effectual observation to patient's bone state. On the basis, the existing common sickbed or orthopedic operation traction bed is taken as an operating bed, and the operating bed made of all-carbon fiber is not required to be introduced, so that the smooth operation of perspective observation in the operation can be ensured, and the cost is saved.

In addition, according to the operation table of the embodiment of the present disclosure, the following additional technical features can be provided:

in some embodiments of the present disclosure, the X-ray flat panel detector is slidably connected to the bed frame along a first direction, which is a length direction of the operating table.

In some embodiments of the present disclosure, a sliding member is disposed on the X-ray flat panel detector, a sliding slot extending along the first direction is disposed on the bed frame, and the sliding member is slidably restrained in the sliding slot.

In some embodiments of the present disclosure, a guide rail extending along the first direction is disposed on the bed frame, and a guide groove matched with the guide rail is disposed on the X-ray flat panel detector.

In some embodiments of the present disclosure, the operating table further includes a first driving device disposed on the bed frame, and the first driving device is connected to the X-ray flat panel detector to drive the X-ray flat panel detector to move along the first direction.

In some embodiments of the present disclosure, the first driving device includes a motor and a transmission mechanism, the motor is connected to the X-ray flat panel detector through the transmission mechanism, and the transmission mechanism is a synchronous belt movement mechanism or a ball screw movement mechanism.

In some embodiments of the present disclosure, the surgical bed further comprises a multi-degree-of-freedom mechanical arm disposed on the bed frame, and a clamping structure is disposed at an end of the multi-degree-of-freedom mechanical arm.

In some embodiments of the present disclosure, the surgical bed further includes a second driving device disposed at the bottom of the bed frame, the second driving device includes a lifting mechanism and a translation mechanism disposed on the lifting mechanism, and the translation mechanism is connected with the bed frame.

An embodiment of a second aspect of the present disclosure provides an orthopedic surgery assistance system, including: the surgical bed of any of the above embodiments; the X-ray bulb tube is arranged above the operating table and is used for generating X-rays; and the display device is connected with the X-ray flat panel detector and is used for receiving and displaying the image information.

The orthopedic operation auxiliary system according to the embodiment of the disclosure can be applied to orthopedic operations. The operating table in the orthopedic operation auxiliary system is provided with the X-ray flat panel detector on the supporting surface of the bed frame, the X-ray bulb tube emits X rays when working, the X-ray flat panel detector can receive the X rays emitted by the X-ray bulb tube and convert the X rays into image information, and the display device can display the image information in real time. In the process of performing orthopedic surgery, the part to be observed in a perspective way of a patient is kept on the X-ray flat panel detector, so that a doctor can observe the bone state of the patient in real time in the surgery process, and the surgery can be accurately implemented to obtain a better surgery effect. In addition, because X ray from top to bottom shines, and X ray flat panel detector sets up the top surface at the bedstead, patient's the position of treating the perspective observation directly arranges X ray flat panel detector in simultaneously, like this, X ray flat panel detector can directly receive the X ray of shining patient, even if the metal structure of sick bed itself is more, metal structure can not extend to on the transmission orbit of X ray yet, therefore, guaranteed that structure on the operation table can not lead to the fact to shelter from patient's the position of treating the perspective observation, and then guarantee that the doctor can carry out clear and effectual observation to patient's bone state.

In addition, the orthopedic surgery auxiliary system according to the embodiment of the present disclosure may further have the following additional technical features:

in some embodiments of the present disclosure, the orthopedic surgery assistance system further comprises a movable support having a moving end capable of moving along a preset trajectory, the X-ray tube being disposed on the moving end.

In some embodiments of the present disclosure, the surgical bed further comprises a multi-degree of freedom mechanical arm disposed on the bed frame; the orthopedic operation auxiliary system further comprises a computer and a mechanical arm controller, wherein the mechanical arm controller is electrically connected with the multi-degree-of-freedom mechanical arm, and the computer is electrically connected with the display device and the mechanical arm controller.

Drawings

In order to more clearly illustrate the embodiments of the present disclosure or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, and it is obvious that the drawings in the following description are only some embodiments of the present disclosure, and it is obvious for those skilled in the art that other embodiments can be obtained by using the drawings without creative efforts.

Fig. 1 is a schematic structural view of an operating bed according to an embodiment of the present disclosure;

FIG. 2 is a schematic cross-sectional view taken along the line A-A of the surgical bed in one embodiment of the present disclosure;

FIG. 3 is a schematic sectional view taken along the line A-A of an operating bed according to another embodiment of the present disclosure;

fig. 4 is a schematic top view of a bed frame of an operating bed according to an embodiment of the present disclosure;

fig. 5 is a schematic structural diagram of an orthopedic surgery assistance system according to an embodiment of the present disclosure.

Detailed Description

The technical solutions in the embodiments of the present disclosure will be clearly and completely described below with reference to the drawings in the embodiments of the present disclosure, and it is obvious that the described embodiments are only a part of the embodiments of the present disclosure, and not all of the embodiments. All other embodiments derived from the present application by a person of ordinary skill in the art based on the embodiments in the present disclosure are within the scope of protection of the present disclosure.

As shown in fig. 1, an embodiment of the first aspect of the present disclosure provides an operating table 100, the operating table 100 includes a bed frame 110 and an X-ray flat panel detector 120, wherein a top surface of the bed frame 110 is a supporting surface 111 for supporting a patient, the supporting surface is a plane, the X-ray flat panel detector 120 is used for receiving X-rays and converting the X-rays into image information, and the X-ray flat panel detector 120 is disposed on the supporting surface 111 of the bed frame 110.

According to the operation table 100 of the embodiment of the present disclosure, the X-ray flat panel detector 120 is disposed on the supporting surface 111 of the bed frame 110. In the process of performing the operation, an X-ray emitting device can be arranged above the X-ray flat panel detector 120, and meanwhile, the part of the patient to be observed through fluoroscopy is kept on the X-ray flat panel detector 120, so that the doctor can observe the bone state of the patient in real time by using the X-ray fluoroscopy technology in the process of the operation, thereby ensuring that the operation can be performed accurately and obtaining better operation effect. In addition, because the X ray from top to bottom shines, and X ray flat panel detector 120 sets up the top surface at bedstead 110, the position that treats the perspective observation of patient is directly arranged in on X ray flat panel detector 120 simultaneously, like this, X ray flat panel detector 120 can directly receive the X ray of shining to patient, even if the metal structure of sick bed itself is more, metal structure also can not extend to on the transmission orbit of X ray, therefore, guaranteed that the structure on the operation table 100 can not lead to the fact the sheltering from to patient's position that treats the perspective observation, and then guarantee that the doctor can carry out clear and effectual observation to patient's bone state. On the basis, the existing common sickbed or orthopedic operation traction bed can be used as an operating bed, and the operating bed 100 made of all-carbon fiber is not required to be introduced, so that the smooth operation of perspective observation in the operation can be ensured, and the cost can be saved.

In some embodiments of the present disclosure, the X-ray flat panel detector 120 is slidably connected to the bed frame 110 along a first direction, wherein the first direction is a length direction of the operating table 100. Since different patients may have different portions to be observed in a fluoroscopy manner, the X-ray flat panel detector 120 is slidably disposed on the bed frame 110 in order to perform the fluoroscopy in a targeted manner. Thus, the position of the X-ray flat panel detector 120 can be adjusted according to the portion of the patient to be viewed perspectively. For example, if the affected part of the patient is located at the head and neck region, the X-ray flat panel detector 120 can be slid to the position where the bed head of the operation bed 100 is located; if the affected part of the patient is located at the waist, the X-ray flat panel detector 120 can be slid to the middle position of the operation table 100; if the affected part of the patient is located on the foot, the flat panel X-ray detector 120 can be slid to the position of the foot of the operation table 100. That is, the position of the X-ray flat panel detector 120 can be specifically adjusted according to the region to be fluoroscopy of each patient, so that fluoroscopy can be more conveniently performed.

In some specific examples, as shown in fig. 2, a sliding member 121 is disposed on the X-ray flat panel detector 120, a sliding slot 112 extending along the first direction is disposed on the bed frame 110, and the sliding member 121 is slidably constrained in the sliding slot 112. Thus, the X-ray flat panel detector 120 is slidably coupled to the bed frame 110 in the first direction by the engagement of the sliding member 121 and the sliding groove 112.

In other specific examples, as shown in fig. 3, a guide rail 113 extending in the first direction is provided on the bed frame 110, and a guide groove 122 for matching with the guide rail 113 is provided on the X-ray flat panel detector 120. Thus, the X-ray flat panel detector 120 is slidably coupled to the frame 110 in the first direction by the cooperation between the guide rail 113 and the guide groove 122.

In some embodiments of the present disclosure, as shown in fig. 2, 3 and 4, the operating table 100 further includes a first driving device 130 disposed on the bed frame 110, and the first driving device 130 is connected to the X-ray flat panel detector 120 to drive the X-ray flat panel detector 120 to move along the first direction. In this embodiment, a first driving device 130 is disposed on the bed frame 110, and the X-ray flat panel detector 120 can be driven to move along a first direction by the first driving device 130. Therefore, the doctor can control the position of the X-ray flat panel detector 120 through the first driving device 130, so that the process of adjusting the position of the X-ray flat panel detector 120 is more convenient and labor-saving.

In some embodiments of the present disclosure, the first driving device 130 includes a motor 131 and a transmission mechanism 132, wherein the motor 131 is used for providing a driving force, and the motor 131 is connected to the X-ray flat panel detector 120 through the transmission mechanism 132 so as to transmit the driving force to the X-ray flat panel detector 120.

In some specific examples, the transmission 132 is a ball screw motion. Specifically, the ball screw movement mechanism includes a screw 1321 and a nut 1322, the nut 1322 is sleeved on the screw 1321 and is matched with the screw 1321, the nut 1322 is fixedly connected with the X-ray flat panel detector 120, and one end of the screw 1321 is connected with an output shaft of the motor 131. When the motor 131 works, the output shaft of the motor 131 drives the screw 1321 to rotate, and since the nut 1322 is fixed to the X-ray flat panel detector 120, the nut 1322 does not rotate along with the rotation of the screw 1321, so that the rotation of the screw 1321 is converted into the linear motion of the nut 1322 along the screw 1321, and the nut 1322 drives the X-ray flat panel detector 120 to move while making the linear motion. In other examples, the transmission mechanism 132 may be any other transmission mechanism 132 capable of converting the rotation of the motor 131 into the linear motion of the X-ray flat panel detector 120, such as a synchronous belt motion mechanism.

In some embodiments of the present disclosure, the surgical bed 100 further includes a multi-degree-of-freedom mechanical arm 140 disposed on the bed frame 110, and a clamping structure 141 is disposed at an end of the multi-degree-of-freedom mechanical arm 140. The multi-degree-of-freedom robotic arm 140 may have a variety of applications, for example, the multi-degree-of-freedom robotic arm and the gripping structure 141 may be utilized to deliver surgical instruments to a surgeon, which may reduce the number of surgical assistance personnel on site and facilitate saving of operating room space. For another example, in some cases, the multi-degree-of-freedom mechanical arm can replace the hand of the doctor to perform the operation under the cooperation of the surgical navigation system, and the doctor can manipulate the multi-degree-of-freedom mechanical arm 140 during the operation. In any of the above applications, the multi-degree-of-freedom mechanical arm 140 can further expand the functions of the operating table 100, thereby providing further convenience for the operation.

In some embodiments of the present disclosure, the operating table 100 further includes a second driving device 150 disposed at the bottom of the bed frame 110, the second driving device 150 includes a lifting mechanism 151 and a translation mechanism 152 disposed on the lifting mechanism 151, and the translation mechanism 152 is connected to the bed frame 110. The lifting mechanism 151 is used for adjusting the height of the operating table 100, the translation mechanism 152 is used for adjusting the horizontal position of the operating table 100, and the operating table 100 can be adjusted to the optimal height and the optimal horizontal position through the cooperation of the lifting mechanism 151 and the translation mechanism 152, so that convenience is brought to the implementation of an operation.

It is understood that the lifting mechanism 151 may be any device or structure capable of performing a lifting function, and the translation mechanism 152 may be any device or structure capable of performing a horizontal movement. Since the elevating mechanism 151 and the translating mechanism 152 are both conventional structures, they will not be described herein.

As shown in fig. 5, an embodiment of the second aspect of the present disclosure proposes an orthopedic surgery assistance system 10, where the orthopedic surgery assistance system 10 includes an operating table 100, an X-ray tube 200, and a display device 400. Specifically, the operating table 100 is the operating table 100 in any of the above embodiments, the X-ray tube 200 is disposed above the operating table 100, the X-ray tube 200 is used for generating X-rays, the display device 400 is connected to the X-ray flat panel detector 120, and the display device 400 is used for receiving and displaying image information.

The orthopedic operation assisting system 10 according to the disclosed embodiment can be applied to an orthopedic operation. In the operating table 100 of the orthopedic operation assisting system 10, the X-ray flat panel detector 120 is disposed on the supporting surface 111 of the bed frame 110, the X-ray tube 200 emits X-rays during operation, the X-ray flat panel detector 120 can receive the X-rays emitted by the X-ray tube 200 and convert the X-rays into image information, and the display device 400 can display the image information in real time. In the process of performing the orthopedic surgery, the part to be observed in a perspective manner of the patient is kept on the X-ray flat panel detector 120, so that the doctor can observe the bone state of the patient in real time in the surgery process, thereby ensuring that the surgery can be accurately performed to obtain a better surgery effect. In addition, because the X ray from top to bottom shines, and X ray flat panel detector 120 sets up the top surface at bedstead 110, the position that treats the perspective observation of patient is directly arranged in on X ray flat panel detector 120 simultaneously, like this, X ray flat panel detector 120 can directly receive the X ray of shining to patient, even if the metal structure of sick bed itself is more, metal structure also can not extend to on the transmission orbit of X ray, therefore, guaranteed that the structure on the operation table 100 can not lead to the fact the sheltering from to patient's position that treats the perspective observation, and then guarantee that the doctor can carry out clear and effectual observation to patient's bone state.

In some embodiments of the present disclosure, the orthopedic surgery assistance system 10 further includes a movable bracket 300, the movable bracket 300 having a moving end 310 capable of moving along a preset trajectory, the X-ray tube 200 being disposed on the moving end 310 of the movable bracket 300. In the present embodiment, the X-ray tube 200 is disposed on the moving end 310 of the movable mount 300, so that the spatial position of the X-ray tube 200 can be adjusted using the movable mount 300. For example, in one specific example, the movable support 300 can perform a lifting motion, such that the X-ray tube 200 can be lifted when the X-ray fluoroscopy function is not required, thereby allowing a large space above the operation table 100 and avoiding inconvenience to a patient or a doctor due to a small space. For another example, in another specific example, the movable support 300 can realize a horizontal movement along the first direction, so that the position of the X-ray tube 200 can be adjusted according to the part of the patient to be viewed under fluoroscopy, so that the X-ray tube 200 can be moved to be right above the part of the patient to be viewed under fluoroscopy, thereby enabling the fluoroscopy to be more conveniently performed.

In some embodiments of the present disclosure, as shown in fig. 5, the orthopedic surgery assistance system 11 further includes a computer 500 and a manipulator controller 600 based on the case that the surgical bed 100 further includes the multi-degree-of-freedom manipulator 140 disposed on the bed frame 110. The arm controller 600 is electrically connected to the multi-degree-of-freedom arm 140, and the computer 500 is electrically connected to the display device 400 and the arm controller 600. In this embodiment, the robot arm controller 600 is used to control the multi-degree-of-freedom robot arm 140, that is, an operator may manipulate the multi-degree-of-freedom robot arm 140 to perform corresponding actions through the robot arm controller 600. The computer 500 is used to plan the surgical path and track the spatial position of the surgical tool disposed on the multi-degree-of-freedom robotic arm 140. The information can be displayed by the display device 400, so that the operator can observe whether the surgical tool deviates from the preset surgical path in real time in the process of operating the multi-degree-of-freedom mechanical arm 140.

Further, the display device 400 may be a display or an intelligent display screen, and the display device 400 may simultaneously display image information obtained after the processing by the X-ray flat panel detector 120, an operation path planned by the computer 500, a tracking result (i.e., a spatial coordinate) of the spatial position of the operation tool by the computer, and the like, where the image information may be used by an operator to observe the bone state of the patient, and the operation path, the tracking result of the operation tool, and the like may be referred to by an operator of the multi-degree-of-freedom mechanical arm 140, and thus, one display device 400 may be used by multiple persons at the same time, which is beneficial to saving cost and saving space in an operating room.

It is noted that, herein, relational terms such as first and second, and the like may be used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Also, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus. Without further limitation, an element defined by the phrase "comprising an … …" does not exclude the presence of other identical elements in a process, method, article, or apparatus that comprises the element.

All the embodiments of the present disclosure are described in a related manner, and the same and similar parts among the embodiments may be referred to each other, and each embodiment focuses on the differences from the other embodiments.

The above description is only for the preferred embodiment of the present disclosure, and is not intended to limit the scope of the present disclosure. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present disclosure are included in the scope of protection of the present disclosure.

Claims (11)

1. An operating bed, comprising:

the bed frame is characterized in that the top surface of the bed frame is a supporting surface for supporting a patient, and the supporting surface is a plane;

the X-ray flat panel detector is used for receiving X-rays and converting the X-rays into image information, and the X-ray flat panel detector is arranged on the supporting surface of the bed frame.

2. The surgical bed of claim 1, wherein the X-ray flat panel detector is slidably connected to the bed frame along a first direction, the first direction being a longitudinal direction of the surgical bed.

3. An operating bed according to claim 2, characterized in that a slide is arranged on the X-ray flat panel detector, a slide groove extending in the first direction is arranged on the bed frame, and the slide is slidably restrained in the slide groove.

4. An operating bed according to claim 2, characterized in that a guide rail extending in the first direction is provided on the bed frame, and a guide groove cooperating with the guide rail is provided on the X-ray flat panel detector.

5. The surgical bed of claim 2, further comprising a first driving device disposed on the bed frame, wherein the first driving device is connected to the X-ray flat panel detector to drive the X-ray flat panel detector to move along the first direction.

6. The operating table according to claim 5, wherein the first driving device comprises a motor and a transmission mechanism, the motor is connected with the X-ray flat panel detector through the transmission mechanism, and the transmission mechanism is a synchronous belt motion mechanism or a ball screw motion mechanism.

7. The surgical bed according to any one of claims 1 to 6, further comprising a multi-degree-of-freedom mechanical arm provided on the bed frame, wherein a clamping structure is provided at an end of the multi-degree-of-freedom mechanical arm.

8. An operating bed according to any one of claims 1 to 6, characterized in that it further comprises a second driving device arranged at the bottom of said bed frame, said second driving device comprising a lifting mechanism and a translation mechanism arranged on said lifting mechanism, said translation mechanism being connected with said bed frame.

9. An orthopedic surgery assistance system comprising:

an operating bed according to any one of claims 1 to 8;

the X-ray bulb tube is arranged above the operating table and is used for generating X-rays;

and the display device is connected with the X-ray flat panel detector and is used for receiving and displaying the image information.

10. The orthopedic surgery assistance system of claim 9 further comprising a movable support having a moving end movable along a preset trajectory, the X-ray tube being disposed on the moving end.

11. The orthopedic surgery assistance system of claim 9 or 10 wherein the surgical bed further comprises a multi-degree-of-freedom mechanical arm disposed on the bed frame;

the orthopedic operation auxiliary system further comprises a computer and a mechanical arm controller, wherein the mechanical arm controller is electrically connected with the multi-degree-of-freedom mechanical arm, and the computer is electrically connected with the display device and the mechanical arm controller.

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