CN112043535A - Intracranial hematoma suction punching positioning device - Google Patents
Intracranial hematoma suction punching positioning device Download PDFInfo
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- 238000004080 punching Methods 0.000 title claims abstract description 31
- 206010059491 Intracranial haematoma Diseases 0.000 title claims abstract description 21
- 238000006073 displacement reaction Methods 0.000 claims abstract description 18
- 230000033001 locomotion Effects 0.000 claims description 15
- 230000007246 mechanism Effects 0.000 claims description 9
- 230000002093 peripheral effect Effects 0.000 claims description 3
- 230000001276 controlling effect Effects 0.000 claims 2
- 230000001105 regulatory effect Effects 0.000 claims 1
- 238000009434 installation Methods 0.000 description 19
- 210000003128 head Anatomy 0.000 description 17
- 230000009467 reduction Effects 0.000 description 16
- 230000005540 biological transmission Effects 0.000 description 12
- 238000000034 method Methods 0.000 description 7
- 210000003625 skull Anatomy 0.000 description 6
- 238000010586 diagram Methods 0.000 description 5
- 238000005096 rolling process Methods 0.000 description 5
- 210000004761 scalp Anatomy 0.000 description 5
- 238000005553 drilling Methods 0.000 description 4
- 206010018852 Haematoma Diseases 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 230000000472 traumatic effect Effects 0.000 description 2
- 206010002091 Anaesthesia Diseases 0.000 description 1
- 206010008111 Cerebral haemorrhage Diseases 0.000 description 1
- 208000032843 Hemorrhage Diseases 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 208000034158 bleeding Diseases 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 238000007428 craniotomy Methods 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 230000004807 localization Effects 0.000 description 1
- 238000005259 measurement Methods 0.000 description 1
- 230000036407 pain Effects 0.000 description 1
- 238000004393 prognosis Methods 0.000 description 1
- 230000002269 spontaneous effect Effects 0.000 description 1
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- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/1695—Trepans or craniotomes, i.e. specially adapted for drilling thin bones such as the skull
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- A61B17/171—Guides or aligning means for drills, mills, pins or wires for external fixation
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- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
- A61G13/121—Head or neck
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Abstract
一种颅内血肿抽吸打孔定位装置,其包括:患者躺卧及固定患者头部位置的床体、对患者头部某一位置进行打孔操作的打孔器、调节打孔器水平纵向及垂直高度的调节支架;其特征在于,所述调节支架具有与地面垂直且调节打孔器垂直高度的垂直段和与地面平行且调节打孔器水平纵向位移的水平段,且所述垂直段的上端与所述水平段的一端连接;在床体的下端设置调整床体水平横向位移的横向调节架,且所述横向调节架与所述垂直段的下端固定连接;在所述水平段的端面设置打孔器和控制面板;所述控制面板分别控制横向调节架、水平段和垂直段的调节幅度;使用时通过水平横向位移的床体和垂直高度、水平纵向调节的打孔器实现打孔器对患者头部打孔位置的精准定位。
An intracranial hematoma suction and punching positioning device, comprising: a bed body for lying on the patient and fixing the position of the patient's head, a puncher for punching a certain position of the patient's head, and a horizontal and vertical adjustment of the puncher and a vertical height adjustment bracket; it is characterized in that, the adjustment bracket has a vertical section that is perpendicular to the ground and adjusts the vertical height of the puncher and a horizontal section that is parallel to the ground and adjusts the horizontal and longitudinal displacement of the puncher, and the vertical section is The upper end of the bed is connected to one end of the horizontal section; a lateral adjustment frame for adjusting the horizontal and lateral displacement of the bed is arranged at the lower end of the bed, and the lateral adjustment frame is fixedly connected to the lower end of the vertical section; at the lower end of the horizontal section The end face is provided with a puncher and a control panel; the control panel respectively controls the adjustment range of the horizontal adjustment frame, the horizontal section and the vertical section; when in use, punching is achieved through the horizontal and horizontal displacement of the bed and the vertical height and horizontal and vertical adjustment of the hole punch. Precise positioning of the hole punch on the patient's head.
Description
技术领域technical field
本发明属于医疗器械领域,具体涉及为一种颅内血肿抽吸打孔定位装置。The invention belongs to the field of medical devices, and in particular relates to an intracranial hematoma suction and punching positioning device.
背景技术Background technique
自发性脑出血是临床上较为常见的卒中类型,其致死率、致残率较高,且目前缺乏有效的治疗方法。目前研究显示,开颅血肿清除术创伤较大,与保守治疗相比,不能显著改善患者的功能预后。因此,目前临床工作中不常规推荐此种术式。微创颅内血肿抽吸术创伤较小、操作简单,目前在国内很多医院常规开展。此种手术的关键技术是血肿定位、颅骨钻孔和引流管置入。不同的医院或地区操作的流程和方法不尽相同。有的医院采用神经外科颅脑手术立体定位系统,定位较为精确,但操作较为复杂、价格昂贵,不易广泛推广;有的医院采用较为简单的定位方法,例如应用CT平片测量定位、床旁穿刺,此种方法对于手术医生的经验要求较高,且操作过程中,由于患者麻醉深度较浅,固定装置不牢固,经常出现头部移动,导致定位不准的情况。另外,采用手枪钻存在以下缺点:1、由于头皮与颅骨的可分离性以及手枪钻钻头的震动导致头皮位置变化,无法根据头皮判断预设颅骨打孔位置;2、打孔完成后,由于头皮位置的变化,导致已打孔位置无法从头皮上判断,从而延长手术时间或者需要二次钻孔,增加患者的痛苦,相应的感染、出血风险增加。本发明针对现有手枪钻无法对颅骨精准打孔及术中患者头位固定困难的问题,提供一种颅内血肿抽吸打孔定位装置。Spontaneous cerebral hemorrhage is a relatively common type of stroke in clinical practice, with high mortality and disability rates, and there is currently no effective treatment method. Current studies have shown that craniotomy hematoma evacuation is more traumatic and cannot significantly improve the functional prognosis of patients compared with conservative treatment. Therefore, such an operation is not routinely recommended in current clinical work. Minimally invasive intracranial hematoma aspiration is less traumatic and simple to operate, and is currently routinely performed in many domestic hospitals. The key techniques for this type of surgery are hematoma localization, burr hole and drainage tube placement. Different hospitals or regions have different procedures and methods of operation. Some hospitals use a stereotaxic system for neurosurgery and cranial surgery, which is more accurate in positioning, but the operation is complicated and expensive, and it is not easy to be widely promoted; some hospitals use relatively simple positioning methods, such as CT plain film measurement positioning, bedside puncture , This method has higher requirements for the experience of the surgeon, and during the operation, due to the shallow depth of anesthesia for the patient, the fixing device is not firm, and the head often moves, resulting in inaccurate positioning. In addition, the use of the pistol drill has the following disadvantages: 1. The position of the scalp changes due to the separability of the scalp and the skull and the vibration of the pistol drill bit, and the preset skull drilling position cannot be judged according to the scalp; The change of the position makes it impossible to judge the position of the punched hole from the scalp, thus prolonging the operation time or requiring a second drilling, increasing the pain of the patient, and the corresponding risk of infection and bleeding. Aiming at the problems that the existing pistol drill cannot accurately drill the skull and the patient's head position is difficult to fix during the operation, the invention provides an intracranial hematoma suction and drilling positioning device.
发明内容SUMMARY OF THE INVENTION
为了克服现有手枪钻无法对颅骨精准打孔及术中患者头位固定困难的问题,本发明提供一种颅内血肿抽吸打孔定位装置。In order to overcome the problems that the existing pistol drill cannot accurately drill the skull and the patient's head position is difficult to fix during the operation, the present invention provides an intracranial hematoma suction and drilling positioning device.
一种颅内血肿抽吸打孔定位装置,其包括:患者躺卧及固定患者头部位置的床体、对患者头部某一位置进行打孔操作的打孔器、调节打孔器水平纵向及垂直高度的调节支架;其特征在于,所述调节支架具有与地面垂直且调节打孔器垂直高度的垂直段和与地面平行且调节打孔器水平纵向位移的水平段,且所述垂直段的上端与所述水平段的一端连接;在床体的下端设置调整床体水平横向位移的横向调节架,且所述横向调节架与所述垂直段的下端固定连接;在所述水平段的端面设置打孔器和控制面板;所述控制面板分别控制横向调节架、水平段和垂直段的调节幅度;使用时通过水平横向位移的床体和垂直高度、水平纵向调节的打孔器实现打孔器对患者头部打孔位置的精准定位。An intracranial hematoma suction and punching positioning device, comprising: a bed body for lying on a patient and fixing the position of the patient's head, a puncher for punching a certain position of the patient's head, and a horizontal and vertical adjustment of the puncher and a vertical height adjustment bracket; it is characterized in that the adjustment bracket has a vertical section that is perpendicular to the ground and adjusts the vertical height of the puncher and a horizontal section that is parallel to the ground and adjusts the horizontal and longitudinal displacement of the puncher, and the vertical section is The upper end of the bed is connected to one end of the horizontal section; the lower end of the bed is provided with a lateral adjustment frame for adjusting the horizontal and lateral displacement of the bed, and the lateral adjustment frame is fixedly connected to the lower end of the vertical section; at the lower end of the horizontal section The end face is provided with a puncher and a control panel; the control panel respectively controls the adjustment range of the horizontal adjustment frame, the horizontal section and the vertical section; when in use, punching is achieved through the horizontal and horizontal displacement of the bed and the vertical height and horizontal and vertical adjustment of the hole punch. Precise positioning of the hole punch on the patient's head.
进一步,在床体上端设置固定患者头部的半圆环状支架和提供患者颈部支撑力的颈枕,且沿半圆环支架的径向在半圆环支架的周缘均匀设置锁紧螺母;上述设置可以满足不同患者的头部差异化需求,且利用锁紧螺母可以即时锁紧患者头部。Further, a semi-circular annular support for fixing the patient's head and a neck pillow for providing the patient's neck support are arranged on the upper end of the bed, and locking nuts are evenly arranged on the periphery of the semi-circular support along the radial direction of the semi-circular support; the above-mentioned The settings can meet the differentiated needs of different patients' heads, and the patient's head can be instantly locked with the lock nut.
进一步,锁紧螺母的螺栓端口为尖锐状;上述设置便于穿过头皮,进而实现头骨位置的精确固定。Further, the bolt port of the locking nut is sharp; the above arrangement is convenient for passing through the scalp, thereby realizing precise fixation of the position of the skull.
进一步,沿人体颈部位置设置便于医护人员调整患者颈部高度的颈枕,且沿颈部两侧端在颈枕下端设置调整患者左侧颈部高度的第一电动推杆和调整患者右侧颈部高度的第二电动推杆。Further, a neck pillow for adjusting the height of the patient's neck is arranged along the neck of the human body, and a first electric push rod for adjusting the height of the patient's left neck and a first electric push rod for adjusting the patient's right side are arranged along both sides of the neck at the lower end of the neck pillow. A second electric push rod at neck height.
进一步,所述横向调节支架包括:安装机架、滚珠丝杠副、减速齿轮组、第一电机、传动链条;所述安装机架为与床体尺寸相近且与床体平行铺设的板体,且在安装机架的周缘固定设置所述垂直段;沿床体的横向运动方向在安装机架上端面铺设2个滚珠丝杠副,且床体的下端与滚珠丝杠副中螺母固定连接;在2个滚珠丝杠副的输入端分别设置转动滚珠丝杠副中丝杠的减速齿轮组,且沿2个减速齿轮组的输入端铺设与减速齿轮组输入端相啮合的传动链条;沿床体的横向运动方向在安装机架上铺设第一电机,且第一电机中电机轴朝向与床体的横向运动方向相同;在第一电机的输出端安装与减速齿轮组啮合的传动齿轮;使用时利用第一电机通过齿轮传动转动滚珠丝杠副中丝杠,进而通过丝杆与滚珠螺母的螺旋传动实现床体的水平横向位移。Further, the lateral adjustment bracket includes: an installation frame, a ball screw pair, a reduction gear set, a first motor, and a transmission chain; the installation frame is a plate body that is similar in size to the bed body and is laid parallel to the bed body, And the vertical section is fixedly arranged on the periphery of the installation frame; two ball screw pairs are laid on the upper end face of the installation frame along the lateral movement direction of the bed body, and the lower end of the bed body is fixedly connected with the nut in the ball screw pair; The input ends of the two ball screw pairs are respectively provided with a reduction gear set that rotates the lead screw in the ball screw pair, and a transmission chain meshing with the input end of the reduction gear set is laid along the input ends of the two reduction gear sets; The lateral movement direction of the body is laid on the installation frame with a first motor, and the motor shaft in the first motor is oriented in the same direction as the lateral movement direction of the bed; the output end of the first motor is installed with a transmission gear that meshes with the reduction gear set; use At the same time, the first motor is used to rotate the lead screw in the ball screw pair through gear transmission, and then the horizontal and lateral displacement of the bed is realized through the screw transmission of the lead screw and the ball nut.
进一步,所述垂直段为两个套接的套筒,且第一套筒的内径大于第二套筒的外径;在安装机架的周缘固定设置第一套筒;在第一套筒内设置推动第二套筒做纵向直线往复运动的顶举机构;在第二套筒的上端设置与第二套管垂直的水平段。Further, the vertical section is two sleeved sleeves, and the inner diameter of the first sleeve is larger than the outer diameter of the second sleeve; the first sleeve is fixedly arranged on the periphery of the installation frame; in the first sleeve A jacking mechanism that pushes the second sleeve to perform longitudinal linear reciprocating motion is arranged; a horizontal section perpendicular to the second sleeve is arranged on the upper end of the second sleeve.
进一步,所述顶举机构包括:主动螺杆、内螺纹螺母、外螺纹螺母、从动螺杆、机架、推力式滚动轴承;沿第一套筒的轴向在第一套筒内从下到上依次固定设置机架、推力式滚动轴承、外螺纹螺母;沿外螺纹螺母的水平中心线在外螺母的周缘设置与外螺纹螺母相啮合的主动螺杆,且主动螺杆的轴向中心线与外螺纹螺母的竖直中心线相互垂直;在外螺纹螺母内固定设置内螺纹螺母,且沿内螺纹螺母的竖直中心线设置与内螺纹螺母相啮合的从动螺杆,在从动螺杆的上端设置第二套筒;使用时转动主动螺杆利用主动螺杆与外螺纹螺母的螺旋传动、外螺纹螺母与内螺纹螺母的固定连接、内螺纹螺母与从动螺杆的螺旋传动实现第二套筒的轴向直线往复运动。Further, the jacking mechanism includes: a driving screw, an inner threaded nut, an outer threaded nut, a driven screw, a frame, and a thrust rolling bearing; and in the first sleeve along the axial direction of the first sleeve from bottom to top A frame, a thrust rolling bearing, and an external thread nut are fixedly arranged; along the horizontal centerline of the external thread nut, a driving screw that engages with the external thread nut is arranged on the periphery of the external nut, and the axial centerline of the driving screw is vertically aligned with the external thread nut. The straight centerlines are perpendicular to each other; an internal thread nut is fixedly arranged in the external thread nut, and a driven screw rod engaged with the internal thread nut is arranged along the vertical centerline of the internal thread nut, and a second sleeve is set on the upper end of the driven screw rod; When in use, the driving screw is rotated to realize the axial linear reciprocating motion of the second sleeve by the screw drive of the driving screw and the external thread nut, the fixed connection of the external thread nut and the internal thread nut, and the screw drive of the internal thread nut and the driven screw.
进一步,沿主动螺杆的轴向中心线在第一套筒内壁上设置第二电机;且第二电机的电机轴与主动螺杆啮合连接。Further, a second motor is arranged on the inner wall of the first sleeve along the axial centerline of the driving screw; and the motor shaft of the second motor is meshed and connected with the driving screw.
或者,所述顶举机构设置为第三电动推杆;沿第一套筒的轴向在第一套筒底端设置第三电动推杆,且在第三电动推杆的工作端设置第二套筒。Alternatively, the jacking mechanism is configured as a third electric push rod; a third electric push rod is disposed at the bottom end of the first sleeve along the axial direction of the first sleeve, and a second electric push rod is disposed at the working end of the third electric push rod sleeve.
进一步,所述水平段为中空柱体,且在柱体的另一端设置一在水平段内做直线往复运动的长条板;在长条板伸出水平段的一端下方位置设置打孔器;上述设置可以实现水平段调整打孔器的水平纵向位移。Further, the horizontal section is a hollow cylinder, and a long strip that performs linear reciprocating motion in the horizontal section is arranged at the other end of the cylinder; a punch is arranged below one end of the long strip extending out of the horizontal section; The above setting can realize the horizontal and vertical displacement of the hole puncher in the horizontal section.
进一步,沿水平段同一纵向水平线在柱体内侧壁上分别设置第三电机和一圆杆,且在第三电机的电机轴和圆杆上设置相啮合的齿轮;电机轴上的齿轮外径小于圆杆上的齿轮外径;沿圆杆上的齿轮外缘在柱体内设置与其外缘水平相切的长条板,且沿长条板与圆杆上的齿轮的接触面在长条板上设置与圆杆上的齿轮相啮合的齿条;上述设置利用第三电机电机轴转动带动电机轴上齿轮转动,进而通过齿轮啮合带动长条板在水平段内滑动。Further, a third motor and a round rod are respectively arranged on the inner side wall of the cylinder along the same longitudinal horizontal line of the horizontal section, and a gear meshing is arranged on the motor shaft of the third motor and the round rod; the outer diameter of the gear on the motor shaft is less than The outer diameter of the gear on the round rod; along the outer edge of the gear on the round rod, a long strip horizontally tangent to its outer edge is arranged in the cylinder, and the contact surface between the long strip and the gear on the round rod is on the long strip A rack is arranged that meshes with the gear on the round rod; the above arrangement uses the rotation of the third motor motor shaft to drive the gear on the motor shaft to rotate, and then drives the long strip to slide in the horizontal section through the gear meshing.
进一步,在长条板的两侧端与水平段两侧端之间对应设置适配的滑块和滑轨;且在长条板的下端设置滑轮;上述设置滑块和滑轨可以分配长条板下方设置的打孔器重量,且滑轮可以减少长条板在水平段内的滑动阻力。Further, between the two side ends of the long strip and the two sides of the horizontal section, a corresponding sliding block and a sliding rail are arranged; and a pulley is arranged at the lower end of the long strip; the above-mentioned setting of the sliding block and the sliding rail can distribute the long strip The weight of the punch set under the board, and the pulley can reduce the sliding resistance of the long board in the horizontal section.
进一步,所述打孔器包括:旋转打孔的针头、微调针头高度的滚珠丝杠副;在长条板的下端设置第四电机,且第四电机的电机轴与滚珠丝杠副中的丝杠固定连接;在滚珠丝杠副中的滚珠螺母一端面设置针头;上述设置利用滚珠丝杠副的精准调节实现针头高度微调的需求。Further, the hole puncher includes: a needle for rotating and punching a hole and a ball screw pair for fine-tuning the height of the needle head; a fourth motor is arranged at the lower end of the long strip, and the motor shaft of the fourth motor is connected to the screw in the ball screw pair. The screw is fixedly connected; the needle head is arranged on one end face of the ball nut in the ball screw pair; the above setting uses the precise adjustment of the ball screw pair to achieve the need for fine-tuning the height of the needle head.
进一步,在滚珠螺母的外表面设置一中空且内径大于滚珠丝杠副中丝杠外径的直杆,且在直杆的一端设置一中空圆柱体,在圆柱体的一端设置第五电机,第五电机的电机轴与针头固定连接;上述设置可以实现针头的可旋转。Further, a hollow straight rod with an inner diameter greater than the outer diameter of the screw in the ball screw pair is arranged on the outer surface of the ball nut, and a hollow cylinder is arranged at one end of the straight rod, and a fifth motor is arranged at one end of the cylinder, and the first The motor shaft of the fifth motor is fixedly connected with the needle; the above arrangement can realize the rotation of the needle.
进一步,在水平段外表面设置一控制电机正反转和电动推杆伸缩量的控制面板,且在控制面板的端面分别设置控制第一电机正反转的第一按钮、控制第二电机正反转或第三电动推杆伸缩量的第二按钮、控制第三电机正反转的第三按钮、控制第四电机正反转的第四按钮、控制第五电机正反转的第五按钮;控制第一电动推杆伸缩量的第六按钮、控制第二电动推杆伸缩量的第七按钮。Further, a control panel for controlling the forward and reverse rotation of the motor and the telescopic amount of the electric push rod is arranged on the outer surface of the horizontal section, and a first button for controlling the forward and reverse rotation of the first motor, and a first button for controlling the forward and reverse rotation of the second motor are respectively arranged on the end face of the control panel. The second button for turning or retracting the third electric push rod, the third button for controlling the forward and reverse rotation of the third motor, the fourth button for controlling the forward and reverse rotation of the fourth motor, and the fifth button for controlling the forward and reverse rotation of the fifth motor; The sixth button controls the telescopic amount of the first electric push rod, and the seventh button controls the telescopic amount of the second electric push rod.
进一步,沿针头位置在圆柱体的外表面设置一角度可调节的摄像机,且在控制面板的上端设置一显示屏;上述设置便于医护人员观察打孔情况。Further, an angle-adjustable camera is arranged on the outer surface of the cylinder along the needle position, and a display screen is arranged on the upper end of the control panel; the above arrangement is convenient for medical staff to observe the punching situation.
进一步,在垂直端中第一套筒的外表面设置一角度可调节的红外线发射器;上述设置便于医护人员实时观察打孔位置有无变化。Further, an angle-adjustable infrared emitter is arranged on the outer surface of the first sleeve in the vertical end; the above arrangement is convenient for medical staff to observe whether the punching position changes in real time.
进一步,沿电机在装置本体内摆放位置设置第一电路通路、第二电路,上述设置第一电路通路和第二电路通路可以实现控制面板控制电机正反转和电动推杆伸缩量。Further, the first circuit path and the second circuit are arranged along the placement position of the motor in the device body. The above-mentioned setting of the first circuit path and the second circuit path can realize the control panel to control the forward and reverse rotation of the motor and the telescopic amount of the electric push rod.
进一步,在水平段内设置一与外接电源电连接的电路板,且电路板沿第一通路和第二通路提供电机和电动推杆的电能。Further, a circuit board electrically connected to an external power supply is arranged in the horizontal section, and the circuit board provides the electric power of the motor and the electric push rod along the first passage and the second passage.
进一步,第一电路通路依次电连接第三电机、第二电机或第三电动推杆、第一电机、第一电动推杆、第二电动推杆;第二电路通路依次电连接第四电机、第五电机。Further, the first circuit path is electrically connected to the third motor, the second motor or the third electric push rod, the first motor, the first electric push rod, and the second electric push rod in sequence; the second circuit path is electrically connected to the fourth motor, Fifth motor.
进一步,第三电机、第二电机、第一电机、第四电机、第五电机均选用小型无刷电机。Further, the third motor, the second motor, the first motor, the fourth motor and the fifth motor are all small brushless motors.
与现有技术的头部打孔器械相比,本发明的技术方案通过横向位移的床体和纵向及竖向调节的打孔器实现打孔器对患者头部打孔位置的精准定位。利用尖锐的锁紧螺母实现头骨位置的精确固定。利用可微调高度的打孔器实现打孔钻头的打孔深度变化。Compared with the prior art head punching instrument, the technical solution of the present invention realizes the precise positioning of the punching position of the patient's head by the puncher through the laterally displaced bed body and the longitudinally and vertically adjusted puncher. Precise fixation of the skull position with a sharpened lock nut. The hole depth of the hole drill can be varied by using a hole punch with a fine adjustment of the height.
附图说明Description of drawings
图1为本发明的整体结构示意图;Fig. 1 is the overall structure schematic diagram of the present invention;
图2为本发明中颈枕的内部结构示意图;Fig. 2 is the internal structure schematic diagram of the neck pillow in the present invention;
图3为本发明中横向调节架的结构示意图;Fig. 3 is the structural representation of the horizontal adjustment frame in the present invention;
图4为本发明横向调节架的结构剖面示意图;Figure 4 is a schematic cross-sectional view of the structure of the lateral adjustment frame of the present invention;
图5为本发明中横向调节架的部分结构放大示意图;5 is an enlarged schematic view of a part of the structure of the lateral adjustment frame in the present invention;
图6为本发明中垂直段的内部结构示意图;6 is a schematic diagram of the internal structure of the vertical section in the present invention;
图7为本发明中顶举机构的结构示意图;Fig. 7 is the structural representation of the jacking mechanism in the present invention;
图8为本发明水平段的内部结构示意图;8 is a schematic diagram of the internal structure of the horizontal section of the present invention;
图9为本发明中水平段的结构放大示意图;9 is an enlarged schematic view of the structure of the horizontal section in the present invention;
图10为本发明中打孔器的内部结构示意图;10 is a schematic diagram of the internal structure of the puncher in the present invention;
图中,1、横向调节架;2、颈枕;3、打孔器;4、水平段;5、垂直段;6、床体;7、红外线发射器;601、半圆环支架;602、锁紧螺母;201、第一电动推杆;202、第二电动推杆;101、横向调节架中的滚珠丝杠副;102、安装机架;103、第一电机;104、减速齿轮组;105、传动链条;501、第二套筒; 502、第一套筒;503、第二电机;504、内螺纹螺母;505、从动螺杆;506、主动螺杆;507、推力式滚动轴承;508、机架;509、外螺纹螺母;8、控制面板; 9、显示屏;10、外接电源;11、摄像头;12、电路板;401、长条板;402、圆杆上的齿轮;403、第三电机;404、齿条;405、滑轮;301、第四电机;302、打孔器中的滚珠丝杠副;303、直杆;304、针头;305、第五电机。In the figure, 1, horizontal adjustment frame; 2, neck pillow; 3, puncher; 4, horizontal section; 5, vertical section; 6, bed body; 7, infrared emitter; 601, semi-circle bracket; 602, locking nut; 201, the first electric push rod; 202, the second electric push rod; 101, the ball screw pair in the lateral adjustment frame; 102, the installation frame; 103, the first motor; 104, the reduction gear set; 105, transmission chain; 501, second sleeve; 502, first sleeve; 503, second motor; 504, internal thread nut; 505, driven screw; 506, driving screw; 507, thrust rolling bearing; 508, Rack; 509, external thread nut; 8, control panel; 9, display screen; 10, external power supply; 11, camera; 12, circuit board; 401, long strip; 402, gear on round rod; 403, No. Three motors; 404, rack; 405, pulley; 301, fourth motor; 302, ball screw pair in the punch; 303, straight rod; 304, needle; 305, fifth motor.
具体实施方式Detailed ways
以下通过特定的具体实施例对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例,本领域技术人员可由本说明书所揭露的内容轻易地了解本发明的其他优点与功效。本发明还可以通过另外不同的具体实施方式加以实施或应用,在不冲突的情况下,以下实施例及实施例中的特征可以相互组合,基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The technical solutions in the embodiments of the present invention will be clearly and completely described below through specific specific embodiments. Obviously, the described embodiments are only a part of the embodiments of the present invention, not all of the embodiments. Those skilled in the art can use the Other advantages and functions of the present invention are easily understood from the contents disclosed in the specification. The present invention can also be implemented or applied through other different specific embodiments. If there is no conflict, the following embodiments and the features in the embodiments can be combined with each other. Based on the embodiments of the present invention, those of ordinary skill in the art can All other embodiments obtained without creative work fall within the protection scope of the present invention.
实施例1一种颅内血肿抽吸打孔定位装置
一种颅内血肿抽吸打孔定位装置,其包括:患者躺卧及固定患者头部位置的床体6、对患者头部某一位置进行打孔操作的打孔器3、调节打孔器3水平纵向及垂直高度的调节支架;其特征在于,所述调节支架具有与地面垂直且调节打孔器3垂直高度的垂直段5和与地面平行且调节打孔器3水平纵向位移的水平段4,且所述垂直段5的上端与所述水平段4的一端连接;在床体6的下端设置调整床体6水平横向位移的横向调节架1,且所述横向调节架1与所述垂直段5的下端固定连接;在所述水平段4的端面设置打孔器3和控制面板8;所述控制面板8分别控制横向调节架1、水平段4和垂直段5的调节幅度。An intracranial hematoma suction and punching positioning device, comprising: a
在床体6上端设置固定患者头部的半圆环状支架和提供患者颈部支撑力的颈枕2,且沿半圆环支架601的径向在半圆环支架601的周缘均匀设置端口为尖锐状的锁紧螺母602。The upper end of the
沿人体颈部位置设置便于医护人员调整患者颈部高度的颈枕2,且沿颈部两侧端在颈枕2下端设置调整患者左侧颈部高度的第一电动推杆201和调整患者右侧颈部高度的第二电动推杆202。A
所述横向调节支架包括:安装机架102、滚珠丝杠副101、减速齿轮组104、第一电机103、传动链条105;所述安装机架102为与床体6尺寸相近且与床体6平行铺设的板体,且在安装机架102的周缘固定设置所述垂直段5;沿床体6的横向运动方向在安装机架102上端面铺设2个滚珠丝杠副101,且床体 6的下端与滚珠丝杠副101中螺母固定连接;在2个滚珠丝杠副101的输入端分别设置转动滚珠丝杠副101中丝杠的减速齿轮组104,且沿2个减速齿轮组 104的输入端铺设与减速齿轮组104输入端相啮合的传动链条105;沿床体6 的横向运动方向在安装机架102上铺设第一电机103,且第一电机103中电机轴朝向与床体6的横向运动方向相同;在第一电机103的输出端安装与减速齿轮组104啮合的传动齿轮。The lateral adjustment bracket includes: an installation frame 102, a ball screw pair 101, a reduction gear set 104, a first motor 103, and a transmission chain 105; the installation frame 102 is similar in size to the bed body 6 and is The plates are laid in parallel, and the vertical section 5 is fixed on the periphery of the installation frame 102; two ball screw pairs 101 are laid on the upper end surface of the installation frame 102 along the lateral movement direction of the bed 6, and the bed 6 The lower end of the ball screw pair 101 is fixedly connected with the nut in the ball screw pair 101; the input ends of the two ball screw pairs 101 are respectively provided with a reduction gear group 104 that rotates the screw in the ball screw pair 101, and along the two reduction gear groups 104 The input end is laid with a transmission chain 105 meshing with the input end of the reduction gear set 104; the first motor 103 is laid on the installation frame 102 along the lateral movement direction of the bed 6, and the motor shaft of the first motor 103 is oriented towards the bed 6 The lateral movement direction of the first motor 103 is the same; a transmission gear meshing with the reduction gear set 104 is installed at the output end of the first motor 103 .
所述垂直段5为两个套接的套筒,且第一套筒502的内径大于第二套筒 501的外径;在安装机架102的周缘固定设置第一套筒502;在第一套筒502 内设置推动第二套筒501做纵向直线往复运动的顶举机构;所述顶举机构包括:主动螺杆506、内螺纹螺母504、外螺纹螺母509、从动螺杆505、机架508、推力式滚动轴承507;沿第一套筒502的轴向在第一套筒502内从下到上依次固定设置机架508、推力式滚动轴承507、外螺纹螺母509;沿外螺纹螺母509 的水平中心线在外螺母的周缘设置与外螺纹螺母509相啮合的主动螺杆506,且主动螺杆506的轴向中心线与外螺纹螺母509的竖直中心线相互垂直;沿主动螺杆506的轴向中心线在第一套筒502内壁上设置第二电机503,且第二电机503的电机轴与主动螺杆506啮合连接;在外螺纹螺母509内固定设置内螺纹螺母504,且沿内螺纹螺母504的竖直中心线设置与内螺纹螺母504相啮合的从动螺杆505,在从动螺杆505的上端设置第二套筒501;在第二套筒501 的上端设置与第二套管垂直的水平段4。The vertical section 5 is two sleeved sleeves, and the inner diameter of the first sleeve 502 is larger than the outer diameter of the second sleeve 501 ; the first sleeve 502 is fixedly arranged on the periphery of the installation frame 102 ; The sleeve 502 is provided with a jacking mechanism that pushes the second sleeve 501 to perform longitudinal linear reciprocating motion; the jacking mechanism includes: a driving screw 506 , an internal thread nut 504 , an external thread nut 509 , a driven screw 505 , and a frame 508 , thrust type rolling bearing 507; along the axial direction of the first sleeve 502, the frame 508, the thrust type rolling bearing 507 and the external thread nut 509 are fixedly arranged in the first sleeve 502 from bottom to top in sequence; along the level of the external thread nut 509 The centerline of the outer nut is provided with a driving screw 506 that engages with the externally threaded nut 509, and the axial centerline of the driving screw 506 and the vertical centerline of the externally threaded nut 509 are perpendicular to each other; along the axial centerline of the driving screw 506 A second motor 503 is arranged on the inner wall of the first sleeve 502, and the motor shaft of the second motor 503 is engaged with the driving screw 506; an inner thread nut 504 is fixedly arranged in the outer thread nut 509, and along the vertical direction of the inner thread nut 504 The centerline is provided with a driven screw 505 that engages with an internal thread nut 504, and a second sleeve 501 is set on the upper end of the driven screw 505;
所述水平段4为中空柱体,沿水平段4同一纵向水平线在柱体内侧壁上分别设置第三电机403和一圆杆,且在第三电机403的电机轴和圆杆上设置相啮合的齿轮;电机轴上的齿轮外径小于圆杆上的齿轮402外径;沿圆杆上的齿轮 402外缘在柱体内设置与其外缘水平相切的长条板401,且沿长条板401与圆杆上的齿轮402的接触面在长条板401上设置与圆杆上的齿轮402相啮合的齿条404;在长条板401伸出水平段4的一端下方位置设置打孔器3;上述设置可以实现水平段4调整打孔器3的水平纵向位移。The horizontal section 4 is a hollow cylinder, a
在长条板401的两侧端与水平段4两侧端之间对应设置适配的滑块和滑轨;且在长条板401的下端设置滑轮405。Fitted sliders and slide rails are correspondingly provided between the two sides of the
所述打孔器3包括:旋转打孔的针头304、微调针头304高度的滚珠丝杠副302;在长条板401的下端设置第四电机301,且第四电机301的电机轴与滚珠丝杠副中302的丝杠固定连接;在滚珠丝杠副302中螺母的外表面设置一中空且内径大于滚珠丝杠副302中丝杠外径的直杆303,且在直杆303的一端设置一中空圆柱体,在圆柱体的一端设置第五电机305,第五电机305的电机轴与针头304固定连接。The
在水平段4外表面设置一控制电机正反转和电动推杆伸缩量的控制面板8,且在控制面板8的端面分别设置控制第一电机103正反转的第一按钮、控制第二电机503正反转的第二按钮、控制第三电机403正反转的第三按钮、控制第四电机301正反转的第四按钮、控制第五电机305正反转的第五按钮;控制第一电动推杆201伸缩量的第六按钮、控制第二电动推杆202伸缩量的第七按钮;沿针头304位置在圆柱体的外表面设置一角度可调节的摄像机,且在控制面板 8的上端设置一显示屏9;上述设置便于医护人员观察打孔情况;在垂直端中第一套筒502的外表面设置一角度可调节的红外线发射器7。A
在水平段4内设置一与外接电源10电连接的电路板12,沿电机在装置本体内摆放位置设置第一电路通路、第二电路,且控制面板8可以沿第一电路和第二电路控制电机正反转和电动推杆伸缩量,电路板12沿第一通路和第二通路提供电机和电动推杆的电能;第一电路通路依次电连接第三电机403、第二电机503、第一电机103、第一电动推杆201、第二电动推杆202;第二电路通路依次电连接第四电机301、第五电机305。A
第三电机403、第二电机503、第一电机103、第四电机301、第五电机 305均选用小型无刷电机。The
实施例2一种颅内血肿抽吸打孔定位装置
一种颅内血肿抽吸打孔定位装置,其包括:患者躺卧及固定患者头部位置的床体6、对患者头部某一位置进行打孔操作的打孔器3、调节打孔器3水平纵向及垂直高度的调节支架;其特征在于,所述调节支架具有与地面垂直且调节打孔器3垂直高度的垂直段5和与地面平行且调节打孔器3水平纵向位移的水平段4,且所述垂直段5的上端与所述水平段4的一端连接;在床体6的下端设置调整床体6水平横向位移的横向调节架1,且所述横向调节架1与所述垂直段5的下端固定连接;在所述水平段4的端面设置打孔器3和控制面板8;所述控制面板8分别控制横向调节架1、水平段4和垂直段5的调节幅度。An intracranial hematoma suction and punching positioning device, comprising: a
在床体6上端设置固定患者头部的半圆环状支架和提供患者颈部支撑力的颈枕2,且沿半圆环支架601的径向在半圆环支架601的周缘均匀设置端口为尖锐状的锁紧螺母602。The upper end of the
沿人体颈部位置设置便于医护人员调整患者颈部高度的颈枕2,且沿颈部两侧端在颈枕2下端设置调整患者左侧颈部高度的第一电动推杆201和调整患者右侧颈部高度的第二电动推杆202。A
所述横向调节支架包括:安装机架102、滚珠丝杠副101、减速齿轮组104、第一电机103、传动链条105;所述安装机架102为与床体6尺寸相近且与床体6平行铺设的板体,且在安装机架102的周缘固定设置所述垂直段5;沿床体6的横向运动方向在安装机架102上端面铺设2个滚珠丝杠副101,且床体6的下端与滚珠丝杠副101中螺母固定连接;在2个滚珠丝杠副101的输入端分别设置转动滚珠丝杠副101中丝杠的减速齿轮组104,且沿2个减速齿轮组104的输入端铺设与减速齿轮组104输入端相啮合的传动链条105;沿床体6 的横向运动方向在安装机架102上铺设第一电机103,且第一电机103中电机轴朝向与床体6的横向运动方向相同;在第一电机103的输出端安装与减速齿轮组104啮合的传动齿轮。The lateral adjustment bracket includes: an installation frame 102, a ball screw pair 101, a reduction gear set 104, a first motor 103, and a transmission chain 105; the installation frame 102 is similar in size to the bed body 6 and is The plates are laid in parallel, and the vertical section 5 is fixed on the periphery of the installation frame 102; two ball screw pairs 101 are laid on the upper end surface of the installation frame 102 along the lateral movement direction of the bed 6, and the bed 6 The lower end of the ball screw pair 101 is fixedly connected with the nut in the ball screw pair 101; the input ends of the two ball screw pairs 101 are respectively provided with a reduction gear group 104 that rotates the screw in the ball screw pair 101, and along the two reduction gear groups 104 The input end is laid with a transmission chain 105 meshing with the input end of the reduction gear set 104; the first motor 103 is laid on the installation frame 102 along the lateral movement direction of the bed 6, and the motor shaft of the first motor 103 is oriented towards the bed 6 The lateral movement direction of the first motor 103 is the same; a transmission gear meshing with the reduction gear set 104 is installed at the output end of the first motor 103 .
所述垂直段5为两个套接的套筒,且第一套筒502的内径大于第二套筒 501的外径;在安装机架102的周缘固定设置第一套筒502;在第一套筒502 内设置推动第二套筒501做纵向直线往复运动的顶举机构;所述顶举机构设置为第三电动推杆;沿第一套筒502的轴向在第一套内部底端设置第三电动推杆,且在第三电动推杆的工作端设置第二套筒501的底端;在第二套筒501的上端设置与第二套管垂直的水平段4。The
所述水平段4为中空柱体,沿水平段4同一纵向水平线在柱体内侧壁上分别设置第三电机403和一圆杆,且在第三电机403的电机轴和圆杆上设置相啮合的齿轮;电机轴上的齿轮外径小于圆杆上的齿轮402外径;沿圆杆上的齿轮 402外缘在柱体内设置与其外缘水平相切的长条板401,且沿长条板401与圆杆上的齿轮402的接触面在长条板401上设置与圆杆上的齿轮402相啮合的齿条404;在长条板401伸出水平段4的一端下方位置设置打孔器3;上述设置可以实现水平段4调整打孔器3的水平纵向位移。The horizontal section 4 is a hollow cylinder, a
在长条板401的两侧端与水平段4两侧端之间对应设置适配的滑块和滑轨;且在长条板401的下端设置滑轮405。Fitted sliders and slide rails are correspondingly provided between the two sides of the
所述打孔器3包括:旋转打孔的针头304、微调针头304高度的滚珠丝杠副302;在长条板401的下端设置第四电机301,且第四电机301的电机轴与滚珠丝杠副302中的丝杠固定连接;在滚珠丝杠副302中螺母的外表面设置一中空且内径大于滚珠丝杠副302中丝杠外径的直杆303,且在直杆303的一端设置一中空圆柱体,在圆柱体的一端设置第五电机305,第五电机305的电机轴与针头304固定连接。The
在水平段4外表面设置一控制电机正反转和电动推杆伸缩量的控制面板8,且在控制面板8的端面分别设置控制第一电机103正反转的第一按钮、控制第三电动推杆正反转的第二按钮、控制第三电机403正反转的第三按钮、控制第四电机301正反转的第四按钮、控制第五电机305正反转的第五按钮;控制第一电动推杆201伸缩量的第六按钮、控制第二电动推杆202伸缩量的第七按钮;沿针头304位置在圆柱体的外表面设置一角度可调节的摄像机,且在控制面板 8的上端设置一显示屏9;上述设置便于医护人员观察打孔情况;在垂直端中第一套筒502的外表面设置一角度可调节的红外线发射器7。A
在水平段4内设置一与外接电源10电连接的电路板12,沿电机在装置本体内摆放位置设置第一电路通路、第二电路,且控制面板8可以沿第一电路和第二电路控制电机正反转和电动推杆伸缩量,电路板12沿第一通路和第二通路提供电机和电动推杆的电能;第一电路通路依次电连接第三电机403、第三电动推杆、第一电机103、第一电动推杆201、第二电动推杆202;第二电路通路依次电连接第四电机301、第五电机305。A
第三电机403、第一电机103、第四电机301、第五电机305均选用小型无刷电机。The
上述实施例的说明只是用于理解本发明。应当指出,对于本领域的普通技术人员来说,在不脱离本发明原理的前提下,还可以对本发明进行若干改进,这些改进也将落入本发明权利要求的保护范围内。The descriptions of the above-mentioned embodiments are only for understanding the present invention. It should be pointed out that for those of ordinary skill in the art, without departing from the principle of the present invention, several improvements can also be made to the present invention, and these improvements will also fall within the protection scope of the claims of the present invention.
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