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CN210931806U - A tracking stent for robot-assisted minimally invasive cochlear implant surgery - Google Patents

A tracking stent for robot-assisted minimally invasive cochlear implant surgery Download PDF

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CN210931806U
CN210931806U CN201921356329.6U CN201921356329U CN210931806U CN 210931806 U CN210931806 U CN 210931806U CN 201921356329 U CN201921356329 U CN 201921356329U CN 210931806 U CN210931806 U CN 210931806U
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minimally invasive
tracking
bracket
navigation
dental
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马芙蓉
刘洪升
王江
胡磊
柯嘉
孙世龙
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Beihang University
Peking University Third Hospital Peking University Third Clinical Medical College
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Beihang University
Peking University Third Hospital Peking University Third Clinical Medical College
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Abstract

The utility model relates to a medical science field relates to a trail support that is used for artifical cochlear implantation operation of wicresoft under the robot assistance, and the device comprises denture fixing device, cradling piece, navigation support and mark point. The device is mainly applied to minimally invasive cochlear implant surgery under the assistance of a robot, and on one hand, the device can provide a reference position for a navigation system in real time and determine a spatial coordinate system; on the other hand, non-invasive installation can be achieved by adding a silicone rubber impression material in the tray. The utility model discloses a have device simple structure, easily adjust, strong adaptability, easily disinfect, safe advantage such as not having the wound can provide safe, reliable supplementary and navigation tracking effect in the supplementary artifical cochlear implant operation of wicresoft of lower robot.

Description

一种用于机器人辅助下微创人工耳蜗植入手术的跟踪支架A tracking stent for robot-assisted minimally invasive cochlear implant surgery

技术领域technical field

本实用新型涉及医学领域,尤其涉及一种用于机器人辅助下微创人工耳蜗植入手术的跟踪支架。The utility model relates to the medical field, in particular to a tracking bracket used for a robot-assisted minimally invasive cochlear implantation operation.

背景技术Background technique

人工耳蜗植入手术是提高重度聋和极重度聋患者听力唯一有效的办法,因手术操作区域空间狭小、解剖结构复杂,对医生经验要求极高。传统的人工耳蜗植入手术需要磨开乳突,充分暴露面隐窝后在耳蜗骨壁上造口,完成电极植入,手术磨骨量和创伤大、出血多、在显微镜下操作极为精细,且手术的成功与否容易受到医生经验的影响,因此较难以向基层医院推广。目前机器人技术正在迅速发展,利用机器人来完成隧道,将医生从手术操作中解放出来,因此通过计算机、图像处理和视觉导航等技术可实现机器人辅助下的微创人工耳蜗植入手术。然而实施过程中,需要额外在人体头部增加跟踪标记点以供空间配准和视觉导航。Cochlear implant surgery is the only effective way to improve the hearing of severely deaf and profoundly deaf patients. Due to the narrow operation area and complex anatomical structure, the doctor's experience is extremely required. The traditional cochlear implant surgery needs to grind the mastoid, fully expose the facial recess, and make a stoma on the cochlear bone wall to complete the electrode implantation. And the success of the operation is easily affected by the doctor's experience, so it is difficult to promote it to primary hospitals. At present, robotic technology is developing rapidly. Robots are used to complete tunnels and free doctors from surgical operations. Therefore, robotic-assisted minimally invasive cochlear implantation can be realized through technologies such as computer, image processing, and visual navigation. However, in the implementation process, additional tracking markers need to be added on the human head for spatial registration and visual navigation.

目前,实验中进行机器人辅助下的人工耳蜗植入手术时,使用的跟踪标记点普遍存在以下问题:一种为直接钉在人体颅骨上的钛钉,给患者带来额外的创伤;另一种为粘贴在颅骨表皮上的标记点,但头皮和头骨存在相对滑动,影响精度。因此,现有的导航标记点无法全面满足机器人辅助下的微创人工耳蜗植入手术的要求。At present, the tracking markers used in the robot-assisted cochlear implant surgery generally have the following problems: one is a titanium nail directly nailed to the human skull, which brings additional trauma to the patient; the other It is a marker point pasted on the skull epidermis, but there is relative sliding between the scalp and the skull, which affects the accuracy. Therefore, the existing navigation markers cannot fully meet the requirements of minimally invasive cochlear implantation surgery assisted by robots.

实用新型内容Utility model content

本实用新型的目的在于提供一种用于机器人辅助下微创人工耳蜗植入手术的跟踪支架,保证与人体头骨连接稳定、安全的同时,又不给患者增加额外的创伤。The purpose of the utility model is to provide a tracking bracket for a minimally invasive cochlear implantation operation assisted by a robot, which ensures stable and safe connection with the human skull without adding additional trauma to the patient.

本实用新型解决其技术问题所采用的技术方案是:The technical scheme adopted by the utility model to solve its technical problems is:

一种用于机器人辅助下微创人工耳蜗植入手术的跟踪支架,包括:牙托(1)、连接杆(2)和导航支架(3)。A tracking bracket for minimally invasive cochlear implantation surgery assisted by a robot, comprising: a dental tray (1), a connecting rod (2) and a navigation bracket (3).

根据本实用新型,所述连接杆(2)下端与牙托(1)相连接;所述导航支架(3)安装在连接杆(2)上部。According to the utility model, the lower end of the connecting rod (2) is connected with the tooth tray (1); the navigation bracket (3) is installed on the upper part of the connecting rod (2).

根据本实用新型,牙托(1)由牙槽(11)和支架安装槽(12)构成;所述牙槽(11)是可放入牙科用硅橡胶印模材料的凹型槽,其固化后形状符合人体上颌牙的U形结构;所述支架安装槽(12)固连在牙槽(11)的前方。According to the utility model, the dental tray (1) is composed of a dental socket (11) and a bracket installation groove (12); the dental socket (11) is a concave groove into which a dental silicone rubber impression material can be placed. The shape conforms to the U-shaped structure of the maxillary teeth of the human body; the bracket installation slot (12) is fixedly connected in front of the tooth slot (11).

根据本实用新型,连接杆(2)由上调节杆(21)、连杆(22)和下调节杆(23)构成;所述上调节杆(21)和下调节杆(23)上部均匀开有螺钉孔,以供安装调节;所述上调节杆(21)上平面相对于下调节杆(22)上平面呈30°夹角。According to the utility model, the connecting rod (2) is composed of an upper adjustment rod (21), a connecting rod (22) and a lower adjustment rod (23); the upper parts of the upper adjustment rod (21) and the lower adjustment rod (23) are evenly opened There are screw holes for installation and adjustment; the upper plane of the upper adjustment rod (21) forms an included angle of 30° with respect to the upper plane of the lower adjustment rod (22).

根据本实用新型,牙托(1)和导航支架(3)可分别固定于上调节杆(21)和下调节杆(23)上,且可沿各自轴向滑动调节,通过螺钉固定。According to the utility model, the dental tray (1) and the navigation bracket (3) can be respectively fixed on the upper adjusting rod (21) and the lower adjusting rod (23), and can be slidably adjusted along the respective axial directions and fixed by screws.

根据本实用新型,导航支架(3)由底部支架(31)、跟踪标记(32) 和固定螺钉(33)组成;其中底部支架上固定螺钉(33)安装在一非对称性四边形的四个顶点处,跟踪标记(32)安装在各自的固定螺钉 (33)According to the utility model, the navigation support (3) is composed of a bottom support (31), a tracking mark (32) and a fixing screw (33); wherein the fixing screw (33) on the bottom support is installed at four vertices of an asymmetric quadrilateral , the tracking marks (32) are mounted on the respective fixing screws (33)

本实用新型的有益效果是:可以通过定制牙套的大小来适用于不同病人的上颌特征;通过硅橡胶印模材料来实现牙齿和整体跟踪支架的固定,无额外创伤;跟踪支架轻便简单,易于术前消毒和使用;结构大小可调节,易于操作,利于提高机器人辅助下微创人工耳蜗植入手术的精度和成功率。The beneficial effects of the utility model are as follows: the size of the mouthpiece can be customized to suit the maxillary features of different patients; the fixation of the teeth and the overall tracking bracket can be realized through the silicone rubber impression material, without additional trauma; the tracking bracket is light and simple, and easy to operate. Before disinfection and use; the size of the structure is adjustable, easy to operate, which is beneficial to improve the precision and success rate of minimally invasive cochlear implant surgery assisted by robots.

附图说明Description of drawings

图1是本实用新型的跟踪支架示意图;1 is a schematic diagram of a tracking bracket of the present invention;

图2是本实用新型的牙托结构示意图;Fig. 2 is the dental tray structure schematic diagram of the present utility model;

图3是本实用新型的连接杆结构示意图;Fig. 3 is the connecting rod structure schematic diagram of the present invention;

图4是本实用新型的导航支架结构示意图;4 is a schematic structural diagram of a navigation support of the present invention;

图中:In the picture:

1:牙托 2:连接杆 3:导航支架 11:牙槽1: tray 2: connecting rod 3: navigation bracket 11: socket

12:支架安装槽 21:上调节杆 22:连杆 23:下调节杆12: Bracket installation slot 21: Upper adjustment rod 22: Link 23: Lower adjustment rod

31:底部支架 32:跟踪标记 33:固定螺钉31: Bottom bracket 32: Tracking mark 33: Set screw

具体实施方式Detailed ways

如下,参照附图描述本实用新型的具体实施方式,其中,本文所提及的“上”、“下”等方位词语以图1以及图3的定向为准。The specific embodiments of the present invention are described below with reference to the accompanying drawings, wherein the orientation words such as "upper" and "lower" mentioned herein are based on the orientations of FIGS. 1 and 3 .

参见图1所示,使用时将连接杆(2)下端的下调节杆(23)插入到牙托(1)上的支架安装槽(12)中,螺钉预固定;将连接杆(2) 上端的上调节杆(21)插入到导航支架(3)中的底部支架(31)中,螺钉预固定。Referring to Figure 1, when in use, insert the lower adjusting rod (23) at the lower end of the connecting rod (2) into the bracket mounting groove (12) on the dental tray (1), and pre-fix the screws; The upper adjusting rod (21) is inserted into the bottom bracket (31) in the navigation bracket (3), and the screws are pre-fixed.

参见图2所示,使用时将硅橡胶印模材料均匀放入到牙托(1)的牙槽(11)中,人的上颌牙咬入牙槽(11)中,待硅橡胶印模材料凝固后,实现固定。Referring to Fig. 2, when in use, the silicone rubber impression material is evenly placed into the tooth socket (11) of the dental tray (1), and the maxillary teeth of a person bite into the tooth socket (11). After solidification, fixation is achieved.

参见图3所示,连杆(2)的上调节杆(21)和下调节杆(23)上均匀的开有螺钉安装孔,可供调节,让导航支架(3)贴近人体耳朵处。Referring to Figure 3, the upper adjusting rod (21) and the lower adjusting rod (23) of the connecting rod (2) are evenly provided with screw mounting holes for adjustment, so that the navigation bracket (3) is close to the human ear.

参见图4所示,使用时将固定螺钉(33)通过其下部螺纹固定在底部支架(31)上,将跟踪标记(32)直接扣在固定螺钉(33)上部的卡扣处即可。Referring to Figure 4, when in use, fix the fixing screw (33) on the bottom bracket (31) through its lower thread, and directly buckle the tracking mark (32) on the upper part of the fixing screw (33).

最后应说明的是:以上实施例仅用以说明本实用新型的技术方案,而非对其限制;尽管参照前述实施例对本实用新型进行了详细的说明,本领域的普通技术人员应当理解;其依然可以对前述各实施例所记载的技术方案进行修改,或者对其中部分技术特征进行等同替换;而这些修改或者替换,并不使相应技术方案的本质脱离本实用新型各实施例技术方案的精神和范围。Finally, it should be noted that the above embodiments are only used to illustrate the technical solutions of the present utility model, but not to limit them; although the present utility model has been described in detail with reference to the foregoing embodiments, those of ordinary skill in the art should understand that; It is still possible to modify the technical solutions recorded in the foregoing embodiments, or perform equivalent replacements to some of the technical features; and these modifications or replacements do not make the essence of the corresponding technical solutions depart from the spirit of the technical solutions of the embodiments of the present invention and range.

Claims (5)

1.一种用于机器人辅助下微创人工耳蜗植入手术的跟踪支架,其特征在于:1. a tracking support for minimally invasive cochlear implantation surgery under robot assistance, is characterized in that: 由牙托(1)、连接杆(2)、和导航支架(3)组成;所述连接杆(2)下端与牙托(1)相连接;所述导航支架(3)安装在连接杆(2)上部。It consists of a dental tray (1), a connecting rod (2), and a navigation bracket (3); the lower end of the connecting rod (2) is connected with the dental tray (1); the navigation bracket (3) is installed on the connecting rod ( 2) Upper. 2.根据权利要求1所述的用于机器人辅助下微创人工耳蜗植入手术的跟踪支架,其特征在于:2. The tracking support for minimally invasive cochlear implantation surgery under robot assistance according to claim 1, wherein: 所述牙托(1)由牙槽(11)和支架安装槽(12)构成;所述牙槽(11)是可加入牙科用硅橡胶印模材料的凹型槽,固化后其形状符合人体上颌牙的U形结构;所述支架安装槽(12)固连在牙槽(11)的前方。The dental tray (1) is composed of a dental socket (11) and a bracket installation groove (12); the dental socket (11) is a concave groove into which a dental silicone rubber impression material can be added, and the shape of the dental socket (11) conforms to the upper jaw of a human body after curing. The U-shaped structure of the tooth; the bracket installation slot (12) is fixedly connected in front of the tooth slot (11). 3.根据权利要求1所述的用于机器人辅助下微创人工耳蜗植入手术的跟踪支架,其特征在于:3. The tracking bracket for minimally invasive cochlear implantation surgery under robot assistance according to claim 1, wherein: 所述连接杆由上调节杆(21)、连杆(22)和下调节杆(23)构成;所述上调节杆(21)和下调节杆(23)上部均匀开有螺钉孔,以供安装调节;所述上调节杆(21)上平面相对于下调节杆(23)上平面呈30°夹角。The connecting rod is composed of an upper adjusting rod (21), a connecting rod (22) and a lower adjusting rod (23); the upper parts of the upper adjusting rod (21) and the lower adjusting rod (23) are evenly provided with screw holes for the Installation and adjustment; the upper plane of the upper adjustment rod (21) forms an included angle of 30° with respect to the upper plane of the lower adjustment rod (23). 4.根据权利要求1和权利要求3所述的用于机器人辅助下微创人工耳蜗植入手术的跟踪支架,其特征在于:4. The tracking support for minimally invasive cochlear implantation surgery under robot assistance according to claim 1 and claim 3, wherein: 所述牙托(1)和导航支架(3)可分别固定于上调节杆(21)和下调节杆(23)上,且可沿各自轴向滑动调节,通过螺钉固定。The dental tray (1) and the navigation bracket (3) can be respectively fixed on the upper adjusting rod (21) and the lower adjusting rod (23), and can be slidably adjusted along the respective axial directions, and fixed by screws. 5.根据权利要求1所述的用于机器人辅助下微创人工耳蜗植入手术的跟踪支架,其特征在于:5. The tracking support for minimally invasive cochlear implantation surgery under robot assistance according to claim 1, wherein: 所述导航支架(3)由底部支架(31)、跟踪标记(32)和固定螺钉(33)组成;其中底部支架上固定螺钉(33)安装在一非对称性四边形的四个顶点处,跟踪标记(32)安装在各自的固定螺钉(33)上。The navigation support (3) is composed of a bottom support (31), a tracking mark (32) and a fixing screw (33); wherein the fixing screw (33) on the bottom support is installed at the four vertices of an asymmetrical quadrilateral, and the tracking The markers (32) are mounted on the respective fixing screws (33).
CN201921356329.6U 2019-08-21 2019-08-21 A tracking stent for robot-assisted minimally invasive cochlear implant surgery Active CN210931806U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112120756A (en) * 2020-08-24 2020-12-25 中国计量大学 A cochlear implant surgery auxiliary positioning device and its implementation method
CN112546459A (en) * 2020-12-09 2021-03-26 成都理工大学 Tooth socket device and head tumor target area positioning method using same

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112120756A (en) * 2020-08-24 2020-12-25 中国计量大学 A cochlear implant surgery auxiliary positioning device and its implementation method
CN112120756B (en) * 2020-08-24 2021-11-09 中国计量大学 Auxiliary positioning device for cochlear implant drilling operation and implementation method thereof
CN112546459A (en) * 2020-12-09 2021-03-26 成都理工大学 Tooth socket device and head tumor target area positioning method using same

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