WO2009015548A1 - Appareil stéréotaxique présentant une structure simple - Google Patents

Appareil stéréotaxique présentant une structure simple Download PDF

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Publication number
WO2009015548A1
WO2009015548A1 PCT/CN2008/001101 CN2008001101W WO2009015548A1 WO 2009015548 A1 WO2009015548 A1 WO 2009015548A1 CN 2008001101 W CN2008001101 W CN 2008001101W WO 2009015548 A1 WO2009015548 A1 WO 2009015548A1
Authority
WO
WIPO (PCT)
Prior art keywords
chassis
measuring device
angle measuring
angle
measurer
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/CN2008/001101
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English (en)
Chinese (zh)
Inventor
Tianming Lv
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of WO2009015548A1 publication Critical patent/WO2009015548A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/11—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00831—Material properties
    • A61B2017/00902—Material properties transparent or translucent
    • A61B2017/00911—Material properties transparent or translucent for fields applied by a magnetic resonance imaging system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/067—Measuring instruments not otherwise provided for for measuring angles

Definitions

  • the present invention relates to a stereo orienter capable of accurately feeding a surgical instrument to a target when performing a brain surgery on a human or an animal. Background technique
  • the stereotactic device is a kind of positioning of intracranial target points in cooperation with image localization technology, and then accurately placing surgical instruments such as microelectrodes and puncture needles into specific targets in the brain, and retaining tissue specimens and damaged targets.
  • a surgical instrument for organizing or removing lesions which is commonly used in disease diagnosis, treatment, and animal experiments.
  • a stereotactic instrument sold on the domestic and international markets is based on the principle of three-dimensional coordinate positioning, and after determining the corresponding three-dimensional coordinates of X, ⁇ , and ⁇ of the target, the surgical instrument reaches a specific position in the brain.
  • This three-dimensional coordinate positioning stereotactic instrument must be accompanied by a set of high-precision three-dimensional coordinate frames, and the size of the frame must cover all the surgical areas, so the structure is complex, large, and cumbersome to operate, in addition, due to part production cost and part size Direct correlation, the larger the size and the higher the cost with the same accuracy, so the stereotactic device is expensive.
  • the object of the present invention is to provide a stereotactic instrument which is simple in structure, convenient in operation and low in cost.
  • the simple stereotactic apparatus according to the present invention comprises: a chassis made of high-strength rare earth engineering plastics or other materials, which does not cause artifact interference during image scanning, and a fixing screw with a pilot hole having an angular scale thereon
  • the bow-shaped alpha angle measurer of the scale has an arcuate angle measuring device with an angular scale ruler and an adjustable elastic fastener having a guide hole thereon.
  • the ⁇ -angle measuring device has two ends which are hingedly connected to the two sides of the chassis along the center line of the chassis, and can be rotated left and right.
  • the ⁇ angle measuring device is hinged at least one end to one side of the chassis after being rotated 90 degrees with respect to the ⁇ angle measuring device, and it can be rotated back and forth with respect to the ' ⁇ angle measuring device.
  • the fixing screw also has a guiding hole in the middle thereof, and the fixing screw is disposed in the middle of the chassis.
  • the fastener is set on the ⁇ angle measuring device and the ⁇ angle measuring device for fixing the ⁇ angle measuring device and the ⁇ angle measuring device together after the ⁇ angle measuring device and the ⁇ angle measuring device determine the surgical path. .
  • the stereotactic apparatus provided by the present invention employs the principle of linear orientation.
  • the method of use is as follows: firstly drilling a hole on the skull at the puncture point, then fixing the stereo orienter to the skull through a fixing screw, and then using the image localization technique to locate the ⁇ angle, the ⁇ angle and the distance from the puncture point to the target point. Rotating the angle of the alpha angle measurer and the beta angle measurer to the desired position by the alpha angle measurer and the scale scale on the beta angle measurer to determine the puncture path, followed by the fastener to the alpha angle measurer and beta The angle measuring device is fixed. Finally, the surgical instruments such as the microelectrode or the puncture needle are sent to the target point according to the distance parameter through the guiding hole on the fastener and the guiding hole on the fixing screw.
  • the stereotactic device of the present invention adopts the principle of linear orientation, unlike a stereotactic device adopting the principle of three-dimensional coordinate positioning, it is required to have a frame covering all the surgical regions, and therefore, its volume is It can be made smaller, so that the structure is simple and the cost is low. 2, easy to operate. It only needs to adjust the two angles to determine the puncture path, and then the surgical instrument can be sent to a specific distance.
  • FIG. 1 is a schematic structural view of a stereotactic apparatus having a simple structure according to the present invention
  • FIG. 2 is a schematic structural view of a stereotactic fastener
  • FIG. 3 is a schematic view showing the structure of a stereotactic fixing screw. detailed description
  • the present invention comprises: a chassis 1, a fixing screw 3 with a pilot hole 2, an arcuate ⁇ angle measuring device 4 having an angular scale, an arcuate e-angle measuring device 5 having an angular scale, and a guiding hole thereon 6 and an adjustable elastic fastener 7,
  • the ⁇ angle measuring device 4 has two ends which are respectively hingedly connected with the two sides of the chassis 1 along the center line of the chassis 1, and can be rotated left and right
  • the fasteners 7 are fitted over the alpha angle measurer 4 and the beta angle measurer 5 for determining the angle of the alpha angle measurer 4 and beta after the alpha angle measurer 4 and the beta angle gauge 5 have determined the path of the surgical instrument
  • the measurer 5 is fixed together.
  • the chassis 1 and the fixing screws 3 are made of high-strength rare earth engineering plastics or other materials which do not cause artifacts during image scanning, so that no interference occurs during image scanning.
  • the fastener 7 is convenient for adjusting the tension.
  • the adjusting nut 8 can use a wing nut.
  • the fixing screw 3 with the pilot hole 2 is preferably tapered to facilitate screwing into the skull when the stereotactic device is fixed.
  • the chassis 1 and the skull can be easily and quickly fixed by sticking a sticker.
  • the above methods should not be used.
  • the invention can be provided with a plurality of fixing pins 9 on the side of the chassis 1 in contact with the skull, and the fixing pins 9 and the fixing screws 3 can be used to fix the stereotactic device more firmly on the skull to ensure the high operation. Precision.

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Apparatus For Radiation Diagnosis (AREA)
  • Magnetic Resonance Imaging Apparatus (AREA)

Abstract

L'invention concerne un appareil stéréotaxique conçu pour transférer des instruments jusqu'à une cible pendant un acte chirurgical effectué sur le crâne d'un patient ou d'un animal. L'appareil de l'invention comprend : une plaque de base (1) constituée de plastique technique hautement résistant à base de terres rares permettant d'éviter la génération d'artéfact pendant une procédure de balayage d'image et comprenant une vis de sécurité (3) dotée d'un orifice de guidage (2); un angulateur (4) d'angle α présentant une échelle angulaire inscrite sur celui-ci; un angulateur (5) d'angle β présentant une échelle angulaire inscrite sur celui-ci; et un moyen de fixation réglable (7) comportant un orifice de guidage (6) etc.
PCT/CN2008/001101 2007-07-31 2008-06-05 Appareil stéréotaxique présentant une structure simple Ceased WO2009015548A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CNA2007100295101A CN101099692A (zh) 2007-07-31 2007-07-31 一种结构简单的立体定向仪
CN200710029510.1 2007-07-31

Publications (1)

Publication Number Publication Date
WO2009015548A1 true WO2009015548A1 (fr) 2009-02-05

Family

ID=39034257

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/CN2008/001101 Ceased WO2009015548A1 (fr) 2007-07-31 2008-06-05 Appareil stéréotaxique présentant une structure simple

Country Status (2)

Country Link
CN (1) CN101099692A (fr)
WO (1) WO2009015548A1 (fr)

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3209216A4 (fr) * 2014-10-24 2018-06-13 Chieng, Yen Yung Appareil pour guider une aiguille chirurgicale
CN110236653A (zh) * 2019-07-16 2019-09-17 吴亚军 一种简易颅内血肿穿刺定向仪
CN112869886A (zh) * 2021-01-18 2021-06-01 邓智平 一种乳腺肿瘤定位检测装置
WO2021255908A1 (fr) * 2020-06-18 2021-12-23 国立大学法人東京医科歯科大学 Mécanisme de maintien d'instrument chirurgical
CN114870261A (zh) * 2022-03-29 2022-08-09 季公俊 一种基于经纬度概念的头皮靶点定位方法、系统及装置
WO2022165978A1 (fr) * 2021-02-02 2022-08-11 湖南卓世创思科技有限公司 Traceur d'angle chirurgical

Families Citing this family (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101099692A (zh) * 2007-07-31 2008-01-09 吕田明 一种结构简单的立体定向仪
CN101953715B (zh) * 2009-07-13 2012-10-10 长庚大学 微创手术的立体定位装置
CN101766505A (zh) * 2010-01-11 2010-07-07 吕田明 一种具有实时引导功能的立体定向仪
CN103040526A (zh) * 2013-01-04 2013-04-17 浙江科惠医疗器械有限公司 骨科手术用三维定位瞄准器
US9901400B2 (en) * 2014-01-23 2018-02-27 Visualise, Inc. Stereotactic access devices and methods
CN104434316B (zh) * 2014-11-20 2017-01-04 中国人民解放军第四军医大学 一种多自由度颅脑穿刺限位固定器
CN104352280B (zh) * 2014-11-20 2016-06-08 王小荣 一种脑外科手术辅助器
CN105547239B (zh) * 2016-01-22 2017-11-24 安徽理工大学 一种用于构造手标本的简易定向仪
CN109106454B (zh) * 2016-05-31 2020-09-22 万伟东 Rc颅内微创治疗定位装置
CN106308896A (zh) * 2016-10-28 2017-01-11 崔建忠 一种脑内血肿穿刺导向仪
CN107714193A (zh) * 2017-10-13 2018-02-23 浙江大学 一种立体定向导引器
CN118216988A (zh) * 2024-05-06 2024-06-21 广西医科大学附属肿瘤医院 一种颅脑穿刺用定向器

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4608977A (en) * 1979-08-29 1986-09-02 Brown Russell A System using computed tomography as for selective body treatment
US4883053A (en) * 1987-09-18 1989-11-28 Beth Israel Hospital Self-supporting angulator device for precise percutaneous insertion of a needle or other object
CN1064609A (zh) * 1991-03-08 1992-09-23 中日友好医院 颅脑ct立体定向系统
US6454774B1 (en) * 1998-05-09 2002-09-24 Gms Gesellschaft Fur Medizinische Sondentechnik Mbh Device for introducing brain probes
CN101099692A (zh) * 2007-07-31 2008-01-09 吕田明 一种结构简单的立体定向仪

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4608977A (en) * 1979-08-29 1986-09-02 Brown Russell A System using computed tomography as for selective body treatment
US4883053A (en) * 1987-09-18 1989-11-28 Beth Israel Hospital Self-supporting angulator device for precise percutaneous insertion of a needle or other object
CN1064609A (zh) * 1991-03-08 1992-09-23 中日友好医院 颅脑ct立体定向系统
US6454774B1 (en) * 1998-05-09 2002-09-24 Gms Gesellschaft Fur Medizinische Sondentechnik Mbh Device for introducing brain probes
CN101099692A (zh) * 2007-07-31 2008-01-09 吕田明 一种结构简单的立体定向仪

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3209216A4 (fr) * 2014-10-24 2018-06-13 Chieng, Yen Yung Appareil pour guider une aiguille chirurgicale
US10716593B2 (en) 2014-10-24 2020-07-21 Yen Yung CHIENG Apparatus for guiding a surgical needle
CN110236653A (zh) * 2019-07-16 2019-09-17 吴亚军 一种简易颅内血肿穿刺定向仪
CN110236653B (zh) * 2019-07-16 2024-05-31 吴亚军 一种简易颅内血肿穿刺定向仪
WO2021255908A1 (fr) * 2020-06-18 2021-12-23 国立大学法人東京医科歯科大学 Mécanisme de maintien d'instrument chirurgical
CN112869886A (zh) * 2021-01-18 2021-06-01 邓智平 一种乳腺肿瘤定位检测装置
CN112869886B (zh) * 2021-01-18 2023-01-24 邓智平 一种乳腺肿瘤定位检测装置
WO2022165978A1 (fr) * 2021-02-02 2022-08-11 湖南卓世创思科技有限公司 Traceur d'angle chirurgical
CN114870261A (zh) * 2022-03-29 2022-08-09 季公俊 一种基于经纬度概念的头皮靶点定位方法、系统及装置
CN114870261B (zh) * 2022-03-29 2023-08-18 安徽医科大学 一种基于经纬度概念的头皮靶点定位方法、系统及装置

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