A multifunctional electronic positioning and fixing device for arthroscopy

By designing a multifunctional electronic positioning fixture for arthroscopy, the problem of inability to effectively limit surgical instruments and accurately measure lesion areas in the prior art is solved, efficient and precise surgical operations are achieved, and surgical quality and efficiency are improved.

CN114948264BActive Publication Date: 2025-03-18THE FIRST AFFILIATED HOSPITAL OF ARMY MEDICAL UNIV
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Patent Information

Application Number
CN202210564573.1
Authority / Receiving Office
CN · China
Patent Type
Patents(China)
Current Assignee / Owner
Filing Date
2022-05-23
Publication Date
2025-03-18
Estimated Expiration
2042-05-23

AI Technical Summary

Technical Problem

The prior art cannot effectively limit surgical instruments and cannot accurately measure the anatomical position of the lesion area and the body surface, resulting in poor surgical quality and low efficiency.

Method used

A multifunctional electronic positioning fixing device is designed, including a support, a limb fixing seat, an instrument fixing seat and a measuring mechanism. The joint part is clamped and fixed by the limb fixing seat, and the instrument fixing seat fixes the operating instrument at a limit. The measuring mechanism accurately measures and displays the anatomical position of the lesion area and the body surface.

Benefits of technology

Reliable fixation of the operating object is achieved, precise measurement of the anatomical position of the lesion area and body surface, improving the accuracy and efficiency of the operation, shortening the operation time, and reducing the pain of the patient.

✦ Generated by Eureka AI based on patent content.

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Abstract

The present invention relates to a multifunctional electronic positioning and fixing device applied to arthroscopy, belonging to the technical field of medical devices, comprising a support, a limb fixing seat, an instrument fixing seat and a measuring mechanism, wherein the support is a horizontally opened U-shaped plate, the limb fixing seat comprises a left baffle, a right baffle, a left baffle and a right baffle, the instrument fixing seat comprises a limit sleeve and a driving mechanism for moving and driving the limit sleeve, the driving mechanism comprises a moving block, a left and right moving pole, a front and back moving pole and a rotating motor, and the measuring mechanism comprises a controller, a display screen, an electronic rangefinder, an angle meter and a scale pointer. The present invention can clamp and fix a limb, limit and fix an operating instrument, realize reliable fixation of an operating object, and then accurately measure and display the anatomical position of the lesion area and the body surface through the measuring mechanism, so that the later operation is accurate and reliable, which is conducive to improving the quality and efficiency of surgery and providing help for accelerating recovery.
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Description

Technical Field

[0001] The present invention relates to the technical field of medical equipment, and in particular to a multifunctional electronic positioning and fixing device applied to an arthroscopy. Background Art

[0002] Arthroscopy is a common method for the diagnosis and treatment of joint surgical diseases in clinical practice. In the process of using arthroscopy for surgery, the usual procedure is to first perform a preliminary positioning of the lesion through imaging or a more complete physical examination, and then try to insert a working channel. The working channel is the basis of all arthroscopic operations. In arthroscopic surgery, all operations in the joint cavity are performed by inserting various arthroscopic instruments into the joint cavity through the working channel, completing the operation in the joint cavity, and then completing the entire operation. The working channel is mainly composed of a hollow tubular structure. At the beginning of the operation, this device is first inserted directly into the joint cavity, and then the core is pulled out to provide a channel for various arthroscopic instruments to pass through. Therefore, the establishment of a working channel is the prerequisite for all arthroscopic surgeries.

[0003] Hip arthroscopy is used to perform bone grafting, osteotomy, and implantation of porous tantalum rods. These operations are difficult and traumatic, and take a long time. In addition, arthroscopy is performed manually, and human factors may cause deviations during the operation, affecting the quality and efficiency of the operation.

[0004] At present, relevant locator patents only focus on limb positioning issues, but not on the limitation of instruments. There is no strict positioning management for surgical instruments. During manual operation, factors such as emotional fluctuations and skills will also affect the accuracy of the operation, thereby reducing the efficiency of the operation, prolonging the operation time, increasing the radiation intake of patients and medical staff, and causing physical harm to related personnel. At the same time, the relative relationship between the lesion area and the anatomical position on the body surface is not shown, and the surgical space orientation cannot be accurately guided, which affects the accuracy of the operation of the surgeon.

[0005] In view of the above technical problems, it is necessary to improve the existing locator structure so that it can not only effectively and reliably fix the limbs, but also effectively limit the spatial positioning of the instruments, so that surgical operations can be performed without considering the spatial orientation problem. At the same time, it should have measurement and display functions to accurately measure the anatomical position of the lesion area and the body surface, thereby accurately determining the surgical field of view and providing support for drilling, bone grafting, suturing and resection of diseased tissue. Summary of the invention

[0006] In view of this, the purpose of the present invention is to provide a multifunctional electronic positioning and fixation device for arthroscopy to solve the problems of poor surgical quality and low efficiency in the prior art due to the inability to limit the instrument and to accurately measure the anatomical position of the lesion area and the body surface.

[0007] The present invention is achieved through the following technical solutions:

[0008] A multifunctional electronic positioning and fixing device for arthroscopy comprises a support, a limb fixing seat, an instrument fixing seat and a measuring mechanism, the support comprises a fixed block and a sliding block slidably arranged above the fixed block, the fixed block and the sliding block are both U-shaped plates, the two U-shaped plates are arranged opposite to each other, so that an operating space is formed between the two, the limb fixing seat comprises a left baffle, a right baffle, a left baffle plate and a right baffle plate arranged in the fixed operating space, the left baffle plate and the right baffle plate are elastic plates arranged opposite to each other, an arc-shaped plate constituting a limb fixing position is arranged on the inner side of the two elastic plates, the left baffle plate is arranged on the left side of the left baffle plate, the right baffle plate is arranged on the right side of the right baffle plate, and a supporting spring is arranged between the left baffle plate and the left baffle plate, between the right baffle plate and the right baffle plate, and between the arc-shaped plate and the fixed block, the instrument fixing seat comprises a limiting sleeve and a driving mechanism for moving the limiting sleeve, the driving mechanism comprises a moving block, a left and right moving pole, A forward and backward moving pole and a rotating motor, the moving block is slidably arranged on the top of a support, the fixed end of the left and right moving pole is fixed to the top of the support, the telescopic end of the left and right moving pole is fixed to a slider, the fixed end of the front and back moving pole is fixed to the slider, the telescopic end of the front and back moving pole is fixed to the rotating motor, the output spindle of the rotating motor is fixed to a limit sleeve, a limit hole for passing the instrument is provided through the limit sleeve, the measuring mechanism includes a controller, a display screen, an electronic rangefinder arranged on the inner side of the sliding block, an angle gauge arranged on the top of the sliding block and a scale pointer arranged on the limit sleeve, the angle gauge includes an arc plate, the arc plate is provided with an angle scale line for the scale pointer to point to, the controller is electrically connected to the display screen, the electronic rangefinder, the left and right moving pole, the front and back moving pole and the rotating motor, and the angle center of the angle gauge coincides with the rotation center of the rotating motor.

[0009] Furthermore, it also includes a depth measuring rod, the outer diameter of which matches the inner diameter of the limiting sleeve.

[0010] Furthermore, the display screen is fixed on the support via a bracket.

[0011] Furthermore, the electronic rangefinder is provided with a moving mechanism.

[0012] Furthermore, an introduction cone is provided at the inlet of the limiting sleeve.

[0013] Furthermore, a clip is arranged in the inner hole of the limiting sleeve.

[0014] Furthermore, the elastic sheet further comprises a supporting sheet integrally provided with the arc-shaped sheet, and the supporting spring is provided between the supporting sheet and the baffle.

[0015] Furthermore, both sides of the U-shape of the fixed block are provided with sliding grooves which are slidably matched with the sliding block, and a latch is provided between the fixed block and the sliding block.

[0016] Furthermore, the right baffle is an L-shaped plate, the right baffle is fixed on the inner side of the L-shaped plate, and the U-shaped inner side of the fixing seat is provided with a sliding groove that slidably cooperates with one side of the L-shaped plate.

[0017] Furthermore, a driving push rod is arranged on the fixing seat, a fixed end of the driving push rod is fixed to the fixing seat, and a telescopic end of the driving push rod is fixed to the right stopper.

[0018] The beneficial effects of the present invention are:

[0019] The present invention clamps and fixes the joints through a limb fixing seat, and then limits and fixes the operated instrument through an instrument fixing seat, thereby achieving reliable fixation of the operated object, and then accurately measures and displays the anatomical position of the lesion area and the body surface through a measuring mechanism, so that the subsequent surgical operation is accurate and reliable, which is beneficial to improving surgical efficiency, shortening operation time, reducing patient pain, and providing assistance for accelerated recovery.

[0020] Other advantages, objectives and features of the present invention will be described in the following description to some extent, and to some extent, will be obvious to those skilled in the art based on the following examination and study, or can be taught from the practice of the present invention. The objectives and other advantages of the present invention can be realized and obtained through the following description. BRIEF DESCRIPTION OF THE DRAWINGS

[0021] Figure 1 It is a front view of the present invention;

[0022] Figure 2 It is a left side view of the present invention;

[0023] Figure 3 It is a right side view of the present invention;

[0024] Figure 4 It is the front view of the instrument fixing seat;

[0025] Figure 5 It is a right side view of the instrument fixing seat;

[0026] Figure 6 It is the front view of the limb fixing seat;

[0027] Figure 7 is the front view of the right baffle;

[0028] Figure 8 is a cross-sectional view of the limiting sleeve;

[0029] Fig. 9is a schematic diagram of a depth measuring rod;

[0030] Fig.10 This is a schematic diagram after the slider is moved away.

[0031] Reference numerals:

[0032] 1-support; 2-limb fixing seat; 3-instrument fixing seat; 4-left baffle; 5-right baffle; 6-left baffle; 7-right baffle; 8-support plate; 9-arc-shaped plate; 10-bending part; 11-limb fixing position; 12-support spring; 13-limiting sleeve; 14-moving block; 15-left and right moving pole; 16-front and back moving pole; 17-rotating motor; 18-bracket; 19-display screen; 20-electronic rangefinder; 21-angle meter; 22-scale pointer; 23-angle scale line; 24-depth measuring rod; 25-introduction cone; 26-clamp; 27-depth scale line; 28-fixed block; 29-sliding block; 30-latch pin; 31-slide groove; 32-slide groove; 33-driving push rod. DETAILED DESCRIPTION

[0033] In order to make the purpose, technical solutions and advantages of the embodiments of the present invention clearer, the technical solutions in the embodiments of the present invention will be clearly and completely described below in conjunction with the drawings in the embodiments of the present invention. Obviously, the described embodiments are part of the embodiments of the present invention, not all of the embodiments. Generally, the components of the embodiments of the present invention described and shown in the drawings here can be arranged and designed in various different configurations.

[0034] Therefore, the following detailed description of the embodiments of the present invention provided in the accompanying drawings is not intended to limit the scope of the invention claimed for protection, but merely represents selected embodiments of the present invention. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present invention.

[0035] It should be noted that similar reference numerals and letters denote similar items in the following drawings, and therefore, once an item is defined in one drawing, further definition and explanation thereof is not required in subsequent drawings.

[0036] In the above description of the present invention, it should be noted that the terms "one side", "the other side", etc. indicate the orientation or positional relationship based on the orientation or positional relationship shown in the accompanying drawings, or the orientation or positional relationship in which the product of the invention is usually placed when in use, which is only for the convenience of describing the present invention and simplifying the description, and does not indicate or imply that the device or element referred to must have a specific orientation, be constructed and operated in a specific orientation, and therefore cannot be understood as limiting the present invention. In addition, the terms "first", "second", etc. are only used to distinguish the description, and cannot be understood as indicating or implying relative importance.

[0037] In addition, the term "same" does not mean that the parts must be absolutely the same, but slight differences are allowed. The term "vertical" only means that the positional relationship between the parts is more vertical than "parallel", and does not mean that the structure must be completely vertical, but can be slightly tilted.

[0038] like Figure 1-9 As shown, this embodiment provides a multifunctional electronic positioning and fixing device for arthroscopy, including a support 1, a limb fixing seat 2, an instrument fixing seat 3 and a measuring mechanism.

[0039] The support includes a fixed block 28 and a sliding block 29, which are slidably arranged above the fixed block. The fixed block and the sliding block are both U-shaped plates. The two U-shaped plates are opposite and arranged up and down to form an operating space between the two. There is a socket between the fixed block and the sliding block, and a latch 30 is arranged in the socket. Both sides of the U-shaped fixed block are provided with slide grooves 31 that slide with the sliding block. Before use, the sliding block can be moved to the far end by sliding in the slide groove, such as Fig.10 As shown, it is convenient to put the affected limb into the operating space. After the affected limb is put into the operating space, the moving block is moved back to its original position, and then the latch is put into the socket set in the fixed block and the sliding block to lock it, thereby completing the preparation operation.

[0040] The limb fixing seat is arranged on the concave side surface of the fixing block, specifically including a left baffle 4, a right baffle 5, a left baffle plate 6 and a right baffle plate 7. The left baffle plate and the right baffle plate are elastic plates arranged opposite to each other. The elastic plates are made of spring steel and have elastic restoring force. The elastic plates include a supporting plate 8 and an arc-shaped plate 9 arranged integrally with the supporting plate. The supporting plate is arranged in a vertical direction. The arc-shaped plate is connected to the supporting plate through a bending portion 10 to form an integral structure. The two elastic plates are arranged opposite to each other. The arc-shaped plate is arranged on the inner side of the supporting plate in a suspended state. A limb fixing position 11 is formed between the two arc-shaped plates. The left baffle plate is arranged on the left side of the left baffle plate, and the right baffle plate is arranged on the left side of the left baffle plate. The plate is arranged on the right side of the right baffle, and a support spring 12 is arranged between the left baffle and the left baffle, between the right baffle and the right baffle, and between the arc-shaped piece and the fixing block. The support spring forms elastic support for the arc-shaped piece and the support piece. When the affected limb enters from the opening of the U-shaped plate and is placed in the limb fixing position, when the patient's limb is placed, the arc-shaped piece is pressed downward to deform downward. At the same time, the support piece is pressed to both sides to expand to both sides. At this time, the support spring is deformed and has a certain elastic restoring force to resist this deformation and feedback to the limb, thereby forming a certain clamping force on the limb to form a fixation.

[0041] The instrument fixing seat includes a limiting sleeve 13 and a driving mechanism for driving the limiting sleeve to move, the driving mechanism includes a moving block 14, a left-right moving pole 15, a front-and-back moving pole 16 and a rotating motor 17, the moving block is slidably arranged on the top of the support, the fixed end of the left-right moving pole is fixed to the top of the support, the telescopic end of the left-right moving pole is fixed to the slider, the fixed end of the front-and-back moving pole is fixed to the slider, the telescopic end of the front-and-back moving pole is fixed to the rotating motor, the output spindle of the rotating motor is fixed to the limiting sleeve, a limiting hole for passing the instrument is provided through the limiting sleeve, the moving block is provided with a slider, the support is provided with a slider The sliding groove matches the block. When the left and right moving rod pushes, the moving block moves along the sliding groove to realize left and right movement. Since the front and back moving rods are fixed on the sliding block, the front and back moving rods are pushed to move left and right, and the extension and contraction of the front and back moving rods realizes the front and back movement. Since the rotating motor is fixed to the front and back moving rods, the rotating motor is pushed to move forward and backward. Furthermore, since the output spindle of the rotating motor is fixed to the limit sleeve, the limit sleeve has the freedom of rotation, front and back movement and left and right movement, so that its spatial direction can be effectively adjusted to achieve the purpose of adjusting the surgical instrument to correspond to the lesion area.

[0042] The measuring mechanism includes a controller, a display screen 19, an electronic rangefinder 20 arranged on the inner side of the moving block, an angle gauge 21 arranged on the top of the moving block and a scale pointer 22 arranged on the limit sleeve. The controller is electrically connected with the display screen, the electronic rangefinder, the left and right moving pole, the front and back moving pole and the rotating motor. The controller is used to adjust the electronic rangefinder to perform distance measurement operations. At the same time, it can also control the driving mechanism to adjust the spatial orientation of the limit sleeve to adapt to the lesion orientation, so as to perform drilling, bone grafting and other operations. The display screen is fixed on the support through the bracket 18, and can display the operation status and the measurement results. The controller is arranged in the bracket, and the electronic rangefinder is electrically connected to ... The rangefinder is used to measure the depth of the operating hole to determine the required length of the operating device. In order to achieve the position adjustment of the electronic rangefinder, the present embodiment is provided with a moving mechanism, which can push the electronic rangefinder to move near the operating hole so as to align with the operating hole, make the two coaxial or approximately coaxial, and make the measurement more accurate. The angle meter of the present embodiment includes an arc plate, and an angle scale line 23 for the scale pointer to point to is provided on the arc plate. When the rotating motor drives the limit sleeve to rotate, it drives the scale pointer to rotate, and reads the specific angle through the angle scale line. The angle center of the angle scale line coincides with the rotation center of the rotating motor, which also makes the rotation angle consistent with the measured angle, which is convenient for real-time and precise control.

[0043] When this embodiment is used, the moving block is first slid out, and then the affected limb is placed in the limb fixing seat for fixing. After fixing, the moving block is moved back and fixed with a latch, and then the spatial orientation of the limiting sleeve is adjusted so that the lesion area can be drilled. Then the drilling operation is performed, and then the distance between the lesion and the external operation site or the depth of the drilling is measured to select an instrument of appropriate length, and further operations such as establishing a working channel, bone grafting, and implanting porous tantalum rods are performed.

[0044] By fixing the joints and accurately measuring the anatomical position of the lesion area and the body surface, as well as properly selecting and reliably fixing the instruments, the accuracy and reliability of the surgery can be effectively improved, which is beneficial to improving surgical efficiency, shortening operation time, and reducing patient pain.

[0045] In this embodiment, a depth measuring rod 24 is also included, on which a depth scale 27 is provided, and the outer diameter of the depth measuring rod matches the inner diameter of the limit sleeve. By passing the depth measuring rod through the limit sleeve, the depth of the drill hole can be directly measured, thereby providing a method for manually measuring the distance from the outside to the lesion as a supplement to electronic measurement.

[0046] In this embodiment, an introduction cone 25 is provided at the inlet of the limiting sleeve to guide the operating instrument, facilitate rapid introduction, and improve operating efficiency.

[0047] In this embodiment, a clip 26 is provided in the inner hole of the limiting sleeve, and the clip can have a certain restraining effect on the instrument, thereby preventing the operating instrument from shaking and further improving the accuracy of the operation.

[0048] In particular, the right baffle of the present embodiment is configured as an L-shaped plate, the L-shaped opening of the L-shaped plate is configured inwardly, and a sliding groove 32 that slides with the L-shaped plate is provided on the inner side of the fixed seat, so that the distance between the right baffle and the left baffle can be adjusted to achieve a variety of widths, thereby adapting to different joints or different patients. To facilitate adjustment, the present embodiment is also provided with a driving push rod 33, the fixed end of the driving push rod is fixed to the fixed seat, and the telescopic end of the driving push rod is fixed to the right stopper, thereby realizing electric drive, which does not require manual operation and is more labor-saving.

[0049] Finally, it should be noted that the above embodiments are only used to illustrate the technical solution of the present invention rather than to limit it. Although the present invention has been described in detail with reference to the preferred embodiments, those skilled in the art should understand that the technical solution of the present invention can be modified or replaced by equivalents without departing from the purpose and scope of the technical solution of the present invention, which should be included in the scope of the claims of the present invention.

Claims

1. A multifunctional electronic positioning and fixing device for arthroscopy, characterized in that: The invention comprises a support, a limb fixing seat, an instrument fixing seat and a measuring mechanism, wherein the support comprises a fixed block and a sliding block slidably arranged above the fixed block, the fixed block and the sliding block are both U-shaped plates, the two U-shaped plates are arranged opposite to each other, so that an operation space is formed between the two, the limb fixing seat comprises a left baffle, a right baffle, a left baffle plate and a right baffle plate arranged in the fixed operation space, the left baffle plate and the right baffle plate are elastic plates arranged opposite to each other, an arc-shaped plate constituting a limb fixing position is arranged on the inner side of the two elastic plates, the left baffle plate is arranged on the left side of the left baffle plate, the right baffle plate is arranged on the right side of the right baffle plate, and a supporting spring is arranged between the left baffle plate and the left baffle plate, between the right baffle plate and the right baffle plate, and between the arc-shaped plate and the fixed block, the instrument fixing seat comprises a limiting sleeve and a driving mechanism for driving the limiting sleeve to move, the driving mechanism comprises a moving block, a left-right moving pole, a front-back moving pole and a rotating pole The machine comprises a movable block which is slidingly arranged on the top of a support, a fixed end of the left-right movable pole is fixed to the top of the support, a telescopic end of the left-right movable pole is fixed to a slider, a fixed end of the front-and-rear movable pole is fixed to a slider, a telescopic end of the front-and-rear movable pole is fixed to a rotating motor, an output spindle of the rotating motor is fixed to a limit sleeve, a limit hole for passing the instrument is provided through the limit sleeve, the measuring mechanism comprises a controller, a display screen, an electronic rangefinder arranged on the inner side of the sliding block, an angle gauge arranged on the top of the sliding block and a scale pointer arranged on the limit sleeve, the angle gauge comprises an arc plate, an angle scale line for the scale pointer to be pointed to is provided on the arc plate, the controller is electrically connected to the display screen, the electronic rangefinder, the left-right movable pole, the front-and-rear movable pole and the rotating motor, and the angle center of the angle gauge coincides with the rotation center of the rotating motor.

2. A multifunctional electronic positioning and fixing device for arthroscopy according to claim 1, characterized in that: It also includes a depth measuring rod, the outer diameter of which matches the inner diameter of the limiting sleeve.

3. The multifunctional electronic positioning and fixing device for arthroscopy according to claim 1, characterized in that: The display screen is fixed on the support through a bracket.

4. The multifunctional electronic positioning and fixing device for arthroscopy according to claim 1, characterized in that: The electronic distance meter is provided with a moving mechanism.

5. The multifunctional electronic positioning and fixing device for arthroscopy according to claim 1, characterized in that: The inlet of the limiting sleeve is provided with an introduction cone.

6. The multifunctional electronic positioning and fixing device for arthroscopy according to claim 5, characterized in that: A clip is arranged in the inner hole of the limiting sleeve.

7. A multifunctional electronic positioning and fixing device for arthroscopy according to any one of claims 1 to 6, characterized in that: The elastic sheet further comprises a supporting sheet integrally arranged with the arc-shaped sheet, and the supporting spring is arranged between the supporting sheet and the baffle.

8. A multifunctional electronic positioning and fixing device for arthroscopy according to any one of claims 1 to 6, characterized in that: The U-shaped sides of the fixed block are provided with sliding grooves which are slidably matched with the sliding block, and a latch is provided between the fixed block and the sliding block.

9. A multifunctional electronic positioning and fixing device for arthroscopy according to any one of claims 1 to 6, characterized in that: The right baffle is an L-shaped plate, the right baffle is fixed on the inner side of the L-shaped plate, and the U-shaped inner side of the fixing seat is provided with a sliding groove that slidably cooperates with one side of the L-shaped plate.

10. A multifunctional electronic positioning and fixing device for arthroscopy according to claim 9, characterized in that: A driving push rod is arranged on the fixing seat, a fixed end of the driving push rod is fixed to the fixing seat, and a telescopic end of the driving push rod is fixed to the right stopper.

Citation Information

Patent Citations

  • Arthroscopic positioning instrument

    CN107789070A

  • Orthopedic arthroscopic surgery auxiliary device

    CN212699156U