Spinal tumor radiotherapy auxiliary device

By designing a spinal tumor radiation therapy auxiliary device including supporting platforms, clamps and pulling parts, the problem of insufficient strength and inconsistent direction of force in the existing technologies in the existing technology, realizing the stability of the pipe cover, the stability of the pipe cover Pull out and reduce damage to the spine.

CN119327049APending Publication Date: 2025-01-21CHINESE PEOPLES LIBERATION ARMY ARMY SPECIAL MEDICAL CENTER
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Patent Information

Application Number
CN202411458600.2
Authority / Receiving Office
CN · China
Patent Type
Applications(China)
Current Assignee / Owner
Filing Date
2024-10-18
Publication Date
2025-01-21

AI Technical Summary

Technical Problem

In the existing radiotherapy of spinal tumors, the process of removing the cannula requires a large force and it is difficult to ensure the consistent direction of force application, which can easily lead to the compression of tissue around the spinal bore and the expansion of holes, causing a second injury.

Method used

A spinal tumor radiation therapy auxiliary device is designed, including supporting platforms, clamping parts and pulling parts. The support platform is fixed on the surgical bed, the top of the clamp clamping the pipe cover, the pulling part of the driver's clamping parts along the axis of the tube sleeve, and realizing the steady pull out of the tube cover.

Benefits of technology

By using this device, the labor intensity of the operating personnel is reduced, and the force application direction is ensured to be consistent during the extubation process, thereby avoiding the compression of the tissue surrounding the spinal foramen and the expansion of the hole, and preventing the occurrence of a second injury.

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Abstract

The invention discloses a spinal tumor radiotherapy auxiliary device. The spinal tumor radiotherapy auxiliary device comprises a supporting platform, a clamping piece and a traction piece. The supporting platform can be supported on an operating bed, and the top face of the supporting platform is a supporting face. The clamping piece can be clamped and fixed at the top end of the pipe sleeve; the traction piece is arranged on the supporting platform, connected with the clamping piece and used for driving the clamping piece to move in parallel along the axis of the pipe sleeve. By the adoption of the device, manual tube drawing operation of operation personnel is not needed, the labor intensity of the operation personnel can be reduced, meanwhile, due to the fact that in the tube drawing process, it can be guaranteed that the force application direction is consistent and parallel to the axis of the tube sleeve, the left-right swinging phenomenon cannot occur, and the operation efficiency is improved. Therefore, the situation that the peripheral tissue of the spine hole is extruded, the hole is enlarged, and the spine is injured for the second time is avoided.
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Description

Technical Field

[0001] The present invention specifically relates to a spinal tumor radiotherapy auxiliary device. Background Art

[0002] Spinal tumors are a complex disease that not only affects the structural stability of the spine, but may also compress the spinal cord and nerve roots, leading to severe neurological dysfunction such as severe intractable radicular pain and paralysis. In the surgical treatment of primary spinal tumors or metastatic tumors, intraoperative radiotherapy is an important part of the comprehensive treatment of spinal tumors. Through precise positioning and intraoperative internal irradiation, it aims to control tumor growth, relieve pain, protect nerve function and improve the quality of life of patients.

[0003] During intraoperative radiotherapy, a needle-type applicator needs to be inserted into the diseased vertebra of the spine. The applicator is precisely placed in the center of the residual tumor tissue or tumor bed to achieve local high-dose irradiation, thereby controlling tumor growth as much as possible, relieving pain and reducing the probability of spinal cord compression, ultimately achieving the goal of improving the patient's quality of life.

[0004] Before inserting the needle applicator, a hole needs to be made on the spine and a tube sleeve is inserted at the hole position to facilitate the insertion of the needle applicator. After the operation is completed, the tube sleeve needs to be removed. The existing clinical tube sleeve removal method mainly adopts clamping the tail end of the tube sleeve with a clamp, and then manually pulling the clamp back to pull out the tube sleeve. This method has the following problems:

[0005] 1. Due to the compression and wrapping of vertebral bone tissue, medical staff need to use greater force to pull out the tube sleeve, which is particularly time-consuming and labor-intensive;

[0006] 2. During the manual extraction process, the force direction cannot be guaranteed to be consistent and parallel to the axial direction of the sleeve, so left and right swinging is likely to occur. This swinging phenomenon is likely to squeeze the tissues around the spinal foramen, causing the hole to expand and causing secondary damage to the spine. Summary of the invention

[0007] In view of the deficiencies in the prior art, the technical problem to be solved by the present invention is to provide a spinal tumor radiotherapy auxiliary device, which can easily remove the inserted tube sleeve after spinal tumor radiotherapy and reduce further damage to human tissue.

[0008] In order to achieve the above object, the present invention is implemented through the following technical solutions: a spinal tumor radiotherapy auxiliary device, comprising:

[0009] A support platform, capable of being supported on an operating table, wherein the top surface of the support platform is a support surface;

[0010] A clamping member capable of being clamped and fixed on the top end of the pipe sleeve; and

[0011] The pulling member is arranged on the supporting platform and connected with the clamping member, and is used for driving the clamping member to move in a direction parallel to the axis of the sleeve.

[0012] Furthermore, the support platform includes a support plate, a support rod and a fixing clamp, the top surface of the support plate is the support surface, and a guide hole perpendicular to the support surface and penetrating from top to bottom is opened on the support plate, the aperture of the guide hole is adapted to the tube sleeve, and the tube sleeve can slide through the guide hole, there are four support rods, the length of the support rods is adjustable, the four support rods are arranged opposite to each other in pairs, the top end of the support rod is hinged to the bottom surface of the support plate, and the fixing clamp can clamp and fix on the operating bed.

[0013] Furthermore, the inner wall of the guide hole involves a ball, and the sleeve and the ball can be in rolling contact.

[0014] Furthermore, the support rod includes a sleeve rod and a locking screw that are inserted in sequence, the sleeve rod at the lower end is fixed to the fixing clamp, the sleeve rod at the top end is hinged to the support plate, and the locking screw is threadedly connected to the sleeve rod. By rotating the locking screw, the end of the locking screw can be pressed against the outer wall of the inner sleeve rod.

[0015] 7. The swiftly and minutely adjusting device for a wood-planer working table as claimed in claim 1, wherein the two said adjusting base are pivotally connected to each other with a bolt, and the bolt has a round shank to contact with the two said adjusting bases. The bolt has a round shank to contact with the two said adjusting bases. The bolt has a round shank to contact with the two said adjusting bases. The bolt has a round shank to contact with the two said adjusting bases.

[0016] The driving member is connected to the rotating disk and is used to drive the rotating disk to rotate. When the rotating disk rotates, the sliding rod can be driven to slide toward the center or outward through the arc-shaped guide groove and the sliding groove. A pressure plate is provided at the end of each sliding rod. The pressure plate extends toward the support plate and can be pressed against the side wall of the pipe sleeve.

[0017] Furthermore, the driving member includes a rotating power source, a first gear and a second gear. The rotating power source is arranged on the mounting plate to drive the first gear to rotate. The second gear is sleeved and fixed on the rotating plate and meshes with the first gear.

[0018] Furthermore, it also includes an auxiliary clamping piece, the pressing plate is pressed against the inner wall of the pipe sleeve, and the auxiliary clamping piece is used to clamp and fix the outer wall of the pipe sleeve.

[0019] Furthermore, the auxiliary clamping member includes an annular airbag and an inflation device. An annular groove is provided on the inner wall of the mounting plate. The annular airbag is embedded in the groove. The inflation device is connected to the airbag and is used to inflate the annular airbag.

[0020] Furthermore, the pulling member includes a plurality of lifting mechanisms, which are arranged on a supporting surface at circumferential intervals and supported on the mounting plate. When the lifting mechanisms of the mounting plate act simultaneously, the mounting plate can be driven to rise and fall vertically.

[0021] Furthermore, the pulling member further comprises a guide rod, which is vertically arranged on the support plate and perpendicular to the mounting surface and can slide through the mounting plate.

[0022] Beneficial effects of the present invention:

[0023] When in use, the support platform is first fixed on the operating table, and then the end of the tube sleeve is clamped by clamping, and finally the pulling piece is started, and the pulling piece drives the clamping piece to move parallel to the axis, so that the tube sleeve can be pulled out.

[0024] By adopting the above device, the surgeon does not need to manually perform the tube removal operation, which can reduce the labor intensity of the surgeon. At the same time, because the force direction can be ensured to be consistent and parallel to the axis of the tube sleeve during the tube removal process, there will be no left and right swinging phenomenon, thereby avoiding squeezing the surrounding tissues of the spinal foramen, causing the hole to expand, and causing secondary damage to the spine. BRIEF DESCRIPTION OF THE DRAWINGS

[0025] In order to more clearly illustrate the specific implementation of the present invention, the following will briefly introduce the drawings required for use in the specific implementation. In all the drawings, each element or part is not necessarily drawn according to the actual scale.

[0026] Figure 1 A schematic diagram of a spinal tumor radiotherapy auxiliary device provided by one embodiment of the present invention;

[0027] Figure 2 for Figure 1 A schematic diagram of a clamping member in a spinal tumor radiotherapy auxiliary device is shown;

[0028] Figure 3 for Figure 1 A schematic diagram of a spinal tumor radiotherapy auxiliary device in which a pressing plate is pressed against the inner wall of a tube sleeve;

[0029] Figure 4 for Figure 1 A cross-sectional view of a clamping member in a spinal tumor radiotherapy auxiliary device is shown;

[0030] Reference numerals:

[0031] 1. Operating table; 2. Tube sleeve;

[0032] 100, support platform; 110, support plate; 120, support rod; 130, fixing clamp; 140, ball bearing; 200, clamping member; 210, mounting plate; 220, slide rod; 230, latch; 240, rotating plate; 250, pressure plate; 260, driving member; 261, rotating power source; 262, first gear; 263, second gear; 300, pulling member; 310, lifting mechanism; 320, guide rod; 400, auxiliary clamping member; 410, annular airbag; 420, inflating device. DETAILED DESCRIPTION

[0033] The following embodiments of the technical solution of the present invention are described in detail in conjunction with the accompanying drawings. The following embodiments are only used to more clearly illustrate the technical solution of the present invention, and are therefore only used as examples, and cannot be used to limit the protection scope of the present invention.

[0034] See also Figures 1 to 3 The present invention provides a spinal tumor radiotherapy auxiliary device, including a support platform 100, a clamping member 200 and a pulling member 300.

[0035] Specifically, the support platform 100 can be supported on the operating table 1, and the top surface of the support platform 100 is the support surface. The clamping member 200 can be clamped and fixed on the top of the tube sleeve 2; the pulling member 300 is arranged on the support platform 100 and connected to the clamping member 200, and is used to drive the clamping member 200 to move in a direction parallel to the axis of the tube sleeve 2.

[0036] When in use, the support platform 100 is first fixed on the operating bed 1, and then the end of the tube sleeve 2 is clamped by the clamping member 200, and finally the pulling member 300 is started. The pulling member 300 drives the clamping member 200 to move parallel to the axis, so that the tube sleeve 2 can be pulled out.

[0037] By adopting the above device, since the surgeon does not need to manually perform the tube removal operation, the labor intensity of the surgeon can be reduced. At the same time, through the present device, the force direction can be ensured to be consistent and parallel to the axis of the tube sleeve 2 during the tube removal process, and there will be no left and right swinging phenomenon, thereby avoiding squeezing of the surrounding tissues of the spinal foramen, causing the hole to expand, and then causing a second injury to the spine.

[0038] In this embodiment, the support platform 100 includes a support plate 110, a support rod 120 and a fixing clamp 130. The top surface of the support plate 110 is a support surface. A guide hole perpendicular to the support surface and extending from top to bottom is provided on the support plate 110. The diameter of the guide hole is adapted to the sleeve 2, and the sleeve 2 can slide through the guide hole. There are four support rods 120, and the length of the support rods 120 is adjustable. The four support rods 120 are arranged opposite to each other in pairs. The top end of the support rod 120 is hinged to the bottom surface of the support plate 110. The fixing clamp 130 can be clamped and fixed on the operating bed 1.

[0039] When in use, firstly pass the end of the tube sleeve 2 through the guide hole. Through the function of the guide hole, the support surface can be made perpendicular to the tube sleeve 2. Then, the fixing clip 130 is clamped and fixed on the operating bed 1.

[0040] In a specific implementation, a ball 140 may be further arranged in the guide hole, and the ball 140 may be connected to the pipe sleeve 2 by rolling, so that the insertion of the pipe sleeve 2 may be facilitated.

[0041] In this embodiment, the support rod 120 includes a sleeve rod and a locking screw that are plugged in sequence. The sleeve rod at the bottom is fixed to the fixing clamp, and the sleeve rod at the top is hinged to the support plate. The locking screw is threadedly connected to the sleeve rod. When the locking screw is rotated, the end of the locking screw can be pressed against the outer wall of the inner sleeve rod. When in use, first loosen the locking screw, and after the support plate 110 is sleeved on the pipe sleeve 2, adjust the length and angle of the support rod 120 as needed, and finally fix the locking screw.

[0042] In this embodiment, the clamping member 200 includes a mounting plate 210, a slide bar 220, a latch 230, a rotating plate 240 and a driving member 260. The mounting plate 210 is mounted on a supporting surface by a pulling member 300. The pulling member 300 can drive the mounting plate 210 to move vertically up and down relative to the mounting surface. The mounting plate 210 is provided with a plurality of slide grooves along its radial direction, and a slide bar 220 is provided in each slide groove and can slide in the slide groove, and the end of the slide bar 220 can extend into the inner hole of the mounting plate 210.

[0043] The rotating disk 240 is coaxially arranged with the mounting disk 210, and the rotating disk 240 and the mounting disk 210 are rotatably connected. A plurality of arc-shaped guide grooves are circumferentially spaced apart on the rotating disk 240, and one end of the arc-shaped guide groove is offset toward the center thereof. A latch 230 is arranged on each slide bar 220, and the latch 230 can be slidably clamped in the arc-shaped guide groove.

[0044] The driving member 260 is connected to the rotating disk 240 and is used to drive the rotating disk 240 to rotate. When the rotating disk 240 rotates, the sliding rod 220 can be driven to slide toward the center or outward through the arc guide groove and the sliding groove. A pressure plate 250 is provided at the end of each sliding rod 220. The pressure plate 250 extends toward the support plate 110 and can be pressed against the side wall of the pipe sleeve 2.

[0045] During use, when the driving member 260 starts the rotating disk 240 to rotate clockwise, the sliding rod 220 can be driven to slide inwards under the combined action of the arc-shaped guide groove and the sliding groove, and conversely, the sliding rod 220 can be driven to slide outwards.

[0046] It should be noted that, in the present embodiment, the pressure plate 250 can be pressed against the inner wall or outer wall of the pipe sleeve 2 when driven by the slide rod 220. When the initial position of the pressure plate 250 is within the inner diameter range of the pipe sleeve 2, if the slide rod 220 slides outward, it can be pressed against the inner wall of the pipe sleeve 2, thereby supporting the pipe sleeve 2 outward. On the contrary, when the initial position of the pressure plate 250 is outside the pipe sleeve 2, when the slide rod 220 slides inward, it can be pressed against the outer wall of the pipe sleeve 2, thereby pressing the pipe sleeve 2 outward.

[0047] In this embodiment, the driving member 260 includes a rotational power source 261, a first gear 262 and a second gear 263. The rotational power source 261 is disposed on the mounting plate 210 to drive the first gear 262 to rotate. The second gear 263 is sleeved and fixed on the rotating plate 240 and meshes with the first gear 262.

[0048] The rotating power source 261 may be a rotating motor. When the rotating power source 261 drives the second gear 263 to rotate, the first gear 262 may be driven to rotate, thereby driving the rotating disk 240 to rotate, thereby driving the sliding rod 220 to move.

[0049] As a preferred embodiment, the pressing plate 250 is pressed against the inner wall of the pipe sleeve 2, and further comprises an auxiliary clamping member 400, which is used to clamp and fix the outer wall of the pipe sleeve 2. Through the inner and outer clamping cooperation mode, the pipe sleeve 2 can be prevented from being deformed by clamping.

[0050] Specifically, the auxiliary clamping member 400 includes an annular airbag 410 and an inflator 420. An annular groove is formed on the inner wall of the mounting plate 210, the annular airbag 410 is embedded in the groove, and the inflator 420 is connected to the airbag to inflate the annular airbag 410.

[0051] During use, when the pressing plate 250 is pressed against the inner wall of the tube sleeve 2, the inflation device 420 can be started at the same time to inflate the airbag, so that the annular airbag 410 hugs the outer wall of the tube sleeve 2, forming an internal and external clamping effect on the tube sleeve 2, thereby preventing the tube sleeve 2 from deforming and improving the internal and external clamping force to prevent relative sliding with the tube sleeve 2 during pulling, which causes unsuccessful tube removal.

[0052] In this embodiment, the pulling member 300 includes a plurality of lifting mechanisms 310, which are circumferentially spaced apart on a support surface and supported on a mounting plate 210. When the lifting mechanisms 310 of the mounting plate 210 act simultaneously, the mounting plate 210 can be driven to rise and fall vertically.

[0053] When in use, the pipe can be removed by starting four lifting mechanisms 310 to drive the mounting plate 210 to rise. The lifting mechanism 310 can be a commonly used mechanism capable of linear lifting in the prior art, such as a jack.

[0054] In addition, the pulling member 300 further includes a guide rod 320 , which is vertically disposed on the support plate and perpendicular to the mounting surface and can slide through the mounting plate 210 .

[0055] The guidance of the guide rod 320 further improves the movement stability of the mounting plate 210 .

[0056] When using the above-mentioned spinal tumor radiotherapy auxiliary device, first pass the end of the tube sleeve through the guide hole, then clamp the clamp 200 and fix it on the operating table 1, then start the rotating power source and the inflation device 420, so that the pressure plate 250 and the airbag are tightly attached to the inner and outer walls of the tube sleeve 2, and finally start the lifting mechanism 310 to remove the tube.

[0057] By adopting the above device, the surgeon does not need to manually perform the tube removal operation, which can reduce the labor intensity of the surgeon. At the same time, since the force direction can be ensured to be consistent and parallel to the axis of the tube sleeve 2 during the tube removal process, there will be no left and right swinging phenomenon, thereby avoiding squeezing the surrounding tissues of the spinal foramen, causing the hole to expand, and causing secondary damage to the spine.

[0058] The above embodiments are only used to illustrate the technical solutions of the present invention, rather than to limit it. Although the present invention has been described in detail with reference to the aforementioned embodiments, those skilled in the art should understand that they can still modify the technical solutions described in the aforementioned embodiments, or replace some or all of the technical features therein by equivalents. These modifications or replacements do not make the essence of the corresponding technical solutions deviate from the scope of the technical solutions of the embodiments of the present invention, and they should all be included in the scope of the claims and specification of the present invention.

Claims

1. A spinal tumor radiotherapy auxiliary device, characterized in that: include: A support platform, capable of being supported on an operating table, wherein the top surface of the support platform is a support surface; A clamping piece, capable of being clamped and fixed on the top end of the pipe sleeve; and The pulling member is arranged on the supporting platform and connected with the clamping member, and is used for driving the clamping member to move in a direction parallel to the axis of the sleeve.

2. The spinal tumor radiotherapy auxiliary device according to claim 1, characterized in that: The support platform includes a support plate, a support rod and a fixing clamp. The top surface of the support plate is a support surface. A guide hole perpendicular to the support surface and penetrating from top to bottom is provided on the support plate. The diameter of the guide hole is adapted to the tube sleeve, and the tube sleeve can slide through the guide hole. There are four support rods, and the length of the support rods is adjustable. The four support rods are arranged opposite to each other in pairs. The top end of the support rod is hinged to the bottom surface of the support plate. The fixing clamp can be clamped and fixed on the operating bed.

3. The spinal tumor radiotherapy auxiliary device according to claim 2, characterized in that: The inner wall of the guide hole involves a ball, and the sleeve and the ball can be in rolling contact.

4. The spinal tumor radiotherapy auxiliary device according to claim 2, characterized in that: The support rod includes a sleeve rod and a locking screw that are inserted in sequence. The sleeve rod at the lower end is fixed to the fixing clamp, and the sleeve rod at the top end is hinged to the support plate. The locking screw is threadedly connected to the sleeve rod. By rotating the locking screw, the end of the locking screw can be tightened against the outer wall of the inner sleeve rod.

5. The spinal tumor radiotherapy auxiliary device according to claim 1, characterized in that: The clamping member comprises a mounting plate, a sliding rod, a latch, a rotating plate, a pressure plate and a driving member, the mounting plate is mounted on the supporting surface by the pulling member, the pulling member can drive the mounting plate to move up and down perpendicular to the mounting surface, the mounting plate is provided with a plurality of sliding grooves along its radial direction, each of the sliding grooves is provided with a sliding rod that can slide in the sliding groove, and the end of the sliding rod can extend into the inner hole of the mounting plate, the rotating plate is coaxially arranged with the mounting plate, and the rotating plate and the mounting plate are rotatably connected, the rotating plate is provided with a plurality of arc guide grooves at intervals in the circumferential direction, and one end of the arc guide groove is offset toward its center, each of the sliding rods is provided with a latch, and the latch can be slidably clamped in the arc guide groove; The driving member is connected to the rotating disk and is used to drive the rotating disk to rotate. When the rotating disk rotates, the sliding rod can be driven to slide toward the center or outward through the arc-shaped guide groove and the sliding groove. A pressure plate is provided at the end of each sliding rod. The pressure plate extends toward the support plate and can be pressed against the side wall of the pipe sleeve.

6. The spinal tumor radiotherapy auxiliary device according to claim 5, characterized in that: The driving member includes a rotating power source, a first gear and a second gear. The rotating power source is arranged on the mounting plate to drive the first gear to rotate. The second gear is sleeved and fixed on the rotating plate and meshes with the first gear.

7. The spinal tumor radiotherapy auxiliary device according to claim 5, characterized in that: It also includes an auxiliary clamping piece, the pressing plate is pressed against the inner wall of the pipe sleeve, and the auxiliary clamping piece is used to clamp and fix the outer wall of the pipe sleeve.

8. The spinal tumor radiotherapy auxiliary device according to claim 7, characterized in that: The auxiliary clamping member includes an annular airbag and an inflating device. An annular groove is provided on the inner wall of the mounting plate. The annular airbag is embedded in the groove. The inflating device is connected to the airbag and is used to inflate the annular airbag.

9. The spinal tumor radiotherapy auxiliary device according to claim 5, characterized in that: The pulling member comprises a plurality of lifting mechanisms, which are arranged on a supporting surface at circumferential intervals and supported on the mounting plate. When the lifting mechanisms of the mounting plate act simultaneously, the mounting plate can be driven to rise and fall vertically.

10. The spinal tumor radiotherapy auxiliary device according to claim 5, characterized in that: The pulling member further comprises a guide rod, which is vertically arranged on the support plate and perpendicular to the mounting surface and can slide through the mounting plate.