Positioning and punching device for orthopedics department

Abstract

The invention relates to a positioning and punching device for the orthopedics department. The orthopedic positioning and punching device comprises a first driving mechanism and a second driving mechanism, the drilling device is mounted on the first driving mechanism and driven by the first driving mechanism to be close to or away from the position to be drilled; the second driving mechanism is mounted on the drilling device and moves along with the drilling device; the anti-shaking device is connected with the second driving mechanism, and the second driving mechanism is used for driving the anti-shaking device to abut against the operating table. According to the orthopedic positioning and punching device, the anti-shaking device is driven by the first driving mechanism and the second driving mechanism to abut against an operating table so as to assist in supporting the whole orthopedic positioning and punching device, so that the influence of vibration of a drill bit on the whole structure is reduced, the drilling error caused by vibration of the device is reduced, and the drilling precision is improved.

Description

Technical Field

[0001] The present invention relates to the technical field of medical equipment, and in particular to an orthopedic positioning and punching device. Background Art

[0002] With the development and progress of science, orthopedics has made great progress in diagnosis and treatment, and medical methods have also made great progress. Bone screw reduction is often used to assist in the treatment of orthopedic diseases such as fractures. Most of the existing orthopedic drilling is done by medical staff holding a drill.

[0003] In the existing public document 107260330B, an orthopedic positioning and drilling device is disclosed, including a support frame; a position adjustment mechanism, which is arranged on the support frame and can move in the horizontal direction; an angle adjustment mechanism, which is arranged on the position adjustment mechanism and drives the angle adjustment mechanism to move in the longitudinal direction and move up and down; a drill positioning device is arranged on the front end of the angle adjustment mechanism, and the drill positioning device includes a laser head and a drill clamping jaw, the axis of the laser head always coincides with the axis of the drill clamping jaw, and the laser head can be moved into the drill clamping jaw to determine the specific position of the hole to be drilled; a pair of human body fixing frames, which are movably arranged on the support frame, and the pair of human body fixing frames are respectively located at the two ends of the position adjustment mechanism. The invention has high drilling positioning accuracy and good flexibility in use.

[0004] However, the head position of the structure has no auxiliary support and its rigidity is weak. During the drilling process, the vibration of the electric drill may easily cause the overall structure to shake, thereby affecting the drilling accuracy. Summary of the invention

[0005] Based on this, the object of the present invention is to provide an orthopedic positioning and drilling device, which has a positioning support structure for the head position of the drilling structure to reduce the vibration of the entire mechanism and improve the drilling accuracy.

[0006] An orthopedic positioning and punching device, the device comprises the following components:

[0007] a first driving mechanism;

[0008] A drilling device is mounted on the first driving mechanism so as to be driven by the first driving mechanism to approach or move away from a position to be drilled;

[0009] A second driving mechanism is mounted on the drilling device and moves following the movement of the drilling device;

[0010] The anti-sway device is connected to the second driving mechanism; the second driving mechanism is used to drive the anti-sway device to abut against the operating table.

[0011] In one embodiment, the orthopedic positioning and drilling device further includes a positioning protector, which includes a fixed cylinder and a movable cylinder that are telescopically connected, and the drilling device is connected to the fixed cylinder and is located at an end of the fixed cylinder away from the movable cylinder;

[0012] The drilling device is provided with a drilling motor and a drill bit, the drill bit is located in a positioning protector, a positioning hole is opened on the moving cylinder, and the positioning hole is coaxially arranged with the drill bit;

[0013] The second driving mechanism is connected to the anti-swaying device through the moving cylinder; the second driving mechanism is also used to drive the moving cylinder to move so that the drill bit enters or leaves the positioning protector through the positioning hole.

[0014] Furthermore, both the fixed cylinder and the movable cylinder are double-layer structures, the fixed cylinder is provided with a first cylinder wall and a second cylinder wall, the second cylinder wall is located outside the first cylinder wall, the movable cylinder is provided with a third cylinder wall and a fourth cylinder wall, the fourth cylinder wall is located outside the third cylinder wall;

[0015] A first drive cavity is formed between the first cylinder wall and the second cylinder wall, the first drive cavity is used for the third cylinder wall and the fourth cylinder wall to approach or move away from the drilling device in the first drive cavity, and a second drive cavity is formed between the third cylinder wall and the fourth cylinder wall;

[0016] The second driving mechanism includes a first motor, a plurality of first screw rods, a first synchronous driving wheel, a synchronous belt and a plurality of nuts, wherein the first motor is arranged in the drilling device, and a plurality of mounting through holes are opened on the drilling device; the plurality of first screw rods are arranged in the first driving cavity at intervals and parallel to each other, and the plurality of first screw rods are respectively pivotally connected to one of the mounting through holes and axially fixed relative to the respective corresponding mounting through holes;

[0017] The first synchronous driving wheel is connected to the first motor, the synchronous belt is wound around the first synchronous driving wheel, a plurality of first screw rods are wound around the synchronous belt, each first screw rod is matched with one of the nuts, and the nut is arranged in the second driving cavity.

[0018] Furthermore, one end of the second cylinder wall away from the drilling device extends toward the center to form a first limiting ring, and both ends of the fourth cylinder wall extend outwards to form a second limiting ring and a third limiting ring, respectively, and the first limiting ring is located between the second limiting ring and the third limiting ring;

[0019] A plurality of limit blocks are arranged on the first limit ring, a plurality of limit grooves are opened on the fourth cylinder wall, and the plurality of limit blocks are slidably connected with the plurality of limit grooves.

[0020] In one embodiment, the orthopedic positioning and drilling device further includes a third driving mechanism and a limiting claw, the limiting claw is installed on the third driving mechanism, and the limiting claw is used to fix the two sides of the position to be drilled;

[0021] The limiting claw includes a first limiting pressure plate, a second limiting pressure plate and two limiting clamps. The first limiting pressure plate is connected to the third driving mechanism. The first limiting clamp is connected to the second limiting clamp through a first elastic component. The two limiting clamps are respectively arranged on both sides of the second limiting pressure plate. The two limiting clamps are rotatably connected to the first limiting pressure plate, and the two limiting clamps are connected through a second elastic component.

[0022] In one of the embodiments, the orthopedic positioning and punching device further comprises a supporting device, the supporting device is equipped with a workbench, and the first driving mechanism is arranged on the workbench;

[0023] The supporting device includes a base, a plurality of movable pulleys, a fixed column and a movable column; a plurality of movable pulleys are installed at one end of the base, and a fixed seat and a connecting seat are arranged at the other end;

[0024] The fixed column is connected to the fixed seat, and a first rotating mechanism is provided at one end of the fixed column away from the base, and the first rotating mechanism is connected to the workbench; the first rotating mechanism is used to drive the workbench to rotate around the first rotating mechanism within the plane where the workbench is located; a first mounting frame is provided on the fixed column; the first mounting frame is used to fix the fixed column on the operating table;

[0025] The movable column is connected to the connecting seat, and a rotating mechanism is provided at one end of the movable column away from the base; a universal table is installed on the rotating mechanism, a second rotating mechanism is provided on the universal table, and the second rotating mechanism is connected to the workbench; a second mounting frame is provided on the movable column, and the second mounting frame is used to fix the movable column on the operating table.

[0026] Furthermore, the fixed column includes a first column, the first column extends upward and in a direction away from the movable column to form a second column, the first column is connected to the fixed seat, the first mounting bracket is arranged on the first column; the first rotating mechanism is arranged on the second column;

[0027] The movable column comprises a third column, the third column extends upward and extends in a direction away from the fixed column to form a fourth column, the third column is connected to the connecting seat, the second mounting bracket is arranged on the third column; and the rotating mechanism is arranged on the fourth column.

[0028] Furthermore, a first telescopic mechanism is provided on the fixing column, and the first telescopic mechanism is located between the first mounting frame and the fixing seat;

[0029] The moving column is provided with a second telescopic mechanism, and the second telescopic mechanism is located between the second mounting frame and the connecting seat.

[0030] Furthermore, the workbench is provided with two first support frames, two first mounting grooves, a second support frame and a second mounting groove, the two first support frames are opposite to each other and parallel; the two first mounting grooves are respectively provided on the two first support frames, and the second mounting groove is provided on the second support frame;

[0031] The first driving mechanism includes a second translation driving mechanism, two groups of first translation driving mechanisms, a lifting adjustment mechanism and an angle adjustment mechanism; the two groups of first translation driving mechanisms are respectively arranged in two first mounting grooves, the two ends of the second support frame are respectively connected to the two groups of first translation driving mechanisms, and the second translation driving mechanism is arranged in the second mounting groove;

[0032] A lifting adjustment mechanism is installed on the second translation mechanism, and the angle adjustment mechanism is arranged on the lifting adjustment mechanism.

[0033] Furthermore, the angle adjustment mechanism includes a first adjustment platform, a second adjustment platform, a second synchronous driving wheel, a synchronous driven wheel and a second motor, the first adjustment platform is rotatably connected to the second adjustment platform through a connecting shaft, and a drilling device is provided on the second adjustment platform;

[0034] The synchronous driven wheel is installed on the connecting shaft, the synchronous driven wheel and the connecting shaft are coaxially arranged, the second synchronous driving wheel is meshed with the synchronous driven wheel, the second motor is connected to the second synchronous driving wheel, and the second motor is arranged on the first adjustment platform.

[0035] Compared with the prior art, the present invention has the following beneficial effects:

[0036] 1. The first driving mechanism and the second driving mechanism drive the anti-sway device to abut against the operating table to achieve auxiliary support for the entire orthopedic positioning and drilling device, thereby reducing the impact of drill bit vibration on the overall structure, reducing the drilling error caused by device vibration, and improving drilling accuracy;

[0037] 2. Design a positioning protector to locate the drilling position through the positioning hole on the positioning protector to avoid the possible damage to the patient caused by the direct contact of the drill bit. At the same time, when not drilling, the control moving cylinder is moved so that the drill bit is in the positioning protector to reduce the contact between the drill bit and the outside world, so as to avoid the drill bit being exposed to the outside world for a long time and being adsorbed by bacteria, which may cause surgical infection during use;

[0038] 3. If the first drive mechanism fails during use, the second drive mechanism can control the moving cylinder to keep the drill bit in the positioning protector to avoid harm to the patient; at the same time, if the second drive mechanism fails and the drill bit is outside the positioning protector when not drilling, the first drive mechanism can also control the drilling device to stay away from the patient. The mutual restraint of the dual drive mechanisms improves the safety of orthopedic drilling surgery;

[0039] 4. Through the movable and detachable supporting device, the entire orthopedic positioning and punching device can be quickly evacuated after the drilling work is completed, thereby avoiding affecting the subsequent surgical operations.

[0040] For better understanding and implementation, the present invention is described in detail below with reference to the accompanying drawings. BRIEF DESCRIPTION OF THE DRAWINGS

[0041] Figure 1 A schematic diagram of the structure of an orthopedic positioning and punching device provided in an embodiment of the present application;

[0042] Figure 2 A schematic diagram of the structure of another orthopedic positioning and punching device provided in an embodiment of the present application;

[0043] Figure 3 A schematic diagram of the structure of a drilling device and a positioning protector provided in an embodiment of the present application;

[0044] Figure 4 for Figure 3 AA cross-sectional view of the drilling device and the positioning protector provided by the illustrated embodiment;

[0045] Figure 5 for Figure 3 A BB cross-sectional view of the drilling device and the positioning protector provided by the illustrated embodiment;

[0046] Figure 6 A schematic diagram of the structure of the limiting claw provided in an embodiment of the present application;

[0047] Figure 7 A structural schematic diagram of the moving state of the orthopedic positioning and punching device provided in an embodiment of the present application;

[0048] Figure 8 A schematic diagram of the structure of the orthopedic positioning and punching device in a fixed state provided in an embodiment of the present application;

[0049] Fig. 9 A schematic diagram of the support device and workbench provided in the embodiment of the present application;

[0050] Fig.10 A schematic diagram of the structure of another orthopedic positioning and punching device provided in an embodiment of the present application;

[0051] Fig.11 for Fig.10 A partial enlarged view of an orthopedic positioning and punching device provided in the illustrated embodiment;

[0052] In the figure, 100, first driving mechanism; 110, first translation driving mechanism; 111, first slide rail; 112, second screw rod; 113, first translation platform; 114, third motor; 120, second translation driving mechanism; 121, second slide rail; 122, third screw rod; 123, second translation platform; 124, fourth motor; 130, lifting adjustment mechanism; 140, angle adjustment mechanism; 141, first adjustment platform; 142, second adjustment platform; 143, second synchronous driving wheel; 144, synchronous driven wheel; 145, second motor; 146, connecting shaft; 2 00, drilling device; 201, drilling motor; 202, drill bit; 203, mounting through hole; 300, second driving mechanism; 301, first motor; 302, first screw rod; 303, first synchronous driving wheel; 304, synchronous belt; 305, nut; 400, anti-sway device; 401, rotating groove; 402, positioning claw; 500, positioning protector; 510, fixed cylinder; 511, first cylinder wall; 512, second cylinder wall; 513, first driving cavity; 514, first limiting ring; 516, limiting block; 520, moving cylinder; 521, third cylinder wall; 522, fourth cylinder wall; 523, second driving cavity; 524, second limiting ring; 525, third limiting ring; 526, limiting groove; 530, positioning hole; 600, third driving mechanism; 700, limiting claw; 701, first limiting pressure plate; 702, second limiting pressure plate; 703, limiting clamping plate; 704, first elastic component; 705, second elastic component; 800, supporting device; 810, base; 811, fixed seat; 812, connecting seat; 813, engaging groove; 814, engaging platform; 815, moving rod; 816, sliding groove; 817, first Three elastic components; 820, movable pulley; 830, fixed column; 831, first pillar; 832, second pillar; 833, first rotating mechanism; 834, first mounting frame; 835, first telescopic mechanism; 840, movable column; 841, third pillar; 842, fourth pillar; 843, rotating mechanism; 844, universal table; 845, second rotating mechanism; 846, second mounting frame; 847, second telescopic mechanism; 900, workbench; 901, first supporting frame; 902, first mounting groove; 903, second supporting frame; 904, second mounting groove. DETAILED DESCRIPTION

[0053] In order to facilitate the understanding of the present invention, the present invention will be described more fully below with reference to the relevant drawings. The preferred embodiments of the present invention are shown in the drawings. However, the present invention can be implemented in many different forms and is not limited to the embodiments described herein. On the contrary, the purpose of providing these embodiments is to make the understanding of the disclosure of the invention more thorough and comprehensive.

[0054] It should be noted that when an element is referred to as being "fixed to" another element, it may be directly on the other element or there may be an intermediate element. When an element is considered to be "connected to" another element, it may be directly connected to the other element or there may be an intermediate element at the same time. The terms "parallel", "first", "second", "third" and similar expressions used herein are for illustrative purposes only.

[0055] See also Figure 1 , exemplarily shows a structural schematic diagram of an orthopedic positioning and punching device provided in an embodiment of the present application; the device includes a first driving mechanism 100, a drilling device 200, a second driving mechanism 300 and an anti-sway device 400.

[0056] Specifically, the drilling device 200 is installed on the first driving mechanism 100. When drilling is required, the first driving mechanism 100 can drive the drilling device 200 to approach or move away from the position to be drilled. Preferably, the first driving mechanism 100 can be a device installed on the operating table or a device installed around the operating table. The first driving mechanism 100 can realize the automatic operation of the drilling device 200, reduce the manual operation intensity of the doctor, and improve the stability and consistency of the operation. Through the preset program and parameters, the first driving mechanism 100 can automatically adjust the position and angle of the drilling device 200, so as to reach the drilling position more accurately, providing a more convenient operation experience for the doctor.

[0057] See also Figure 3 The drilling device 200 is provided with a drilling motor 201 and a drill bit 202, and the second driving mechanism 300 is installed on the drilling device 200; one end of the second driving mechanism 300 is connected to the drilling device 200, and when the first driving mechanism 100 drives the drilling device 200 to move, the second driving mechanism 300 moves along with the movement of the drilling device 200, and the other end is connected with an anti-sway device 400, and the second driving mechanism 300 is used to drive the anti-sway device 400 to abut against the operating table.

[0058] The specific usage process is: first, the first driving mechanism 100 is used to control the drilling device 200 to approach but not contact the position to be drilled, and then the second driving mechanism 300 is used to control the anti-sway device 400 to approach the vicinity of the position to be drilled and abut against the operating table around it. After completing the support, the first driving mechanism 100 controls the drilling device 200 to approach the position to be drilled, and the second driving mechanism 300 controls the anti-sway device 400 to retract. When the first driving mechanism 100 drives the drilling device 200 to move, the second driving mechanism 300 moves with the movement of the drilling device 200. Therefore, it can be ensured that the anti-sway device is always abutting against the operating table while approaching the second driving mechanism 300, so that the drilling device 200 can drill smoothly while the anti-sway device 400 always provides support for the entire device.

[0059] The beneficial effects of the orthopedic positioning and punching device provided in the embodiment of the present application are as follows: on the one hand, the anti-sway device 400 abutting against the operating table is equivalent to providing an auxiliary support column for the drilling device 200, which can better stabilize the drilling device 200 and reduce the impact of the vibration of the drilling device 200 during the punching process on the entire orthopedic positioning and punching device, thereby reducing the drilling error caused by the shaking of the equipment during drilling caused by the vibration of the device, and improving the stability of the device and the drilling accuracy; on the other hand, the second driving mechanism 300 that drives the anti-sway device 400 and the first driving mechanism 100 that drives the drilling device 200 are independent of each other, and both play a limiting role on the drilling device 200. When the first driving mechanism 100 fails and cannot control the position of the drilling device 200, the second driving mechanism 300 can drive the anti-sway device 400 to abut against the operating table to prevent the drilling device 200 from approaching the patient's bones; when the second driving mechanism 300 fails, causing the anti-sway device 400 to leave the operating table without providing support, the first driving mechanism 100 can drive the drilling device 200 and the second driving mechanism 300 away from the patient, and the drilling device 200 can be controlled through the mutual constraints of the first driving mechanism 100 and the second driving mechanism 300, thereby avoiding loss of control of the device caused by a single mechanism failure, thereby preventing medical accidents, and improving the safety of orthopedic drilling work.

[0060] Preferably, see Figure 1 and Figure 2The anti-sway device 400 is two relatively arranged positioning claws 402, and the positioning claws 402 can abut against the operating table on both sides of the drilling position. Preferably, an adsorption structure, such as a vacuum suction cup, can be provided on the top of the positioning claw, and the adsorption structure can be adsorbed on the operating table to increase the fixing effect. Alternatively, the current operating table can be improved and provided with a positioning support structure such as a fixing ring for support by the positioning claws 402. In this way, the drilling device 200 can perform drilling work in the space between the two positioning claws 402, and the positioning claws 402 are connected to the second driving mechanism 300 through the rotating groove 401. Then, the positioning claw 402 can rotate in the rotating groove 401 so that it can always grip the positioning support structure of the operating table downward when the angle of the drilling device 200 changes. At the same time, a stop mechanism is provided in the sliding groove 816, which can fix the positioning claw 402 after the drilling device 200 completes the rotation relative to the positioning claw 402, so as to avoid the positioning claw 402 from rotating during the drilling process, thereby affecting the drilling work; specifically, the stop mechanism can be a pin arranged in the sliding groove 816, and a plurality of sockets are provided on the positioning claw 402, and the sockets cooperate with the pin to achieve the fixation of the positioning claw 402.

[0061] Combination Figures 3 to 5 As shown, in one embodiment, the orthopedic positioning and punching device also includes a positioning protector 500, which includes a fixed cylinder 510 and a movable cylinder 520 that are telescopically connected. The drilling device 200 is connected to the fixed cylinder 510 and is located at one end of the fixed cylinder 510 away from the movable cylinder 520. The movable cylinder 520 is provided with a penetrating positioning hole 530, which is coaxially arranged with the drill bit 202 and is sized to allow the drill bit 202 to pass through.

[0062] In this embodiment, the second driving mechanism 300 is connected to the anti-sway device 400 through the moving cylinder 520; when the second driving mechanism 300 drives the anti-sway device 400 to approach or move away from the drilling device 200, the space between the moving cylinder 520 and the fixed cylinder 510 changes accordingly. When the space height changes to the same as the length of the drill bit 202, the drill bit 202 can just expose the positioning hole 530. At this time, driving the moving cylinder 520 to approach or move away from the drilling device 200 can enable the lower end of the drill bit 202 to enter or leave the interior of the positioning protector 500 through the positioning hole 530.

[0063] Specifically, the positioning protector 500 is designed to locate the drilling position by replacing the drill bit 202 with the positioning hole 530 on the positioning protector 500 to approach the position to be drilled, thereby avoiding the possible damage to the patient caused by the drill bit 202 directly contacting the bone for positioning; and when the drilling work is not in progress, the movable cylinder 520 is controlled to move so that the drill bit 202 is in the positioning protector 500 to reduce the contact of the drill bit 202 with the outside world, thereby avoiding the drill bit 202 being exposed to the outside world for a long time and being adsorbed by pathogens, thereby causing surgical infection during use; and the second drive mechanism 300 and the anti-sway device 400 are connected by the movable cylinder 520. When the first drive mechanism 100 fails, the anti-sway device 400 is controlled by the second drive mechanism 300 to abut against the operating table, while the drill bit 202 is kept in the positioning protector 500, further preventing the drill bit 202 from contacting and causing damage to the patient, thereby further improving the safety of the entire orthopedic positioning and drilling device.

[0064] Preferably, if Figure 4 As shown, the fixed cylinder 510 and the movable cylinder 520 are both double-layer structures. The fixed cylinder 510 is provided with a first cylinder wall 511 and a second cylinder wall 512, and the second cylinder wall 512 is located on the outside of the first cylinder wall 511. The movable cylinder 520 is provided with a third cylinder wall 521 and a fourth cylinder wall 522, and the fourth cylinder wall 522 is located on the outside of the third cylinder wall 521. A first driving cavity 513 is formed between the first cylinder wall 511 and the second cylinder wall 512, and the first driving cavity 513 is used for the third cylinder wall 521 and the fourth cylinder wall 522 to approach or move away from the drilling device 200 in the first driving cavity 513, and a second driving cavity 523 is formed between the third cylinder wall 521 and the fourth cylinder wall 522.

[0065] The second driving mechanism 300 includes a first motor 301, a plurality of first screw rods 302, a first synchronous driving wheel 303, a synchronous belt 304 and a plurality of nuts 305, see Figure 5 The first motor 301 is arranged in the drilling device 200, and a plurality of mounting through holes 203 are opened on the drilling device 200; a plurality of first screw rods 302 are arranged in the first driving cavity 513 at intervals and parallel to each other, and the plurality of first screw rods 302 are respectively pivoted to one of the mounting through holes 203 and axially fixed relative to their respective corresponding mounting through holes 203; the first synchronous driving wheel 303 is connected to the first motor 301, the synchronous belt 304 is wound around the first synchronous driving wheel 303, the plurality of first screw rods 302 are wound around the synchronous belt 304, and each first screw rod 302 is matched with one of the nuts 305, and the nut 305 is arranged in the second driving cavity 523.

[0066] Specifically, the first drive chamber 513 provides space for the movement of the mobile cylinder 520, so that the mobile cylinder 520 can stably approach or move away from the drilling device 200 therein, ensuring the accuracy and reliability of the operation; at the same time, the first drive chamber 513 and the second drive chamber 523 can provide a suitable position for the installation of the second drive mechanism 300, making the structure of the entire device more compact and reducing space occupancy. Through the connection drive mode of multiple screw rods and synchronous belts 304, the transmission accuracy of the second drive mechanism 300 is guaranteed and the movement speed and displacement of each part of the mobile cylinder 520 in the first drive chamber 513 are consistent, so that the movement of the mobile cylinder 520 is more stable and accurate. Such a transmission design also improves the structural stability, operation accuracy, space utilization and transmission accuracy of the drilling device 200, providing a more reliable and efficient solution for drilling operations. It can be understood that the second drive mechanism 300 can also be a linear cylinder, a linear motor or an electric push rod, etc.

[0067] Preferably, one end of the second cylinder wall 512 away from the drilling device 200 extends toward the center to form a first limiting ring 514, and both ends of the fourth cylinder wall 522 extend outwards to form a second limiting ring 524 and a third limiting ring 525, respectively. The first limiting ring 514 is located between the second limiting ring 524 and the third limiting ring 525; the second limiting ring 524 is located at the end of the moving cylinder 520 close to the drilling device 200, and the third limiting ring 525 is located at the end of the moving cylinder 520 away from the drilling device 200; a plurality of limiting blocks 516 are arranged on the first limiting ring 514, and a plurality of limiting grooves 526 are opened on the fourth cylinder wall 522, and the plurality of limiting blocks 516 are slidingly connected with the plurality of limiting grooves 526 in a one-to-one correspondence. On the one hand, by limiting the first limiting ring 514 on the fixed cylinder 510 between the second limiting ring 524 and the third limiting ring 525 on the mobile cylinder 520, an effective limiting effect can be provided for the movement of the mobile cylinder 520 in the first driving chamber 513. It can prevent the mobile cylinder 520 from being over-extended or retracted, ensuring that it moves stably within the specified range; on the other hand, the multiple limiting blocks 516 arranged on the first limiting ring 514 are slidably connected with the multiple limiting grooves 526 opened on the fourth cylinder wall 522, further enhancing the guiding property of the movement of the mobile cylinder 520. In the process of the mobile cylinder 520 approaching or moving away from the drilling device 200, the cooperation of the limiting blocks 516 and the limiting grooves 526 can ensure that the mobile cylinder 520 always moves in a straight line along a predetermined direction, avoiding deviation or shaking, thereby improving the precision and accuracy of the drilling operation. At the same time, this sliding connection method also helps to reduce the friction between the mobile cylinder 520 and the fixed cylinder 510, reduce wear, and extend the service life of the device.

[0068] In one embodiment, if Figure 1 and Figure 6As shown, in one of the embodiments of the present application, the orthopedic positioning and punching device also includes a third driving mechanism 600 and a limiting claw 700. The limiting claw 700 is installed on the third driving mechanism 600. The limiting claw 700 is used to fix the relative two sides of the position to be drilled, such as grasping the upper and lower parts of the legs, or grasping the upper and lower parts of the hands.

[0069] The limiting claw 700 includes a first limiting pressure plate 701, a second limiting pressure plate 702 and two limiting clamps 703. The first limiting pressure plate 701 is connected to the third driving mechanism 600. The first limiting clamp 703 is connected to the second limiting clamp 703 through a first elastic component 704. The two limiting clamps 703 are respectively arranged on the opposite sides of the second limiting pressure plate 702. The two limiting clamps 703 are rotatably connected to the first limiting pressure plate 701, and the two limiting clamps 703 are connected through a second elastic component 705.

[0070] Specifically, under the power of the third driving mechanism 600, the limiting claw 700 moves to both sides of the position to be drilled for fixing, and the first limiting pressure plate 701 first contacts one side of the fixed part under the action of the third driving mechanism 600, and the first elastic component 704 enables the two limiting splints 703 to have elastic expansion and contraction capabilities, which can adapt to fixed parts of different widths; the second elastic component 705 enables the two limiting splints 703 to open or close within a certain range to better fit fixed parts of different shapes. On the one hand, the limiting claw 700 enhances stability; by firmly fixing both sides of the position to be drilled, the drilling position deviation caused by the vibration of the patient during the drilling process is effectively prevented, and the accuracy of the drilling is ensured. On the other hand, it has strong adaptability and can adapt to fixed parts of different shapes and sizes. Whether it is a regular or irregular bone part, it can be effectively fixed by adjusting the elastic component. Through the auxiliary fixation of the limiting claw 700, the safety of the operation is improved, the surgical risks caused by accidental movement or sliding of the patient are prevented, the harm to the patient is reduced, and the safety of the operation is improved.

[0071] In one embodiment, if Figure 7 As shown, the orthopedic positioning punching device also includes a supporting device 800, the supporting device 800 is equipped with a workbench 900, and the first driving mechanism 100 is arranged on the workbench 900; the supporting device 800 includes a base 810, a plurality of movable pulleys 820, a fixed column 830 and a movable column 840; a plurality of movable pulleys 820 are installed at one end of the base 810, and a fixed seat 811 and a connecting seat 812 are arranged at the other end;

[0072] The fixing column 830 is connected to the fixing seat 811, and a first rotating mechanism 833 is provided at one end of the fixing column 830 away from the base 810. The first rotating mechanism 833 is connected to the workbench 900; the first rotating mechanism 833 is used to drive the workbench 900 to move in the plane where the workbench 900 is located ( Figure 7 The fixed column 830 is provided with a first mounting frame 834; the first mounting frame 834 is used to fix the fixed column 830 on the operating table;

[0073] The movable column 840 is connected to the connecting seat 812, and a rotating mechanism 843 is provided at one end of the movable column 840 away from the base 810; a universal table 844 is installed on the rotating mechanism 843, and a second rotating mechanism 845 is provided on the universal table 844, and the second rotating mechanism 845 is connected to the workbench 900; a second mounting frame 846 is provided on the movable column 840, and the second mounting frame 846 is used to fix the movable column 840 on the operating table.

[0074] Specifically, see Figure 7 and Figure 8 , the entire device can be easily moved close to the operating table by moving the pulley 820, and the position can be adjusted conveniently and quickly. The first mounting frame 834 is installed and fixed on one side of the operating table, providing a stable support point for subsequent operations. Next, the moving column 840 is separated from the chassis and lifted upward around the rotating mechanism, and then the working table 900 is rotated from the side of the operating table to the top by the first rotating mechanism 833. At this time, the moving column 840 rotates with the first rotating mechanism 833, and then the moving column 840 is released downward and fixed to the operating table through the second mounting frame 846. At this time, the moving column 840 and the fixed column 830 form an eight-shaped structure, which fully utilizes the flexibility of the mechanical structure, so that the device can be converted between different positions to meet the specific needs of the operation. The moving column 840 moves from one side to the other side as the working table 900 rotates, and the position is adjusted by rotating the universal table 844, so that the second mounting frame 846 can be installed and fixed on the other side of the operating table, thereby firmly fixing the entire support device 800 on the operating table, ensuring the stability and reliability of the device during the punching work.

[0075] After the drilling work is completed, the connection between the first mounting frame 834 and the second mounting frame 846 and the operating table is released, and the movable column 840 and the working table 900 are reinstalled on the base 810, so as to facilitate the storage and next use of the device. This design not only improves the convenience and efficiency of surgical operations, but also facilitates the storage and transportation of the device. After the drilling work is completed, the orthopedic positioning drilling device 200 can be quickly evacuated, thereby avoiding affecting the subsequent surgical treatment.

[0076] Preferably, the fixed column 830 includes a first column 831, the first column 831 extends upward and extends in a direction away from the movable column 840 to form a second column 832, the first column 831 is connected to the fixed seat 811, the first mounting frame 834 is disposed on the first column 831; the first rotating mechanism 833 is disposed on the second column 832;

[0077] The movable column 840 includes a third column 841 , which extends upward and away from the fixed column 830 to form a fourth column 842 . The third column 841 is connected to the connecting seat 812 , and the second mounting frame 846 is disposed on the third column 841 ; the rotating mechanism 843 is disposed on the fourth column 842 .

[0078] Specifically, using an outwardly curved column instead of a straight rod can make the workbench 900 better cover the operating table, and the base 810 can be designed to be smaller, saving space; when the movable column 840 is connected to the base 810, the distance between the first pillar 831 and the third pillar 841 of the fixed column 830 and the movable column 840 can be minimized through the universal table 844, so that the design of the base 810 can be smaller, saving space, which is very important for medical places with limited space and is easy to store and manage. When work is needed, the second pillar 832 and the fourth pillar 842 extending outward are equivalent to extending from the two ends of the operating table to the middle of the operating table, so that the workbench 900 does not need a large span to be located in the upper middle area of ​​the operating table, so that when punching, a large workbench 900 can be used to meet the operation requirements, which not only saves material costs, but also improves space utilization efficiency, creating a more convenient and efficient working environment for medical workers.

[0079] Preferably, the fixed column 830 is provided with a first telescopic mechanism 835 , which is located between the first mounting frame 834 and the fixed seat 811 ; the movable column 840 is provided with a second telescopic mechanism 847 , which is located between the second mounting frame 846 and the connecting seat 812 .

[0080] In an actual medical environment, the height of the operating table may vary due to different models, usage requirements, and different surgical scenarios. The first telescopic mechanism 835 and the second telescopic mechanism 847 can be flexibly adjusted according to the actual height of the operating table. When facing a higher operating table, the overall height of the fixed column 830 and the movable column 840 can be increased by extending the first telescopic mechanism 835 and the second telescopic mechanism 847, thereby ensuring that the first mounting frame 834 and the second mounting frame 846 can be stably installed on both sides of the operating table. On the contrary, when the operating table is shorter, the telescopic mechanism can be shortened so that the height of the entire support device 800 matches the operating table. Thereby improving the versatility and adaptability of the orthopedic positioning punching device. Regardless of the height of the operating table, the installation and fixation of the entire device can be quickly achieved by adjusting the telescopic mechanism, providing a stable and reliable support platform for the punching work. At the same time, it also reduces the operational inconvenience and safety hazards caused by the mismatch of the height of the operating table, and improves the efficiency and quality of the operation.

[0081] Preferably, Fig. 9 As shown, the connection seat 812 includes a snap-fit ​​groove 813, a moving rod 815, a sliding groove 816 and a third elastic component 817. One end of the moving column 840 is nested with the snap-fit ​​groove 813 through the snap-fit ​​platform 814. At the same time, a part of the sliding groove 816 is arranged at both ends of the snap-fit ​​groove 813. The moving groove is installed in the sliding groove 816 and is connected to one end of the sliding groove 816 away from the snap-fit ​​groove 813 through the third elastic component 817. Under the action of the third elastic component 817, the moving groove is located on the upper side of the snap-fit ​​platform 814 to limit the up and down movement of the moving column 840. When it is necessary to contact the connection between the base 810 and the moving column 840, the moving rod 815 is moved away from the upper side of the snap-fit ​​platform 814 to contact the restriction on the moving column 840. This design allows the moving column 840 to be easily disassembled when it needs to be moved to the operating table or installed back to the base 810. The operation is simple and quick, without complex tools and cumbersome steps, which greatly improves the convenience and flexibility of the orthopedic positioning punching device. It is understandable that the connection between the connection base 812 and the movable column 840 may be connected by a detachable connection method such as a plug-in connection, a sleeve connection or a magnetic connection in addition to the above-mentioned snap connection.

[0082] In one embodiment, if Figure 2 and Fig.10 As shown, two first support frames 901, two first mounting grooves 902, a second support frame 903 and a second mounting groove 904 are provided on the workbench 900, and the two first support frames 901 are opposite to each other and parallel; the two first mounting grooves 902 are respectively provided on the two first support frames 901, and the second mounting groove 904 is provided on the second support frame 903;

[0083] See also Fig.10 and Fig.11 The first driving mechanism 100 includes a second translation driving mechanism 120, two groups of first translation driving mechanisms 110, a lifting adjustment mechanism 130 and an angle adjustment mechanism 140; the two groups of first translation driving mechanisms 110 are respectively arranged in two first mounting grooves 902, the two ends of the second support frame 903 are respectively connected to the two groups of first translation driving mechanisms 110, and the second translation driving mechanism 120 is arranged in the second mounting groove 904;

[0084] A lifting adjustment mechanism 130 is installed on the second translation mechanism, and the angle adjustment mechanism 140 is disposed on the lifting adjustment mechanism 130 .

[0085] Preferably, the angle adjustment mechanism 140 includes a first adjustment platform 141, a second adjustment platform 142, a second synchronous driving wheel 143, a synchronous driven wheel 144 and a second motor 145, the first adjustment platform 141 and the second adjustment platform 142 are rotatably connected through a connecting shaft 146, and a drilling device 200 is provided on the second adjustment platform 142;

[0086] The synchronous driven wheel 144 is installed on the connecting shaft 146 , the synchronous driven wheel 144 and the connecting shaft 146 are coaxially arranged, the second synchronous driving wheel 143 is meshed with the synchronous driven wheel 144 , the second motor 145 is connected to the second synchronous driving wheel 143 , and the second motor 145 is arranged on the first adjustment platform 141 .

[0087] The first translation driving mechanism 110 includes a first slide rail 111, a second screw rod 112, a first translation platform 113 and a third motor 114. The two ends of the second support frame 903 are respectively installed on the first translation platforms 113 of the two groups of first translation driving mechanisms 110; the first slide rail 111 is arranged in the first mounting groove 902, the first translation platform 113 is slidingly connected to the first slide rail 111, a first threaded through hole is opened on the first translation platform 113, the first translation platform 113 is rotatably connected to the second screw rod 112 through the first threaded through hole, one end of the second screw rod 112 is connected to the first mounting groove 902, and the other end is connected to the third motor 114 outside the first mounting groove 902 through the first through hole on the first mounting groove 902, the second screw rod 112 is pivotally connected to the first through hole and is axially fixed relative to the first through hole; the third motor 114 is connected to the third screw rod 122 and is installed on the outer wall of the first mounting groove 902.

[0088] The second translation driving mechanism 120 includes a second slide rail 121, a third screw rod 122, a second translation platform 123 and a fourth motor 124, and the lifting and lowering adjustment mechanism 130 is installed on the second translation platform 123; the second slide rail 121 is arranged in the second mounting groove 904, the second translation platform 123 is slidingly connected to the second slide rail 121, a second threaded through hole is opened on the second translation platform 123, and the second translation platform 123 is rotatably connected to the third screw rod 122 through the second threaded through hole, one end of the third screw rod 122 is connected to the second mounting groove 904, and the other end is connected to the fourth motor 124 outside the second mounting groove 904 through a second through hole on the second mounting groove 904, the third screw rod 122 is pivotally connected to the second through hole and is axially fixed relative to the second through hole; the fourth motor 124 is connected to the third screw rod 122 and is installed on the outer wall of the second mounting groove 904.

[0089] Specifically, the first translation drive mechanism 110 and the second translation drive mechanism 120 realize the precise positioning of the drilling device 200 in a two-dimensional plane. The lifting and adjusting mechanism 130 can adjust the drilling device 200 to a suitable height to adapt to different surgical scenes and operation requirements, and the angle adjustment mechanism 140 can change the angle of the drilling device 200, so that when facing complex surgical sites or special drilling requirements, drilling operations can be performed from the best angle to improve the accuracy and quality of the surgery; the multi-dimensional adjustment capability enables the orthopedic positioning and drilling device to adapt to the physical characteristics of different patients, different types of surgeries, and various complex surgical environments. Whether it is patients of different heights and body shapes, or fractures or lesions in different parts, the most suitable drilling position and angle can be found through the adjustment of the first driving mechanism 100.

[0090] The first translation drive mechanism 110, the second translation drive mechanism 120 and the angle adjustment mechanism 140 all adopt mechanical transmission to achieve precise control and ensure the accuracy of the position of the drilling device 200. At the same time, the first support frame 901, the second support frame 903 and the slider rail mechanism provide more stable support for the first drive mechanism 100, further reducing the shaking or instability of the orthopedic positioning punching device caused by the drilling vibration of the drilling device 200 during operation, and ensuring the stability and reliability of the operation. It can be understood that the first drive mechanism 100 can only include the adjustment of some of the degrees of freedom movement. In this case, the adjustment method of other degrees of freedom can be completed by artificial movement or the drive of other structures. At the same time, the first drive mechanism 100 can also be a multi-degree-of-freedom manipulator or a drive device composed of one or more transmission methods such as belt drive, chain drive, hydraulic drive and pneumatic drive.

[0091] Preferably, the second adjustment platform 142 is provided with an angle scale line, the first adjustment platform 141 is provided with a first pointer, and the first pointer points to the scale on the angle scale line; the movable cylinder 520 is provided with a length scale line, and the fixed cylinder 510 is provided with a second pointer, and the second pointer points to the scale on the length scale line. When the second adjustment platform 142 rotates, the angle scale line on the second adjustment platform pointed to by the pointer on the first adjustment platform 141 rotates, and the pointing scale changes. The rotation angle of the drilling device 200 can be obtained by the change of the first pointer pointing scale before and after; the depth of the drilling is obtained by recording the length scale pointed to by the second pointer when the drill bit 202 just extends out of the positioning hole 530 and the length scale when drilling, so as to achieve accurate control of the drilling angle and depth to improve the drilling accuracy. It can be understood that the orthopedic positioning drilling device of the present application can also measure the drilling angle and depth by electronic measuring instruments such as a total station, an electronic inclinometer or an ultrasonic probe.

[0092] In summary, the orthopedic positioning and drilling device provided in the embodiment of the present application is Figure 1 to Figure 2 Based on the orthopedic positioning and drilling device shown, a positioning protector 500 is designed. On the one hand, the drilling position is positioned through the positioning hole 530 on the positioning protector 500 to avoid the direct contact positioning of the drill bit 202, which may cause damage to the patient. On the other hand, when the drilling work is not in progress, the moving cylinder 520 is controlled to move so that the drill bit 202 is in the positioning protector 500 to reduce the contact between the drill bit 202 and the outside world, so as to avoid the drill bit 202 being exposed to the outside world for a long time and being adsorbed by bacteria, which may cause surgical infection during use.

[0093] The orthopedic positioning and punching device also firmly fixes the two sides of the drilling position through the third driving mechanism 600 and the limiting claw 700, effectively preventing the drilling position from being offset due to the patient's vibration during the drilling process, thereby ensuring the accuracy of the drilling; in addition, a movable and detachable supporting device 800 is designed to achieve the rapid evacuation of the entire orthopedic positioning and punching device after the drilling work is completed, thereby avoiding affecting the subsequent surgical treatment operations.

[0094] The above-mentioned embodiments only express several implementation methods of the present invention, and the description is relatively specific and detailed, but it cannot be understood as limiting the scope of the invention patent. It should be pointed out that for ordinary technicians in this field, several modifications and improvements can be made without departing from the concept of the present invention, which all belong to the protection scope of the present invention.

Claims

1. An orthopedic positioning and punching device, characterized in that: include: A first driving mechanism (100); A drilling device (200) is mounted on the first driving mechanism (100) so as to be driven by the first driving mechanism (100) to approach or move away from a position to be drilled; A second driving mechanism (300) is mounted on the drilling device (200) and moves in accordance with the movement of the drilling device (200); The anti-sway device (400) is connected to the second driving mechanism (300); the second driving mechanism (300) is used to drive the anti-sway device (400) to abut against the operating table.

2. The orthopedic positioning and punching device according to claim 1, characterized in that: The orthopedic positioning and drilling device further comprises a positioning protector (500), wherein the positioning protector (500) comprises a fixed cylinder (510) and a movable cylinder (520) which are telescopically connected, and the drilling device (200) is connected to the fixed cylinder (510) and is located at an end of the fixed cylinder (510) away from the movable cylinder (520); The drilling device (200) is provided with a drilling motor (201) and a drill bit (202) connected to the drilling motor (201); the drill bit (202) is located in the positioning protector (500); a positioning hole (530) is provided on the moving cylinder (520); the positioning hole (530) and the drill bit (202) are coaxially arranged; The second driving mechanism (300) is connected to the anti-sway device (400) via the moving cylinder (520); the second driving mechanism (300) is also used to drive the moving cylinder (520) to move so that the drill bit (202) enters or leaves the positioning protector (500) through the positioning hole (530).

3. The orthopedic positioning and punching device according to claim 2, characterized in that: The fixed cylinder (510) and the movable cylinder (520) are both double-layer structures. The fixed cylinder (510) is provided with a first cylinder wall (511) and a second cylinder wall (512), and the second cylinder wall (512) is located outside the first cylinder wall (511). The movable cylinder (520) is provided with a third cylinder wall (521) and a fourth cylinder wall (522), and the fourth cylinder wall (522) is located outside the third cylinder wall (521). A first driving chamber (513) is formed between the first cylinder wall (511) and the second cylinder wall (512), the first driving chamber (513) being used for allowing the third cylinder wall (521) and the fourth cylinder wall (522) to approach or move away from the drilling device (200) in the first driving chamber (513), and a second driving chamber (523) is formed between the third cylinder wall (521) and the fourth cylinder wall (522); The second driving mechanism (300) comprises a first motor (301), a plurality of first screw rods (302), a first synchronous driving wheel (303), a synchronous belt (304) and a plurality of nuts (305); the first motor (301) is arranged in the drilling device (200); a plurality of mounting through holes (203) are provided on the drilling device (200); the plurality of first screw rods (302) are arranged in the first driving cavity (513) at intervals and parallel to each other, and the plurality of first screw rods (302) are respectively pivotally connected to one of the mounting through holes (203) and axially fixed relative to the corresponding mounting through holes (203); The first synchronous driving wheel (303) is connected to the first motor (301), the synchronous belt (304) is wound around the first synchronous driving wheel (303), a plurality of the first screw rods (302) are wound around the synchronous belt (304), each of the first screw rods (302) is matched with one of the nuts (305), and the nuts (305) are arranged in the second driving cavity (523).

4. The orthopedic positioning and punching device according to claim 3, characterized in that: One end of the second cylinder wall (512) away from the drilling device (200) extends toward the center to form a first limiting ring (514), and two ends of the fourth cylinder wall (522) extend outwards to form a second limiting ring (524) and a third limiting ring (525), respectively, and the first limiting ring (514) is located between the second limiting ring (524) and the third limiting ring (525); The first limiting ring (514) is provided with a plurality of limiting blocks (516), the fourth cylinder wall (522) is provided with a plurality of limiting grooves (526), ​​and the plurality of limiting blocks (516) are slidably connected to the plurality of limiting grooves (526) in a one-to-one correspondence.

5. The orthopedic positioning and punching device according to claim 1, characterized in that: The orthopedic positioning and drilling device further comprises a third driving mechanism (600) and a limiting claw (700), wherein the limiting claw (700) is mounted on the third driving mechanism (600), and the limiting claw (700) is used to fix two opposite sides of a position to be drilled; The limiting claw (700) comprises a first limiting pressure plate (701), a second limiting pressure plate (702) and two limiting clamps (703); the first limiting pressure plate (701) is connected to the third driving mechanism (600); the first limiting clamp (703) is connected to the second limiting clamp (703) via a first elastic component (704); the two limiting clamps (703) are respectively arranged on opposite sides of the second limiting pressure plate (702); the two limiting clamps (703) are rotatably connected to the first limiting pressure plate (701); and the two limiting clamps (703) are connected via a second elastic component (705).

6. The orthopedic positioning and punching device according to claim 1, characterized in that: The orthopedic positioning and punching device further comprises a supporting device (800), wherein the supporting device (800) is provided with a workbench (900), and the first driving mechanism (100) is arranged on the workbench (900); The supporting device (800) comprises a base (810), a plurality of movable pulleys (820), a fixed column (830) and a movable column (840); a plurality of movable pulleys (820) are mounted on one end of the base (810), and a fixed seat (811) and a connecting seat (812) are provided on the other end; The fixed column (830) is connected to the fixed seat (811); a first rotating mechanism (833) is provided at one end of the fixed column (830) away from the base (810); the first rotating mechanism (833) is connected to the workbench (900); the first rotating mechanism (833) is used to drive the workbench (900) to rotate around the first rotating mechanism (833) within the plane where the workbench (900) is located; a first mounting frame (834) is provided on the fixed column (830); the first mounting frame (834) is used to fix the fixed column (830) on the operating table; The movable column (840) is connected to the connecting seat (812); a rotating mechanism (843) is provided at one end of the movable column (840) away from the base (810); a universal table (844) is installed on the rotating mechanism (843); a second rotating mechanism (845) is provided on the universal table (844); the second rotating mechanism (845) is connected to the workbench (900); a second mounting frame (846) is provided on the movable column (840); the second mounting frame (846) is used to fix the movable column (840) on the operating table.

7. The orthopedic positioning and punching device according to claim 6, characterized in that: The fixed column (830) includes a first column (831), the first column (831) extends upward and in a direction away from the movable column (840) to form a second column (832), the first column (831) is connected to the fixed seat (811), the first mounting frame (834) is arranged on the first column (831); the first rotating mechanism (833) is arranged on the second column (832); The movable column (840) includes a third column (841), and the third column (841) extends upward and in a direction away from the fixed column (830) to form a fourth column (842). The third column (841) is connected to the connecting seat (812), and the second mounting frame (846) is arranged on the third column (841); the rotating mechanism (843) is arranged on the fourth column (842).

8. The orthopedic positioning and punching device according to claim 6, characterized in that: The fixing column (830) is provided with a first telescopic mechanism (835), and the first telescopic mechanism (835) is located between the first mounting frame (834) and the fixing seat (811); The movable column (840) is provided with a second telescopic mechanism (847), and the second telescopic mechanism (847) is located between the second mounting frame (846) and the connecting seat (812).

9. The orthopedic positioning and punching device according to claim 6, characterized in that: The workbench (900) is provided with two first support frames (901), two first mounting grooves (902), a second support frame (903) and a second mounting groove (904); the two first support frames (901) are opposite to each other and parallel; the two first mounting grooves (902) are respectively arranged on the two first support frames (901), and the second mounting groove (904) is arranged on the second support frame (903); The first driving mechanism (100) comprises a second translation driving mechanism (120), two groups of first translation driving mechanisms (110), a lifting adjustment mechanism (130) and an angle adjustment mechanism (140); the two groups of the first translation driving mechanisms (110) are respectively arranged in two first mounting grooves (902), the two ends of the second support frame (903) are respectively connected to the two groups of the first translation driving mechanisms (110), and the second translation driving mechanism (120) is arranged in the second mounting groove (904); A lifting and lowering adjustment mechanism (130) is installed on the second translation mechanism, and the angle adjustment mechanism (140) is arranged on the lifting and lowering adjustment mechanism (130).

10. The orthopedic positioning and punching device according to claim 9, characterized in that: The angle adjustment mechanism (140) comprises a first adjustment platform (141), a second adjustment platform (142), a second synchronous driving wheel (143), a synchronous driven wheel (144) and a second motor (145); the first adjustment platform (141) and the second adjustment platform (142) are rotatably connected via a connecting shaft (146); and the second adjustment platform (142) is provided with the drilling device (200); The synchronous driven wheel (144) is installed on the connecting shaft (146), the synchronous driven wheel (144) and the connecting shaft (146) are coaxially arranged, the second synchronous driving wheel (143) is meshed with the synchronous driven wheel (144), the second motor (145) is connected to the second synchronous driving wheel (143), and the second motor (145) is arranged on the first adjustment platform (141).

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