CN103272327B - A kind of Bioelectrode fixer - Google Patents
A kind of Bioelectrode fixer Download PDFInfo
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Abstract
Description
技术领域 technical field
本发明涉及一种生物电极固定器。 The invention relates to a biological electrode holder.
背景技术 Background technique
临床医学中,治疗比较严重的神经障碍性疾病,如:帕金森症、严重的癫痫症、听力神经障碍、视神经障碍或戒毒等,常采用的最有效的治疗方法是通过外科手术在患者大脑深部靶点位置长期植入生物电极,对靶点位置的神经核团进行放电刺激来治疗或改善患者病症。现临床治疗中所用植入生物电极一般为毫米级圆柱状电极,其治疗效果主要取决于生物电极植入靶点位置的精确性。此外,外科手术时生物电极正确植入大脑靶点位置后,生物电极位置的精确性和使用时定位的精确性也是影响生物电极治疗效果的重要原因。因此,在临床外科手术中,将生物电极植入正确位置后,必须采用专用的固定器将生物电极固定在患者颅骨上,否则在后继的治疗过程中生物电极在患者体内可能发生位移,使生物电极偏离靶点位置,从而导致生物电极的刺激效果下降甚至手术失败。 In clinical medicine, for the treatment of more serious neurological disorders, such as Parkinson's disease, severe epilepsy, hearing nerve disorders, optic nerve disorders, or drug rehabilitation, the most effective treatment method is to perform surgery on the deep part of the patient's brain. Bioelectrodes are implanted at the target site for a long time, and the neural nuclei at the target site are stimulated by electric discharge to treat or improve the patient's condition. The implanted bioelectrodes used in current clinical treatment are generally millimeter-scale cylindrical electrodes, and the therapeutic effect mainly depends on the accuracy of the implanted target position of the bioelectrodes. In addition, after the bioelectrode is correctly implanted into the brain target position during surgery, the accuracy of the location of the bioelectrode and the accuracy of positioning during use are also important reasons that affect the therapeutic effect of the bioelectrode. Therefore, in clinical surgery, after the bio-electrode is implanted in the correct position, the bio-electrode must be fixed on the patient's skull with a special fixer, otherwise the bio-electrode may be displaced in the patient's body during the subsequent treatment, causing the bio-electrode to The electrode deviates from the target position, which leads to a decrease in the stimulation effect of the bioelectrode and even a failure of the operation.
因此,在植入生物电极时,采用一个结构合理、定位精确、操作方便有效的生物电极固定器对生物电极进行固定,是保证生物电极治疗效果、提高手术植入电极成功率的关键。 Therefore, when implanting bioelectrodes, using a bioelectrode fixer with reasonable structure, precise positioning, and convenient and effective operation to fix the bioelectrodes is the key to ensuring the therapeutic effect of bioelectrodes and improving the success rate of surgical implantation of electrodes.
发明内容 Contents of the invention
本发明的目的是提供一种定位精确、操作方便的生物电极固定器。 The purpose of the present invention is to provide a biological electrode holder with accurate positioning and convenient operation.
为达到上述目的,本发明采用的技术方案是: In order to achieve the above object, the technical scheme adopted in the present invention is:
一种生物电极固定器,包括基座,基座上开有供生物电极植入的通孔,基座上方连接有固定板,固定板上设有电极固定小孔。 A bioelectrode fixer includes a base on which a through hole for bioelectrode implantation is opened, a fixing plate is connected above the base, and an electrode fixing small hole is arranged on the fixing plate.
所述固定板由左固定板、右固定板组合而成,左固定板和右固定板结合部位设有固定小孔。 The fixed plate is composed of a left fixed plate and a right fixed plate, and the joint of the left fixed plate and the right fixed plate is provided with a fixed small hole.
所述基座为阶梯状,底部设有用于在患者颅骨上进行固定的圆形台阶,基座中心设有供生物电极植入的通孔,基座上设有轨道;所述右固定板下方设有可沿基座中轨道自由转动的滑块。 The base is stepped, the bottom is provided with a circular step for fixing on the patient's skull, the center of the base is provided with a through hole for bioelectrode implantation, and a track is provided on the base; A slider that can freely rotate along the track in the base is provided.
所述右固定板上分别设有用于连接左固定板的凸台和用于卡紧左固定板卡紧块的卡紧槽;所述左固定板上分别设有可安装在右固定板凸台上的小透槽和用于嵌入右固定板卡紧槽的卡紧块。 The right fixed plate is respectively provided with a boss for connecting the left fixed plate and a clamping groove for clamping the clamping block of the left fixed plate; The small through slot on the top and the clamping block for inserting into the clamping slot of the right fixed plate.
所述基座上边缘设有基座电极引出槽;左右固定板上方设有垫圈,垫圈上方设有与基座通过保护卡槽连接的保护盖。 The upper edge of the base is provided with base electrode lead-out slots; the left and right fixing plates are provided with gaskets above which are provided with a protective cover connected to the base through protective card slots.
所述右固定板上设有固定小孔右轮廓结构,所述左固定板上设有固定小孔左轮廓结构,所述的右固定板和左固定板装配后,固定小孔右轮廓和固定小孔左轮廓形成固定小孔。 The right fixed plate is provided with a fixed small hole right profile structure, and the left fixed plate is provided with a fixed small hole left profile structure. After the right fixed plate and the left fixed plate are assembled, the fixed small hole right profile and fixed The left contour of the aperture forms a fixed aperture.
所述保护盖上设有卡紧块,用于将保护盖嵌入基座的保护卡槽内,所述的保护盖设有电极引出凹槽。 The protective cover is provided with a clamping block for inserting the protective cover into the protective card slot of the base, and the protective cover is provided with electrode lead-out grooves.
所述垫圈采用弹性材料制成。 The washer is made of elastic material.
本发明与现有技术相比具有如下优点: Compared with the prior art, the present invention has the following advantages:
(1)本发明提供的生物电极固定器在患者头骨上的固定由固定器基座阶梯状结构和患者颅骨上所钻的孔配合完成,可保证固定器定位的准确性和稳定性; (1) The fixation of the bioelectrode fixer provided by the present invention on the patient's skull is completed by the cooperation of the stepped structure of the fixator base and the hole drilled on the patient's skull, which can ensure the accuracy and stability of the fixer's positioning;
(2)本发明提供的生物电极固定器对生物电极的固定由装配在基座轨道中的可滑动固定板来完成。固定板在基座的不规则轨道内转动,可使固定板中间的某个固定小孔位于患者颅骨上所钻孔洞平面内的任意位置,其固定小孔直径略小于电极直径,靠过盈配合夹紧生物电极,夹紧时既可保证生物电极不变形,又可保证生物电极的精确定位而不移动生物电极,定位精度高; (2) The bio-electrode holder provided by the present invention fixes the bio-electrode by a slidable fixing plate assembled in the base track. The fixed plate rotates in the irregular orbit of the base, so that a fixed hole in the middle of the fixed plate can be located at any position in the plane of the hole drilled on the patient’s skull. Cooperate with clamping bio-electrode, when clamping, it can not only ensure that the bio-electrode is not deformed, but also ensure the precise positioning of the bio-electrode without moving the bio-electrode, and the positioning accuracy is high;
(3)本发明提供的装配在基座上的固定板具有良好的可互换性,根据生物电极直径选择具有适合尺寸的固定小孔的固定板,适用于不同尺寸的生物电极的固定; (3) The fixing plate assembled on the base provided by the present invention has good interchangeability. According to the diameter of the bioelectrode, a fixing plate with a fixed hole of a suitable size is selected, which is suitable for fixing bioelectrodes of different sizes;
(4)本发明提供的生物固定器操作简单,稳定性好。 (4) The biological fixator provided by the present invention is easy to operate and has good stability.
附图说明 Description of drawings
图1(a)是本发明提供的生物电极固定器的整体结构图,图1(b)是图1(a)的侧视图; Fig. 1(a) is the overall structure diagram of the biological electrode holder provided by the present invention, and Fig. 1(b) is a side view of Fig. 1(a);
图2(a)是移去保护盖后的固定器结构图,图2(b)是图2(a)的侧视图; Figure 2(a) is a structural view of the holder after removing the protective cover, and Figure 2(b) is a side view of Figure 2(a);
图3(a)是基座的结构示意图,图3(b)是图3(a)的侧视图; Figure 3(a) is a schematic structural diagram of the base, and Figure 3(b) is a side view of Figure 3(a);
图4(a)是右固定板的结构示意图,图4(b)是图4(a)的侧视图; Figure 4(a) is a schematic structural view of the right fixing plate, and Figure 4(b) is a side view of Figure 4(a);
图5(a)是左固定板的结构示意图,图5(b)是图5(a)的侧视图; Figure 5(a) is a schematic structural view of the left fixing plate, and Figure 5(b) is a side view of Figure 5(a);
图6(a)是垫圈的结构示意图,图6(b)是图6(a)的侧视图; Figure 6(a) is a schematic structural view of the gasket, and Figure 6(b) is a side view of Figure 6(a);
图7(a)是保护盖的结构示意图,图7(b)是图7(a)的侧视图。 FIG. 7( a ) is a schematic structural view of the protective cover, and FIG. 7( b ) is a side view of FIG. 7( a ).
具体实施方式 Detailed ways
如图1至7所示,本发明提供的生物电极固定器主要由基座1、右固定板3和左固定板4、垫圈5和保护盖2四个部分组成。固定板由右固定板3和左固定板4组成,装配在基座1上后可相互配合,构成一个夹紧机构。右固定板3装配在基座1上,通过右固定板3的滑块10在基座的不规则轨道7内转动,可使右固定板上某个固定小孔的位置正好和植入的生物电极的位置重合,然后,将图5(a)所示的左固定板4安装在右固定板3的凸台11上,左固定板和右固定板相互配合,实现对电极的夹紧。盖上垫圈5,将右固定板3和左固定板4进行固定,使其不再发生转动,从而实现电极在其正确位置的定位。将生物电极从基座1中的一个基座电极引出槽9位置拉出,使保护盖2上的卡紧块18压入基座的保护卡槽8内,实现生物电极的定位和固定器的密封。 As shown in FIGS. 1 to 7 , the biological electrode holder provided by the present invention is mainly composed of four parts: a base 1 , a right fixing plate 3 and a left fixing plate 4 , a gasket 5 and a protective cover 2 . The fixed plate is composed of a right fixed plate 3 and a left fixed plate 4, which can cooperate with each other after being assembled on the base 1 to form a clamping mechanism. The right fixed plate 3 is assembled on the base 1, and the slider 10 of the right fixed plate 3 rotates in the irregular track 7 of the base, so that the position of a certain fixed hole on the right fixed plate is just in line with the implanted biological The positions of the electrodes coincide, and then, the left fixing plate 4 shown in Fig. 5(a) is installed on the boss 11 of the right fixing plate 3, and the left fixing plate and the right fixing plate cooperate with each other to realize the clamping of the electrodes. Cover the washer 5, fix the right fixing plate 3 and the left fixing plate 4, so that they will not rotate any more, so as to realize the positioning of the electrodes at their correct positions. Pull the bioelectrode out from the position of a base electrode lead-out groove 9 in the base 1, and press the clamping block 18 on the protective cover 2 into the protective card slot 8 of the base to realize the positioning of the bioelectrode and the fixation of the fixer. seal.
本发明提供的生物电极固定器的材料为生物相容性良好的医用高分子材料,为非降解材料,如聚氨酯、聚乙烯、聚丙烯、聚丙烯酸酯、芳香聚酯、聚硅氧烷等。 The material of the biological electrode holder provided by the present invention is a medical polymer material with good biocompatibility, which is a non-degradable material, such as polyurethane, polyethylene, polypropylene, polyacrylate, aromatic polyester, polysiloxane and the like.
本发明提供的生物电极固定器具体结构如下: The specific structure of the biological electrode holder provided by the invention is as follows:
如图3(a)所示的基座1,为阶梯形结构,底部圆形台阶的尺寸和患者颅骨上所开孔的直径尺寸相同,用于生物电极固定器在患者颅骨上的定位;基座1中心位置开有一个通孔6,为生物电极植入位置,通过此通孔6,外科手术时可将生物电极穿过所发明的生物电极固定器中间。基座的外边缘均匀分布四个基座电极引出槽9,可使生物电极固定后沿其中的一个凹槽方向拉出,而不影响保护盖密封固定器。 The base 1 shown in Figure 3(a) is a stepped structure, the size of the bottom circular step is the same as the diameter of the hole on the patient's skull, and is used for positioning the bioelectrode fixer on the patient's skull; There is a through hole 6 in the center of the seat 1, which is the implantation position of the bio-electrode. Through this through-hole 6, the bio-electrode can pass through the middle of the invented bio-electrode holder during surgery. Four base electrode lead-out grooves 9 are evenly distributed on the outer edge of the base, so that the biological electrode can be pulled out along one of the grooves after being fixed, without affecting the sealing fixer of the protective cover.
如图4和图5所示的右固定板3和左固定板4一起装配在基座1上,可形成生物电极的定位和固定装置。装配时,右固定板3中的圆形滑块10嵌入基座1中的凹形不规则轨道7,可在基座1的不规则轨道7内自由转动,转动到右固定板3上某个固定小孔的位置正好和植入的生物电极的位置重合时停止。然后,将左固定板4的小透槽14安装在右固定板3的凸台11上,小透槽14和凸台11的配合可使左固定板4在基座上做直线运动或旋转运动。转动左固定板4,使左固定板4的夹紧块16卡紧在右固定板3的卡紧槽13中,实现右固定板和左固定板的牢固连接。此时,左固定板4上的固定小孔左轮廓15和右固定板3中间的固定小孔右轮廓12合在一起,形成一个尺寸略小于生物电极直径尺寸的封闭圆孔,通过过盈配合实现对生物电极的夹紧。 The right fixing plate 3 and the left fixing plate 4 shown in FIG. 4 and FIG. 5 are assembled on the base 1 together to form a positioning and fixing device for the bioelectrode. During assembly, the circular slider 10 in the right fixed plate 3 is embedded in the concave irregular track 7 in the base 1, and can rotate freely in the irregular track 7 of the base 1, and rotate to a certain position on the right fixed plate 3. Stop when the position of the fixed small hole coincides with the position of the implanted bioelectrode. Then, the small through groove 14 of the left fixed plate 4 is installed on the boss 11 of the right fixed plate 3, the cooperation of the small through groove 14 and the boss 11 can make the left fixed plate 4 do linear motion or rotary motion on the base . Rotate the left fixed plate 4 so that the clamping block 16 of the left fixed plate 4 is clamped in the clamping groove 13 of the right fixed plate 3, realizing the firm connection of the right fixed plate and the left fixed plate. At this time, the left profile 15 of the fixed small hole on the left fixed plate 4 and the right profile 12 of the fixed small hole in the middle of the right fixed plate 3 are combined to form a closed circular hole with a size slightly smaller than the diameter of the bioelectrode. Realize the clamping of the bioelectrode.
如图4和图5所示的右固定板3和左固定板4具有可互换性。不同的患者植入的生物电极可能尺寸不同,可根据植入的生物电极尺寸选择具有适合尺寸的固定小孔直径的固定板。 The right fixing plate 3 and the left fixing plate 4 shown in FIG. 4 and FIG. 5 are interchangeable. The bioelectrodes implanted in different patients may have different sizes, and a fixing plate with an appropriate size of the fixed hole diameter can be selected according to the size of the implanted bioelectrodes.
如图4和图5所示的右固定板3和左固定板4上设有多个固定小孔,由于基座1的轨道7的不规则形状,无论生物电极植入后位于患者颅骨所钻孔洞平面内的任意位置,其均能保证固定板上至少有一固定小孔的位置与生物电极位置吻合,这样可使固定板在夹紧生物电极时电极位置不发生移动,从而实现生物电极固定时的准确性和稳定性。 The right fixing plate 3 and the left fixing plate 4 shown in Figure 4 and Figure 5 are provided with a plurality of fixing small holes, because the irregular shape of the track 7 of the base 1, no matter where the bioelectrode is located in the patient's skull after implantation Any position in the hole plane can ensure that the position of at least one fixed hole on the fixed plate coincides with the position of the bioelectrode, so that the position of the electrode does not move when the fixed plate clamps the bioelectrode, thereby realizing the bioelectrode fixation time accuracy and stability.
生物电极的固定是通过将右固定板3在基座1的不规则轨道7内做旋转运动到最佳固定位置后、再将左固定板4与右固定板3进行配合来实现的,左固定板4的位置由右固定板3确定。因此生物电极被固定在固定板中间后,必须将固定板也进行固定,以免固定板再次发生转动,影响生物电极的位置。 The fixing of the bioelectrode is achieved by rotating the right fixing plate 3 in the irregular track 7 of the base 1 to the best fixing position, and then matching the left fixing plate 4 with the right fixing plate 3. The position of the plate 4 is determined by the right fixed plate 3. Therefore, after the bio-electrode is fixed in the middle of the fixing plate, the fixing plate must also be fixed, so as to prevent the fixing plate from rotating again and affecting the position of the bio-electrode.
本发明采用如图6所示的垫圈5对固定器的固定板进行固定,其材料可采用生物相容性良好和弹性良好的材料,如橡胶等。当右固定板3和左固定板4将生物电极夹紧固定以后,把垫圈5嵌入基座1与右固定板3和左固定板4之间,压入保护盖2后,橡胶垫圈5的弹性使其填满基座1、固定板(右固定板3和左固定板4)和保护盖2之间的空隙,由于垫圈5的橡胶材料具有较大的膨胀力和摩擦阻力,固定板将不会再发生自由移动,从而实现固定板的固定。固定板被固定后,生物电极的位置便被准确定位和夹紧了。为封闭患者颅骨所钻孔洞,采用一个保护盖将生物电极固定器封闭。保护盖2设计有四个卡紧块18,可嵌入位于基座1上的四个卡紧槽8内,装配后保护盖2也与橡胶垫圈5接触,依靠橡胶垫圈5与保护盖2之间所存在的较大摩擦力,将保护盖稳定地嵌在基座1与橡胶垫圈5之间,实现了对生物电极固定器的密封,避免了固定器和患者颅骨孔洞的裸露,保护盖2上设有电极引出凹槽17,用于与基座电极引出槽9配合引出电极。 The present invention uses the washer 5 shown in Figure 6 to fix the fixing plate of the fixer, and its material can be a material with good biocompatibility and good elasticity, such as rubber. After the right fixing plate 3 and the left fixing plate 4 clamp and fix the bioelectrode, the gasket 5 is embedded between the base 1 and the right fixing plate 3 and the left fixing plate 4, and after the protective cover 2 is pressed in, the elasticity of the rubber gasket 5 Make it fill the gap between the base 1, the fixed plate (right fixed plate 3 and left fixed plate 4) and the protective cover 2, because the rubber material of the gasket 5 has a large expansion force and frictional resistance, the fixed plate will not Free movement will then occur, thereby achieving fixation of the fixed plate. After the fixing plate is fixed, the position of the bioelectrodes is accurately positioned and clamped. To close the hole drilled in the patient's skull, the bioelectrode holder is closed with a protective cover. The protective cover 2 is designed with four clamping blocks 18, which can be embedded in the four clamping grooves 8 on the base 1. After assembly, the protective cover 2 is also in contact with the rubber gasket 5, relying on the gap between the rubber gasket 5 and the protective cover 2. The large frictional force that exists stably embeds the protective cover between the base 1 and the rubber gasket 5, realizes the sealing of the bioelectrode holder, avoids the exposure of the holder and the patient's skull hole, and the protective cover 2 An electrode lead-out groove 17 is provided for cooperating with the base electrode lead-out groove 9 to lead out electrodes.
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| CN105200517A (en) * | 2015-10-29 | 2015-12-30 | 江苏美科硅能源有限公司 | Heightening device for increasing feeding amount of polycrystal furnace |
| CN105381537B (en) * | 2015-11-02 | 2018-03-20 | 北京品驰医疗设备有限公司 | For placing the easy disengagement place tool of electrode fixing device |
| JP7144425B2 (en) * | 2017-01-25 | 2022-09-29 | イーピーアイ-マインダー・ピーティーワイ・リミテッド | Electrode device for monitoring and/or stimulating activity in a subject |
| CN107029346B (en) * | 2017-04-25 | 2021-03-16 | 北京品驰医疗设备有限公司 | Electrode fixing anchor |
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