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CN116650119B - Calibration reference frame for adjustable operation reference frame - Google Patents

Calibration reference frame for adjustable operation reference frame Download PDF

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Publication number
CN116650119B
CN116650119B CN202310908046.2A CN202310908046A CN116650119B CN 116650119 B CN116650119 B CN 116650119B CN 202310908046 A CN202310908046 A CN 202310908046A CN 116650119 B CN116650119 B CN 116650119B
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reference frame
operating
cylindrical
calibration
identified
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CN116650119A (en
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马睿
张巍
鲁通
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Beijing Weizhuo Zhiyuan Medical Technology Co ltd
Fourth Medical Center General Hospital of Chinese PLA
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Visual3d Medical Technology Development Co ltd
Fourth Medical Center General Hospital of Chinese PLA
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2068Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis using pointers, e.g. pointers having reference marks for determining coordinates of body points

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  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Robotics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
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  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
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  • Length Measuring Devices With Unspecified Measuring Means (AREA)

Abstract

The invention discloses a calibration reference frame for an adjustable operation reference frame, which comprises a combined structure, an identified structure and a calibration reference frame, wherein the combined structure is combined with an operation instrument, and the identified structure is connected with the combined structure; after the combined structure is combined with the operation instrument with the operation reference frame, the spatial pose of the identified structure and the operation instrument is determined and known. When the operation reference frame and the operation instrument are used, firstly, the operation reference frame and the operation instrument are arranged at the operation position, one space pose which does not influence the operation of an operator and does not interfere other operation actions is selected, and once the operation reference frame and the operation instrument are confirmed, the position pose of the operation reference frame and the operation instrument are immediately locked, and the operation reference frame and the operation instrument are changed into an unaware space pose which is unchanged; combining the calibration reference frame and the operation instrument at a position for determining a known space pose; and then identifying the identified structures on the calibration reference frame and the operation reference frame through a navigation system, and obtaining the specific space pose of the reference frame and the operation instrument through the relation between the calibration reference frame and the operation instrument and the known space pose of the calibration reference frame and the reference frame, thereby realizing the follow-up tracking.

Description

一种可调操作参考架用标定参考架An adjustable operating reference frame for calibration reference frame

技术领域Technical field

本发明属于医疗器械技术领域,尤其涉及导航系统手术相关器械领域,具体为一种可调操作参考架用标定参考架。The invention belongs to the technical field of medical instruments, and in particular to the field of instruments related to navigation system surgery. Specifically, it is a calibration reference frame for an adjustable operating reference frame.

背景技术Background technique

现有技术一经将导航系统在各种医学手术场景中使用,且目前的导航系统多通过NDI小球及对应的识别系统完成手术导航,且目前的NDI小球多设置到参考架上,再将参考架与对应手术器械结合,通过导航系统识别跟踪参考架上的NDI小球的空间位姿实现对手术器械手术路径手术方向等的跟踪。Existing technology has used navigation systems in various medical surgery scenarios, and current navigation systems mostly complete surgical navigation through NDI beads and corresponding recognition systems, and the current NDI beads are mostly set on a reference frame, and then the The reference frame is combined with the corresponding surgical instruments, and the navigation system identifies and tracks the spatial posture of the NDI ball on the reference frame to track the surgical path, surgical direction, etc. of the surgical instruments.

现有技术中的参考架与手术操作器械的空间位姿都是提前规划设置好的固定的结合方式,这种方式没有设置的灵活性,容易因为固定设置导致操作者操作不方便,因此针对上述问题期望通过可调的方式解决上述问题,但一旦参考架与操作器械的位置变为可调,导航系统就无法准确通过参考架的位置获取到操作器械的空间位姿情况,这样就无法有效地完成手术时的导航跟踪,因此需要一种能够获知可调参考架与操作器械空间位姿的结构。The spatial postures of the reference frame and the surgical operating instruments in the prior art are all fixed combinations that are planned and set in advance. This method does not have the flexibility of setting, and it is easy to cause inconvenience to the operator due to the fixed setting. Therefore, in view of the above It is hoped that the above problems can be solved through an adjustable method. However, once the positions of the reference frame and operating instruments become adjustable, the navigation system cannot accurately obtain the spatial posture of the operating instruments through the position of the reference frame, so that it cannot effectively To complete navigation tracking during surgery, a structure that can learn the spatial posture of the adjustable reference frame and operating instruments is needed.

本发明针对上述技术问题,提供一种可调操作参考架用标定参考架。In view of the above technical problems, the present invention provides a calibration reference frame for an adjustable operating reference frame.

发明内容Contents of the invention

操作参考架与操作器械的空间位置是多种多样的,通过系统识别,并通过操作者选择的方式无法解决根据需要设置好操作参考架与操作器械的位置后确定两者的空间位姿的问题,只有确定两者的空间位姿才能使导航系统通过识别操作参考架上的操作被识别结构,知晓操作器械位置,完成导航跟踪。The spatial positions of the operating reference frame and operating instruments are diverse. Through system recognition and operator selection, the problem of determining the spatial posture of the operating reference frame and operating instruments after setting the positions as needed cannot be solved. , only by determining the spatial posture of the two can the navigation system know the position of the operating instrument and complete navigation tracking by identifying the identified structure of the operation on the operating reference frame.

本发明通过设置一种中间过渡的标定参考架的方式解决上述技术问题,标识器械与操作器械组合后的空间位姿关系已知。标定参考架上设置被导航系统识别的标定被识别结构,操作参考架上也设置被导航系统识别的操作被识别结构。具体技术方案为:The present invention solves the above technical problem by arranging an intermediate transition calibration reference frame, and the spatial position relationship of the combination of the marking instrument and the operating instrument is known. The calibration reference frame is provided with a calibration-recognized structure recognized by the navigation system, and the operation reference frame is also provided with an operation-recognized structure recognized by the navigation system. The specific technical solutions are:

一种可调操作参考架用标定参考架,其包括,An adjustable operating reference frame for calibration reference frame, which includes:

组合结构,与操作器械组合,Combined structure, combined with operating equipment,

标定被识别结构,与组合结构连接;组合结构与带有操作参考架的操作器械组合后,标定被识别结构与操作器械的空间位姿确定且已知;Calibrate the identified structure and connect it to the combined structure; after the combined structure is combined with the operating instrument with the operating reference frame, the spatial posture of the calibrated identified structure and the operating instrument is determined and known;

通过导航系统识别知晓设置在操作器械上的标记参考架与操作参考架的空间位姿关系,结合已知的标定参考架与操作器械的空间位姿关系,知晓操作参加架与操作器械的空间位姿。The navigation system recognizes and knows the spatial position relationship between the marked reference frame and the operating reference frame set on the operating instrument, and combines the known spatial posture relationship between the calibration reference frame and the operating instrument to know the spatial position of the operating participant frame and the operating instrument. posture.

具体手术过程中,使用时,首先将操作参考架与操作器械设置到手术位置,选定一种不影响操作者操作,并不干扰其他手术动作的空间位姿,一经确认即刻将操作参考架与操作器械的位置位姿锁死,变为一种不知晓但确定不变的空间位姿;后将标定参考架与操作器械在确定已知的空间位姿处组合;后通过导航系统识别标定被识别结构与操作被识别结构,通过标定被识别结构与操作被识别结构上的空间位姿及已知的标定参考架与操作器械的关系,借用软件计算出操作参考架与操作器械的具体空间位姿;通过转换实现导航系统的跟踪。During the specific operation, when using it, first set the operating reference frame and operating instruments to the surgical position, select a spatial posture that does not affect the operator's operation and does not interfere with other surgical movements, and once confirmed, immediately connect the operating reference frame and operating instruments. The position and posture of the operating instrument is locked and becomes an unknown but determined spatial posture; then the calibration reference frame and the operating instrument are combined at the known spatial posture; and finally the navigation system identifies the calibration target To identify the structure and operate the identified structure, by calibrating the spatial posture of the identified structure and operating the recognized structure and the known relationship between the calibration reference frame and the operating equipment, the software is used to calculate the specific spatial position of the operating reference frame and operating equipment. Attitude; tracking of the navigation system is achieved through conversion.

进一步,标定被识别结构包括:自组合结构上伸出至少三个延伸结构,每个延伸结构端部设置一个能够被导航系统识别的被识别点,每三个被识别点都不设置在同一直线上。Further, calibrating the identified structure includes: extending at least three extended structures from the combined structure, setting an identified point that can be identified by the navigation system at the end of each extended structure, and each three identified points are not set on the same straight line. superior.

进一步,组合结构包括卡接结构或套接结构,卡接结构以确定角度及确定位置卡接在操作器械上,套接结构以确定角度及确定位置套接在操作结构上;通过此种方式可以保证组合结构与操作器械组合后角度及位置的确定性。Further, the combined structure includes a snap-in structure or a socket structure, the snap-in structure is snap-fastened to the operating instrument at a determined angle and a determined position, and the socket structure is connected to the operating structure at a determined angle and determined position; in this way, the Ensure the certainty of the angle and position of the combined structure and operating instruments.

本发明的有益效果为:The beneficial effects of the present invention are:

通过标定参考架的设置可以保证操作参考架与操作器械以任意的空间位置进行调节,通过在调节后完成空间位姿的固定,最后通过标定参考架与操作参考架在导航系统中的确定的空间位姿关系,知晓确定的操作参考架与操作器械的具体空间位姿情况,保证导航系统后续跟踪的有效性。Through the setting of the calibration reference frame, it can be ensured that the operating reference frame and operating instruments are adjusted at any spatial position, and the spatial posture is fixed after adjustment. Finally, the calibration reference frame and the operating reference frame are positioned in a determined space in the navigation system. The posture relationship, knowing the specific spatial posture of the determined operating reference frame and operating equipment, ensures the effectiveness of the navigation system's follow-up tracking.

通过组合结构与标定被识别结构的设置保证了标定参考架与操作器械的结合后的确定性与已知性。The combination of the combined structure and the calibration identified structure ensures the certainty and knownness of the combination of the calibration reference frame and the operating instrument.

附图说明Description of drawings

图1为本发明为设置NDI小球的标定参考架结构示意图;Figure 1 is a schematic structural diagram of a calibration reference frame for setting NDI balls according to the present invention;

图2为本发明操作器械、操作参考架、标定参考架结合结构示意图;Figure 2 is a schematic diagram of the combined structure of the operating instrument, operating reference frame, and calibration reference frame of the present invention;

图3为本发明标定参考架横向剖视结构示意图;Figure 3 is a schematic cross-sectional structural diagram of the calibration reference frame of the present invention;

图4为本发明未设置连接头的标定参考架结构示意图;Figure 4 is a schematic structural diagram of the calibration reference frame without connectors according to the present invention;

图5为本发明标定参考架纵向剖视结构示意图;Figure 5 is a schematic structural diagram of the longitudinal cross-section of the calibration reference frame of the present invention;

图6为本发明连接头部分局部放大结构示意图;Figure 6 is a partially enlarged structural schematic diagram of the connector part of the present invention;

图7为本发明未设置操作参考架的操作器械结构示意图;Figure 7 is a schematic structural diagram of the operating instrument without an operating reference frame according to the present invention;

主要附图标记说明Explanation of main reference signs

11、延伸板;111、缺口一;12、圆柱形筒;121、缺口二;13、连接头;131、适配孔;132、插入部;133、插入孔;134、延长筒;2、标定被识别结构;21、被识别点;3、操作参考架;4、操作器械;41、圆柱形段;42、结合结构;421、结合孔;422、结合柱。11. Extension plate; 111. Notch one; 12. Cylindrical barrel; 121. Notch two; 13. Connector; 131. Adapting hole; 132. Insertion part; 133. Insertion hole; 134. Extension tube; 2. Calibration Identified structure; 21. Identified point; 3. Operating reference frame; 4. Operating instrument; 41. Cylindrical section; 42. Combining structure; 421. Combining hole; 422. Combining column.

具体实施方式Detailed ways

实施例1Example 1

参考图1与图2;一种可调操作参考架用标定参考架,其包括,Referring to Figures 1 and 2; an adjustable operating reference frame for calibration reference frame, which includes,

组合结构,与操作器械4组合,Combined structure, combined with operating instrument 4,

标定被识别结构2,与组合结构连接;组合结构与带有操作参考架3的操作器械4组合后,标定被识别结构2与操作器械4的空间位姿确定且已知;Calibrate the identified structure 2 and connect it to the combined structure; after the combined structure is combined with the operating instrument 4 with the operating reference frame 3, the spatial posture of the calibrated identified structure 2 and the operating instrument 4 is determined and known;

通过导航系统识别知晓设置在操作器械上的标记参考架与操作参考架的空间位姿关系,结合已知的标定参考架与操作器械的空间位姿关系,知晓操作参加架与操作器械的空间位姿The navigation system recognizes and knows the spatial position relationship between the marked reference frame and the operating reference frame set on the operating instrument, and combines the known spatial posture relationship between the calibration reference frame and the operating instrument to know the spatial position of the operating participant frame and the operating instrument. posture

具体手术过程中,首先将操作参考架3与操作器械4设置到手术位置,选定一种不影响操作者操作,并不干扰其他手术动作的空间位姿,一经确认即刻将两者的位置位姿锁死,变为一种不知晓但确定不变的空间位姿;后将标定参考架与操作器械4在确定已知的空间位姿处组合;后通过导航系统识别标定参考架与操作参考架3上的被识别结构,通过标定参考架与参考架上的空间位姿及已知的标定参考架与操作器械4的关系,借用软件计算出参考架与操作器械4的具体空间位姿;这样就实现了从不可调的参考架与操作器械4的设置方式变为可调的参考架与操作器械4的设置方式,且能够通过转换实现导航系统的跟踪。During the specific operation, first set the operating reference frame 3 and operating instruments 4 to the operating position, select a spatial posture that does not affect the operator's operation and does not interfere with other surgical movements, and immediately adjust the positions of the two once confirmed. The posture is locked and becomes an unknown but determined spatial posture; then the calibration reference frame and the operating instrument 4 are combined at the known spatial posture; and finally the calibration reference frame and the operating reference are identified through the navigation system For the identified structure on the frame 3, through the calibration reference frame and the spatial posture on the reference frame and the known relationship between the calibration reference frame and the operating instrument 4, the software is used to calculate the specific spatial posture of the reference frame and the operating instrument 4; In this way, the setting mode of the reference frame and the operating instrument 4 is changed from the non-adjustable setting mode to the adjustable reference frame and the operating instrument 4, and the tracking of the navigation system can be realized through the conversion.

更优选的实施方式为,标定被识别结构2包括:自组合结构上伸出至少三个延伸结构,每个延伸结构外侧端部设置一个能够被导航系统识别的被识别点21,每三个被识别点21都不设置在同一直线上。其中优选伸出四个延伸结构,每个延伸结构外侧端部设置一个被识别点21,每三个被识别点21都不设置在同一直线上;这样就形成了一个以被识别点21为顶点的4边形结构;当为三个被识别点21时,以三个点为顶点构成三角形。A more preferred embodiment is that calibrating the identified structure 2 includes: extending at least three extension structures from the combined structure, and setting an identified point 21 that can be identified by the navigation system at the outer end of each extension structure. Each three extension structures are identified. The identification points 21 are not set on the same straight line. It is preferable to extend four extension structures, and an identified point 21 is set at the outer end of each extension structure. Every three identified points 21 are not set on the same straight line; thus forming an identified point 21 as the vertex. 4-sided structure; when there are three identified points 21, a triangle is formed with the three points as vertices.

操作参考架3的操作被识别结构与标定参考架上的标定被识别结构2的设置方式相同,但形状不相同,可以根据手术需要进行形状设定。The operation-identified structure of the operation reference frame 3 is arranged in the same manner as the calibration-identified structure 2 on the calibration reference frame, but the shape is different, and the shape can be set according to surgical needs.

更优选的实施方式为,组合结构包括卡接结构或套接结构,卡接结构以确定角度及确定位置卡接在操作器械4上,套接结构以确定角度及确定位置套接在操作结构上;通过此种方式可以保证组合结构与操作器械4组合后角度及位置的确定性。A more preferred embodiment is that the combined structure includes a snap-in structure or a socket structure. The snap-in structure is snap-fastened to the operating instrument 4 at a certain angle and position, and the socket structure is socketed to the operating structure at a certain angle and position. ; In this way, the certainty of the angle and position of the combined structure and the operating instrument 4 can be ensured.

更优选的实施方式为,组合结构与标定被识别结构2的连接后位置不发生相对变化,此种设置可以保证组合结构与操作器械4组合后,标定被识别结构2与操作器械4空间位姿的确定性。A more preferred embodiment is that the positions of the combined structure and the calibrated identified structure 2 do not change relative to each other after being connected. This arrangement can ensure that after the combined structure and the operating instrument 4 are combined, the spatial postures of the calibrated identified structure 2 and the operating instrument 4 are calibrated. of certainty.

更优选的实施方式为,组合结构与操作结构的组合方式为一种或两种,其中优选1种,单一组合结构与操作结构的单一组合方式可以保证组合后空间位姿的确定性。A more preferred embodiment is that the combination structure and the operation structure are combined in one or two ways, of which one is preferred. A single combination method of a single combination structure and an operation structure can ensure the certainty of the spatial posture after combination.

更优选的实施方式为,组合结构包括套接结构,套接结构为筒形套接结构,筒形套接结构上设置与操作结构上的柱形段管径一致的柱形孔;且柱形段与柱形孔有且仅有一种组合位置。A more preferred embodiment is that the combined structure includes a socket structure, the socket structure is a cylindrical socket structure, and the cylindrical socket structure is provided with a cylindrical hole consistent with the diameter of the cylindrical section on the operating structure; and the cylindrical There is only one combination position for segments and cylindrical holes.

更优选的实施方式为,筒形套接结构包括圆柱形筒12,操作结构包括圆柱形段41,圆柱形筒12的四周延伸出四个延伸结构,四个延伸结构设置在同一识别平面上;操作器械4上的圆柱形段41的包括一设定平面;设定平面经过圆柱形段41的中轴线;以识别平面与设定平面重合确定设定角度,以圆柱形段41端部接触操作结构的设定位置确定套接位置。通过此种方式可以快速有效地确定标定参考架与操作结构的空间位姿。更优选的实施方式为,延伸结构包括自圆柱形筒12伸出的在同一设定平面的板型结构,板型结构上伸出长度相同或不同的延伸板11,延伸板11上设置被识别点21;通过板型结构的设置可以方便操作;另外通过长度相同或不同的延伸板11设置可以满足不同识别需要。其中优选延伸板11长度相同,此种方式构成的被识别点21构成矩形形状,矩形形状方便设置。更优选的实施方式为,在延伸板11上设置不贯穿设置的缺口一111,通过此缺口一111的设置可以有效减轻标定参考架的质量。更优选的实施方式为,圆柱形筒12上也设置缺口二121,缺口二121的设置可以方便观察。A more preferred embodiment is that the cylindrical sleeve structure includes a cylindrical barrel 12, the operating structure includes a cylindrical section 41, four extension structures extend around the cylindrical barrel 12, and the four extension structures are arranged on the same identification plane; The cylindrical section 41 on the operating instrument 4 includes a setting plane; the setting plane passes through the central axis of the cylindrical section 41; the setting angle is determined by coincidence of the recognition plane and the setting plane, and the end of the cylindrical section 41 is in contact for operation The set position of the structure determines the socket position. In this way, the spatial posture of the calibration reference frame and operating structure can be determined quickly and effectively. A more preferred embodiment is that the extension structure includes a plate-shaped structure extending from the cylindrical tube 12 on the same set plane. Extended plates 11 of the same or different lengths protrude from the plate-shaped structure, and the identified extension plates 11 are provided with Point 21; The operation can be facilitated through the arrangement of the plate structure; in addition, different identification needs can be met through the arrangement of extension plates 11 with the same or different lengths. It is preferable that the extended plates 11 have the same length. The identified points 21 formed in this way form a rectangular shape, which is convenient for installation. A more preferred embodiment is to provide a non-penetrating notch 111 on the extension plate 11. The provision of the notch 111 can effectively reduce the mass of the calibration reference frame. A more preferred embodiment is that the cylindrical barrel 12 is also provided with a second notch 121, and the second notch 121 is provided to facilitate observation.

更优选的实施方式为,操作器械4为粗隆间骨折手术导航系统中的带有圆柱形段41的器械,不同操作器械4的圆柱形段41的外径不同,为满足同一手术设定一种标定参考架的要求,圆柱形筒12的内径等于操作器械4中尺寸最大的圆柱形段41的外径;另在圆柱形筒12的一端或两端设置连接头13;连接头13上设置有适配孔131,每个连接头13上设置一种型号的适配孔131,适配孔131的直径分别对应不同操作器械4的圆柱形段41的外径;此种设置可以保证根据不同的操作器械4选择不同的连接头13的目的,这样就不用一个操作器械4设置一种圆柱形筒12,只需要通过更换不同的连接筒的方式实现。其中优选在圆柱形筒12的两端设置连接头13,此种方式可以针对连续使用的两种器械时,通过对应的连接头13先连接上,这样就能实现连续的操作器械4的标定,节省器械的标定时间,一次更换完成两种操作器械4与操作参考架3的标定。具体使用时,先根据手术部位的情况对所有的操作器械4与操作参考架3的位置进行临时调整与确定,确定后按照顺序两两的将对应操作器械4的连接头13组合到圆柱形筒12的两端,依次完成两种操作器械4与操作参考架3的标定后,更换两位两个连接头13,直至完成所有器械的标定。A more preferred embodiment is that the operating instrument 4 is an instrument with a cylindrical section 41 in the intertrochanteric fracture surgical navigation system. The outer diameters of the cylindrical sections 41 of different operating instruments 4 are different. In order to meet the requirements of the same operation setting, To meet the requirements of the calibration reference frame, the inner diameter of the cylindrical barrel 12 is equal to the outer diameter of the largest cylindrical section 41 in the operating instrument 4; in addition, a connector 13 is provided at one or both ends of the cylindrical barrel 12; There is an adapting hole 131, and each connector 13 is provided with a type of adapting hole 131. The diameter of the adapting hole 131 respectively corresponds to the outer diameter of the cylindrical section 41 of different operating instruments 4; this arrangement can ensure that the adapting hole 131 can be adjusted according to different The purpose of selecting different connectors 13 for the operating instrument 4 is so that one operating instrument 4 does not need to be provided with a cylindrical barrel 12, and it only needs to be achieved by replacing different connecting barrels. It is preferred to provide connectors 13 at both ends of the cylindrical barrel 12. In this way, when two instruments are used continuously, they can be connected through the corresponding connectors 13 first, so that continuous calibration of the operating instrument 4 can be achieved. It saves instrument calibration time and completes the calibration of two operating instruments 4 and operating reference frames 3 with one replacement. During specific use, first temporarily adjust and determine the positions of all the operating instruments 4 and the operating reference frame 3 according to the conditions of the surgical site. After determination, the connectors 13 of the corresponding operating instruments 4 are combined into the cylindrical barrel in pairs. At both ends of 12, after completing the calibration of the two operating instruments 4 and the operating reference frame 3 in sequence, replace the two connectors 13 until the calibration of all instruments is completed.

更优选的实施方式为,参考图3、图4、图5与图6;连接头13第一端设置插入部132,对应圆柱形筒12的后端设置供插入部132插入的插入孔133;插入部132与插入孔133适配,插入部132的外径等于插入孔133的直径,插入部132的内部孔位适配孔131;通过此种方式实现连接头13与圆柱形筒12的结合。A more preferred embodiment is, with reference to Figures 3, 4, 5 and 6; the first end of the connector 13 is provided with an insertion portion 132, and the corresponding rear end of the cylindrical barrel 12 is provided with an insertion hole 133 for the insertion portion 132 to be inserted; The insertion part 132 is adapted to the insertion hole 133, the outer diameter of the insertion part 132 is equal to the diameter of the insertion hole 133, and the internal hole position of the insertion part 132 is adapted to the hole 131; in this way, the connection between the connector 13 and the cylindrical barrel 12 is achieved. .

更优选的实施方式为,插入孔133的直径大于圆柱形筒12的内径,此种设置可以避免插入孔133设置对圆柱形筒12设置的影响。A more preferred embodiment is that the diameter of the insertion hole 133 is larger than the inner diameter of the cylindrical barrel 12. This arrangement can avoid the influence of the setting of the insertion hole 133 on the setting of the cylindrical barrel 12.

更优选的实施方式为,连接头13第二端设置延长筒134,延长筒134也为圆筒,其用于实现方便连接头13的设置,另外延长筒134设置确定的长度,用于接触操作器械4的设定位置;方便标定参考架与操作器械4达到预设的空间位姿状态。当延长筒134接触到操作器械4设定位置后停止伸入。A more preferred embodiment is that an extension tube 134 is provided at the second end of the connector 13. The extension tube 134 is also a cylinder, which is used to facilitate the setting of the connector 13. In addition, the extension tube 134 is set to a certain length for contact operation. The set position of the instrument 4 is convenient for calibrating the reference frame and operating the instrument 4 to achieve the preset spatial posture state. When the extension tube 134 contacts the set position of the operating instrument 4, it stops extending.

更优选的实施方式为,适配孔131设置为直接拔插的柱形孔;或者适配孔131为与操作器械4上对应圆柱形螺纹段适配的螺纹孔,通过旋转实现组合。A more preferred embodiment is that the adapting hole 131 is set as a cylindrical hole for direct plugging or plugging; or the adapting hole 131 is a threaded hole adapted to the corresponding cylindrical threaded section on the operating instrument 4, and the combination is achieved through rotation.

实施例2Example 2

一种可调式的操作参考架3,其设置多种多样的甚至随意的操作参考架3与操作器械4的设置方式,通过添加标定参考架的方式,在中间增加一个标定步骤,确定操作参考架3与操作器械4的空间位姿;但一经确定就需固定住操作参考架3与操作器械4的空间位姿,完成后续跟踪。标定参考架与操作器械4仅有一种组合后已知的空间位姿关系;使用时先根据需要调整操作参考架3与操作器械4的结合空间位姿,但此时并不知晓操作参考架3与操作器械4的空间位姿,调整好后操作参考架3与操作器械4的空间位姿不再发生变动;但仍不知晓可被跟踪的相对位置关系;后将标定参考架与操作器械4通过确定的组合方式组合;后通过导航系统识别标定参考架与操作参考架3上的被识别结构,知晓两者的空间位姿,并通过软件计算可以知晓操作器械4与操作参考架3的空间位姿。通过此种方式实现根据需要调整操作参考架3与操作器械4的空间位姿与角度,并能确定调整后操作参考架3与操作器械4的空间位姿。An adjustable operating reference frame 3, which has various or even arbitrary settings for the operating reference frame 3 and operating instruments 4. By adding a calibration reference frame, a calibration step is added in the middle to determine the operating reference frame. 3 and the spatial posture of the operating instrument 4; however, once determined, the spatial posture of the operating reference frame 3 and the operating instrument 4 needs to be fixed to complete follow-up tracking. The calibration reference frame and the operating instrument 4 have only one known spatial posture relationship after combination; when using, adjust the combined spatial posture of the operating reference frame 3 and the operating instrument 4 as needed, but the operating reference frame 3 is not known at this time. and the spatial posture of the operating instrument 4. After adjustment, the spatial posture of the operating reference frame 3 and the operating instrument 4 will no longer change; but the relative positional relationship that can be tracked is still unknown; later, the reference frame and the operating instrument 4 will be calibrated. Combined through a determined combination method; and then the recognized structures on the calibration reference frame and the operating reference frame 3 are identified through the navigation system, the spatial postures of the two are known, and the space of the operating instrument 4 and the operating reference frame 3 can be known through software calculations Posture. In this way, the spatial posture and angle of the operating reference frame 3 and the operating instrument 4 can be adjusted as needed, and the spatial posture and posture of the adjusted operating reference frame 3 and the operating instrument 4 can be determined.

具体实施方式为:参考图7;在操作器械4上设置至少两个结合结构42,另外结合结构42包括能够调整位置的结合孔421;在操作参考架3上设置对应的结合柱422。更具体的为,结合孔421形状为圆形或正多边形,结合柱422形状与结合孔421适配。进一步,结合孔421与结合柱422为结合后位置及角度都不发生变化;具体可以通过在结合柱422外侧设置软垫;或者当结合孔421位多边形时,在结合处对应设置磁性互吸结构。又或者,在结合孔421外侧壁设置锁死螺孔,在锁死孔内设置锁死螺杆;通过将所述螺杆通过所述螺孔进入到结合孔421内,锁死结合柱422与结合孔421的位置。此种锁死方式固定效果更好,且制备工艺成熟;更优选的实施方式为,结合孔421为正多边形孔,结合柱422为正多边形柱,此种设置可以通过调节结合孔421与结合柱422的不同边的对应关系,达到调整操作参考架3角度的目的,可以根据需要选择最合适的设置角度。具体为,结合孔421与结合柱422的横截面积都为正六边形。此种设置既可以满足调整的需要,又不会因为边太多增加选择角度时的难度,为一种能够达到最直接角度设置的设置方式。The specific implementation is as follows: refer to FIG. 7 ; set at least two combination structures 42 on the operating instrument 4 , and the combination structures 42 include combination holes 421 whose positions can be adjusted; and set corresponding combination posts 422 on the operating reference frame 3 . More specifically, the shape of the combination hole 421 is circular or a regular polygon, and the shape of the combination post 422 is adapted to the combination hole 421 . Furthermore, the position and angle of the combination hole 421 and the combination post 422 do not change after combination; specifically, a soft pad can be provided outside the combination post 422; or when the combination hole 421 is a polygon, a magnetic mutual attraction structure can be provided at the combination. . Or, a locking screw hole is provided on the outer wall of the coupling hole 421, and a locking screw is provided in the locking hole; by inserting the screw into the coupling hole 421 through the screw hole, the coupling column 422 and the coupling hole are locked. 421 location. This locking method has better fixation effect and mature preparation process; a more preferred embodiment is that the combination hole 421 is a regular polygon hole and the combination post 422 is a regular polygon post. This setting can be achieved by adjusting the combination hole 421 and the combination post. The corresponding relationship between different sides of 422 achieves the purpose of adjusting the angle of the operating reference frame 3, and the most appropriate setting angle can be selected according to needs. Specifically, the cross-sectional areas of the combination holes 421 and the combination posts 422 are both regular hexagons. This setting can meet the needs of adjustment without increasing the difficulty of selecting angles due to too many sides. It is a setting method that can achieve the most direct angle setting.

更具体的实施方式为,设置两个结合结构42,两个结合结构42交角为90度;此种设置可以保证对肢体进行操作时镜像地对左右肢体进行参考架的设置,增加设置的方便性。A more specific implementation method is to set up two combination structures 42, and the intersection angle of the two combination structures 42 is 90 degrees; this arrangement can ensure that the left and right limbs are set up as a mirror image of the reference frame when operating the limbs, increasing the convenience of setting. .

更具体的实施方式为,操作参考架3包括操作被识别结构与架体;操作被识别结构2与架体通过万向球头与万向球窝的方式结合,万向球头与万向球窝通过锁死结构实现位置锁死,锁死结构包括侧壁的锁死螺孔与锁死螺杆,锁死螺杆通过锁死螺孔进入万向球窝内对万向球头进行位置锁死。A more specific implementation is that the operation reference frame 3 includes an operation-identified structure and a frame body; the operation-identified structure 2 and the frame body are combined through a universal ball head and a universal ball socket, and the universal ball head and the universal ball are combined. The socket achieves position locking through a locking structure. The locking structure includes a locking screw hole on the side wall and a locking screw. The locking screw enters the universal ball socket through the locking screw hole to lock the position of the universal ball head.

或者,操作被识别结构与架体通过旋转轴与对应的多个旋转卡位结构连接,通过转动实现在不同旋转卡位结构间的转换。Alternatively, the operation-recognized structure and the frame are connected to a plurality of corresponding rotation blocking structures through a rotation axis, and conversion between different rotation blocking structures is realized through rotation.

以上通过特定的具体实施例对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例,本领域技术人员可由本说明书所揭露的内容轻易地了解本发明的其他优点与功效。本发明还可以通过另外不同的具体实施方式加以实施或应用,在不冲突的情况下,以下实施例及实施例中的特征可以相互组合,基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The above has clearly and completely described the technical solutions in the embodiments of the present invention through specific embodiments. Obviously, the described embodiments are only some of the embodiments of the present invention, not all of the embodiments. Those skilled in the art can refer to this Other advantages and effects of the present invention can be easily understood from the content disclosed in the specification. The present invention can also be implemented or applied through other different specific implementations. In the case of no conflict, the following embodiments and the features in the embodiments can be combined with each other. Based on the embodiments of the present invention, those of ordinary skill in the art can All other embodiments obtained without creative efforts belong to the scope of protection of the present invention.

Claims (6)

1.一种可调操作参考架用标定参考架,其特征在于,其包括,1. An adjustable operating reference frame for calibration reference frame, characterized in that it includes, 组合结构,用于与操作器械组合,操作器械为粗隆间骨折手术导航系统中的带有圆柱形段的器械;在操作器械上设置至少两个结合结构,结合结构包括能够调整位置的结合孔;在操作参考架上设置对应的结合柱;结合孔形状为正多边形,结合柱形状与结合孔适配,结合孔与结合柱为结合后位置及角度都不发生变化;操作参考架包括操作被识别结构与架体;操作被识别结构与架体通过万向球头与万向球窝的方式结合,万向球头与万向球窝通过锁死结构实现位置锁死,锁死结构包括侧壁的锁死螺孔与锁死螺杆,锁死螺杆通过锁死螺孔进入万向球窝内对万向球头进行位置锁死;或者,操作被识别结构与架体通过旋转轴与对应的多个旋转卡位结构连接,通过转动实现在不同旋转卡位结构间的转换;The combined structure is used to be combined with an operating instrument, which is an instrument with a cylindrical section in an intertrochanteric fracture surgical navigation system; at least two combination structures are provided on the operating instrument, and the combination structure includes a combination hole that can adjust the position. ; Set the corresponding combination column on the operation reference frame; the shape of the combination hole is a regular polygon, the shape of the combination column is adapted to the combination hole, and the position and angle of the combination hole and the combination column do not change after combination; the operation reference frame includes the operation quilt Identify the structure and the frame; operate the identified structure and the frame through a universal ball head and a universal ball socket. The universal ball head and the universal ball socket achieve position locking through a locking structure. The locking structure includes side The locking screw hole and locking screw on the wall, the locking screw enters the universal ball socket through the locking screw hole to lock the position of the universal ball head; or, the operation identified structure and the frame communicate with the corresponding through the rotation axis Multiple rotating clamping structures are connected, and the conversion between different rotating clamping structures is realized through rotation; 标定被识别结构,被导航系统识别,所述标定被识别结构与组合结构连接;组合结构与能够结合操作参考架的操作器械组合后,标定被识别结构与操作器械的空间位姿确定且已知;操作参考架上设置操作被识别结构;The calibrated recognized structure is recognized by the navigation system, and the calibrated recognized structure is connected to the combined structure; after the combined structure is combined with an operating instrument that can be combined with the operating reference frame, the spatial posture of the calibrated identified structure and the operating instrument is determined and known ;Set the operation-recognized structure on the operation reference frame; 通过导航系统识别知晓设置在操作器械上的标定被识别结构与操作参考架的操作被识别结构的空间位姿关系,结合已知的标定被识别结构与操作器械的空间位姿关系,知晓操作被识别结构与操作器械的空间位姿;Through the navigation system identification and knowing the spatial posture relationship between the calibrated identified structure set on the operating instrument and the operating identified structure of the operating reference frame, combined with the known spatial posture relationship between the calibrated identified structure and the operating instrument, the operation is known. Identify the spatial posture of structures and operating instruments; 组合结构与标定被识别结构的组合后位置不发生相对变化;组合结构与操作结构的组合方式为一种;组合结构包括套接结构,套接结构为筒形套接结构,操作器械包括圆柱形段;筒形套接结构上设置与操作结构上的圆柱形段管径一致的柱形孔;且圆柱形段与柱形孔有且仅有一种组合位置;筒形套接结构包括圆柱形筒,圆柱形筒的四周延伸出四个延伸结构,四个延伸结构设置在同一识别平面上;操作器械上的圆柱形段包括一设定平面;设定平面经过圆柱形段的中轴线;以识别平面与设定平面重合确定设定角度,以圆柱形段端部接触筒形套接结构的设定位置确定套接位置;操作被识别结构与标定被识别结构都设置被导航系统识别的被识别点;每三个被识别点都不设置在同一直线上;操作被识别结构与标定被识别结构的设置方式相同,但形状不相同;The positions of the combined structure and the calibrated identified structure do not change relative to each other; the combined structure and the operating structure are combined in one way; the combined structure includes a socket structure, the socket structure is a cylindrical socket structure, and the operating instrument includes a cylindrical socket structure section; the cylindrical socket structure is provided with a cylindrical hole with the same diameter as the cylindrical section on the operating structure; and the cylindrical section and the cylindrical hole have one and only one combination position; the cylindrical socket structure includes a cylindrical barrel , four extension structures extend around the cylindrical barrel, and the four extension structures are set on the same identification plane; the cylindrical section on the operating instrument includes a setting plane; the setting plane passes through the central axis of the cylindrical section; to identify The plane coincides with the set plane to determine the set angle, and the set position where the end of the cylindrical section contacts the cylindrical socket structure is used to determine the socket position; both the operation recognized structure and the calibration recognized structure are set to be recognized by the navigation system. points; every three identified points are not set on the same straight line; the operation of the identified structure and the calibration of the identified structure are set in the same way, but the shapes are different; 操作器械为带有圆柱形段的器械,不同操作器械的圆柱形段的外径不同,为满足同一手术设定一种标定参考架的要求,圆柱形筒的内径等于操作器械中尺寸最大的圆柱形段的外径;连接头上设置有适配孔,每个连接头上设置一种型号的适配孔,适配孔的直径分别对应不同操作器械的圆柱形段的外径;在圆柱形筒的两端设置连接头,使用时,先根据手术部位的情况对所有的操作器械与操作参考架的位置进行临时调整与确定,确定后按照顺序两两的将对应操作器械的连接头组合到圆柱形筒的两端,依次完成两种操作器械与操作参考架的标定后,更换两个连接头,直至完成所有器械的标定;The operating instrument is an instrument with a cylindrical section. The outer diameter of the cylindrical section of different operating instruments is different. In order to meet the requirements of setting a calibration reference frame for the same operation, the inner diameter of the cylindrical barrel is equal to the largest cylinder among the operating instruments. The outer diameter of the cylindrical section; the connecting head is provided with an adapting hole, and each connecting head is provided with a type of adapting hole. The diameter of the adapting hole corresponds to the outer diameter of the cylindrical section of different operating instruments; in the cylindrical Connectors are provided at both ends of the barrel. When using, temporarily adjust and determine the positions of all operating instruments and operating reference frames according to the conditions of the surgical site. After confirmation, combine the connectors of the corresponding operating instruments in pairs in sequence. At both ends of the cylindrical barrel, after completing the calibration of the two operating instruments and the operating reference frame in sequence, replace the two connectors until the calibration of all instruments is completed; 使用时,第一,将操作参考架与操作器械设置到手术位置,选定一种不影响操作者操作,并不干扰其他手术动作的空间位姿,一经确认即刻将操作参考架与操作器械的位置位姿锁死,变为一种不知晓但确定不变的空间位姿;第二,将标定参考架与操作器械在确定已知的空间位姿处组合;第三,通过导航系统识别标定被识别结构与操作被识别结构,通过标定被识别结构与操作被识别结构上的空间位姿及已知的标定参考架与操作器械的关系,借用软件计算出操作参考架与操作器械的具体空间位姿;通过转换实现导航系统的跟踪。When using it, first, set the operating reference frame and operating instruments to the surgical position, select a spatial posture that does not affect the operator's operation and does not interfere with other surgical movements, and immediately move the operating reference frame and operating instruments to the correct position once confirmed. The position and posture are locked and become an unknown but determined spatial posture; second, combine the calibration reference frame and the operating instrument at the known spatial posture; third, identify the calibration through the navigation system By calibrating the spatial postures of the recognized structure and the recognized operation structure and the known relationship between the calibration reference frame and the operating equipment, the software is used to calculate the specific space of the operating reference frame and operating equipment. Position and posture; tracking of the navigation system is achieved through conversion. 2.根据权利要求1所述的可调操作参考架用标定参考架,其特征在于,标定被识别结构包括:自组合结构上伸出至少三个延伸结构,每个延伸结构外侧端部设置一个能够被导航系统识别的被识别点。2. The calibration reference frame for the adjustable operation reference frame according to claim 1, characterized in that the calibration of the identified structure includes: at least three extension structures extending from the combined structure, and one is provided at the outer end of each extension structure. A recognized point that can be recognized by the navigation system. 3.根据权利要求2所述的可调操作参考架用标定参考架,其特征在于,伸出四个延伸结构,每个延伸结构外侧端部设置一个被识别点,每三个被识别点都不设置在同一直线上;形成了一个以被识别点为顶点的4边形结构。3. The calibration reference frame for the adjustable operation reference frame according to claim 2, characterized in that four extension structures are extended, and an identified point is provided at the outer end of each extension structure, and every three identified points are Not set on the same straight line; forming a 4-sided structure with the identified point as the vertex. 4.根据权利要求1所述的可调操作参考架用标定参考架,其特征在于,4. The calibration reference frame for the adjustable operating reference frame according to claim 1, characterized in that, 延伸结构包括自圆柱形筒伸出的在同一设定平面的板型结构,板型结构上伸出长度相同或不同的延伸板,延伸板上设置被识别点;The extension structure includes a plate structure extending from the cylindrical tube and on the same set plane. Extension plates of the same or different lengths protrude from the plate structure, and an identified point is set on the extension plate; 延伸板长度相同,在延伸板上设置不贯穿设置的缺口一,用于减轻标定参考架的质量;圆柱形筒上也设置缺口二,用于观察。The extension plates have the same length, and a non-penetrating notch 1 is provided on the extension plate to reduce the mass of the calibration reference frame; a notch 2 is also provided on the cylindrical tube for observation. 5.根据权利要求1所述的可调操作参考架用标定参考架,其特征在于,连接头第一端设置插入部,对应圆柱形筒的后端设置供插入部插入的插入孔;插入部与插入孔适配,插入部的外径等于插入孔的直径,插入部的内部孔位适配孔;插入孔的直径大于圆柱形筒的内径,用于避免插入孔设置对圆柱形筒设置的影响。5. The calibration reference frame for the adjustable operation reference frame according to claim 1, characterized in that an insertion part is provided at the first end of the connector, and an insertion hole is provided at the rear end of the corresponding cylindrical tube for the insertion part to be inserted; the insertion part It is adapted to the insertion hole, the outer diameter of the insertion part is equal to the diameter of the insertion hole, and the internal hole position of the insertion part is adapted to the hole; the diameter of the insertion hole is larger than the inner diameter of the cylindrical barrel, which is used to avoid the insertion hole setting on the cylindrical barrel setting. Influence. 6.根据权利要求5所述的可调操作参考架用标定参考架,其特征在于,连接头第二端设置延长筒,延长筒也为圆筒,用于实现方便连接头的设置,另外延长筒设置确定的长度,用于接触操作器械的设定位置;方便标定参考架与操作器械达到预设的空间位姿状态。6. The calibration reference frame for the adjustable operation reference frame according to claim 5, characterized in that an extension tube is provided at the second end of the connector, and the extension tube is also a cylinder, which is used to facilitate the setting of the connector, and in addition, the extension tube is a cylinder. The barrel is set to a certain length, which is used to contact the set position of the operating instrument; it is convenient to calibrate the reference frame and the operating instrument to achieve the preset spatial posture state.
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