CN105534590A - Connecting, clamping and conveying device for extra-epithelial positioning plate and subcutaneous bone connecting plate - Google Patents
Connecting, clamping and conveying device for extra-epithelial positioning plate and subcutaneous bone connecting plate Download PDFInfo
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- CN105534590A CN105534590A CN201510886876.5A CN201510886876A CN105534590A CN 105534590 A CN105534590 A CN 105534590A CN 201510886876 A CN201510886876 A CN 201510886876A CN 105534590 A CN105534590 A CN 105534590A
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- hone lamella
- outside fix
- plate
- skin outside
- notch graft
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/92—Impactors or extractors, e.g. for removing intramedullary devices
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/808—Instruments for holding or positioning bone plates, or for adjusting screw-to-plate locking mechanisms
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B2017/564—Methods for bone or joint treatment
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Medical Informatics (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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- General Health & Medical Sciences (AREA)
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- Veterinary Medicine (AREA)
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- Prostheses (AREA)
Abstract
The invention provides a connecting, clamping and conveying device for an extra-epithelial positioning plate and a subcutaneous bone connecting plate, and belongs to the technical field of an orthopaedics medical appliance. The connecting, clamping and conveying device is used for implanting and positioning a bone connecting plate in a minimally invasive surgery, and has the technical scheme that the extra-epithelial positioning plate and the subcutaneous bone connecting plate are correspondingly connected by a connecting rod; the extra-epithelial positioning plate and the subcutaneous bone connecting plate can be accurately aligned by the connecting rod through threaded connection or regular polygon hole connection; the front end of a clamping and conveying push handle is clamped on the extra-epithelial positioning plate or the subcutaneous bone connecting plate; and the extra-epithelial positioning plate and the subcutaneous bone connecting plate can be implanted into a bone connecting position by pushing the clamping and conveying push handle. The connecting, clamping and conveying device has the advantages that the structure is simple; the operation is convenient; high efficiency and practicability are realized; and the subcutaneous bone connecting plate can be accurately implanted through the extra-epithelial positioning plate, and the fixation is performed through fixing screws. The implanting mode of the extra-epithelial positioning plate and the subcutaneous bone connecting plate is innovated, so that the problems that the alignment of the extra-epithelial positioning plate and the subcutaneous bone connecting plate is not accurate, and the implanting is inconvenient are solved; the surgery time is reduced; and the efficiency of the minimally invasive surgery is improved.
Description
Technical field
The present invention relates to the device of in a kind of Minimally Invasive Surgery, blade plate being inserted location, belong to orthopedic medical device technical field.
Background technology
In the operation of orthopaedics therapy fracture, Interal fixation is common Fracture internal fixaiion method, and Interal fixation comprises reconstruction plate, dissection armor plate, hook plate etc., wherein common with dissection armor plate.Now widely used blade plate is steel plate or the titanium lath of arced terminus, it is arranged with multiple implantation nail fixing hole.In use find, after blade plate being inserted the subcutaneous wound of patient, often there is deviation in location also fixation bone fracture plate, not only surgical effect is affected, and also add the misery of patient.For the limitation of normal bone plate and implanted prosthetics, healthcare givers and scientific research personnel have carried out large quantifier elimination and improvement to blade plate, achieve good effect, China Patent No. 200920103620.2, 201020223842.0 individually disclose a kind of self-align micro wound coaptation plate and a kind of stress dispersion blade plate, use above-mentioned blade plate when subcutaneous storing blade plate minimally-invasive treatment long bone shaft fracture, skin is outer to be connected with the two ends of notch graft hone lamella with the trench structure of identical blade plate by two ends, for interim locating pin hole site and put nail direction, the blade plate of subcutaneous storing during operation technique can be avoided to slide or move simultaneously.The blade plate of these two kinds of structures is applied to and clinically achieves good effect, but still Shortcomings, main problem is that notch graft hone lamella is connected with the blade plate playing skin outside fix effect and only relies on Kirschner wire to carry out while locating, connect insecure, be easy to misplace, the phenomenon such as displacement, the operation for the hold-down screw continued causes very large difficulty, even cannot carry out, not only delay operating time, also may produce the unstable serious consequence of plate fixation.In order to make notch graft hone lamella in Minimally Invasive Surgery be connected firmly with the blade plate playing skin outside fix effect, to reach the effect of accurate positioning, be extremely necessary the technical barrier developing new device and technology solution existence.
Summary of the invention
The connection that technical problem to be solved by this invention is to provide a seed coat outside fix plate and notch graft hone lamella and the device pinched, notch graft hone lamella and skin outside fix plate can link together by this connection and clamping and conveying device, notch graft hone lamella can insert hypodermic tunnel fast, utilize skin outside fix plate screw screw that is quick, accurately location notch graft hone lamella, insert the fixing fracture of screw.
The technical scheme solved the problems of the technologies described above is:
The connection of one seed coat outside fix plate and notch graft hone lamella and the device pinched, it comprises connecting rod and pinches handle, the plate face of notch graft hone lamella and skin outside fix plate there is connecting hole respectively, two positions of connecting hole on the plate face of notch graft hone lamella with skin outside fix plate are identical and accurately relative, the two ends of connecting rod are connected with two connecting holes respectively, notch graft hone lamella after connecting hole connects is parallel in same vertical plane with the centrage of the length direction of skin outside fix plate, the front end pinching handle is clamped on skin outside fix plate or notch graft hone lamella, there is promotion handle the rear end pinching handle.
The connection of above-mentioned skin outside fix plate and notch graft hone lamella and the device pinched, connecting hole on the plate face of described notch graft hone lamella and skin outside fix plate is respectively screw, there is screw thread at the two ends of connecting rod, the screw thread of the screw thread at connecting rod two ends and two connecting holes matches, the two ends of connecting rod are spun in two connecting holes respectively, the upper end of connecting rod through after the connecting hole on the plate face of skin outside fix plate by fastening nuts.
The connection of above-mentioned skin outside fix plate and notch graft hone lamella and the device pinched, the cross section of the connecting hole on the plate face of described notch graft hone lamella and skin outside fix plate is respectively the regular polygon of rule, connecting rod two ends are the polygon body of rod, the regular polygon in the cross section of the polygon body of rod and the cross section of connecting hole matches, the polygon body of rod at connecting rod two ends is inserted in the connecting hole on the plate face of notch graft hone lamella and skin outside fix plate respectively, and the polygon body of rod at connecting rod two ends and connecting hole are for be slidably matched closely.
The connection of above-mentioned skin outside fix plate and notch graft hone lamella and the device pinched, the described handle that pinches is made up of two parallel straight-bars and a cross bar, the front end of two straight-bars has multiple horizontal bayonet lock respectively, the rear end of two straight-bars is connected with cross bar two ends, multiple bayonet lock is arranged in parallel along the length direction of straight-bar, and the both sides of the edge of skin outside fix plate are embedded in the gap of adjacent two bayonet locks respectively.
The connection of above-mentioned skin outside fix plate and notch graft hone lamella and the device pinched, the described handle that pinches is made up of two parallel straight-bars and a cross bar, the front end of two straight-bars has horizontal latch respectively, the rear end of two straight-bars is connected with cross bar two ends, the two sides of notch graft hone lamella there is multiple horizontal jack, multiple jack arranges along the length direction of notch graft hone lamella, and the latch of two straight-bar front ends is inserted in the jack of notch graft hone lamella both sides respectively.
The connection of above-mentioned skin outside fix plate and notch graft hone lamella and the device pinched, described in pinch the parallel straight-bar of two of handle rear portion between be connected with extension spring or elastic draw bar, the two ends of extension spring or elastic draw bar are connected with two straight-bars respectively.
The invention has the beneficial effects as follows:
Skin outside fix plate of the present invention connects by connecting rod is corresponding with notch graft hone lamella, connecting rod can be threaded connection or the connection of regular polygon hole makes skin outside fix plate and notch graft hone lamella accurate contraposition, the front end pinching handle is clamped on skin outside fix plate or notch graft hone lamella, promotes to pinch handle and skin outside fix plate and notch graft hone lamella can be placed to synthetism position.
Structure of the present invention is simple, easy to operate, highly effective, connecting rod can make skin outside fix plate and notch graft hone lamella accurate contraposition, pinch handle and skin outside fix plate and notch graft hone lamella entirety can be placed to notch graft hone lamella precalculated position, and by skin outside fix plate, hold-down screw is accurately implanted to notch graft hone lamella and be fixed.
The present invention is the innovation of skin outside fix plate and notch graft hone lamella implantation mode, solving skin outside fix plate and the inaccurate difficult problem with inserting inconvenience of notch graft hone lamella para-position, decreasing operating time, improve the efficiency of Minimally Invasive Surgery.
Accompanying drawing explanation
Fig. 1 is structural representation of the present invention;
Fig. 2 is another kind of structural representation of the present invention.
In figure, labelling is as follows: clamping handle 1, connecting rod 2, connecting hole 3, nut 4, straight-bar 5, cross bar 6, bayonet lock 7, latch 8, jack 9, extension spring 10, elastic draw bar 11, skin outside fix plate 12, notch graft hone lamella 13, skin outside fix board slot 14, notch graft hone lamella groove 15, fixing threaded hole 16.
Detailed description of the invention
Skin outside fix plate 12 or notch graft hone lamella 13 are pushed into synthetism position along the length direction of long bone by clamping handle 1 by the present invention, after arriving synthetism position, fix notch graft hone lamella 13 by the accurate location of skin outside fix plate 12.
Show in figure, the skin outside fix plate 12 that the present invention uses and notch graft hone lamella 13 are elongated plates face, the skin outside fix board slot 14 along plate face length direction and notch graft hone lamella groove 15 is had at the two ends in plate face, there is fixing threaded hole 16 in plate face between skin outside fix board slot 14 and notch graft hone lamella groove 15, and fixing threaded hole 16 is fixed long bone for hold-down screw.Skin outside fix plate 12 is identical with notch graft hone lamella 13 shape, and skin outside fix board slot 14, notch graft hone lamella groove 15 are identical with the position of fixing threaded hole 16, so that can by skin outside fix plate 12 accurately fixing notch graft hone lamella 13 after inserting notch graft hone lamella 13.
Show in figure, the plate face of notch graft hone lamella 13 and skin outside fix plate 12 there is connecting hole 3 respectively, two positions of connecting hole 3 on the plate face of notch graft hone lamella 13 with skin outside fix plate 12 are identical and accurately relative, the two ends of connecting rod 2 are connected with two connecting holes 3 respectively, notch graft hone lamella 13 after connecting hole 3 connects is parallel in same vertical plane with the centrage of the length direction of skin outside fix plate 12, makes skin outside fix plate 12 can be accurately relative with the fixing threaded hole 16 of notch graft hone lamella 13.
Show in figure, in order to reach notch graft hone lamella 13 and skin outside fix plate 12 accurate contraposition, connecting rod 2 and connecting hole 3 adopt following two kinds of structures:
The first structure is, connecting hole 3 on the plate face of notch graft hone lamella 13 and skin outside fix plate 12 is respectively screw, there is screw thread at the two ends of connecting rod 2, the lower end of connecting rod 2 is tightened in the connecting hole 3 of notch graft hone lamella 13, then the connecting hole 3 on the plate face of skin outside fix plate 12 is enclosed within the screw of the upper end of connecting rod 2 and rotates, to connecting rod 2 upper end through skin outside fix plate 12 plate face after, adjustment skin outside fix plate 12 is accurately relative with notch graft hone lamella 13, by the screw threads for fastening of nut 4 with connecting rod 2 upper end.
The second structure is, the cross section of the connecting hole 3 on the plate face of notch graft hone lamella 13 and skin outside fix plate 12 is respectively the regular polygon of rule, connecting rod 2 two ends are the polygon body of rod, the regular polygon in the cross section of the polygon body of rod and the cross section of connecting hole 3 matches, the polygon body of rod at connecting rod 2 two ends is inserted in the connecting hole 3 on the plate face of notch graft hone lamella 13 and skin outside fix plate 12 respectively, and the polygon body of rod at connecting rod 2 two ends and connecting hole 3 are for be slidably matched closely.Notch graft hone lamella 13 and skin outside fix plate 12 are carried out accurate contraposition by the connecting hole 3 of regular polygon with connecting rod 2 by this structure, and regular polygon can be triangle, tetragon, pentagon or hexagon.
Show in figure, clamping handle 1 of the present invention is made up of two parallel straight-bars 5 and a cross bar 6, the rear end of two straight-bars 5 is connected with cross bar 6 two ends, the front end of two straight-bars 5 has two kinds of clamp structures respectively, and skin outside fix plate 12 or notch graft hone lamella 13 are pushed into synthetism position along the length direction of long bone by two kinds of clamp structures.
A kind of structure is that the front end of two straight-bars 5 has multiple horizontal bayonet lock 7 respectively, and multiple bayonet lock 7 is arranged in parallel along the length direction of straight-bar 5, and the both sides of the edge of skin outside fix plate 12 are embedded in the gap of adjacent two bayonet locks 7 respectively.
Another kind of structure is, the front end of two straight-bars 5 has horizontal latch 8 respectively, the two sides of notch graft hone lamella 13 there is multiple horizontal jack 9, multiple jack 9 arranges along the length direction of notch graft hone lamella 13, and the latch 8 of two straight-bar 5 front ends is inserted in the jack 9 of notch graft hone lamella 13 both sides respectively.
Show in figure, in order to clamp convenient and prevent from throwing off, between the rear portion of two that pinch handle 1 parallel straight-bars 5, be connected with extension spring 10 or elastic draw bar 11, the two ends of extension spring 10 or elastic draw bar 11 are connected with two straight-bars 5 respectively.Extension spring 10 relies on the elastic force of self to strain two straight-bars 5 to centre, and elastic draw bar 11 can only hold cross bar 6 by operator one, points simultaneously and upwards strains elastic draw bar 11, two straight-bars 5 are drawn close to centre, clamping skin outside fix plate 12 or notch graft hone lamella 13.
Use procedure of the present invention is as follows:
The two ends of connecting rod 2 are connected with the connecting hole 3 on the plate face of skin outside fix plate 12 with notch graft hone lamella 13 respectively, employing is threaded or regular polygon hole connects, notch graft hone lamella 13 after connection is parallel in same vertical plane with the centrage of the length direction of skin outside fix plate 12, makes skin outside fix plate 12 can be accurately relative with the fixing threaded hole 15 of notch graft hone lamella 13.
Skin outside fix plate 12 or notch graft hone lamella 13 is clamped by the bayonet lock 7 or latch 8 that pinch handle 1 front end, hold and pinch handle 1 notch graft hone lamella 13 is pushed into synthetism position along the length direction of long bone, after arriving synthetism position, hold-down screw is implanted downwards, accurately the fixing notch graft hone lamella 13 in location by the skin outside fix board slot 14 of skin outside fix plate 12.
Claims (6)
1. the connection of a seed coat outside fix plate and notch graft hone lamella and the device that pinches, it is characterized in that: it comprises connecting rod (2) and pinches handle (1), the plate face of notch graft hone lamella (13) and skin outside fix plate (12) there is connecting hole (3) respectively, two positions of connecting hole (3) on the plate face of notch graft hone lamella (13) with skin outside fix plate (12) are identical and accurately relative, the two ends of connecting rod (2) are connected with two connecting holes (3) respectively, notch graft hone lamella (13) after connecting rod (2) connects is parallel in same vertical plane with the centrage of the length direction of skin outside fix plate (12), the front end pinching handle (1) is clamped on skin outside fix plate (12) or notch graft hone lamella (13), there is promotion handle the rear end pinching handle (1).
2. the connection of skin outside fix plate according to claim 1 and notch graft hone lamella and the device that pinches, it is characterized in that: the connecting hole (3) on the plate face of described notch graft hone lamella (13) and skin outside fix plate (12) is respectively screw, there is screw thread at the two ends of connecting rod (2), the screw thread at connecting rod (2) two ends and the screw thread of two connecting holes (3) match, the two ends of connecting rod (2) are spun in two connecting holes (3) respectively, and the upper end of connecting rod (2) is through fastening by nut (4) after the connecting hole (3) on the plate face of skin outside fix plate (12).
3. the connection of skin outside fix plate according to claim 1 and notch graft hone lamella and the device that pinches, it is characterized in that: the cross section of the connecting hole (3) on the plate face of described notch graft hone lamella (13) and skin outside fix plate (12) is respectively the regular polygon of rule, connecting rod (2) two ends are the polygon body of rod, the regular polygon in the cross section of the cross section of the polygon body of rod and connecting hole (3) matches, the polygon body of rod at connecting rod (2) two ends is inserted in the connecting hole (3) on the plate face of notch graft hone lamella (13) and skin outside fix plate (12) respectively, the polygon body of rod at connecting rod (2) two ends and connecting hole (3) are for be slidably matched closely.
4. the skin outside fix plate according to Claims 2 or 3 and the connection of notch graft hone lamella and the device pinched, it is characterized in that: described in pinch handle (1) and be made up of two parallel straight-bars (5) and a cross bar (6), the front end of two straight-bars (5) has multiple horizontal bayonet lock (7) respectively, the rear end of two straight-bars (5) is connected with cross bar (6) two ends, multiple bayonet lock (7) is arranged in parallel along the length direction of straight-bar (5), and the both sides of the edge of skin outside fix plate (12) are embedded in the gap of adjacent two bayonet locks (7) respectively.
5. the skin outside fix plate according to Claims 2 or 3 and the connection of notch graft hone lamella and the device pinched, it is characterized in that: described in pinch handle (1) and be made up of two parallel straight-bars (5) and a cross bar (6), the front end of two straight-bars (5) has horizontal latch (8) respectively, the rear end of two straight-bars (5) is connected with cross bar (6) two ends, the two sides of notch graft hone lamella (13) there is multiple horizontal jack (9), multiple jack (9) arranges along the length direction of notch graft hone lamella (13), the latch (8) of two straight-bar (5) front ends is inserted in the jack (9) of notch graft hone lamella (13) both sides respectively.
6. the skin outside fix plate according to claim 4 or 5 and the connection of notch graft hone lamella and the device pinched, it is characterized in that: described in pinch the parallel straight-bar (5) of two of handle (1) rear portion between be connected with extension spring (10) or elastic draw bar (11), the two ends of extension spring (10) or elastic draw bar (11) are connected with two straight-bars (5) respectively.
Priority Applications (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510886876.5A CN105534590B (en) | 2015-12-07 | 2015-12-07 | The connection of one seed coat outside fix plate and notch graft hone lamella and clamping and conveying device |
| PCT/CN2016/076873 WO2017096730A1 (en) | 2015-12-07 | 2016-03-21 | Bone plate assembly for minimally invasive surgery in orthopedics |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510886876.5A CN105534590B (en) | 2015-12-07 | 2015-12-07 | The connection of one seed coat outside fix plate and notch graft hone lamella and clamping and conveying device |
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| Publication Number | Publication Date |
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| CN105534590A true CN105534590A (en) | 2016-05-04 |
| CN105534590B CN105534590B (en) | 2016-08-17 |
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| CN201510886876.5A Active CN105534590B (en) | 2015-12-07 | 2015-12-07 | The connection of one seed coat outside fix plate and notch graft hone lamella and clamping and conveying device |
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Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106236237A (en) * | 2016-08-30 | 2016-12-21 | 李岩 | Retrograde Wicresoft steel plate screw fixing system for fracture |
| CN108056808A (en) * | 2018-02-08 | 2018-05-22 | 重庆医科大学附属永川医院 | A kind of long bone fracture Minimally Invasive Surgery bone-knitting device and its application method |
| CN109646105A (en) * | 2019-01-25 | 2019-04-19 | 大连医科大学附属第医院 | Remote interface fracture Minimally Invasive Surgery utensil in humerus |
| CN109662772A (en) * | 2019-01-25 | 2019-04-23 | 河北医科大学第三医院 | A kind of femur LISS steel plate sighting device |
| CN110313981A (en) * | 2019-07-23 | 2019-10-11 | 天津正天医疗器械有限公司 | A kind of bone plate sighting device and method |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN109662772A (en) * | 2019-01-25 | 2019-04-23 | 河北医科大学第三医院 | A kind of femur LISS steel plate sighting device |
| CN110313981A (en) * | 2019-07-23 | 2019-10-11 | 天津正天医疗器械有限公司 | A kind of bone plate sighting device and method |
| CN110313981B (en) * | 2019-07-23 | 2024-04-05 | 天津正天医疗器械有限公司 | Bone plate aiming device and method |
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