l293245 九、發明說明： 【發明所屬之技術領域】L293245 IX. Description of the invention: [Technical field to which the invention belongs]
本發明係有關於一種經皮導引成 ^ 丨@擴孔工且裝W 气相一種應用於-骨組織，以—鈍頌導針及」 1皮安全導引擴大穿孔之經皮導引骨擴孔工具裝置: 【先前技術】 傳統的脊椎灌浆手術’對醫師而言，在整體㈣ 刺：真正的最重點與最關鍵’在於如何安全可靠㈣ 穿過含椎骨節椎弓根處的堅硬皮質骨，一旦可以夺 ^硬皮質骨，該手術後續的其他動作，便就屬於^ ^安全的灌漿工作。 目前-般醫師所使用的骨穿刺工具，均為以一, T ’且非目視而是在 疋在Χ先機的透視下，直接由皮膚夕丨 入該預定的脊梏晋# & Λ 隹月即椎體中，並以該骨鑽孔針的夕j 4〜灌漿動作的工作乾The invention relates to a transcutaneous guidance into a 扩@孔孔工 and a W-gas phase, which is applied to a bone tissue, a blunt sputum guide needle and a skin guide for expanding the perforation. Hole tool device: [Prior Art] Traditional spinal grouting surgery 'for the physician, in the whole (four) thorn: the true most important and most critical 'how to be safe and reliable (four) through the hard cortical bone containing the vertebral pedicle Once the hard cortical bone can be obtained, the other actions following the operation belong to ^^ safe grouting work. At present, the bone puncture tools used by the general practitioners are all in one, T' and non-visual, but in the perspective of the squatting machine, directly into the predetermined ridge 梏 梏 # # # & Λ 隹Month is the vertebral body, and the work of the bone drilling needle 夕j 4~ grouting action
作有· 作&。如此，可能產生危險的工J 鑽孔針則端相當尖銳，容易刺傷其他組衾 知 又大之骨鑽孔針雖可將其外套管當成工作1 相對造成周邊其& ， 月、、且織崩塌破損的機率便提高。 三、 醫師丰# 1 t T街動作時，面對尖銳且長的工具會羞 大的心理負擔，交旦山 4易出錯。 四、 目前祐么 無一套可安全穩定的骨鑽孔、擴孔工 置可供醫師補助使用。 【發明内容】 特別 釘管 中， 工具 全的 :制、 鑽孔 穿刺 套管 與動 ，但 生極 具裝 5 1293245 ,、解决之技術問題點：其問題點在於骨鑽孔針前端相 田大銳谷易刺傷其他組織，或較大之骨鑽孔針雖可將其 外套管當成卫作管，但相對造成周邊骨組織崩塌破損的機 率便提高’或醫師手術動㈣，面對尖銳且長的工具會產 生極大的心理負擔，容易出錯，4目前並無-套可安全穩 定的月鑽孔、擴孔工具裝置可供醫師輔助使用。 解決問題之技術特點： 於疋本發明之特點一，在提供一種經皮導引骨擴孔工 具裝置。 隹杈供一種包含一鈍頭導 本發明之特點 引螺釘管相配合層套之經皮導引骨擴孔工具裝置 本發明之特點二，在提供—種該鈍頭導針經皮穿入一 月組織中’該導引螺釘管套入該鈍頭導針且咬合於該骨翻 織中ϋ作管得沿該導引螺針管穿刺人該骨組織中之 經皮導引骨擴孔工具裝置。 本發明之特點四，在提供—種該導引螺針管以一平頭 隹二螺牙奴螺鉍咬合於該骨組織中之經皮導引骨擴孔 工具裝置。 本發明m，在提供—種該鈍頭導針—端進一步 ::狀端或一球頭端’及進一步包含一握柄，可活動與 導引螺釘管相連接施力之經皮導引骨擴孔工且裝置。 於包：本發明之一種經…骨擴孔工具裝置:、其特徵在 一純頭導針，一端為純狀·Do and do & In this way, the D-holes that may be dangerous are quite sharp, and it is easy to stab other groups. The bones of the drilled needles can be used as the work 1 relative to the surrounding casing. The probability of collapse and damage increases. Third, physician Feng # 1 t T Street action, face sharp and long tools will be awkward psychological burden, Jiaodanshan 4 error-prone. 4. At present, there is no safe and stable bone drilling and reaming facility for physicians to use. [Summary of the Invention] In the special nail tube, the tools are all: the system, the drilling and puncture casing and the movement, but the living pole is equipped with 5 1293245, and the technical problem is solved: the problem lies in the front end of the bone drilling needle Gu Yi stabs other tissues, or the larger bone drilling needle can treat the outer casing as a Wei tube, but the chance of causing the surrounding bone tissue to collapse and damage is improved' or the doctor's operation (4), facing sharp and long The tool will have a great psychological burden and is easy to make mistakes. 4 There is no set of safe and stable monthly drilling and reaming tools for doctors to use. Technical Features for Solving the Problem: According to a feature of the present invention, a percutaneous guiding bone reaming tool device is provided. The present invention provides a percutaneous guiding bone reaming tool device comprising a blunt-headed guide screw sleeve matching layer sleeve. The second aspect of the present invention provides a percutaneous penetration of the blunt needle. In the lunar tissue, the guiding screw tube is inserted into the blunt-ended guide pin and is engaged in the tumbling of the bone, and the percutaneous guiding bone reaming tool device is pierced in the bone tissue along the guiding screw tube. . According to a fourth aspect of the present invention, there is provided a percutaneous guiding bone reaming tool device for the guiding screw needle to be engaged in the bone tissue by a flat head. The present invention m provides a blunt guide needle-end: a further end: a ball end or a ball end end and a percutaneous guiding bone that is movable and connected to the guide screw tube Reaming and installation. In the package: a bone reaming tool device of the present invention: characterized by a pure head guide pin, one end of which is pure.
6 1293245 一導引螺釘管，一端成一平頭錐部，外表面由該平頭 錐部向另一端設有一螺牙段； 該鈍頭導針以鈍狀端，經皮穿入一預刺一小孔之骨組 織中’该導引螺釘管以其一通孔穿套入該鈍頭導針中，及 以該平頭錐部及螺牙段螺旋咬合於該骨組織中，使一管巧 恰套入該導引螺釘管之工作管，得沿該導引螺釘管穿刺入 該骨組織中。6 1293245 A guiding screw tube having a flat taper at one end, the outer surface of which is provided with a threaded section from the flat taper portion to the other end; the blunt-ended guide pin has a blunt end and percutaneously penetrates a pre-spun hole In the bone tissue, the guiding screw tube is inserted into the blunt needle with one through hole, and the flat cone and the screw segment are spirally engaged in the bone tissue, so that a tube fits into the bone tissue The working tube guiding the screw tube is inserted into the bone tissue along the guiding screw tube.
上述之經皮導引骨擴孔工具裝置，其中該鈍頭導針一 端進一步為一球頭，可穿過該導引螺釘管之通孔。 上述之經皮導引骨擴孔工具裝置，其進一步包含一握 柄，設有一承座可活動與該導引螺釘管另一端之一施力接 部相連接’該承座設有一穿?L，該鈍頭導針可活動穿過該 穿孔，沿該導引螺釘管之通孔穿出該平頭錐部。 本發明中所定義之相對位置 手術使用時，手持該經皮導引骨擴孔工具裝置，同使用 目視方向為前，反之為後，相 不目對於該則、後二端之周邊 則為侧邊。 n建 對照先前技術之功效： 他組織，並提供一套可安全 可供醫師輔助使用，對周邊 減少，使醫生沒有心理負擔 【實施方式】 為進一步說明本發明 實施方式如下： 提供一種鈍頭導針不會刺傷其 穩定的骨鑽孔、擴孔工具裝置 骨組織崩塌破損的機率便大幅 ’本發明具功效增進。 线以較佳具體例配合圖式說明 1293245 圖1中，本發明一經皮導骨 、 夂導引月擴孔工具裝置10，包含 一鈍頭導針2 0、一導引螺釘營3 〇， 吕 及一握柄40。該鈍頭 導針20 -端為鈍狀的球頭端21，該導^螺釘管中央且 有-通孔3卜一端成一平頭錐部32，管身外表面由該平頭 錐部32’向另一端設有一細螺牙段33,另一端則設有一施 力接部3 4 ’該握柄4 0設有一 7¾ 41 -r 頁承座41，可活動與該導引螺 釘管30之施力接部34相連接，該承座41設有一穿孔42, 該鈍頭導針20可活動穿過該穿孔42，及沿該導引螺釘管 30之通孔31穿出該平頭錐部32。 圖2中，本發明在實際手術應用時，為於一受損骨絡 組織，如一脊椎骨節50上，先以一骨鑽孔針6〇直接穿入 經過皮膚與肌肉組織52，而在脊椎骨節5〇椎弓根53處扎 刺一小孔54。 圖3中，將該骨鑽孔針60中央的一刺針取出，留下該 一外套管61，並將本發明之該鈍頭導針2〇，以其鈍狀球頭 ♦端21，穿入該外套管61中，安全的深入至該脊椎骨節5〇 之椎體5 5内。 圖4中，將該骨鑽孔針60之外套管61取出，將該純 頭導針20留置於原位，且由於該鈍頭導針20前端為球頭 狀21，故可以很安全，不至於會有刺穿該脊椎骨節5〇之 椎體5 5情況產生。 圖5中，將該導引螺釘管3 0結合該握柄4 〇，並以其 通孔31、穿孔42套入該鈍頭導針20上，再以該純頭導針 2 0為導引，精由#亥握柄4 0施力，由該平頭錐部3 2將該細 1293245 螺牙段33管身之暮31加 累釘管3 0，穩固螺旋咬合於該脊椎 骨節5 0之椎弓根5 3處。 圖6中，將該鈍頭導針20及該握柄40取下取出，將 該導引敎管30留置於原位，且由於該螺牙段33可穩固 咬合於該脊椎骨節50之椎弓根53上，故可以對後續手術 作業’形成具有一較大直徑，且更具導引穩定性之大導針 作用。 圖7中取官备稍大，恰可套入該導引螺釘管3 0 之作e 7 0通承此即為一般脊椎灌漿手術所使用之工作 官70，沿該導引螺釘管3〇之導引，不會左右偏離，也不 會改變角度下’順利安全的穿刺過該脊椎骨節5〇的椎弓根 53 ’到達可進行脊椎灌漿手術的椎體55内位置。 圖8中’將該導引螺釘管30再次結合該握柄40，並 反向旋轉由該脊椎骨節50中取出，將該工作管70留置於 :位’便安全且穩定的達成小創σ、直接穿經皮膚及肌肉 、、2不損及其他骨絡、神經或血管組織的骨擴孔工 作而後續的脊椎灌漿管件等，便可經由該工作管7〇進入 至該脊椎骨節50椎體55中，進行手術。 由上述可知，一種經皮導引骨擴孔方法，該方法為： a •先以一骨鑽孔針直接穿入經過皮膚與肌肉組織， 而在脊椎骨節椎弓根處扎刺一小孔； b ·將骨鑽孔針中央的刺針取出，留下外套管，並將 員導針以鈍狀球頭端穿入外套管中，安全的深入至脊椎 骨節之椎體内； 1293245 c ·將骨鑽孔針之外套管取出，鈍頭導針留置於原也 純頭導針别知為球頭狀，故可以很安全’不至於會有刺 、該脊椎骨節之椎體情況產生； d 將導引螺釘管結合握柄，姐以其通孔、穿孔套 X鈍頭、針上，再以鈍頭導針為導引，藉握柄施力，由 平頭錐部將該細螺牙段管身之導引螺釘管，穩固螺旋咬 於該脊椎骨節之椎弓根處； . e ·將鈍頭導針及該握柄取下取出，導引螺釘管留 於原位’且由於該螺牙段可穩固咬合於該脊椎骨節之椎 根上’故可以對後續手術作業，形成具有一較大直徑， 更具導引穩定性之大導針作用； f ·取一管徑稍大，恰可套入該導引螺釘管之工作管 通常此即為一般脊椎灌漿手術所使用之工作管，沿該導 螺釘管之導引，不會左右偏離，也不會改變角度下，順 安全的穿刺過該脊椎骨節的椎弓根，到達可進行脊椎灌 ®手術的椎體内位置； g ·將導引螺釘管再次結合握柄，並反向旋轉由該 椎骨節中取出，工作管留置於原位； 藉此方法，便女全且穩定的達成小創口、直接穿經 膚及肌肉組織，不損及其他骨骼、神經或血管組織的骨 孔工作，而後續的脊椎灌漿管件等，便可經由該工作管 入至該脊椎骨節椎體中，進行手術者。 【圖式簡單說明】 圖1 ··為本發明一經皮導引骨擴孔工具裝置之較佳具韻 穿 入 該 合 置 弓 且 引 利 漿 脊 皮 擴 進 例 10 1293245 不意圖。 圖2 :為該經皮導引骨擴孔工具裝置之實際手術應用示意 步驟一圖。 圖3 :為該經皮導引骨擴孔工具裝置之實際手術應用示意 步驟二圖。 圖4 :為該經皮導引骨擴孔工具裝置之實際手術應用示意 步驟三圖。 圖5 :為該經皮導引骨擴孔工具裝置之實際手術應用示意The above-described percutaneous guiding bone reaming tool device, wherein the blunt tip pin is further a ball end which can pass through the through hole of the guiding screw tube. The percutaneous guiding bone reaming tool device further includes a handle, and a socket is movable to be connected with one of the other ends of the guiding screw tube. The bearing is provided with a wearer. The blunt guide pin can move through the through hole and pass through the through taper of the guide screw tube. When the relative position defined in the present invention is used in operation, the percutaneous guiding bone reaming tool device is hand-held, and the visual direction is the same as the front direction, and vice versa, the opposite side is the side of the rear and the rear end. side. n builds the efficacy of the prior art: he organizes and provides a set that can be safely used by the physician to assist the use, reducing the periphery, so that the doctor has no psychological burden. [Embodiment] To further illustrate the embodiments of the present invention as follows: Provide a blunt guide The needle does not stab its stable bone drilling, and the probability of collapse and damage of the bone tissue of the reaming tool device is greatly improved. 1 is a preferred embodiment of the present invention. FIG. 1 shows a percutaneous bone guiding and sacral guiding reaming tool device 10, comprising a blunt guide needle 20, a guiding screw camp 3 〇, LV And a handle 40. The blunt-ended guide pin 20-end is a blunt-shaped ball-end end 21, the center of the guide screw tube has a through-hole 3 and a flat taper portion 32, and the outer surface of the tube body is directed to the other by the flat taper portion 32' One end is provided with a thin screw segment 33, and the other end is provided with a force applying portion 3 4 '. The handle 40 is provided with a 73⁄4 41 -r page bearing seat 41 movable to be coupled with the guiding screw tube 30 The portion 34 is connected, and the socket 41 is provided with a through hole 42 through which the blunt guide pin 20 can move, and the flat taper 32 passes through the through hole 31 of the guide screw tube 30. In Fig. 2, in the actual surgical application, the present invention is for a damaged bone tissue, such as a vertebra 50, which is directly penetrated through the skin and muscle tissue 52 by a bone drilling needle 6 in the spine joint. 5 vertebral pedicle 53 puncture a small hole 54. In Fig. 3, a lancet in the center of the bone boring needle 60 is taken out, leaving the outer sleeve 61, and the blunt guide needle 2 of the present invention is punctured with its blunt ball end 211 end 21 In the outer cannula 61, it is safe to penetrate into the vertebral body 5 5 of the vertebrae. In Fig. 4, the cannula 61 is taken out of the bone drilling needle 60, the pure needle guide needle 20 is left in place, and since the front end of the blunt needle guide pin 20 is in the shape of a ball head 21, it can be safe, not As for the vertebral body 5 5 that pierces the vertebrae. In FIG. 5, the guiding screw tube 30 is coupled to the handle 4 〇, and the through hole 31 and the through hole 42 are inserted into the blunt guide pin 20, and the pure head guide pin 20 is used as a guide. , fine by #海握柄40 0 force, from the flat head taper 3 2 the thin 1293245 screw segment 33 body 暮 31 plus the nail tube 3 0, the stable spiral bite the vertebrae 5 0 5 roots at the root of the bow. In FIG. 6, the blunt guide pin 20 and the handle 40 are removed and taken out, the guide fistula 30 is left in place, and the screw segment 33 can be firmly engaged with the vertebral arch of the vertebra 50. The root 53 is used to form a large guide pin having a larger diameter and more guiding stability for subsequent surgical operations. In Figure 7, the official preparation is slightly larger, just fit into the guiding screw tube 30. The e 70 is the general officer 70 used in the general spinal grouting operation, along which the guiding screw tube 3 Guided, will not deviate from the left and right, nor will it change the position of the vertebral body 53 that can smoothly perform safely puncture through the vertebral pedicle 53 of the vertebral segment 5 to reach the position of the vertebral body 55 that can perform spinal implant surgery. In Fig. 8, the guide screw tube 30 is re-engaged with the grip 40, and the reverse rotation is taken out from the vertebra joint 50, leaving the working tube 70 at the position of 'safety and stable to achieve a small sigma σ, Directly through the skin and muscles, 2 does not damage the bone reaming of other bone, nerve or vascular tissue and the subsequent spinal grouting tube, etc., can enter the vertebral body 50 vertebral body 55 through the working tube 7 In the middle, surgery is performed. As can be seen from the above, a percutaneous guiding bone reaming method is as follows: a: First, a bone drilling needle is directly inserted through the skin and muscle tissue, and a small hole is punctured at the vertebral pedicle of the vertebra; b. Take out the needle in the center of the bone drilling needle, leaving the outer cannula, and insert the needle into the outer cannula with the blunt ball end, safely penetrate into the vertebral body of the vertebrae; 1293245 c · bone The cannula is taken out of the cannula, and the blunt-ended guide pin is left in the original and the pure-headed guide pin is known as a ball-shaped head, so it can be safely 'not to have a thorn, the vertebral body of the vertebrae; d will guide The screw-in tube is combined with the grip, and the sister uses the through hole, the perforated sleeve X blunt head, the needle, and then the blunt-headed guide pin as a guide, and the force is applied by the grip, and the thin screw section is controlled by the flat head taper. a guiding screw tube, a solid spiral bite at the pedicle of the vertebrae; e) removing the blunt guide needle and the handle, and guiding the screw tube to the original position and due to the screw segment It can be firmly engaged on the vertebral root of the vertebral joint, so it can be formed into a larger diameter for subsequent surgical operations. A large guide needle with better guiding stability; f · Take a tube with a slightly larger diameter, just fit into the guiding screw tube. This is usually the working tube used in general spinal grouting surgery. The guide of the screw tube will not deviate from the left or right, nor will it be safely puncture through the pedicle of the vertebrae to reach the position of the vertebral body for spinal irrigation® surgery; g · guide screw The tube is combined with the handle again, and the reverse rotation is taken out from the vertebral segment, and the working tube is left in place; by this method, the female wound is fully and stably achieved small wound, directly through the skin and muscle tissue, without damaging other The bone hole of the bone, nerve or blood vessel tissue works, and the subsequent spinal grouting tube member and the like can be inserted into the vertebral body vertebral body through the working tube to perform the operation. BRIEF DESCRIPTION OF THE DRAWINGS Fig. 1 is a preferred embodiment of a percutaneous guided bone reaming tool device of the present invention. The plucking of the scalp is carried out and the scalp is expanded. Example 10 1293245 is not intended. Figure 2: A schematic diagram of the actual surgical application of the percutaneous guided bone reaming tool device. Figure 3: Schematic diagram of the actual surgical application of the percutaneous guided bone reaming tool device. Figure 4: Schematic diagram of the actual surgical application of the percutaneous guided bone reaming tool device. Figure 5: Schematic diagram of the actual surgical application of the percutaneous guided bone reaming tool device
圖6 :為該經皮導引骨擴孔工具裝置之實際手術應用示意 步驟五圖。 圖7 :為該經皮導引骨擴孔工具裝置之實際手術應用示意 步驟六圖。 圖8 :為該經皮導引骨擴孔工具裝置之實際手術應用示意 步驟七圖。 • 【主要元件符號說明】 10 經皮導引骨老 齡孔工具裝置 20 鈍頭導針 21 鈍狀球頭端 30 導引螺釘管 31 通孔 32 平頭錐部 33 螺牙段 34 施力接部 40 握柄 41 承座 42 穿孔 50 脊椎骨節 52 皮膚與肌肉組織 53 椎弓根 54 小穿孔 11 1293245 55 椎體 60 骨鑽 孔針 61 外套管 70 工作 管Figure 6 is a schematic diagram of the actual surgical application of the percutaneous guided bone reaming tool device. Figure 7 is a schematic view of the actual surgical application of the percutaneous guided bone reaming tool device. Figure 8 is a schematic diagram of the actual surgical application of the percutaneous guiding bone reaming tool device. • [Main component symbol description] 10 Percutaneous guiding bone ageing hole tool device 20 Blunt head guide pin 21 Blunt ball end 30 Guide screw tube 31 Through hole 32 Flat head taper 33 Screw section 34 Force contact 40 Grip 41 socket 42 perforation 50 vertebrae 52 skin and muscle tissue 53 pedicle 54 small perforation 11 1293245 55 vertebral body 60 bone drilling needle 61 outer cannula 70 working tube
1212