CN102028528A - Memory alloy minimally-invasive chest wall orthopedic system - Google Patents
Memory alloy minimally-invasive chest wall orthopedic system Download PDFInfo
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- CN102028528A CN102028528A CN 201110005310 CN201110005310A CN102028528A CN 102028528 A CN102028528 A CN 102028528A CN 201110005310 CN201110005310 CN 201110005310 CN 201110005310 A CN201110005310 A CN 201110005310A CN 102028528 A CN102028528 A CN 102028528A
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Abstract
The invention belongs to a medicinal instrument, and particularly relates to a memory alloy minimally-invasive chest wall orthopedic system for chest wall deformity correction. The system comprises an upper chest wall scaffold and a lower chest wall scaffold; the upper and lower chest wall scaffolds are used by combining; two ends of the chest wall scaffolds are wedge-shaped, and the middle positions of the chest wall scaffolds are provided with a circular through hole for fixing the upper and lower chest wall scaffolds respectively; the upper chest wall scaffold is slightly longer than the lower chest wall scaffold, and the initial shapes of the chest wall scaffolds are slightly arc-shaped to adapt different parts of the chest wall; the widths and the lengths of the upper and lower chest wall scaffolds have different specifications to adapt the treatment requirements of different conditions; and the chest wall scaffolds are made of memory alloy with proper performance. By combining the metal properties of the memory alloy and a minimally-invasive operation method, the system reduces the injury of the operation to a patient as much as possible in chest wall orthopedic treatment, is convenient for operation, achieves optimal operation effect by adopting personalized treatment according to the specific conditions of different patients, assists most patients in improving the appearances of the chest walls, and promotes the improvement on cardio-pulmonary function.
Description
Technical field
The invention belongs to medical apparatus and instruments, relate in particular to a kind of corrigent memorial alloy of chest wall deformity Wicresoft thoracic wall orthopedic system that is used for.
Background technology
Chest wall deformity can be divided into congenital and posteriority.Congenital deformity of chest wall mostly is the congenital development deformity, mainly comprises funnel chest, pigeon chest, flat chest etc.Funnel chest and pigeon chest are in the congenital deformity of chest wall modal two kinds, and wherein a part of case is for only being that rib due to the partial raised or sunken and chest wall deformity of thoracic wall turns up etc.; The posteriority chest wall deformity, how by due to the wound, the thoracic wall that causes as many many places fractures of rib subsides, flail chest, and some is the trophism factor, the Hao Shi ditch that causes as vitamin D deficiency.Chest wall deformity, no matter be unusual projection or depression, the capital exerts an influence to thorax, the front and back radial line of thorax is strengthened unusually or dwindle, amplitude of respiration weakens, and the normal operation to organ functions such as thorax heart, lungs exerts an influence then, and tachypnea, symptom such as weak can appear in part patient, other except deformity itself to breathing and circulatory function caused damage, the while, odd-shaped outward appearance also can impact aspects such as patients ' psychologicals.
Aspect the operative treatment chest wall deformity, in the past open surgery that need osteotomy that adopt often adopt thoracic wall to praise art, sterno turnover operation as funnel chest more, and pigeon chest often adopts breastbone sedimentation art, and this kind operation wound is big, and is hemorrhage many, and the post-operative recovery time is long.And for the less thoracic wall of scope partial unusual protruding or the depression processing, Clinical Processing is more thorny, in the past expectant treatments of taking more, as the row operative treatment, the same substantially funnel chest of art formula, pigeon chest bone-culting operation, mostly be the method for the local unnecessary capable thoracic wall molding of rib costicartilage of operation amputation, this kind art formula complicated operation, hemorrhage many, wound is big, the hospital stays is long, postoperative has reduced the thoracic cavity volume, postoperative recurrence rate height, and the bigger cicatrix of chest influences attractive in appearance.
In recent years along with the development of medical science, the treatment of chest wall deformity funnel chest, pigeon chest is replaced by Minimally Invasive Surgery gradually.The Minimally Invasive Surgery method of chest wall deformity need not gone big operative incision, does not need the flial chest tissue, and surgical injury is little, and intraoperative hemorrhage is few, can place personalized support according to the degree of different patient's chest wall deformity in the art, to reach good surgical effect.Aspect the medical apparatus and instruments material of chest wall deformity operation use, in the past medical stainless steel or titanium alloys of adopting more, and the memorial alloy good biocompatibility, be better than medical stainless steel, at vascular surgery, be used widely in a plurality of fields such as mouth cavity orthodontic, have shape memory and super-elasticity function simultaneously, can in certain temperature range, change the shape of alloy to make things convenient for operation technique, when surpassing deformation temperature, memorial alloy can recover original shape again automatically, and in the memorial alloy deformation process, its resistance of deformation changes little with the increase of deformation quantity, what the patient felt is an outside all the time lasting and soft strength, can realize continuing orthopedic slowly.
Turn up at treatment thoracic wall local dent or projection, rib, the Hao Shi ditch, and fracture of rib aspect, at present still there are not the operation method of minimally-invasive treatment and special operating theater instruments, and a kind of so just memorial alloy Wicresoft thoracic wall orthopedic system of using Minimally Invasive Surgery principle and memorial alloy metallic character of the present invention.
Summary of the invention
The purpose of this invention is to provide a kind of memorial alloy Wicresoft thoracic wall orthopedic system that can be used for the chest wall deformity treatment, by this device, can make things convenient for firm correction chest wall deformity, shorten operating time, reduce operation wound, improve operation technique efficient, correct lopsided outward appearance, improve the effect of organ function to reach.
To achieve these goals, the present invention takes following design: memorial alloy Wicresoft thoracic wall orthopedic system, and it comprises thoracic wall support 1 and lower breast wall bracket 2; Last thoracic wall support 1 and lower breast wall bracket 2 need be used in combination; Last thoracic wall support 1 and lower breast wall bracket 2 are the bracing frame that respectively there is a manhole 101 in the centre position, two ends, and manhole 101 usefulness fix and go up thoracic wall support 1 and lower breast wall bracket 2; Last thoracic wall support 1 and lower breast wall bracket 2 two ends are wedge shape 102, and last thoracic wall support 1 is slightly long than lower breast wall bracket 2, and support width can be consistent or inconsistent; The original shape of last thoracic wall support 1 and lower breast wall bracket 2 slightly is circular arc, and the angle of concrete circular arc has plurality of specifications, to adapt to the different parts of thoracic wall; The width of last thoracic wall support 1 and lower breast wall bracket 2 and the length specification of having nothing in common with each other is to adapt to the needs of different parts, different deformity treatment; Last thoracic wall support 1 and lower breast wall bracket 2 adopt the suitable memorial alloy of performance to make.
The invention has the beneficial effects as follows, in thoracic wall orthomorphia process, method by using memory alloying metal characteristic and Wicresoft's thoracic wall orthomorphia, do not need to go again big operative incision, do not need the flial chest tissue, damage to the patient reduces to perform the operation, reduce intraoperative hemorrhage, make things convenient in the art and operate, can place personalized support according to the situation of different patient's chest wall deformity in the art,, help extensive patients to improve the thoracic wall outward appearance to reach good surgical effect, promote the growth of cardiopulmonary and the improvement of function thereof, they are regained confidence.
Description of drawings
Fig. 1 memorial alloy of the present invention Wicresoft thoracic wall orthopedic system sketch map
Thoracic wall support sketch map in Fig. 1-a the present invention
Fig. 1-b lower breast wall bracket of the present invention sketch map
Fig. 1-c thoracic wall bracket end of the present invention structural representation
Fig. 2 thoracic wall orthopedic front and back sketch map that caves in
Fig. 2-a thoracic wall orthopedic front view that caves in
Fig. 2-b thoracic wall orthopedic lateral side view that caves in
The orthopedic front and back of Fig. 3 thoracic wall projection sketch map
Fig. 3-orthopedic the front view of a thoracic wall projection
Fig. 3-orthopedic the lateral side view of b thoracic wall projection
The orthopedic front and back of Fig. 4 fracture of rib sketch map
Fig. 4-orthopedic the front perspective view of a fracture of rib
Fig. 4-orthopedic the rear view of b fracture of rib
The specific embodiment
As shown in Figure 1, apparatus of the present invention comprise thoracic wall support 1 and lower breast wall bracket 2.The two ends of thoracic wall support are designed to wedge shape, conveniently penetrate in the chest wall soft tissue and the thoracic cavity in; Respectively there is a through hole at thoracic wall support two ends, make things convenient for fixation with steel wire after placing the thoracic wall support; Because of thoracic wall has certain radian,, specifically select the thoracic wall support of different radians according to practical situation so support also is designed to certain radian; Last thoracic wall support 1 is slightly long than the lower breast wall bracket, and the width of thoracic wall support can be consistent; Because of the scope of actual chest wall deformity has size not, so when reality is used, select the thoracic wall support of different length, width according to the size of scope, general range is bigger, can select to grow, the thoracic wall support of broad; The material of thoracic wall support all adopts memorial alloy to make up and down, has configured concrete deformation temperature when making.
Operation principle of the present invention and process are as follows:
Before the operation, inspections such as all conventional row o n plain chest films of patient, breast CT, electrocardiogram and pulmonary function are with situations such as assessment cardio-pulmonary function, the lopsided orders of severity.Measure the scope of patient's deformity thoracic wall before the art, select suitable upper and lower thoracic wall support.After the operation beginning, the patient gets dorsal position, two upper limb abductions, at chest wall deformity scope each row 0.5cm-1cm little otch up and down, successively cut skin subcutaneous tissue 3, set up little tunnel under chest wall soft tissue between two otch, the tunnel size is can hold the thoracic wall support by getting final product.The assistant carries out the low-temperature deformation operation to upper and lower thoracic wall support on platform simultaneously, and the thoracic wall deformation of timbering is used with convenient.The Ipsilateral intrathoracic is gone into thoracoscope, advances breast by guiding device from an otch wherein under thoracoscope monitors, passes from another incision.After passing, guiding device head end band guide wire or guide wire are recalled by former road under thoracoscope monitors, guide wire or guide wire are placed between two otch.To before art, bring in the thoracic cavity by guide wire or guide wire by the selected lower breast wall bracket of actual measurement, standby.Re-use guiding device and pass the hypodermic tunnel of setting up before, thoracic wall support 1 penetrates in the chest wall soft tissue in the guiding.Respectively there is a through hole at last thoracic wall support 1 and lower breast wall bracket 2 two ends, and the through hole of thoracic wall support one side is connected and fixed with steel wire up and down respectively.Memorial alloy thoracic wall support returns to original state gradually in the rising gradually of back along with body temperature that implant, and the thoracic wall support is promptly started working, and rib 4 depressions are lifted gradually, and rib 4 projectioies descend gradually, the involutory reparation of rib 4 fracture, and orthopedic effect manifests gradually.Fig. 2 is the thoracic wall orthopedic front and back effect sketch map that caves in, and Fig. 3 is the orthopedic front and back of thoracic wall projection effect sketch maps, and Fig. 4 is the orthopedic front and back of fracture of rib effect sketch maps.
Postoperative patient needs periodic review, as is fracture of rib due to the wound, and 2-3 takes out the thoracic wall support after the month after surgery; As turning up for congenital chest wall deformity, Hao Shi ditch, rib etc., can be according to the orthopedic situation of thoracic wall 1-3 after surgery, even the longer time is taken out the thoracic wall support.When the thoracic wall support takes out operation, get former operative incision, after an end is cut off and taken out steel wire, extract the thoracic wall support outward from another incision.Extract difficulty as the thoracic wall support, can make the thoracic wall deformation of timbering softening with the wet gauze external application that is lower than deformation temperature at the thoracic wall skin surface, the lower breast wall bracket can to make it distortion softening and be easy to take out with the thoracic wall support being lowered the temperature under the thoracoscope operation with method.
Claims (8)
1. a memorial alloy Wicresoft thoracic wall orthopedic system is characterized in that this device comprises thoracic wall support (1) and lower breast wall bracket (2); Described upward thoracic wall support (1) and lower breast wall bracket (2) need be used in combination.
2. memorial alloy according to claim 1 Wicresoft thoracic wall orthopedic system is characterized in that: describedly go up thoracic wall support (1) and lower breast wall bracket (2) is the bracing frame that respectively there is a manhole (101) in the centre position, two ends; Described manhole (101) is gone up thoracic wall support (1) and lower breast wall bracket (2) with fixing.
3. memorial alloy according to claim 1 Wicresoft thoracic wall orthopedic system is characterized in that: describedly go up thoracic wall support (1) and lower breast wall bracket (2) two ends are wedge shape (102).
4. memorial alloy according to claim 1 Wicresoft thoracic wall orthopedic system is characterized in that: described to go up thoracic wall support (1) slightly long than lower breast wall bracket (2), and support width can be consistent or inconsistent.
5. memorial alloy according to claim 1 Wicresoft thoracic wall orthopedic system, it is characterized in that: the described original shape of going up thoracic wall support (1) and lower breast wall bracket (2) slightly is circular arc, the angle of concrete circular arc has plurality of specifications, to adapt to the different parts of thoracic wall.
6. memorial alloy according to claim 1 Wicresoft thoracic wall orthopedic system is characterized in that: the described width of going up thoracic wall support (1) and lower breast wall bracket (2) and the length specification of having nothing in common with each other, and to adapt to the needs of different parts, different deformity treatment.
7. memorial alloy according to claim 1 Wicresoft thoracic wall orthopedic system is characterized in that: describedly go up thoracic wall support (1) and lower breast wall bracket (2) is the bracing frame that respectively there is a manhole (101) in the centre position, two ends; Described manhole (101) is gone up thoracic wall support (1) and lower breast wall bracket (2) with fixing; Described upward thoracic wall support (1) and lower breast wall bracket (2) two ends are wedge shape (102); The described thoracic wall support (1) of going up omits length than lower breast wall bracket (2), and support width can be consistent or inconsistent; The described original shape of going up thoracic wall support (1) and lower breast wall bracket (2) slightly is circular arc; The described width of going up thoracic wall support (1) and lower breast wall bracket (2) and the length model specification of having nothing in common with each other.
8. according to the described memorial alloy of any claim Wicresoft thoracic wall orthopedic system in the claim 1 to 7, it is characterized in that: described upward thoracic wall support (1) and lower breast wall bracket (2) adopt the suitable memorial alloy of performance to make.
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| CN 201110005310 CN102028528B (en) | 2011-01-12 | 2011-01-12 | Memory alloy minimally-invasive chest wall orthopedic system |
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| CN 201110005310 CN102028528B (en) | 2011-01-12 | 2011-01-12 | Memory alloy minimally-invasive chest wall orthopedic system |
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| CN102028528B CN102028528B (en) | 2013-04-03 |
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Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1917823A (en) * | 2004-02-16 | 2007-02-21 | Sic布里维蒂有限公司 | Sternum reinforcing device to be used after a sternotomy or a sternal fracture |
| CN201341942Y (en) * | 2009-01-08 | 2009-11-11 | 曾骐 | Novel special instrument for minimally invasive treatment of chest wall deformity |
| CN201586061U (en) * | 2009-12-25 | 2010-09-22 | 常州华森医疗器械有限公司 | Thoracic cage orthotast |
| CN201631363U (en) * | 2010-03-24 | 2010-11-17 | 姜敏炎 | Rib fixing steel plate |
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2011
- 2011-01-12 CN CN 201110005310 patent/CN102028528B/en active Active
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1917823A (en) * | 2004-02-16 | 2007-02-21 | Sic布里维蒂有限公司 | Sternum reinforcing device to be used after a sternotomy or a sternal fracture |
| CN201341942Y (en) * | 2009-01-08 | 2009-11-11 | 曾骐 | Novel special instrument for minimally invasive treatment of chest wall deformity |
| CN201586061U (en) * | 2009-12-25 | 2010-09-22 | 常州华森医疗器械有限公司 | Thoracic cage orthotast |
| CN201631363U (en) * | 2010-03-24 | 2010-11-17 | 姜敏炎 | Rib fixing steel plate |
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