CN104138293A - Lumbosacral vertebrae percutaneous pedicle screw placement positioner - Google Patents
Lumbosacral vertebrae percutaneous pedicle screw placement positioner Download PDFInfo
- Publication number
- CN104138293A CN104138293A CN201310187271.8A CN201310187271A CN104138293A CN 104138293 A CN104138293 A CN 104138293A CN 201310187271 A CN201310187271 A CN 201310187271A CN 104138293 A CN104138293 A CN 104138293A
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- guide groove
- guiding groove
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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
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
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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
- A61B17/90—Guides therefor
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- Orthopedic Medicine & Surgery (AREA)
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Abstract
The invention discloses a lumbosacral vertebrae percutaneous pedicle screw placement positioner which is used for determining pedicle puncture points according to imaging data of a patient, adjusting puncture paths in a three-dimensional manner and positioning multiple pedicles once. The positioner comprises a rectangular frame formed by connection of two long strips provided with guiding grooves and two short strips provided with guiding grooves, wherein each long strip or each short strip can move horizontally along the guiding grooves in the two adjacent short strips or along the guiding grooves in the two adjacent long strips; an adjusting rod provided with a guiding groove is mounted on one long strip, can move transversely along the guiding groove in the long strip and can also move longitudinally along the guiding groove of the adjusting rod; a large-angle plate provided with an arc-shaped guiding groove I is connected with one end of the adjusting rod, a sliding block I is arranged on the arc-shaped guiding groove I to be connected with a small-angle plate provided with an arc-shaped guiding groove II; the small-angle plate can rotate along the arc-shaped guiding groove I of the large-angle plate; a sliding block II is arranged on the arc-shaped guiding groove II of the small-angle plate to be connected with a guiding pipe; the guiding pipe can rotate along the arc-shaped guiding groove II of the small-angle plate and is used for guiding in puncture screws.
Description
Technical field
The present invention relates to a kind of medical apparatus and instruments, relate in particular to a kind of waist sacral percutaneous cervical arc root screw and insert localizer.
Background technology
Percutaneous cervical arc root External technique starts from 1977, and spinal column external fixator (external spinal skeletal fixation, ESSF) is applied to spinal fracture patient and has obtained good clinical efficacy.In recent years, especially along with the development of minimally invasive spine surgery, percutaneous cervical arc root screw technology has become minimally invasive spine surgery (MMISS, minimally invasive spine surgery) basic fundamental means, are applied to diagnosis or treatment to spinal fracture, lumbar spondylolisthesis, osteoporosis, percutaneous Vertebroplasty and rear protruding shaping, Mechanical back pain, discogenic disease gradually.But traditional percutaneous puncture, insert pedicle screw operation technique and have more limitation and drawback, such as: during operation, often need repeated multiple times C type arm guide of fluoroscopy or correct to complete smoothly, this has increased patient and patient's x line exposed amount and has extended operating time, and operation accuracy is also difficult to guarantee.There are at present navigation, ultrasonic scanning navigation by means of computer assisted virtual x-ray airmanship, CT scan, all can make inserting smoothly of percutaneous cervical arc root screw be accomplished, puncture degree of accuracy is higher, but equipment needed thereby is expensive, cost is quite high, is difficult to popularization and application clinically.Chinese scholars is implanted location with regard to percutaneous radix arcus vertebraetube nail and has been developed multiple percutaneous cervical arc root location aid device at present, but deposit complex structure, trivial operations more, deviations is large, invasive is high and the shortcoming such as expensive, real comparatively desirable positioning equipment is report not still at present.
Summary of the invention
For solving the deficiencies in the prior art, the invention provides a kind of waist sacral percutaneous cervical arc root screw and insert localizer, for determining vertebral pedicle puncture point according to the preoperative imaging data related data of patient, three-dimensional regulation puncture path, realizes a plurality of pedicle of vertebral arch one-time positioning.
For solving the problems of the technologies described above, technical scheme of the present invention is: a kind of waist sacral percutaneous cervical arc root screw is inserted localizer, comprise by two rectangular and two rectangular frames that billet is formed by connecting with gathering sill, each rectangular or billet can both along its adjacent two billets or rectangular on gathering sill translation, device for installing and adjusting on described rectangular frame, this adjusting device comprises the adjusting lever of tape guide groove, this adjusting lever is arranged on described rectangular upper and can be along the gathering sill transverse shifting on its installation rectangular, also can vertically move along the gathering sill of self, in the end of this adjusting lever, be connected with the big angle scale with arc guide groove, this arc guide groove is provided with slide block in order to the low-angle dish of connecting band arc guide groove, this low-angle dish can rotate along the arc guide groove of big angle scale, the arc guide groove of this low-angle dish is provided with slide block in order to connect guide pipe, this guide pipe can rotate along the arc guide groove of low-angle dish, this guide pipe imports for the screw that will puncture.
Preferably, described two rectangular and the gathering sill of two billets, the arc guide grooves of the gathering sill of adjusting lever, big angle scale are, be equipped with graduation mark on the arc guide groove of low-angle dish, for adjusting distance or the angle of translation or rotation.
Preferably, 2 described adjusting devices of each rectangular upper installation.
The invention has the beneficial effects as follows, can realize the three-dimensional regulation of puncture path, comprise adjusting, adjacent vertebral bodies pedicle of vertebral arch distance adjustment, pedicle of vertebral arch axis (puncture screw) and the body sagittal plane of same vertebral body both sides pedicle of vertebral arch distance and the adjusting of horizontal plane angle, can realize individuation and put nail, there is registration, use the features such as flexible, the design of a plurality of guide pipes, can make a plurality of pedicle of vertebral arch one-time positioning, C type arm perspective number of times while reducing location, effectively shorten doctor and patient's x-ray open-assembly time, shorten operating time; Lumbosacral segment vertebral body percutaneous radix arcus vertebraetube nail difficulty is larger, for the localizer of sacral, there is no and specializes at present, and this apparatus is mainly for inserting design in lumbosacral segment pedicle of vertebral arch; Small and exquisite design, be conducive to convenient sterilizing, carry and art at patient's lower back, settle; The design of positioner frame posture, what be conducive to place in operation is stable; Make percutaneous insert cervical arc root screw internal fixing system treatment spinal disease and realize Wicresoft.
Accompanying drawing explanation
Fig. 1 is the structure chart that waist sacral percutaneous cervical arc root screw is inserted localizer; Fig. 2 is the structure chart of adjusting device in localizer.
In figure: 1-rectangular frame; 2-is rectangular; 3-gathering sill I; 4-adjusting lever; 5-big angle scale; 6-low-angle dish; 7-guide pipe; 8-hands handle; 9-gathering sill II; 10-arc guide groove I; 11-arc guide groove II; 12-slide block I; 13-slide block II.
The specific embodiment
Fig. 1 is the structure chart that waist sacral percutaneous cervical arc root screw is inserted localizer, with two of gathering sill, rectangular and two billets connect to form rectangular frame 1 by groove with screw bolt and nut, 2 adjusting devices of each rectangular installation (only drawing one of them in figure), each rectangular (billet) can both be along the gathering sill translation on its adjacent two billets (rectangular), on the gathering sill of two rectangular and two billets, be equipped with graduation mark, be used for adjusting the distance of the longitudinal translation of adjusting device.
Fig. 2 is the structure chart of adjusting device in localizer.Adjusting device comprises adjusting lever 4, big angle scale 5 and low-angle dish 6, the adjusting lever 4 of tape guide groove II9 is arranged on by screw on rectangular 2 gathering sill I3, gathering sill II9 is provided with graduation mark, this adjusting lever 4 can be along gathering sill I3 transverse shifting, also can vertically move along gathering sill II9, be used for adjusting the distance of the horizontal and vertical translation of adjusting device, determine the position of vertebral pedicle puncture point that is puncture screw point of puncture.Big angle scale 5 is arranged on the end of adjusting lever 4, its arc guide groove I10 is provided with slide block I12 in order to connect low-angle dish 6, this low-angle dish 6 can rotate along the arc guide groove I10 of big angle scale 5, arc guide groove I10 is provided with graduation mark, is used for adjusting pedicle of vertebral arch axis (puncture screw) and horizontal plane angle.The arc guide groove II11 of low-angle dish 6 is provided with slide block II13 in order to connect guide pipe 7, guide pipe 7 can rotate along the arc guide groove II11 of low-angle dish 6, arc guide groove II11 is provided with graduation mark, be used for adjusting pedicle of vertebral arch axis (puncture screw) and the sagittal angle of body, this guide pipe 7 imports for the screw that will puncture.
Claims (3)
1. a waist sacral percutaneous cervical arc root screw is inserted localizer, comprise by two rectangular and two rectangular frames that billet is formed by connecting with gathering sill, each rectangular or billet can both along its adjacent two billets or rectangular on gathering sill translation, it is characterized in that, device for installing and adjusting on described rectangular frame, this adjusting device comprises the adjusting lever of tape guide groove, this adjusting lever is arranged on described rectangular upper and can be along the gathering sill transverse shifting on its installation rectangular, also can vertically move along the gathering sill of self, in the end of this adjusting lever, be connected with the big angle scale with arc guide groove, this arc guide groove is provided with slide block in order to the low-angle dish of connecting band arc guide groove, this low-angle dish can rotate along the arc guide groove of big angle scale, the arc guide groove of this low-angle dish is provided with slide block in order to connect guide pipe, this guide pipe can rotate along the arc guide groove of low-angle dish, this guide pipe imports for the screw that will puncture.
2. waist sacral percutaneous cervical arc root screw according to claim 1 is inserted localizer, it is characterized in that, described two rectangular and the gathering sill of two billets, the arc guide grooves of the gathering sill of adjusting lever, big angle scale are, be equipped with graduation mark on the arc guide groove of low-angle dish, for adjusting distance or the angle of translation or rotation.
3. waist sacral percutaneous cervical arc root screw according to claim 1 is inserted localizer, it is characterized in that 2 described adjusting devices of each rectangular upper installation.
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CN201310187271.8A CN104138293B (en) | 2013-05-08 | 2013-05-08 | A kind of lumbosacral spine percutaneous cervical arc root screw inserts localizer |
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CN201310187271.8A CN104138293B (en) | 2013-05-08 | 2013-05-08 | A kind of lumbosacral spine percutaneous cervical arc root screw inserts localizer |
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CN104138293B CN104138293B (en) | 2016-09-21 |
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Cited By (16)
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CN104905817A (en) * | 2015-06-10 | 2015-09-16 | 中国人民解放军第二军医大学 | Ultrasonic positioning system for intramedullary nail fixation |
CN104983454A (en) * | 2015-07-23 | 2015-10-21 | 柳州铁道职业技术学院 | Extracorporeal measuring and controlling device for closed reduction in human femur fracture operation |
CN105411654A (en) * | 2016-01-21 | 2016-03-23 | 王洪伟 | Guiding device for vertebral pedicle puncture track |
CN105581837A (en) * | 2016-02-18 | 2016-05-18 | 杨波 | Precutaneous puncture spine minimally invasive surgery positioner |
CN106175909A (en) * | 2016-06-30 | 2016-12-07 | 陈春美 | Pedicle nail locating guide device |
CN106264702A (en) * | 2015-05-19 | 2017-01-04 | 首都医科大学宣武医院 | Vertebral column minimally invasive alignment system and the application in vertebral column minimally invasive positions thereof |
CN106691573A (en) * | 2017-01-11 | 2017-05-24 | 王玉山 | Multifunctional percutaneous vertebral pedicle positioning apparatus |
CN106955151A (en) * | 2016-01-11 | 2017-07-18 | 薛绍刚 | Fixed index in vertebra |
CN107411811A (en) * | 2017-07-12 | 2017-12-01 | 中南大学湘雅医院 | A kind of sacral puts nail multifunctional guide device |
CN108870045A (en) * | 2018-09-04 | 2018-11-23 | 安庆市睿霞机械有限公司 | A kind of cross adjustment seat |
CN109965951A (en) * | 2019-05-13 | 2019-07-05 | 辛志军 | A kind of 3 D locating device percutaneously precisely targeting puncture for backbone |
CN110664466A (en) * | 2019-08-30 | 2020-01-10 | 重庆医科大学附属永川医院 | Double-side percutaneous puncture vertebral body guider |
CN110664465A (en) * | 2019-08-30 | 2020-01-10 | 重庆医科大学附属永川医院 | Unilateral percutaneous puncture centrum guider |
CN111281523A (en) * | 2020-03-05 | 2020-06-16 | 丁培东 | Adjustable guider for implanting pedicle screw |
CN113116493A (en) * | 2021-04-16 | 2021-07-16 | 中国人民解放军北部战区总医院 | Anterior cervical pedicle screw trajectory determination device |
CN113952007A (en) * | 2021-12-22 | 2022-01-21 | 真实维度科技控股(珠海)有限公司 | Accurate space positioning puncture equipment |
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WO2010107403A1 (en) * | 2009-03-16 | 2010-09-23 | Tst Rakor Ve Tibbi Aletler Sanayi Ve Ticaret Limited Şirketi | Minimal invasive, compressive, locking hip screw with an anti-rotation sliding blade |
CN201759671U (en) * | 2010-01-07 | 2011-03-16 | 蒋志坚 | CT positioning puncture outfit |
CN203208111U (en) * | 2013-05-08 | 2013-09-25 | 刘瑾 | Placement positioning device for lumbosacral percutaneous pedicle screws |
CN203988336U (en) * | 2014-07-16 | 2014-12-10 | 王钢 | A kind of S1 of Wicresoft sacroiliac joint screw locating guider |
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CN2607112Y (en) * | 2002-12-31 | 2004-03-24 | 中国人民解放军南京军区南京总医院 | 3-D positioner for radix arcus of thoracolumbar vertebrae |
CN101400323A (en) * | 2006-01-31 | 2009-04-01 | 罗伯特·利耶 | Positioning bracket |
CN201211225Y (en) * | 2008-03-28 | 2009-03-25 | 连永生 | Pelvis-fracture sacroiliac joint hollow screw-nail internal fixation guide device |
WO2010107403A1 (en) * | 2009-03-16 | 2010-09-23 | Tst Rakor Ve Tibbi Aletler Sanayi Ve Ticaret Limited Şirketi | Minimal invasive, compressive, locking hip screw with an anti-rotation sliding blade |
CN201453325U (en) * | 2009-07-15 | 2010-05-12 | 张英泽 | Boring angle guider for department of osteology |
CN201759671U (en) * | 2010-01-07 | 2011-03-16 | 蒋志坚 | CT positioning puncture outfit |
CN203208111U (en) * | 2013-05-08 | 2013-09-25 | 刘瑾 | Placement positioning device for lumbosacral percutaneous pedicle screws |
CN203988336U (en) * | 2014-07-16 | 2014-12-10 | 王钢 | A kind of S1 of Wicresoft sacroiliac joint screw locating guider |
Cited By (23)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN106264702B (en) * | 2015-05-19 | 2019-03-08 | 首都医科大学宣武医院 | Vertebral column minimally invasive positioning system and its application in vertebral column minimally invasive positioning |
CN106264702A (en) * | 2015-05-19 | 2017-01-04 | 首都医科大学宣武医院 | Vertebral column minimally invasive alignment system and the application in vertebral column minimally invasive positions thereof |
CN104905817A (en) * | 2015-06-10 | 2015-09-16 | 中国人民解放军第二军医大学 | Ultrasonic positioning system for intramedullary nail fixation |
CN104983454B (en) * | 2015-07-23 | 2017-05-24 | 柳州铁道职业技术学院 | Extracorporeal measuring and controlling device for closed reduction in human femur fracture operation |
CN104983454A (en) * | 2015-07-23 | 2015-10-21 | 柳州铁道职业技术学院 | Extracorporeal measuring and controlling device for closed reduction in human femur fracture operation |
CN106955151A (en) * | 2016-01-11 | 2017-07-18 | 薛绍刚 | Fixed index in vertebra |
CN105411654B (en) * | 2016-01-21 | 2017-10-20 | 王洪伟 | A kind of vertebral pedicle puncture track guider |
CN105411654A (en) * | 2016-01-21 | 2016-03-23 | 王洪伟 | Guiding device for vertebral pedicle puncture track |
CN105581837A (en) * | 2016-02-18 | 2016-05-18 | 杨波 | Precutaneous puncture spine minimally invasive surgery positioner |
CN105581837B (en) * | 2016-02-18 | 2018-03-13 | 杨波 | A kind of percutaneous puncturing spine micro-invasive operation locator |
CN106175909A (en) * | 2016-06-30 | 2016-12-07 | 陈春美 | Pedicle nail locating guide device |
CN106175909B (en) * | 2016-06-30 | 2019-01-29 | 陈春美 | Pedicle nail locating guide device |
CN106691573A (en) * | 2017-01-11 | 2017-05-24 | 王玉山 | Multifunctional percutaneous vertebral pedicle positioning apparatus |
CN107411811A (en) * | 2017-07-12 | 2017-12-01 | 中南大学湘雅医院 | A kind of sacral puts nail multifunctional guide device |
CN108870045A (en) * | 2018-09-04 | 2018-11-23 | 安庆市睿霞机械有限公司 | A kind of cross adjustment seat |
CN109965951A (en) * | 2019-05-13 | 2019-07-05 | 辛志军 | A kind of 3 D locating device percutaneously precisely targeting puncture for backbone |
CN110664466A (en) * | 2019-08-30 | 2020-01-10 | 重庆医科大学附属永川医院 | Double-side percutaneous puncture vertebral body guider |
CN110664465A (en) * | 2019-08-30 | 2020-01-10 | 重庆医科大学附属永川医院 | Unilateral percutaneous puncture centrum guider |
CN111281523A (en) * | 2020-03-05 | 2020-06-16 | 丁培东 | Adjustable guider for implanting pedicle screw |
CN113116493A (en) * | 2021-04-16 | 2021-07-16 | 中国人民解放军北部战区总医院 | Anterior cervical pedicle screw trajectory determination device |
CN113116493B (en) * | 2021-04-16 | 2023-12-26 | 中国人民解放军北部战区总医院 | Anterior cervical pedicle screw trajectory determining device |
CN113952007A (en) * | 2021-12-22 | 2022-01-21 | 真实维度科技控股(珠海)有限公司 | Accurate space positioning puncture equipment |
CN113952007B (en) * | 2021-12-22 | 2022-03-22 | 真实维度科技控股(珠海)有限公司 | Accurate space positioning puncture equipment |
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