CN104287818B - Length-adjustable vertebral plate - Google Patents

Length-adjustable vertebral plate Download PDF

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Publication number
CN104287818B
CN104287818B CN201410593869.1A CN201410593869A CN104287818B CN 104287818 B CN104287818 B CN 104287818B CN 201410593869 A CN201410593869 A CN 201410593869A CN 104287818 B CN104287818 B CN 104287818B
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connecting portion
groove
length
plate
vertebral plate
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CN104287818A (en
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刘忠军
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7071Implants for expanding or repairing the vertebral arch or wedged between laminae or pedicles; Tools therefor

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Neurology (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Prostheses (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Vascular Medicine (AREA)

Abstract

The invention discloses a length-adjustable vertebral plate. The length-adjustable vertebral plate comprises a first split plate and a second split plate, wherein the first split plate comprises a first supporting portion and a first connecting portion, the second split plate comprises a second supporting portion and a second connecting portion, the first connecting portion and the second connecting portion are connected in a clamping mode or connected and fixed through a connecting piece, and two or more connecting and fixing positions are reserved between the first connecting portion and the second connecting portion. The length-adjustable vertebral plate realizes length adjustment, greatly reduces preparation amount, relieves the burden of a patient, and meanwhile reduces waste of resources.

Description

A kind of length-adjustable vertebral plate
Technical field
The present invention relates to auxiliary implement used by posterior cervical Occipitocervical fussion, more particularly to a kind of length-adjustable vertebral plate.
Background technology
At present, posterior cervical Laminoplasty is a kind of more conventional modus operandi for treating cervical spondylosiss, Need to use cervical vertebra plate in which.Due to the individual variation of patient, every time the cervical vertebra plate length needed for operation is different, existing Cervical vertebra plate includes multiple specifications, with every two mm length difference as a specification difference, generally to need in operation standby The cervical vertebra plate of three kinds of specifications.This mode causes production firm and logistics stock preparation more, and hospital inventory and circulation also increase, Production and management cost are this adds increased, medical treatment cost is objectively improved, making patients also result in greatly while burden Waste, therefore industry be badly in need of solve the problem.
The content of the invention
For problems of the prior art, the purpose of the present invention is to provide a kind of simple structure, easy to operate and solid Fixed reliable length-adjustable vertebral plate.
For achieving the above object, technical scheme is as follows:
A kind of length-adjustable vertebral plate, including first point of plate and quarter stuff, first point of plate includes the first supporting part And first connecting portion, the quarter stuff include the second supporting part and second connecting portion, the first connecting portion and described second Clamping or it is connected by connector between connecting portion, and the connection between the first connecting portion and the second connecting portion Fixed position is two or more.
Further, the first connecting portion includes elastic draw-in groove, arranges oriented described on the wall of elastic draw-in groove one Projection in the two or more that elastic draw-in groove convex is stretched, the second connecting portion includes elastic snap arm, the elastic snap arm and institute State elastic draw-in groove to match, and two or more external groove is provided with the arm face of the elastic snap arm correspondence interior projection, it is described External groove matches with the interior projection.
Further, before and after two between arbitrary external groove and arbitrary interior projection in mating surface, wherein being simultaneously The guiding face of relative motion between the interior projection and the external groove is guided, another side is outer with described to limit the interior projection The thrust surface of relative motion between groove.
Further, the external groove is right-angled trapezium with the section of the interior projection.
Further, the wall that the elastic draw-in groove arranges the interior projection is suspended wall.
Further, the elastic snap arm middle part is provided with the groove for extending longitudinally, so as to the elastic snap arm be divided into The connected part in the only end of left and right two.
Further, screwed hole is provided with the first connecting portion, the first strip hole is provided with the second connecting portion, So that a connection piece can head be pressed against the side plane of the first strip hole two, bar portion is through first strip hole with even described Screwed hole.
Further, the second strip hole is additionally provided with the first connecting portion, the width of second strip hole is less than institute State the first strip hole.
Further, more than one screw hole is provided with first supporting part and second supporting part, and it is described Screw hole is ball-and-socket type hole.
Further, first point of plate can for medical titanium, titanium alloy, rustless steel or biology with the material of the quarter stuff Absorbing material, the bioabsorbable material is selected from polylactic acid, poly-epsilon-caprolactone, Poly(D,L-lactide-co-glycolide, poly- hydroxyl One kind in the biological absorbable high polymer such as alkanoic acid ester.
The invention has the advantages that:
The vertebral plate of the present invention adopts Split type structure, using first point of plate and quarter stuff, wherein first connecting portion and second The position two or more that is connected of connecting portion, so as to cause overall vertebral plate length to send out when first point of plate is connected with quarter stuff Changing, and the simple structure, easy to operate and fixed reliable using clamping or by way of connector fixation, therefore this The bright adjustable length for having conveniently realized vertebral plate, stock amount greatly reduces, and patient burden also reduces resource while decline Waste.
Description of the drawings
The present invention is described in further detail below in conjunction with the accompanying drawings:
Fig. 1 is a kind of length-adjustable vertebral plate first embodiment dimensional structure diagram of the present invention;
Fig. 2 is a kind of length-adjustable vertebral plate first embodiment cross section structure diagram of the present invention;
Fig. 3 is first point of plate dimensional structure diagram in a kind of length-adjustable vertebral plate first embodiment of the present invention;
Fig. 4 is first point of plate cross section structure diagram in a kind of length-adjustable vertebral plate first embodiment of the present invention;
Fig. 5 is quarter stuff dimensional structure diagram in a kind of length-adjustable vertebral plate first embodiment of the present invention;
Fig. 6 is a kind of length-adjustable dimensional structure diagram of vertebral plate first embodiment length adjustment state one of the present invention;
Fig. 7 is a kind of length-adjustable main structure diagram of vertebral plate first embodiment length adjustment state one of the present invention;
Fig. 8 is a kind of length-adjustable dimensional structure diagram of vertebral plate first embodiment length adjustment state two of the present invention;
Fig. 9 is a kind of length-adjustable main structure diagram of vertebral plate first embodiment length adjustment state two of the present invention;
Figure 10 is first point of plate dimensional structure diagram in a kind of length-adjustable vertebral plate second embodiment of the present invention;
Figure 11 is quarter stuff dimensional structure diagram in a kind of length-adjustable vertebral plate second embodiment of the present invention;
Figure 12 is a kind of length-adjustable dimensional structure diagram of vertebral plate second embodiment length adjustment state one of the present invention;
Figure 13 is a kind of length-adjustable dimensional structure diagram of vertebral plate second embodiment length adjustment state two of the present invention;
Figure 14 is the connecting-piece structure schematic diagram used in a kind of length-adjustable vertebral plate second embodiment of the present invention.
Specific embodiment
Embodying feature of present invention will describe in detail in the following description with the exemplary embodiments of advantage.It should be understood that this Invention can have various changes in different embodiments, and it is neither departed from the scope of the present invention, and it is therein explanation and Accompanying drawing inherently is illustrated as being used, and is not used to limit the present invention.
The length-adjustable vertebral plate of the present invention, including first point of plate and quarter stuff, first point of plate includes the first supporting part And first connecting portion, quarter stuff include the second supporting part and second connecting portion, block between first connecting portion and second connecting portion Connect or fixed by connector, and position is connected for two or more between first connecting portion and second connecting portion.This kind Split type structure can pass through to adjust the link position between first connecting portion and second connecting portion, adjust first point of plate and second point The link position of plate, so as to change the length of overall vertebral plate.Below, for convenience of deeply dissecting to the structure of the present invention, spy combines Two specific embodiments are made to launch explanation.
First embodiment
The vertebral plate structure of the present embodiment as depicted in figs. 1 and 2, including first point of plate 1 and quarter stuff 2.Wherein, first point Plate 1 includes the first supporting part 11 and first connecting portion 12, for convenience of processing generally first supporting part 11 and first connecting portion 12 Between be formed as one;Quarter stuff 2 include the second supporting part 21 and second connecting portion 22, usual this second for convenience of processing It is formed as one between support part 21 and second connecting portion 22.Screw hole is machined with first supporting part 11 and the second supporting part 21 10, as needed the quantity of the screw hole 10 on the first supporting part 11 and the second supporting part 21 can be one, two and three, It is two shown in figure in the present embodiment.For convenience of coordinating with screw head, the screw hole 10 is ball-and-socket type hole.Usual first Supporting part 11 is parallel or coplanar with the supporting surface of the second supporting part 21, thus the overall structure of the vertebral plate of the present invention be broken line type or Yi word pattern, is broken line type as depicted in the present embodiment.In the present embodiment, the making material of first point of plate 1 and quarter stuff 2 Can be any one in medical titanium, titanium alloy, rustless steel and bioabsorbable material, the bioabsorbable material is selected from poly- breast The biology such as sour (PLA), poly-epsilon-caprolactone (PCL), Poly(D,L-lactide-co-glycolide (PLGA), PHA (PHA) can Absorb high polymer material.
As shown in Figure 3 and Figure 4, first connecting portion 12 includes elastic draw-in groove to the structure of first point of plate 1 in the present embodiment 120.The elastic draw-in groove 120 is a rectangular channel, and openings are opposite with the first supporting part 11.Shown in the figure of elastic draw-in groove 120 Upper wall surface on be provided with interior projection 124, the quantity of the interior projection 124 is 3, and bearing of trend is into elastic draw-in groove 120 Protrude out, be formed with inner groovy 125 in office two between projection 124.In the left and right sides of the upper wall surface 121 of elastic draw-in groove 120 Two grooves 122,123 are opened up along longitudinal direction, two groove 122,123 is passed through in elastic draw-in groove 120 from lateral surface, and two grooves 122nd, 123 length are identical, make the upper wall surface 121 become a suspended wall with this, therefore the upper wall surface 121 has certain elasticity.
The structure of quarter stuff 2 is as shown in figure 5, second connecting portion 22 includes elastic snap arm 220 in the present embodiment, elasticity Snap arm 220 is string configuration, is mutually equipped with elastic draw-in groove 120 and stretches in elastic draw-in groove 120.The section face of elastic snap arm 220 Less than the section of second connecting portion 22, the middle part of elastic snap arm 220 is provided with the groove 223 for extending longitudinally to product, so as to by elasticity 220 points of snap arm is the only connected parts in end of left and right two, so that two parts are respectively provided with higher elasticity, and can form two Clip structure, improves the reliability of first connecting portion 12 and the clamping of second connecting portion 22.The projection in the correspondence of elastic snap arm 220 3 outer projections 222 are also equipped with 124 arm face, and (it is to coordinate inner groovy 125 that herein the quantity of outer projection 222 determines If forming external groove 221 between two outer projection 222 in office, the external groove 221 matches with interior projection 124, to form mutual clamping Structure.
In the present embodiment, before and after two between arbitrary external groove 221 and arbitrary interior projection 124 in mating surface, wherein one side For guiding face, another side is thrust surface.Concrete machine-shaping for convenience, the external groove 221 is directly with the section of interior projection 124 Angle is trapezoidal.The structure can realize that first connecting portion 12 is unidirectionally slided when connecting and fixing with second connecting portion 22, change and coordinate shape State, so as to change vertebral plate entire length.Actually, or two sides is the structure of guiding face, i.e. two mating surfaces and is tiltedly Face, and the shape can change according to actual needs, be not limited to inclined-plane, such as and cambered surface is also possible.
As shown in Fig. 6-Fig. 9, Fig. 6 and Fig. 7 shows the first length change state, Fig. 8 to length change in the present embodiment Second length change state is shown with Fig. 9.Generally for existing uniform specification, external groove 221 coordinates with interior projection 124 Length is 2mm, namely often adjusts two millimeters of a length change, and three kinds of different length adjustment can be realized in the present embodiment, is adjusted Whole scope is 0-6mm.Certain specification is simultaneously non-fully limited, and mono- specification of 2mm is not limited in practical operation, it is also possible to 1mm One specification, deisgn product structure according to specific needs, and also adjusting range is not limited to 6mm.
This structure is for can not bone grafting structure, but it is also possible to be designed as can bone grafting structure, first connecting portion can with middle fluting, Bone screw may pass through, fixed plant bone mass.
Second embodiment
In the present embodiment, as shown in Figure 12 and Figure 13, the vertebral plate of the present invention similarly includes first point of plate 1 and quarter stuff 2, making material can be any one in medical titanium, titanium alloy, rustless steel and bioabsorbable material, the biological absorbable material Material is selected from polylactic acid (PLA), poly-epsilon-caprolactone (PCL), Poly(D,L-lactide-co-glycolide (PLGA), PHA (PHA) the biological absorbable high polymer material such as.The quantity of the screw hole 10 on the first supporting part 11 and the second supporting part 21 can be with It is one, two and three, is two shown in figure in the present embodiment.Coordinate with screw head for convenience, the screw hole 10 For ball-and-socket type hole.Usual first supporting part 11 is parallel or coplanar with the supporting surface of the second supporting part 21, therefore the vertebral plate of the present invention Overall structure be broken line type or yi word pattern, be broken line type as depicted in the present embodiment.
In the present embodiment, as shown in Figure 10, screwed hole 126 is provided with the first connecting portion 12 of first point of plate 1, such as Figure 11 It is shown, the first strip hole 226 is provided with the second connecting portion 22 of quarter stuff 2.The structure of connector 3 in the present embodiment As shown in figure 14, the connector 3 can be screw or nut.With reference to Figure 10 and Figure 11, the bar portion of the connector 3 is through the first length Two side planes of the first strip hole 226 are pressed against with even screwed hole 126, the head for tightening rear connectors 3 in bar hole 226 so that first Connecting portion 12 links together with second connecting portion 22.When needing to adjust length, unscrew the connector 3, and along the first strip Hole 226 moves to correct position, and connector 3 is then tightened again, so as to complete a length adjustment.Its adjustment state, with reference to figure Shown in 12 and Figure 13, the first connecting portion 12 when diverse location state is shown in two figure is tied with the connection of second connecting portion 22 Structure.
In addition, in the present embodiment, the vertebral plate for convenience of the present invention is connected with fixed plant bone mass, in first connecting portion 12 The second strip hole 127 is additionally provided with, the width of the second strip hole 127 is less than the first strip hole 226, by screw during facilitating fixed By the first strip hole 226, and head of screw is set to be pressed against two side planes of the second strip hole 127.
In sum, vertebral plate of the invention adopts Split type structure, using first point of plate 1 and quarter stuff 2, wherein first connects The position two or more that is connected of socket part 12 and second connecting portion 22, so as to make when first point of plate 1 is connected with quarter stuff 2 Overall vertebral plate length changes, and simple structure by the way of fixing using clamping or by connector 3, it is easy to operate and It is fixed reliable, therefore the present invention has conveniently realized the adjustable length of vertebral plate, stock amount greatly reduces, and it is same that patient burden declines When also reduce the waste of resource.
Technical scheme is disclosed as above by preferred embodiment.Artisan will appreciate that not taking off The change made in the case of the scope and spirit of the present invention disclosed in appended claims of the invention and retouching, belong to Within the scope of the claims of the present invention.

Claims (5)

1. a kind of length-adjustable vertebral plate, it is characterised in that including first point of plate and quarter stuff, first point of plate includes the One supporting part and first connecting portion, the quarter stuff include the second supporting part and second connecting portion, the first connecting portion with Connect and fix between the second connecting portion, and the position that is connected between the first connecting portion and the second connecting portion For two or more, the first connecting portion includes elastic draw-in groove, on the wall of elastic draw-in groove one the oriented elasticity is arranged Projection in the two or more protruded out in draw-in groove, the left and right sides of the upper wall surface of the elastic draw-in groove offers two grooves along longitudinal direction, It is suspended wall that the elastic draw-in groove arranges the wall of the interior projection;The second connecting portion includes elastic snap arm, the elasticity Snap arm matches with the elastic draw-in groove, and it is outer recessed to be provided with two or more on the arm face of the elastic snap arm correspondence interior projection Groove, the external groove matches with the interior projection;The elastic snap arm middle part is provided with the groove for extending longitudinally, so as to by institute State elastic snap arm and be divided into the connected part in the only end of left and right two, on two parts the external groove is respectively arranged with.
2. length-adjustable vertebral plate as claimed in claim 1, it is characterised in that arbitrary external groove and arbitrary convex Before and after between block two in mating surface, wherein guiding of the one side for relative motion between the guiding interior projection and the external groove Face, another side is the thrust surface for limiting relative motion between the interior projection and the external groove.
3. length-adjustable vertebral plate as claimed in claim 2, it is characterised in that the section of the external groove and the interior projection It is right-angled trapezium.
4. the length-adjustable vertebral plate as described in claim 1-3 is arbitrary, it is characterised in that first supporting part and described More than one screw hole is provided with two supporting parts, and the screw hole is ball-and-socket type hole.
5. the length-adjustable vertebral plate as described in claim 1-3 is arbitrary, it is characterised in that first point of plate and described second The material for dividing plate is medical titanium, titanium alloy, rustless steel or bioabsorbable material, and the bioabsorbable material is selected from poly- breast One kind in acid, poly-epsilon-caprolactone, Poly(D,L-lactide-co-glycolide, PHA.
CN201410593869.1A 2014-10-29 2014-10-29 Length-adjustable vertebral plate Active CN104287818B (en)

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CN105411662A (en) * 2015-12-31 2016-03-23 四川大学华西医院 Self-locking micro steel plate fixing device for forming cervical posterior vertebral plate without screws
CN108158655A (en) * 2018-01-25 2018-06-15 上海长征医院 For the navigator fix device fixing device of anterior cervical operation
CN109223149B (en) * 2018-11-13 2024-02-27 常州集硕医疗器械有限公司 Combined vertebral plate fixing plate device
CN113040889B (en) * 2021-03-25 2022-08-02 西安市红会医院 Bone fracture plate fixing system matched with bone healing process
CN114469462B (en) * 2022-04-08 2022-07-05 北京大学第三医院(北京大学第三临床医学院) Self-stabilizing atlantoaxial fusion cage

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