CN104758046B - Dicyclic pivot cone cdontoid process sight - Google Patents
Dicyclic pivot cone cdontoid process sight Download PDFInfo
- Publication number
- CN104758046B CN104758046B CN201510174319.0A CN201510174319A CN104758046B CN 104758046 B CN104758046 B CN 104758046B CN 201510174319 A CN201510174319 A CN 201510174319A CN 104758046 B CN104758046 B CN 104758046B
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- China
- Prior art keywords
- inner sleeve
- semiaxis
- guiding pipe
- sleeve
- hollow guiding
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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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
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
- A61B2017/00469—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable for insertion of instruments, e.g. guide wire, optical fibre
-
- 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)
- Life Sciences & Earth Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Medical Informatics (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Abstract
The present invention relates to a kind of medicine equipment, a kind of dicyclic pivot cone cdontoid process sight guiding hollow screw location in fracture of odontoid process of vertebra dentata is treated.Including hollow guiding pipe and be connected to the sighting device on hollow guiding pipe, described sighting device includes inner sleeve and the outer sleeve being arranged concentrically, being connected by the rotating shaft of right-angled intersection between described inner sleeve and outer sleeve and hollow guiding pipe, described rotating shaft is set with by the inner sleeve that can rotate against and be coaxially disposed and outer tube and forms.This sight simple in construction, easy to use, accurate positioning are quick, may be used for guiding Kirschner wire to be accurately positioned in fracture of odontoid process of vertebra dentata treatment, thus improve surgical quality, reduce surgical error, reduce the misery of patient.
Description
Technical field
The present invention relates to a kind of medicine equipment, a kind of dicyclic pivot cone cdontoid process sight guiding hollow screw location in fracture of odontoid process of vertebra dentata is treated.
Background technology
Fracture of odontoid process of vertebra dentata is the common fracture of cervical vertebra, accounts for the 10%～14% of fracture of cervical spine.The odontoid fracture disunion rate that untreated or malpractice cause is 42-72%, and it is fixed to there is potential atlanto-axial instability simultaneously, the acute or chronic damage of brain stem, spinal cord or nerve root may be caused, cause serious quadriplegia, respiratory dysfunction, even dead.Therefore the patient of fracture of odontoid process of vertebra dentata is answered active treatment.Since reported first in 1981 uses the direct treatment of internal fixation of odontoid fracture of screw, clinical practice has proven to, compared with traditional methods for the treatment of, this technology is possible not only to rebuild the stability of articulatio atlantoepistrophica, can also retain the activity of articulatio atlantoepistrophica to greatest extent, operation wound is little, and union rate is high, and it being obviously improved patients ' life quality, it is believed that this technology is the first-selection of odontoid fracture operative treatment.Although the curative effect of anterior screw treatment of internal fixation of odontoid fracture is affirmed the most clinically, but in the past owing to mainly operating by rule of thumb, guide Kirschner wire to need repeatedly to adjust, operation randomness is big, possibly even produce serious complication, injure spinal cord etc. including screw extraction, displacement fracture, nonunion or screw tapping cdontoid process.Chinese patent 2012102768399 discloses one " axis odontoid screw sight ", it uses nut to regulate two shrinking connecting-rods being arranged on hollow guiding pipe thus changes the sensing of hollow guiding pipe, two shrinking connecting-rods are connected on vernier control plate, and vernier control plate is connected with support bar by ball-joint.This axis odontoid screw sight may be used for guiding Kirschner wire to be accurately positioned in fracture of odontoid process of vertebra dentata treatment, thus improves surgical quality, reduces surgical error, reduces the misery of patient.But in surgical procedure, owing to the position needing regulation is numerous, and it is interrelated to regulate each point of adjustment, generally requires adjustment repeatedly and can be only achieved requirement, affects operation progress.It addition, the length of the shrinking connecting-rod of nut regulation is difficult to precisely measure, the position that shrinking connecting-rod is connected on vernier control plate is the most uncertain, and this axis odontoid screw sight can not use coordinate data record position, it is impossible to the location in operation before repetition.
Summary of the invention
It is an object of the invention to provide a kind of simple in construction, easy to use, governing speed fast, the dicyclic pivot cone cdontoid process sight of available coordinate representation position, Kirschner wire is guided to be accurately positioned in fracture of odontoid process of vertebra dentata is treated, thus improve surgical quality, reduce surgical error, reduce the misery of patient.
The present invention solves that technical problem be the technical scheme is that
Dicyclic pivot of the present invention cone cdontoid process sight includes hollow guiding pipe and is connected to the sighting device on hollow guiding pipe, described sighting device includes inner sleeve and the outer sleeve being arranged concentrically, the external diameter of described inner sleeve is less than the internal diameter of outer sleeve, the external diameter of described hollow guiding pipe is less than the internal diameter of inner sleeve, being symmetrically arranged with left half axle and right axle shaft between outer wall and the inner ring surface of inner sleeve of hollow guiding pipe, described left half axle and right axle shaft are coaxially disposed and the axis of left half axle and the right axle shaft center of circle by inner sleeve；It is provided with semiaxis and lower semiaxis, described upper semiaxis and lower semiaxis between outer ring surface and the inner ring surface of outer sleeve of described inner sleeve to be coaxially disposed and the axis of upper semiaxis and the lower semiaxis center of circle by inner sleeve；Upper semiaxis is vertical with the axis of left half axle and right axle shaft with the axis of lower semiaxis；Described upper semiaxis, lower semiaxis, left half axle and right axle shaft are set with by the inner sleeve that can rotate against and be coaxially disposed and outer tube and form.
Described inner sleeve is the annular hollow pipe being connected air pump by high-pressure air pipe, one end of described inner sleeve is fixedly connected on inner sleeve and connects with the tube chamber of inner sleeve, the other end of inner sleeve is provided with air bag, the expanding end of described air bag is positioned in the inner chamber of outer tube, one end of described outer tube connects inner sleeve by rotatable snap ring, and the other end of outer tube is fixedly connected on hollow guiding pipe or outer sleeve.
Described inner sleeve represents the scale of relative position with being provided with on the outer tube wall of outer tube joining place.
After using technique scheme, this sight is by the sensing of dicyclic sighting device regulation guide pipe, simple in construction, easy to use, governing speed soon and available coordinate representation position, the convenient details quantitatively recording operation technique, utilize the repeatable location reproduced in operation of coordinate；Hollow guide device is used to make location Kirschner wire be predominantly located in guider, it is simple to control direction, it is to avoid it bends and causes the suitable illusion of inserting needle；Using air pressure to control swelling gasbag fixation hollow guider, location action is fast, and fixing reliable, after being accurately positioned and positioning, position is fixed, and decreases inserting needle repeatedly, improves the accuracy that screw enters；Need not implant fixing nail on Cervical vertebra and fixing connecting rod is firmly secured to operation table, fixing reliable.
Accompanying drawing explanation
Fig. 1 is the Facad structure schematic diagram of one embodiment of the invention.
Fig. 2 is the sectional structure schematic diagram of upper semiaxis.
Detailed description of the invention
As shown in Figure 1, dicyclic pivot of the present invention cone cdontoid process sight includes hollow guiding pipe 1 and is connected to the sighting device on hollow guiding pipe 1, described sighting device includes inner sleeve 2 and the outer sleeve 3 being arranged concentrically, the external diameter of described inner sleeve 2 is less than the internal diameter of outer sleeve 3, the external diameter of described hollow guiding pipe 1 is less than the internal diameter of inner sleeve 2, left half axle 5 and right axle shaft it is symmetrically arranged with, described left half axle 5 and right axle shaft is coaxially disposed and the axis of left half axle 5 and the right axle shaft center of circle by inner sleeve 2 between outer wall and the inner ring surface of inner sleeve 2 of hollow guiding pipe 1；Being provided with semiaxis 6 and lower semiaxis 7 between outer ring surface and the inner ring surface of outer sleeve 3 of described inner sleeve 2, described upper semiaxis 6 and lower semiaxis 7 are coaxially disposed and the axis of upper semiaxis 6 and lower semiaxis 7 is by the center of circle of inner sleeve 2；Upper semiaxis 6 is vertical with the axis of left half axle 5 and right axle shaft with the axis of lower semiaxis 7；Described upper semiaxis 6, lower semiaxis 7, left half axle 5 and right axle shaft are set with by the inner sleeve 8 that can rotate against and be coaxially disposed and outer tube 9 and form.
During use, hollow guiding pipe 1 can swing up and down centered by left half axle 5 and right axle shaft on inner sleeve 2, can swing centered by inner sleeve more than 2 semiaxis 6 and lower semiaxis 7, and the comprehensive guiding that thus can realize hollow guiding pipe 1 is arranged.
Certainly, use for convenience, it is also possible to connecting plate 10 be set on outer sleeve 3 and connect seat 11, being used for being fixedly connected on various support.
Described inner sleeve 2 is the annular hollow pipe being connected air pump by high-pressure air pipe, inner sleeve 2 is provided with valve cock 13, and connects high-pressure air pipe by this valve cock 13.Upper semiaxis 6, lower semiaxis 7, left half axle 5 are identical with the structure of right axle shaft, as a example by above semiaxis 6, as shown in Figure 2, one end of described inner sleeve 8 is fixedly connected on inner sleeve 2 and connects with the tube chamber of inner sleeve 2, the other end of inner sleeve 8 is provided with air bag 81, the expanding end of described air bag 81 is positioned in the inner chamber of outer tube 9, and one end of described outer tube 9 connects inner sleeve 8 by rotatable snap ring, and the other end of outer tube 9 is fixedly connected on hollow guiding pipe 1 or outer sleeve 3.After air bag 81 is inflated, air bag 81 expands and is close on the inwall of outer tube 9, is fixed the position of outer tube 9 with inner sleeve 8.
Described inner sleeve 8 represents the scale of relative position with being provided with on the outer tube wall of outer tube 9 joining place.After the sensing position of hollow guiding pipe 1 is fixing, records the inner sleeve 8 on each semiaxis and angle that outer tube 9 rotates against i.e. can determine that the position coordinates of hollow guiding pipe 1.
During use, make patient lies supine position, after keeping neck, stretch position；Continue under skull traction C-arm X-ray machine just, position, side picture observes odontoid fracture and resets；With the midpoint of C2 centrum lower edge as entry point, sight is installed and puts in place；X-ray normotopia, position, side perspective, handle hollow guiding pipe normotopia and be positioned at cdontoid process axis, and position, side, to summit after cdontoid process, is opened air pump and locked hollow guiding pipe position；With electric drill, 1.2mm Kirschner wire is squeezed into cdontoid process under guider guides, after positive lateral projection is errorless, by the hollow drill bit of external diameter 3.0 mm along Kirschner wire reaming, be screwed into the hollow cancellous bone pressurization titanium screw of the appropriate length of a diameter of 3.5 mm.
Claims (1)
1. dicyclic pivot cone cdontoid process sight, including hollow guiding pipe (1) and be connected to the sighting device on hollow guiding pipe (1), it is characterized in that: described sighting device includes inner sleeve (2) and the outer sleeve (3) being arranged concentrically, the external diameter of described inner sleeve (2) is less than the internal diameter of outer sleeve (3), the external diameter of described hollow guiding pipe (1) is less than the internal diameter of inner sleeve (2), it is symmetrically arranged with left half axle (5) and right axle shaft between outer wall and the inner ring surface of inner sleeve (2) of hollow guiding pipe (1), described left half axle (5) and right axle shaft is coaxially disposed and the axis of left half axle (5) and right axle shaft is by the center of circle of inner sleeve (2)；Being provided with semiaxis (6) and lower semiaxis (7) between outer ring surface and the inner ring surface of outer sleeve (3) of described inner sleeve (2), described upper semiaxis (6) and lower semiaxis (7) are coaxially disposed and the axis of upper semiaxis (6) and lower semiaxis (7) is by the center of circle of inner sleeve (2)；Upper semiaxis (6) is vertical with the axis of left half axle (5) and right axle shaft with the axis of lower semiaxis (7)；Described upper semiaxis (6), lower semiaxis (7), left half axle (5) and right axle shaft are set with by the inner sleeve (8) that can rotate against and be coaxially disposed and outer tube (9) and form.
Priority Applications (4)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610521690.4A CN106037923B (en) | 2015-04-14 | 2015-04-14 | Dentoid process of axis's sight |
| CN201610521514.0A CN105997227B (en) | 2015-04-14 | 2015-04-14 | A kind of dentoid process of axis's sighting device |
| CN201510174319.0A CN104758046B (en) | 2015-04-14 | 2015-04-14 | Dicyclic pivot cone cdontoid process sight |
| CN201610521689.1A CN105963010B (en) | 2015-04-14 | 2015-04-14 | Dentoid process of axis's sighting device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510174319.0A CN104758046B (en) | 2015-04-14 | 2015-04-14 | Dicyclic pivot cone cdontoid process sight |
Related Child Applications (3)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610521690.4A Division CN106037923B (en) | 2015-04-14 | 2015-04-14 | Dentoid process of axis's sight |
| CN201610521514.0A Division CN105997227B (en) | 2015-04-14 | 2015-04-14 | A kind of dentoid process of axis's sighting device |
| CN201610521689.1A Division CN105963010B (en) | 2015-04-14 | 2015-04-14 | Dentoid process of axis's sighting device |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN104758046A CN104758046A (en) | 2015-07-08 |
| CN104758046B true CN104758046B (en) | 2016-08-24 |
Family
ID=53640396
Family Applications (4)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610521689.1A Active CN105963010B (en) | 2015-04-14 | 2015-04-14 | Dentoid process of axis's sighting device |
| CN201510174319.0A Expired - Fee Related CN104758046B (en) | 2015-04-14 | 2015-04-14 | Dicyclic pivot cone cdontoid process sight |
| CN201610521514.0A Active CN105997227B (en) | 2015-04-14 | 2015-04-14 | A kind of dentoid process of axis's sighting device |
| CN201610521690.4A Expired - Fee Related CN106037923B (en) | 2015-04-14 | 2015-04-14 | Dentoid process of axis's sight |
Family Applications Before (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610521689.1A Active CN105963010B (en) | 2015-04-14 | 2015-04-14 | Dentoid process of axis's sighting device |
Family Applications After (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610521514.0A Active CN105997227B (en) | 2015-04-14 | 2015-04-14 | A kind of dentoid process of axis's sighting device |
| CN201610521690.4A Expired - Fee Related CN106037923B (en) | 2015-04-14 | 2015-04-14 | Dentoid process of axis's sight |
Country Status (1)
| Country | Link |
|---|---|
| CN (4) | CN105963010B (en) |
Families Citing this family (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105963010B (en) * | 2015-04-14 | 2018-08-03 | 青岛亿嘉诺日化有限公司 | Dentoid process of axis's sighting device |
| CN108210067A (en) * | 2017-12-30 | 2018-06-29 | 郑州赫恩电子信息技术有限公司 | A kind of plasma killing cancer cell physiotherapy equipment |
| CN114795447A (en) * | 2022-04-24 | 2022-07-29 | 郑州市骨科医院 | Sighting device for placing pedicle screws |
Citations (7)
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| EP1382308B1 (en) * | 2002-07-18 | 2007-12-05 | Biosense Webster, Inc. | Distal targeting of locking screws in intramedullary nails |
| CN201389077Y (en) * | 2009-04-10 | 2010-01-27 | 徐兆万 | Dens guide pin sighting device |
| CN102755188A (en) * | 2012-08-06 | 2012-10-31 | 周健 | Axis odontoid screw sighting device |
| CN202761430U (en) * | 2012-09-10 | 2013-03-06 | 苏州大学 | Kirschner wire guiding device |
| WO2013152102A1 (en) * | 2012-04-04 | 2013-10-10 | Smith & Nephew, Inc. | Surgical guide with intraoperative depth feedback |
| CN103961174A (en) * | 2014-05-27 | 2014-08-06 | 田红波 | Sliding positioning guide device |
| CN204600660U (en) * | 2015-04-14 | 2015-09-02 | 冀旭斌 | Dicyclic pivot cone Odontoid process sight |
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| US7458977B2 (en) * | 2003-02-04 | 2008-12-02 | Zimmer Technology, Inc. | Surgical navigation instrument useful in marking anatomical structures |
| US7601155B2 (en) * | 2003-05-20 | 2009-10-13 | Petersen Thomas D | Instruments and method for minimally invasive surgery for total hips |
| CN101366657B (en) * | 2008-10-09 | 2010-06-09 | 中国人民解放军第三军医大学 | Multifunctional intra-articular fracture guide apparatus |
| CN102836002B (en) * | 2012-09-10 | 2014-12-10 | 苏州大学 | Kirschner wire guiding device |
| CN203153932U (en) * | 2013-04-24 | 2013-08-28 | 哈励逊国际和平医院 | Multi-dimension universal reset guider |
| WO2014194965A1 (en) * | 2013-06-07 | 2014-12-11 | Stryker Trauma Gmbh | Targeting adjustment system for an intramedullary nail |
| CN103445852B (en) * | 2013-08-14 | 2015-09-16 | 复旦大学附属华山医院 | A kind of draw point guider that intersects |
| CN105963010B (en) * | 2015-04-14 | 2018-08-03 | 青岛亿嘉诺日化有限公司 | Dentoid process of axis's sighting device |
-
2015
- 2015-04-14 CN CN201610521689.1A patent/CN105963010B/en active Active
- 2015-04-14 CN CN201510174319.0A patent/CN104758046B/en not_active Expired - Fee Related
- 2015-04-14 CN CN201610521514.0A patent/CN105997227B/en active Active
- 2015-04-14 CN CN201610521690.4A patent/CN106037923B/en not_active Expired - Fee Related
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP1382308B1 (en) * | 2002-07-18 | 2007-12-05 | Biosense Webster, Inc. | Distal targeting of locking screws in intramedullary nails |
| CN201389077Y (en) * | 2009-04-10 | 2010-01-27 | 徐兆万 | Dens guide pin sighting device |
| WO2013152102A1 (en) * | 2012-04-04 | 2013-10-10 | Smith & Nephew, Inc. | Surgical guide with intraoperative depth feedback |
| CN102755188A (en) * | 2012-08-06 | 2012-10-31 | 周健 | Axis odontoid screw sighting device |
| CN202761430U (en) * | 2012-09-10 | 2013-03-06 | 苏州大学 | Kirschner wire guiding device |
| CN103961174A (en) * | 2014-05-27 | 2014-08-06 | 田红波 | Sliding positioning guide device |
| CN204600660U (en) * | 2015-04-14 | 2015-09-02 | 冀旭斌 | Dicyclic pivot cone Odontoid process sight |
Also Published As
| Publication number | Publication date |
|---|---|
| CN105963010B (en) | 2018-08-03 |
| CN105997227A (en) | 2016-10-12 |
| CN106037923A (en) | 2016-10-26 |
| CN104758046A (en) | 2015-07-08 |
| CN106037923B (en) | 2018-02-27 |
| CN105963010A (en) | 2016-09-28 |
| CN105997227B (en) | 2018-09-28 |
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