CN105055011B - A kind of Cranial-bone-flap replacement and fixation folder - Google Patents

A kind of Cranial-bone-flap replacement and fixation folder Download PDF

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Publication number
CN105055011B
CN105055011B CN201510454145.3A CN201510454145A CN105055011B CN 105055011 B CN105055011 B CN 105055011B CN 201510454145 A CN201510454145 A CN 201510454145A CN 105055011 B CN105055011 B CN 105055011B
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China
Prior art keywords
road
teeth road
lock
external teeth
bone
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Expired - Fee Related
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CN201510454145.3A
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Chinese (zh)
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CN105055011A (en
Inventor
胡晓予
毕春慧
王蕾
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Individual
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Individual
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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
    • A61B17/688Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin for reattaching pieces of the skull
    • 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
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/842Flexible wires, bands or straps

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Neurology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Neurosurgery (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a kind of Cranial-bone-flap replacement and fixation folders, including lock, inner teeth road, external teeth road and fixinig plate, external teeth road is vertically arranged on the fixinig plate, inner teeth road is set on the lock, inner teeth road can be removably engaged and installed in together with external teeth road, lock is removably disposed by inner teeth road on the external teeth road, which plays replacement and fixation function.This fixing clamp does not need to be completely covered using mating setting tool, easy to operate, skull gap when in use, is not easy to make bone flap or bone fragment protrusion, loosen, deformation;Since the inner teeth road of the fixing clamp can be removably engaged and installed in together with external teeth road, if there is complication, the fixing clamp may be reused and take out it is extremely convenient, have great clinical meaning.

Description

A kind of Cranial-bone-flap replacement and fixation folder
Technical field
The invention belongs to technical field of medical equipment, are related to a kind of medical instrument, especially a kind of reduction medical staff's cranium Bone flap replacement and fixation step, the Cranial-bone-flap replacement and fixation folder for effectively covering sutura, good fixed Cranial-bone-flap.
Background technique
In recent years, continuously improving and refining with neurosurgery, cranial bone flap answers in neurosurgery Position technique for fixing is also being constantly updated, and the implementation of the technology can not only protect brain tissue, keeps the volume and pressure of normal cranial cavity, Simultaneously there are also the effect for keeping head intact form, patient is alleviated to the feared state of mind of operation.Material used in the technology Also by initial medical adhesive, silk thread or steel wire, titanium alloy connection sheet till now, absorbable connection sheet, a variety of materials Skull lock etc., although used fixed device and material all solve bone flap substantially or bone fragment is easy prominent, loosening and deformation The problems such as, but most of fixed device there are still use need mating setting tool, operating time be longer, skull gap can not Covering cannot be reused if there is the fixed material of complication and take out the problems such as more difficult.
Therefore, design one kind do not need any supporting tool, it is easy to operate, skull gap can be covered, be not easy to make bone flap or The Cranial-bone-flap replacement and fixation fixture that bone fragment is prominent, loosens, deforms, is easy degradation or takes out has great clinical meaning.
By retrieval, following several patent publication us relevant to present patent application are found:
1, a kind of post-craniotomy skull fixing clamp (CN204147107U), discloses a kind of post-craniotomy skull fixing clamp, Including fixing piece and sliding part;There are two notch, the other end is inverted T-shape, notch and both ends junction for described fixing piece one end Vertically, both ends junction is bent, and one end extension of inverted T-shape is equipped with the broken line more than at 1, and extension can be along broken line Bending;The sliding part is rectangle strip, sets that there are two bent protrusions on sliding part.The beneficial effect of the utility model Fruit is to can change size.
2, skull self-locking fixing clamp (CN201822902U) is related to a kind of skull fixator, provide a kind of skull from Locking clamp, including screw rod (1), ambulatory splint (2), fixing plate clamp (3) and fastener (4);The strap (3) is fixed on The bottom end of the screw rod (1), the ambulatory splint (2) be equipped with through-hole, and the through-hole is equipped with to be threadedly engaged with screw rod (1) The surface of internal screw thread, ambulatory splint (2) is equipped with aperture (201), and the ambulatory splint (2) is spun on by the internal screw thread in through-hole On the screw rod (1), the fastener (4) is equipped with fastening through-hole, and the fastener (4) is inserted in the screw rod by fastening through-hole (1) on, the bottom of fastener (4) is equipped with the boss (402) cooperated with the aperture (201), and the boss (402) is inserted in small In hole (201).The utility model, structure is simple, and secured adjusted is easy to operate, has self-locking function, is suitble to clinical application.
3, operations on cranium and brain drainage fixing clamp (CN203001658U), including cranial clamp and buffering ball, it is characterized in that in skull Folder is equipped with vertical tube seat, and vertical tube seat is equipped with elastic force pressing plate.The utility model structure is simple, is carrying out cranium brain hand to patient Sebific duct fixation when art alleviates the work difficulty of medical worker.
4, a kind of post-craniotomy skull fixing clamp (CN104161581A), discloses a kind of post-craniotomy skull fixing clamp, Including fixing piece and sliding part;There are two notch, the other end is inverted T-shape, notch and both ends junction for described fixing piece one end Vertically, both ends junction is bent, and one end extension of inverted T-shape is equipped with the broken line more than at 1, and extension can be along broken line Bending;The sliding part is rectangle strip, sets that there are two bent protrusions on sliding part.The beneficial effects of the invention are as follows It can change size.
By comparison, there is essential difference in present patent application and above-mentioned patent publication us.
Summary of the invention
It is an object of the invention in place of overcome the deficiencies in the prior art, provide a kind of reduction medical staff to be expert at skull bone Operating procedure when valve replacement and fixation art reduces medical staff's operating time, and plays stable Cranial-bone-flap or bone to the maximum extent The Cranial-bone-flap replacement and fixation of the effect of tabs presss from both sides, which presss from both sides according to cranial bone flap replacement and fixation art clinical experience Design, structure is simple, is easy to make, is low in cost, and the device avoids personnel during cranial bone flap replacement and fixation to grasp The difference of work, the operating time for reducing medical staff and work load etc. have easy to use, easy to operate, replacement and fixation Work well equal good characteristics.
To achieve the above object, what the present invention adopts the following technical solutions to realize:
A kind of Cranial-bone-flap replacement and fixation folder, including lock, inner teeth road, external teeth road and fixinig plate, on the fixinig plate It is vertically arranged external teeth road, inner teeth road is set on the lock, inner teeth road can removably engage peace with external teeth road It is fitted together, lock is removably disposed by inner teeth road on the external teeth road, which plays replacement and fixation function.
Moreover, the lock includes lock ontology, internal framework and external teeth road installation passage, the lock is intrinsic The down-set inner teeth road in middle part is hollow setting on the opposite lock ontology in the inner teeth road, the lock above the inner teeth road It is formed with internal framework in button ontology, external teeth road installation passage, the external teeth are formed in the lock ontology below the inner teeth road Road installation passage extends to internal framework via a side in inner teeth road.
Moreover, the shape of the lock is designed according to human skull's radian;Alternatively, the lock by medical plastic or Medical metal material is process.
Moreover, the external teeth road is made with fixinig plate integrated molding, made by medical plastic or medical metal material.
Moreover, the fixinig plate is square, rectangle or circle, fixinig plate outer perimeter 2mm-200mm, thickness 0.1- 5mm。
Moreover, the lock ontology is square, rectangle or circle, outer perimeter 2mm-200mm, and according to practical need Design corresponding radian;Alternatively, the internal framework is designed according to inner teeth road situation;Alternatively, the lock ontology, inside Framework and inner teeth road thickness 0.1mm-5mm;Alternatively, multiple inner card cages are set on the inner teeth road, inner card cage gradient 1-89 Degree, depth 0.1mm-5mm, width 2mm-50mm.
Moreover, the external teeth road is made by medical plastic or medical metal material, external teeth road length is 1mm- 100mm, external tooth road width are 1mm-100mm, and external tooth road is with a thickness of 0.1mm-5mm;Multiple wild cards are set on the external teeth road The direction of slot, exterior bayonet slot is contrary with internal tooth road, and wild card trough slope is 1-89 degree, depth 0.1mm-5mm, width 2mm- 50mm。
The advantages of present invention obtains and good effect are:
1, this fixing clamp is provided with lock, inner teeth road, external teeth road and fixinig plate and when in use protrudes into fixinig plate In the drilling bored when opening cranium, then external teeth road is moved to suitable position along sutura with fixinig plate, then will latch to cranium The position of bone sets movement, when at the suitable position that lock is moved to skull, at this point, by inner teeth road and external teeth road jail on lock It is engaged and installed in firmly together, at this moment, is cut using routine operation and cut the external teeth road outside lock, which makes Used time does not need to be completely covered using mating setting tool, easy to operate, skull gap, is not easy to keep bone flap or bone fragment prominent Out, it loosens, deform;Since the inner teeth road of the fixing clamp can be removably engaged and installed in together with external teeth road, If there is complication, the fixing clamp may be reused and take out it is extremely convenient, have great clinical meaning.
2, inner teeth road and internal framework, when fixed, the inner card cage in inner teeth road are provided in the lock of this fixing clamp It can carry out coincideing with the exterior bayonet slot in external teeth road well and engage, form multiple identical points, Cranial-bone-flap or bone fragment and skull Between connection it is stronger;External teeth road after internal framework can will be cut out is pressed into wherein, prevents the external teeth road after cutting out Injury to scalp tissue;In addition, buckle structure can be designed according to human skull's radian, aesthetic effect is enhanced.
3, the shape in the external teeth road of this fixing clamp can be designed according to the width of sutura, effective over sutura, and It can reasonably be detected according to skull thickness, make fixed effect more preferably.
4, the fixinig plate of this fixing clamp can be placed in skull close to meninx side, well with skull by Cranial-bone-flap or bone fragment It is fixed in same plane or same cambered surface, had not only played good fixed effect, but also there is good aesthetic effect.
5, without using extra auxiliary tool when this fixing clamp uses, only needing routine operation to cut can be carried out operating, and make With conveniently, operating time is greatly reduced.
Detailed description of the invention
Fig. 1 is structure connection diagram of the invention;
Fig. 2 is to latch to connect enlarged diagram with the structure in inner teeth road in Fig. 1;
Fig. 3 is the A-A of Fig. 2 to cross-sectional view.
Specific embodiment
For that can further appreciate that the contents of the present invention, feature and effect, the following examples are hereby given, and cooperates attached drawing detailed It is described as follows.It should be noted that the present embodiment be it is descriptive, be not restrictive, cannot thus limit guarantor of the invention Protect range.
A kind of Cranial-bone-flap replacement and fixation folder, as shown in Figure 1, Figure 2 and Figure 3, including lock 2, inner teeth road 7, external teeth road 1 With fixinig plate 4, it is vertically arranged external teeth road on the fixinig plate, inner teeth road is set on the lock, inner teeth road and external Tooth road can be removably engaged and installed in together, be removably disposed lock by inner teeth road on the external teeth road, should Lock plays replacement and fixation function.
This fixing clamp is provided with lock, inner teeth road, external teeth road and fixinig plate and when in use protrudes into out fixinig plate In the drilling bored when cranium, then external teeth road is moved to suitable position along sutura with fixinig plate, then will latch to skull Position is mobile, when at the suitable position that lock is moved to skull, at this point, firmly with external teeth road by the inner teeth road on lock Ground is engaged and installed in together, at this moment, is cut using routine operation and is cut the external teeth road outside lock, which is using When do not need to be completely covered using mating setting tool, easy to operate, skull gap, be not easy to make bone flap or bone fragment prominent Out, it loosens, deform;Since the inner teeth road of the fixing clamp can be removably engaged and installed in together with external teeth road, If there is complication, the fixing clamp may be reused and take out it is extremely convenient, have great clinical meaning.
In the present embodiment, the lock includes latching ontology 5, internal framework 6 and external teeth road installation passage 9, described The down-set inner teeth road in intrinsic middle part is latched, is hollow setting on the opposite lock ontology in the inner teeth road, inside this It is formed with internal framework in lock ontology above tooth road, it is logical that the installation of external teeth road is formed in the lock ontology below the inner teeth road Road, the external teeth road installation passage extend to internal framework via a side in inner teeth road.When in use, external teeth road passes through External teeth road installation passage is penetrated into lock, when its be pierced by lock and install in place after, by external teeth road with Inner teeth road fastens firm installation together, is then cut using routine operation and cuts the external teeth road outside lock, then will cut The outer end in the external teeth road after sanction is pressed into internal framework, prevents injury of the external teeth road after cutting out to scalp tissue in this way.
In the present embodiment, the shape of the lock is designed according to human skull's radian, and this structure is not only advantageous Stability in the raising fixing clamp use process, and enhance aesthetic effect;The lock is by medical plastic, medical gold Belong to material or other meet medical material and be process.
The main function latched in the present invention is: (1) manufacture meets the planar structure of human skull's structure, fixed Cranial-bone-flap Or bone fragment;By with external teeth road coincide, clamp skull to maximum dynamics, play the role of being effectively fixed;It (3) will be outer The road Bu Chi end is pressed under internal framework, is effectively prevented from injury of the external teeth road end to scalp tissue;(4) fixed cranium is latched Bone process only needs inner teeth road and external teeth road to coincide and engages and Cut out step, easy to operate, and replacement and fixation is greatly saved Time.
In the present embodiment, the external teeth road is made with fixinig plate integrated molding, can be by medical plastic, medical metal material Material other meets medical material production;The external teeth road can design width and thickness according to actual needs, effectively cover Lid sutura.
In the present embodiment, the fixinig plate can design shape, size, thickness, radian according to actual needs, such as can make At square, rectangle or circle etc., fixinig plate outer perimeter 2mm-200mm, thickness 0.1-5mm are placed in nearly brain tissue skull side, It is effectively prevented Cranial-bone-flap to loosen, displacement, deform, and facilitates taking-up, aesthetic effect is good.
In the present embodiment, the lock ontology can be square, rectangle, circle etc., outer perimeter 2mm-200mm, and Corresponding radian can be designed according to actual needs;The internal framework is designed according to tooth road situation;The lock ontology, interior sash Body and inner teeth road thickness 0.1mm-5mm;Multiple inner card cages 8, inner card cage gradient 1-89 degree, depth are set on the inner teeth road 0.1mm-5mm, width 2mm-50mm.
In the present embodiment, the external teeth road by medical plastic, medical metal material or other can meet medical material Material production, external teeth road length are 1mm-100mm, and external tooth road width is 1mm-100mm, and external tooth road is with a thickness of 0.1mm-5mm;Institute It states and multiple exterior bayonet slots 3 is set on external teeth road, the direction of exterior bayonet slot is contrary with internal tooth road, and wild card trough slope is 1-89 degree, Depth 0.1mm-5mm, width 2mm-50mm.
The reasonable card slot design in external teeth road and inner teeth road, can coincide well with lock inner teeth road, be formed more A impetus, and cutting out for random length is carried out according to bone thickness, to reach best fixed effect.

Claims (5)

1. a kind of Cranial-bone-flap replacement and fixation folder, it is characterised in that: described including lock, inner teeth road, external teeth road and fixinig plate It is vertically arranged external teeth road on fixinig plate, inner teeth road is set on the lock, inner teeth road can be detachable with external teeth road Ground is engaged and installed in together, is removably disposed lock by inner teeth road on the external teeth road, and it is solid which plays reset Determine function;The lock includes lock ontology, internal framework and external teeth road installation passage, the intrinsic middle part of lock to Lower setting inner teeth road is hollow setting on the opposite lock ontology in the inner teeth road, the lock ontology above the inner teeth road It is inside formed with internal framework, external teeth road installation passage is formed in the lock ontology below the inner teeth road, external teeth road installation Channel extends to internal framework via a side in inner teeth road.
2. Cranial-bone-flap replacement and fixation folder according to claim 1, it is characterised in that: the shape of the lock is according to human body cranium Bone radian is designed;Alternatively, the lock is process by medical plastic or medical metal material.
3. Cranial-bone-flap replacement and fixation folder according to claim 1, it is characterised in that: the fixinig plate is square, is rectangular Shape or circle, fixinig plate outer perimeter 2mm-200mm, thickness 0.1-5mm.
4. Cranial-bone-flap replacement and fixation folder according to claim 1, it is characterised in that: the lock ontology is square, grows It is rectangular or round, outer perimeter 2mm-200mm, and corresponding radian is designed according to actual needs;Alternatively, the internal framework root It is designed according to inner teeth road situation;Alternatively, the lock ontology, internal framework and inner teeth road thickness 0.1mm-5mm;Alternatively, institute It states and multiple inner card cages is set on inner teeth road, inner card cage gradient 1-89 degree, depth 0.1mm-5mm, width 2mm-50mm.
5. Cranial-bone-flap replacement and fixation according to claim 4 folder, it is characterised in that: the external teeth road by medical plastic or Medical metal material production, external teeth road length be 1mm-100mm, external tooth road width be 1mm-100mm, external tooth road with a thickness of 0.1mm-5mm;Multiple exterior bayonet slots are set on the external teeth road, and the direction of exterior bayonet slot is contrary with internal tooth road, exterior bayonet slot slope Degree is 1-89 degree, depth 0.1mm-5mm, width 2mm-50mm.
CN201510454145.3A 2015-07-29 2015-07-29 A kind of Cranial-bone-flap replacement and fixation folder Expired - Fee Related CN105055011B (en)

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CN201510454145.3A CN105055011B (en) 2015-07-29 2015-07-29 A kind of Cranial-bone-flap replacement and fixation folder

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CN201510454145.3A CN105055011B (en) 2015-07-29 2015-07-29 A kind of Cranial-bone-flap replacement and fixation folder

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CN105055011B true CN105055011B (en) 2018-12-28

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CN109528279B (en) * 2018-11-18 2021-01-26 赵建磊 Skull breaking and repairing device suitable for neurosurgery clinic
CN112336409B (en) * 2019-08-07 2022-04-08 合硕生技股份有限公司 Bone drilling cover fixing device

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Granted publication date: 20181228

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