CN105310733A - Endoscope lower thoracic vertebra body expander - Google Patents

Endoscope lower thoracic vertebra body expander Download PDF

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Publication number
CN105310733A
CN105310733A CN201510924252.8A CN201510924252A CN105310733A CN 105310733 A CN105310733 A CN 105310733A CN 201510924252 A CN201510924252 A CN 201510924252A CN 105310733 A CN105310733 A CN 105310733A
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China
Prior art keywords
axis
thoracic vertebra
surgery
movable sleeve
injuries
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CN201510924252.8A
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Chinese (zh)
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CN105310733B (en
Inventor
王振华
田鹏
姜冬梅
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/025Joint distractors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/025Joint distractors
    • A61B2017/0256Joint distractors for the spine

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

Abstract

The invention discloses an endoscope lower thoracic vertebra body expander. The outer side of a middle shaft (5) is sleeved with a spiral sleeve (3). A movable sleeve (1) is arranged at the lower end of the spiral sleeve (3). Lugs (8) are arranged on the two sides of the movable sleeve (1) and provided with twisting shafts (9), and supporting arms (10) are arranged on the twisting shafts (9). Compared with the prior art, the expander can be placed in the chest through a minimally-invasive opening, the supporting arms are used for expanding a thoracic vertebra body fixing screw, operation is performed on the outer side of the chest through an operation handle, the problem that no proper expanders exist in endoscopic surgery for treating thoracic vertebra injuries is effectively solved, operation of the surgery is simplified, trauma of the surgery is reduced, surgery time and length of hospital stay of patients are shortened, and the endoscope lower thoracic vertebra body expander is suitable for treating thoracic vertebra injuries and lumbar vertebra injuries and is an ideal restoration assorted instrument special for minimally-invasive treatment of thoracolumbar injuries.

Description

Chamber mirror hypocentrum dilator
Technical field
The invention belongs to medical instruments field, especially a kind of chamber mirror hypocentrum dilator of orthopaedics.
Background technology
Lumbar vertebra compression fracture is common vertebral fracture, traditional operation is that fracture site cone pedicle screw is carried out replacement and fixation, cone pedicle screw is because having the fixing advantage of three posts, adopted widely, operation is in the past open surgery, wound is too large, hemorrhage many, hospital stays is long, add the slight illness of patient, too increase the financial burden of patient, along with the development of surgery less invasive techniques, various less invasive techniques is also used in the operation of lumbar vertebra compression fracture, patient adopts Minimally Invasive Surgery wound little, amount of bleeding is also few, pain is little, recover fast, be obtained and applying more and more widely, Chinese invention patent ZL201220319584.5 discloses one " minimally-invasive thoracolumbar vertebral fracture repositor ", by a left side, right pliers plate, adjusting nut, adjusting screw(rod), pin, movable latch, left and right pliers grip is formed, fractured vertebral body distraction reduction is carried out fast by mini-incision passage, decrease patient suffering, but this " minimally-invasive thoracolumbar vertebral fracture repositor " is only suitable for strutting of the vertebra of the way of escape Minimally Invasive Surgery of vertebra, and be not suitable for the sick and wounded chamber mirror anterior minimally invasive hands art of Thoracolumbar disk, chamber mirror Minimally Invasive Surgery due to thoracic vertebra carries out punching to place hold-down screw and dilator from the front, side of chest, this dilator is not placed in thoracic cavity by chamber mirror passage and operates, Chinese invention patent ZL201420299361.6, also disclose " a kind of vertebrae strutting device ", dynamic support arm stretch into quiet support arm groove in, evenly distributed driving gear is provided with bottom dynamic support arm, flight is plugged in driving gear, flight is installed in rotating shaft, the bracing frame that rotating shaft is installed on quiet support arm can strut the vertebral body of patient, but this dilator can not operate at Qiang Jing Wicresoft passage, this brings very large problem also to the sick and wounded chamber mirror Minimally Invasive Surgery of Thoracolumbar disk.
Summary of the invention
Technical problem to be solved by this invention is to provide a kind of chamber mirror hypocentrum dilator, when doing the operation of thoracic vertebra compression fracture, the strutting head and can be placed on thoracic cavity by Wicresoft's mouth of dilator, be used for strutting vertebral body hold-down screw, and operating grip operates in the outside in thoracic cavity, effectively solve the problem not having suitable dilator in the sick and wounded endoscope-assistant surgery of thoracic vertebra, simplify the operation of operation, decrease the wound of operation, save the hospital stays of operating time and patient, not only be applicable to the sick and wounded treatment of thoracic vertebra, also be applicable to the sick and wounded treatment of lumbar vertebra, it is the supporting apparatus of the sick and wounded special reset of minimally-invasive treatment Thoracolumbar disk under desirable chamber mirror.
In order to solve the problems of the technologies described above, the technical solution used in the present invention is: comprise axis and screw sheel, described axis is provided with thread segment, on screw sheel socket thread segment, the axis of screw sheel lower end is provided with movable sleeve, trepanning is provided with in the centre of movable sleeve, lug is provided with in the both sides of movable sleeve, lug is provided with twisted axis, twisted axis is provided with support arm, spring is provided with in the lower end of movable sleeve, the axis of lower spring end is provided with spring retainer stake, hook is provided with in the bottom of axis, axis hands handle is provided with in the upper end of axis, screw sheel handle is provided with in the upper end of screw sheel.
As the improvement project of technique scheme, be provided with bayonet socket in the bottom of described support arm.
Compared with prior art, dilator can be placed on thoracic cavity by Wicresoft's mouth by the present invention, vertebral body hold-down screw is strutted with support arm, and operating grip operates in vitro, effectively solve the problem not having suitable dilator in the endoscope-assistant surgery of thoracic vertebra sick and wounded front road, simplify the operation of operation, decrease the wound of operation, save the hospital stays of operating time and patient, not only be applicable to the sick and wounded treatment of thoracic vertebra, also being applicable to the sick and wounded treatment of lumbar vertebra, is the supporting apparatus of reset that under desirable chamber mirror, minimally-invasive treatment breast lumbar injury is sick special.
Accompanying drawing explanation
Below in conjunction with the drawings and specific embodiments, the present invention is further detailed explanation.
Fig. 1 is the structural representation of the embodiment of the present invention 1.
Fig. 2 is the structural representation of the side-looking of Fig. 1.
Shown in figure: 1 is movable sleeve, 2 is trepanning, and 3 is screw sheel, and 4 is screw sheel handle, and 5 is axis, and 6 is axis handle, and 7 is thread segment, and 8 is lug, and 9 is twisted axis, and 10 is support arm, and 11 is bayonet socket, and 12 is spring, and 13 is spring retainer stake, and 14 is hook.
Detailed description of the invention
Embodiment 1: with reference to Fig. 1-Fig. 2, for the structural representation of the embodiment of the present invention 1, axis 5 is provided with thread segment 7, screw sheel 3 is socketed on thread segment 7, axis handle 6 is provided with on the top of axis 5, hook 14 is provided with in the bottom of axis 5, hook 14 is that top is provided with spring retainer stake 13, screw sheel handle 4 is provided with on the top of screw sheel 3, movable sleeve 1 is provided with in the outside of the lower end axis 5 of screw sheel 3, the centre of movable sleeve 1 is provided with trepanning 2, lug 8 is provided with in the both sides of movable sleeve 1, lug 8 is provided with twisted axis 9, twisted axis 9 is provided with support arm 10, the other end of support arm 10 is provided with bayonet socket 11, spring 12 is provided with in the lower end of movable sleeve 1, the other end of spring 12 is stuck in spring retainer stake 13.
During use, Wicresoft's mouth is opened in the front, side, thoracic cavity of the sick and wounded patient of thoracic vertebra, by chamber mirror, vertebral body hold-down screw is fixed on the healthy vertebral body at disease vertebra two ends, the end that struts of dilator is goed deep in the thoracic cavity of patient, operating grip stays the outside in thoracic cavity, by monitor image, hook 14 is hung on the spreader of cone pedicle screw, support arm 10 withstands on cone pedicle screw, bayonet socket 11 is stuck on the spreader of vertebral body hold-down screw, by rotating screw sleeve handle 4, strut thoracic vertebra, thoracic vertebra is resetted, finally fix vertebral body hold-down screw, operate very convenient, the wound of patient is little, amount of bleeding is few, recover fast.
Above-described is only the preferred embodiment of the present invention, it should be pointed out that for the person of ordinary skill of the art, and without departing from the concept of the premise of the invention, can also make some changes and improvements, these all belong to protection scope of the present invention.

Claims (2)

1. a chamber mirror hypocentrum dilator, it is characterized in that: comprise axis (5) and screw sheel (3), described axis (5) is provided with thread segment (7), on screw sheel (3) socket thread segment (7), the axis (5) of screw sheel (3) lower end is provided with movable sleeve (1), trepanning (2) is provided with in the centre of movable sleeve (1), lug (8) is provided with in the both sides of movable sleeve (1), lug (8) is provided with twisted axis (9), twisted axis (9) is provided with support arm (10), spring (12) is provided with in the lower end of movable sleeve (1), the axis (5) of spring (12) lower end is provided with spring retainer stake (13), hook (14) is provided with in the bottom of axis (5), axis handle (6) is provided with in the upper end of axis (5), screw sheel handle (4) is provided with in the upper end of screw sheel (3).
2. chamber according to claim 1 mirror hypocentrum dilator, is characterized in that: be provided with bayonet socket (11) in the bottom of described support arm (10).
CN201510924252.8A 2015-12-12 2015-12-12 Hysteroscope hypocentrum dilator Expired - Fee Related CN105310733B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201510924252.8A CN105310733B (en) 2015-12-12 2015-12-12 Hysteroscope hypocentrum dilator

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201510924252.8A CN105310733B (en) 2015-12-12 2015-12-12 Hysteroscope hypocentrum dilator

Publications (2)

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CN105310733A true CN105310733A (en) 2016-02-10
CN105310733B CN105310733B (en) 2017-05-31

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Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105836541A (en) * 2016-05-12 2016-08-10 华国洋 Spinning yarn bobbin with different separate yarn holding areas
CN108283509A (en) * 2018-01-06 2018-07-17 张艳梅 A kind of orthopaedics Minimally Invasive Surgery adjusting extension fixture
CN108969036A (en) * 2017-06-01 2018-12-11 崔家鸣 Expander for arthroscopic shoulder surgery
CN110353744A (en) * 2019-07-30 2019-10-22 青岛大学附属医院 A kind of Sternal distraction device for thoracic surgery clinic
CN113491546A (en) * 2021-08-06 2021-10-12 山东中医药大学附属医院 Pelvis osteotomy distractor
CN113812991A (en) * 2021-11-22 2021-12-21 杭州键嘉机器人有限公司 Orthopedic joint parallel distractor

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
SU1621903A1 (en) * 1989-03-17 1991-01-23 Московский медицинский стоматологический институт им.Н.А.Семашко Device for reposition and compression of bone fragments of kneepan
CN2336760Y (en) * 1998-05-11 1999-09-08 盛春田 Acromioclavicular joint reposition fixer
CN2428103Y (en) * 2000-07-07 2001-05-02 杜良杰 Automatic resetting device for burst bone-piece of centrum
CN200991296Y (en) * 2006-12-13 2007-12-19 王俊海 Jaw-bone fracture resetting traction device

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
SU1621903A1 (en) * 1989-03-17 1991-01-23 Московский медицинский стоматологический институт им.Н.А.Семашко Device for reposition and compression of bone fragments of kneepan
CN2336760Y (en) * 1998-05-11 1999-09-08 盛春田 Acromioclavicular joint reposition fixer
CN2428103Y (en) * 2000-07-07 2001-05-02 杜良杰 Automatic resetting device for burst bone-piece of centrum
CN200991296Y (en) * 2006-12-13 2007-12-19 王俊海 Jaw-bone fracture resetting traction device

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105836541A (en) * 2016-05-12 2016-08-10 华国洋 Spinning yarn bobbin with different separate yarn holding areas
CN108969036A (en) * 2017-06-01 2018-12-11 崔家鸣 Expander for arthroscopic shoulder surgery
CN108969036B (en) * 2017-06-01 2023-10-20 崔家鸣 Dilator for shoulder arthroscopy operation
CN108283509A (en) * 2018-01-06 2018-07-17 张艳梅 A kind of orthopaedics Minimally Invasive Surgery adjusting extension fixture
CN108283509B (en) * 2018-01-06 2020-01-10 山东省肿瘤防治研究院(山东省肿瘤医院) Adjusting and expanding device for orthopedic minimally invasive surgery
CN110353744A (en) * 2019-07-30 2019-10-22 青岛大学附属医院 A kind of Sternal distraction device for thoracic surgery clinic
CN113491546A (en) * 2021-08-06 2021-10-12 山东中医药大学附属医院 Pelvis osteotomy distractor
CN113491546B (en) * 2021-08-06 2022-12-09 山东中医药大学附属医院 Pelvis osteotomy distractor
CN113812991A (en) * 2021-11-22 2021-12-21 杭州键嘉机器人有限公司 Orthopedic joint parallel distractor
CN113812991B (en) * 2021-11-22 2022-02-15 杭州键嘉机器人有限公司 Orthopedic joint parallel distractor

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