CN105615977B - Vertebral plate raises device - Google Patents

Vertebral plate raises device Download PDF

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Publication number
CN105615977B
CN105615977B CN201610042620.0A CN201610042620A CN105615977B CN 105615977 B CN105615977 B CN 105615977B CN 201610042620 A CN201610042620 A CN 201610042620A CN 105615977 B CN105615977 B CN 105615977B
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China
Prior art keywords
coupler body
vertebral plate
connection end
length
free end
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Expired - Fee Related
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CN201610042620.0A
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Chinese (zh)
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CN105615977A (en
Inventor
郑文迪
赵亮
唐瑞
马克
马俊豪
李泽龙
李玉林
宋瑞鹏
王玉强
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Individual
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Individual
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Priority to CN201610042620.0A priority Critical patent/CN105615977B/en
Publication of CN105615977A publication Critical patent/CN105615977A/en
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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
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8866Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices for gripping or pushing bones, e.g. approximators
    • 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
    • A61B2017/564Methods for bone or joint treatment

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

Abstract

The present invention relates to vertebral plate to raise device, effectively solve neck posterior approach and push open enabling side to raise in vertebral plate operation, rongeur in-convenience in use, hardly possible operation, effect is poor, vertebral plate is when raising, easy resilience, the problem of causing peril to occur, coupler body has free end and connection end, the free end length of coupler body is less than the length of connection end, the top of coupler body is plane, the connection end of coupler body and the V-shaped connection of handle, V-arrangement opening and coupler body opening are in opposite direction, the free end of handle and coupler body is respectively placed in the both sides of the connection end of coupler body, the present invention is simple in construction, it is easy to use, it is easy to operate, substantially increase operating efficiency, solve the problems, such as vertebral plate resilience when raising, avoid the generation of malpractice, improve the security of operation.

Description

Vertebral plate raises device
Technical field
The present invention relates to medicine equipment, particularly a kind of vertebral plate raises device.
Background technology
Anterior cervical operation clinically becomes due to updating and promoting in treatment low portion of neck and short segment cervical spondylotic myelopathy Good result is achieved, but solves Multilevel cervical spondylotic myelopathy and becomes still abnormal difficult.Therefore neck posterior approach then turns into treatment The conventional modus operandi of Multilevel cervical spondylotic myelopathy.Posterior approach is by expanding canalis spinalis, by the presence of physiologic radian, ridge Marrow moves after under " bowstring principle " acts on, and alleviates front and causes compressing of the pressure thing to spinal cord.
The operating procedure of neck posterior approach is at this stage:Patient takes prostrate, Qu Jing, upper body to raise position.Local infiltration anesthesia Or general anesthesia, using straight cut is hit exactly after neck, cut subperiosteum after ligamentaum nuchae and peel off and appear spinous process, bilateral lamina and articular process Inside portion, according to the positioning of spinous process form, appear lesion segment each vertebra section up and down.Punched in vertebral plate spinous process linking part, two Lateral margin in the articular process of side vertebral plate, side elect hinge side as, grind off or bite away vertebral plate outer cortex bone and part cancellous bone, make V Shape bone groove, its bottom is not up to vertebral plate internal layer cortex but cutting off, and opposite side is enabling side, row strip Laminectomy, and bilateral all should be Operated on the inside of articular process on vertebral plate.Ligamentum flavum between the upper and lower vertebral plate of enabling section and under the vertebral plate of enabling section is cut off, appears vertebra Pipe.Each vertebral plate in section that will open the door is suspended on the capsular ligament of right side with " 10 " number silk thread.Being pushed open by lateral hinge side of opening the door makes V shapes Mouth is gradually drawn close, and is raised and is not easy wide, the otherwise possibility of easy increase offside complete fracture, or even cause tight to canalis spinalis internal shift etc. Weight consequence.Appear dura mater, dural surface gelatin foam or take correspondingly sized fatty piece covering.Wound puts negative-pressure drainage tube.
When neck posterior approach carries out pushing enabling side open and raises the step for vertebral plate is depressurized, there is presently no special Instrument, vertebral plate is raised push open enabling side usually using the rongeur of sharp mouth, in this course may be due to stinging bone The fixed shakiness of pincers causes serious consequence, such as, when pushing enabling side open and raising vertebral plate, because rongeur fixes unstable, enabling side Vertebral plate is raised when raising, is easy to resilience, and is beaten on the spinal cord of intraspinal tube, the major accident for causing patient to paralyse, therefore, So far, there has been no easy to use, easily operation can be used in neck posterior approach and push open enabling side raising operation in vertebral plate Instrument.
The content of the invention
For the above situation, to overcome prior art defect, the purpose of the present invention is just to provide a kind of vertebral plate and raises device, can Effectively solve neck posterior approach and push open enabling side to raise in vertebral plate operation, rongeur in-convenience in use, hardly possible operation, effect Difference, vertebral plate is when raising, easy resilience, the problem of causing peril to occur.
The technical scheme that the present invention solves is that coupler body has free end and connection end, and the free end length of coupler body is less than connection The length at end, the top of coupler body is plane, the connection end of coupler body and the V-shaped connection of handle, and V-arrangement opening and coupler body opening are in phase The free end of opposite direction, handle and coupler body is respectively placed in the both sides of the connection end of coupler body.
The present invention is simple in construction, easy to use, easy to operate, substantially increases operating efficiency, efficiently solves vertebral plate and lifting When opening the problem of resilience, the generation of malpractice is avoided, improves the security of operation.
Brief description of the drawings
Fig. 1 is the structural front view of the present invention.
Fig. 2 is the schematic enlarged-scale view of the present invention.
Fig. 3 is the use state diagram of the present invention.
Embodiment
The embodiment of the present invention is elaborated below in conjunction with accompanying drawing.
Provided by Fig. 1-Fig. 3, structure of the invention is that coupler body has free end 1 and connection end 2, the free end length of coupler body Less than the length of connection end, the top 3 of coupler body is plane, the 4 V-shaped connection of connection end and handle of coupler body, V-arrangement opening and hook Body opening is in opposite direction, and the free end of handle and coupler body is respectively placed in the both sides of the connection end of coupler body.
Described coupler body be thick 2-4mm, wide 0.8-2cm steel plate bending into hook formation.
Spiny tooth 5 is evenly equipped with described coupler body inwall, prevents from slipping.
The connection end 2 of described coupler body and handle link together through arc-shaped transition section 7.
There is cone 6 on the extrados of described arc-shaped transition section 7.
Described arc-shaped transition section 7 is the curved plate body of bending.
The length of free end 1 of described coupler body is 2-6mm.
The length of connection end 2 of described coupler body is 12-20mm.
The length of top 3 of described coupler body is 3-6mm.
The length of described handle 4 is 10-15cm.
The connection end 2 of described coupler body and the angle of handle are 30-90 °.
It is convenient to hold fluted 8 on described handle 4, prevent from slipping.
In use, the present invention is inserted from the enabling side of vertebral plate 10, the free end of coupler body is close to the vertebra close to canalis spinalis 11 On plate madial wall, cone is pressed against on the vertebral plate lateral wall in the shifting type portion 9 close to vertebral plate and spinous process, to vertebral plate and the shifting type of spinous process Pull handle in direction in portion, you can raising for enabling side vertebral plate easily is realized, it is time saving, it is laborsaving, make enabling side vertebral plate to hinge side vertebra Plate is pushed open, V-shaped part is gradually drawn close, and the width raised can be according to dynamics free hold, and rapidly, fast, enabling side vertebral plate is being raised When, controlled by coupler body, no resilience, no slippage, devoid of risk is securely and reliably, easy to use, substantially increases operating efficiency, effectively Solve potential safety hazard, avoid the generation of malpractice, so as to reach quickening decompression rate, improve the mesh of operation safety , in summary, the present invention has huge economic and social benefit.

Claims (8)

1. a kind of vertebral plate raises device, coupler body has free end(1)And connection end(2), it is characterised in that the free end length of coupler body is small Length in connection end, the top of coupler body(3)To be plane, the connection end of coupler body and handle(4)Through arc-shaped transition section(7)In V Shape connects, and V-arrangement opening and coupler body opening are in opposite direction, and the free end of handle and coupler body is respectively placed in the two of the connection end of coupler body Side;The angle of described V-arrangement is 30-90 °.
2. vertebral plate according to claim 1 raises device, it is characterised in that described coupler body is thick 2-4mm, wide 0 .8-2cm Steel plate bending into hook formation.
3. vertebral plate according to claim 1 raises device, it is characterised in that is evenly equipped with described coupler body inwall spiny Tooth(5), prevent from slipping.
4. vertebral plate according to claim 1 raises device, it is characterised in that described arc-shaped transition section(7)Extrados on There is cone(6).
5. vertebral plate according to claim 4 raises device, it is characterised in that described arc-shaped transition section(7)It is in arc for bending The plate body of shape.
6. vertebral plate according to claim 1 raises device, it is characterised in that the free end of described coupler body(1)Length is 2- 6mm;The connection end of described coupler body(2)Length is 12-20mm;The top of described coupler body(3)Length is 3-6mm.
7. vertebral plate according to claim 1 raises device, it is characterised in that described handle(4)Length be 10-15cm.
8. vertebral plate according to claim 1 raises device, it is characterised in that described handle(4)It is upper fluted(8), it is convenient Hold, prevent from slipping.
CN201610042620.0A 2016-01-22 2016-01-22 Vertebral plate raises device Expired - Fee Related CN105615977B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201610042620.0A CN105615977B (en) 2016-01-22 2016-01-22 Vertebral plate raises device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201610042620.0A CN105615977B (en) 2016-01-22 2016-01-22 Vertebral plate raises device

Publications (2)

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CN105615977A CN105615977A (en) 2016-06-01
CN105615977B true CN105615977B (en) 2017-12-01

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Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR101750913B1 (en) * 2017-01-09 2017-06-26 원유건 Device for fixing spine
CN110960270B (en) * 2019-12-06 2020-09-29 吉林大学 Vertebral plate rotating opener for cervical vertebra single-door opening operation
CN114098939A (en) * 2021-11-26 2022-03-01 中国人民解放军空军军医大学 Cervical vertebra single-door-opening operation vertebral plate opener capable of accurately implementing door opening angle

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20100010546A1 (en) * 2008-07-11 2010-01-14 Elias Humberto Hermida Ochoa Minimally Invasive Instruments and Methods for the Micro Endoscopic Application of Spine Stabilizers in the Interspinous Space
CN102166125A (en) * 2011-04-23 2011-08-31 浙江大学 Set of appliances for posterior lumbar interbody minimally invasive fusion
CN202801767U (en) * 2012-09-24 2013-03-20 中国人民解放军第二军医大学 Vertebral plate opener
CN103126731A (en) * 2013-01-30 2013-06-05 南京医科大学第一附属医院 Exposure device for vertebral column back-way small-incision paraspinal muscle clearance admission passage
CN205322457U (en) * 2016-01-22 2016-06-22 郑文迪 Vertebral plate opener

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20100010546A1 (en) * 2008-07-11 2010-01-14 Elias Humberto Hermida Ochoa Minimally Invasive Instruments and Methods for the Micro Endoscopic Application of Spine Stabilizers in the Interspinous Space
CN102166125A (en) * 2011-04-23 2011-08-31 浙江大学 Set of appliances for posterior lumbar interbody minimally invasive fusion
CN202801767U (en) * 2012-09-24 2013-03-20 中国人民解放军第二军医大学 Vertebral plate opener
CN103126731A (en) * 2013-01-30 2013-06-05 南京医科大学第一附属医院 Exposure device for vertebral column back-way small-incision paraspinal muscle clearance admission passage
CN205322457U (en) * 2016-01-22 2016-06-22 郑文迪 Vertebral plate opener

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