CN105852955A - Bone grafting device realizing transpedicular intervertebral bone grafting - Google Patents

Bone grafting device realizing transpedicular intervertebral bone grafting Download PDF

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Publication number
CN105852955A
CN105852955A CN201610284909.3A CN201610284909A CN105852955A CN 105852955 A CN105852955 A CN 105852955A CN 201610284909 A CN201610284909 A CN 201610284909A CN 105852955 A CN105852955 A CN 105852955A
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CN
China
Prior art keywords
bone grafting
pilot sleeve
holding rod
pedicle
horizontal holding
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Pending
Application number
CN201610284909.3A
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Chinese (zh)
Inventor
殷国勇
程琳
张宁
唐健
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Jiangsu Province Hospital First Affiliated Hospital With Nanjing Medical University
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Jiangsu Province Hospital First Affiliated Hospital With Nanjing Medical University
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Priority to CN201610284909.3A priority Critical patent/CN105852955A/en
Publication of CN105852955A publication Critical patent/CN105852955A/en
Pending legal-status Critical Current

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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
    • A61B17/8802Equipment for handling bone cement or other fluid fillers
    • A61B17/8805Equipment for handling bone cement or other fluid fillers for introducing fluid filler into bone or extracting it
    • 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
    • A61B17/7094Solid vertebral fillers; devices for inserting such fillers
    • 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
    • A61B17/90Guides therefor
    • 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)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (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)
  • Neurology (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a bone grafting device realizing transpedicular intervertebral bone grafting. The bone grafting device comprises a bone grafting guiding unit and a bone grafting rod, wherein the bone grafting guiding unit comprises a guiding sleeve and a horizontal holding rod, the lower section of the guiding sleeve is in a hollow tube shape and provided with an inclined conical end, the opening diameter of the upper section is large than that of the lower section of the guiding sleeve, the upper section of the guiding sleeve is used for accommodating a cancellous bone, the horizontal holding rod is vertically fixed to the side surface of the guiding sleeve, and the extending direction of the horizontal holding rod corresponds to the opening direction of the inclined conical end of the guiding sleeve; the bone grafting rod is located in the guiding sleeve, and the diameter of the bone grafting rod is consistent with the inner diameter of the guiding sleeve. The bone grafting device comprises the bone grafting guiding unit and the bone grafting rod, the bone grafting guiding unit comprises the guiding sleeve and the horizontal holding rod, and the horizontal holding rod is vertically fixed to the side surface of the guiding sleeve, so that the bone grafting device is conveniently held by a doctor without affecting operation and vision during bone grafting, and is simple to operate and easy to grasp and well accepted by the doctor.

Description

A kind of bone grafting device of pedicle row Vertebral graft
Technical field
The present invention relates to a kind of medical machinery, the bone grafting device of a kind of pedicle row Vertebral graft.
Background technology
Chest waist section is the turning point between movable lumbar vertebrae and fixing thoracic vertebrae, body activity stress concentrates on this, and thoracolumbar fracture is most common classification of fracture in spine fracture, the fixing fusion of posterior Pedicle nail is the most common modus operandi of current diagnosis and treatment thoracolumbar fracture, but the long segment that Posterior fixation merges fixes the activity that can limit chest waist section in a big way, easily occurs spinal motion segment to lose and Adjacent segment degeneration.The traditional therapies that the most employings are fixing in way of escape spinal canal decompression, neighbouring vertebra pedicle screw, but the problems such as the interior fixing loosening fracture of later stage existence, Loss of correction and lumbago.
In recent years, improvement along with a series of modus operandi, clinical research shows, hinder vertebra Vertebral graft+in hindering vertebra pedicle screw fixing efficient recovery can be had to hinder vertebra height, eliminate the reduction of the fracture after " eggshell " phenomenon, the generation effectively preventing Delayed onset centrum kyphosis deformity and Unstable internal fixation.But owing to current bone grafting instrument can not appropriately control bone grafting direction, after bone grafting, vertebra is hindered in impact and put nail, theoretically, if can be in surface observation bone grafting front opening direction, bone grafting tool external diameter is less do not interfere with bone grafting after hinder vertebra put nail, can will significantly ensure the surgical effect of thoracolumbar fracture internal fixation operation of cutting and resetting.
Summary of the invention
Goal of the invention: present invention aim at for the deficiencies in the prior art, it is provided that a kind of bone grafting is accurate, bone grafting does not affect after completing hinders vertebra and puts nail, the bone grafting device of the pedicle row Vertebral graft of fixing intensity in increasing.
Technical scheme: the bone grafting device of pedicle row Vertebral graft of the present invention, including bone grafting guider and bone grafting bar, described bone grafting guider is made up of pilot sleeve and horizontal holding rod, the hypomere of described pilot sleeve is hollow tubular, and there is tilted conical end, the bore of the epimere of described pilot sleeve is more than hypomere, for preset cancellous bone, described horizontal holding rod is vertically fixed on the side of described pilot sleeve, and the bearing of trend of described horizontal holding rod is corresponding with the opening direction of the tilted conical end of described pilot sleeve;Described bone grafting bar is positioned at described pilot sleeve, and the diameter of bone grafting bar is consistent with the internal diameter of described pilot sleeve.
The present invention further preferably technical scheme is that the hypomere of described pilot sleeve is hollow tubular, and tube wall is provided with scale marker, and epimere is funnel-form, and described horizontal holding rod is fixed on the epimere sidewall of described pilot sleeve.
Preferably, described horizontal holding rod is fixed on the outside of described pilot sleeve by linking arm, and the lower end of described linking arm is fitted on the funnel-form epimere outer wall of described pilot sleeve, and upper end upwardly extends and fixes with described horizontal holding rod.
Preferably, the bearing of trend of described horizontal holding rod is consistent with the opening direction of the tilted conical end of described pilot sleeve.
Preferably, the opening angle of the tilted conical end of described pilot sleeve is 50 ~ 60 °.
Preferably, described bone grafting bar includes that the section of holding and surface configuration have the dip section of scale marker, and the diameter of described dip section is consistent with the internal diameter of described pilot sleeve, and the length of described dip section is more than the lower segment length of described pilot sleeve.
Preferably, the end of described dip section caves inward formation concave surface.
Preferably, the diameter of the section of holding described in is more than the internal diameter of described pilot sleeve.
Preferably, the hypomere external diameter of described pilot sleeve is 6.0 Mm or 5.5 mm.
Preferably, described horizontal holding rod and bone grafting bar are also respectively provided with Anti-slip handle.
Beneficial effect: the bone grafting device of (1) present invention includes bone grafting guider and bone grafting bar, bone grafting guider is made up of pilot sleeve and horizontal holding rod, horizontal holding rod is vertically fixed on the side of described pilot sleeve, both doctor had been facilitated to hold, operation when not interfering with again bone grafting and the visual field, simple to operate, it is easily mastered, doctor's acceptance is good;In the present invention, the bearing of trend of horizontal holding rod is corresponding with the opening direction of the tilted conical end of described pilot sleeve simultaneously, the open-ended direction regulating pilot sleeve intuitively just can be facilitated by the direction of the horizontal holding rod of control, i.e. bone grafting direction, bone grafting is accurate, it is ensured that bone grafting effect;
(2) in the present invention, the hypomere of pilot sleeve is hollow tubular, scale marker it is provided with on tube wall, after internal bone grafting completes, sleeve can be retreated to (i.e. the front end of pilot sleeve is positioned at pedicle of vertebral arch and centrum boundary level) at 3cm scale, bone grafting is to fill up Cranial defect in the centrum caused because of bone grafting process the most again, transplanting particulate cancellous bone can be made to be positioned at 1/3 position in before centrum so that sick vertebra obtains the support of more firm stable;
(3) in the present invention, the opening angle of the tilted conical end of pilot sleeve is 50 ~ 60 °, the length of the dip section of bone grafting bar is more than the lower segment length of described pilot sleeve, can ensure that when bone grafting, cancellous bone is implanted in centrum by the opening direction of pilot sleeve, promote the accuracy of bone grafting further, eliminate " eggshell " phenomenon after the reduction of the fracture after bone grafting, recover vertebral bone anti-pressure ability, effectively prevent the generation of Delayed onset centrum kyphosis deformity;
(4) in the present invention, the end of the dip section of bone grafting bar caves inward formation concave surface, and when bone grafting bar advances, cancellous bone will be made bone grafting bar be easier to push in centrum particulate cancellous bone by the side leakage of bone grafting bar;
(5) in the present invention, the external diameter of pilot sleeve is 6.0 mm or 5.5 Two kinds of specifications of mm, bone grafting tool external diameter is less do not interfere with bone grafting after hinder vertebra put nail, can will significantly ensure the surgical effect of thoracolumbar fracture internal fixation operation of cutting and resetting, strengthen the intensity of Fracture internal fixaiion, convex abnormal after correcting more accurately.
Accompanying drawing explanation
Fig. 1 is the structural representation of the bone grafting device of pedicle row Vertebral graft of the present invention;
Fig. 2 is the structural representation of bone grafting guider of the present invention;
Fig. 3 is the structural representation of bone grafting bar of the present invention;
Fig. 4 is the partial enlarged drawing of bone grafting boom end of the present invention.
Detailed description of the invention
Below by accompanying drawing, technical solution of the present invention is described in detail, but protection scope of the present invention is not limited to described embodiment.
Embodiment 1 :The bone grafting device of a kind of pedicle row Vertebral graft, including bone grafting guider 1 and bone grafting bar 2.
Bone grafting guider 1 is made up of pilot sleeve 11 and horizontal holding rod 12, the hypomere of pilot sleeve 11 is hollow tubular, and has tilted conical end 11a, and tube wall is provided with scale marker, have suggesting effect when making bone inner tunnel, the hypomere external diameter of pilot sleeve 11 is 6.0 mm or 5.5 Two kinds of specifications of mm, the opening angle of the tilted conical end 11a of pilot sleeve is 50 ~ 60 °;The epimere of pilot sleeve 11 is basal diameter 30mm, the inverted conical shape of high 30mm, and for preset cancellous bone, horizontal holding rod 12 is fixed on the epimere sidewall of pilot sleeve 11.
Horizontal holding rod 12 is vertically fixed on the side of pilot sleeve 11 by linking arm, and the bearing of trend of horizontal holding rod 12 is consistent with the opening direction of the tilted conical end 11a of pilot sleeve, the lower end of linking arm is fitted on the funnel-form epimere outer wall of pilot sleeve 11, and upper end upwardly extends and fixes with horizontal holding rod 12;
Bone grafting bar 2 is positioned at pilot sleeve 11, bone grafting bar 2 includes that the section of holding 21 and surface configuration have the dip section 22 of scale marker, the diameter of dip section 22 is consistent with the internal diameter of pilot sleeve 11, and the length of dip section 22 is more than lower segment length 5mm of pilot sleeve 11, the end of dip section 22 cave inward shape at an angle be 10 ° of concave surface 22a;The diameter of the section of holding 21 is more than the internal diameter 2-3 mm of pilot sleeve 11.
The concrete bone grafting step of the bone grafting device of the pedicle row Vertebral graft of the present invention is as follows:
(1) patient body position is the same with the operation of general thoracolumbar fracture, takes prone position, routine disinfection drape, the sick vertebra in C arm X-ray machine location, conventional incision, appears entry point;
(2) hindering vertebra and hinder the next centrum pedicle opening, open circuit, pilot pin on vertebra, perspective is shown in that pilot pin is good in place, hinders the next centrum on vertebra and inserts the screw of suitable dimension, evil spirit rod die trial, dress rod after tapping, suitably struts, do not lock;
(3) paraphysis is taken out, hinder vertebra pedicle Screw entrance point and make bone inner tunnel with bone grafting bar under C arm X-ray machine, extract bone grafting bar, bone grafting bar is put into pilot sleeve, reproducing bone inner tunnel under C arm X-ray machine as one, perspective is shown in that pilot sleeve front end is to before centrum 1/3;
(4) adjusting at the alignment Cranial defect of pilot sleeve direction, extract bone grafting bar, put into appropriate cancellous bone through funnel, bone grafting bar is pushed in centrum;
(5), after Vertebral graft completes, extract pilot sleeve at 3cm, again put into the cancellous bone of about 1 cubic centimetre through funnel, at the Cranial defect that pilot sleeve is caused before bone grafting bar is sent into;
(6) extract pilot sleeve, insert the short screw that diameter is thicker compared with pilot sleeve external diameter, dress rod, suitably strut, lock nut;
(7) same treatment hinders vertebra opposite side;
(8) C arm machine perspective, determines interior fixing and bone grafting is the best;
(9) rinsing otch, put into drainage, layer-by-layer suture otch, operation completes.
Although as it has been described above, represented and described the present invention with reference to specific preferred embodiment, but it shall not be construed as the restriction to the present invention self.Under the spirit and scope of the present invention premise defined without departing from claims, can various changes can be made in the form and details to it.

Claims (10)

1. the bone grafting device of a pedicle row Vertebral graft, including bone grafting guider and bone grafting bar, it is characterized in that, described bone grafting guider is made up of pilot sleeve and horizontal holding rod, the hypomere of described pilot sleeve is hollow tubular, and there is tilted conical end, the bore of the epimere of described pilot sleeve is more than hypomere, for preset cancellous bone, described horizontal holding rod is vertically fixed on the side of described pilot sleeve, and the bearing of trend of described horizontal holding rod is corresponding with the opening direction of the tilted conical end of described pilot sleeve;Described bone grafting bar is positioned at described pilot sleeve, and the diameter of bone grafting bar is consistent with the internal diameter of described pilot sleeve.
The bone grafting device of pedicle row Vertebral graft the most according to claim 1, it is characterized in that, the hypomere of described pilot sleeve is hollow tubular, and tube wall is provided with scale marker, epimere is funnel-form, and described horizontal holding rod is fixed on the epimere sidewall of described pilot sleeve.
The bone grafting device of pedicle row Vertebral graft the most according to claim 2, it is characterized in that, described horizontal holding rod is fixed on the outside of described pilot sleeve by linking arm, the lower end of described linking arm is fitted on the funnel-form epimere outer wall of described pilot sleeve, and upper end upwardly extends and fixes with described horizontal holding rod.
The bone grafting device of pedicle row Vertebral graft the most according to claim 2, it is characterised in that the bearing of trend of described horizontal holding rod is consistent with the opening direction of the tilted conical end of described pilot sleeve.
The bone grafting device of pedicle row Vertebral graft the most according to claim 1, it is characterised in that the opening angle of the tilted conical end of described pilot sleeve is 50 ~ 60 °.
The bone grafting device of pedicle row Vertebral graft the most according to claim 1, it is characterized in that, described bone grafting bar includes that the section of holding and surface configuration have the dip section of scale marker, the diameter of described dip section is consistent with the internal diameter of described pilot sleeve, and the length of described dip section is more than the lower segment length of described pilot sleeve.
The bone grafting device of pedicle row Vertebral graft the most according to claim 6, it is characterised in that the end of described dip section caves inward formation concave surface.
The bone grafting device of pedicle row Vertebral graft the most according to claim 6, it is characterised in that described in the diameter of the section of holding more than the internal diameter of described pilot sleeve.
The bone grafting device of pedicle row Vertebral graft the most according to claim 1, it is characterised in that the hypomere external diameter of described pilot sleeve is 6.0 mm or 5.5 mm.
The bone grafting device of pedicle row Vertebral graft the most according to claim 1, it is characterised in that be also respectively provided with Anti-slip handle on described horizontal holding rod and bone grafting bar.
CN201610284909.3A 2016-05-03 2016-05-03 Bone grafting device realizing transpedicular intervertebral bone grafting Pending CN105852955A (en)

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106618671A (en) * 2016-10-18 2017-05-10 北京大学第三医院 Positioning guider for articular cartilage repair and application thereof
CN108095868A (en) * 2018-02-02 2018-06-01 杨珍珍 A kind of intervertenral space bone grafting filling device
CN108420519A (en) * 2018-03-19 2018-08-21 河北医科大学第三医院 Restore the adjustment bone plate of the lower limb line of force after a kind of Tibial osteotomy
CN113598845A (en) * 2021-07-20 2021-11-05 宁波华科润生物科技有限公司 Minimally invasive vertebral body opening and mold testing instrument

Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101002694A (en) * 2005-12-20 2007-07-25 贺新宁 Trans-vertebral arch pedicle type hollow vertebra centrum bone-grafting apparatus
CN201157397Y (en) * 2008-03-14 2008-12-03 张传林 Thoracolumbar transpedicular internal bone grafting instrument
CN201192374Y (en) * 2005-12-20 2009-02-11 贺新宁 Pedicle of vertebral arch hollow corpus vertebrae bone grafting device
CN201200464Y (en) * 2008-06-02 2009-03-04 孙海燕 Instrument for grafting instrument from pedicle of vertebral arch
CN201239222Y (en) * 2008-08-16 2009-05-20 王洪兵 Transpedicular intervertebral bone grafting instrument
CN203379203U (en) * 2013-06-30 2014-01-08 郭剑 Improved structure of transpedicular bone grafting funnel
US20150313717A1 (en) * 2007-11-19 2015-11-05 David Lee Method and apparatus for spinal facet joint fusion using irregularly shaped cortical bone implants
CN105852946A (en) * 2016-04-21 2016-08-17 贾新奎 Bone grafting assembly for department of orthopaedics
CN206044714U (en) * 2016-05-03 2017-03-29 南京医科大学第一附属医院 A kind of bone grafting device of pedicle row Vertebral graft

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101002694A (en) * 2005-12-20 2007-07-25 贺新宁 Trans-vertebral arch pedicle type hollow vertebra centrum bone-grafting apparatus
CN201192374Y (en) * 2005-12-20 2009-02-11 贺新宁 Pedicle of vertebral arch hollow corpus vertebrae bone grafting device
US20150313717A1 (en) * 2007-11-19 2015-11-05 David Lee Method and apparatus for spinal facet joint fusion using irregularly shaped cortical bone implants
CN201157397Y (en) * 2008-03-14 2008-12-03 张传林 Thoracolumbar transpedicular internal bone grafting instrument
CN201200464Y (en) * 2008-06-02 2009-03-04 孙海燕 Instrument for grafting instrument from pedicle of vertebral arch
CN201239222Y (en) * 2008-08-16 2009-05-20 王洪兵 Transpedicular intervertebral bone grafting instrument
CN203379203U (en) * 2013-06-30 2014-01-08 郭剑 Improved structure of transpedicular bone grafting funnel
CN105852946A (en) * 2016-04-21 2016-08-17 贾新奎 Bone grafting assembly for department of orthopaedics
CN206044714U (en) * 2016-05-03 2017-03-29 南京医科大学第一附属医院 A kind of bone grafting device of pedicle row Vertebral graft

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106618671A (en) * 2016-10-18 2017-05-10 北京大学第三医院 Positioning guider for articular cartilage repair and application thereof
CN106618671B (en) * 2016-10-18 2024-03-29 北京大学第三医院 Positioning guide for articular cartilage repair and application thereof
CN108095868A (en) * 2018-02-02 2018-06-01 杨珍珍 A kind of intervertenral space bone grafting filling device
CN108420519A (en) * 2018-03-19 2018-08-21 河北医科大学第三医院 Restore the adjustment bone plate of the lower limb line of force after a kind of Tibial osteotomy
CN113598845A (en) * 2021-07-20 2021-11-05 宁波华科润生物科技有限公司 Minimally invasive vertebral body opening and mold testing instrument
CN113598845B (en) * 2021-07-20 2023-03-24 宁波华科润生物科技有限公司 Minimally invasive vertebral body opening and mold testing instrument

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