CN106037922B - Bicyclic dentoid process of axis's sighting device - Google Patents

Bicyclic dentoid process of axis's sighting device Download PDF

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Publication number
CN106037922B
CN106037922B CN201610521530.XA CN201610521530A CN106037922B CN 106037922 B CN106037922 B CN 106037922B CN 201610521530 A CN201610521530 A CN 201610521530A CN 106037922 B CN106037922 B CN 106037922B
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CN
China
Prior art keywords
inner sleeve
semiaxis
sleeve
axis
sighting device
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Expired - Fee Related
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CN201610521530.XA
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Chinese (zh)
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CN106037922A (en
Inventor
张玉凤
刘建萍
王清波
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Liu Jianping
Zhang Yufeng
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Individual
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Priority to CN201610521530.XA priority Critical patent/CN106037922B/en
Publication of CN106037922A publication Critical patent/CN106037922A/en
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Expired - Fee Related 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
    • 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
    • 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
    • A61B2017/00367Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398Details 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A61B2017/00469Surgical 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
    • 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 present invention relates to the technical field of medical instrument, bicyclic dentoid process of axis's sighting device of guiding hollow screw positioning in specifically a kind for the treatment of for fracture of odontoid process of vertebra dentata.Including hollow guiding pipe and the sighting device being connected on hollow guiding pipe, the sighting device includes the inner sleeve and outer sleeve that are arranged concentrically, between the inner sleeve and outer sleeve and hollow guiding pipe by the shaft of right-angled intersection connect, the shaft by can relative rotation and be coaxially disposed inner sleeve and outer tube be set with.The sighting device is simple in structure, easy to use, accurate positioning is quick, can be used for guiding Kirschner wire in fracture of odontoid process of vertebra dentata treatment and is accurately positioned, so as to improve surgical quality, reduces surgical error, reduce the pain of patient.

Description

Bicyclic dentoid process of axis's sighting device
Technical field
The present invention relates to the technical field of medical instrument, draw in specifically a kind for the treatment of for fracture of odontoid process of vertebra dentata Lead bicyclic dentoid process of axis's sighting device of hollow screw positioning.
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.Untreated or treatment are not Odontoid fracture disunion rate is 42-72% caused by, and exists simultaneously potential atlanto-axial instability and determines, may cause brain stem, The acute or chronic damage of spinal cord or nerve root, causes serious quadriplegia, respiratory dysfunction or even death.Therefore to pivot The patient of vertebra odontoid fracture answers active treatment.From 1981, report used the direct treatment of internal fixation of odontoid fracture of screw for the first time Since, it has proven convenient that compared with traditional therapy, this technology can not only rebuild the stability of articulatio atlantoepistrophica for clinical practice, The activity of articulatio atlantoepistrophica can also be retained to the maximum extent, operation wound is small, and union rate is high, and is obviously improved minimal invasive treatment Quality, it is believed that the technology is the first choice of odontoid fracture operative treatment.Although anterior screw treatment of internal fixation of odontoid fracture Curative effect is clinically affirmed, but in the past due to mainly operating by rule of thumb, being oriented to Kirschner wire needs to adjust repeatedly, performs the operation Randomness is big, in some instances it may even be possible to serious complication is generated, including screw extraction, displacement fracture, nonunion or screw tapping Cdontoid process and injure spinal cord etc..Chinese patent 2012102768399 discloses one kind《Dentoid process of axis's screw sighting device》, adopt Two shrinking connecting-rods being mounted on hollow guiding pipe are adjusted so as to change the direction of hollow guiding pipe, two shrinking connecting-rods with nut It is connected on vernier control plate, vernier control plate is connect by ball-joint with supporting rod.This dentoid process of axis's screw sighting device It can be used for guiding Kirschner wire in fracture of odontoid process of vertebra dentata treatment to be accurately positioned, so as to improve surgical quality, reduce surgical error, Reduce the pain of patient.But in surgical procedure, since the position for needing to adjust is numerous, and adjusts each point of adjustment and mutually close Connection, generally requires to adjust repeatedly and can be only achieved requirement, influences operation progress.In addition, the length for the shrinking connecting-rod that nut is adjusted is difficult Precisely to measure, the position that shrinking connecting-rod is connected on vernier control plate is not known yet, this dentoid process of axis's screw sighting device Coordinate data record position cannot be used, the positioning in can not performing the operation before repetition.
Invention content
The object of the present invention is to provide a kind of simple in structure, easy to use, governing speed it is fast, coordinate representation position can be used Bicyclic dentoid process of axis's sighting device, guiding Kirschner wire is accurately positioned in being treated for fracture of odontoid process of vertebra dentata, so as to improve operation Quality reduces surgical error, reduces the pain of patient.
The present invention is for technical scheme applied to solve the technical problem:
Bicyclic dentoid process of axis's sighting device of the present invention includes hollow guiding pipe and is connected on hollow guiding pipe Sighting device, the sighting device includes the inner sleeve and outer sleeve that are arranged concentrically, and the outer diameter of the inner sleeve is less than housing The internal diameter of ring, the outer diameter of the hollow guiding pipe are less than the internal diameter of inner sleeve, the outer wall of hollow guiding pipe and the inner ring of inner sleeve It is symmetrically arranged with left half axle and right axle shaft between face, the left half axle and right axle shaft coaxial arrangement and left half axle and right axle shaft The center of circle that axis passes through inner sleeve;Semiaxis and lower half are provided between the outer ring surface of the inner sleeve and the inner ring surface of outer sleeve The center of circle that axis, the upper semiaxis and the coaxial arrangement of lower semiaxis and the axis of upper semiaxis and lower semiaxis pass through inner sleeve;Upper semiaxis It is vertical with the axis of left half axle and right axle shaft with the axis of lower semiaxis;The upper semiaxis, lower semiaxis, left half axle and right axle shaft by Can relative rotation and be coaxially disposed inner sleeve and outer tube be set with;One end of the outer tube passes through rotatable Snap ring connects inner sleeve, and the other end of outer tube is fixedly connected on hollow guiding pipe or outer sleeve, and the inner cavity of outer tube is The small taper blind hole of outer imperial palace, the upper end of the blind hole is with the inside and outside stomata of connection;The inner sleeve is to pass through high-pressure air pipe The annular hollow pipe of air pump is connected, one end of the inner sleeve is fixedly connected on inner sleeve and is connected with the tube chamber of inner sleeve, Piston is installed, the inner end of the piston 81 is axially displaceably mounted in the inner cavity of inner sleeve, living in the inner cavity of inner sleeve The outer end of plug is in the inner cavity of outer tube and matching vertebra shape body.
The scale for representing relative position is provided on the outer tube wall of the inner sleeve and outer tube joining place;The inner sleeve Inner cavity in two boss that are arranged in parallel, the inner end of the piston is the cylinder between two boss.
After adopting the above technical scheme, the sighting device adjusts the direction of guide pipe, structure letter by dicyclic sighting device Single, easy to use, governing speed is fast and available coordinate representation position, the convenient details for quantitatively recording surgical procedure utilize coordinate The repeatable positioning reproduced in operation;Positioning Kirschner wire is made to be predominantly located in guider using hollow guide device, convenient for control Direction avoids it from being bent and cause the suitable illusion of inserting needle;Use pressure control piston fixation hollow guider, location action Soon, fixed reliable, position is fixed after being accurately positioned and positioning, and reduces inserting needle repeatedly, improves the accuracy of screw entrance;No It needs to be implanted into fixing glue on Cervical vertebra and fixed connecting rod is firmly secured to operating bed, it is fixed reliable.
Description of the drawings
Fig. 1 is the positive structure schematic of one embodiment of the invention.
Fig. 2 is the schematic cross-sectional view of upper semiaxis.
Specific embodiment
As shown in Figure 1, bicyclic dentoid process of axis's sighting device of the present invention includes hollow guiding pipe 1 and is connected to hollow Sighting device on guide pipe 1, the sighting device include the inner sleeve 2 being arranged concentrically and outer sleeve 3, the inner sleeve 2 Outer diameter is less than the internal diameter of outer sleeve 3, and the outer diameter of the hollow guiding pipe 1 is less than the internal diameter of inner sleeve 2, hollow guiding pipe 1 it is outer Left half axle 5 and right axle shaft, the left half axle 5 and right axle shaft coaxial arrangement are symmetrically arranged between the inner ring surface of wall and inner sleeve 2 And the axis of left half axle 5 and right axle shaft passes through the center of circle of inner sleeve 2;The outer ring surface of the inner sleeve 2 and the inner ring of outer sleeve 3 It is provided with semiaxis 6 and lower semiaxis 7 between face, the upper semiaxis 6 and lower semiaxis 7 are coaxially disposed and upper semiaxis 6 and lower semiaxis 7 The axis center of circle that passes through inner sleeve 2;The axis of upper semiaxis 6 and lower semiaxis 7 is vertical with the axis of left half axle 5 and right axle shaft;Institute State semiaxis 6, lower semiaxis 7, left half axle 5 and right axle shaft by can relative rotation and be coaxially disposed inner sleeve 8 and 9 sets of outer tube It fills.
In use, hollow guiding pipe 1 can be swung up and down centered on left half axle 5 and right axle shaft on inner sleeve 2, inner sleeve It can swing centered on more than 2 semiaxis 6 of ring and lower semiaxis 7, can thus realize the comprehensive guiding of hollow guiding pipe 1 Setting.
Certainly, it uses for convenience, connecting plate 10 and connecting seat 11 can also be set on outer sleeve 3, connect for fixed It is connected on various stents.
The inner sleeve 2 is the annular hollow pipe that air pump is connected by high-pressure air pipe, and valve cock is provided on inner sleeve 2 13, and pass through the valve cock 13 connection high-pressure air pipe.Upper semiaxis 6, lower semiaxis 7, left half axle 5 are identical with the structure of right axle shaft, with For upper semiaxis 6, as shown in Fig. 2, one end of the outer tube 9 connects inner sleeve 8, outer tube by rotatable snap ring 9 other end is fixedly connected on hollow guiding pipe 1 or outer sleeve 3, and the inner cavity of outer tube 9 is the small taper blind hole of outer imperial palace 91, the upper end of the blind hole 91 is with the inside and outside stomata 92 of connection;The inner sleeve 2 is the ring that air pump is connected by high-pressure air pipe Shape hollow pipe, one end of the inner sleeve 8 are fixedly connected on inner sleeve 2 and are connected with the tube chamber of inner sleeve 2, inner sleeve 8 Piston 81 is installed, the inner end of the piston 81 is axially displaceably mounted in the inner cavity of inner sleeve 8, piston 81 in inner cavity Outer end is in the inner cavity of outer tube 9 and matching vertebra shape body.When air pump by high-pressure air pipe and gas nozzle 13 to inner sleeve When ring 2 is inflated, piston 81 pops up, and the cone of outer end is tightly attached on the inner wall of outer tube 9, by outer tube 9 and inner sleeve 8 Position is fixed;Conversely, when air pump generates negative pressure by high-pressure air pipe and gas nozzle 13 in inner sleeve 2, on outer tube 9 Stomata is in communication with the outside, and the pressure of 91 upper end of blind hole is more than the pressure in inner sleeve 2, and piston 81 is sprung back, outer tube 9 and inner sleeve 2 are freely rotatable.
The scale for representing relative position is provided on the outer tube wall of 9 joining place of the inner sleeve 8 and outer tube.Hollow guiding After the direction position of pipe 1 is fixed, the angle for recording 9 relative rotation of inner sleeve 8 and outer tube on each semiaxis can determine sky The position coordinates of heart guide pipe 1.Two boss 82,83 being arranged in parallel are carried in the inner cavity of the inner sleeve 8, the piston 81 Inner end is the cylinder between two boss.In this way, boss 82,83 can limit the motion amplitude of the pop-up of piston 81, Improve locating speed and the precision of positioning.
In use, making patient lies supine position, position is stretched after keeping neck;Continue skull traction under C-arm X-ray machine just, side position as see Examine odontoid fracture reset;Using the midpoint of C2 centrum lower edges as entry point, sighting device is installed in place;X-ray normotopia, side position are thoroughly Depending on, it opens air pump and generates negative pressure, manipulate hollow guiding pipe normotopia and be located at cdontoid process central axes, vertex after the opposite direction cdontoid process of side position, After location determination, open air pump and generate high pressure by the locking of hollow guiding pipe position;1.2mm Kirschner wires are drawn in guider with electric drill It leads down and squeezes into cdontoid process, after positive lateral projection is errorless, with the hollow drill bit of 3.0 mm of outer diameter along Kirschner wire reaming, be screwed into a diameter of The hollow cancellous bone pressurization titanium screw of the appropriate length of 3.5 mm.

Claims (1)

1. bicyclic dentoid process of axis's sighting device, including hollow guiding pipe(1)And it is connected to hollow guiding pipe(1)On aiming dress It puts, it is characterised in that:The sighting device includes the inner sleeve being arranged concentrically(2)And outer sleeve(3), the inner sleeve(2)'s Outer diameter is less than outer sleeve(3)Internal diameter, the hollow guiding pipe(1)Outer diameter be less than inner sleeve(2)Internal diameter, hollow guiding pipe (1)Outer wall and inner sleeve(2)Inner ring surface between be symmetrically arranged with left half axle(5)And right axle shaft, the left half axle(5)And the right side Semiaxis is coaxially disposed and left half axle(5)Pass through inner sleeve with the axis of right axle shaft(2)The center of circle;The inner sleeve(2)It is outer Anchor ring and outer sleeve(3)Inner ring surface between be provided with semiaxis(6)With lower semiaxis(7), the upper semiaxis(6)With lower semiaxis (7)Coaxial arrangement and upper semiaxis(6)With lower semiaxis(7)Axis pass through inner sleeve(2)The center of circle;Upper semiaxis(6)And lower half Axis(7)Axis and left half axle(5)It is vertical with the axis of right axle shaft;The upper semiaxis(6), lower semiaxis(7), left half axle(5)With Right axle shaft by can relative rotation and be coaxially disposed inner sleeve(8)And outer tube(9)It is set with;The outer tube(9)'s One end connects inner sleeve by rotatable snap ring(8), outer tube(9)The other end be fixedly connected on hollow guiding pipe (1)Or outer sleeve(3)On, outer tube(9)Inner cavity be the small taper blind hole of outer imperial palace(91), the blind hole(91)Upper end With the stomata that connection is inside and outside(92);The inner sleeve(2)It is the annular hollow pipe that air pump is connected by high-pressure air pipe, it is described interior Casing(8)One end be fixedly connected on inner sleeve(2)Upper and and inner sleeve(2)Tube chamber connection, inner sleeve(8)Inner cavity in pacify Equipped with piston(81), the piston(81)Inner end axially displaceably be mounted on inner sleeve(8)Inner cavity in, piston(81)'s Outer end is to be located at outer tube(9)Inner cavity in and matching vertebra shape body;The inner sleeve(8)Inner cavity in set with parallel Two boss put(82、83), the piston(81)Inner end be cylinder between two boss.
CN201610521530.XA 2015-04-14 2015-04-14 Bicyclic dentoid process of axis's sighting device Expired - Fee Related CN106037922B (en)

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CN201610521530.XA CN106037922B (en) 2015-04-14 2015-04-14 Bicyclic dentoid process of axis's sighting device

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CN201610521530.XA CN106037922B (en) 2015-04-14 2015-04-14 Bicyclic dentoid process of axis's sighting device
CN201510174299.7A CN104758044B (en) 2015-04-14 2015-04-14 Piston type dicyclo pivot cone cdontoid process sight

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CN106037922B true CN106037922B (en) 2018-06-26

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Application Number Title Priority Date Filing Date
CN201610521868.5A Active CN106175910B (en) 2015-04-14 2015-04-14 Dentoid process of axis's sighting device with twin nuclei
CN201510174299.7A Expired - Fee Related CN104758044B (en) 2015-04-14 2015-04-14 Piston type dicyclo pivot cone cdontoid process sight
CN201610521991.7A Active CN105997228B (en) 2015-04-14 2015-04-14 A kind of dentoid process of axis's sighting device with twin nuclei
CN201610521530.XA Expired - Fee Related CN106037922B (en) 2015-04-14 2015-04-14 Bicyclic dentoid process of axis's sighting device

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Application Number Title Priority Date Filing Date
CN201610521868.5A Active CN106175910B (en) 2015-04-14 2015-04-14 Dentoid process of axis's sighting device with twin nuclei
CN201510174299.7A Expired - Fee Related CN104758044B (en) 2015-04-14 2015-04-14 Piston type dicyclo pivot cone cdontoid process sight
CN201610521991.7A Active CN105997228B (en) 2015-04-14 2015-04-14 A kind of dentoid process of axis's sighting device with twin nuclei

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CN106344147A (en) * 2016-09-14 2017-01-25 云南省第人民医院 Liver tumor resection device based on waist transverse incision

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EP1382308A2 (en) * 2002-07-18 2004-01-21 Biosense, 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

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CN104758044B (en) 2016-08-24
CN105997228A (en) 2016-10-12
CN106175910B (en) 2018-09-11
CN104758044A (en) 2015-07-08
CN106037922A (en) 2016-10-26
CN105997228B (en) 2018-11-16
CN106175910A (en) 2016-12-07

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