CN106175910B - Dentoid process of axis's sighting device with twin nuclei - Google Patents

Dentoid process of axis's sighting device with twin nuclei Download PDF

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Publication number
CN106175910B
CN106175910B CN201610521868.5A CN201610521868A CN106175910B CN 106175910 B CN106175910 B CN 106175910B CN 201610521868 A CN201610521868 A CN 201610521868A CN 106175910 B CN106175910 B CN 106175910B
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inner sleeve
sleeve
semiaxis
axis
sighting device
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CN201610521868.5A
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CN106175910A (en
Inventor
冀旭斌
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Suzhou Ruipengcheng Science and Technology Co Ltd
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Qingdao Yijianuo Aily Chemical Co Ltd
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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 fields of medical instrument, are particularly used for the technical field of fracture of odontoid process of vertebra dentata therapeutic device.Including hollow guiding pipe and the sighting device being connected on hollow guiding pipe, the sighting device includes the inner sleeve and outer sleeve being arranged concentrically, connected by the shaft of right-angled intersection between the inner sleeve and outer sleeve and hollow guiding pipe, the shaft by can the inner sleeve and outer tube of relative rotation and coaxial arrangement 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, to improve surgical quality, reduces surgical error, reduce the pain of patient.

Description

Dentoid process of axis's sighting device with twin nuclei
Technical field
The present invention relates to the technical fields of medical instrument, are particularly used for the skill of fracture of odontoid process of vertebra dentata therapeutic device Art field.
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 The odontoid fracture disunion rate caused by is 42-72%, and it is fixed to exist simultaneously potential atlanto-axial instability, may cause brain stem, The acute or chronic damage of spinal cord or nerve root causes serious quadriplegia, respiratory dysfunction, or even dead.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 is oriented to Kirschner wire due to mainly operating by rule of thumb in the past and is needed to adjust repeatedly, and performed the operation Randomness is big, in some instances it may even be possible to generate serious complication, 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 on hollow guiding pipe are mounted on to change the direction of hollow guiding pipe, two shrinking connecting-rods with nut adjustment 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, to improve surgical quality, reduce surgical error, Reduce the pain of patient.But it in the course of surgery, since the position for needing to adjust is numerous, and adjusts each point of adjustment and mutually closes Connection, generally requires to adjust repeatedly and can be only achieved requirement, influences operation progress.In addition, the length of the shrinking connecting-rod of nut adjustment 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 speeds soon, can use coordinate representation position Dentoid process of axis's sighting device with twin nuclei, guiding Kirschner wire is accurately positioned in being treated for fracture of odontoid process of vertebra dentata, from And surgical quality is improved, surgical error is reduced, the pain of patient is reduced.
The present invention is for technical scheme applied to solve the technical problem:
Dentoid process of axis's sighting device of the present invention with twin nuclei includes hollow guiding pipe and is connected to sky Sighting device on heart guide pipe, the sighting device include the inner sleeve and outer sleeve being arranged concentrically, the inner sleeve it is outer Diameter is less than the internal diameter of outer sleeve, and the outer diameter of the hollow guiding pipe is less than the internal diameter of inner sleeve, the outer wall of hollow guiding pipe with it is interior It is symmetrically arranged with left half axle and right axle shaft between the inner ring surface of lantern ring, the left half axle and right axle shaft coaxial arrangement and left half axle The center of circle for passing through inner sleeve with the axis of right axle shaft;It is provided between the outer ring surface of the inner sleeve and the inner ring surface of outer sleeve The circle that semiaxis and lower semiaxis, the upper semiaxis and the coaxial arrangement of lower semiaxis and the axis of upper semiaxis and lower semiaxis pass through inner sleeve The heart;The axis of upper semiaxis and lower semiaxis is vertical with the axis of left half axle and right axle shaft;The upper semiaxis, lower semiaxis, left half axle and Right axle shaft by can the inner sleeve and outer tube of relative rotation and coaxial arrangement be set with;One end of the outer tube is by can The snap ring connection inner sleeve rotated freely, the other end of outer tube are fixedly connected on hollow guiding pipe or outer sleeve, housing The inner cavity of pipe is the small taper blind hole of outer imperial palace, and the upper end of the blind hole is with the inside and outside stomata of connection;The inner sleeve is logical Cross high-pressure air pipe connection air pump annular hollow pipe, one end of the inner sleeve be fixedly connected on inner sleeve and with inner sleeve Tube chamber is connected to, and piston is equipped in the inner cavity of inner sleeve, and the inner end of the piston is axially displaceably mounted on the interior of inner sleeve In chamber, the outer end of piston is in the inner cavity of outer tube and matching cone;On outer sleeve be arranged connecting plate and Connecting seat.
The scale for indicating relative position is provided on the outer tube wall of the inner sleeve and outer tube joining place;The inner sleeve Inner cavity in carry two boss disposed 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 set 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 implementation mode
As shown in Figure 1, dentoid process of axis's sighting device of the present invention with twin nuclei include hollow guiding pipe 1 and The sighting device being connected on hollow guiding pipe 1, the sighting device include the inner sleeve 2 being arranged concentrically and outer sleeve 3, described The outer diameter of inner sleeve 2 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 to lead It is symmetrically arranged with left half axle 5 and right axle shaft, the left half axle 5 and right axle shaft between the outer wall and the inner ring surface of inner sleeve 2 of pipe 1 The center of circle that coaxial arrangement and the axis of left half axle 5 and right axle shaft pass through inner sleeve 2;The outer ring surface and housing of the inner sleeve 2 It is provided with semiaxis 6 and lower semiaxis 7 between the inner ring surface of ring 3, the upper semiaxis 6 and the coaxial arrangement of lower semiaxis 7 and upper semiaxis 6 The center of circle for passing through inner sleeve 2 with the axis of lower semiaxis 7;The axis of the axis and left half axle 5 and right axle shaft of upper semiaxis 6 and lower semiaxis 7 Line is vertical;The upper semiaxis 6, lower semiaxis 7, left half axle 5 and right axle shaft by can relative rotation and coaxial arrangement 8 and of inner sleeve Outer tube 9 is set with.
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 2 or more semiaxis 6 of ring and lower semiaxis 7, the comprehensive guiding of hollow guiding pipe 1 thus may be implemented 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 holders.
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 high-pressure air pipe is connected by the valve cock 13.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 One end of shape hollow pipe, the inner sleeve 8 is fixedly connected on inner sleeve 2 and is connected to 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 cone.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 indicating 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 disposed in parallel is 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 the precision of locating speed and 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, opens 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. dentoid process of axis's sighting device with twin nuclei, including hollow guiding pipe(1)And it is connected to hollow guiding pipe(1) On sighting device, it is characterised in that:The sighting device includes the inner sleeve being arranged concentrically(2)And outer sleeve(3), described interior Lantern ring(2)Outer diameter be 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 side Semiaxis(5)With right axle shaft coaxial arrangement and left half axle(5)Pass through inner sleeve with the axis of right axle shaft(2)The center of circle;In described Lantern ring(2)Outer ring surface 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 half Axis(6)With lower semiaxis(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 coaxial arrangement inner sleeve(8)And outer tube(9)It is set with;It is described Outer tube(9)One end pass through rotatable snap ring connect inner sleeve(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 inside and outside stomata of connection(92);The inner sleeve(2)It is the annular sky that air pump is connected by high-pressure air pipe Heart pipe, the inner sleeve(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 piston is installed(81), the piston(81)Inner end axially displaceably be mounted on inner sleeve(8)Inner cavity In, piston(81)Outer end be located at outer tube(9)Inner cavity in and matching cone;In outer sleeve(3)Upper setting Connecting plate(10)And connecting seat(11);The inner sleeve(8)Inner cavity in carry two boss disposed in parallel(82、83), described Piston(81)Inner end be cylinder between two boss.
CN201610521868.5A 2015-04-14 2015-04-14 Dentoid process of axis's sighting device with twin nuclei Active CN106175910B (en)

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CN201610521868.5A CN106175910B (en) 2015-04-14 2015-04-14 Dentoid process of axis's sighting device with twin nuclei

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CN201610521868.5A CN106175910B (en) 2015-04-14 2015-04-14 Dentoid process of axis's sighting device with twin nuclei
CN201510174299.7A CN104758044B (en) 2015-04-14 2015-04-14 Piston type dicyclo pivot cone cdontoid process sight

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CN106175910B true CN106175910B (en) 2018-09-11

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CN201610521868.5A Active CN106175910B (en) 2015-04-14 2015-04-14 Dentoid process of axis's sighting device with twin nuclei
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
CN201510174299.7A Expired - Fee Related CN104758044B (en) 2015-04-14 2015-04-14 Piston type dicyclo pivot cone cdontoid process sight

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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
CN201510174299.7A Expired - Fee Related CN104758044B (en) 2015-04-14 2015-04-14 Piston type dicyclo pivot cone cdontoid process sight

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Publication number Priority date Publication date Assignee Title
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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Publication number Priority date Publication date Assignee Title
EP0416863A1 (en) * 1989-09-04 1991-03-13 John Ewart Alfred Wickham Frame for medical implement
US5196019A (en) * 1991-10-04 1993-03-23 Dlp, Inc. Goniometer for needle placement
CN102755188A (en) * 2012-08-06 2012-10-31 周健 Axis odontoid screw sighting device
CN103800049A (en) * 2012-11-14 2014-05-21 比德尔曼技术有限责任两合公司 Targeting device for guiding a drill arrangement
CN203724223U (en) * 2014-02-24 2014-07-23 曾月东 Gear adjusting type lumbar disc herniation target point collimator

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Publication number Publication date
CN104758044A (en) 2015-07-08
CN105997228B (en) 2018-11-16
CN106175910A (en) 2016-12-07
CN105997228A (en) 2016-10-12
CN106037922A (en) 2016-10-26
CN104758044B (en) 2016-08-24
CN106037922B (en) 2018-06-26

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