CN106264652A - Osteotomy instrument - Google Patents

Osteotomy instrument Download PDF

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Publication number
CN106264652A
CN106264652A CN201510438806.3A CN201510438806A CN106264652A CN 106264652 A CN106264652 A CN 106264652A CN 201510438806 A CN201510438806 A CN 201510438806A CN 106264652 A CN106264652 A CN 106264652A
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CN
China
Prior art keywords
conductor
clamper
osteotomy
osteotomy instrument
grip block
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CN201510438806.3A
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Chinese (zh)
Other versions
CN106264652B (en
Inventor
张英泽
闫寒冰
付明俊
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Beijing Naton Medical Technology Holdings Co Ltd
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Beijing Naton Technology Group Co Ltd
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Publication of CN106264652A publication Critical patent/CN106264652A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1662Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/171Guides or aligning means for drills, mills, pins or wires for external fixation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1732Guides or aligning means for drills, mills, pins or wires for bone breaking devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Dentistry (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)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a kind of osteotomy instrument, for assisting intercepting bone, including clamper, conductor and operator, described clamper includes two grip blocks being oppositely arranged, the described clamping face being provided with on clamping face, and grip block described in two on described clamping part is oppositely arranged to form grasping part;Described conductor is installed on the near-end of described grip block, and is positioned at the sidepiece of described grip block, and described conductor is provided with the guiding structural for being directed through osteotome;Described operator is pivotally connected the near-end of described two grip blocks, and is positioned at the side deviating from described clamping part, with clamping or decontrols described bone by driving described operating portion to change described grasping part state.By operator driving clamper in the present invention, thus fixed clamp bone easily and reliably, conductor is fixed on clamper sidepiece, and guides osteotome, thus ensures that osteotome can accurately carry out osteotomy.

Description

Osteotomy instrument
Technical field
The present invention relates to osteotomy instrument.
Background technology
At present, do not used by large-scale popularization owing to fibula blocks the theory for the treatment of osteoarthritis etc., be subject to The aspect such as indication limits, and in current clinical operation, osteotomy mode is generally and free-hand punches on bone Or use saw blade to carry out osteotomy, then carry out biting taking-up broken.Operation occur the problem that
Osteotomy amount is inaccurate
Osteotomy surface out-of-flatness
Easily cause soft tissue injury etc.
Operation complexity
Owing to there are the problems referred to above in existing bone-culting operation, industry urgent need exploitation one can facilitate, essence Really assist the tool implement of osteotomy, to improve quality and the efficiency of bone-culting operation, reduce operation and bring trouble The wound of person, thus benefit extensive patients.
Summary of the invention
For problems of the prior art, the purpose of the present invention is for providing one to facilitate, accurately Ground auxiliary carries out bone-culting operation thus improves surgical quality and efficiency, the osteotomy instrument of reduction surgical wound surface.
For achieving the above object, technical scheme is as follows:
A kind of osteotomy instrument, is used for assisting intercepting bone, including:
Clamper, described clamper includes two grip blocks being oppositely arranged, described clamping part is provided with folder The described clamping face held on face, and grip block described in two is oppositely arranged to form grasping part;
Conductor, described conductor is installed on the near-end of described grip block, and is positioned at the side of described grip block Portion, described conductor is provided with the guiding structural for being directed through osteotome;
Operator, described operator is pivotally connected the near-end of described two grip blocks, and is positioned at and deviates from described folder Hold a side in portion, with clamping or decontrol described by driving described operating portion to change described grasping part state Bone.
In an optional embodiment, described operator includes that pivotal axis and lever, described pivotal axis are Two, one end of pivotal axis described in two is pivotally connected described two grip blocks correspondingly, and the other end pivots Connecting described lever, the axis being pivotally connected described in two is mutually perpendicular to.
In an optional embodiment, described lever is also equipped with extend boosting-rod.
In an optional embodiment, described conductor is two, lays respectively at two of described clamper Sidepiece.
In an optional embodiment, described guiding structural is the long and narrow through hole running through described conductor.
In an optional embodiment, clamping face described in two is two relative arcuate grooves.
In an optional embodiment, the far-end of described clamper is provided with stop, described stop Protruding from the two sides of described clamper.
In an optional embodiment, the sidepiece of each described grip block is connected with a pin, described Being provided with two elongated slots on conductor, each described pin passes through elongated slot described in, and can adjust Fixed position in described elongated slot.
In an optional embodiment, described elongated slot is step groove, and the prominent head of described pin is pressed against institute State the stage portion of elongated slot.
In an optional embodiment, described grip block side is provided with cross recess or elongated hole, and described pin is solid In described cross recess or elongated hole.
The beneficial effects of the present invention is, the present invention compared with prior art, passes through operator in the present invention Driving clamper, thus fixed clamp bone easily and reliably, conductor is fixed on clamper sidepiece, and Osteotome is guided, thus ensures that osteotome can accurately carry out osteotomy, due to the essence of the present invention Really property, can avoid the wound to soft tissue etc., thus auxiliary realizes convenience and high-efficiency, the most reliable and wound The bone-culting operation that face is little.
Accompanying drawing explanation
Below in conjunction with the accompanying drawings the present invention is described in further detail:
Fig. 1 is the three-dimensional schematic diagram of osteotomy instrument one embodiment of the present invention;
Fig. 2 is the stereo decomposing structural representation of osteotomy instrument one embodiment of the present invention;
Fig. 3 is the first application state schematic diagram of osteotomy instrument one embodiment of the present invention;
Fig. 4 is the second application state schematic diagram of osteotomy instrument one embodiment of the present invention;
Fig. 5 is the 3rd application state schematic diagram of osteotomy instrument one embodiment of the present invention.
Detailed description of the invention
Embodiment feature of present invention will describe the most in detail with the exemplary embodiments of advantage.Ying Li Solve is that the present invention can have various changes in different embodiments, and it is all without departing from the present invention's Scope, and explanation therein and accompanying drawing be inherently illustrated as being used, and be not used to limit the present invention.
Figures 1 and 2 show that concrete combination and the decomposition texture of an embodiment of the osteotomy instrument of the present invention Schematic diagram.As depicted in figs. 1 and 2, in the present embodiment, osteotomy instrument includes clamper 1, conductor 2 With operator 3.Wherein, clamper 1 is for clamping the bone 8 of osteotomy to be carried out (incorporated by reference to Fig. 3 to figure Shown in 5), conductor 2 is for guiding the osteotome intercepting to bone 8, and operator 3 is for clamping Device 1 carries out the operation adjustment of state, angles and positions.
In the present embodiment, clamper 1 includes two grip blocks 101 and 102 altogether, each grip block 101, 102 all include proximally and distally, and in the present embodiment, near-end refers to the one end near patient, and far-end is away from art Person one end.In the present embodiment, the far-end of each grip block 101,102 is clamping part 11, each clamping The near-end of block 101,102 is supporting part 12, is used for connecting conductor 2 and operator 3.Clamping part 11 On be provided with clamping face 10, in the present embodiment, this clamping face 10 is arcuate groove, two grip block 101 Hes Two clamping faces 10 on 102 are two relative arcuate grooves, and two clamping faces 10 are collectively forming one close to circular Or the grasping part 100 of ellipse, to clamp bone 8.For convenience of operation, this clamping part 11 is set to Thin-slab structure, and (i.e. similar with the structure of clamping face 10, its lateral surface is also arc to have some strength Structure), while reaching strength demand, realize the purpose that minimum takes up room.Clamping face 10 sets Being equipped with the structure increasing friction, this structure can be band, vertical line, twill or lines arranged in a crossed manner.
In the present embodiment, conductor 2 is two, is respectively arranged at two, the left and right sidepiece of clamper 1, When reality is applied, can the most only select a conductor 2, be arranged at the left side of clamper 1 Or right side.In the present embodiment, conductor 2 is provided with two elongated slots 21, at grip block 101 and 102 Sidepiece on by screw thread, pin 4 is installed, this pin 4 is through elongated slot 21, and is connected by conductor 2 It is arranged on the sidepiece of clamper 1.Pin 4 is 4, each one of the both sides of grip block 101 and 102, When conductor 2 is one, then pin 4 can be two, is only arranged at grip block 101 and 102 Unilateral.In the present embodiment, this elongated slot 21 is step groove, and the head of pin 4 protrudes from cylinder, and passes through This prominent head is pressed against on the step surface of elongated slot 21, realizes conductor 2 in this way at clamper 1 On be slidably connected.Clamper 1 (arbitrary grip block or two grip blocks in two grip blocks 101,102) is remote End is additionally provided with stop 111, and stop 111 is protruding from grip block 101 or 102 two sides, During osteotomy, osteotome touches stop and stops osteotomy, it is ensured that the osteotomy degree of depth, it is to avoid unnecessary damage.
In the present embodiment, conductor 2 is provided with guiding structural, to guide osteotome, facilitates osteotome Operation to bone 8, in the present embodiment, this guiding structural is the long and narrow through hole 20 running through conductor 2, It is set to the structure such as draw-in groove, tongue-and-groove also dependent on practical situation.It addition, this guiding structural can be one, Can also be a plurality of, when guiding structural is one, its osteotomy size determines, is between long and narrow through hole Distance, when guiding structural is a plurality of, can be adjusted realizing different osteotomy chis according to actual needs Very little, to expand the range of the present invention to greatest extent.Additionally, pin 4 is solderable at grip block 101 Or 102 side one-body molded with clamper 1, it is also possible in grip block 101 or 102 side, cross is set Groove or circle, ellipse hole, according to osteotomy size or action required space, adjust pin 4 Put, then utilize chocking construction to be fixed in groove or hole by pin 4, the relative grip block of pin 4 can be realized The position adjustment of 101 or 102, thus ensure the position adjustment of osteotomy guider 2, expand osteotomy scope, Ensure operation technique convenience.
In the present embodiment, operator 3 is divided into three parts, i.e. pivotal axis 31, lever 32 and prolongation Boosting-rod 33.Wherein, pivotal axis 31 one end is pin shaft structure, and the other end is block structure, two parts It is integrally formed, it is also possible to formed by other attachment.Arrange on pin shaft structure one end of pivotal axis 31 Groove structure, protrudes from the spindle nose 311 of pin body to be formed, to should the clamper 1 of spindle nose 311 Supporting part 12 on process porose (not shown), this spindle nose 311 inserts in this hole, and with this hole Between there is free gap, the joining by the forms such as clip and groove that be connected of spindle nose 311 and supporting part 12 Close and realize.One end of pivotal axis 31 block structure is provided with through hole 312, the center of this through hole 312 Line is perpendicular to the centrage of bearing pin.
In the present embodiment, lever 32 includes two shank body 320, and the position that two shank body 320 connect is arranged There is the lug being mutually pressed against, two lugs of two shank body 320 are provided with relative through hole, by a rivet Or the structure such as pin 6 is through this two through hole, it is achieved being pivotally connected between two shank body 320.Each shank body One end of the close pivotal axis 31 of 320 is both provided with shifting fork structure, this shifting fork structure is provided with relative Connecting hole 321, when being connected with pivotal axis 31, the block structure of pivotal axis 31 enters in shifting fork structure In gap, and make connecting hole 321 corresponding with through hole 312, in connecting hole 321 and through hole 312 simultaneously Penetrate pin 5, i.e. achieve being pivotally connected between pivotal axis 31 and lever 32, and pivotal axis The pivot center at 31 two ends is orthogonal.Owing to pivotal axis 31 and shank body 320 are two, because of This above-mentioned installation is one to one.
In the present embodiment, shank body 320 afterbody be additionally provided with and extend the structure that boosting-rod 33 is connected. The concrete structure extending boosting-rod 33 can determine according to actual needs, its purpose is to conveniently exert a force, and Improve the clamper 1 chucking power to bone 8.In the present embodiment, as it is shown in figure 1, this prolongation boosting-rod 33 have employed secondary pivot structure, to improve clamp precision and chucking power.It addition, this prolongation boosting-rod 33 Can also be simple extension rod structure, determine with specific reference to being actually needed.
The implementation process of this embodiment of the present invention is as described below:
As it is shown on figure 3, clamp bone 8 by the action drives clamper 1 of operator 3, determine position After fixed.As shown in Figure 4, when needing the bone 8 on the left of clamper 1 is carried out osteotomy cutting, Operator 3 is rotated to the right, concedes the conductor 2 on the left of clamper 1, use osteotome through narrow Long through-hole 20 carries out the osteotomy cutting of convenient and reliable precise and high efficiency.Similarly, as it is shown in figure 5, at needs When bone 8 on the right side of clamper 1 is carried out osteotomy cutting, operator 3 is rotated to the left, concedes folder Conductor 2 on the right side of holder 1, uses osteotome to carry out convenient and reliable precise and high efficiency through long and narrow through hole 20 Osteotomy cutting.
Present invention have the advantage that
(1) present invention structurally applies the principle of linkage, drives clamper by operator 3 1 when clamping bone 8, and the guiding structural conveniently by conductor 2 uses osteotome to carry out bone 8 Cutting, solves that traditional instruments is free-hand to be carried out cutting and depth of cut and cut lengths do not have conditional drawback.
(2) operator 3 of the present invention can carry out left rotation and right rotation along clamper 1 rear portion, solves existing Interference osteotomy problem that may be present in apparatus.
(3) present configuration is simple, it is little to take up room, and when operating, movement range is little, therefore to behaviour Making space requirement less, the present invention can also remove this section of cut bone after bone 8 completes cutting 8, and existing operation method also needs to use rongeur that the bone after cutting is bitten into pieces taking-up behaviour Making, relative to prior art, the present invention had both saved operating procedure, had improve work efficiency, reduced again Contusion to soft tissue, reduces surgical wound surface, beneficially patient and recovers, and reduce the wind of operative failure Danger.
Technical scheme is disclosed as above by alternative embodiment.Those skilled in the art it should be appreciated that To institute in the case of without departing from the scope and spirit of the present invention disclosed in appended claims of the invention The change made and retouching, within all belonging to the scope of the claims of the present invention.

Claims (10)

1. an osteotomy instrument, is used for assisting intercepting bone, it is characterised in that including:
Clamper, described clamper includes two grip blocks being oppositely arranged, described clamping part is provided with folder The described clamping face held on face, and grip block described in two is oppositely arranged to form grasping part;
Conductor, described conductor is installed on the near-end of described grip block, and is positioned at the side of described grip block Portion, described conductor is provided with the guiding structural for being directed through osteotome;
Operator, described operator is pivotally connected the near-end of described two grip blocks, and is positioned at and deviates from described folder Hold a side in portion, with clamping or decontrol described by driving described operating portion to change described grasping part state Bone.
2. osteotomy instrument as claimed in claim 1, it is characterised in that described operator includes pivotal axis And lever, described pivotal axis is two, and one end of pivotal axis described in two is pivotally connected institute correspondingly Stating two grip blocks, the other end is pivotally connected described lever, and the axis being pivotally connected described in two is mutually perpendicular to.
3. osteotomy instrument as claimed in claim 2, it is characterised in that be also equipped with on described lever Extend boosting-rod.
4. osteotomy instrument as claimed in claim 1, it is characterised in that described conductor is two, point It is not positioned at two sidepieces of described clamper.
5. osteotomy instrument as claimed in claim 1, it is characterised in that described guiding structural is for running through State the long and narrow through hole of conductor.
6. osteotomy instrument as claimed in claim 1, it is characterised in that clamping face described in two is two relative Arcuate groove.
7. osteotomy instrument as claimed in claim 1, it is characterised in that set on the far-end of described clamper Being equipped with stop, described stop is protruding from the two sides of described clamper.
8. osteotomy instrument as claimed in claim 1, it is characterised in that the sidepiece of each described grip block Being connected with a pin, described conductor is provided with two elongated slots, each described pin passes through one Described elongated slot, and the fixed position in described elongated slot can be adjusted.
9. osteotomy instrument as claimed in claim 8, it is characterised in that described elongated slot is step groove, institute The prominent head stating pin is pressed against the stage portion of described elongated slot.
10. osteotomy instrument as claimed in claim 8, it is characterised in that described grip block side is provided with Cross recess or elongated hole, described pin is fixed in described cross recess or elongated hole.
CN201510438806.3A 2015-06-09 2015-07-23 Osteotomy tool Active CN106264652B (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CN201510312693 2015-06-09
CN2015103126932 2015-06-09

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CN106264652A true CN106264652A (en) 2017-01-04
CN106264652B CN106264652B (en) 2019-04-16

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108524015A (en) * 2018-02-12 2018-09-14 沈阳尚贤健康科学技术股份有限公司 A kind of bone clamping device
CN112386301A (en) * 2020-11-30 2021-02-23 陈勋 Device and method for moving and cutting transverse tibia

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2507710A (en) * 1949-07-02 1950-05-16 Patrick P Grosso Adjustable-angle surgical instrument
US20090318923A1 (en) * 2008-06-20 2009-12-24 Burkhart Stephen S Latarjet instrumentation and method
CN101636115A (en) * 2006-12-15 2010-01-27 新特斯有限责任公司 Osteotomy guide and method of cutting the medial distal tibia employing the same
CN102068301A (en) * 2009-11-20 2011-05-25 Deru股份公司 Surgical guide instrument and method for working the articular processes of vertebral bodies
US20120095473A1 (en) * 2010-10-13 2012-04-19 Howmedica Osteonics Corp. Automatically adjusting patella cutting guide
CN102614004A (en) * 2011-01-31 2012-08-01 镱钛科技股份有限公司 Surgical clamp
CN102821703A (en) * 2010-03-17 2012-12-12 托马斯·莫里斯·斯图尔特·格雷戈里 Shoulder replacement apparatus
CN204814052U (en) * 2015-07-23 2015-12-02 北京纳通科技集团有限公司 Cut bone instrument

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2507710A (en) * 1949-07-02 1950-05-16 Patrick P Grosso Adjustable-angle surgical instrument
CN101636115A (en) * 2006-12-15 2010-01-27 新特斯有限责任公司 Osteotomy guide and method of cutting the medial distal tibia employing the same
US20090318923A1 (en) * 2008-06-20 2009-12-24 Burkhart Stephen S Latarjet instrumentation and method
CN102068301A (en) * 2009-11-20 2011-05-25 Deru股份公司 Surgical guide instrument and method for working the articular processes of vertebral bodies
CN102821703A (en) * 2010-03-17 2012-12-12 托马斯·莫里斯·斯图尔特·格雷戈里 Shoulder replacement apparatus
US20120095473A1 (en) * 2010-10-13 2012-04-19 Howmedica Osteonics Corp. Automatically adjusting patella cutting guide
CN102614004A (en) * 2011-01-31 2012-08-01 镱钛科技股份有限公司 Surgical clamp
CN204814052U (en) * 2015-07-23 2015-12-02 北京纳通科技集团有限公司 Cut bone instrument

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108524015A (en) * 2018-02-12 2018-09-14 沈阳尚贤健康科学技术股份有限公司 A kind of bone clamping device
CN112386301A (en) * 2020-11-30 2021-02-23 陈勋 Device and method for moving and cutting transverse tibia
CN112386301B (en) * 2020-11-30 2022-10-28 陈勋 Tibia transverse bone moving and cutting device

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