CN106264658A - Medullary cavity shaped device - Google Patents

Medullary cavity shaped device Download PDF

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Publication number
CN106264658A
CN106264658A CN201610630097.3A CN201610630097A CN106264658A CN 106264658 A CN106264658 A CN 106264658A CN 201610630097 A CN201610630097 A CN 201610630097A CN 106264658 A CN106264658 A CN 106264658A
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CN
China
Prior art keywords
medullary cavity
shaped device
main body
cavity shaped
hole
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Granted
Application number
CN201610630097.3A
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Chinese (zh)
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CN106264658B (en
Inventor
许奎雪
殷庆丰
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Beijing AK Medical Co Ltd
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Beijing AK Medical Co Ltd
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Priority to CN201610630097.3A priority Critical patent/CN106264658B/en
Publication of CN106264658A publication Critical patent/CN106264658A/en
Application granted granted Critical
Publication of CN106264658B publication Critical patent/CN106264658B/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
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1717Guides or aligning means for drills, mills, pins or wires for applying intramedullary nails or pins

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Dentistry (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)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)

Abstract

The invention provides a kind of medullary cavity shaped device, this device includes: main body, and main body is arranged on the precalculated position of spinal joints head to be drilled;Guider, guider is arranged in main body, and guider is for creeping into row guiding to the bone cavity carrying out boring chamber.When the medullary cavity shaped device of the present invention works, the main body of the medullary cavity shaped device of the present invention is arranged on the precalculated position of spinal joints head to be drilled by doctor, by guider, bone cavity is crept into row to guide, make bone cavity bore and can pierce spinal joints head to be drilled exactly, there is fine motion during avoiding brill medullary cavity, make the undesirable problem of medullary cavity.

Description

Medullary cavity shaped device
Technical field
The present invention relates to medullary cavity field shaping technique, in particular to a kind of medullary cavity shaped device.
Background technology
Arthropathy merge by juxta-articular joint outer lopsided time, the same period row joint replacement and joint outside malformation correction be pole High clinical challenge.Existing routine operation scheme, can solve this clinical problem in theory, but the clinical experience to doctor Proposing high requirement with operating precision in art, the conventional tool and the number of instruments that use in art are the most a lot.
Along with the development of computer technology, computer-aided design gradually increases in the application of medical field, the most multiple Miscellaneous operation can be by computer-aided design planning operation, it is possible to design personalized, the operation that is more applicable for patient Instrument, operation plan is the most accurate, is substantially reduced the demand of doctor's clinical experience, and greatly reduces in doctor's art Workload.
Outside knee joint femoral side arthropathy merges distal femur joint as a example by deformity, use computer-aided design plan Oarsman is postoperative, can use knee joint femoral side surgical guide, front ankle bone cutting device, the compound six directions one osteotomy plate, the most only adopt It is combined one Customization Tool of osteotomy device, it is possible to assist combination type osteotomy to make operation complete with Custom Prosthesis condyle of femur.
But, under the location of combinations thereof formula bone-culting operation guide plate, it is temporarily fixed that cut femur two sections are carried out outside marrow Position, then holes, and implants prosthese (im rod).Owing to the fixing process often making brill medullary cavity interim outside doctor's marrow occurs partially Difference, cause bigger fine motion so as to get medullary cavity undesirable.
Summary of the invention
Present invention is primarily targeted at a kind of medullary cavity shaped device of offer, to solve medullary cavity of the prior art Type operation is susceptible to fine motion, causes the problem that medullary cavity accuracy is the highest.
To achieve these goals, the invention provides a kind of medullary cavity shaped device, this device includes: main body, main body It is arranged on the precalculated position of spinal joints head to be drilled;Guider, guider is arranged in main body, and guider is for boring The bone cavity in chamber creeps into row guiding.
Further, main body includes: location division, and location division is suitable with the surface in the precalculated position of spinal joints head to be drilled.
Further, guider includes fairlead, and fairlead is provided with the guiding for bone cavity creeps into row guiding Hole, main body is provided with installation through hole, and fairlead is removably mounted in installation through hole.
Further, the one end away from spinal joints head to be drilled installing through hole is provided with locating slot, and fairlead includes positioning section And guide section, positioning section is suitable with locating slot, and guide section is suitable with installation through hole.
Further, the inwall of locating slot is provided with multiple fixture block, positioning section be circumferentially provided with multiple draw-in groove, fixture block Suitable with draw-in groove.
Further, when precalculated position is osteotomy end, main body is arranged on osteotomy end, and location division includes: attach plate, patch It is provided with the side attaching face suitable with the sidewall of osteotomy end in attached plate, attaches and be additionally provided with and osteotomy end on the inner surface of plate The just attaching face that cross section is suitable.
Further, medullary cavity shaped device also includes fixing bar, attaches and is provided with fixing hole on plate, and fixing bar is with fixing Hole is suitable.
Further, fixing hole is multiple with fixing bar.
Further, when precalculated position is condyle of femur, main body is arranged on condyle of femur, and location division includes: location-plate, fixed Position board is located in the depression of condyle of femur.
Further, location division also includes detent, and detent is arranged on the both sides of location-plate, detent and stock The rat of bone condyle is suitable.
Application technical scheme, during work, the main body of the medullary cavity shaped device of the present invention is pacified by staff Being contained in the precalculated position of spinal joints head to be drilled, by guider, bone cavity is crept into row guiding, making bone cavity bore can pierce exactly Spinal joints head to be drilled, it is to avoid fine motion occurs during brill medullary cavity, makes the undesirable problem of medullary cavity.
Accompanying drawing explanation
The Figure of description of the part constituting the application is used for providing a further understanding of the present invention, and the present invention shows Meaning property embodiment and explanation thereof are used for explaining the present invention, are not intended that inappropriate limitation of the present invention.In the accompanying drawings:
Fig. 1 diagrammatically illustrates the structure chart of first embodiment of the medullary cavity shaped device of the present invention;
Fig. 2 diagrammatically illustrates the structure chart of the guider in the medullary cavity shaped device of the present invention;
Fig. 3 diagrammatically illustrates the structure chart of the main body of the first embodiment of the medullary cavity shaped device of the present invention;
Fig. 4 diagrammatically illustrates another angle of the main body of the first embodiment of the medullary cavity shaped device of the present invention Structure chart;
Fig. 5 diagrammatically illustrates the explosive view of the second embodiment of the medullary cavity shaped device of the present invention.
Wherein, above-mentioned accompanying drawing includes the following drawings labelling:
10, main body;11, through hole is installed;12, locating slot;13, fixture block;14, plate is attached;141, face is just being attached;142, side patch Attached;15, fixing hole;20, guider;21, pilot hole;22, positioning section;221, draw-in groove;23, guide section;30, fixing bar; 40, location-plate;41, detent;60, condyle of femur;61, depression;70, osteotomy end;80, bone cavity bores.
Detailed description of the invention
It should be noted that in the case of not conflicting, the embodiment in the application and the feature in embodiment can phases Combination mutually.Describe the present invention below with reference to the accompanying drawings and in conjunction with the embodiments in detail.
It it is noted that described further below is all exemplary, it is intended to provide further instruction to the application.Unless it is another Indicating, all technology used herein and scientific terminology have usual with the application person of an ordinary skill in the technical field The identical meanings understood.
It should be noted that term used herein above merely to describe detailed description of the invention, and be not intended to restricted root Illustrative embodiments according to the application.As used herein, unless the context clearly indicates otherwise, otherwise singulative It is also intended to include plural form, additionally, it should be understood that, when using term " to comprise " in this manual and/or " bag Include " time, it indicates existing characteristics, step, operation, device, assembly and/or combinations thereof.
It should be noted that term " first " in the description and claims of this application and above-mentioned accompanying drawing, " Two " it is etc. for distinguishing similar object, without being used for describing specific order or precedence.Should be appreciated that so use Term can exchange in the appropriate case, in order to presently filed embodiment described herein such as can be with except here Order beyond those of diagram or description is implemented.
Additionally, term " includes " and " having " and their any deformation, it is intended that cover non-exclusive comprising, example As, contain series of steps or the process of unit, method, system, product or equipment are not necessarily limited to those that clearly list Step or unit, but can include the most clearly listing or for intrinsic other of these processes, method, product or equipment Step or unit.
For the ease of describing, space relative terms here can be used, as " ... on ", " ... top ", " at ... upper surface ", " above " etc., be used for describing such as a device shown in the figure or feature and other devices or spy The spatial relation levied.It should be appreciated that space relative terms is intended to comprise except the described in the drawings orientation of device Outside different azimuth in use or operation.
Such as, " above other devices or structure " if the device in accompanying drawing is squeezed, then it are described as or " at other devices On part or structure " device after will be positioned as " at other devices or below constructing " or " at other devices or construct it Under ".Thus, exemplary term " in ... top " can include " in ... top " and " in ... lower section " two kinds of orientation.Should Device can also other different modes position rotating 90 degree or be in other orientation, and space used herein above is retouched relatively State and make respective explanations.
Seeing shown in Fig. 1 to Fig. 5, the invention provides a kind of medullary cavity shaped device, this medullary cavity shaped device includes Main body 10 and guider 20, wherein, main body 10 is arranged on the precalculated position of spinal joints head to be drilled, and guider 20 is arranged on main body On 10, guider 20 is for guiding the bone cavity brill 80 carrying out boring chamber.The medullary cavity shaped device of the present invention is in work Time, main body 10 is first arranged on the precalculated position of spinal joints head to be drilled by staff, and wherein, precalculated position here refers to chamber to be drilled Bone needs the original position carrying out boring chamber, when, after main body 10 installation, bone cavity is bored by staff by guider 20 80 guide, thus prevent bone cavity from boring 80 and fine motions occur during chamber carrying out spinal joints head to be drilled boring, and cause getting out Medullary cavity inaccuracy, it is impossible to meet follow-up operation demand.
Seeing shown in Fig. 1, Fig. 3 and Fig. 4, the main body 10 in the present invention includes location division, location division and spinal joints head to be drilled The surface in precalculated position is suitable.During installation, main body 10 is carried out by the surface of location division with the precalculated position of spinal joints head to be drilled Location, makes staff pass through during bone cavity bores 80 brill chambeies more accurate.In order to improve the location division of the present invention further Location accuracy, the location division of the present invention can match with existing Computer-aided Design Technology, is come by computer Design the face that coordinates of the location division of the application and the precalculated position of spinal joints head to be drilled, thus realize being accurately positioned.
After location division in the present invention completes location, bone cavity is bored 80 by guider and guides by staff, Specifically, guider 20 includes fairlead, fairlead is provided with for bone cavity bores 80 pilot holes 21 guided, Being provided with installation through hole 11 in main body 10, fairlead is removably mounted in installation through hole 11.During installation, staff will lead It is arranged in installation through hole 11 to set, starts bone cavity and bore 80, bone cavity brill 80 is stretched into from pilot hole 21, pre-to spinal joints head to be drilled Location is put and is carried out boring chamber.Certainly, in order to improve the accuracy boring chamber of the present invention, the position of the pilot hole 21 of the present invention further The exact position installing through hole 11 can also be determined, naturally it is also possible to combine existing on this basis by computer-aided design Some osteotomy forming techniques improve the accuracy of location division and pilot hole, above scheme all the application protection domain it In.It addition, be directed between set and main body 10 be arranged to detachably, once bone cavity bores 80 and has damaged fairlead, can be only to leading It is replaced to set rather than integral replacing, effectively reduces replacement cost.
Seeing shown in Fig. 2 and Fig. 3, the one end away from spinal joints head to be drilled installing through hole 11 in the present invention is provided with location Groove 12, fairlead includes positioning section 22 and guide section 23, and positioning section 22 is suitable with locating slot 12, guide section 23 and installation through hole 11 is suitable.During installation, the section of being directed to is arranged in installation through hole 11, and now, positioning section 22 is fastened in locating slot 12, makes to lead Can not be near the motion of the direction of spinal joints head to be drilled to section, during work, bone cavity bores 80 from positioning section 22 and guide section 23 Pilot hole 21 stretches into, and carries out spinal joints head to be drilled boring chamber through installing through hole 11.
In order to improve the brill chamber precision of the present invention, prevent bone cavity from boring in the course of the work and drive fairlead to rotate together, shadow Ring the guiding accuracy of fairlead, it is preferable that on the inwall of the locating slot 12 in the present invention, be provided with multiple fixture block 13, positioning section 22 be circumferentially provided with multiple draw-in groove 221, fixture block 13 is suitable with draw-in groove 221.During installation, multiple fixture blocks 13 are pacified one to one Being contained in multiple draw-in groove 221, during work, fairlead blocks fixture block 13 by draw-in groove 221, it is therefore prevented that the rotation of fairlead, and then Improve the guiding accuracy of fairlead.
Shown in Figure 1, when precalculated position is osteotomy end 70, main body 10 is arranged on osteotomy end 70, and location division includes Attach plate 14, attach the side attaching face 142 suitable with the sidewall of osteotomy end 70 that be provided with on plate 14, attach the inner surface of plate 14 On be additionally provided with the just attaching face 141 suitable with the cross section of osteotomy end 70.Staff by the medullary cavity molding of the present invention During device is arranged on osteotomy end 70, by the close present invention's in the attaching face, side 142 with osteotomy end 70 that attach plate 14 The sidewall of medullary cavity shaped device coordinates, and the cross section being further advanced by the face that just attaches 141 and osteotomy end 70 that attach plate 14 is joined Close, make main body 10 can be precisely mounted on osteotomy end 70.Osteotomy end 70 in the present invention can be to obtain after common osteotomy , it is also possible to being the osteotomy end obtained with existing osteotomy forming technique by computer-aided design, the latter is with the present invention's Attach plate 14 to combine use, the positioning precision of the location division of the present invention can be improved further.
In order to make more stable being arranged on osteotomy end 70 of the main body 10 in the present invention, medullary cavity shaped device also includes Fixing bar 30, attaches and is provided with fixing hole 15 on plate 14, and fixing bar 30 is suitable with fixing hole 15.During work, by fixing bar 30 It is connected on the outer surface of osteotomy end 70 through fixing hole 15, the outer surface of osteotomy end 70 is formed certain pressure, so that fixed Position portion is more firmly secured on osteotomy end 70.The fixing bar 30 of the present invention can be threaded rod, and corresponding fixing hole 15 is Screwed hole, during work, inserts fixing bar 30 by the way of screwing, and makes all to fix bar 30 by the self-locking of screw thread and support all the time It is connected on the outer surface of osteotomy end 70, it would however also be possible to employ in the mode of osteotomy end boring, fixing bar 30 is inserted fixing by staff Boring on the sidewall of hole 15 and osteotomy end, fixing with realization body 10.
In order to further enhance the stability that main body 10 is arranged on osteotomy end 70, fixing hole 15 and fixing bar 30 are many Individual.During work, multiple fixing bars 30 are inserted in fixing hole 15 correspondingly, press the sidewall surfaces of osteotomy end 70, so that Main body 10 is more stably fixed on osteotomy end 70.
Shown in Figure 5, in the second embodiment of the present invention, the precalculated position in the present invention is condyle of femur 60, main body 10 are arranged on condyle of femur 60, and location division includes that location-plate 40, location-plate 40 are fastened in the depression 61 of condyle of femur 60.Install Time, location-plate 40 is arranged in the depression 61 of condyle of femur 60, this depression can be the depression naturally of condyle of femur, it is also possible to be logical Cross computer-aided design coordinate existing condyle of femur forming technique to make artificial depression that condyle of femur formed, the most above-mentioned where A kind of depression, the main body in the present invention can make main body 10 more be precisely located by location-plate 40 with coordinating of depression 61 On condyle of femur.
Shown in Figure 5, in order to improve the positioning precision of the location division in the present invention further, it is preferable that in the present invention Location division also include that detent 41, detent 41 are arranged on the both sides of location-plate 40, detent 41 and condyle of femur 60 Rat suitable.This rat can be that the natural surface of condyle of femur self is protruding, it is also possible to is to pass through computer Aided Design coordinates the rat that existing condyle of femur forming technique makes condyle of femur be formed, and during work, is covered by detent 41 It is located on the rat of condyle of femur 60, so that location division is fixed on condyle of femur more accurately, and then is allowed to rear bone cavity brill 80 stretched into and bore the process in chamber by fairlead more accurate, reduces bone cavity and bores the probabilities of 80 generation fine motions.
The first embodiment of the present invention and the second embodiment can also be applied in combination, and realize becoming the boring of long medullary cavity Type, and by after long medullary cavity intercept, carry out different osteotomy ends and condyle of femur respectively boring chamber, and set by area of computer aided Meter makes the axis of the pilot hole of each section on same straight line.
These are only the preferred embodiments of the present invention, be not limited to the present invention, for those skilled in the art For Yuan, the present invention can have various modifications and variations.All within the spirit and principles in the present invention, any amendment of being made, Equivalent, improvement etc., should be included within the scope of the present invention.

Claims (10)

1. a medullary cavity shaped device, it is characterised in that including:
Main body (10), described main body (10) is arranged on the precalculated position of spinal joints head to be drilled;
Guider (20), described guider (20) is arranged in described main body (10), and described guider (20) is for right Bone cavity brill (80) carrying out boring chamber guides.
Medullary cavity shaped device the most according to claim 1, it is characterised in that described main body (10) including:
Location division, described location division is suitable with the surface in the precalculated position of described spinal joints head to be drilled.
Medullary cavity shaped device the most according to claim 1, it is characterised in that described guider (20) includes guiding Set, described fairlead is provided with for described bone cavity being bored the pilot hole (21) that (80) guide, in described main body (10) Being provided with installation through hole (11), described fairlead is removably mounted in described installation through hole (11).
Medullary cavity shaped device the most according to claim 3, it is characterised in that described installation through hole (11) away from described One end of spinal joints head to be drilled is provided with locating slot (12), and described fairlead includes positioning section (22) and guide section (23), described fixed Position section (22) is suitable with described locating slot (12), and described guide section (23) is suitable with described installation through hole (11).
Medullary cavity shaped device the most according to claim 4, it is characterised in that arrange on the inwall of described locating slot (12) Have multiple fixture block (13), described positioning section (22) be circumferentially provided with multiple draw-in groove (221), described fixture block (13) and described draw-in groove (221) suitable.
Medullary cavity shaped device the most according to claim 2, it is characterised in that when described precalculated position is osteotomy end (70) Time, described main body (10) is arranged on described osteotomy end (70), and described location division includes:
Attach plate (14), described attaching plate (14) is provided with the side attaching face suitable with the sidewall of described osteotomy end (70) (142), the inner surface of described attaching plate (14) is additionally provided with the just attaching face suitable with the cross section of described osteotomy end (70) (141)。
Medullary cavity shaped device the most according to claim 6, it is characterised in that described medullary cavity shaped device also includes solid Fixed pole (30), described attaching plate (14) is provided with fixing hole (15), and described fixing bar (30) is fitted mutually with described fixing hole (15) Join.
Medullary cavity shaped device the most according to claim 7, it is characterised in that described fixing hole (15) and described fixing bar (30) be multiple.
Medullary cavity shaped device the most according to claim 2, it is characterised in that when described precalculated position is condyle of femur (60) Time, described main body (10) is arranged on described condyle of femur (60), and described location division includes:
Location-plate (40), described location-plate (40) is fastened in the depression (61) of described condyle of femur (60).
Medullary cavity shaped device the most according to claim 9, it is characterised in that described location division also includes detent (41), described detent (41) is arranged on the both sides of described location-plate (40), described detent (41) and described condyle of femur (60) rat is suitable.
CN201610630097.3A 2016-08-03 2016-08-03 Ossis molding machine Active CN106264658B (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110327082A (en) * 2019-08-14 2019-10-15 深圳市纬安共创生物科技有限公司 A kind of work head assembly, hand tool and cosmetic apparatus

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5192293A (en) * 1992-07-06 1993-03-09 The Regents Of The University Of Michigan Drill guide for orbital implant
EP1663021B1 (en) * 2003-09-22 2009-06-17 Depuy International Limited A drill guide assembly
CN101854885A (en) * 2007-07-11 2010-10-06 史密夫和内修有限公司 Be used for determining the method and apparatus that nail is placed at hip surgery
WO2011147832A1 (en) * 2010-05-24 2011-12-01 Episurf Medical Ab System of manufacturing a surgical kit for cartilage repair in a joint
CN206491838U (en) * 2016-08-03 2017-09-15 北京爱康宜诚医疗器材有限公司 Ossis shaped device

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5192293A (en) * 1992-07-06 1993-03-09 The Regents Of The University Of Michigan Drill guide for orbital implant
EP1663021B1 (en) * 2003-09-22 2009-06-17 Depuy International Limited A drill guide assembly
CN101854885A (en) * 2007-07-11 2010-10-06 史密夫和内修有限公司 Be used for determining the method and apparatus that nail is placed at hip surgery
WO2011147832A1 (en) * 2010-05-24 2011-12-01 Episurf Medical Ab System of manufacturing a surgical kit for cartilage repair in a joint
CN206491838U (en) * 2016-08-03 2017-09-15 北京爱康宜诚医疗器材有限公司 Ossis shaped device

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110327082A (en) * 2019-08-14 2019-10-15 深圳市纬安共创生物科技有限公司 A kind of work head assembly, hand tool and cosmetic apparatus

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