CN106344143B - Damp type dentoid process of axis sighting device - Google Patents

Damp type dentoid process of axis sighting device Download PDF

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Publication number
CN106344143B
CN106344143B CN201611085053.3A CN201611085053A CN106344143B CN 106344143 B CN106344143 B CN 106344143B CN 201611085053 A CN201611085053 A CN 201611085053A CN 106344143 B CN106344143 B CN 106344143B
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China
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inner sleeve
outer tube
semiaxis
sleeve
axis
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CN201611085053.3A
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CN106344143A (en
Inventor
曹兰
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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
    • A61B17/88Osteosynthesis 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
    • 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)
  • Life Sciences & Earth Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (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 present invention relates to a kind of medical instrument, the damp type dentoid process of axis 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 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 interior loop bar 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

Damp type dentoid process of axis sighting device
Technical field
The present invention relates to a kind of medical instrument, guided in specifically a kind for the treatment of for fracture of odontoid process of vertebra dentata hollow The damp type dentoid process of axis sighting device of 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 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 Damp type dentoid process of axis sighting device, guiding Kirschner wire is accurately positioned in being treated for fracture of odontoid process of vertebra dentata, to improve hand Art quality reduces surgical error, reduces the pain of patient.
The present invention is for technical scheme applied to solve the technical problem:
Damp type dentoid process of axis of the present invention sighting device includes hollow guiding pipe and is connected to hollow guiding pipe On sighting device, the sighting device includes the inner sleeve and outer sleeve being arranged concentrically, on outer sleeve be arranged connecting plate and Connecting seat, the outer diameter of the inner sleeve are 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, Left half axle and right axle shaft, the left half axle and right half are symmetrically arranged between the outer wall of hollow guiding pipe and the inner ring surface of inner sleeve The center of circle that axis is coaxially disposed and the axis of left half axle and right axle shaft passes through inner sleeve;The outer ring surface and outer sleeve of the inner sleeve Inner ring surface between be provided with semiaxis and lower semiaxis, the upper semiaxis and the coaxial arrangement of lower semiaxis and upper semiaxis and lower semiaxis The axis center of circle that passes through inner sleeve;The axis of upper semiaxis and lower semiaxis is vertical with the axis of left half axle and right axle shaft;On described Semiaxis, lower semiaxis, left half axle and right axle shaft by can the interior loop bar and outer tube of relative rotation and coaxial arrangement be set with;Institute The one end for stating interior loop bar is fixedly connected on inner sleeve and is connected to the tube chamber of inner sleeve, and the other end of interior loop bar is fixedly connected with Shaft in housing tube cavity, the stage casing of the shaft are equipped with the annular groove that section is U-shaped, and one end of the outer tube is fixed It is connected on hollow guiding pipe or outer sleeve, the other end of outer tube is sleeved on shaft, and the inner wall of outer tube is equipped with pair It should be in the annular groove of annular groove on shaft;The bottom of the annular groove carries the through-hole through housing tube wall, the through-hole In be fitted with connecting rod, the inner end of the connecting rod is fixedly connected with the arcuate friction piece of matching annular groove, and the arcuate friction piece is whole For arc, section is the U-shaped structure for matching annular groove;The outer end of connecting rod is fixedly connected on the stage casing of spring leaf, the spring leaf Both ends be connected on the outer wall of outer tube by bearing respectively.
The scale for indicating relative position is provided on the outer tube wall of the interior loop bar and outer tube joining place;The spring leaf For arc thin slice, spring medium film section is fixedly connected with drawing handle corresponding to the another side of rod connection point.
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 the frictional force fixation hollow guider of spring leaf, 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.
Fig. 3 is the portions the A close-up schematic view of Fig. 2.
Specific implementation mode
As shown in Figure 1, damp type dentoid process of axis of the present invention sighting device includes hollow guiding pipe 1 and is connected to sky Sighting device on heart guide pipe 1, the sighting device include the inner sleeve 2 being arranged concentrically and outer sleeve 3, the inner sleeve 2 Outer diameter be less than the internal diameter of outer sleeve 3, the outer diameter of the hollow guiding pipe 1 is less than the internal diameter of inner sleeve 2, hollow guiding pipe 1 Left half axle 5 and right axle shaft are symmetrically arranged between outer wall and the inner ring surface of inner sleeve 2, the left half axle 5 and right axle shaft are coaxially set It sets and the center of circle that the axis of left half axle 5 and right axle shaft passes through inner sleeve 2;The outer ring surface of the inner sleeve 2 is interior with outer sleeve 3 It is provided with semiaxis 6 and lower semiaxis 7 between anchor ring, the upper semiaxis 6 and the coaxial arrangement of lower semiaxis 7 and upper semiaxis 6 and lower half The center of circle that the axis of axis 7 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; The upper semiaxis 6, lower semiaxis 7, left half axle 5 and right axle shaft by can relative rotation and coaxial arrangement interior loop bar 8 and outer tube 9 It 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.
Upper semiaxis 6, lower semiaxis 7, left half axle 5 are identical with the structure of right axle shaft, for the above semiaxis 6, as shown in Fig. 2, institute The one end for stating interior loop bar 8 is fixedly connected on inner sleeve 2 and is connected to the tube chamber of inner sleeve 2, and the other end of interior loop bar 8, which is fixed, to be connected The shaft 81 being connected in 9 inner cavity of outer tube, the stage casing of the shaft 81 are equipped with the annular groove that section is U-shaped, the outer tube 9 One end be fixedly connected on hollow guiding pipe 1 or outer sleeve 3, the other end of outer tube 9 is sleeved on shaft 81, outer tube 9 inner wall is equipped with the annular groove 91 for corresponding to annular groove on shaft 81;The bottom of the annular groove 91, which carries, runs through housing The through-hole of 9 tube wall of pipe, connecting rod 92 is fitted in the through-hole, and the inner end of the connecting rod 92 is fixedly connected with the arc of matching annular groove Friction plate 93, the generally arc of arcuate friction piece 93, section are the U-shaped structures for matching annular groove.The outer end of connecting rod 92 is fixed It is connected to the stage casing of spring leaf 94, the both ends of the spring leaf 94 are connected on the outer wall of outer tube 9 respectively by bearing.Such as figure Shown in 2 left sides, when spring leaf 94 is pressed, close to outer tube 9, connecting rod 92 inwardly pushes in the stage casing of spring leaf 94, will Arcuate friction piece 93 presses in the annular groove in 81 stage casing of shaft, increases the frictional force of interior loop bar 8 and 9 relative rotation of outer tube, makes Hollow guiding pipe 1 after positioning is not easy to loosen.Conversely, on the right side of Fig. 2 and shown in Fig. 3, when spring leaf 94 is pulled out, The stage casing of spring leaf 94 pushes outward far from outer tube 9, connecting rod 92, and arcuate friction piece 93 leaves the ring of annular groove setback outer tube 9 In connected in star 91, at this point, interior loop bar 8 is freely rotatable with outer tube 9, and can extract interior loop bar 8 from outer tube 9, just In maintaining.
The scale for indicating relative position is provided on the outer tube wall of 9 joining place of the interior loop bar 8 and outer tube.Hollow guiding After the direction position of pipe 1 is fixed, the angle for recording 9 relative rotation of interior loop bar 8 and outer tube on each semiaxis can determine sky The position coordinates of heart guide pipe 1.The spring leaf 94 is arc thin slice, 94 stage casing of spring leaf, corresponding to 92 tie point of connecting rod Another side is fixedly connected with drawing handle 95, and can both have been pressed spring leaf 94 by handle 95 makes its stage casing close to outer tube 9, Spring leaf 94 can also be pulled out, make its stage casing far from outer tube 9.
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 manipulating hollow guiding pipe normotopia and being located at cdontoid process central axes, vertex after the opposite cdontoid process in side position, unlatching air pump is by hollow guiding Pipe position locks;1.2mm Kirschner wires under guider guiding are squeezed into cdontoid process with electric drill, after positive lateral projection is errorless, with outer The hollow drill bit of 3.0 mm of diameter is screwed into the hollow cancellous bone pressurization titanium spiral shell of the appropriate length of a diameter of 3.5 mm along Kirschner wire reaming Nail.

Claims (1)

1. damp type dentoid process of axis sighting device, including hollow guiding pipe(1)And it is connected to hollow guiding pipe(1)On aiming Device, it is characterised in that:The sighting device includes the inner sleeve being arranged concentrically(2)And outer sleeve(3), in outer sleeve(3)On Connecting plate is set(10)And connecting seat(11), the inner sleeve(2)Outer diameter be less than outer sleeve(3)Internal diameter, it is described hollow to lead Xiang Guan(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 it is right Title is provided with left half axle(5)And right axle shaft, the left half axle(5)With right axle shaft coaxial arrangement and left half axle(5)And right axle shaft Axis pass through inner sleeve(2)The center of circle;The inner sleeve(2)Outer ring surface and outer sleeve(3)Inner ring surface between be provided with Upper 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)With lower semiaxis(7)Axis and left half axle(5)With the axis of right axle shaft Vertically;The upper semiaxis(6), lower semiaxis(7), left half axle(5)With right axle shaft by can relative rotation and coaxial arrangement inner sleeve Bar(8)And outer tube(9)It is set with;The interior loop bar(8)One end be fixedly connected on inner sleeve(2)Upper and and inner sleeve (2)Tube chamber connection, interior loop bar(8)The other end be fixedly connected with positioned at outer tube(9)Shaft in inner cavity(81), the axis Bar(81)Stage casing be equipped with section be U-shaped annular groove, the outer tube(9)One end be fixedly connected on hollow guiding pipe(1)Or Person's outer sleeve(3)On, outer tube(9)The other end be sleeved on shaft(81)On, outer tube(9)Inner wall be equipped with correspond to axis Bar(81)The annular groove of upper annular groove(91);The annular groove(91)Bottom carry run through outer tube(9)The through-hole of tube wall, It is fitted with connecting rod in the through-hole(92), the connecting rod(92)Inner end be fixedly connected with matching annular groove arcuate friction piece (93), the arcuate friction piece(93)Generally arc, section are the U-shaped structures for matching annular groove;Connecting rod(92)Outer end it is solid Surely it is connected to spring leaf(94)Stage casing, the spring leaf(94)Both ends outer tube is connected to by bearing respectively(9)It is outer On wall;The interior loop bar(8)And outer tube(9)The scale for indicating relative position is provided on the outer tube wall of joining place;The bullet Reed(94)For arc thin slice, spring leaf(94)Stage casing corresponds to connecting rod(92)The another side of tie point is fixedly connected with push-and-pull Handle(95).
CN201611085053.3A 2015-04-14 2015-04-14 Damp type dentoid process of axis sighting device Active CN106344143B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201611085053.3A CN106344143B (en) 2015-04-14 2015-04-14 Damp type dentoid process of axis sighting device

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CN201510174301.0A CN104758045B (en) 2015-04-14 2015-04-14 Elastic piece damping type dual-ring odontoid sighting device
CN201611085053.3A CN106344143B (en) 2015-04-14 2015-04-14 Damp type dentoid process of axis sighting device

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
CN201510174301.0A Division CN104758045B (en) 2015-04-14 2015-04-14 Elastic piece damping type dual-ring odontoid sighting device

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CN106344143B true CN106344143B (en) 2018-09-28

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CN201611085053.3A Active CN106344143B (en) 2015-04-14 2015-04-14 Damp type dentoid process of axis sighting device
CN201510174301.0A Expired - Fee Related CN104758045B (en) 2015-04-14 2015-04-14 Elastic piece damping type dual-ring odontoid sighting device

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Application Number Title Priority Date Filing Date
CN201510174301.0A Expired - Fee Related CN104758045B (en) 2015-04-14 2015-04-14 Elastic piece damping type dual-ring odontoid sighting device

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106344143B (en) * 2015-04-14 2018-09-28 青岛亿嘉诺日化有限公司 Damp type dentoid process of axis sighting device

Family Cites Families (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6530929B1 (en) * 1999-10-20 2003-03-11 Sdgi Holdings, Inc. Instruments for stabilization of bony structures
CN1137665C (en) * 2000-04-12 2004-02-11 刘少喻 Locator with convex teeth for fixing guide needle
US8771283B2 (en) * 2007-12-17 2014-07-08 Wright Medical Technology, Inc. Guide assembly for intramedullary fixation and method of using the same
CN101869506B (en) * 2010-07-28 2011-07-20 徐兆万 Cervical pedicle screw alignment apparatus
CN102755188B (en) * 2012-08-06 2014-04-30 周健 Cone odontoid screw sighting device
CN202761430U (en) * 2012-09-10 2013-03-06 苏州大学 Kirschner wire guiding device
EP4252686A3 (en) * 2012-12-28 2023-12-27 Paragon 28, Inc. Alignment guide apparatus
CN203852418U (en) * 2014-05-27 2014-10-01 田红波 Sliding positioning guide
CN106344143B (en) * 2015-04-14 2018-09-28 青岛亿嘉诺日化有限公司 Damp type dentoid process of axis sighting device
CN204744389U (en) * 2015-04-14 2015-11-11 陈沂芳 Shell fragment damping formula dicyclo pivot awl cdontoid process sight

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CN106344143A (en) 2017-01-25
CN104758045A (en) 2015-07-08
CN104758045B (en) 2017-01-18

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Patentee before: Qingdao Yijianuo aily Chemical Co., Ltd.