Mesh bag tying method, cuff components, bone fusion device and bone fusion device using method
Technical field
The present invention relates to surgical operating instrument technical field, is implanted into more particularly, to the parcel that a kind of lumbar spinal fusion is used
The tying method of mesh bag used by bone material, using the cuff components of the tying method, further relate to equally using the tying method
Filling expansion type bone fusion device, and the using method of the filled type bone fusion device.Background technology
Lumbar spinal fusion is widely used at present lumbar vertebrae wound, interverbebral disc transformation, lumber spondylolisthesis, lumbar intervertebral infection and waist
In the treatment of the diseases such as vertebra tumour, interbody bone fusion device is the important implantation class surgical device for needing to use in Lumbar Fusion operation
Tool.
Lumbar spinal fusion developed over more than 100 years, and technology is greatly improved, single for fusion device itself, also have compared with
Great development, fusion device in recent years is even more to diversified, minimally invasiveization development.At present clinically conventional Invasive lumbar fusion device is from shape
On can be divided into linear screw shape, rectangle, physiology anatomical form, pure titanium, titanium alloy, carbon fibre, absorbable material are included from material
Material, tissue engineering material etc., fixed specification can be divided into from using method, fusion device, titanium net filling fusion device can be strutted
Deng.
Titanium netty bone grafting fusion device as disclosed in the patent of invention of Application No. 201120406488.X, the fusion device
Including columnar body, upper surface and lower surface, columnar body is arced tube body.When using, broken bone is filled in columnar body
Block, is implanted into titanium net in relief groove with vessel forceps or holder, unclamps dilator, is made titanium net embed latch and is embedded in upper centrum
In lower edge sclerotin.The technical scheme is will to carry out the positioning of titanium net in the embedded sclerotin of latch, but must will be implanted into material before implantation
Material is filled in titanium net, so, it is impossible to it is applied to Minimally Invasive Surgery;Simultaneously as pre-filled mode of operation, therefore there is aggregate
The undesirable risk of material filling leakiness, syncretizing effect.
The content of the invention
It is an object of the invention to overcome shortcoming present in prior art, a kind of mesh bag tying method and bundle are provided first
Mouthpiece, to complete to be implanted into the fast and reliable tying of mesh bag in bone implant surgery, it is to avoid the leakage of bone material, to keep bone material
Pressure so as to be well combined with upper and lower soleplate, next additionally provides a kind of bone fusion device, the fusion device is provided with realizes mesh bag
The cuff components of mouth quick blocking, additionally provide again the method for operating that a kind of cooperation bone fusion device is used, the technology of the employing
Scheme is:A kind of mesh bag tying method, it is characterised in that:The tying method is comprised the following steps:
1)Mesh bag is clamped between inner sleeve and outer tube;
2)Tying machine is displaced at the sack of the mesh bag, the sealing of sack is completed by the tying machine, be encapsulated in the net
The bone material that bag is implanted into is exposed by the mesh on mesh bag and is contacted with upper soleplate and/or lower soleplate.
Technical scheme also has:The cuff components include:Inner sleeve;Outer tube;Outer ejector sleeve, the outer tube
In the outer ejector sleeve;Tying machine, the tying machine is placed in the front end of the outer ejector sleeve, and can be under the outer ejector sleeve effect
Along outer bushing surface movement.
The technical characteristic of the present invention also has:The tying machine is elastic tying machine.
Technical scheme also has:A kind of bone fusion device, it is characterised in that:The bone fusion device includes cuff components
And mesh bag, the cuff components include:Inner sleeve;Outer tube;Outer ejector sleeve, the outer tube is located in the outer ejector sleeve;Tying
Device, the tying machine is placed in the front end of the outer ejector sleeve, and in outer bushing surface movement described in the outer ejector sleeve effect lower edge;Institute
State and be provided with mesh on mesh bag surface.
Technical scheme also has:A kind of using method of bone fusion device, the using method is comprised the following steps:
1)In service aisle, scraping needs the cortex of bone of the upper hypocentrum of fusion, appears soleplate and lower soleplate, handles plant well
Intervertenral space needed for bone fusion;
2)To send in the intervertenral space along service aisle with bone fusion device of the core needle in contraction state, observe under perspective
The mesh bag termination, confirms that the mesh bag integrally exposes and positioned at the intervertenral space centre position from service aisle;
3)Core needle is taken out, coordinates special bone obturator instrument, preprepared bone material is injected along inner sleeve, and be pushed to institute
State in mesh bag, the mesh bag slowly expands expansion;
4)After the bone material is full of the mesh bag, the implantation bone is pushed with push rod is tamped, until full of the vertebra
Gap is simultaneously brought into close contact, then push rod is entirely insertable with the upper soleplate and/or lower soleplate, holds on outer tube, promotes forward
Outer ejector sleeve, until tying machine is pushed from the outer tube, extracts the push rod out, will by the elastic reaction of the tying machine
Mesh bag mouth is tightened;
5)Bone obturator instrument and cuff components are taken out, bone implantation is once implanted into and is completed.
The technical characteristic of the present invention also has:The cuff components include:Inner sleeve, on the inwall of the inner sleeve card is provided with
Groove;Outer tube;Ascending pipe, the ascending pipe is threadedly coupled with the outer tube;Tying machine, the tying machine be plugging cap, institute
Plugging cap is stated including elastic card claw, the elastic card claw is provided with the end coordinated with the draw-in groove.
Technical scheme also has:A kind of bone fusion device, it is characterised in that:The bone fusion device includes cuff components
And mesh bag, the cuff components include:Inner sleeve, on the inwall of the inner sleeve draw-in groove is provided with;Outer tube;Ascending pipe, it is described
Ascending pipe is threadedly coupled with the outer tube;Plugging cap, the plugging cap include elastic card claw, the elastic card claw be provided with
The end that the draw-in groove coordinates;Mesh is provided with the mesh bag surface.
Technical scheme also has:A kind of using method of bone fusion device, the using method is comprised the following steps:
1)In service aisle, scraping needs the cortex of bone of the upper hypocentrum of fusion, appears soleplate and lower soleplate, handles plant well
Intervertenral space needed for bone fusion;
2)To send in the intervertenral space along service aisle with bone fusion device of the core needle in contraction state, observe under perspective
The mesh bag termination, confirms that the mesh bag integrally exposes and positioned at the intervertenral space centre position from service aisle;
3)Core needle is taken out, coordinates special bone obturator instrument, institute is inserted and be pushed to preprepared bone material along ascending pipe
State in mesh bag, with push rod institute's bone material is filled up, is compacted, the mesh bag slowly expands expansion until meeting the requirements;
4)Push rod all pushes the bone material in inner sleeve in mesh bag, and reserves the space for installing plugging cap;
5)By cap device is held the plugging cap is sent in inner sleeve along ascending pipe, then be pushed to the plugging cap by the push rod
Position, the plugging cap completes the closure of mesh bag mouth.
The technical characteristic of the present invention also has:The mesh bag away from the cuff components one end built with termination.
The beneficial effects of the present invention is:This bone fusion device of the present invention is implantation bone material to be pushed into mesh bag, by
Mesh on mesh bag, by intervertenral space certain pressure is tamped and keeps, and to complete the support of upper hypocentrum, keeps the height of intervertenral space
Degree, and reach the purpose of Lumbar Fusion;The present invention tying machine can by cuff components quick blocking or colligation on mesh bag mouth,
Affect to be implanted into effect to prevent the leakage of bone material;After filling, bone material be in interverbebral disc it is discoid, because with upper and lower soleplate
Between contact area it is sufficiently large, with the little beneficial effect of unit area pressure, so as to the reliability for ensureing to support;The present invention's
Bone fusion device and its using method have that tying is quick, easy to operate, it is big and stable to adapt to various intervertenral spaces, Area of bearing.
Description of the drawings
Accompanying drawing 1 is the structural representation of bone fusion device embodiment one of the present invention, and accompanying drawing 2 is the bone fusion device extended configuration of accompanying drawing 1
Schematic diagram, accompanying drawing 3 is schematic diagram in the implantation of the bone fusion device of accompanying drawing 1, and accompanying drawing 4 is tying machine tying view, and accompanying drawing 5 is net
Sack tightens rear schematic diagram, and accompanying drawing 6 is the structural representation of bone fusion device embodiment two of the present invention, and accompanying drawing 7 is the bone fusion device of accompanying drawing 6
Schematic diagram in implantation, accompanying drawing 8 is tying machine tying view, and accompanying drawing 9 is that mesh bag mouth tightens rear schematic diagram, and accompanying drawing 10 is bone
The structural representation of fusion device embodiment three, accompanying drawing 11 is plugging cap structural representation, and accompanying drawing 12 is plugging cap scheme of installation, attached
Figure 13 is that mesh bag tightens rear schematic diagram.
Wherein 1 is termination, and 2 is core needle, and 3 is mesh bag, and 4 is inner sleeve, and 5 is outer tube, and 6 is outer ejector sleeve, and 7 is tying machine, 8
It is push rod, 9 is ascending pipe, and 10 is closure plug, and 11 is plugging cap, and 12 is to hold cap device.
Specific embodiment
Below in conjunction with the accompanying drawings, the specific embodiment of the present invention is illustrated.The present invention discloses first a kind of mesh bag
Tying method, tying method is comprised the following steps:
1)Mesh bag 3 is fixed between inner sleeve 4 and outer tube 5;
2)Tying machine is displaced at the sack of mesh bag 3, the sealing of mesh bag mouth is completed by tying machine, be encapsulated in mesh bag 3 and be implanted into
Bone material exposed by the mesh on mesh bag 3 and contacted with upper soleplate and/or lower soleplate.
This method reaches the purpose of encapsulation implantation bone by the way that tying machine is displaced at the sack of mesh bag.
The invention also discloses three embodiments of the bone fusion device using above-mentioned tying method.
Embodiment one:A kind of bone fusion device, the bone fusion device includes cuff components and mesh bag 3, and cuff components include:Inner sleeve
Pipe 4;Outer tube 5;Outer ejector sleeve 6, outer tube 5 is located in outer ejector sleeve 6;Tying machine 7, tying machine 7 is placed in the front end of outer ejector sleeve 6, and
Can be in the surface movement of the effect lower edge of outer ejector sleeve 6 outer tube 5.Outer ejector sleeve 6 can push tying machine 7 from outer tube 5, mesh bag
Mesh is provided with 3 surfaces.
Cuff components include:Inner sleeve 4;Outer tube 5;Outer ejector sleeve 6, outer tube 5 is located in outer ejector sleeve 6;Tying machine 7, pricks
Mouthpart 7 is placed in the front end of outer ejector sleeve 6, and can be in the surface movement of the effect lower edge of outer ejector sleeve 6 outer tube 5.Outer ejector sleeve 6 can be by tying machine
7 push from outer tube 5, and the tying machine 7 in the present embodiment is the stronger tying machine of elasticity, and the diameter that can make mesh bag mouth is received
Very little is reduced to, to tighten mesh bag mouth.
The using method of the bone fusion device, the using method is comprised the following steps:
1)In service aisle, scraping needs the cortex of bone of the upper hypocentrum of fusion, appears soleplate and lower soleplate, handles plant well
Intervertenral space needed for bone fusion;
2)To send in intervertenral space along service aisle with bone fusion device of the core needle in contraction state, core needle 2 is inserted into mesh bag
Termination 1, observes mesh bag termination 1 under perspective, confirm mesh bag 3 in extended configuration and positioned at the centre position of intervertenral space;
3)Core needle 2 is taken out, coordinates special bone obturator instrument, preprepared bone material is injected along inner sleeve, and be pushed to
In mesh bag, after increasing bone material pushes mesh bag 3, mesh bag 3 slowly expands expansion;
4)After bone material is full of mesh bag 3, bone material is pushed with push rod 8 is tamped, until full of plant intervertenral space and with upper end
Plate and/or lower soleplate are brought into close contact, then push rod 8 is entirely insertable, and hold on outer tube, and outer ejector sleeve is promoted forward, until will prick
Mouthpart 7 is pushed from outer tube, extracts push rod 8 out, tightens in mesh bag mouth by the elastic reaction of tying machine 7;
5)Bone obturator instrument and remaining cuff components are taken out, bone implantation is once implanted into and is completed.
Embodiment two:A kind of bone fusion device, the bone fusion device includes cuff components and mesh bag 3, and cuff components include:Inner sleeve
Pipe 4, inner sleeve 4 is additionally provided with internal thread;Outer tube 5;Ascending pipe 9, ascending pipe 9 is threadedly coupled with outer tube 5;Tying machine, tying
Device is closure plug 10, and closure plug 10 coordinates with the screw thread of ascending pipe 8, and on the surface of mesh bag 3 mesh is provided with.The screw thread rotation of closure plug 10
To contrary with the thread rotary orientation of outer tube 5.
Specifically, the cuff components are tied in mesh bag mouth by the screw thread that two-layer coordinates, external screw thread and the note of outer tube 5
Enter the internal thread connection of pipe 9, internal thread and the external screw thread of closure plug 10 of inner sleeve 4 are screwed.Closure plug 10 is designed with interior hexagonal,
Use cooperatively with special spanner, thread rotary orientation on closure plug 10 and outer tube 5 is conversely, can prevent closure from filling in ascending pipe when rotating
Connection between 9 and outer tube 5 loosens, to prevent coming off for mesh bag 3.
The using method of above-mentioned bone fusion device, the using method is comprised the following steps:
1)In service aisle, scraping needs the cortex of bone of the upper hypocentrum of fusion, appears soleplate and lower soleplate, handles plant well
Intervertenral space needed for bone fusion;
2)To send in intervertenral space along service aisle with bone fusion device of the core needle in contraction state, core needle 2 is inserted into mesh bag
Termination 1, observes mesh bag termination 1 under perspective, confirm mesh bag 3 in extended configuration and positioned at intervertenral space middle position;
3)Core needle 2 is taken out, coordinates special bone obturator instrument, preprepared bone material push rod 8 is pushed in mesh bag 3,
Bone material is filled up, is compacted with push rod, mesh bag slowly expands expansion and extracts push rod out after meeting the requirements;
4)Along ascending pipe, it is sent to plug 10 is blocked at mesh bag mouth with spanner, rotates closure plug 10, makes closure plug 10 be tightened on inner sleeve
On pipe 4, the closure of mesh bag mouth is completed, and take out spanner;
5)Ascending pipe is screwed off, bone implantation is once implanted into and is completed.
Embodiment three:A kind of bone fusion device, including cuff components and mesh bag 3, cuff components include:Inner sleeve 4, inner sleeve
Draw-in groove is provided with 4 inwall;Outer tube 5;Ascending pipe 9, ascending pipe 9 is threadedly coupled with outer tube 5;Tying machine, tying machine is envelope
Blocking cap 11, plugging cap 11 includes elastic card claw, and elastic card claw is provided with the end coordinated with draw-in groove.
The using method of above-mentioned bone fusion device, the using method is comprised the following steps:
1)In service aisle, scraping needs the cortex of bone of the upper hypocentrum of fusion, appears soleplate and/or lower soleplate, processes
Intervertenral space needed for good bone grafting fusion;
2)To send in intervertenral space along service aisle with bone fusion device of the core needle in contraction state, core needle 2 is inserted into mesh bag end
Head, observes mesh bag termination 1 under perspective, confirm mesh bag 3 in extended configuration and positioned at the centre position of intervertenral space;
3)Core needle is taken out, coordinates special bone obturator instrument, net is inserted and be pushed to preprepared bone material along ascending pipe
In bag, bone material is filled up, is compacted with push rod, mesh bag is slowly expanded to and met the requirements for fat;
4)The bone material in inner sleeve is all pushed in mesh bag with push rod, and flows out the space for installing plugging cap 11
5)By cap device 12 is held plugging cap 11 is sent in inner sleeve 4 along ascending pipe, then is pushed plugging cap 11 in place by push rod 8,
Plugging cap 11 completes the closure of mesh bag mouth.
In above-mentioned all of bone fusion device, mesh bag away from cuff components one end built with termination, mesh in 0.2mm extremely
1.0mm between.
Certainly, described above not limitation of the present invention, the present invention is also not limited to the example above, the art
Change, remodeling, addition or replacement that those of ordinary skill is made in the essential scope of the present invention, fall within the guarantor of the present invention
Shield scope.