CN106562843B - Mesh bag tying method, cuff components, bone fusion device and bone fusion device application method - Google Patents
Mesh bag tying method, cuff components, bone fusion device and bone fusion device application method Download PDFInfo
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- CN106562843B CN106562843B CN201610915963.3A CN201610915963A CN106562843B CN 106562843 B CN106562843 B CN 106562843B CN 201610915963 A CN201610915963 A CN 201610915963A CN 106562843 B CN106562843 B CN 106562843B
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- Prior art keywords
- mesh bag
- fusion device
- bone
- bone fusion
- tying
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
- A61F2/4455—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
- A61F2/442—Intervertebral or spinal discs, e.g. resilient
- A61F2002/4445—Means for culturing intervertebral disc tissue
Abstract
Mesh bag tying method, cuff components, bone fusion device and bone fusion device application method, wherein mesh bag tying method is the following steps are included: mesh bag is clamped between inner sleeve and outer tube；Tying machine is displaced at the sack of the mesh bag, the sealing of sack is completed by tying machine, the bone material that mesh bag is implanted into is encapsulated in and is contacted by the way that the mesh on mesh bag is exposed with upper soleplate and/or lower soleplate.The present invention has the advantages that tying is quick, easy to operate, to adapt to various intervertenral spaces, bearing area big and stable.
Description
Technical field
The present invention relates to surgical operating instrument technical fields, are implanted into more particularly, to a kind of package that lumbar spinal fusion uses
The tying method of mesh bag used in bone material, using the cuff components of the tying method, further relate to equally using the tying method
Fill expansion type bone fusion device and the application method of the filled type bone fusion device.Background technique
Lumbar spinal fusion be widely used at present lumbar vertebrae wound, interverbebral disc transformation, lumber spondylolisthesis, lumbar intervertebral infection with
And in the treatment of the diseases such as Lumber Vertebra Tumors, interbody bone fusion device is that important implantation class operation to be used is needed in Lumbar Fusion operation
Instrument.
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 are even more to diversification, minimally invasiveization development.Current clinically common Invasive lumbar fusion device is from shape
On can be divided into linear screw shape, rectangle, physiology anatomical form, include pure titanium, titanium alloy, carbon fibre, absorbable material from material
Material, tissue engineering material etc. can be divided into fixed specification from application method, can strut fusion device, titanium net filling fusion device
Deng.
The titanium netty bone grafting fusion device as disclosed in the patent of invention application No. is 201120406488.X, the fusion device
Including columnar body, upper surface and lower end surface, columnar body is arced tube body.In use, filling broken bone in columnar body
Titanium net is implanted into relief groove with vessel forceps or holder, unclamps dilator, so that titanium net is embedded latch and be embedded in upper centrum by block
In lower edge sclerotin.The technical solution is latch to be embedded in the positioning that titanium net is carried out in sclerotin, but will must be implanted into material before implantation
Material is filled in titanium net, so, it may not apply to Minimally Invasive Surgery；Simultaneously as be pre-filled mode of operation, therefore there are aggregates
The undesirable risk of material filling leakiness, syncretizing effect.
Summary of the invention
It is an object of the invention to overcome disadvantage existing in the prior art, a kind of mesh bag tying method and bundle are provided first
Mouthpiece avoids the leakage of bone material, to complete the fast and reliable tying of mesh bag in implantation bone implant operation to keep bone material
Pressure, be well combined it with upper and lower soleplate, next additionally provides a kind of bone fusion device, which, which is equipped with, realizes mesh bag
The cuff components of mouth quick blocking additionally provide a kind of operating method that cooperation bone fusion device uses, the technology of the use again
Scheme is: a kind of mesh bag tying method, it is characterised in that: the tying method the following steps are included:
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, is encapsulated in institute
The bone material that mesh bag is implanted into is stated to contact by the way that the mesh on mesh bag is exposed with upper soleplate and/or lower soleplate.
Technical solution of the present invention is also: the cuff components include: inner sleeve；Outer tube；Outer ejector sleeve, the outer tube
In the outer ejector sleeve；Tying machine, the tying machine are placed in the front end of the outer ejector sleeve, and can be under the outer ejector sleeve effect
It is moved along the outer bushing surface.
Technical characteristic of the invention is also: the tying machine is elastic tying machine.
Technical solution of the present invention is also: 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 are located in the outer ejector sleeve；Tying
Device, the tying machine is placed in the front end of the outer ejector sleeve, and the outer bushing surface described in the outer ejector sleeve effect lower edge is mobile；Institute
It states and is provided with mesh on mesh bag surface.
Technical solution of the present invention is also: a kind of application method of bone fusion device, the application method the following steps are included:
1) in service aisle, the cortical bone for the upper hypocentrum that scraping needs to merge appears soleplate and lower soleplate, handles
Intervertenral space needed for good bone grafting fusion；
2) it will be sent into the intervertenral space in the bone fusion device of contraction state along service aisle with core needle, under perspective
The mesh bag end is observed, confirms that the mesh bag is whole and exposes out of service aisle and be located at the intervertenral space middle position；
3) core needle is taken out, dedicated bone obturator instrument is cooperated, preprepared bone material is injected along inner sleeve, and pushes
Into the mesh bag, the mesh bag slowly expands expansion；
4) after the mesh bag is full of by the bone material, implantation bone push-in is tamped with push rod, until being full of institute
It states intervertenral space and is fitted closely with the upper soleplate and/or lower soleplate, then push rod is entirely insertable, hold on outer tube, forward
Outer ejector sleeve is pushed, until tying machine is pushed down from the outer tube, extracts the push rod out, is made by the elasticity of the tying machine
It is tightened with by mesh bag mouth；
5) bone obturator instrument and cuff components are taken out, the primary bone implant that is implanted into is completed.
Technical characteristic of the invention is also: the cuff components include: inner sleeve, are provided with card on the inner wall of the inner sleeve
Slot；Outer tube；Injection pipe, the injection pipe are threadedly coupled with the outer tube；Tying machine, the tying machine are plugging cap, institute
Stating plugging cap includes elastic card claw, and the elastic card claw is equipped with the end cooperated with the card slot.
Technical solution of the present invention is also: 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, are provided with card slot on the inner wall of the inner sleeve；Outer tube；Injection pipe, it is described
Injection pipe is threadedly coupled with the outer tube；Plugging cap, the plugging cap include elastic card claw, the elastic card claw be equipped with
The end of the card slot cooperation；Mesh is provided on the mesh bag surface.
Technical solution of the present invention is also: a kind of application method of bone fusion device, the application method the following steps are included:
1) in service aisle, the cortical bone for the upper hypocentrum that scraping needs to merge appears soleplate and lower soleplate, handles
Intervertenral space needed for good bone grafting fusion；
2) it will be sent into the intervertenral space in the bone fusion device of contraction state along service aisle with core needle, under perspective
The mesh bag end is observed, confirms that the mesh bag is whole and exposes out of service aisle and be located at the intervertenral space middle position；
3) core needle is taken out, cooperates dedicated bone obturator instrument, preprepared bone material is placed in and is pushed along injection pipe
Into the mesh bag, institute's bone material is filled up with push rod, 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 of installation plugging cap；
5) plugging cap is sent into inner sleeve along injection pipe by holding cap device, then is pushed away the plugging cap by the push rod
It is sent to position, the plugging cap completes the closure of mesh bag mouth.
Technical characteristic of the invention is also: the mesh bag is provided with end far from one end of the cuff components.
It is that will be implanted into bone material to push into mesh bag the beneficial effects of the present invention are: this bone fusion device of the invention, by
Intervertenral space is tamped and is kept certain pressure by the mesh on mesh bag, to complete the support of upper hypocentrum, keeps the height of intervertenral space
Degree, and achieve the purpose that Lumbar Fusion；Tying machine of the invention can by cuff components quick blocking or binding on mesh bag mouth,
It influences 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 small beneficial effect of unit area pressure, to guarantee the reliability of support；Of the invention
Bone fusion device and its application method are quick, easy to operate with tying, it is big to adapt to various intervertenral spaces, bearing area and stablize.
Detailed description of the invention
Attached drawing 1 is one structural schematic diagram of bone fusion device embodiment of the present invention, and attached drawing 2 is 1 bone fusion device extended state of attached drawing
Schematic diagram, attached drawing 3 are schematic diagrames in the implantation of 1 bone fusion device of attached drawing, and attached drawing 4 is tying machine tying status diagram, and attached drawing 5 is net
Sack tightens rear schematic diagram, and attached drawing 6 is two structural schematic diagram of bone fusion device embodiment of the present invention, and attached drawing 7 is 6 bone fusion device of attached drawing
Schematic diagram in implantation, attached drawing 8 are tying machine tying status diagrams, and attached drawing 9 is that mesh bag mouth tightens rear schematic diagram, and attached drawing 10 is bone
Three structural schematic diagram of fusion device embodiment, attached drawing 11 are plugging cap structural schematic diagrams, and attached drawing 12 is plugging cap scheme of installation, attached
Figure 13 is that mesh bag tightens rear schematic diagram.
Wherein 1 is end, and 2 be core needle, and 3 be mesh bag, and 4 be inner sleeve, and 5 be outer tube, and 6 be outer ejector sleeve, and 7 be tying machine, 8
It is push rod, 9 be injection pipe, and 10 be to block plug, and 11 be plugging cap, and 12 be to hold cap device.
Specific embodiment
With reference to the accompanying drawing, description of specific embodiments of the present invention.The present invention discloses a kind of mesh bag first
Tying method, tying method the following steps are included:
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, is encapsulated in mesh bag 3
The bone material of implantation is contacted by the way that the mesh on mesh bag 3 is exposed with upper soleplate and/or lower soleplate.
This method achievees the purpose that encapsulation implantation bone by the way that tying machine to be displaced at the sack of mesh bag.
The invention also discloses three embodiments of the bone fusion device for using above-mentioned tying method.
Embodiment one: a kind of bone fusion device, the bone fusion device include cuff components and mesh bag 3, and cuff components include: inner sleeve
Pipe 4；Outer tube 5；Outer ejector sleeve 6, outer tube 5 are located in outer ejector sleeve 6；Tying machine 7, tying machine 7 are placed in the front end of outer ejector sleeve 6, and
It can be moved under the effect of outer ejector sleeve 6 along 5 surface of outer tube.Outer ejector sleeve 6 can push tying machine 7 from outer tube 5, mesh bag
Mesh is provided on 3 surfaces.
Cuff components include: inner sleeve 4；Outer tube 5；Outer ejector sleeve 6, outer tube 5 are located in outer ejector sleeve 6；Tying machine 7 is pricked
Mouthpart 7 is placed in the front end of outer ejector sleeve 6, and can move under the effect of outer ejector sleeve 6 along 5 surface of outer tube.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 of mesh bag mouth can be made to receive
It is reduced to very little, to tighten mesh bag mouth.
The application method of the bone fusion device, the application method the following steps are included:
1) in service aisle, the cortical bone for the upper hypocentrum that scraping needs to merge appears soleplate and lower soleplate, handles
Intervertenral space needed for good bone grafting fusion；
2) it will be sent into intervertenral space in the bone fusion device of contraction state along service aisle with core needle, core needle 2 be inserted into net
The end 1 of bag, mesh bag end 1 is observed under perspective, and confirmation mesh bag 3 be in extended state and the interposition positioned at intervertenral space
It sets；
3) core needle 2 is taken out, dedicated bone obturator instrument is cooperated, preprepared bone material is injected along inner sleeve, and pushes away
It is sent in mesh bag, after more and more bone materials are pushed into mesh bag 3, mesh bag 3 slowly expands expansion；
4) after mesh bag 3 is full of by bone material, with push rod 8 by bone material push-in tamp, until full of plant intervertenral space and with
Upper soleplate and/or lower soleplate fit closely, then push rod 8 is entirely insertable, and hold on outer tube, push outer ejector sleeve forward, until
Tying machine 7 is pushed down from outer tube, push rod 8 is extracted out, tightens mesh bag mouth by the elastic reaction of tying machine 7；
5) bone obturator instrument and remaining cuff components are taken out, the primary bone implant that is implanted into is completed.
Embodiment two: a kind of bone fusion device, the bone fusion device include cuff components and mesh bag 3, and cuff components include: inner sleeve
Pipe 4, inner sleeve 4 are additionally provided with internal screw thread；Outer tube 5；Injection pipe 9, injection pipe 9 are threadedly coupled with outer tube 5；Tying machine, tying
Device is to block plug 10, blocks plug 10 and is threadedly engaged with injection pipe 8, is provided with mesh on 3 surface of mesh bag.Block the screw thread rotation of plug 10
To opposite with 5 thread rotary orientation of outer tube.
Specifically, the screw thread that the cuff components are cooperated by two layers ties mesh bag mouth, the external screw thread and note of outer tube 5
Enter the internal screw thread connection of pipe 9, the internal screw thread of inner sleeve 4 is screwed with the external screw thread for blocking plug 10.Blocking 10 design of plug has interior hexagonal,
It is used cooperatively with dedicated spanner, blocks thread rotary orientation on plug 10 and outer tube 5 on the contrary, can prevent from blocking injection pipe when plug rotates
Connection between 9 and outer tube 5 loosens, to prevent falling off for mesh bag 3.
The application method of above-mentioned bone fusion device, the application method the following steps are included:
1) in service aisle, the cortical bone for the upper hypocentrum that scraping needs to merge appears soleplate and lower soleplate, handles
Intervertenral space needed for good bone grafting fusion；
2) it will be sent into intervertenral space in the bone fusion device of contraction state along service aisle with core needle, core needle 2 be inserted into net
The end 1 of bag, mesh bag end 1 is observed under perspective, and confirmation mesh bag 3 be in extended state and positioned at intervertenral space middle position
Place；
3) core needle 2 is taken out, cooperates dedicated bone obturator instrument, preprepared bone material push rod 8 is pushed into mesh bag 3
It is interior, bone material is filled up with push rod, is compacted, mesh bag slowly expands expansion and extracts push rod out after meeting the requirements；
4) along injection pipe, closure plug 10 is sent at mesh bag mouth with spanner, rotation blocks plug 10, is tightened on closure plug 10
On inner sleeve 4, the closure of mesh bag mouth is completed, and takes out spanner；
5) injection pipe is screwed off, the primary bone implant that is implanted into 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
Card slot is provided on 4 inner wall；Outer tube 5；Injection pipe 9, injection pipe 9 are threadedly coupled with outer tube 5；Tying machine, tying machine are envelope
Blocking cap 11, plugging cap 11 include elastic card claw, and elastic card claw is equipped with the end cooperated with card slot.
The application method of above-mentioned bone fusion device, the application method the following steps are included:
1) in service aisle, the cortical bone for the upper hypocentrum that scraping needs to merge appears soleplate and/or lower soleplate,
Intervertenral space needed for handling bone grafting fusion well；
2) it will be sent into intervertenral space in the bone fusion device of contraction state along service aisle with core needle, core needle 2 be inserted into net
Bag end, mesh bag end 1 is observed under perspective, and confirmation mesh bag 3 be in extended state and the middle position positioned at intervertenral space；
3) core needle is taken out, cooperates dedicated bone obturator instrument, preprepared bone material is placed in and is pushed along injection pipe
Into mesh bag, bone material is filled up with push rod, is compacted, mesh bag is slowly expanded to and meets the requirements for fat；
4) bone material in inner sleeve is all pushed in mesh bag with push rod, and flows out the space of installation plugging cap 11
5) plugging cap 11 is sent into inner sleeve 4 along injection pipe by holding cap device 12, then is pushed to plugging cap 11 by push rod 8
Position, plugging cap 11 complete the closure of mesh bag mouth.
In above-mentioned all bone fusion devices, mesh bag is provided with end far from one end of cuff components, mesh 0.2mm extremely
Between 1.0mm.
Certainly, above description is not limitation of the present invention, and the present invention is also not limited to the example above, the art
The variations, modifications, additions or substitutions that those of ordinary skill is made within the essential scope of the present invention also belong to guarantor of the invention
Protect range.
Claims (2)
1. a kind of cuff components, it is characterised in that: the cuff components include: inner sleeve, are provided on the inner wall of the inner sleeve
Card slot；Outer tube；Injection pipe, the injection pipe are threadedly coupled with the outer tube；Tying machine, the tying machine are plugging cap,
The plugging cap includes elastic card claw, and the elastic card claw is equipped with the end cooperated with the card slot.
2. a kind of bone fusion device, it is characterised in that: the bone fusion device includes cuff components and mesh bag, the cuff components packet
Include: inner sleeve is provided with card slot on the inner wall of the inner sleeve；Outer tube；Injection pipe, the injection pipe and the housing pipe screw thread
Connection；Plugging cap, the plugging cap include elastic card claw, and the elastic card claw is equipped with the end cooperated with the card slot；Institute
It states and is provided with mesh on mesh bag surface.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610915963.3A CN106562843B (en) | 2016-10-20 | 2016-10-20 | Mesh bag tying method, cuff components, bone fusion device and bone fusion device application method |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610915963.3A CN106562843B (en) | 2016-10-20 | 2016-10-20 | Mesh bag tying method, cuff components, bone fusion device and bone fusion device application method |
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| Publication Number | Publication Date |
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| CN106562843A CN106562843A (en) | 2017-04-19 |
| CN106562843B true CN106562843B (en) | 2018-12-04 |
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Families Citing this family (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108784890A (en) * | 2018-07-05 | 2018-11-13 | 林浩 | Invasive lumbar fusion device and bone cement injection device under a kind of minimally invasive channel |
| CN110236743A (en) * | 2019-04-24 | 2019-09-17 | 宁波华科润生物科技有限公司 | A kind of minimally invasive fusion device of spontaneous coagulation sealing |
| CN110236744B (en) * | 2019-04-24 | 2021-07-30 | 宁波华科润生物科技有限公司 | Minimally invasive fusion cage |
Citations (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN206852684U (en) * | 2016-10-20 | 2018-01-09 | 山东冠龙医疗用品有限公司 | A kind of bayonet socket plugging type cuff components and the bone fusion device using the cuff components |
Family Cites Families (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0621020A1 (en) * | 1993-04-21 | 1994-10-26 | SULZER Medizinaltechnik AG | Intervertebral prosthesis and method of implanting such a prosthesis |
| US20020147497A1 (en) * | 2001-04-06 | 2002-10-10 | Integrated Vascular Systems, Inc. | Methods for treating spinal discs |
| CN2920175Y (en) * | 2006-06-21 | 2007-07-11 | 李孔嘉 | Vertebration restorer capable of introducing medicine |
| CN101305932B (en) * | 2008-07-11 | 2010-04-21 | 邵卫星 | Stuffer for injecting bone material into vertebral body |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN206852684U (en) * | 2016-10-20 | 2018-01-09 | 山东冠龙医疗用品有限公司 | A kind of bayonet socket plugging type cuff components and the bone fusion device using the cuff components |
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Effective date of registration: 20200617 Address after: 250101 Shandong Guanlong medical supplies Co., Ltd., No. 978, Tianchen Road, high tech Zone, Jinan City, Shandong Province Patentee after: DRAGON CROWN MEDICAL Co.,Ltd. Address before: 300091 Tianjin City, Nankai District Drum Tower, Tianlin garden, West Street, 4-1-2602 Patentee before: Xu Baoshan |
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