CN106725781B - A kind of vertebra bone anchor and its application method - Google Patents

A kind of vertebra bone anchor and its application method Download PDF

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Publication number
CN106725781B
CN106725781B CN201611061642.8A CN201611061642A CN106725781B CN 106725781 B CN106725781 B CN 106725781B CN 201611061642 A CN201611061642 A CN 201611061642A CN 106725781 B CN106725781 B CN 106725781B
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fixed
eyelid retractor
upper frame
cable
developed surface
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CN201611061642.8A
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CN106725781A (en
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不公告发明人
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Jiangsu Ideal Medical Science & Technology Co ltd
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JIANGSU AIDIER MEDICAL TECHNOLOGY 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
    • A61B17/60Surgical 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 for external osteosynthesis, e.g. distractors, contractors
    • A61B17/66Alignment, compression or distraction mechanisms
    • 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7053Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant with parts attached to bones or to each other by flexible wires, straps, sutures or cables
    • 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7074Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • 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
    • 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B2017/7073Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant with intervertebral connecting element crossing an imaginary spinal median surface

Abstract

The present invention relates to a kind of vertebra bone anchor and its application methods, including pitman and at least two fixed knots, fixed knot includes external vertebra upper frame and eyelid retractor, eyelid retractor is the developed surface of an arc, several and developed surface longitudinal axis orthogonal hollow slots are provided on the developed surface of cambered surface, it is provided with fixed link in hollow slots, is each provided at least one fixed block in the two sides of fixed link, is provided with fixed cable between fixed block;It is provided with a column in the middle part of eyelid retractor, external vertebra upper frame is provided on column, external vertebra upper frame includes a curved support face coaxial with the developed surface of eyelid retractor;The braced frame for spinal fixation is surrounded between fixed cable between fixed knot and curved support face;A mounting hole parallel with curved support face axis is provided in the column of eyelid retractor, eyelid retractor is linked together by the pitman being mounted in mounting hole.

Description

A kind of vertebra bone anchor and its application method
Technical field
The present invention relates to a kind of vertebra bone anchors, and with being related to, a kind of bone fixed using cable progress rib cage is fixed outside Device.
Background technique
During the orthopaedics therapies such as fracture, postoperative to penetrate epidermis frequently by various brackets, bone, which is fixed, to be made Recovery bracket is removed, whole process needs to carry out Repeated Operation, to human body after recovery, then by trauma operation Muscle and skin portion bring wound are bigger, and the convalescence after Miles operation is also long, while traditional bracket is to osseous part band The compressing and wound come is all bigger;
Currently on the market to this, it provides wound degree when can much reduce operation to a certain extent and reduces operation time Number, while the orthopedic fixer of healing can be accelerated again, such as the invention of Patent No. ZL201120537796.6, where it is proposed A kind of steel wire for bone portion package, this steel wire are reduced by the way that absorbable material protective case is arranged in steel wire surface to bone The damage of bone reduces the probability of bone ischemic necrosis, but itself still realizes the fixation of osseous part by way of repeatedly winding, It is still very big on skin brought by dismounting steel wire operation and muscle bed after bone recovery, need the long time to carry out Restore;
For another example with a kind of entitled patent of invention of kneecap external fixing rack of ZL201420132756.7, wherein also proposed one Fixed frame outside the minimally invasive bone of kind, this structure compare the fixed structure of steel nail for being similar to and generally using now, Main purpose is to realize that multi-faceted osseous part is fixed, while thin steel nail is also smaller to human body bring wound, can be to avoid Secondary taking-up operation brings damage to the human body and infects, but in its technical solution, steel nail plays main supporting role, in order to Guarantee its certain support performance (i.e. bending strength) thus steel nail itself can not do it is thin as acupuncture needle, so its steel nail It is still more limited to the reduction of human epidermal and flesh wound degree, and steel nail itself is because of its volume reason and special Biological property reason, if being made using titanium alloy etc materials, difficulty of processing and cost are relatively high, if using one If a little preferable polymer production of biological property, intensity not can guarantee again, while the main eyelid retractor of the invention is a ring Shape metal plate, when installation, the limbs portion that can treat operation, which is brought, is blocked, and installation can be relatively difficult, also cannot achieve under X-ray photograph Accurate installation;
So in conclusion bone external fixator in the prior art has still, there is many deficiencies, such as: peace Dress bring wound, secondary taking-up operation wound, cost can not reduce, installation difficulty is big.
Summary of the invention
The technical problem to be solved by the present invention is overcoming in the prior art bracket installation wound is big, fixes operation complexity etc. Technical problem it is smaller to provide a kind of pair of setter wound, it is possible to reduce even without the Orthopedic fixing support of second operation.
The technical solution adopted by the present invention to solve the technical problems is:
A kind of vertebra bone anchor, including pitman and at least two fixed knots, the fixed knot include external vertebra top Frame and eyelid retractor, the eyelid retractor are the developed surface of an arc, are provided on the developed surface of cambered surface several vertical with developed surface The hollow slots vertical to axis are provided with fixed link in the hollow slots, and it is solid to be each provided at least one in the two sides of fixed link Determine block, is provided with fixed cable between the fixed block;
It is provided with a column in the middle part of the eyelid retractor, external vertebra upper frame is provided on the column, it is described external Vertebra upper frame includes a curved support face coaxial with the developed surface of eyelid retractor;
The braced frame for spinal fixation is surrounded between fixed cable between the fixed knot and curved support face;
A mounting hole parallel with curved support face axis, the eyelid retractor are provided in the column of the eyelid retractor It is linked together by the pitman being mounted in mounting hole.
As a further innovation of the present invention, the external vertebra upper frame is made of elastic material.
As a further innovation of the present invention, the fixed block includes one for fixing the fixation hole of fixed cable, institute It states and is provided with lock-screw A on the side wall of fixation hole.
As a further innovation of the present invention, the fixed block includes a sliding eye for being socketed with fixed link, institute It states and is provided with lock-screw B on the side wall of sliding eye.
As a further innovation of the present invention, the fixed cable includes elastic threads, the material of the elastic threads has life Object compatibility.
As a further innovation of the present invention, the elastic threads is made of aliphatic polyester.
As a further innovation of the present invention, being provided with reinforced metal cable, the reinforced metal in the middle part of the elastic threads The material of cable has biocompatibility.
As a further innovation of the present invention, the reinforced metal cable is made of titanium alloy.
As a further innovation of the present invention, the pitman is made of aluminium alloy.
The beneficial effects of the present invention are:
1, the present invention uses the cooperation of fixed cable and curved support face, by the smaller elastic threads of diameter in curved support Under the support of face and arc developed surface, one or several skeletal support frames are surrounded, to realize the fixation to vertebrae And correction can not only guarantee the fixation of bone because of the low elasticity in curved support face, while be also possible to prevent elastic threads to bone The excessive compressing on bone surface, causes osteonecrosis;
The present invention can freely add and subtract the quantity of fixed knot as the case may be simultaneously, have high convenience;
Installation operation of the invention is also fairly simple.
2, elastic threads of the invention is fixed using clamped-in style, and the convenience of installation can be improved in this structure, is tensed simultaneously Line can also be with a higher pretightning force installation.
3, it is fixed between fixed block of the invention and braced frame for sliding, between adjustment fixed block that can be more convenient Position, to easily adjust the fixation position of elastic threads according to specific bone condition, wide usage has been significantly greatly increased.
4, elastic threads made of the aliphatic polyester material with biocompatibility, because of its low biocompatible, extensive After multiple, the internal of human body can be stayed in, the secondary wound degree for removing operation can be reduced, if bone extent of the destruction itself is not If big, it can perform the operation without secondary dismounting.
5, it is also added into tension cable of the invention made of a titanium alloy and strengthens cable to prevent from tensing and excessively lead The case where tension thread breakage of cause, can directly extract the reinforcing cable of titanium alloy out after recovery, not be partially left in vivo also not There can be too big rejection problems.
6, pitman of the invention is made of the stronger aluminium alloy of plasticity, can be according to the specific spine shape of patient It is adjusted correspondingly, improves appropriate of the invention.
Detailed description of the invention
Present invention will be further explained below with reference to the attached drawings and examples.
Fig. 1 is mounting structure schematic diagram of the present invention;
Fig. 2 is diagrammatic cross-section of the invention;
Fig. 3 is the schematic diagram of use state 1 of the present invention;
Fig. 4 is the schematic diagram of use state 2 of the present invention;
Fig. 5 is the transverse cross-sectional view of fixed block;
In figure: 1, fixed block;2, fixed link;3, fixed cable;4, vertebrae;5, bone B;6, bone C;7, pitman; 8, external vertebra upper frame;9, eyelid retractor;1-1, fixation hole.
Specific embodiment
In conjunction with the accompanying drawings, the present invention is further explained in detail.These attached drawings are simplified schematic diagram, only with Illustration illustrates basic structure of the invention, therefore it only shows the composition relevant to the invention.
Embodiment 1
It is specific as shown in Figure 1, Figure 2, shown in Fig. 3 and Fig. 5, this product mainly includes fixed knot and for connecting each fixed knot Pitman 7, pitman 7 are made of aluminium alloy, are manufactured according to the specific vertebra shape of patient,
The fixed knot includes external vertebra upper frame, internal vertebrae face fixator and eyelid retractor 9, and the eyelid retractor is one A and human vertebra both sides back contact provides the arc developed surface of support force for fixed cable, sets on the developed surface of cambered surface Several and developed surface longitudinal axis orthogonal hollow slots are equipped with, fixed link 2 are provided in the hollow slots, the two of fixed link 2 Side is each provided with a fixed block 1, is provided with fixed cable 3 between the fixed block 1;
The middle part of the eyelid retractor 9 is provided with a column, is provided on the column for propping up outside human epidermal The external vertebra upper frame 8 of vertebrae is supportted, the external vertebra upper frame includes an arc branch coaxial with the developed surface of eyelid retractor Support face;
Each fixed knot is fixed on pitman 7, penetrates into inside of human body by fixed cable 3, from top by vertebrae 4 It entangles, while by external vertebra upper frame 8, realizing the support to the positive and negative two sides of vertebral segments, then passing through consolidating on pitman 7 Surely permutation is saved, realizes the fixation of vertebrae;
Wherein fixed block includes one for by 1 set of sliding eye being connected in fixed link 2 of fixed block, in the inner wall of sliding eye On be provided with lock-screw B, while be additionally provided on fixed block one for across fixed cable 3 fixation hole 1-1, similarly One is provided on the side wall of fixation hole 1-1 for fixing the lock-screw A of fixed cable 3;
Wherein fixed cable includes having elastic threads made of the aliphatic polyester material of biocompatibility, in elastic threads Portion, which is provided with, is similarly reinforced metal line made of the titanium alloy of biocompatible materials;
Elastic threads made of aliphatic polyester material with biocompatibility, because its low biocompatible, is restoring Afterwards, the internal of human body can be stayed in, the secondary wound degree for removing operation can be reduced, if bone extent of the destruction itself is little If, it can perform the operation without secondary dismounting;
The case where strengthening cable made of titanium alloy to tense thread breakage caused by preventing from tensing excessively, after recovery can be with Directly the reinforcing cable of titanium alloy is extracted out, too big rejection problems will not be had in vivo by being partially left at;
When installation, as shown in Figure 3.Vertebrae inside is fixed in fixed cable 3 by performing the operation first, will then consolidate Determine block 1 to be installed in the fixed link 2 of each fixed knot, then presses entire fixed knot array in human body back, by fixing line Cable 3 is fixed on fixed block 1, and be strained and fixed cable 3, can be realized and supports and fixes to human spine.
Embodiment 2
As shown in figure 4, the present invention under emergency rating, can be used for the fixation of arm and leg;
It is main specific as shown in Figure 1, Figure 2, shown in Fig. 3 and Fig. 5, this product mainly includes fixed knot and for connecting each fixation The pitman 7 of section, pitman 7 are made of aluminium alloy, are manufactured according to the specific vertebra shape of patient,
The fixed knot includes external vertebra upper frame, internal vertebrae face fixator and eyelid retractor 9, and the eyelid retractor is one A and human vertebra both sides back contact provides the arc developed surface of support force for fixed cable, sets on the developed surface of cambered surface Several and developed surface longitudinal axis orthogonal hollow slots are equipped with, fixed link 2 are provided in the hollow slots, the two of fixed link 2 Side is each provided with a fixed block 1, is provided with fixed cable 3 between the fixed block 1;
The middle part of the eyelid retractor 9 is provided with a column, is provided on the column for propping up outside human epidermal The external vertebra upper frame 8 of vertebrae is supportted, the external vertebra upper frame includes an arc branch coaxial with the developed surface of eyelid retractor Support face;
Each fixed knot is fixed on pitman 7, penetrates into inside of human body by fixed cable 3, from top by vertebrae 4 It entangles, while by external vertebra upper frame 8, realizing the support to the positive and negative two sides of vertebral segments, then passing through consolidating on pitman 7 Surely permutation is saved, realizes the fixation of vertebrae;
Wherein fixed block includes one for by 1 set of sliding eye being connected in fixed link 2 of fixed block, in the inner wall of sliding eye On be provided with lock-screw B, while be additionally provided on fixed block one for across fixed cable 3 fixation hole 1-1, similarly One is provided on the side wall of fixation hole 1-1 for fixing the lock-screw A of fixed cable 3;
Wherein fixed cable includes having elastic threads made of the aliphatic polyester material of biocompatibility, in elastic threads Portion, which is provided with, is similarly reinforced metal line made of the titanium alloy of biocompatible materials;
Elastic threads made of aliphatic polyester material with biocompatibility, because its low biocompatible, is restoring Afterwards, the internal of human body can be stayed in, the secondary wound degree for removing operation can be reduced, if bone extent of the destruction itself is little If, it can perform the operation without secondary dismounting;
The case where strengthening cable made of titanium alloy to tense thread breakage caused by preventing from tensing excessively, after recovery can be with Directly the reinforcing cable of titanium alloy is extracted out, too big rejection problems will not be had in vivo by being partially left at;
When installation, as shown in figure 4, first by performing the operation fixed cable 3 to the bone B5 and bone C6 in human arm It is fixed, then fixed block 1 is installed in the fixed link 2 of each fixed knot, then pressed using with 3 column fixed knot arrays In 3 positions of human arm outer wall, between angle be 120 degree, fixed cable 3 is fixed on fixed block 1, is strained and fixed Cable 3 realizes the fixation to arm bone.
Taking the above-mentioned ideal embodiment according to the present invention as inspiration, through the above description, relevant staff is complete Various changes and amendments can be carried out without departing from the scope of the technological thought of the present invention' entirely.The technology of this invention Property range is not limited to the contents of the specification, it is necessary to which the technical scope thereof is determined according to the scope of the claim.

Claims (1)

1. a kind of vertebra bone anchor, it is characterized in that: including pitman and at least two fixed knots, the fixed knot includes external Vertebra upper frame, eyelid retractor, the eyelid retractor are the developed surface of an arc, and several and expansion is provided on the developed surface of cambered surface The hollow slots of face longitudinal axis orthogonal are provided with fixed link in the hollow slots, are each provided at least one in the two sides of fixed link A fixed block is provided with fixed cable between the fixed block;
It is provided with a column in the middle part of the eyelid retractor, external vertebra upper frame, the external vertebra are provided on the column Upper frame includes a curved support face coaxial with the developed surface of eyelid retractor;
The braced frame for spinal fixation is surrounded between fixed cable between the fixed knot and curved support face;
A mounting hole parallel with curved support face axis is provided in the column of the eyelid retractor, the eyelid retractor passes through The pitman being mounted in mounting hole links together;
The external vertebra upper frame is made of elastic material;
The fixed block includes one for fixing the fixation hole of fixed cable, is provided with locking screw on the side wall of the fixation hole Follow closely A.
CN201611061642.8A 2014-10-24 2014-10-24 A kind of vertebra bone anchor and its application method Active CN106725781B (en)

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CN201611061642.8A CN106725781B (en) 2014-10-24 2014-10-24 A kind of vertebra bone anchor and its application method
CN201410572550.0A CN104323843B (en) 2014-10-24 2014-10-24 Vertebra fixator

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CN106725781B true CN106725781B (en) 2019-02-01

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CN201611061624.XA Active CN106725779B (en) 2014-10-24 2014-10-24 Vertebra bone anchor
CN201611061642.8A Active CN106725781B (en) 2014-10-24 2014-10-24 A kind of vertebra bone anchor and its application method
CN201611061622.0A Active CN106510819B (en) 2014-10-24 2014-10-24 The application method of Orthopedic fixing support
CN201611061625.4A Pending CN106510821A (en) 2014-10-24 2014-10-24 Orthopedic fixing support and use method thereof
CN201410572550.0A Expired - Fee Related CN104323843B (en) 2014-10-24 2014-10-24 Vertebra fixator
CN201611061623.5A Expired - Fee Related CN106510820B (en) 2014-10-24 2014-10-24 Orthopedic fixing support

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CN201611061622.0A Active CN106510819B (en) 2014-10-24 2014-10-24 The application method of Orthopedic fixing support
CN201611061625.4A Pending CN106510821A (en) 2014-10-24 2014-10-24 Orthopedic fixing support and use method thereof
CN201410572550.0A Expired - Fee Related CN104323843B (en) 2014-10-24 2014-10-24 Vertebra fixator
CN201611061623.5A Expired - Fee Related CN106510820B (en) 2014-10-24 2014-10-24 Orthopedic fixing support

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FR3010628B1 (en) 2013-09-18 2015-10-16 Medicrea International METHOD FOR REALIZING THE IDEAL CURVATURE OF A ROD OF A VERTEBRAL OSTEOSYNTHESIS EQUIPMENT FOR STRENGTHENING THE VERTEBRAL COLUMN OF A PATIENT
FR3012030B1 (en) 2013-10-18 2015-12-25 Medicrea International METHOD FOR REALIZING THE IDEAL CURVATURE OF A ROD OF A VERTEBRAL OSTEOSYNTHESIS EQUIPMENT FOR STRENGTHENING THE VERTEBRAL COLUMN OF A PATIENT
AU2016349705B2 (en) 2015-11-04 2021-07-29 Medicrea International Methods and Apparatus for spinal reconstructive surgery and measuring spinal length and intervertebral spacing, tension and rotation
WO2018109556A1 (en) 2016-12-12 2018-06-21 Medicrea International Systems and methods for patient-specific spinal implants
JP2020518312A (en) 2017-04-21 2020-06-25 メディクレア インターナショナル A system that provides intraoperative tracking to assist spinal surgery
CN107802335B (en) * 2017-11-21 2020-10-23 赵郁 Elastic steel wire fixing fracture healing device
US10918422B2 (en) 2017-12-01 2021-02-16 Medicrea International Method and apparatus for inhibiting proximal junctional failure
US11925417B2 (en) 2019-04-02 2024-03-12 Medicrea International Systems, methods, and devices for developing patient-specific spinal implants, treatments, operations, and/or procedures
US11877801B2 (en) 2019-04-02 2024-01-23 Medicrea International Systems, methods, and devices for developing patient-specific spinal implants, treatments, operations, and/or procedures
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CN104323843A (en) 2015-02-04
CN106725781A (en) 2017-05-31
CN104323843B (en) 2017-01-18
CN106510819A (en) 2017-03-22
CN106725779A (en) 2017-05-31
CN106510820A (en) 2017-03-22
CN106510821A (en) 2017-03-22
CN106510819B (en) 2019-06-21
CN106510820B (en) 2019-06-18
CN106725779B (en) 2019-03-05

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