CN106725797A - Reshaping plate, orthopedic instruments and Surigical tool - Google Patents
Reshaping plate, orthopedic instruments and Surigical tool Download PDFInfo
- Publication number
- CN106725797A CN106725797A CN201611230370.XA CN201611230370A CN106725797A CN 106725797 A CN106725797 A CN 106725797A CN 201611230370 A CN201611230370 A CN 201611230370A CN 106725797 A CN106725797 A CN 106725797A
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- CN
- China
- Prior art keywords
- reshaping plate
- reshaping
- plate
- main body
- orthopedic
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- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8061—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
- A61B17/8076—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones for the ribs or the sternum
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/92—Impactors or extractors, e.g. for removing intramedullary devices
Abstract
Disclose a kind of reshaping plate, orthopedic instruments and Surigical tool, be formed as the form that width becomes narrow gradually along bearing of trend by by an end of reshaping plate, make it suitable for being guided without guide, and directly can be passed to subcutaneous through thoracic cavity and from the intercostal muscle of opposite side from a side opening of flank, and skin need not be passed.Meanwhile, the end of reshaping plate is setting friction enhancement towards the side of chest muscle, and intercostal muscle is close to after reshaping plate turnover, the firm fixation reshaping plate of the elastic force such that it is able to be bent by reshaping plate.Thus, reshaping plate of the invention only needs to cut an opening in flank when in use, while only needing guiding through thoracic cavity once, is effectively simplified operating procedure and reduces operation risk.
Description
Technical field
It is orthopedic more particularly, to one kind the present invention relates to medical instruments field, and in particular to a kind of surgical medical equipment
Plate, orthopedic instruments and Surigical tool.
Background technology
Chonechondrosternon is a kind of congenital disorders, and its clinical manifestation is that breastbone, costal cartilage and a part of rib are recessed to backbone
Form funnel-form.The breastbone of most chonechondrosternons backward, is slightly gone up a bit since second or third costal cortilage level to xiphoid-process
It is formation ship sample deformity before minimum point, then back to locate.Both sides or outside, cave inward deformation, forms the two side of chonechondrosternon.Leakage
The rib traveling gradient of bucket chest is big compared with normal person, and rib is recessed by the hurried forward downward in back upper place, close before and after making, chest when serious
The most deep recess of bone can arrive at backbone.The chest deformity that chonechondrosternon causes is more serious, and the intrathoracic internal organs heart, lung are subject to difference
The compressing of degree, or even cause displacement of heart, pulmonary ventilation function is also affected, and healthy for patient has serious shadow
Ring.
The therapeutic modality of existing surgical intervention chonechondrosternon is that reshaping plate is implanted in the breastbone of patient, by reshaping plate
To correct thorax shape.The reshaping plate of prior art is as shown in figure 1, it generally includes to be provided with the two ends of hole and tooth-like part.It is existing
The flow of some surgical intervention chonechondrosternons cuts two openings, by reshaping plate by the flank of patient first as shown in 2A-2D
Guide 1 is inserted by a side opening, is passed from another side opening after being passed through from patient's underlying sternum.Before reshaping plate guide 1
End is provided with hole.The hole by end and the Kong Lian of guide front end after reshaping plate 2 is bent into " u "-shaped by bending tool
Connect, then cause that reshaping plate enters thoracic cavity by the opening of flank to dragging is returned by guide 1, and and then by underlying sternum
Passed from the opening that guide 1 enters.Then again by reshaping plate 2 in thoracic cavity varus turnback so that the reshaping plate of bending
2 protuberance is contacted with thorax, and corrects thorax to thorax applying power from inside to outside from thoracic cavity.Finally reshaping plate 2 is opened from flank
The two ends that mouth exposes are fixed by fixator.Being open in both sides flank using needs for this reshaping plate, can leave multiple wounds
Scar is less attractive in appearance.Meanwhile, guide passes twice through thoracic cavity, and reshaping plate also passes through a thoracic cavity, in thoracic cavity, the particularly heart
Rich blood vessel around dirty, repeatedly can increase operation risk through thoracic cavity, while also aggravating injury of the operation to patient.And,
The laciniation of the end of reshaping plate hold very much be hooked into inside blood vessel cause bleeding.
The content of the invention
In view of this, the present invention provides a kind of reshaping plate, orthopedic instruments and Surigical tool, to reduce chonechondrosternon correction
Chest open amount in surgical procedures, while reducing apparatus through the number of times in thoracic cavity, reduces operation risk.
A kind of first aspect, there is provided reshaping plate, orthopedic for being carried out to chonechondrosternon, the reshaping plate includes：
Strip main body；
First end, positioned at the first end of the strip main body, the width of the first end gradually becomes along bearing of trend
It is narrow；And,
The second end, positioned at the second end of the strip main body, is provided with fixing tooth, and the fixing tooth is suitable to and fixator
It is fixed；
Wherein, at least one side of the first end is provided with friction enhancing structure, and another side is set to light
Sliding plane.
Preferably, the reshaping plate is using the resilient material manufacture of tool.
Preferably, the reshaping plate is integrally formed using steel or titanium alloy.
Preferably, the top of the first end is formed as arc-shaped.
Preferably, the friction enhancing structure is lines, the raised or frosted formed in the first end side.
Preferably, the strip main body is formed as the Breadth Maximum of flat strip shaped, the first end and the second end
Width with the strip main body is identical.
A kind of second aspect, there is provided orthopedic instruments, orthopedic for being carried out to chonechondrosternon, the orthopedic instruments includes：
Reshaping plate as described above；And
Fixator, is suitable to fix the second end and human body.
The third aspect, there is provided a kind of Surigical tool, for reshaping plate as described above to be inserted into human body, the shell
Operation tool includes：
Handle；And,
Connecting portion, is suitable to be fixed with the second end of the reshaping plate.
Preferably, the connecting portion is provided with the tooth and hole being engaged with the fixing tooth.
Be formed as the form that width becomes narrow gradually along bearing of trend by by an end of reshaping plate so that it is suitable to nothing
Need guide to guide, and directly can be passed to subcutaneous through thoracic cavity and from the intercostal muscle of opposite side from a side opening of flank,
And skin need not be passed.Meanwhile, the end of reshaping plate is setting friction enhancement towards the side of chest muscle, is turned in reshaping plate
It is close to intercostal muscle after folding, such that it is able to pass through the firm fixation reshaping plate of frictional force.Meanwhile, the side relative with friction enhancement
Face is set to smooth plane, and the plane faces heart when reshaping plate passes through thoracic cavity, and smooth surface is conducive to reshaping plate to lead to
Cross, and avoid constituting infringement to thoracic cavity inner tissue.Thus, reshaping plate of the invention only needs to cut one in flank when in use
Opening, while only needing guiding through thoracic cavity once, is effectively simplified operating procedure and reduces operation risk.
Brief description of the drawings
By description referring to the drawings to the embodiment of the present invention, of the invention above-mentioned and other purposes, feature and
Advantage will be apparent from, in the accompanying drawings：
Fig. 1 is the schematic diagram of the reshaping plate of prior art；
Fig. 2A -2D are the surgical procedure figures that chonechondrosternon correction is carried out using existing reshaping plate；
Fig. 3 is the schematic diagram of the reshaping plate of the embodiment of the present invention；
Fig. 4 is another schematic diagram of the reshaping plate of the embodiment of the present invention；
Fig. 5 is another schematic diagram of the reshaping plate of the embodiment of the present invention；
Fig. 6 is the schematic diagram of the fixator of the embodiment of the present invention；
Fig. 7 is the schematic diagram that the reshaping plate of the embodiment of the present invention and fixator are combined；
Fig. 8 is another schematic diagram that the reshaping plate of the embodiment of the present invention and fixator are combined；
Fig. 9 is the schematic diagram with the matching used plate punch of the reshaping plate of the embodiment of the present invention；
Figure 10 A-10C are the surgical procedure figures that chonechondrosternon correction is carried out using the reshaping plate of the embodiment of the present invention.
Specific embodiment
Below based on embodiment, present invention is described, but the present invention is not restricted to these embodiments.Under
It is detailed to describe some specific detail sections during text is to detailed description of the invention.Do not have for a person skilled in the art
The description of these detail sections can also completely understand the present invention.In order to avoid obscuring essence of the invention, known method, mistake
Journey, flow, element and circuit do not have narration in detail.
Additionally, it should be understood by one skilled in the art that accompanying drawing is provided to descriptive purpose provided herein, and
What accompanying drawing was not necessarily drawn to scale.
Unless the context clearly requires otherwise, otherwise entire disclosure and " including " in claims, similar etc. "comprising"
Word should be construed to the implication for including rather than exclusive or exhaustive implication；That is, be " including but not limited to " contains
Justice.
In the description of the invention, it is to be understood that term " first ", " second " etc. be only used for describe purpose, without
It is understood that to indicate or implying relative importance.Additionally, in the description of the invention, unless otherwise indicated, the implication of " multiple "
It is two or more.
Fig. 3-Fig. 5 is the schematic diagram of the reshaping plate of the embodiment of the present invention.As shown in Figure 3-Figure 5, the embodiment of the present invention is strong
Shape plate 2 includes strip main body 21, first end 22 and the second end 23.Wherein, strip main body 21 is using with elasticity and tissue
The good material of compatibility, such as steel or titanium alloy are made, thus, it is not easy to split in bending process interrupt, and with preferably strong
Shape effect.Meanwhile, first end 22 is located at the first end of strip main body 21, and its width becomes narrow gradually along bearing of trend.Meanwhile, the
The top of one end 22 is formed as arc-shaped.This causes the shape being formed like in snakehead of first end 22, the shape
The incision being suitable to from patient's flank is inserted in patient's body.It is suitable to breakthrough two at the top of the narrower arc-shaped of first end 22 simultaneously
The intercostal muscle of side, enters in thoracic cavity from side intercostal muscle, and is passed to subcutaneous from the intercostal muscle of opposite side.And, first end
Edge be set to smooth, be so not easy to be hooked into the organ or blood vessel of human body during through human body, to greatest extent
Reduce the injury for human body.Simultaneously as the skin of flank skin, particularly pediatric patient has good pliability, circle
The top of arcuation is difficult top skin, thus, it is possible to ensure the integrality of opposite side skin.Meanwhile, at one of first end
Friction enhancing structure 22a is provided with side.Another side of first end 22 is set to smooth flat.Friction enhancing structure
22a can be that lines, raised or frosted pattern are formed in corresponding side surface.Side with friction enhancing structure 22a sides can
It is close to intercostal muscle with after the bending of reshaping plate 2 so that first end is preferably fixed with human body on the premise of not sutured.
Further, when the enhancing structure 22a that rubs is lines or bulge-structure, the granulation of follow-up intercostal muscle growth can fill lines
Recessed part, so as to further enhance frictional force.Meanwhile, in first end and the cavernous structure that does not have, therefore, granulation is not
The opposite side for extending to reshaping plate can be grown, this is conducive to subsequently taking out reshaping plate 2 more conveniently.End is set to smooth flat
The side in face faces heart when reshaping plate passes through thoracic cavity, and smooth surface is conducive to reshaping plate to pass through, and avoids in thoracic cavity
Organizational composition is damaged
The second end 23 is located at the second end of the strip main body, is provided with fixing tooth, and it is suitable to mutually solid with fixator 3
It is fixed.
Fig. 6 is the schematic diagram of the fixator of the embodiment of the present invention.Fig. 7 and Fig. 8 are the signals that fixator is combined with reshaping plate
Figure.As Figure 6-Figure 8, fixator 3 includes main part 31, clamping part 32 and fixed part 33.Wherein, clamping part 32 is located at main body
The lower section in portion, and (not shown) with teeth is set, be suitable for the fixing tooth of the second end 23 of correcting strip cooperate with
Interfix.Preferably, formed on the second end 23 by multiple fixing tooths, thus, fixator 3 can with wherein any one or
Multiple interfixes, thus, it is possible to adjust the position of fixing tooth so that surgeon can select most suitable in surgical procedure
Position be fixed.Fixed part 33 is arranged at the two ends of main part 31, is provided with hole, so as to be suitable to by suturing fixation
On skin.
Fig. 9 is the schematic diagram with the matching used plate punch of the reshaping plate of the embodiment of the present invention.As shown in figure 9, plate punch 4
Including handle 41 and connecting portion 42.Because the reshaping plate of the embodiment of the present invention does not need to use guide, but, its volume
It is smaller, and without handle, bad may be operated when controlling it to be passed through from underlying sternum in surgical procedure.Plate punch 4
Connecting portion 42 can be fixed by screw or engagement system with the second end of reshaping plate 2, so that plate punch 4 and bending
Reshaping plate 2 form as one so that preferably manipulating reshaping plate 2 through human body by the handle 41 of plate punch 4.
Figure 10 A-10C are the surgical procedure figures that chonechondrosternon correction is carried out using the reshaping plate of the embodiment of the present invention.As schemed
Shown in 10A- Figure 10 C, when being performed the operation using the reshaping plate of the embodiment of the present invention, an opening is opened in human body flank first, and
Reshaping plate 2 is bent to " u "-shaped, it is required that first end has in the side direction of friction enhancing structure during bending.Then,
Plate punch 4 can be connected to reshaping plate 2, and reshaping plate is manipulated by plate punch 4 and enter human body from flank opening, and and then worn
The intercostal muscle of saturating approaching side, passes through from thoracic cavity, is passed to subcutaneous from the intercostal muscle of opposite side.Then, by existing upset
Device is to reshaping plate 2 in subcutaneous upset 180 degree so that the upset of reshaping plate 2 is " n " shape, so as to recessed thoracic cavity outwards be ejected, is entered
Row is orthopedic.Now, intercostal muscle is close in the strength due to reshaping plate, the side that first end has friction enhancing structure in itself, by
This, preferably can interfix, it is to avoid reshaping plate 2 is moved in vivo with intercostal muscle.Meanwhile, the second end of reshaping plate 2 with
Fixator 3 is combined and sutured and is relatively fixed with flank skin, as a result, reshaping plate can be fixed preferably.
After treatment course terminates, cutting the original opening of flank can be easily removed reshaping plate.
Be readily appreciated that, surgeon can also without the help of plate punch 4 independently using reshaping plate 2 and fixator 3 come
Complete orthomorphia.
The embodiment of the present invention is formed as the form that width becomes narrow gradually along bearing of trend by by an end of reshaping plate,
Make it suitable for being guided without guide, and directly can pass through thoracic cavity and from the intercostal muscle of opposite side from a side opening of flank
Pass subcutaneous, and skin need not be passed.Meanwhile, the end of reshaping plate is setting friction enhancing towards the side of chest muscle
Portion, intercostal muscle is close to after reshaping plate turnover, the firm fixation reshaping plate of the elastic force such that it is able to be bent by reshaping plate.By
This, reshaping plate of the invention only needs to cut an opening in flank when in use, while only need guiding through thoracic cavity once, effectively letter
Change operating procedure and reduce operation risk.
The preferred embodiments of the present invention are the foregoing is only, is not intended to limit the invention, for those skilled in the art
For, the present invention can have various changes and change.It is all any modifications made within spirit and principles of the present invention, equivalent
Replace, improve etc., should be included within the scope of the present invention.
Claims (9)
1. a kind of reshaping plate, orthopedic for being carried out to chonechondrosternon, the reshaping plate includes：
Strip main body；
First end, positioned at the first end of the strip main body, the width of the first end becomes narrow gradually along bearing of trend；With
And,
The second end, positioned at the second end of the strip main body, is provided with fixing tooth, and the fixing tooth is suitable to solid with fixator
It is fixed；
Wherein, a side of the first end is provided with friction enhancing structure, and another side is set to smooth flat.
2. reshaping plate according to claim 1, it is characterised in that the reshaping plate is using the resilient material manufacture of tool.
3. reshaping plate according to claim 2, it is characterised in that the reshaping plate is integrally formed using steel or titanium alloy.
4. reshaping plate according to claim 1, it is characterised in that the top of the first end is formed as arc-shaped.
5. reshaping plate according to claim 1, it is characterised in that the friction enhancing structure is in the first end side
Lines, raised or frosted that face is formed.
6. reshaping plate according to claim 1, it is characterised in that the strip main body is formed as flat strip shaped, described first
The Breadth Maximum of end and the second end is identical with the width of the strip main body.
7. a kind of orthopedic instruments, orthopedic for being carried out to chonechondrosternon, the orthopedic instruments includes：
Reshaping plate as any one of claim 1-6；And
Fixator, is suitable to fix the second end and human body.
8. a kind of Surigical tool, described outer for the reshaping plate as any one of claim 1-6 to be inserted into human body
Shell operation tool includes：
Handle；And,
Connecting portion, is suitable to be fixed with the second end of the reshaping plate.
9. Surigical tool according to claim 8, it is characterised in that the connecting portion is provided with and the fixing tooth
The tooth being engaged and hole.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201611230370.XA CN106725797A (en) | 2016-12-27 | 2016-12-27 | Reshaping plate, orthopedic instruments and Surigical tool |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201611230370.XA CN106725797A (en) | 2016-12-27 | 2016-12-27 | Reshaping plate, orthopedic instruments and Surigical tool |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN106725797A true CN106725797A (en) | 2017-05-31 |
Family
ID=58922361
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201611230370.XA Pending CN106725797A (en) | 2016-12-27 | 2016-12-27 | Reshaping plate, orthopedic instruments and Surigical tool |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN106725797A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107693100A (en) * | 2017-09-28 | 2018-02-16 | 常州华森医疗器械有限公司 | A kind of Combined type rib bone plate |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101128155A (en) * | 2005-02-04 | 2008-02-20 | Ams研究公司 | Needle design for male transobturator sling |
| CN202458636U (en) * | 2012-02-16 | 2012-10-03 | 王强 | Orthopedic plate |
| CN203677233U (en) * | 2013-12-12 | 2014-07-02 | 周建明 | Internal fixation steel plate system for minimally invasive pectus excavatum correction |
| CN104771218A (en) * | 2014-01-13 | 2015-07-15 | 四川国纳科技有限公司 | Cervical posterior approach Y-shaped plate and manufacturing method thereof |
-
2016
- 2016-12-27 CN CN201611230370.XA patent/CN106725797A/en active Pending
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101128155A (en) * | 2005-02-04 | 2008-02-20 | Ams研究公司 | Needle design for male transobturator sling |
| CN202458636U (en) * | 2012-02-16 | 2012-10-03 | 王强 | Orthopedic plate |
| CN203677233U (en) * | 2013-12-12 | 2014-07-02 | 周建明 | Internal fixation steel plate system for minimally invasive pectus excavatum correction |
| CN104771218A (en) * | 2014-01-13 | 2015-07-15 | 四川国纳科技有限公司 | Cervical posterior approach Y-shaped plate and manufacturing method thereof |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107693100A (en) * | 2017-09-28 | 2018-02-16 | 常州华森医疗器械有限公司 | A kind of Combined type rib bone plate |
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