CN107157567A - A kind of bone-knitting device for being used to close chest operation maintenance - Google Patents
A kind of bone-knitting device for being used to close chest operation maintenance Download PDFInfo
- Publication number
- CN107157567A CN107157567A CN201710537430.0A CN201710537430A CN107157567A CN 107157567 A CN107157567 A CN 107157567A CN 201710537430 A CN201710537430 A CN 201710537430A CN 107157567 A CN107157567 A CN 107157567A
- Authority
- CN
- China
- Prior art keywords
- fastener
- ratchet
- elastic
- gear piece
- piece
- Prior art date
- 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.)
- Granted
Links
- 238000012423 maintenance Methods 0.000 title claims abstract description 15
- 238000009940 knitting Methods 0.000 title claims abstract description 12
- 210000001562 sternum Anatomy 0.000 abstract description 16
- 210000000038 chest Anatomy 0.000 abstract description 4
- 238000000034 method Methods 0.000 abstract description 4
- 230000035876 healing Effects 0.000 abstract description 3
- 150000001875 compounds Chemical class 0.000 abstract description 2
- 238000004904 shortening Methods 0.000 abstract 1
- 229910000831 Steel Inorganic materials 0.000 description 4
- 239000010959 steel Substances 0.000 description 4
- 238000009958 sewing Methods 0.000 description 3
- 238000004080 punching Methods 0.000 description 2
- 208000032843 Hemorrhage Diseases 0.000 description 1
- 208000004550 Postoperative Pain Diseases 0.000 description 1
- 206010000210 abortion Diseases 0.000 description 1
- 231100000176 abortion Toxicity 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000036770 blood supply Effects 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 238000013132 cardiothoracic surgery Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 210000001835 viscera Anatomy 0.000 description 1
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
Abstract
The invention discloses a kind of bone-knitting device for being used to close chest operation maintenance, it includes two fasteners, elastic gear piece, runner and bearing pin;Two fastener is plate-like piece of the one end provided with hook, and the both sides of one fastener plate face along axis in chute, plate face provided with being sequentially provided with fastener pin shaft hole and runner axis hole;Its plate face of another fastener is " U "-shaped to be set, and the both sides of " u "-shaped are cutting, and the outside of cutting is provided with slide rail;The elastic gear piece is the " u "-shaped piece that both sides are provided with elastic strip, and runner is in ellipticity, and two fasteners are mutually inserted, the relative engaging of hook.The present invention has flexible and convenient to use, and structure is novel, may be such that the compound fixation procedure of breastbone is easy to be reliable in operation, the advantages of shortening the time of operation, and easily taken out after healing of performing the operation.
Description
Technical field
It is especially a kind of for carrying out connecing for operation maintenance after sternal incisions or fracture the present invention relates to a kind of medicine equipment
Bone object material.
Background technology
Longitudinally slit clinical episternum is that cardiothoracic surgery often uses operation method.Traditional surgical closure breastbone and breastbone bone
The method of the reduction fixation of folding has:1st, breastbone punching wears steel wire in advance;2nd, sewing needle threading steel wire.Adopted in concrete operations
With wire binding, punched on breastbone or pass through breastbone with sewing needle.Unfortunately wearing steel wire and have when wearing sewing needle can
Internal organs can be caused with damage, suprasternal punching or suture pinprick also can result in compared with massive haemorrhage;If tie wire is more loose simultaneously,
Not firm then is fixed to breastbone:And if tie wire is too tight, it is possible to cause steel wire tension to cross major rupture, so as to cause medical treatment
Dispute.
The content of the invention
A kind of synthetism dress for being used to close chest operation maintenance that the purpose of the present invention is in view of the shortcomings of the prior art and provided
Put, may be such that the breastbone stability after maintenance is strong using it in operation, healing is fast, patient's post-operative recovery time shortens.Subtract simultaneously
Few patient's postoperative pain and sense of discomfort, reduce infection rate after abortion operation, improve blood supply.
Realizing the concrete technical scheme of the object of the invention is:
A kind of to be used to closing chest and perform the operation the bone-knitting device of maintenance, feature is that it includes the first fastener, the second fastener, elastic gear piece, turned
Wheel and bearing pin;First fastener is plate-like piece of the one end provided with hook, the both sides of its plate face provided with chute, plate face along axis
It is sequentially provided with fastener pin shaft hole and runner axis hole;
Second fastener is plate-like piece of the one end provided with hook, and its plate face is " U "-shaped to be set, and the both sides of " u "-shaped are cutting,
The outside of cutting is provided with slide rail;
The elastic gear piece is the " u "-shaped piece that both sides are provided with elastic strip, and the blind end of " u "-shaped piece is provided with gear piece pin shaft hole, opening
Hold as two elastic strips strutted;
The runner is in ellipticity, and its axle center is provided with rotary shaft;
Second fastener is mutually inserted with the first fastener, the engaging relative with the hook of the first fastener of the second fastener, the second fastener
Slide rail plug together in the chute of the first fastener.
The elastic gear piece is in the plate face of the first fastener, and its inner side of middle part two is provided with concave arc area;Bearing pin passes through elasticity
The gear piece pin shaft hole of gear piece is hinged with the fastener pin shaft hole of the first fastener, and runner is located between the concave arc area of two elastic gear pieces, and
Rotary shaft and the runner axis hole of the first fastener are hinged.
The outside of the elastic strip is provided with gear piece ratchet;The inner side of cutting is provided with fastener ratchet;The fastener spine of second fastener
Tooth and the ratchet engagement on elastic strip.
The chute medial surface of first fastener is provided with ratchet or coarse rubbing surface;On the slide rail lateral surface of second fastener
Provided with ratchet or coarse rubbing surface.
The slide rail in chute and the second fastener in design in the first fastener also can mutually be changed over, i.e., chute is arranged on
On second fastener, slide rail is arranged on the correspondence position of the first fastener.
Two outsides of elastic strip can set, also not set tweezers clip.
The nodel line of gear piece ratchet on elastic strip is designed as camber line.
The tooth form of the fastener ratchet of second fastener and the gear piece ratchet of elastic strip may be alternatively provided as one-way check when necessary
Shape.
The present invention may be such that the compound fixation procedure simplicity of breastbone can with flexible and convenient to use in structure novelty, operation
The advantages of leaning on, shorten the time of operation, and easily taken out after healing of performing the operation.
Brief description of the drawings
Fig. 1 is structural representation of the invention;
Fig. 2 is Fig. 1 top view;
Fig. 3 is Fig. 1 A-A cross section structure schematic diagrams;
Fig. 4 is Fig. 1 B-B-section structural representation;
Fig. 5 is the structural representation that runner discharges elastic gear piece;
Fig. 6 is the structural representation of runner locking elastic gear piece.
Embodiment
Refering to Fig. 1, Fig. 2, Fig. 3, Fig. 4, the present invention includes the first fastener 1, the second fastener 2, elastic gear piece 3, runner 4 and pin
Axle 5.
Refering to Fig. 1, Fig. 2, Fig. 3, first fastener 1 is plate-like piece of the one end provided with hook 14, and the both sides of its plate face are set
There is chute 11, be sequentially provided with fastener pin shaft hole and runner axis hole 12 along axis in plate face.
Refering to Fig. 1, Fig. 2, Fig. 4, second fastener 2 is plate-like piece of the one end provided with hook 24, and its plate face is in vertically
" u "-shaped is set, and the both sides of " u "-shaped are cutting 25, and the outside of cutting 25 is provided with fastener ratchet 22 provided with slide rail 21, inner side.
Refering to Fig. 1, Fig. 2, Fig. 3, the elastic gear piece 3 is the " u "-shaped piece that both sides are provided with elastic strip, the closing of " u "-shaped piece
End is provided with concave arc area provided with gear piece ratchet, the inner side of middle part two of elastic strip is provided with the outside of gear piece pin shaft hole, the elastic strip of openend two
32nd, two outsides are provided with tweezers clip 31.
Refering to Fig. 1, Fig. 2, the runner 4 is in ellipticity, and its axle center is provided with rotary shaft.
Refering to Fig. 1, Fig. 2, Fig. 3, the elastic gear piece 3 is in the plate face of the first fastener 1, and bearing pin 5 passes through elastic gear piece 3
The fastener pin shaft hole of gear piece pin shaft hole and the first fastener 1 be hinged, runner 4 between the concave arc area 32 of two elastic gear pieces 3, and
Rotary shaft and the runner axis hole 12 of the first fastener 1 are hinged.
Refering to Fig. 1, Fig. 2, Fig. 3, Fig. 4, second fastener 2 is mutually inserted with the first fastener 1, the second fastener 2 and first
The hook of fastener 1 is relative to be engaged, and the slide rail 21 of the second fastener 2 is plugged together in the chute 11 of the first fastener 1, the card of the second fastener 2
The gear piece ratchet engagement of part ratchet 22 and elastic strip 33.
Refering to Fig. 2, Fig. 3, the medial surface of chute 11 of the first described fastener 1 is provided with ratchet or coarse rubbing surface 13.
Refering to Fig. 2, Fig. 4, the lateral surface of slide rail 21 of the second described fastener 2 is provided with ratchet or coarse rubbing surface 23.
Refering to Fig. 2, the nodel line of the described gear piece ratchet of elastic strip 33 is camber line.
The tooth form of the fastener ratchet 22 of the second described fastener 2 and the gear piece ratchet 34 of elastic strip 33 is one-way check shape.
The present invention is so used:
Refering to Fig. 1, Fig. 2, Fig. 3, Fig. 4, when doing breastbone close operation, by the hook of the fastener 2 of hook 14 and second of the first fastener 1
24 are articulated in the outside of breastbone two to be closed, and rotate the runner 4 on the first fastener 1, its oval short axle is pointed to elastic gear piece 3
Concave arc area 32, release limitation of the runner 4 to elastic strip 33;Second fastener 2 is mutually inserted with the first fastener 1, makes the second card
Slide rail 21 on the plug-in unit 25 of part 2 is plugged together in the chute 11 of the first fastener 1, the fastener ratchet 22 and elastic strip of the second fastener 2
33 gear piece ratchet engagement, with further mutually plugging together for the second fastener 2 and the first fastener 1, the second fastener 2 and the first fastener
1 hook is relative to be engaged, by breastbone close and fixation;The runner 4 on the first fastener 1 is rotated again, and the major axis for making its oval refers to
To the concave arc area 32 of elastic gear piece 3, locking of the runner 4 to elastic strip 33 is realized;Multiple closing points are set along breastbone successively, it is complete
Into breastbone close operation.
The sealed and self-locking of the present invention
Refering to Fig. 1, Fig. 2, Fig. 6, rotating wheel 4 releases limitation of the runner 4 to elastic strip 33;The slide rail 21 of second fastener 2 is inserted
Close in the chute 11 of the first fastener 1, the fastener ratchet 22 of the second fastener 2 is engaged with the gear piece ratchet 34 of elastic strip 33, when the
Slide rail 21 on the plug-in unit 25 of two fasteners 2 is plugged together in the chute 11 of the first fastener 1 to when plugging together direction movement, is plugging together external force
In the presence of, 22 need of fastener ratchet of the second fastener 2 overcome the elastic force of elastic strip 33 and gear piece ratchet edge to plug together direction and enter one
Step engagement;Disappeared when plugging together external force, because the tooth form of ratchet has the effect of one-way check, elastic strip 33 recovers elasticity, gear piece
Ratchet 34 is locked by fastener ratchet 22, and the slide rail 21 of the second fastener 2 can not in reverse direction be moved in the chute 11 of the first fastener 1
It is dynamic, beneficial to the closure in operation to breastbone and fixation;When the position for being moved to breastbone close of the first fastener 1 and the second fastener 2
When putting, rotating wheel 4 realizes locking of the runner 4 to elastic strip 33.
The unblock of the present invention
Refering to Fig. 1, Fig. 2, Fig. 5, in use, no matter which kind of reason, once need to release the first fastener 1 and the second fastener
2 it is sealed when, only need to rotate the runner 4 on the first fastener 1, its oval short axle is pointed to the concave arc area 32 of elastic gear piece 3, solution
Limitation except runner 4 to elastic strip 33;At the tweezers clip 31 that two-side elastic bar 33 is clamped with tweezers, make the elastic both sides of gear piece 3
Elastic strip 33 draw in, the fastener ratchet 22 of the gear piece ratchet 34 on elastic strip 33 and the second fastener 2 is disengaged from, you can by
The slide rail 21 of two fasteners 2 is extracted out out of the first fastener 1 chute 11, completes unblock.
Refering to Fig. 1, Fig. 5, Fig. 6, it is contemplated that the gear piece ratchet 34 of elastic gear piece 3 can be relative to bearing pin when drawing in opening
5 swing, to ensure that the gear piece ratchet at any position on elastic gear piece 3 is effectively engaged with the fastener ratchet of the second fastener 2, the present invention
The nodel line of the gear piece ratchet 34 of elastic strip 33 is designed as camber line.
Refering to Fig. 1, Fig. 5, Fig. 6, because elastic gear piece 3 of the invention is the " u "-shaped piece that both sides are provided with elastic strip, in elastic strip
The inner side of middle part two be provided with concave arc area 32, during work, the elastic strip 33 of the elastic side of gear piece 3 one works as elasticity equivalent to a lever
When gear piece 3 works, gear piece is using pin shaft hole as fulcrum, and the meshing point of gear piece ratchet 34 and fastener ratchet 22 is stress point, is acted on
The runner 4 of concave arc area 32 is application point, when the oval major axis of runner 4 points to the concave arc area 32 of elastic gear piece 3,4 pairs of elasticity of runner
The concave arc area 32 of gear piece 3 exerts a force, and realizes locking of the runner 4 to elastic strip 33;Conversely, when the oval short axle of runner 4 points to elasticity
The concave arc area 32 of gear piece 3, runner 4 discharges the force to the elastic concave arc area 32 of gear piece 3, and runner 4 loses limitation to elastic strip 33.
Refering to Fig. 1, Fig. 6, because the present invention is provided with concave arc area 32 on elastic gear piece 3, when the oval major axis of runner 4 is made
During concave arc area 32 for elastic gear piece 3, i.e., when being exerted a force in the concave arc area 32 of 4 pairs of elastic gear pieces 3 of runner, concave arc area 32 is to runner
4 apply reaction forces, and ensure that the contact condition of runner 4 and the elastic concave arc area 32 of gear piece 3 is stability.
Frictional force when being mutually inserted for the second fastener 2 of raising and the first fastener 1, chute of the present invention in the first fastener 1
11 medial surfaces are provided with ratchet or coarse rubbing surface 13, are provided with ratchet in the lateral surface of slide rail 21 of the second fastener 2 or coarse rub
Wiping face 23.
Claims (8)
1. a kind of bone-knitting device for being used to close chest operation maintenance, it is characterised in that it includes the first fastener(1), the second fastener(2)、
Elastic gear piece(3), runner(4)And bearing pin(5);
First fastener(1)It is that one end is provided with hook(14)Plate-like piece, the both sides of its plate face are provided with chute(11), in plate face
Fastener pin shaft hole and runner axis hole are sequentially provided with along axis(12);
Second fastener(2)It is that one end is provided with hook(24)Plate-like piece, its plate face is " U "-shaped to be set, and both sides of " u "-shaped
For cutting(25), cutting(25)Outside be provided with slide rail(21);
The elastic gear piece(3)The " u "-shaped piece of elastic strip is provided with for both sides, the blind end of " u "-shaped piece is provided with gear piece pin shaft hole, opened
Mouth end is two elastic strips strutted(33);
The runner(4)In ellipticity, its axle center is provided with rotary shaft;
Second fastener(2)With the first fastener(1)It is mutually inserted, the second fastener(2)With the first fastener(1)Hook relative block
Close, the second fastener(2)Slide rail(21)Plug together in the first fastener(1)Chute(11)It is interior.
2. a kind of bone-knitting device for being used to close chest operation maintenance according to claim 1, it is characterised in that elastic gear piece(3)
Located at the first fastener(1)Plate face on, its middle part two inner side be provided with concave arc area(32);Bearing pin(5)Through elastic gear piece(3)Tooth
Piece pin shaft hole and the first fastener(1)Fastener pin shaft hole be hinged, runner(4)Located at two elastic gear pieces(3)Concave arc area(32)It
Between, and rotary shaft and the first fastener(1)Runner axis hole(12)It is hinged.
3. a kind of bone-knitting device for being used to close chest operation maintenance according to claim 1, it is characterised in that elastic strip(33)
Outside be provided with gear piece ratchet(34);Cutting(25)Inner side be provided with fastener ratchet(22);Second fastener(2)Fastener ratchet
(22)With elastic strip(33)On ratchet(34)Engagement.
4. a kind of bone-knitting device for being used to close chest operation maintenance according to claim 1, it is characterised in that the first fastener(1)
Chute(11)Medial surface is provided with ratchet or coarse rubbing surface(13);Second fastener(2)Slide rail(21)Lateral surface is provided with
Ratchet or coarse rubbing surface(23).
5. a kind of bone-knitting device for being used to close chest operation maintenance according to claim 1, it is characterised in that first in design
Fastener(1)In chute(11)With the second fastener(2)In slide rail(21)Also can mutually it change over, i.e. chute(11)It is arranged on
Second fastener(2)On, slide rail(21)It is arranged on the first fastener(1)Correspondence position.
6. a kind of bone-knitting device for being used to close chest operation maintenance according to claim 1, it is characterised in that elastic strip(33)
Two outside can set, also not set tweezers clip(31).
7. a kind of bone-knitting device for being used to close chest operation maintenance according to claim 1, it is characterised in that elastic strip(33)
On gear piece ratchet(34)Nodel line be designed as camber line.
8. a kind of bone-knitting device for being used to close chest operation maintenance according to claim 1, it is characterised in that the second fastener(2)
Fastener ratchet(22)With elastic strip(33)Gear piece ratchet(34)Tooth form may be alternatively provided as one-way check shape when necessary.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201710537430.0A CN107157567B (en) | 2017-07-04 | 2017-07-04 | Bone setting device for retention of chest closing operation |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201710537430.0A CN107157567B (en) | 2017-07-04 | 2017-07-04 | Bone setting device for retention of chest closing operation |
Publications (2)
Publication Number | Publication Date |
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CN107157567A true CN107157567A (en) | 2017-09-15 |
CN107157567B CN107157567B (en) | 2024-02-06 |
Family
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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CN201710537430.0A Active CN107157567B (en) | 2017-07-04 | 2017-07-04 | Bone setting device for retention of chest closing operation |
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CN (1) | CN107157567B (en) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN109259876A (en) * | 2018-11-03 | 2019-01-25 | 上海迈诺仕医疗器械有限公司 | A kind of built-in thoracocyllosis orthotics |
Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5163598A (en) * | 1990-07-23 | 1992-11-17 | Rudolph Peters | Sternum stapling apparatus |
CN102335035A (en) * | 2011-09-23 | 2012-02-01 | 张晓膺 | Breastbone closing fixer |
CN103211632A (en) * | 2013-05-03 | 2013-07-24 | 张晓膺 | Sternum gathering up holder |
CN204618385U (en) * | 2015-04-13 | 2015-09-09 | 常州市超然电力电子有限公司 | Bone fracture plate for breastbone |
CN106236172A (en) * | 2016-08-19 | 2016-12-21 | 常州华森医疗器械有限公司 | A kind of Easy opened breastbone closing fixer external member |
-
2017
- 2017-07-04 CN CN201710537430.0A patent/CN107157567B/en active Active
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5163598A (en) * | 1990-07-23 | 1992-11-17 | Rudolph Peters | Sternum stapling apparatus |
CN102335035A (en) * | 2011-09-23 | 2012-02-01 | 张晓膺 | Breastbone closing fixer |
CN103211632A (en) * | 2013-05-03 | 2013-07-24 | 张晓膺 | Sternum gathering up holder |
CN204618385U (en) * | 2015-04-13 | 2015-09-09 | 常州市超然电力电子有限公司 | Bone fracture plate for breastbone |
CN106236172A (en) * | 2016-08-19 | 2016-12-21 | 常州华森医疗器械有限公司 | A kind of Easy opened breastbone closing fixer external member |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN109259876A (en) * | 2018-11-03 | 2019-01-25 | 上海迈诺仕医疗器械有限公司 | A kind of built-in thoracocyllosis orthotics |
CN109259876B (en) * | 2018-11-03 | 2024-01-30 | 江苏泰应生物科技有限公司 | Built-in chest deformity correcting instrument |
Also Published As
Publication number | Publication date |
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CN107157567B (en) | 2024-02-06 |
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