CN107260284A - Intervertebral pulling bone grafting instrument - Google Patents

Intervertebral pulling bone grafting instrument Download PDF

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Publication number
CN107260284A
CN107260284A CN201710594287.9A CN201710594287A CN107260284A CN 107260284 A CN107260284 A CN 107260284A CN 201710594287 A CN201710594287 A CN 201710594287A CN 107260284 A CN107260284 A CN 107260284A
Authority
CN
China
Prior art keywords
bone grafting
guide pin
pin bushing
transmission arm
funnel
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.)
Pending
Application number
CN201710594287.9A
Other languages
Chinese (zh)
Inventor
付松
吕仁花
王龙强
邵诗泽
侯海涛
刘海军
王亚楠
王欢
黄相鹏
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Shandong Wendeng Osteopathy Hospital
Original Assignee
Shandong Wendeng Osteopathy Hospital
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Shandong Wendeng Osteopathy Hospital filed Critical Shandong Wendeng Osteopathy Hospital
Priority to CN201710594287.9A priority Critical patent/CN107260284A/en
Publication of CN107260284A publication Critical patent/CN107260284A/en
Pending legal-status Critical Current

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Classifications

    • 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
    • A61B17/7061Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant for stabilising vertebrae or discs by improving the condition of their tissues, e.g. using implanted medication or fluid exchange
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0206Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors with antagonistic arms as supports for retractor elements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/025Joint distractors
    • 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
    • A61B17/7094Solid vertebral fillers; devices for inserting such fillers
    • 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
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/885Tools for expanding or compacting bones or discs or cavities therein
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/025Joint distractors
    • A61B2017/0256Joint distractors for the spine
    • 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

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Medical Informatics (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Neurology (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a kind of intervertebral pulling bone grafting instrument, by dilator, bone grafting funnel and tamper composition, dilator is used to strut intervertenral space, and bone grafting funnel is made up of the guide pin bushing of bucket body and tubulose, close guide pin bushing front end, its side wall is provided with opening, guide pin bushing front end inner chamber forms a smooth bevel, inclined-plane it is upper, lower end respectively with sidewall opening, lower end level, extend the body portion of elongated rod-shaped in the lever front end of tamper, the end in body portion forms the body portion inclined-plane being engaged with guide pin bushing inclined-plane, in the tubulose guide pin bushing insertion bone grafting funnel fixed cover of bone grafting funnel, the body portion of tamper can be inserted into bone grafting funnel and be fitted close to tubulose guide pin bushing inwall and slided up and down.The present invention, which is applied to stenosis of disc space patient, can increase bone grafting amount, it is ensured that bone grafting syncretizing effect, while preventing that stamp stem from exerting oneself macrolesion intra-abdominal hemorrhage pipe and internal organs.

Description

Intervertebral pulling bone grafting instrument
Technical field
The invention belongs to technical field of medical instruments, and in particular to intervertebral pulling bone grafting instrument.
Background technology
In spinal operation, in order to increase the stability of backbone, while pedicle nail bar system of being expert at is fixed, usually go Posterior decompression bone grafting.Intervertebral disc fusion material can use Invasive lumbar fusion device, autologous bone and homogeneous allogenic bone, because intervertebral melts Clutch is expensive, and homogeneous allogenic bone rejection is more, therefore many patients require that selection takes autologous bone(As in autologous ilium and art The spinous process and vertebral plate bone of excision)It is used as bone-grafting material.It is broken that the clamping such as instrument such as nucleus pulposus clamp is commonly used in the implantation of current bone material Bone fills in intervertenral space, and this service speed is slow, and time-consuming;Or apply bone grafting instrument, such as a kind of vertebras of Chinese patent CN201701282 U Between bone grafting instrument, the intervertebral bone grafting apparatus includes funnel and stamp stem, and described funnel includes bucket body and guide pin bushing two parts, and bucket body is suitable for reading straight Footpath is 3.5-5cm, and bucket body lower port diameter is 8-10mm, and the angle of bucket body inclined-plane and horizontal plane is 30-45 °;Guide pin bushing is sky The cylinder of the heart, a length of 12-15cm;Stamp stem includes shaft and handle, and shaft is solid cylinder, the guide pin bushing inwall with funnel It is fitted close to and slides up and down.A kind of bone grafting instruments of Chinese patent CN202537631 U, including bone grafting body, piston body, the plant Bone object body is hollow column structure, and piston body is located in bone grafting instrument body, and there are bone grafting body handle, institute in the bone grafting body rear end There is piston body handle piston body rear end.And need to carry out intervertebral fusion operation in lumbar spinal stenosis patient, but such patient is mostly Gerontal patient, the height degenerated of intervertenral space is narrow, using above-mentioned bone grafting mode, it is impossible to abundant, substantial amounts of bone grafting, and influences art Intervertebral fusion effect afterwards.In addition when bone material in funnel is pushed at bone grafting and tamped using stamp stem, because of the guide pin bushing of funnel Front end is opened completely, and stamp stem breaks through anterior longitudinal ligament damage abdominal cavity blood vessel and internal organs when firmly excessive, and firmly too small can make to lead Cover lower end to block, and influence bone grafting effect.
The content of the invention
The purpose of the present invention is to overcome drawbacks described above there is provided a kind of intervertebral pulling bone grafting instrument, is suffered from applied to stenosis of disc space Person can increase bone grafting amount, it is ensured that bone grafting syncretizing effect, while preventing that stamp stem from exerting oneself macrolesion intra-abdominal hemorrhage pipe and internal organs.
The present invention is to achieve these goals, as follows using technical scheme:
Intervertebral pulling bone grafting instrument, is made up of dilator, bone grafting funnel and tamper, and the dilator includes the first transmission arm, second Transmission arm, the first support arm and the second support arm, the first transmission arm and the first support arm, the second transmission arm and the second support arm one Body formed, the junction of the first transmission arm and the first support arm and the junction of the second transmission arm and the second support arm pass through bearing pin Connection, the tooth being provided with the afterbody of the first transmission arm on locking rack, the terminal slope and locking rack of the second transmission arm is matched somebody with somebody Close, bone grafting funnel fixed cover is provided with above bearing pin, bone grafting funnel fixed cover is passed by universal joint and the first transmission arm/second Swing arm is connected;Bone grafting funnel is made up of the guide pin bushing of bucket body and tubulose, and guide pin bushing front end closing, its side wall is provided with before opening, guide pin bushing Hold inner chamber to form a smooth bevel, the upper and lower end on inclined-plane respectively with sidewall opening upper and lower end level, the lever front end of tamper is prolonged The body portion of elongated rod-shaped is stretched out, the end in body portion forms the body portion inclined-plane being engaged with guide pin bushing inclined-plane, and the tubulose of bone grafting funnel is led In set insertion bone grafting funnel fixed cover, the body portion of tamper can be inserted into bone grafting funnel and is fitted close with tubulose guide pin bushing inwall supreme Lower slider.
Further, the first support bar and the second support are respectively arranged with the first transmission arm and the second transmission arm opposite side Bar, one end of the first support bar is connected with locking rack, and the other end sets fluted, one end of the second support bar and the second transmission Arm is fixed, and the other end is inserted in the groove of the first support bar.
Further, the display support arm of dilator first is provided with locking rack and the second support arm front opening is big Small scale.
Further, graduation mark is provided with the guide pin bushing outer wall of bone grafting funnel, tamper body portion is provided with a plurality of graduation mark.
Dilator can be used to strut intervertenral space for the intervertebral pulling bone grafting instrument of the present invention, and it struts definite effect, by bone grafting In funnel insertion bone grafting funnel fixed cover, random angle can be realized by the angle for adjusting bone grafting funnel insertion depth and fixed cover Degree, the intervertebral bone graft of any depth, can significantly increase bone grafting amount after intervertenral space is strutted, and strut after intervertenral space release, Bone grafting can be pressurizeed, be conducive to bone grafting to merge, while bone grafting funnel guide pin bushing front end is closed, sidewall opening, using smashing Tamper will not break through anterior longitudinal ligament damage abdominal cavity blood vessel and internal organs when rod is tamped, and improve the security that bone grafting instrument is used.
Brief description of the drawings
Fig. 1 the structural representation of present invention.
The dilator structural representation of Fig. 2 present invention.
The dilator softened state structural representation of Fig. 3 present invention.
The structural representation of the bone grafting funnel of Fig. 4 present invention.
The structural representation of the tamper of Fig. 5 present invention.
In figure, 1 dilator, 2 bone grafting funnels, 3 tampers, 101 first transmission arms, 102 second transmission arms, 103 first supports Arm, 104 second support arms, 105 bearing pins, 106 universal joints, 107 bone grafting funnel fixed covers, 108 locking racks, 109 teeth, 110 One support bar, 111 second support bars, 112 screws, 113 grooves, 21 guide pin bushings, 22 bucket bodies, 23 inclined-planes, 24 openings, 31 levers, 32 Body portion, 33 body portion inclined-planes.
Embodiment
As shown in figure 1, intervertebral pulling bone grafting instrument of the present invention, is made up of, dilator 1 dilator 1, bone grafting funnel 2 and tamper 3 For intervertenral space to be strutted, and bone grafting funnel 2 and tamper 3 coordinate broken bone being implanted to from the intervertenral space strutted and needed at bone grafting.
Dilator 1 includes the first transmission arm 101, the second transmission arm 102, the first support arm 103 and second in the present embodiment Support arm 104, the first transmission arm 101 and the first support arm 103, the second transmission arm 102 and the second support arm 104 are integrally formed, The junction of first transmission arm 101 and the first support arm 103 and the junction of the second transmission arm 102 and the second support arm 104 lead to Cross bearing pin 105 to connect, the afterbody of the first transmission arm 101 is provided with locking rack 108, the terminal slope of the second transmission arm 102 Coordinate with the tooth 109 on locking rack 108, the top of bearing pin 105 is provided with bone grafting funnel fixed cover 107, bone grafting funnel is fixed Set 107 is connected by universal joint 106 with the transmission arm 102 of the first transmission arm 101/ second, in the first transmission arm 101 and the second transmission The opposite side of arm 102 is respectively arranged with the first support bar 110 and the second support bar 111, one end of the first support bar 110 and locking teeth Bar 108 is connected, and the other end sets fluted 113, and one end of the second support bar 111 is solid through the transmission arm 102 of screw 112 and second Fixed, the other end is inserted in the groove 113 of the first support bar 110.Intervertenral space is inserted into the front end of dilator 1, the first transmission arm is held 101 and second transmission arm 102, make the second transmission arm 102 close to the second transmission arm 102, and the first support arm 103 and second Brace 104, which is separated, outwards struts interspace of lumbar vertebrae, and when gap reaches pre-provisioning request, the end of the second transmission arm 102 is withstood on into lock The between cog locking of tight rack 108, while the first support bar 110 and the second support bar 111 are respectively to the first support arm 103 and second Support arm 104 applies outside power, maintains the stabilization of dilator 1.Strutting for intervertenral space makes posterior longitudinal ligament nervous, makes after being free on Nucleus pulposus in front of longitudinal ligament enters in intervertenral space, is easy to take out.
Bone grafting funnel 2 is made up of the guide pin bushing 21 of bucket body 22 and tubulose, and the front end of guide pin bushing 21 closing, its side wall is provided with opening 24, guide pin bushing front end inner chamber forms a smooth bevel 23, the upper and lower end on inclined-plane 23 respectively with the upper and lower end level of sidewall opening 24, smash The body portion 32 of elongated rod-shaped is extended in the front end of lever 31 of rod 3, and the end in body portion forms the body portion being engaged with guide pin bushing inclined-plane 23 Inclined-plane 33.The dilator 1 of the intervertebral pulling bone grafting instrument of the present invention, which struts intervertenral space, makes posterior longitudinal ligament nervous, makes to indulge after being free on Nucleus pulposus in front of ligament enters in intervertenral space, is easy to take out, and gap becomes facilitates the guide pin bushing 21 of bone grafting funnel 2 to enter vertebra greatly Body, guide pin bushing 21 can be adjusted in Intrapyramidal angle and depth, increase bone grafting amount, and side bone grafting lateral dominance tamper 3 is tamped, bone grafting Material is skidded off at bone grafting from guide pin bushing sidewall opening 24, by rotating bone grafting funnel 2, allows sidewall opening 24 towards needing bone grafting Direction, continue bone grafting.Its bone grafting effect of the invention is reliable, use safety.

Claims (4)

1. a kind of intervertebral pulling bone grafting instrument, is made up of dilator, bone grafting funnel and tamper, it is characterized in that the dilator includes the One transmission arm, the second transmission arm, the first support arm and the second support arm, the first transmission arm and the first support arm, the second transmission arm It is integrally formed with the second support arm, the junction of the first transmission arm and the first support arm and the second transmission arm and the second support arm Junction is connected by bearing pin, and the afterbody of the first transmission arm is provided with locking rack, the terminal slope and lock of the second transmission arm Tooth on tight rack coordinates, and is provided with bone grafting funnel fixed cover above bearing pin, and bone grafting funnel fixed cover passes through universal joint and the The connection of the transmission arm of one transmission arm/second;Bone grafting funnel is made up of the guide pin bushing of bucket body and tubulose, the closing of guide pin bushing front end, on its side wall Provided with opening, guide pin bushing front end inner chamber forms smooth bevel, the upper and lower end on inclined-plane respectively with sidewall opening upper and lower end level, tamper Lever front end extend the body portion of elongated rod-shaped, the end in body portion forms the body portion inclined-plane being engaged with guide pin bushing inclined-plane, bone grafting In the tubulose guide pin bushing insertion bone grafting funnel fixed cover of funnel, the body portion of tamper can be inserted into bone grafting funnel and with tubulose guide pin bushing inwall It is fitted close to and slides up and down.
2. intervertebral pulling bone grafting instrument according to claim 1, it is characterized in that relative with the second transmission arm in the first transmission arm Side is respectively arranged with the first support bar and the second support bar, and one end of the first support bar is connected with locking rack, and the other end is set Fluted, one end of the second support bar is fixed with the second transmission arm, and the other end is inserted in the groove of the first support bar.
3. intervertebral pulling bone grafting instrument according to claim 1, it is characterized in that being provided with display dilator on locking rack The scale of first support arm and the second support arm front opening size.
4. intervertebral pulling bone grafting instrument according to claim 1, it is characterized in that being provided with the guide pin bushing outer wall of bone grafting funnel Graduation mark, tamper body portion is provided with a plurality of graduation mark.
CN201710594287.9A 2017-07-20 2017-07-20 Intervertebral pulling bone grafting instrument Pending CN107260284A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201710594287.9A CN107260284A (en) 2017-07-20 2017-07-20 Intervertebral pulling bone grafting instrument

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Application Number Priority Date Filing Date Title
CN201710594287.9A CN107260284A (en) 2017-07-20 2017-07-20 Intervertebral pulling bone grafting instrument

Publications (1)

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CN107260284A true CN107260284A (en) 2017-10-20

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109758271A (en) * 2019-02-20 2019-05-17 江苏百易得医疗科技有限公司 A kind of fusion device

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201701281U (en) * 2010-06-24 2011-01-12 夏建龙 Intervertebral bone grafting apparatus
CN202875459U (en) * 2012-10-31 2013-04-17 中国人民解放军第二军医大学 Centrum posterior marginal dilator with scales
CN204169955U (en) * 2014-10-16 2015-02-25 广州医科大学附属第一医院 Bone grafting instrument
CN204351920U (en) * 2014-12-04 2015-05-27 广州中医药大学第一附属医院 A kind of bone grafting tucker

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201701281U (en) * 2010-06-24 2011-01-12 夏建龙 Intervertebral bone grafting apparatus
CN202875459U (en) * 2012-10-31 2013-04-17 中国人民解放军第二军医大学 Centrum posterior marginal dilator with scales
CN204169955U (en) * 2014-10-16 2015-02-25 广州医科大学附属第一医院 Bone grafting instrument
CN204351920U (en) * 2014-12-04 2015-05-27 广州中医药大学第一附属医院 A kind of bone grafting tucker

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109758271A (en) * 2019-02-20 2019-05-17 江苏百易得医疗科技有限公司 A kind of fusion device
CN109758271B (en) * 2019-02-20 2024-05-14 江苏百易得医疗科技有限公司 Fusion device

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Application publication date: 20171020