CN107361834A - A kind of device for anterior cervical vertebrae Minimally Invasive Surgery - Google Patents

A kind of device for anterior cervical vertebrae Minimally Invasive Surgery Download PDF

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CN107361834A
CN107361834A CN201710556761.9A CN201710556761A CN107361834A CN 107361834 A CN107361834 A CN 107361834A CN 201710556761 A CN201710556761 A CN 201710556761A CN 107361834 A CN107361834 A CN 107361834A
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bone
minimally invasive
inner core
invasive surgery
core
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袁浩
曹广如
孙凌霞
王翀
廖文波
蔡玉强
覃建朴
陈太勇
孔维军
叶盛
季文军
陈林
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Affiliated Hospital of Zunyi Medical University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/16Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/1662Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body
    • A61B17/1671Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body for the spine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/00234Surgical instruments, devices or methods for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/16Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1757Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the spine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • 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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  • Orthopedic Medicine & Surgery (AREA)
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  • General Health & Medical Sciences (AREA)
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  • Oral & Maxillofacial Surgery (AREA)
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Abstract

The invention discloses a kind of device for anterior cervical vertebrae Minimally Invasive Surgery, including sleeve, the side integrated setting of the press points has sharp property pin, and the inside of the press points is provided with spring, the inside of outer core is provided with auger bone object, is movably installed with the movable head and takes bone blade.Screw thread is taken bone object to insert inner core by the present invention, and then enter inside vertebra, bone object one end control operation device is taken in screw thread, the other end takes bone blade to open, so as to which backbone cancellous bone is taken out, realize the foundation of Minimally Invasive Surgery passage, the decompression operation of spinal cord is convenient for, realizes the purpose of decompression, alleviates the painful symptom and sign of patient, reduce operating time and influence and interference to vital tissue organ around, accelerate the course of disease of patient's recovery.

Description

一种用于颈椎前路微创手术的装置A device for cervical anterior minimally invasive surgery

技术领域technical field

本发明涉及一种用于颈椎前路微创手术的装置,属于医疗器械技术领域。The invention relates to a device for cervical anterior minimally invasive surgery, which belongs to the technical field of medical instruments.

背景技术Background technique

依据临床数据显示,脊柱颈胸腰椎退行性病、骨折等脊柱类疾病成为临床最主要的病种,而采用传统的开放式手术并发症严重、创口大、恢复慢,脊柱微创手术是脊柱外科发展的趋势。脊柱微创手术以其手术切口小、组织创伤小、失血少、术后恢复快等特点越来越受到患者及医生的青睐。目前,颈椎前路手术主要通过对来自于前方的压迫进行减压而减少对脊髓的压迫所带来的一系列症状体征为目的,传统的手术切口大、显露过程对于临近重要组织器官的牵拉影响比较大。According to clinical data, spine, cervical, thoracolumbar, and lumbar degenerative diseases, fractures and other spinal diseases have become the most important clinical diseases, while traditional open surgery has serious complications, large wounds, and slow recovery. Spinal minimally invasive surgery is the development of spinal surgery. the trend of. Minimally invasive spinal surgery is more and more popular among patients and doctors for its characteristics of small surgical incision, small tissue trauma, less blood loss, and fast postoperative recovery. At present, the purpose of anterior cervical surgery is to reduce the pressure on the spinal cord by decompressing the pressure from the front to reduce a series of symptoms and signs caused by the pressure on the spinal cord. relatively large impact.

发明内容Contents of the invention

本发明的目的在于提供一种用于颈椎前路微创手术的装置,该装置可避免颈部术区的过多暴露,避免重要组织器官的干扰影响并能实现手术减压的目的,以解决上述背景技术中提出的问题。The purpose of the present invention is to provide a device for cervical anterior minimally invasive surgery. The problems raised in the background art above.

为实现上述目的,本发明提供如下技术方案:一种用于颈椎前路微创手术的装置,包括套筒,所述套筒包括外芯、刻度、按压点、锐性针、弹簧和把手,所述外芯的外表面上设置有刻度,所述外芯的外部一端一体化设置有把手,所述外芯的外部还活动安装有有按压点,所述按压点的一侧一体化设置有锐性针,所述按压点的内部安装有弹簧,所述外芯的内部安装有螺旋钻骨器,所述螺旋钻骨器包括内芯、手握旋转头和锯齿,所述外芯的内部安装有内芯,所述内芯的一端一体化设置有手握旋转头,所述内芯的另一端设置有锯齿,所述内芯的内部设置有螺纹取骨器,所述螺纹取骨器包括取骨器主体、固定帽、操作装置、活动头和取骨叶片,所述取骨器主体的一端安装有固定帽,所述固定帽上安装有操作装置,所述取骨器主体的另一端安装有活动头,所述活动头上活动安装有取骨叶片。To achieve the above object, the present invention provides the following technical solutions: a device for cervical anterior minimally invasive surgery, including a sleeve, the sleeve includes an outer core, a scale, a pressing point, a sharp needle, a spring and a handle, A scale is provided on the outer surface of the outer core, a handle is integrally provided at one end of the outer core, and a pressing point is movably installed on the outside of the outer core, and one side of the pressing point is integrally provided with A sharp needle, a spring is installed inside the pressing point, an auger bone tool is installed inside the outer core, and the auger bone tool includes an inner core, a hand-held rotating head and sawtooth, and the inside of the outer core An inner core is installed, one end of the inner core is integrally provided with a hand-held rotating head, the other end of the inner core is provided with sawtooth, the inside of the inner core is provided with a threaded bone extractor, and the threaded bone extractor It includes the main body of the bone extractor, the fixed cap, the operating device, the movable head and the blade for bone extraction. One end of the main body of the bone extractor is equipped with a fixed cap, and the operating device is installed on the fixed cap. The other part of the main body of the bone extractor is A movable head is installed at one end, and a bone-taking blade is movably installed on the movable head.

作为本发明进一步的方案:所述内芯为空心结构的构件。As a further solution of the present invention: the inner core is a member of a hollow structure.

作为本发明进一步的方案:所述内芯的内部设置有定位针。As a further solution of the present invention: positioning pins are arranged inside the inner core.

作为本发明进一步的方案:所述螺旋钻骨器钻入脊柱椎体的内部。As a further solution of the present invention: the auger bone drill is drilled into the interior of the vertebral body of the spine.

与现有技术相比,本发明有益效果:本发明首先通过定位针定位确定病变位置,在通过套筒套在定位针的外部,套筒的内部设置有螺旋钻骨器,通过螺旋钻骨器一端设置的锯齿旋转打孔,待螺旋钻骨器进入病变脊椎后,在通过套筒上设置的按压点进行固定,按压点上设置有锐性针,锐性针刺入脊椎,起到固定作用,这时再取出定位针,将螺纹取骨器插入内芯,进而进入脊椎内部,在螺纹取骨器一端控制操作装置,另一端的取骨叶片就会张开,从而可以将脊柱松质骨取出,实现微创手术通道的建立,便于进行脊髓的减压操作,实现减压的目的,缓解病人的痛苦症状及体征,减少了手术时间及对周围重要组织器官的影响和干扰,加快了病人恢复的病程。Compared with the prior art, the present invention has beneficial effects: firstly, the present invention determines the location of the lesion through the positioning of the positioning pin, and the sleeve is sleeved on the outside of the positioning pin, and the inside of the sleeve is provided with an auger bone tool, and the auger bone tool is used to The serrated teeth set at one end are rotated to punch holes. After the auger drill enters the diseased spine, it is fixed through the pressing point set on the sleeve. The pressing point is equipped with a sharp needle, and the sharp needle penetrates into the spine to play a role of fixation. , then take out the positioning pin, insert the threaded bone extractor into the inner core, and then enter the inside of the spine, control the operating device at one end of the threaded bone extractor, and the bone harvesting blade at the other end will open, so that the cancellous bone of the spine can be removed Take it out to realize the establishment of a minimally invasive surgical channel, facilitate the decompression operation of the spinal cord, achieve the purpose of decompression, relieve the patient's painful symptoms and signs, reduce the operation time and the impact and interference on the surrounding important tissues and organs, and speed up the operation of the patient. Course of recovery.

附图说明Description of drawings

图1为本发明的整体结构示意图;Fig. 1 is the overall structure schematic diagram of the present invention;

图2为本发明的工作示意图。Fig. 2 is a working schematic diagram of the present invention.

附图标记说明:1-套筒、11-外芯、12-刻度、13-按压点、14-锐性针、15-弹簧、16-把手、2-螺旋钻骨器、21-内芯、22-手握旋转头、23-锯齿、3-螺纹取骨器、31-取骨器主体、32-固定帽、33-操作装置、34-活动头、35-取骨叶片、4-定位针、5-脊柱椎体。Explanation of reference signs: 1-sleeve, 11-outer core, 12-scale, 13-pressing point, 14-sharp needle, 15-spring, 16-handle, 2-spiral drill, 21-inner core, 22-hand-held rotating head, 23-sawtooth, 3-thread bone extractor, 31-bone extractor main body, 32-fixed cap, 33-operation device, 34-movable head, 35-bone extraction blade, 4-positioning pin , 5 - vertebral body of the spine.

具体实施方式detailed description

为了使本发明的目的、技术方案和优点更加清楚,下面结合附图和实施例对本发明作进一步的详细说明。In order to make the purpose, technical solution and advantages of the present invention clearer, the present invention will be further described in detail below in conjunction with the accompanying drawings and embodiments.

本发明的实施例:用于颈椎前路微创手术的装置的结构示意图如图1~2所示,包括套筒1,套筒1包括外芯11、刻度12、按压点13、锐性针14、弹簧15和把手16,外芯11的外表面上设置有刻度12,外芯11的外部一端一体化设置有把手16,外芯11的外部还活动安装有有按压点13,按压点13的一侧一体化设置有锐性针14,按压点13的内部安装有弹簧15,外芯11的内部安装有螺旋钻骨器2,螺旋钻骨器2可以钻入脊柱椎体的内部,螺旋钻骨器2包括内芯21、手握旋转头22和锯齿23,外芯11的内部安装有内芯21,内芯21为一种空心结构的构件,内芯21的一端一体化设置有手握旋转头22,内芯21的另一端设置有锯齿23,内芯21的内部设置有螺纹取骨器3,螺纹取骨器3包括取骨器主体31、固定帽32、操作装置33、活动头34和取骨叶片35,取骨器主体31的一端安装有固定帽32,固定帽32上安装有操作装置33,取骨器主体31的另一端安装有活动头34,活动头34上活动安装有取骨叶片35,内芯21的内部设置有定位针4,本用于颈椎前路微创手术的装置,首先通过定位针4定位,确定病变位置,在通过套筒1套在定位针4的外部,套筒1的内部设置有螺旋钻骨器2,通过螺旋钻骨器2一端设置的锯齿23旋转打孔,待螺旋钻骨器2进入病变脊柱椎体5后,在通过套筒1上设置的按压点13进行固定,按压点13上设置有锐性针14,锐性针14刺入脊柱椎体,起到固定作用,这是在取出定位针4,将螺纹取骨器3插入内芯21,进而进入脊柱椎体5内部,在螺纹取骨器3一端控制操作装置33,另一端的取骨叶片35就会张开,从而可以将脊柱松质骨取出,实现微创手术通道的建立便于进一步脊髓的减压操作,实现减压的目的,缓解病人的痛苦症状及体征,减少了手术时间及对周围重要组织器官的影响和干扰,加快了病人恢复的病程。Embodiment of the present invention: the structural schematic diagram of the device for minimally invasive surgery of the cervical spine is shown in Figures 1-2, including a sleeve 1, and the sleeve 1 includes an outer core 11, a scale 12, a pressing point 13, a sharp needle 14. The spring 15 and the handle 16. The outer surface of the outer core 11 is provided with a scale 12. The outer end of the outer core 11 is integrally provided with a handle 16. The outer core 11 is also movable with a pressing point 13. The pressing point 13 A sharp needle 14 is integrated on one side of the body, a spring 15 is installed inside the pressing point 13, and an auger bone drill 2 is installed inside the outer core 11, and the auger bone drill 2 can be drilled into the inside of the vertebral body of the spine, The bone drill 2 includes an inner core 21, a hand-held rotating head 22 and sawtooth 23. An inner core 21 is installed inside the outer core 11. The inner core 21 is a member of a hollow structure. One end of the inner core 21 is integrally provided with a hand Hold the rotating head 22, the other end of the inner core 21 is provided with a sawtooth 23, and the inside of the inner core 21 is provided with a threaded bone extractor 3, which includes a bone extractor main body 31, a fixed cap 32, an operating device 33, a movable Head 34 and bone-taking blade 35, one end of bone-taking device main body 31 is equipped with fixed cap 32, and operating device 33 is installed on the fixed cap 32, and the other end of bone-taking device main body 31 is equipped with movable head 34, and movable head 34 is movable The bone extraction blade 35 is installed, and the inner core 21 is provided with a positioning pin 4. The device used for the minimally invasive surgery of the anterior cervical spine first uses the positioning pin 4 to locate the location of the lesion, and then sets the sleeve 1 on the positioning pin. 4, the inside of the sleeve 1 is provided with an auger bone tool 2, which is drilled through the sawtooth 23 provided at one end of the auger bone tool 2. After the auger bone tool 2 enters the diseased spinal vertebral body 5, it passes through the sleeve The pressing point 13 provided on 1 is fixed, and the pressing point 13 is provided with a sharp needle 14, and the sharp needle 14 penetrates into the vertebral body of the spine to play a role in fixing. Insert the inner core 21, and then enter the interior of the spinal vertebral body 5, control the operating device 33 at one end of the threaded bone extractor 3, and the bone extraction blade 35 at the other end will open, so that the cancellous bone of the spine can be taken out to achieve minimally invasive surgery The establishment of the channel facilitates the decompression operation of the spinal cord, achieves the purpose of decompression, relieves the patient's painful symptoms and signs, reduces the operation time and the impact and interference on the surrounding important tissues and organs, and speeds up the recovery process of the patient.

综上所述:本用于颈椎前路微创手术的装置,首先通过定位针4定位,确定病变位置,在通过套筒1套在定位针4的外部,套筒1的内部设置有螺旋钻骨器2,通过螺旋钻骨器2一端设置的锯齿23旋转打孔,待螺旋钻骨器2进入病变脊柱椎体5后,在通过套筒1上设置的按压点13进行固定,按压点13上设置有锐性针14,锐性针14刺入脊柱椎体5,起到固定作用,这是在取出定位针4,将螺纹取骨器3插入内芯21,进而进入脊柱椎体5内部,在螺纹取骨器3一端控制操作装置33,另一端的取骨叶片35就会张开,从而可以将脊柱松质骨取出,实现微创手术通道的建立便于进一步脊髓的减压操作,实现减压的目的,缓解病人的痛苦症状及体征,减少了手术时间及对周围重要组织器官的影响和干扰,加快了病人恢复的病程。To sum up: the device used for minimally invasive anterior cervical surgery first uses the positioning pin 4 to locate and determine the location of the lesion, then the sleeve 1 is set on the outside of the positioning pin 4, and the inside of the sleeve 1 is provided with an auger. The bone tool 2 is rotated and drilled through the sawtooth 23 provided at one end of the screw drill bone tool 2. After the screw drill bone tool 2 enters the diseased spinal vertebral body 5, it is fixed at the pressing point 13 set on the sleeve 1. The pressing point 13 There is a sharp needle 14 on the top, and the sharp needle 14 penetrates into the vertebral body 5 of the spine to play a role of fixation. This is to take out the positioning needle 4, insert the threaded bone remover 3 into the inner core 21, and then enter the interior of the vertebral body 5 of the spine , control the operating device 33 at one end of the threaded bone extractor 3, and the bone extracting blade 35 at the other end will open, so that the cancellous bone of the spine can be taken out, and the establishment of a minimally invasive surgical channel is convenient for further decompression of the spinal cord. The purpose of decompression is to relieve the patient's painful symptoms and signs, reduce the operation time and the impact and interference on the surrounding important tissues and organs, and speed up the patient's recovery process.

Claims (4)

1.一种用于颈椎前路微创手术的装置,包括套筒(1),其特征在于:所述套筒(1)包括外芯(11)、刻度(12)、按压点(13)、锐性针(14)、弹簧(15)和把手(16),所述外芯(11)的外表面上设置有刻度(12),所述外芯(11)的外部一端一体化设置有把手(16),所述外芯(11)的外部还活动安装有有按压点(13),所述按压点(13)的一侧一体化设置有锐性针(14),所述按压点(13)的内部安装有弹簧(15),所述外芯(11)的内部安装有螺旋钻骨器(2),所述螺旋钻骨器(2)包括内芯(21)、手握旋转头(22)和锯齿(23),所述外芯(11)的内部安装有内芯(21),所述内芯(21)的一端一体化设置有手握旋转头(22),所述内芯(21)的另一端设置有锯齿(23),所述内芯(21)的内部设置有螺纹取骨器(3),所述螺纹取骨器(3)包括取骨器主体(31)、固定帽(32)、操作装置(33)、活动头(34)和取骨叶片(35),所述取骨器主体(31)的一端安装有固定帽(32),所述固定帽(32)上安装有操作装置(33),所述取骨器主体(31)的另一端安装有活动头(34),所述活动头(34)上活动安装有取骨叶片(35)。1. A device for cervical anterior minimally invasive surgery, comprising a sleeve (1), characterized in that: the sleeve (1) includes an outer core (11), a scale (12), a pressing point (13) , a sharp needle (14), a spring (15) and a handle (16), the outer surface of the outer core (11) is provided with a scale (12), and the outer end of the outer core (11) is integrally provided with The handle (16), the outside of the outer core (11) is also movably installed with a pressing point (13), one side of the pressing point (13) is integrally provided with a sharp needle (14), and the pressing point The inside of (13) is equipped with spring (15), and the inside of described outer core (11) is equipped with auger bone drill (2), and described auger bone drill (2) comprises inner core (21), hand-held rotating head (22) and sawtooth (23), the inside of the outer core (11) is equipped with an inner core (21), and one end of the inner core (21) is integrally provided with a hand-held rotating head (22). The other end of the inner core (21) is provided with serrations (23), and the inside of the inner core (21) is provided with a threaded bone extractor (3), and the threaded bone extractor (3) includes a bone extractor body (31 ), fixed cap (32), operating device (33), movable head (34) and bone-taking blade (35), one end of the described bone extractor main body (31) is equipped with a fixed cap (32), and the fixed cap (32) is equipped with operating device (33), and the other end of described bone extractor main body (31) is equipped with movable head (34), and described movable head (34) is equipped with bone-taking blade (35) movably. 2.根据权利要求1所述的用于颈椎前路微创手术的装置,其特征在于:所述内芯(21)为一种空心结构的构件。2. The device for anterior cervical minimally invasive surgery according to claim 1, characterized in that: the inner core (21) is a hollow structural member. 3.根据权利要求1所述的用于颈椎前路微创手术的装置,其特征在于:所述内芯(21)的内部设置有定位针(4)。3. The device for anterior cervical minimally invasive surgery according to claim 1, characterized in that a positioning needle (4) is arranged inside the inner core (21). 4.根据权利要求1所述的用于颈椎前路微创手术的装置,其特征在于:所述螺旋钻骨器(2)钻入脊柱椎体(5)的内部。4. The device for anterior cervical minimally invasive surgery according to claim 1, characterized in that: the auger bone drill (2) is drilled into the interior of the spinal vertebral body (5).
CN201710556761.9A 2017-07-10 2017-07-10 A kind of device for anterior cervical vertebrae Minimally Invasive Surgery Pending CN107361834A (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115137421A (en) * 2022-07-26 2022-10-04 南充市中心医院 Spine minimally invasive fixing channel with adjustable diameter
CN115245354A (en) * 2022-07-26 2022-10-28 南充市中心医院 An adjustable spinal minimally invasive fixation channel

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2063801U (en) * 1989-08-08 1990-10-17 刘炳存 Front route pressure-reducing apparatus for cervical vertebra
CN2216815Y (en) * 1994-11-17 1996-01-10 甄平 trephine bone extractor
CN201441428U (en) * 2009-03-23 2010-04-28 徐伟钦 Novel bone harvester
CN201939474U (en) * 2010-12-17 2011-08-24 卢振和 Clamping device for protrusion of lumbar vertebral disc
CN205683118U (en) * 2016-04-22 2016-11-16 遵义医学院附属医院 A new type of ilium bone harvesting knife
CN208464224U (en) * 2017-07-10 2019-02-05 遵义医学院附属医院 A kind of instrument for anterior cervical vertebrae Minimally Invasive Surgery

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2063801U (en) * 1989-08-08 1990-10-17 刘炳存 Front route pressure-reducing apparatus for cervical vertebra
CN2216815Y (en) * 1994-11-17 1996-01-10 甄平 trephine bone extractor
CN201441428U (en) * 2009-03-23 2010-04-28 徐伟钦 Novel bone harvester
CN201939474U (en) * 2010-12-17 2011-08-24 卢振和 Clamping device for protrusion of lumbar vertebral disc
CN205683118U (en) * 2016-04-22 2016-11-16 遵义医学院附属医院 A new type of ilium bone harvesting knife
CN208464224U (en) * 2017-07-10 2019-02-05 遵义医学院附属医院 A kind of instrument for anterior cervical vertebrae Minimally Invasive Surgery

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115137421A (en) * 2022-07-26 2022-10-04 南充市中心医院 Spine minimally invasive fixing channel with adjustable diameter
CN115245354A (en) * 2022-07-26 2022-10-28 南充市中心医院 An adjustable spinal minimally invasive fixation channel

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Application publication date: 20171121