CN108066051A - Nod bone anchoring device - Google Patents
Nod bone anchoring device Download PDFInfo
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- CN108066051A CN108066051A CN201611032594.XA CN201611032594A CN108066051A CN 108066051 A CN108066051 A CN 108066051A CN 201611032594 A CN201611032594 A CN 201611032594A CN 108066051 A CN108066051 A CN 108066051A
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- screw rod
- assembled portion
- anchoring device
- screw
- bone anchoring
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
- A61F5/04—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
- A61F5/05—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for immobilising
- A61F5/058—Splints
- A61F5/05883—Splints for the neck or head
- A61F5/05891—Splints for the neck or head for the head, e.g. jaws, nose
-
- 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
- A61B17/60—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 for external osteosynthesis, e.g. distractors, contractors
- A61B17/66—Alignment, compression or distraction mechanisms
- A61B17/663—Alignment, compression or distraction mechanisms for jaw bones, e.g. subcutaneous distractors with external access
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- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Surgery (AREA)
- Veterinary Medicine (AREA)
- Otolaryngology (AREA)
- General Health & Medical Sciences (AREA)
- Nursing (AREA)
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Vascular Medicine (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Surgical Instruments (AREA)
Abstract
A kind of chin bone anchoring device, to solve the problems, such as to nod bone anchoring device poor operation convenience in the past.The chin bone anchoring device of the present invention includes：One sleeve, both ends are respectively equipped with first screw hole and second screw hole, and first screw hole is opposite with the hand of spiral of second screw hole；One the first screw rod is screwed together in first screw hole by first threaded portion, makes first assembled portion exposed outside the sleeve；One the second screw rod is screwed together in second screw hole by second threaded portion, makes second assembled portion exposed outside the sleeve；And two locating pieces, it is bonded respectively to first assembled portion and second assembled portion.
Description
Technical field
The present invention is especially a kind of to consolidate in lower jaw reconstruction operations to position the chin bone of chin bone on a kind of medical equipment
Determine device.
Background technology
After oral cavity unexpected injury occurs, if lower jawbone fracture compound comminuted or cut-out lower jawbone is caused to cause on a large scale
When bone fracture or bone defect, the lower jawbone of patient just needs to receive lower jaw reconstruction operations, to recover face's external form profile and chewing
Function.Wherein, in the case where lower jawbone is broken completely, the masseter and lingualis of patient can pull lower jawbone and cause to misplace, and need
Will be with operative reduction and interior fixed recovery, but because the construction of face's blood vessel, nerve and muscle is considerably complicated, aligned once rebuilding
Work is inaccurate, will generate many sequelae, such as face's numbness, malocclusion, jaw joint stiffness, shape of face asymmetry etc. are asked
Topic, and the situation of face's defect also results in social activity and is obstructed, and supervenes melancholia.
For lower jaw reconstruction operations can be smoothed out, need first to be aligned before Reconstruction, be maintained at the upper and lower chin bone of patient
On the position of normal occlusion relation, and the associated components of contraposition are removed again after Reconstruction.Clinical lower jaw is rebuild at this stage
The alignment mode of operation, which is probably divided between Manual-alignment and chin, fixes two kinds, wherein, Manual-alignment is the hand with operator
The lower jawbone of reconstruction patients and patchery object are pieced together in sense, and aligning accuracy relies only on the feel of operator, lacks accurate contraposition
Foundation.Fixation is then to dispose dental arch plate or nail in chin tooth above and below or gum between chin, and is nodded using steel wire or rubber band
Between it is fixed, make to nod bone above and below and be maintained on the position of normal occlusion relation.
For example, a kind of existing chin bone anchoring device disclosed in No. 8414581 Patent Case of U.S. Publication, uses
Upper and lower dental arch plate is individually fixed in upper and lower row's tooth of patient by a plurality of cable strap through between every tooth, then together
Sample reaches locating effect with the strapped fixed upper and lower dental arch plate of bunch zone circle；Accordingly, which can avoid steel wire from piercing
Hinder patient oral cavity and operator, but the operating procedure of the existing chin bone anchoring device is complicated and time-consuming, and can not
Suitable for inter-lobe clearance is excessive or the patient of agomphosis.Additionally, the another kind disclosed in No. 8662889 Patent Case of U.S. Publication
Upper and lower dental arch plate is separately fixed at upper and lower chin gum by existing chin bone anchoring device using more nails, then with steel wire by
One circle is bound, hook portion opposite on inferior dental arch plate；Accordingly, though the existing chin bone anchoring device of the another kind is applicable between cog
Gap is excessive or the patient of agomphosis, but largely promotes infection wind except can additionally cause substantial amounts of wound to patient using nail
Danger is outer, and operator also needs to confirm that every nail does not all hurt root of the tooth and tooth nerve of patient etc., therefore on operating more
Add time-consuming, and still there is steel wire the problems such as easily stabbing patient oral cavity and operator.
In view of this, existing chin bone anchoring device still has improvedd necessity really.
The content of the invention
To solve the above problems, the present invention provides a kind of chin bone anchoring device, it can be according to the lower jawbone condition of patient（Such as
Whether patient has situation of the problem of agomphosis or excessive inter-lobe clearance and lower jawbone damage etc.）, select with suitable locating piece
The quick and accurately lower jawbone of immobilized patients.
Present invention directionality as described below or its approximate term, such as " on（Top）", " under（Bottom）", " interior ", " outer ", " side
Face " etc., mostly in reference to the direction of attached drawings, each side's tropism or its approximate term are only aiding in illustrating and understand the present invention
Each embodiment, it is non-limiting the present invention.
The chin bone anchoring device of the present invention, including：One sleeve, one end are set there are one the first screw hole, and the other end is equipped with one
A second screw hole, first screw hole are opposite with the hand of spiral of second screw hole；One the first screw rod, there are one the first screw threads for tool
Portion and first assembled portion, first threaded portion are screwed together in first screw hole, and first assembled portion is exposed outside the sleeve；One
A second screw rod, there are one tools the second threaded portion and second assembled portion, second threaded portion to be screwed together in second screw hole, should
Second assembled portion is exposed outside the sleeve；And two locating pieces, it is bonded respectively to first assembled portion and second assembled portion.
Accordingly, chin bone anchoring device of the invention, can be according to the lower jawbone condition of patient（Such as patient whether have agomphosis or
Situation of the problem of inter-lobe clearance is excessive and lower jawbone damage etc.）, select quick and accurately fix with suitable locating piece
The lower jawbone of patient is substantially improved the operation ease and efficiency of immobilized patients lower jawbone, operator is made only need to attentively to hold
Row lower jaw reconstruction operations, and no longer need to consume substantial amounts of spirit and time in contraposition, the lower jawbone of immobilized patients, it can not only letter
Change operating difficulty, reduction operating time, and can ensure that lower jawbone accurate contraposition, make patient face it is postoperative can return to it is preoperative
Apparent position, improve the postoperative self-confidence in social activity of patient.
Wherein, first screw hole is coaxial with the center of second screw hole.
Wherein, first screw hole is identical with the screw pitch of second screw hole；The structure makes the first screw rod and the second screw rod that can protect
Hold identical translational speed and distance.
Wherein, the middle part of the sleeve is set to hexagonal column；The structure is easily processed into type, and can reduce control sleeve
Situation about slipping is generated during rotation.
Wherein, locating piece tool is there are one ring body and a rotating member, one end assembling of the rotating member be fixed in this first
First assembled portion of screw rod or the second assembled portion of second screw rod, the other end of the rotating member are rotatably attached the ring body；
The structure makes ring body that can be rotated according to the tooth angle of patient, has to be promoted and is inserted in operation smooth degree of patient teeth and other effects.
Wherein, which is set to C-shape and has there are one opening；The structure makes ring body have preferable elastic deformation energy
Power, so that the ring body to be inserted in the tooth of patient and is removed.
Wherein, which sets there are one upper collet and a lower locking plate, which sets that there are one perforation, the lower locking plates
Equipped with a lockhole, the first assembled portion of first screw rod or the second assembled portion of second screw rod in convex hoop shape and penetrate the locking
Between piece and the lower locking plate, the rotating member separately by a screw through the upper collet perforation and first assembled portion or this second
Assembled portion, and screw togather the lockhole for securing to the lower locking plate；The simple structure and convenient for manufacture and assembling, have reduce manufacture cost
And promote assembling convenience and other effects.
Wherein, which includes a connecting portion and multiple locking parts, and connecting portion assembling is fixed in first screw rod
The first assembled portion or second screw rod the second assembled portion, each locking part connects the connecting portion and equipped with multiple perforation；The knot
Structure makes the chin bone anchoring device be applicable to patient's agomphosis or the excessive situation of inter-lobe clearance.
Wherein, which sets there are one upper collet and a lower locking plate, which is equipped with a perforation, which sets
There is a lockhole, the first assembled portion of first screw rod or the second assembled portion of second screw rod in convex hoop shape and penetrate the upper collet
Between the lower locking plate, the connecting portion is separately by a screw through the perforation of the upper collet and first assembled portion or second assembling
Portion, and screw togather the lockhole for securing to the lower locking plate；The simple structure and convenient for manufacture and assembling, having, which reduces manufacture, cost and carries
Rise assembling convenience and other effects.
Wherein, first assembled portion be arranged on first screw rod one of axial end portion, first screw rod this first
Threaded portion to first screw rod another axial end portion tool there are one maximum outside diameter；Second assembled portion is arranged on second spiral shell
One of axial end portion of bar, second screw rod are internally provided with the slot that stretches through, and the slot that stretches through is in the another of second screw rod
One axial end portion is in open shape, and for the slot tool that stretches through there are one minimum diameter, which is more than the maximum of first screw rod
Outer diameter；The structure can promote sleeve and control the first screw rod amplitude mutually close or mutually separate with the second screw rod.
Wherein, first screw rod is identical with the structure of second screw rod so that need not divide when manufacture, packaging and assembling
Class helps promotion manufacture, storage and convenience when assembled.
Wherein, first assembled portion be arranged on first screw rod one of axial end portion, first screw rod another
Axial end portion forms first stop, and first screw thread position is between first assembled portion and first stop, this first
The planar state in end face of stop；The structure enable the first screw rod and the second screw rod near when firmly abut against, and can keep away
Exempt from the first screw rod and the deformation of the second screw rod misplaces.
The beneficial effects of the invention are as follows：
The chin bone anchoring device of the present invention, can be according to the lower jawbone condition of patient（Such as whether patient has agomphosis or inter-lobe clearance
Situation of the problem of excessive and lower jawbone damage etc.）, select quick and accurately under immobilized patients with suitable locating piece
Bone is nodded, the operation ease and efficiency of immobilized patients lower jawbone is substantially improved, operator is made only to need attentively to perform lower jaw weight
Operation is built, and no longer needs to consume substantial amounts of spirit and time in contraposition, the lower jawbone of immobilized patients, it is difficult that operation can not only be simplified
Degree, reduction operating time, and can ensure that lower jawbone accurate contraposition, make patient face is postoperative can return to and preoperative the same appearance position
It puts, improves the self-confidence of the postoperative social activity of patient.
Wherein, when locating piece is facing ring, the action of fixed lower jawbone can't generate patient additional wound；Depending on
When position part is bone plate, though the nail used of arranging in pairs or groups can generate patient additional wound, needed compared to previous in every tooth
Lock a nail between tooth, dental arch plate could be fixed on gum, the bone that chin bone anchoring device of the invention uses
Nail quantity will be greatly decreased, and can not only reduce additional wound number and reduce infection risk, operator need to confirm every
The number that nail does not injure patient's root of the tooth and tooth nerve etc. is also and then reduced, therefore operation generally speaking can still be substantially improved
Convenience and efficiency.Also, chin bone anchoring device and the binding steel wire that need not arrange in pairs or groups using the present invention, therefore do not have steel yet
Silk stabs patient oral cavity and the risk of operator, safety in utilization are good.
Description of the drawings
The present invention will be further described in detail below with reference to the accompanying drawings and specific embodiments.
Fig. 1：The dimensional decomposition structure diagram of first embodiment of the invention；
Fig. 2：The first screw rod of first embodiment of the invention does not penetrate the schematic cross-sectional view in the second screw rod；
Fig. 3：The first screw rod of first embodiment of the invention penetrates the schematic cross-sectional view in the second screw rod；
Fig. 4 a：Partial enlargement schematic cross-sectional view during first embodiment of the invention combination facing ring；
Fig. 4 b：Partial enlargement schematic cross-sectional view during first embodiment of the invention combination bone plate；
Fig. 5：First embodiment of the invention uses the implementation schematic diagram when there is the fractured bone of tooth patient reparation；
Fig. 6：First embodiment of the invention uses the implementation schematic diagram in the fractured bone that no tooth patient repairs；
Fig. 7：First embodiment of the invention uses the implementation schematic diagram when repairing knochenbruch；
Fig. 8：The dimensional decomposition structure diagram of second embodiment of the invention；
Fig. 9：The schematic cross-sectional view of second embodiment of the invention.
Reference sign
1 sleeve, 11 first screw hole
12 second screw holes
2 first screw rod, 21 first threaded portion
22 first assembled portion, 23 first stop
3 second screw rod, 31 second threaded portion
32 second assembled portion, 33 second stop
34 stretch through slot
4 facing ring, 41 ring body
42 rotating member, 421 upper collet
422 times 423 perforations of locking plate
424 lockhole, 425 screw
5 bone plate, 51 connecting portion
511 locking plates of upper collet 512 times
513 perforation, 514 lockhole
515 screw, 52 locking part
521 perforation
B1, B2 fractured bone B3, B4 knochenbruch
D1 maximum outside diameter D2 minimum diameters
P nails.
Specific embodiment
It is hereafter special according to the present invention for above and other objects, features and advantages of the invention is enable to be clearer and more comprehensible
Preferred embodiment, and attached drawing appended by cooperation, are described in detail below：
Fig. 1 is refer to, for the first embodiment of present invention chin bone anchoring device, the material of the chin bone anchoring device can be used pure
Titanium, titanium alloy（Such as：Ti6Al4V, TiNi, Ti15Mo etc.）, medical stainless steel（Such as：304th, 316,410 stainless steels etc.）It is or medical
Vitallium etc., and be molded using wherein at least one processing methods such as 3D printing, CNC processing, casting or wire cuttings.The chin bone
Fixing device generally includes sleeve 1, first screw rod, 2, second screw rods 3 and two locating pieces, first spiral shell
Bar 2 and second screw rod 3 are screwed together in respectively in the sleeve 1, and two locating pieces are exposed to respectively outside the sleeve 1, and combine this
One screw rod 2 and second screw rod 3；The present embodiment is enumerated locating piece and is explained for the forms such as facing ring 4 or bone plate 5, but not with
This is limited.
The inside of the sleeve 1 is in hollow state, which has an axially opposing both ends, and wherein one end sets that there are one the
One screw hole 11, first screw hole 11 are screwed togather for first screw rod 2, and the other end of sleeve 1 is then set there are one the second screw hole 12, this
Two screw holes 12 are screwed togather for second screw rod 3, are rotated the sleeve 1 and be can control first screw rod 2 and second screw rod 3 synchronous toward mutually leaning on
Near or mutually separate direction movement.The present invention does not limit the external form of the sleeve 1, wherein can be set to by by the external form of the sleeve 1
The cylindrical shape of Non-smooth surface reduces and generates situation about slipping when controlling the sleeve 1 rotation；Such as but without limitation, the present embodiment can
The middle part of the sleeve 1 is set to the simple molding hexagonal column of easy processing again by selection.
It is worth noting that, first screw hole 11 is opposite with the hand of spiral of second screw hole 12.That is, first screw hole
11 have levogyrate inner thread when, second screw hole 12 then have dextrorotation internal thread；And first screw hole 11 has dextrorotation internal thread
When, which then has levogyrate inner thread.Additionally, the center of first screw hole 11 and second screw hole 12 is preferably set
To be coaxial；The screw pitch of first screw hole 11 and second screw hole 12 can be set to identical, make first screw rod 2 and second screw rod 3
It can keep identical translational speed and distance.
Fig. 1~3 are refer to, the structure of first screw rod 2 and second screw rod 3 can be set to identical or not according to use demand
Together, one of them of first screw rod 2 and second screw rod 3 are set to a thicker tube body knot of diameter by the present embodiment selection
Structure, another is then the thinner bar structure of diameter, both make mutually close to when, the thinner body of rod of diameter can stretch through into diameter compared with
Thick tubular body, to increase the space of the two relative telescopic.
In detail, there are one the first threaded portion 21 and first assembled portion 22, first screw rods 2 for first screw rod 2 tool
First screw hole 11 is screwed together in by first threaded portion 21, and first assembled portion 22 is made to remain exposed outside the sleeve 1, so as to
Assembly and connection wherein a facing ring 4 or bone plate 5（Fig. 2,3 are illustrated by taking assembly and connection bone plate 5 as an example, and but not limited to this）.At this
In embodiment, which can be arranged on one of axial end portion of first screw rod 2, and be set to convex hoop shape, this
Another axial end portion of one screw rod 2 forms first stop 23, first threaded portion 21 be located at first screw rod 2 this
Between one assembled portion 22 and first stop 23.First screw rod 2 has one in first threaded portion 21 and first stop 23
A maximum outside diameter D1.
Similarly, there are one the second threaded portion 31 and second assembled portion 32, second screw rods 3 for second screw rod 3 tool
Second screw hole 12 is screwed together in by second threaded portion 31, and second assembled portion 32 is made to remain exposed outside the sleeve 1, so as to
Another facing ring 4 of assembly and connection or bone plate 5（Fig. 2,3 are illustrated by taking assembly and connection bone plate 5 as an example, and but not limited to this）.In this reality
It applies in example, which can be arranged on one of axial end portion of second screw rod 3, and be set to convex hoop shape, this second
Another axial end portion of screw rod 3 forms one second stop 33, which is located at this second group of second screw rod 3
Between dress portion 32 and second stop 33.Second screw rod 3 and the main distinction of first screw rod 2 be, second screw rod 3
Inside is additionally provided with the slot 34 that stretches through（Fig. 2,3 do not indicate）, which is in open shape, the slot that stretches through in second stop 33
34 tools are there are one minimum diameter D2, and minimum diameter D2 is more than the maximum outside diameter D1 of first screw rod 2.
Accordingly, as shown in figure 3, rotating the sleeve 1 to control first screw rod 2 and second screw rod 3 synchronous toward mutually close
Direction movement during, can't be logical in the first stop 23 of first screw rod 2 and the second stop 33 of second screw rod 3
It is forced to stop when crossing same sagittal plane, which can be rotated further, and make the first threaded portion 21 and first of first screw rod 2
Stop 23 stretch through second screw rod 3 the slot 34 that stretches through in, control first screw rod 2 and second spiral shell so as to promoting the sleeve 1
The mutually close or mutually separate amplitude of bar 3.
Fig. 1,4a are refer to, for the facing ring 4 tool there are one ring body 41 and a rotating member 42, which can be set to C-shaped
Shape and have there are one opening, make the ring body 41 that there is preferable elastic deformability, so that the ring body 41 to be inserted in the tooth of patient
It tooth and removes.The first assembled portion 22 for being fixed in first screw rod 2 or second screw rod 3 can be assembled in one end of the rotating member 42
Second assembled portion 32 makes to reach being completely fixed for zero degree of freedom between the rotating member 42 and first screw rod 2 or second screw rod 3
State；The other end of the rotating member 42 is then rotatably attached the ring body 41, makes the ring body 41 can be according to the tooth angle of patient
Rotation is inserted in patient teeth so as to smooth.
Such as but without limitation, the rotating member 42 of the present embodiment is equipped in one end away from the ring body 41 up and down separately
One upper collet 421 and a lower locking plate 422, the upper collet 421 are set there are one perforation 423, which sets that there are one locks
Hole 424.First screw rod 2 can penetrate the upper collet 421 of the facing ring 4 and lower locking plate 422 in the first assembled portion 22 of convex hoop shape
Between, the rotating member 42 separately by a screw 425 run through the upper collet 421 perforation 423 and first assembled portion 22, and with this
The lockhole 424 of lower locking plate 422 screws togather locking, and one end of the rotating member 42 is made to assemble the first assembling for being fixed in first screw rod 2
Portion 22.42 structure of rotating member of another facing ring 4 is identical, and the second assembled portion 32 of second screw rod 3 is fixed in assembling.
In other embodiment, the rotating member 42 is to be solidly connected to one end of first screw rod 2 or second screw rod 3, the rotating member 42
Can be uni-axial joint, universal joint, ball joint collocation Quick Release screw rod or the structures such as screw thread clamping or push-tight fixation.
Fig. 1,4b are refer to, which includes a connecting portion 51 and multiple locking parts 52, and the connecting portion 51 is composable solid
Be connected to the first assembled portion 22 of first screw rod 2 or the second assembled portion 32 of second screw rod 3, make the connecting portion 51 with this first
Reach zero degree of freedom between screw rod 2 or second screw rod 3 is completely fixed state；Each locking part 52 connects the connecting portion 51, and
Nail is supplied equipped with multiple perforation 521（Figure does not illustrate）Through interlocking.
Such as but without limitation, the connecting portion 51 of the present embodiment is equipped on a surface of the bone plate 5 up and down separately
One upper collet 511 and a lower locking plate 512, the upper collet 511 are set there are one perforation 513, which sets that there are one locks
Hole 514.First screw rod 2 in the first assembled portion 22 of convex hoop shape can penetrate the upper collet 511 of the bone plate 5 and lower locking plate 512 it
Between, and after the angle of the bone plate 5 compared to first screw rod 2 is adjusted, the upper collet is additionally run through by a screw 515
511 perforation 513 and first assembled portion 22, and locking is screwed togather with the lockhole 514 of the lower locking plate 512, obtain the connecting portion 51
The first assembled portion 22 of first screw rod 2 is fixed in assembling, and the bone plate 5 is made to maintain predetermined angle with first screw rod 2.Separately
51 structure of connecting portion of one bone plate 5 is identical, and the second assembled portion 32 of second screw rod 3 is fixed in assembling.In other implementations
In example, which can also be set to uni-axial joint, universal joint, ball joint collocation Quick Release screw rod or screw thread clamps or push-tight
The structures such as fixed.
Fig. 5 is refer to, according to by aforementioned structure, by the chin bone anchoring device use of the present invention in lower jaw reconstruction operations, if
Patient lower jawbone fracture, and patient still have tooth T, also without inter-lobe clearance it is excessive the problem of, so that it may selecting will be foregoing
Two facing rings 4 are respectively in connection in first screw rod 2 and second screw rod 3；The sleeve 1 is rotated further by, which is adjusted
It is whole to arrive at a distance of appropriate spacing, and covered respectively in two fractured bones B1, B2 for be bonded to patient's lower jawbone wherein with two facing rings 4
One tooth T, you can be completely fixed quickly and accurately two fractured bones B1, B2 of the lower jawbone of patient, so as to debridement and connect down
To carry out lower jaw reconstruction operations.
Fig. 6 is refer to, if patient has the problem of agomphosis, uses facing ring 4（As shown in fig. 4 a）At will be without positioning, and if
When patient has the problem of inter-lobe clearance is excessive, using facing ring 4 there will be loosening and can not strong fix situation；It at this point, can
Two foregoing bone plates 5 respectively in connection in first screw rod 2 and second screw rod 3, and are rotated the sleeve 1 by selection, by this two
A bone plate 5 is adjusted at a distance of appropriate spacing, reuses multiple nail P two bone plates 5 locks respectively and position to patient
On the inside of two fractured bones B1, B2 for nodding bone, you can two fractured bones B1, B2 of the lower jawbone of patient are completely fixed quickly and accurately,
So as to debridement and followed by lower jaw reconstruction operations.
Fig. 7 is refer to, in addition, the chin bone anchoring device of the present invention is equally applicable to the feelings of patient's lower jawbone local defect
Condition, i.e. it is similary to may be selected two foregoing bone plates 5 respectively in connection in first screw rod 2 and second screw rod 3, and rotate should
Two bone plates 5 are adjusted to, at a distance of appropriate spacing, reuse multiple nail P and two bone plates 5 lock respectively by sleeve 1
It positions to the same side of two knochenbruch B3, B4 of patient's lower jawbone, you can be completely fixed quickly and accurately the lower jawbone of patient
Two knochenbruch B3, B4, so as to debridement and followed by lower jaw reconstruction operations.
Fig. 8,9 are refer to, for the second embodiment of present invention chin bone anchoring device, the second embodiment of the present invention is substantially
Upper identical with above-mentioned first embodiment, the main distinction is：Second screw rod 3 is set to by second embodiment of the present invention selection
The structure identical with the first screw rod 2.Wherein, the end face of the first stop 23 of first screw rod 2 can be set to plane configuration, this second
The end face of second stop 33 of screw rod 3 is also identical, so as to first screw rod 2 and second screw rod 3 near when can be firmly
It abuts against, operator is made to obtain stopping operating the feel of the sleeve 1, and first screw rod 2 and second screw rod 3 can be avoided
Deformation dislocation.
The chin bone anchoring device of the present embodiment relatively is suitable for being not required to significantly to adjust its first screw rod 2 leaning on 3 phase of the second screw rod
The near or mutually situation away from amplitude, and by structure identical the first screw rod 2 and the second screw rod 3, when making manufacture, packaging and assembling
Without classification, promotion manufacture, storage and convenience when assembled are helped.
In conclusion the chin bone anchoring device of the present invention, it can be according to the lower jawbone condition of patient（Such as patient whether have it is scarce
Situation of the problem of tooth or excessive inter-lobe clearance and lower jawbone damage etc.）, select with suitable locating piece quickly and accurately
The operation ease and efficiency of immobilized patients lower jawbone is substantially improved in the lower jawbone of immobilized patients, and operator is made only to need specially
The heart performs lower jaw reconstruction operations, and no longer needs to consume substantial amounts of spirit and time in contraposition, the lower jawbone of immobilized patients, not only
Operating difficulty, reduction operating time can be simplified, and can ensure that lower jawbone accurate contraposition, make patient face it is postoperative can return to it is preoperative
The same apparent position improves the self-confidence of the postoperative social activity of patient.
Wherein, when locating piece is facing ring, the action of fixed lower jawbone can't generate patient additional wound；Depending on
When position part is bone plate, though the nail used of arranging in pairs or groups can generate patient additional wound, needed compared to previous in every tooth
Lock a nail between tooth, dental arch plate could be fixed on gum, the bone that chin bone anchoring device of the invention uses
Nail quantity will be greatly decreased, and can not only reduce additional wound number and reduce infection risk, operator need to confirm every
The number that nail does not injure patient's root of the tooth and tooth nerve etc. is also and then reduced, therefore operation generally speaking can still be substantially improved
Convenience and efficiency.Also, chin bone anchoring device and the binding steel wire that need not arrange in pairs or groups using the present invention, therefore do not have steel yet
Silk stabs patient oral cavity and the risk of operator, safety in utilization are good.
Claims (12)
1. a kind of chin bone anchoring device, which is characterized in that it includes：
One sleeve, one end are set there are one the first screw hole, and the other end sets that there are one the second screw hole, first screw hole and second spiral shells
The hand of spiral in hole is opposite；
One the first screw rod, tool there are one the first threaded portion and first assembled portion, first threaded portion be screwed together in this first
Screw hole, first assembled portion are exposed outside the sleeve；
One the second screw rod, tool there are one the second threaded portion and second assembled portion, second threaded portion be screwed together in this second
Screw hole, second assembled portion are exposed outside the sleeve；And
Two locating pieces are bonded respectively to first assembled portion and second assembled portion.
2. chin bone anchoring device as described in claim 1, it is characterised in that：The center of first screw hole and second screw hole is total to
Axis.
3. chin bone anchoring device as described in claim 1, it is characterised in that：The screw pitch phase of first screw hole and second screw hole
Together.
4. chin bone anchoring device as described in claim 1, it is characterised in that：The middle part of the sleeve is set to hexagonal column.
5. chin bone anchoring device as described in claim 1, it is characterised in that：There are one ring body and a rotations for locating piece tool
Part, one end assembling of the rotating member are fixed in the first assembled portion of first screw rod or the second assembled portion of second screw rod, should
The other end of rotating member is rotatably attached the ring body.
6. chin bone anchoring device as claimed in claim 5, it is characterised in that：The ring body is set to C-shape and has there are one opening.
7. chin bone anchoring device as claimed in claim 5, it is characterised in that：The rotating member sets that there are one under upper collet and one
Locking plate, the upper collet are set there are one perforation, which sets there are one lockhole, the first assembled portion of first screw rod or this second
Second assembled portion of screw rod is in convex hoop shape and penetrates between the upper collet and the lower locking plate, which is separately passed through by a screw
The perforation of the upper collet and first assembled portion or second assembled portion are worn, and screws togather the lockhole for securing to the lower locking plate.
8. chin bone anchoring device as described in claim 1, it is characterised in that：The locating piece includes a connecting portion and multiple locks
Gu portion, connecting portion assembling is fixed in the first assembled portion of first screw rod or the second assembled portion of second screw rod, each to lock
Portion connects the connecting portion and equipped with multiple perforation.
9. chin bone anchoring device as claimed in claim 8, it is characterised in that：The connecting portion sets that there are one under upper collet and one
Locking plate, the upper collet are set there are one perforation, which sets there are one lockhole, the first assembled portion of first screw rod or this second
Second assembled portion of screw rod is in convex hoop shape and penetrates between the upper collet and the lower locking plate, which is separately passed through by a screw
The perforation of the upper collet and first assembled portion or second assembled portion are worn, and screws togather the lockhole for securing to the lower locking plate.
10. chin bone anchoring device as claimed in any one of claims 1-9 wherein, it is characterised in that：First assembled portion is arranged on should
One of axial end portion of first screw rod, first screw rod is in another axial end of first threaded portion to first screw rod
There are one maximum outside diameters for tool at portion；Second assembled portion is arranged on one of axial end portion of second screw rod, second screw rod
Be internally provided with the slot that stretches through, which is in open shape in another axial end portion of second screw rod, slot tool that stretches through
There are one minimum diameter, which is more than the maximum outside diameter of first screw rod.
11. chin bone anchoring device as claimed in any one of claims 1-9 wherein, it is characterised in that：First screw rod with this second
The structure of screw rod is identical.
12. chin bone anchoring device as claimed in claim 11, it is characterised in that：First assembled portion is arranged on first screw rod
One of axial end portion, another axial end portion of first screw rod form first stop, first screw thread position in
Between first assembled portion and first stop, the planar state in end face of first stop.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201611032594.XA CN108066051A (en) | 2016-11-16 | 2016-11-16 | Nod bone anchoring device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201611032594.XA CN108066051A (en) | 2016-11-16 | 2016-11-16 | Nod bone anchoring device |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN108066051A true CN108066051A (en) | 2018-05-25 |
Family
ID=62161389
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201611032594.XA Pending CN108066051A (en) | 2016-11-16 | 2016-11-16 | Nod bone anchoring device |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN108066051A (en) |
Citations (14)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US597582A (en) * | 1898-01-18 | Teeth-regulator | ||
| EP0770359A1 (en) * | 1995-10-05 | 1997-05-02 | Medicon e.G. Chirurgiemechaniker-Genossenschaft | Distraction device for bone segments |
| US20030050641A1 (en) * | 2000-01-11 | 2003-03-13 | Mommaerts Maurice Yves | Apparatus for intraoral distraction osteotomy to widen the upper jaw |
| CN2544686Y (en) * | 2002-05-14 | 2003-04-16 | 徐绍光 | Bone-knitting tractor |
| US6575741B2 (en) * | 1997-05-09 | 2003-06-10 | Zygomatics Limited | Oral anchorage |
| CN2613250Y (en) * | 2003-04-24 | 2004-04-28 | 杜卫新 | Snoring prevention device |
| US20070156147A1 (en) * | 2001-11-09 | 2007-07-05 | Robert Wang | Bone fixation device and method |
| CN201572173U (en) * | 2009-12-30 | 2010-09-08 | 中国医学科学院整形外科医院 | Stretching screw in jaw |
| CN201624758U (en) * | 2009-10-15 | 2010-11-10 | 孟茜 | Fracture reduction fixer |
| US8118850B2 (en) * | 2007-12-10 | 2012-02-21 | Marcus Jeffrey R | Intermaxillary fixation device and method of using same |
| CN203315062U (en) * | 2013-01-24 | 2013-12-04 | 天津市威曼生物材料有限公司 | Universal horizontal connector for internal fixation of spines |
| CN204501174U (en) * | 2014-12-19 | 2015-07-29 | 张湘民 | Lateral wall of pharynx traction apparatus |
| TW201617038A (en) * | 2014-07-09 | 2016-05-16 | 德派信迪思產品公司 | Flexible maxillo-mandibular fixation device |
| CN103260697B (en) * | 2010-11-30 | 2016-08-10 | 法比安·赫尔曼·厄本·伏格列斯特 | Helical inserter |
-
2016
- 2016-11-16 CN CN201611032594.XA patent/CN108066051A/en active Pending
Patent Citations (14)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US597582A (en) * | 1898-01-18 | Teeth-regulator | ||
| EP0770359A1 (en) * | 1995-10-05 | 1997-05-02 | Medicon e.G. Chirurgiemechaniker-Genossenschaft | Distraction device for bone segments |
| US6575741B2 (en) * | 1997-05-09 | 2003-06-10 | Zygomatics Limited | Oral anchorage |
| US20030050641A1 (en) * | 2000-01-11 | 2003-03-13 | Mommaerts Maurice Yves | Apparatus for intraoral distraction osteotomy to widen the upper jaw |
| US20070156147A1 (en) * | 2001-11-09 | 2007-07-05 | Robert Wang | Bone fixation device and method |
| CN2544686Y (en) * | 2002-05-14 | 2003-04-16 | 徐绍光 | Bone-knitting tractor |
| CN2613250Y (en) * | 2003-04-24 | 2004-04-28 | 杜卫新 | Snoring prevention device |
| US8118850B2 (en) * | 2007-12-10 | 2012-02-21 | Marcus Jeffrey R | Intermaxillary fixation device and method of using same |
| CN201624758U (en) * | 2009-10-15 | 2010-11-10 | 孟茜 | Fracture reduction fixer |
| CN201572173U (en) * | 2009-12-30 | 2010-09-08 | 中国医学科学院整形外科医院 | Stretching screw in jaw |
| CN103260697B (en) * | 2010-11-30 | 2016-08-10 | 法比安·赫尔曼·厄本·伏格列斯特 | Helical inserter |
| CN203315062U (en) * | 2013-01-24 | 2013-12-04 | 天津市威曼生物材料有限公司 | Universal horizontal connector for internal fixation of spines |
| TW201617038A (en) * | 2014-07-09 | 2016-05-16 | 德派信迪思產品公司 | Flexible maxillo-mandibular fixation device |
| CN204501174U (en) * | 2014-12-19 | 2015-07-29 | 张湘民 | Lateral wall of pharynx traction apparatus |
Non-Patent Citations (1)
| Title |
|---|
| 于靖军: "《机械原理》", 28 February 2015, 机械工业出版社 * |
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