CN108742818A - A kind of outer fixture of wall of the chest for medical treatment - Google Patents
A kind of outer fixture of wall of the chest for medical treatment Download PDFInfo
- Publication number
- CN108742818A CN108742818A CN201810770300.6A CN201810770300A CN108742818A CN 108742818 A CN108742818 A CN 108742818A CN 201810770300 A CN201810770300 A CN 201810770300A CN 108742818 A CN108742818 A CN 108742818A
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- China
- Prior art keywords
- chest
- wall
- titanium alloy
- medical
- medical treatment
- 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
Links
- 229910001069 Ti alloy Inorganic materials 0.000 claims abstract description 38
- 210000000038 chest Anatomy 0.000 claims description 28
- 210000000115 thoracic cavity Anatomy 0.000 claims description 8
- 206010002091 Anaesthesia Diseases 0.000 claims description 6
- 230000037005 anaesthesia Effects 0.000 claims description 6
- 238000001949 anaesthesia Methods 0.000 claims description 6
- 238000005452 bending Methods 0.000 claims description 5
- 229920000965 Duroplast Polymers 0.000 claims description 3
- 238000002695 general anesthesia Methods 0.000 claims description 3
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 claims description 2
- 229910052719 titanium Inorganic materials 0.000 claims description 2
- 239000010936 titanium Substances 0.000 claims description 2
- 229910000846 In alloy Inorganic materials 0.000 claims 1
- 238000002513 implantation Methods 0.000 abstract description 3
- 239000000463 material Substances 0.000 abstract description 3
- 206010017076 Fracture Diseases 0.000 description 8
- 210000000779 thoracic wall Anatomy 0.000 description 6
- 238000007667 floating Methods 0.000 description 5
- 210000004072 lung Anatomy 0.000 description 5
- 238000000034 method Methods 0.000 description 4
- 230000029058 respiratory gaseous exchange Effects 0.000 description 3
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 230000002159 abnormal effect Effects 0.000 description 2
- 229910045601 alloy Inorganic materials 0.000 description 2
- 239000000956 alloy Substances 0.000 description 2
- 210000003109 clavicle Anatomy 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 208000014674 injury Diseases 0.000 description 2
- 210000000876 intercostal muscle Anatomy 0.000 description 2
- 230000008733 trauma Effects 0.000 description 2
- 208000010392 Bone Fractures Diseases 0.000 description 1
- 206010009245 Clavicle fracture Diseases 0.000 description 1
- 206010035664 Pneumonia Diseases 0.000 description 1
- 230000002146 bilateral effect Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000011089 mechanical engineering Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000035764 nutrition Effects 0.000 description 1
- 235000016709 nutrition Nutrition 0.000 description 1
- 230000036407 pain Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 230000001225 therapeutic effect Effects 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
- A61B17/8004—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with means for distracting or compressing the bone or bones
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8061—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
- A61B17/8076—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones for the ribs or the sternum
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/885—Tools for expanding or compacting bones or discs or cavities therein
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8861—Apparatus for manipulating flexible wires or straps
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (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)
Abstract
The present invention relates to medical instruments fields, and in particular to the outer fixture of the wall of the chest.A kind of outer fixture of wall of the chest for medical treatment, including a fixture, fixture includes at least one titanium alloy sheet with radian, and titanium alloy sheet is in strip, the upper and lower both sides of titanium alloy sheet are equipped at least three sheets protrusion, and at least three sheets protrusion is equidistantly arranged on titanium alloy sheet；The lower part of at least three sheets protrusion is equipped with the first groove for fixing silk thread.The present invention by this design, realize it is a kind of it is simple in structure, easy to operate, patient suffering is few, without implantation material, non-incision the medical wall of the chest outside fixture.
Description
Technical field
The present invention relates to medical instruments fields, and in particular, to the outer fixture of the wall of the chest.
Background technology
Thoracic trauma, fracture of multiple ribs cause the patient of floating thoracic wall, and current therapeutic scheme is with pressure dressing, breathing
Machine assisted respiartion, memorial alloy inside-fixture merging based on, pressure dressing is few for fracture of rib, the small patient of floating thoracic wall range
It is applicable in, but be easy to cause chest and collapse, the course of disease is long, and to fracture of multiple ribs, large area floating thoracic wall patient is not applicable；It utilizes
Assisted mechanical ventilator, but lung ventilator difficult management, patient's nutrition are not caught up with, and are easy concurrent ventilator pneumonia, and
Patient spends height, and technical difficulty is big, and County Hospital development is not easy；Memorial alloy inside-fixture is placed in, and needs to spend more, operation wound
Wound is big, and patient suffering is more, has merging object rejection, faces the problem of secondary taking-up.
Invention content
The object of the present invention is to provide fixtures outside a kind of wall of the chest for medical treatment, are asked with solving above-mentioned at least one technology
Topic.
In order to achieve the above object, the present invention uses following technical proposals：
A kind of outer fixture of wall of the chest for medical treatment, including a fixture, which is characterized in that the fixture includes at least
A piece titanium alloy sheet with radian, the titanium alloy sheet are in strip, and the upper and lower both sides of the titanium alloy sheet are equipped at least
Three sheet protrusions, at least three sheet protrusions are equidistantly arranged on the titanium alloy sheet.
The lower part of at least three sheet protrusions is equipped with the first groove for fixing silk thread.
The titanium alloy sheet is two, and connector is equipped between two titanium alloy sheets, and the connector uses a bar
The both sides of shape body, the rhabodoid are equipped with second groove for being embedded in the titanium alloy sheet.
The rhabodoid uses a telescopic rod.
The longitudinal section of the sheet protrusion is in isosceles trapezoid, the sheet protrusion outward bending.
After local anaesthesia patient, bifilar or four strands of medical No. 10 silk threads are pierced into from outside patient body by medical looper,
So that medical No. 10 silk threads is bypassed patient's rib cage, is bind on titanium alloy sheet after being pierced by from the wall of the chest.
After patients undergoing general anesthesia, after entering thoracic cavity by awl piercing skin, thoracoscope is placed in, is operated by thoracoscope
Bifilar or four strands of medical No. 10 silk threads are sent into hole, and the both ends of medical No. 10 silk threads are drawn after sending to awl hook using awl, then
Medical No. 10 silk threads are fixed on titanium alloy sheet.
The fixture includes an armor, and the armor includes two pieces of plate bodys with radian, two pieces of plate bodys
Middle part overlap, two pieces of plate bodys are equipped with the strip groove for being embedded in titanium alloy sheet；
At least three threading holes are additionally provided on the armor, at least three threading holes are equidistantly arranged on the armor.
Two pieces of plate bodys are made of duroplasts.
It is equipped with bolt hole in the middle part of two pieces of plate bodys, and then is bolted between two pieces of plate bodys.
In the case of the present invention does not have simple fracture of rib patient or condition, after local anaesthesia, this is set
Meter is fixed on patient's wall of the chest, directly props up floating thoracic wall, no abnormal breathing, expands lung volume, increases lung capacity；Or
Line is sent into thoracic cavity with awl coning intercostal muscle using invasive methods, this product is fixed on, after two weeks by person under thoracoscope
The wall of the chest hardens, fixture except taking out stitches.
The present invention is designed by this, realize it is a kind of it is simple in structure, easy to operate, patient suffering is few, without implantation material, without cutting
The outer fixture of the medical wall of the chest of mouth.
Description of the drawings
Fig. 1 is the part-structure schematic diagram of the present invention；
Fig. 2 is the part-structure schematic diagram at the armor of the present invention.
Specific implementation mode
The specific implementation mode of the present invention is further described below in conjunction with attached drawing.
As depicted in figs. 1 and 2, the outer fixture of a kind of wall of the chest for medical treatment, including a fixture, fixture include at least
A piece titanium alloy sheet 1 with radian, titanium alloy sheet are in strip, and the upper and lower both sides of titanium alloy sheet are equipped at least three
Shape protrusion 2, at least three sheets protrusion are equidistantly arranged on titanium alloy sheet.The present invention is designed by this, realizes a kind of knot
Structure is simple and convenient to operate, patient suffering is few, without implantation material, non-incision the medical wall of the chest outside fixture.The present invention is for simple
Fracture of rib patient or in the case of condition do not have, after local anaesthesia, this design is fixed on patient's wall of the chest, directly will
Floating thoracic wall is propped up, no abnormal breathing, expands lung volume, increases lung capacity；Alternatively, under thoracoscope, minimally invasive side is used
Line is sent into thoracic cavity by method with awl coning intercostal muscle, is fixed on this product, and posterior chest wall hardening in two weeks is fixed except taking out stitches
Object.
Titanium alloy sheet can utilize bending machine used in mechanical engineering to bend, with the patient suitable for different figures.
The lower part of at least three sheets protrusion is equipped with the first groove for fixing silk thread.Silk thread can be fixed on two pieces
On titanium alloy sheet between shape protrusion.Alternatively, further fixing position by the first groove, the sliding of silk thread is limited.
Titanium alloy sheet is two, and connector 3 is equipped between two titanium alloy sheets, and connector uses a rhabodoid, rhabodoid
Both sides be equipped with one for being embedded in the second groove of titanium alloy sheet.Rhabodoid uses a telescopic rod.To be suitable for many places
Fracture, if fracture of multiple ribs occurs for patient body bilateral, the arranged on left and right sides of body is with same method, both sides
Fixed titanium alloy sheet.
The longitudinal section of sheet protrusion is in isosceles trapezoid, sheet protrusion outward bending.In use, sheet protrusion is towards patient's
Bending on the outside of body.Convenient for fixing silk thread, while the body of not shouting pain patient.
After local anaesthesia patient, bifilar or four strands of medical No. 10 silk threads are pierced into from outside patient body by medical looper,
So that medical No. 10 silk threads is bypassed patient's rib cage, is bind on titanium alloy sheet after being pierced by from the wall of the chest.The method is equally applicable to clavicle bone
The outer fixation of folding is directly pierced into skin using looper band line and is pierced by after clavicle, by medical No. 10 silks equally after local anaesthesia
Line is tied up on titanium alloy sheet.The recovery period of fracture of clavicle patient is up to 8 weeks or so, and the stage casing fracture for being suitable for body thin is suffered from
Person.After patients undergoing general anesthesia, after entering thoracic cavity by awl piercing skin, thoracoscope is placed in, is sent by thoracoscope handle hole
Enter bifilar or four strands of medical No. 10 silk threads, the both ends of medical No. 10 silk threads are drawn after sending to awl hook using awl, then will doctor
It is fixed on titanium alloy sheet with No. 10 silk threads.It can be pierced into awl by upper and lower many places and fix thoracic cavity using medical No. 10 silk threads
Mirror.Thoracic trauma handle 15 days it is above after, wall of the chest hardening sterilizes to take out stitches at suture line of skin and directly removes armor or titanium plate,
Suture is directly extracted out.
Fixture includes an armor 4, and armor includes two pieces of plate bodys with radian, and the middle part of two boards shape body is mutually overlapped
Folded, two boards shape body is equipped with the strip groove for being embedded in titanium alloy sheet；At least three threading holes 5 are additionally provided on armor, until
Few three threading holes are equidistantly arranged on armor.Two boards shape body is made of duroplasts.It is all provided in the middle part of two boards shape body
There is bolt hole, and then is bolted between two boards shape body.Titanium alloy sheet, while armor are further fixed using armor
It can be used alone, silk thread is directly fixed on by threading hole on armor.
Although present disclosure is discussed in detail by above preferred embodiment, but it should be appreciated that above-mentioned
Description is not considered as limitation of the present invention.After those skilled in the art have read the above, for the present invention's
A variety of modifications and substitutions all will be apparent.Therefore, protection scope of the present invention should be limited to the appended claims.
Claims (10)
1. a kind of outer fixture of wall of the chest for medical treatment, including a fixture, which is characterized in that the fixture includes at least one
It is in strip that root, which has the titanium alloy sheet of radian, the titanium alloy sheet, and the upper and lower both sides of the titanium alloy sheet are equipped at least three
A sheet protrusion, at least three sheet protrusions are equidistantly arranged on the titanium alloy sheet.
2. a kind of outer fixture of wall of the chest for medical treatment as described in claim 1, which is characterized in that at least three sheets
The lower part of protrusion is equipped with the first groove for fixing silk thread.
3. a kind of outer fixture of wall of the chest for medical treatment as described in claim 1, which is characterized in that the titanium alloy sheet is two
Root, connector is equipped between two titanium alloy sheets, and the connector uses a rhabodoid, the both sides of the rhabodoid equal
The second groove equipped with one for being embedded in the titanium alloy sheet.
4. a kind of outer fixture of wall of the chest for medical treatment as claimed in claim 3, which is characterized in that the rhabodoid uses one
Telescopic rod.
5. the outer fixture of a kind of wall of the chest for medical treatment as described in claim 1, which is characterized in that the sheet protrusion is indulged
Section is in isosceles trapezoid, the sheet protrusion outward bending.
6. a kind of outer fixture of wall of the chest for medical treatment as described in claim 1, which is characterized in that in local anaesthesia patient
Afterwards, bifilar or four strands of medical No. 10 silk threads are pierced by medical looper from outside patient body, medical No. 10 silk threads is made to bypass patient
Rib cage is bind to after being pierced by from the wall of the chest on titanium alloy sheet.
7. a kind of outer fixture of wall of the chest for medical treatment as described in claim 1, which is characterized in that in patients undergoing general anesthesia
Afterwards, after entering thoracic cavity by awl piercing skin, thoracoscope is placed in, bifilar or four strands medical 10 are sent by thoracoscope handle hole
Number silk thread, the both ends of medical No. 10 silk threads are drawn after sending to awl hook using awl, then medical No. 10 silk threads are fixed to titanium
In alloy sheets.
8. a kind of outer fixture of wall of the chest for medical treatment as described in claim 1, which is characterized in that the fixture includes one
Armor, the armor include two pieces of plate bodys with radian, are overlapped in the middle part of two pieces of plate bodys, two pieces of plates
Body is equipped with the strip groove for being embedded in titanium alloy sheet；
At least three threading holes are additionally provided on the armor, at least three threading holes are equidistantly arranged on the armor.
9. a kind of outer fixture of wall of the chest for medical treatment as claimed in claim 8, which is characterized in that two pieces of plate bodys are adopted
It is made of duroplasts.
10. a kind of outer fixture of wall of the chest for medical treatment as claimed in claim 8, which is characterized in that two pieces of plate bodys
Middle part be equipped with bolt hole, and then be bolted between two pieces of plate bodys.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810770300.6A CN108742818A (en) | 2018-07-13 | 2018-07-13 | A kind of outer fixture of wall of the chest for medical treatment |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810770300.6A CN108742818A (en) | 2018-07-13 | 2018-07-13 | A kind of outer fixture of wall of the chest for medical treatment |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN108742818A true CN108742818A (en) | 2018-11-06 |
Family
ID=63973796
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201810770300.6A Pending CN108742818A (en) | 2018-07-13 | 2018-07-13 | A kind of outer fixture of wall of the chest for medical treatment |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN108742818A (en) |
Citations (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0583520A1 (en) * | 1992-08-18 | 1994-02-23 | Nauchno-Proizvodstennoe Obiedinenie " Ekran" | Device for treating funnel chest |
| CN2683047Y (en) * | 2004-03-11 | 2005-03-09 | 杨佐治 | Flail chest fixing steel plate |
| US20070038218A1 (en) * | 2005-08-12 | 2007-02-15 | Mark Grevious | Sternal closure device |
| CN201612683U (en) * | 2010-02-04 | 2010-10-27 | 中国人民解放军第四军医大学 | Non-surrounding rib fixing bone fracture plate |
| CN203988319U (en) * | 2014-07-11 | 2014-12-10 | 苏州苏南捷迈得医疗器械有限公司 | A kind of pawl type rib plate with screw hole |
| CN104799930A (en) * | 2015-05-21 | 2015-07-29 | 柳立军 | Flail chest treatment device |
| CN104856750A (en) * | 2015-04-09 | 2015-08-26 | 广州军区广州总医院 | Anatomic snap-ring-shaped sterna rib setting device |
| TWM509628U (en) * | 2015-06-18 | 2015-10-01 | zi-rong Huang | Chest bone correction board structure |
| CN106983553A (en) * | 2017-05-18 | 2017-07-28 | 长春圣博玛生物材料有限公司 | A kind of jeans button arm microplate device |
-
2018
- 2018-07-13 CN CN201810770300.6A patent/CN108742818A/en active Pending
Patent Citations (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0583520A1 (en) * | 1992-08-18 | 1994-02-23 | Nauchno-Proizvodstennoe Obiedinenie " Ekran" | Device for treating funnel chest |
| CN2683047Y (en) * | 2004-03-11 | 2005-03-09 | 杨佐治 | Flail chest fixing steel plate |
| US20070038218A1 (en) * | 2005-08-12 | 2007-02-15 | Mark Grevious | Sternal closure device |
| CN201612683U (en) * | 2010-02-04 | 2010-10-27 | 中国人民解放军第四军医大学 | Non-surrounding rib fixing bone fracture plate |
| CN203988319U (en) * | 2014-07-11 | 2014-12-10 | 苏州苏南捷迈得医疗器械有限公司 | A kind of pawl type rib plate with screw hole |
| CN104856750A (en) * | 2015-04-09 | 2015-08-26 | 广州军区广州总医院 | Anatomic snap-ring-shaped sterna rib setting device |
| CN104799930A (en) * | 2015-05-21 | 2015-07-29 | 柳立军 | Flail chest treatment device |
| TWM509628U (en) * | 2015-06-18 | 2015-10-01 | zi-rong Huang | Chest bone correction board structure |
| CN106983553A (en) * | 2017-05-18 | 2017-07-28 | 长春圣博玛生物材料有限公司 | A kind of jeans button arm microplate device |
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