CN109745114A - A kind of multi-functional vertebral plasty instrument - Google Patents
A kind of multi-functional vertebral plasty instrument Download PDFInfo
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- CN109745114A CN109745114A CN201811385814.6A CN201811385814A CN109745114A CN 109745114 A CN109745114 A CN 109745114A CN 201811385814 A CN201811385814 A CN 201811385814A CN 109745114 A CN109745114 A CN 109745114A
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- Prior art keywords
- outer tube
- sacculus
- handle
- speak
- assembly
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- 210000000988 bone and bone Anatomy 0.000 claims abstract description 47
- 239000000945 filler Substances 0.000 claims abstract description 44
- 210000001519 tissue Anatomy 0.000 claims abstract description 10
- 238000003780 insertion Methods 0.000 claims abstract description 9
- 230000037431 insertion Effects 0.000 claims abstract description 9
- 239000000463 material Substances 0.000 claims description 19
- 239000002775 capsule Substances 0.000 claims description 15
- 238000005452 bending Methods 0.000 claims description 9
- 239000010410 layer Substances 0.000 claims description 8
- 239000002356 single layer Substances 0.000 claims description 7
- 239000007787 solid Substances 0.000 claims 1
- 238000010586 diagram Methods 0.000 description 46
- 239000007788 liquid Substances 0.000 description 16
- 239000000243 solution Substances 0.000 description 10
- 238000001356 surgical procedure Methods 0.000 description 9
- 239000002639 bone cement Substances 0.000 description 7
- 239000000956 alloy Substances 0.000 description 6
- 230000002146 bilateral effect Effects 0.000 description 6
- 229910001285 shape-memory alloy Inorganic materials 0.000 description 6
- 208000002925 dental caries Diseases 0.000 description 5
- 238000005516 engineering process Methods 0.000 description 5
- 238000002347 injection Methods 0.000 description 5
- 239000007924 injection Substances 0.000 description 5
- 239000007769 metal material Substances 0.000 description 5
- 230000003321 amplification Effects 0.000 description 4
- 238000003199 nucleic acid amplification method Methods 0.000 description 4
- 206010023509 Kyphosis Diseases 0.000 description 2
- 208000001132 Osteoporosis Diseases 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 230000006870 function Effects 0.000 description 2
- 230000036541 health Effects 0.000 description 2
- 229920002521 macromolecule Polymers 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 241001456553 Chanodichthys dabryi Species 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 230000000202 analgesic effect Effects 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 201000011066 hemangioma Diseases 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 230000003211 malignant effect Effects 0.000 description 1
- 230000001009 osteoporotic effect Effects 0.000 description 1
- 238000005325 percolation Methods 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 238000007789 sealing Methods 0.000 description 1
- 206010041569 spinal fracture Diseases 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 230000009885 systemic effect Effects 0.000 description 1
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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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
Abstract
The invention discloses a kind of multi-functional vertebral plasty instruments, including sacculus assembly and component of beginning to speak, component of beginning to speak includes outer tube assembly and begins to speak Liner Components, outer tube assembly includes outer tube and outer tube handle, outer tube, which axially has, bears that tissue begins to speak thrust and indeformable rigidity, outer tube handle are provided with bone filler grouting socket;Liner Components of beginning to speak include end socket, connector and connector handle, and the maximum outside diameter of end socket is less than or equal to the internal diameter of outer tube;The distal portions of sacculus assembly are mounted in outer tube component internal along connector insertion.The present invention also provides another multi-functional vertebral plasty instruments, the difference is that, the distal end of outer tube is provided with side opening, and Liner Components of beginning to speak include end socket and connector, and the maximum outside diameter of end socket is greater than the internal diameter of outer tube.Two kinds of multi-functional vertebral plasty instruments provided by the invention realize and begin to speak, expand and inject bone filler and be integrated, easy to operate flexibly to shorten operating time, reduce operation risk.
Description
Technical field
The invention belongs to the field of medical instrument technology, more particularly to a kind of multi-functional centrum used in vertebroplasty
Shape instrument.
Background technique
Osteoporotic vertebral fracture is the common disease for endangering middle-aged and the old's health, for vertebral compression bone
Folding, traditional treatment method is based on conservative, including lies up, is drug analgesic, fixed etc. outside brace, easily lead to bone amount into
One step is lost, and aggravates osteoporosis, to form vicious circle;And open surgery is often in poor shape because of systemic, spiral shell
It is insufficient to follow closely fixing intensity, easily leads to Unstable internal fixation.
Report within Charles Robert Richet Deramond etc. 1987 invading using percutaneous vertbroplasty (PVP) treatment C2 centrum
Attacking property hemangioma achieves good curative effect.Hereafter, which is also applied to Vertebral malignant tumorss and osteoporosis.It should
The shortcoming of operation is can only to make to hurt vertebra by deformity fixation and relieve pain, and cannot restore vertebral height and correct humpback
Deformity, and due to the low viscosity bone cement of direct injection into vertebral cancellous bone at elevated pressures, it is more difficult to its flowing is controlled,
Bone cement percolation ratio is higher, and document report is 30%~67%.By 1994, American scholar Reiley etc. on the basis of PVP,
It devises through balloon expandable and corrects the technology of kyphosis deformity, become percutaneous kyphoplasty (PKP), in
Clinic was applied to by FDA approval in 1998.A kind of balloon-expandable is placed in the vertebra collapsed using percutaneous puncture by the technology
Body is lifted soleplate by the expansion of sacculus, replys the height of centrum, correct kyphosis deformity, and form a surrounding in centrum
For the cavity of bone shell, high viscous bone cement is perfused at low pressures.In order to make sacculus smoothly enter centrum, need first to use
Puncture needle and working column establish service aisle, then reuse bone drill and drill out work cavity of the sacculus before expansion, then by ball
Capsule is sent into centrum, withdraws from sacculus after forming the cavity that a surrounding is bone shell in centrum, finally injects bone cement, operation step
It is rapid cumbersome;Simultaneously as the reason of vertebral body structure, in order to keep the stress balance in centrum biomethanics, every section centrum is all needed
Carry out the balloon expandable and injection bone cement of bilateral.Operation requires to operate in the case where X-ray monitors, the surgical procedure more cumbersome time
The longer health damage to doctor is bigger, physical fitness requirement is higher;Bilateral carries out balloon expandable and injection bone cement to patient trauma
Greatly, complication chance of occurrence is high, also increases the financial burden of patient, and disadvantages mentioned above becomes in the case where more piece Vertebral body
It obtains more prominent.
For disadvantages mentioned above, the Chinese patent of Patent No. 201310671713.6 discloses a kind of vertebral body balloon expansion system
System, devises hard end socket, protects the casing and lining core of sacculus, under the booster action of lining core, before expansion is opened in realization
Service aisle, the distal end of sacculus is fixedly connected with the closed end socket in distal end, firstly, the remote of sacculus is arranged in the end socket of this technology
End, the position that balloon distal is connected with end socket are related to the sealing problem of balloon expandable, have certain seep in balloon expandable
It leaks out danger, secondly, this technology is to open working path and expansion before realizing expansion, is not carried out the filling function of bone filler,
The financial burden of the reduction patient in maximum magnitude is not accomplished.
For the problems of the prior art, a kind of using flexible is needed, it is easy to operate, operating time can be shortened, reduced
Operation risk, reduce patient economy burden, begin to speak, balloon expandable and convey filler one multi-functional vertebral body shaper
Tool.
Summary of the invention
The technical problem to be solved by the present invention is to be directed to above-mentioned defect existing in the prior art, propose that a kind of collection is established
Cavity, expansion and conveying bone filler are in the multi-functional vertebral plasty instrument of one.
To achieve the above object, the invention adopts the following technical scheme:
First technical solution of the invention is: providing a kind of multi-functional vertebral plasty instrument, including sacculus assembly and opens
Chamber component, the component of beginning to speak include outer tube assembly and Liner Components of beginning to speak, in which:
The outer tube assembly includes outer tube and outer tube handle, and the outer tube handle is set to the proximal end of the outer tube, described
Outer tube, which axially has, to be born tissue and begins to speak thrust and indeformable rigidity, and the outer tube handle is provided with bone filler injection and connects
Mouthful;
The Liner Components of beginning to speak include end socket, connector and connector handle, and the end socket is set to the connector
Distal end, the maximum outside diameter of the end socket is less than or equal to the internal diameter of the outer tube, and the connector handle is set to described
The proximal end of connector;
The distal portions of the sacculus assembly are mounted in the outer tube component internal along connector insertion, by operating institute
Outer tube handle is stated, the outer tube can be made to be moved forward and backward along the axial direction of the sacculus assembly, when the sacculus assembly and described
It begins to speak to inject bone filler by the bone filler grouting socket and realize that centrum is filled out after Liner Components withdraw from the outer tube assembly
It fills.
Second technical solution of the invention is: providing a kind of multi-functional vertebral plasty instrument, including sacculus assembly and opens
Chamber component, the component of beginning to speak include outer tube assembly and Liner Components of beginning to speak, in which:
The outer tube assembly includes outer tube and outer tube handle, and the outer tube handle is set to the proximal end of the outer tube, described
The axial direction of outer tube, which has, bears that tissue begins to speak thrust and indeformable rigidity, the distal end of the outer tube are provided with side opening, the outer tube
Handle is provided with bone filler grouting socket;
The Liner Components of beginning to speak include end socket and connector, and the end socket is set to the distal end of the connector, described
The maximum outside diameter of end socket is greater than the internal diameter of the outer tube;
The distal portions of the sacculus assembly are mounted in the outer tube component internal along connector insertion, by operating institute
Outer tube handle is stated, the outer tube can be made to be moved forward and backward along the axial direction of the sacculus assembly, when the sacculus assembly withdraws from institute
After stating outer tube assembly, bone filler is injected by the bone filler grouting socket and realizes centrum filling.
Further, in first and second technical solutions, the distal end of the outer tube is stationary curved section or adjustable bending
Angle section, the distal end of the connector is matched with the distal end of the outer tube.
Further, in first and second technical solutions, the sacculus assembly includes utricule, developing ring, in sacculus
Pipe, sacculus outer tube and sacculus handle, the utricule are made of single layer high molecular material or by outer layer mesh bags and internal layer macromolecule
Material sacculus is made jointly, and the distal end of the utricule is fixedly connected with the sacculus inner tube, the proximal end of the utricule and the ball
Capsule distal outer tube is fixedly connected, and the proximal end of the sacculus outer tube is fixedly connected with the sacculus handle, the sacculus inner tube and ball
Access is formed between capsule outer tube.
Further, in first technical solution, the connector handle and the sacculus handle are an integral structure.
Further, in first and second technical solutions, the outer tube handle and the sacculus handle or described
Connector handle is to be detachably connected.
Further, in first technical solution, the connector is the sacculus inner tube of the sacculus assembly, the ball
Intracapsular pipe distal end is stretched out the utricule distal end and is connect with the end socket.
Further, in second technical solution, the outer tube is provided with one or more side openings.
Further, in second technical solution, the axial direction along the outer tube is provided on the outer tube handle
Hole slot.
Further, in second technical solution, the proximal end of the connector is detachably connected with the hole slot.
The present invention by adopting the above technical scheme, compared with prior art, has the following technical effect that
1) in existing pyramid plastic operation, there is preferable mechanical property to make centrum after surgery, need to every section centrum
All carry out bilateral puncture/establish cavity, bilateral expansion and bilateral filling;And the distal end of multi-functional vertebral plasty instrument of the invention
It can be stationary curved section or adjustable bent angle section, instrument distal end can be sent to centrum center or centrum opposite side, unilateral side, which punctures, to be realized
The purpose of bilateral operation, the generation for effectively alleviating the wound of patient, reducing operating time, reducing complication, simultaneously
Alleviate the financial burden of patient;
2) in existing pyramid plastic operation, every section centrum requires to establish service aisle with puncture needle, is then existed with bone drill
Cavity is established in centrum, then withdraws from bone drill, then sacculus is sent into centrum intramedullary expansion and struts centrum and forms cavity, is finally withdrawn from
Sacculus, and inject bone cement;And multi-functional vertebral plasty instrument of the invention, instrument only can be achieved with multiple functions with one,
Cavity can be established in centrum, is then expanded, finally from outer tube under environment under low pressure by the service aisle of stock size
Bone filler grouting socket on handle conveys bone filler, and surgical procedure is simple and convenient, shortens operating time, further mitigates
The financial burden of patient;
3) end socket that the present invention designs is fixedly connected with the distal end of connector, effectively reduces end socket and balloon distal connects
Connect the inadequate risk of leakproofness when may result in expansion;
4) utricule that the present invention designs is made jointly of outer layer mesh bag and internal layer high molecular material sacculus, and such design increases
The pressure-resistant performance of entire utricule, increases the safety of operation;
5) the multi-functional vertebral plasty instrument of the present invention realizes and begins to speak, expands and inject bone filler and be integrated, and operation
Simple and flexible shortens operating time, reduces operation risk.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of one embodiment of the invention;
Fig. 1 a is the sacculus assembly of one embodiment and the structural schematic diagram of B area amplification;
Fig. 1 b is the component structure diagram of beginning to speak of one embodiment;
Fig. 1 c is the instrument distal structure schematic diagram of one embodiment;
Fig. 1 d is that the present invention of one embodiment establishes the structural schematic diagram of cavity in centrum;
Fig. 1 e is that the recession delivery pipe of one embodiment discharges the structural schematic diagram of sacculus;
Fig. 1 f is the balloon expandable of one embodiment and the structural schematic diagram for strutting centrum;
Fig. 1 g is the structural schematic diagram that the sacculus assembly of one embodiment and Liner Components of beginning to speak withdraw from outer tube assembly;
Fig. 1 h is the structural schematic diagram that bone filler is conveyed along outer tube of one embodiment;
Fig. 2 is the structural schematic diagram of second embodiment of the invention;
Fig. 2 a is the structural schematic diagram of the sacculus assembly of second embodiment, begin to speak Liner Components and B area amplification;
Fig. 2 b is the outer tube component structure diagram of second embodiment;
Fig. 2 c is the instrument distal structure schematic diagram of second embodiment;
Fig. 2 d is that the present invention of second embodiment establishes the structural schematic diagram of cavity in centrum;
Fig. 2 e is that the recession delivery pipe of second embodiment discharges the structural schematic diagram of sacculus;
Fig. 2 f is the balloon expandable of second embodiment and the structural schematic diagram for strutting centrum;
Fig. 2 g is the structural schematic diagram that the sacculus assembly of second embodiment and Liner Components of beginning to speak withdraw from outer tube assembly;
Fig. 2 h is the structural schematic diagram that bone filler is conveyed along outer tube of second embodiment;
Fig. 3 is the structural schematic diagram of third embodiment of the invention;
Fig. 3 a is the sacculus assembly of third embodiment and the structural schematic diagram of B area amplification;
Fig. 3 b is the component structure diagram of beginning to speak of third embodiment;
Fig. 3 c is the instrument distal structure schematic diagram of third embodiment;
Fig. 3 d is that the present invention of third embodiment establishes the structural schematic diagram of cavity in centrum;
Fig. 3 e is that the recession delivery pipe of third embodiment discharges the structural schematic diagram of sacculus;
Fig. 3 f is the balloon expandable of third embodiment and the structural schematic diagram for strutting centrum;
Fig. 3 g is that the sacculus assembly of third embodiment withdraws from the structural schematic diagram of outer tube assembly;
Fig. 3 h is the structural schematic diagram that bone filler is conveyed along outer tube and side opening of third embodiment
Fig. 4 is the structural schematic diagram of the 4th embodiment of the invention;
Fig. 4 a is the sacculus assembly of the 4th embodiment and the structural schematic diagram of B area amplification;
Fig. 4 b is the component structure diagram of beginning to speak of the 4th embodiment;
Fig. 4 c is the instrument distal structure schematic diagram of the 4th embodiment;
Fig. 4 d is the present invention curved structural schematic diagram for establishing cavity uncomfortable in centrum of the 4th embodiment;
Fig. 4 e is that the recession delivery pipe of the 4th embodiment discharges the structural schematic diagram of sacculus;
Fig. 4 f is the balloon expandable of the 4th embodiment and the structural schematic diagram for strutting centrum;
Fig. 4 g is that the sacculus assembly of the 4th embodiment withdraws from the structural schematic diagram of outer tube assembly;
Fig. 4 h is the structural schematic diagram that bone filler is conveyed along outer tube and side opening of the 4th embodiment;
Fig. 5 is the structural schematic diagram of the 5th embodiment of the invention;
Fig. 5 a is the sacculus assembly structural schematic diagram of the 5th embodiment;
Fig. 5 b is the component structure diagram of beginning to speak of the 5th embodiment;
Fig. 5 c is the instrument distal structure schematic diagram of the 5th embodiment;
Fig. 5 d is that the present invention of the 5th embodiment establishes the structural schematic diagram of cavity in centrum;
Fig. 5 e is that the recession delivery pipe of the 5th embodiment discharges the structural schematic diagram of sacculus;
Fig. 5 f is the balloon expandable of the 5th embodiment and the structural schematic diagram for strutting centrum;
Fig. 5 g is the structural schematic diagram that the sacculus assembly of the 5th embodiment and Liner Components of beginning to speak withdraw from outer tube assembly;
Fig. 5 h is the structural schematic diagram that bone filler is conveyed along outer tube of the 5th embodiment;
Wherein, each appended drawing reference is as follows:
1- sacculus assembly, 11- utricule, 111- mesh bag, 112- sacculus, 12- developing ring, 13- sacculus inner tube, outside 14- sacculus
Pipe, 15- sacculus handle, the access between 16- sacculus inner tube and sacculus outer tube, 17- gas or liquid, 2- begin to speak component, outside 21-
Tube assembly, 22- begin to speak Liner Components, 211- outer tube, 2110- side opening, 212- outer tube handle, and the injection of 2120- bone filler connects
Mouthful, 2121- hole slot, 221- end socket, 222- connector, 223- connector handle, 23- filler, 3- service aisle.
Specific embodiment
The present invention is described in more detail below by specific embodiment, for a better understanding of the present invention,
But following embodiments are not intended to limit the scope of the invention.
Embodiment 1
As shown in Figure 1, a kind of multi-functional vertebral plasty instrument, it is characterised in that: including sacculus assembly 1 and group of beginning to speak
Part 2.Proximal end described in the present embodiment refers to that one end close to operator, the distal end refer to one far from operator
End.
As shown in Figure 1a, the sacculus assembly 1 includes utricule 11, developing ring 12, sacculus inner tube 13, sacculus outer tube 14 and ball
Capsule handle 15, the utricule 11 are made of single layer high molecular material, 11 distal end of utricule and the fixed company of the sacculus inner tube 13
It connects, the proximal end of the utricule 11 is fixedly connected with 14 distal end of sacculus outer tube, the proximal end of the sacculus outer tube 14 and the ball
Capsule handle 15 is fixedly connected, and 13 distal end of sacculus inner tube is bending section, proximal end is straight section, outside the sacculus inner tube 13 and sacculus
It is access 16 between pipe 14, gas or liquid 17 can be injected toward utricule 11 by the access 16.
As shown in Figure 1 b, the component 2 of beginning to speak includes outer tube assembly 21 and Liner Components 22 of beginning to speak, the outer tube assembly packet
Outer tube 211 and outer tube handle 212 are included, the Liner Components 22 of beginning to speak include end socket 221, connector 222 and connector handle
223, the outer tube 211 bears that tissue begins to speak thrust and indeformable rigidity, the end socket 221 are fixedly connected on connection to having
The distal end of part 222, the maximum outside diameter of the end socket 221 are less than or equal to the internal diameter of the outer tube 211, the outer tube 211
Distal end is stationary curved section, the built-up sectional material that the outer tube 211 is made of memory alloy material or metal material is made or both
Material is made, and the outer tube handle 212 is provided with bone filler grouting socket 2120, is realized by operation outer tube handle 212 described
Outer tube 211 can move axially back and forth along sacculus assembly 1, and the outer tube handle 212 is detachably to connect with the sacculus handle 15
It connects.
As illustrated in figure 1 c, the utricule 11 is arranged inside the outer tube 211, and the end socket 221 can be in the outer tube
The distal end bending section of 211 internal slides, the outer tube 211, the sacculus inner tube 13 and the connector 221 matches, described
The distal portions of sacculus assembly 1 are along the connector 222 insertion inside the outer tube assembly 21.
Specific surgical procedure is as follows:
As shown in Figure 1 d, multi-functional vertebral plasty instrument is inserted into centrum along service aisle 3, has an X-rayed lower observation, directly
Centrum center is crossed to the end socket 221, reaches centrum opposite side, cavity is completed and establishes.
As shown in fig. le, the outer tube handle 212 is adjusted, the outer tube 211 of dropping back, until the utricule 11 is completely sudden and violent
Dew.
As shown in Figure 1 f, the gas or liquid 17 are injected toward the utricule 11 along the access 16, expands and struts vertebra
Body.
As shown in Figure 1 g, expanding gas or liquid are withdrawn from along the access 16, will then works as the sacculus assembly 1 and institute
It states Liner Components 22 of beginning to speak and withdraws from the outer tube assembly 21, there are cavitys inside centrum at this time.
As shown in figure 1h, it is filled along the bone filler grouting socket 2120 and the outer tube 211 to centrum delivered inside
Object 23 withdraws from whole instruments until the filler 23 fills up centrum internal cavities, completes operation.
Embodiment 2
As shown in Fig. 2, a kind of multi-functional vertebral plasty instrument, it is characterised in that: including sacculus assembly 1 and group of beginning to speak
Part 2.Proximal end described in the present embodiment refers to that one end close to operator, the distal end refer to one far from operator
End.
As shown in Figure 2 a, the sacculus assembly 1 includes utricule 11, developing ring 12, sacculus inner tube 13, sacculus outer tube 14 and ball
Capsule handle 15, the utricule 11 are made of single layer high molecular material, 11 distal end of utricule and the fixed company of the sacculus inner tube 13
It connects, the proximal end of the utricule 11 is fixedly connected with 14 distal end of sacculus outer tube, the proximal end of the sacculus outer tube 14 and the ball
Capsule handle 15 is fixedly connected, and 13 distal end of sacculus inner tube is bending section, proximal end is straight section, outside the sacculus inner tube 13 and sacculus
It is access 16 between pipe 14, gas or liquid 17 can be injected toward utricule 11 by the access 16, the sacculus assembly 1
Sacculus inner tube 13 is the connector 222, and the sacculus inner tube 13 is distally stretched out 11 distal end of utricule and connected with the end socket 221
It connects, the sacculus handle 15 is an integral structure with the connector handle 223.
As shown in Figure 2 b, the component 2 of beginning to speak includes outer tube assembly 21 and Liner Components 22 of beginning to speak, the outer tube assembly packet
Outer tube 211 and outer tube handle 212 are included, the Liner Components 22 of beginning to speak include end socket 221, connector 222 and connector handle
223, the outer tube 211 is axial to be had and bears that tissue begins to speak thrust and indeformable rigidity, the maximum outside diameter of the end socket 221 are small
In or equal to the outer tube 211 internal diameter, the distal end of the outer tube 211 is stationary curved section or adjustable bent angle section, described outer
The combined material that pipe 211 is made of memory alloy material or metal material is made or both is made, the outer tube handle setting
212 have bone filler grouting socket 2120, realize that the outer tube 211 can be along sacculus assembly 1 by operating outer tube handle 212
It is moved forward and backward.
As shown in Figure 2 c, the utricule 11 is arranged inside the outer tube 211, and the end socket 221 can be in the outer tube
211 internal slides.The distal portions of the sacculus assembly 1 are along the connector 222 insertion in the outer tube assembly 21
Portion.
Specific surgical procedure is as follows:
As shown in Figure 2 d, multi-functional vertebral plasty instrument is inserted into centrum along service aisle 3, has an X-rayed lower observation, directly
Centrum center is crossed to the end socket 221, reaches centrum opposite side, cavity is completed and establishes.
As shown in Figure 2 e, the outer tube handle 212 is adjusted, the outer tube 211 of dropping back, until the utricule 11 is completely sudden and violent
Dew.
As shown in figure 2f, the gas or liquid 17 are injected toward the utricule 11 along the access 16, expands and struts vertebra
Body.
As shown in Figure 2 g, expanding gas or liquid are withdrawn from along the access 16, will then works as the sacculus assembly 1 and institute
It states Liner Components 22 of beginning to speak and withdraws from the outer tube assembly 21, there are cavitys inside centrum at this time.
As shown in fig. 2h, it is filled along the bone filler grouting socket 2120 and the outer tube 211 to centrum delivered inside
Object 23 withdraws from whole instruments until the filler 23 fills up centrum internal cavities, completes operation.
Embodiment 3
As shown in figure 3, a kind of multi-functional vertebral plasty instrument, it is characterised in that: including sacculus assembly 1 and group of beginning to speak
Part 2.Proximal end described in the present embodiment refers to that one end close to operator, the distal end refer to one far from operator
End.
As shown in Figure 3a, the sacculus assembly 1 includes utricule 11, developing ring 12, sacculus inner tube 13, sacculus outer tube 14 and ball
Capsule handle 15, the utricule 11 are made of single layer high molecular material, 11 distal end of utricule and the fixed company of the sacculus inner tube 13
It connects, the proximal end of the utricule 11 is fixedly connected with 14 distal end of sacculus outer tube, the proximal end of the sacculus outer tube 14 and the ball
Capsule handle 15 is fixedly connected, and 13 distal end of sacculus inner tube is bending section, proximal end is straightway, the sacculus inner tube 13 and sacculus
It is access 16 between outer tube 14, gas or liquid 17 can be injected toward utricule 11 by the access 16.
As shown in Figure 3b, the component 2 of beginning to speak includes outer tube assembly 21 and Liner Components 22 of beginning to speak, the outer tube assembly packet
Include outer tube 211 and outer tube handle 212, the Liner Components 22 of beginning to speak include end socket 221 and connector 222, the outer tube 211 to
It is described with bearing that tissue begins to speak thrust and indeformable rigidity, the end socket 221 are fixedly connected on the distal end of connector 222
The combined material that outer tube 211 is made of memory alloy material or metal material is made or both is made, and the end socket 221 is most
Big outer diameter is greater than the internal diameter of the outer tube 211, and the distal end of the outer tube 211 is stationary curved section or adjustable bent angle section, described outer
The distal end of pipe 211 is provided with one or more side openings 2110, and the outer tube 211 is made of memory alloy material, the outer tube hand
Handle setting 212 has bone filler grouting socket 2120, and the hole slot along outer tube axial direction is provided on the outer tube handle 212
2121, realize that the outer tube 211 can move axially back and forth along sacculus assembly 1 by operating outer tube handle 212, the outer tube
Handle 212 is to be detachably connected with the sacculus handle 15.
As shown in Figure 3c, the utricule 11 is arranged inside the outer tube 211, the outer tube 211, the sacculus inner tube 13
It is matched with the distal end bending section of the connector 221, the distal portions of the sacculus assembly 1 are inserted into along the connector 222
Inside the outer tube assembly 21.
Specific surgical procedure is as follows:
As shown in Figure 3d, multi-functional vertebral plasty instrument is inserted into centrum along service aisle 3, has an X-rayed lower observation, directly
Centrum center is crossed to the end socket 221, reaches centrum opposite side, cavity is completed and establishes.
As shown in Figure 3 e, the outer tube handle 212 is adjusted, the outer tube 211 of dropping back, until the utricule 11 is completely sudden and violent
Dew.
As illustrated in figure 3f, gas or liquid 17 are injected toward the utricule 11 along the access 16, expands and struts centrum.
As shown in figure 3g, expanding gas or liquid are withdrawn from along the access 16, the utricule 11 is then recovered to institute
It states in outer tube 211, the sacculus assembly 1 is then withdrawn from into the outer tube assembly 21, there are cavitys inside centrum at this time.
As illustrated in figure 3h, operating the outer tube handle 212 makes the side opening 2110 enter the cavity, operates the connection
The proximal end of part 222 makes the proximal end of connector be inserted into the hole slot 2121, connect connector 222 with the outer tube handle 212
Fixed, along the bone filler grouting socket 2120 and the outer tube 211, bone filler 23 passes through the side opening 2110 to centrum
Delivered inside withdraws from whole instruments until bone filler 23 fills up centrum internal cavities, completes operation.
Embodiment 4
As shown in figure 4, a kind of multi-functional vertebral plasty instrument, it is characterised in that: including sacculus assembly 1 and group of beginning to speak
Part 2.Proximal end described in the present embodiment refers to that one end close to operator, the distal end refer to one far from operator
End.
As shown in fig. 4 a, the sacculus assembly 1 includes utricule 11, developing ring 12, sacculus inner tube 13, sacculus outer tube 14 and ball
Capsule handle 15, the utricule 11 are made of single layer high molecular material, 11 distal end of utricule and the fixed company of the sacculus inner tube 13
It connects, the proximal end of the utricule 11 is fixedly connected with 14 distal end of sacculus outer tube, the proximal end of the sacculus outer tube 14 and the ball
Capsule handle 15 is fixedly connected, and the sacculus inner tube 13 is proximally and distally straight section, the sacculus inner tube 13 and sacculus outer tube 14
Between be access 16, gas or liquid 17 can be injected toward utricule 11 by the access 16.
As shown in Figure 4 b, the component 2 of beginning to speak includes outer tube assembly 21 and Liner Components 22 of beginning to speak, the outer tube assembly packet
Include outer tube 211 and outer tube handle 212, the Liner Components 22 of beginning to speak include end socket 221 and connector 222, the outer tube 211 to
It is described with bearing that tissue begins to speak thrust and indeformable rigidity, the end socket 221 are fixedly connected on the distal end of connector 222
The maximum outside diameter of end socket 221 is greater than the internal diameter of the outer tube 211, and the distal end of the outer tube 211 is adjustable bent angle section, described outer
The distal end of pipe 211 is provided with one or more side openings 2110, and the outer tube 211 is made of memory alloy material or metal material system
At or both combined material be made, outer tube handle setting 212 has bone filler grouting socket 2120, the outer tube hand
It is provided with the hole slot 2121 along outer tube axial direction on handle 212, realizes that the outer tube 211 can edge by operating outer tube handle 212
Sacculus assembly 1 move axially back and forth.
As illustrated in fig. 4 c, the utricule 11 is arranged inside the outer tube 211, the distal portions edge of the sacculus assembly 1
The insertion of connector 222 is inside the outer tube assembly 21.
Specific surgical procedure is as follows:
As shown in figure 4d, multi-functional vertebral plasty instrument is inserted into centrum along service aisle 3, has an X-rayed lower observation, directly
Centrum center is crossed to the end socket 221, cavity is completed and establishes.
As shown in fig 4e, the outer tube handle 212 is adjusted, the outer tube 211 of dropping back, until the utricule 11 is completely sudden and violent
Dew.
As shown in fig. 4f, gas or liquid 17 are injected toward the utricule 11 along the access 16, expands and struts centrum.
As shown in figure 4g, expanding gas or liquid are withdrawn from along the access 16, the utricule 11 is then recovered to institute
It states in outer tube 211, then will withdraw from the outer tube assembly 21 when the sacculus assembly 1, there are cavitys inside centrum at this time.
As shown in figure 4h, operating the outer tube handle 212 makes the side opening 2110 enter the cavity, operates the connection
The proximal end of part 222 makes the proximal end of connector be inserted into the hole slot 2121, connect connector 222 with the outer tube handle 212
Fixed, along the bone filler grouting socket 2120 and the outer tube 211, bone filler 23 passes through the side opening 2110 to centrum
Delivered inside withdraws from whole instruments until bone filler 23 fills up centrum internal cavities, completes operation.
Embodiment 5
As shown in figure 5, a kind of multi-functional vertebral plasty instrument, it is characterised in that: including sacculus assembly 1 and group of beginning to speak
Part 2.
As shown in Figure 5 a, the sacculus assembly 1 includes utricule 11, developing ring 12, sacculus inner tube 13, sacculus outer tube 14 and ball
Capsule handle 15,11 distal end of utricule are fixedly connected with the sacculus inner tube 13, outside the proximal end of the utricule 11 and the sacculus
14 distal end of pipe is fixedly connected, and (Fig. 5 a (2) is utricule by single layer macromolecule material when the utricule 11 struts such as shown in Fig. 5 a (1)
Schematic diagram when material is made and struts), the utricule 11 is made jointly by outer layer mesh bag 111 and internal layer high molecular material sacculus 112
At, the proximal end of the sacculus outer tube 14 is fixedly connected with the sacculus handle 15,13 distal end of sacculus inner tube be bending section,
Proximal end is straight section, is access 16 between the sacculus inner tube 13 and sacculus outer tube 14, can be by the access 16 toward utricule 11
Inject gas or liquid 17.
As shown in Figure 5 b, the component 2 of beginning to speak includes outer tube assembly 21 and Liner Components 22 of beginning to speak, the outer tube assembly packet
Outer tube 211 and outer tube handle 212 are included, the Liner Components 22 of beginning to speak include end socket 221, connector 222 and connector handle
223, the outer tube 211 bears that tissue begins to speak thrust and indeformable rigidity, the end socket 221 are fixedly connected on connection to having
The distal end of part 222, the maximum outside diameter of the end socket 221 are less than or equal to the internal diameter of the outer tube 211, the outer tube 211
Distal end is stationary curved section, the built-up sectional material that the outer tube 211 is made of memory alloy material or metal material is made or both
Material is made, and the outer tube handle 212 is provided with bone filler grouting socket 2120, is realized by operation outer tube handle 212 described
Outer tube 211 can move axially back and forth along sacculus assembly 1, and the outer tube handle 212 is detachably to connect with the sacculus handle 15
It connects.
As shown in Figure 5 c, the utricule 11 is arranged inside the outer tube 211, and the end socket 221 can be in the outer tube
The distal end bending section of 211 internal slides, the outer tube 211, the sacculus inner tube 13 and the connector 222 matches, described
The distal portions of sacculus assembly 1 are along the connector 222 insertion inside the outer tube assembly 21.
Specific surgical procedure is as follows:
As fig 5d, multi-functional vertebral plasty instrument is inserted into centrum along service aisle 3, has an X-rayed lower observation, directly
Centrum center is crossed to the end socket 221, reaches centrum opposite side, cavity is completed and establishes.
As depicted in fig. 5e, the outer tube handle 212 is adjusted, the outer tube 211 of dropping back, until the utricule 11 is completely sudden and violent
Dew.
As shown in figure 5f, the gas or liquid 17 are injected toward the utricule 11 along the access 16, expands and struts vertebra
Body.
As shown in fig. 5g, expanding gas or liquid are withdrawn from along the access 16, will then works as the sacculus assembly 1 and institute
It states Liner Components 22 of beginning to speak and withdraws from the outer tube assembly 21, there are cavitys inside centrum at this time.
As shown in figure 5h, it is filled along the bone filler grouting socket 2120 and the outer tube 211 to centrum delivered inside
Object 23 withdraws from whole instruments until the filler 23 fills up centrum internal cavities, completes operation.
Specific embodiments of the present invention are described in detail above, but it is merely an example, the present invention is simultaneously unlimited
It is formed on particular embodiments described above.To those skilled in the art, any couple of present invention carries out equivalent modifications and
Substitution is also all among scope of the invention.Therefore, without departing from the spirit and scope of the invention made by equal transformation and
Modification, all should be contained within the scope of the invention.
Claims (10)
1. a kind of multi-functional vertebral plasty instrument, which is characterized in that including sacculus assembly and component of beginning to speak, the component packet of beginning to speak
Include outer tube assembly and Liner Components of beginning to speak, in which:
The outer tube assembly includes outer tube and outer tube handle, and the outer tube handle is set to the proximal end of the outer tube, the outer tube
It is axial have bear that tissue begins to speak thrust and indeformable rigidity, the outer tube handle are provided with bone filler grouting socket;
The Liner Components of beginning to speak include end socket, connector and connector handle, and the end socket is set to the remote of the connector
End, the maximum outside diameter of the end socket are less than or equal to the internal diameter of the outer tube, and the connector handle is set to the connection
The proximal end of part;
The distal portions of the sacculus assembly are mounted in the outer tube component internal along connector insertion, described outer by operating
Pipe handle can be such that the outer tube is moved forward and backward along the axial direction of the sacculus assembly, when the sacculus assembly and described begin to speak
After Liner Components withdraw from the outer tube assembly, bone filler is injected by the bone filler grouting socket and realizes centrum filling.
2. a kind of multi-functional vertebral plasty instrument, which is characterized in that including sacculus assembly and component of beginning to speak, the component packet of beginning to speak
Include outer tube assembly and Liner Components of beginning to speak, in which:
The outer tube assembly includes outer tube and outer tube handle, and the outer tube handle is set to the proximal end of the outer tube, the outer tube
Axial direction have and bear that tissue begins to speak thrust and indeformable rigidity, the distal end of the outer tube are provided with side opening, the outer tube handle
It is provided with bone filler grouting socket;
The Liner Components of beginning to speak include end socket and connector, and the end socket is set to the distal end of the connector, the end socket
Maximum outside diameter be greater than the outer tube internal diameter;
The distal portions of the sacculus assembly are mounted in the outer tube component internal along connector insertion, described outer by operating
Pipe handle can be such that the outer tube is moved forward and backward along the axial direction of the sacculus assembly, when the sacculus assembly is withdrawn from outside described
After tube assembly, bone filler is injected by the bone filler grouting socket and realizes centrum filling.
3. multi-functional vertebral plasty instrument according to claim 1 or 2, which is characterized in that the distal end of the outer tube is solid
Determine bending section or adjustable bent angle section, the distal end of the connector are matched with the distal end of the outer tube.
4. multi-functional vertebral plasty instrument according to claim 1 or 2, which is characterized in that the sacculus assembly includes capsule
Body, developing ring, sacculus inner tube, sacculus outer tube and sacculus handle, the utricule are made of single layer high molecular material or by outer layers
Mesh bag and internal layer high molecular material sacculus are made jointly, and the distal end of the utricule is fixedly connected with the sacculus inner tube, the capsule
The proximal end of body is fixedly connected with the sacculus distal outer tube, and the proximal end of the sacculus outer tube is fixedly connected with the sacculus handle,
Access is formed between the sacculus inner tube and sacculus outer tube.
5. multi-functional vertebral plasty instrument according to claim 4, which is characterized in that the connector handle and the ball
Capsule handle is an integral structure.
6. multi-functional vertebral plasty instrument according to claim 4, which is characterized in that the outer tube handle and the sacculus
Handle or the connector handle are to be detachably connected.
7. multi-functional vertebral plasty instrument according to claim 1, which is characterized in that the connector is the sacculus group
The sacculus inner tube of part, the sacculus inner tube distal end are stretched out the utricule distal end and are connect with the end socket.
8. multi-functional vertebral plasty instrument according to claim 2, which is characterized in that the outer tube is provided with one or more
A side opening.
9. multi-functional vertebral plasty instrument according to claim 2, which is characterized in that be provided with edge on the outer tube handle
The hole slot of the axial direction of the outer tube.
10. multi-functional vertebral plasty instrument according to claim 9, which is characterized in that the proximal end of the connector and institute
Hole slot is stated to be detachably connected.
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
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CN201811385814.6A CN109745114A (en) | 2018-11-20 | 2018-11-20 | A kind of multi-functional vertebral plasty instrument |
PCT/CN2019/116829 WO2020103711A1 (en) | 2018-11-20 | 2019-11-08 | Multifunctional vertebroplasty instrument |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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CN201811385814.6A CN109745114A (en) | 2018-11-20 | 2018-11-20 | A kind of multi-functional vertebral plasty instrument |
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Publication Number | Publication Date |
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CN109745114A true CN109745114A (en) | 2019-05-14 |
Family
ID=66402798
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CN201811385814.6A Pending CN109745114A (en) | 2018-11-20 | 2018-11-20 | A kind of multi-functional vertebral plasty instrument |
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CN (1) | CN109745114A (en) |
WO (1) | WO2020103711A1 (en) |
Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
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WO2020103711A1 (en) * | 2018-11-20 | 2020-05-28 | 宁波华科润生物科技有限公司 | Multifunctional vertebroplasty instrument |
WO2020103710A1 (en) * | 2018-11-20 | 2020-05-28 | 宁波华科润生物科技有限公司 | Integrated multifunctional vertebroplasty instrument |
WO2021135649A1 (en) | 2019-12-30 | 2021-07-08 | 宁波华科润生物科技有限公司 | Multifunctional vertebral body former |
WO2022062779A1 (en) * | 2020-09-23 | 2022-03-31 | 宁波华科润生物科技有限公司 | Transpedicular intervertebral fusion system |
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WO2021135649A1 (en) | 2019-12-30 | 2021-07-08 | 宁波华科润生物科技有限公司 | Multifunctional vertebral body former |
WO2022062779A1 (en) * | 2020-09-23 | 2022-03-31 | 宁波华科润生物科技有限公司 | Transpedicular intervertebral fusion system |
Also Published As
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Application publication date: 20190514 |