CN109893201A - A kind of expansion marrow reamer and hip joint anterior approach instrument packet - Google Patents

A kind of expansion marrow reamer and hip joint anterior approach instrument packet Download PDF

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Publication number
CN109893201A
CN109893201A CN201711311395.7A CN201711311395A CN109893201A CN 109893201 A CN109893201 A CN 109893201A CN 201711311395 A CN201711311395 A CN 201711311395A CN 109893201 A CN109893201 A CN 109893201A
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China
Prior art keywords
noumenon
shank
blade
row
reamer
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CN201711311395.7A
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Chinese (zh)
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CN109893201B (en
Inventor
张长青
黄广志
董骧
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Beijing Naton Medical Science And Technology Research Institute Co Ltd
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Beijing Naton Medical Science And Technology Research Institute Co Ltd
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Abstract

The present invention provides a kind of expansion marrow reamer and hip joint anterior approach instrument packet, and expanding marrow reamer includes blade, shank and interconnecting piece.Blade includes the first noumenon and the first connecting pin positioned at the first noumenon one end, and the first noumenon can extend into femoral bone cavitas medullaris, and the periphery of the first noumenon has multiple expansion marrow slots.Shank includes the second ontology and the second connection end positioned at second ontology one end, and the other end of the second ontology can be connect with power mechanism.Wherein, the first connecting pin and second connection end enable blade and shank relative rotation with the rotatable connection of interconnecting piece.Compared with existing stock class integral type expands marrow reamer, the angle between the blade and shank of expansion marrow reamer of the invention is adjustable, so that surgical procedure is convenient, saves operating time.

Description

A kind of expansion marrow reamer and hip joint anterior approach instrument packet
Technical field
The present invention relates to medical instruments used in the surgical procedure of medical instruments field, especially hip replacement.
Background technique
In the surgical procedure of hip replacement, different operative approaches can be selected according to the state of an illness of patient.In order to reduce Operation wound be conducive to patient's post-operative recovery, operation opening (dissection) be intended to out it is small as far as possible, but be open it is too small, can make to perform the operation It is influenced by space, position, angle, increases operating difficulty and operating time.In order to solve this contradiction, so that facilitating operation is grasped To make, save operating time, occur expansion marrow reamer on the market, is stock class instrument, the both ends sectional area size of the body of rod is different, Pulp cavity is protruded into the lesser one end of sectional area, the other end for expanding marrow reamer can be connected with power mechanism, such as power electric drill, be realized Expand marrow.
However, existing expansion marrow reamer has the disadvantage that
Existing expansion marrow reamer is stock class instrument, and when carrying out expansion marrow, shank can be with human body interference effect surgical procedure;It is special It is not when expanding the rear handle connection power electric drill of marrow reamer, the influence to operation will be bigger.
Therefore, it is necessary to improve to existing expansion marrow reamer, so that surgical procedure is convenient, operating time is saved.
Summary of the invention
A primary object of the present invention is to overcome at least one defect of the above-mentioned prior art, provides a kind of expansion marrow hinge Knife and hip joint anterior approach instrument packet save operating time so that surgical procedure is convenient.
To reach above-mentioned purpose, the present invention provides a kind of expansion marrow reamer comprising blade, shank and interconnecting piece.
Blade includes the first noumenon and the first connecting pin positioned at the first noumenon one end, and the first noumenon can extend into femur marrow It is intracavitary, and the periphery of the first noumenon has multiple expansion marrow slots.
Shank includes the second ontology and the second connection end positioned at second ontology one end, and the other end of the second ontology can be with Power mechanism connection.
Wherein, the first connecting pin and second connection end enable blade and shank with the rotatable connection of interconnecting piece Relative rotation.
Another aspect of the present invention also provides a kind of hip joint anterior approach instrument packet comprising drag hook hits handle device, Myelocavity file Handle, pulp cavity opener and above-mentioned expansion marrow reamer.
The beneficial effect of the present invention compared to the prior art is: compared with existing stock class integral type expands marrow reamer, Angle between the blade and shank of expansion marrow reamer of the invention is adjustable, so that surgical procedure is convenient, saves operating time. The present invention is that the minimally invasive of operation provides instrument guarantee, and clinical feedback effects are good.
Detailed description of the invention
Consider following the following detailed description of the embodiment of the present invention in conjunction with the accompanying drawings, various targets of the invention, Feature and advantage will become apparent.Attached drawing is only exemplary diagram of the invention, is not necessarily drawn to scale. In the accompanying drawings, same appended drawing reference always shows same or similar component.Wherein:
Fig. 1 is the overall structure diagram of expansion marrow reamer of the invention.
Fig. 2 is the schematic diagram in bending state of expansion marrow reamer of the invention.
Fig. 3 is the schematic diagram in multi-motion state of expansion marrow reamer of the invention.
Fig. 4 is the schematic diagram of the blade of expansion marrow reamer of the invention.
Fig. 5 is the schematic diagram of the shank of expansion marrow reamer of the invention.
Fig. 6 is the schematic diagram of the elastic mechanism of expansion marrow reamer of the invention.
Specific embodiment
Example embodiment is described more fully with reference to the drawings.However, example embodiment can be with a variety of shapes Formula is implemented, and is not understood as limited to embodiment set forth herein;On the contrary, thesing embodiments are provided so that the present invention more Fully and completely, and by the design of example embodiment comprehensively it is communicated to those skilled in the art.Identical attached drawing in figure Label indicates same or similar structure, thus the detailed description that will omit them.
The term of relativity, such as " lower " or " bottom " and " higher " or " top " may be used in embodiment, to retouch State relativeness of the component for another component of icon.It is appreciated that, if the device overturning of icon made thereon Lower reverse, then the component described in " lower " side will be as the component in " higher " side.In addition, when certain layer in other layers or When substrate "upper", it is possible to refer to that " direct " on other layers or substrate, or refers to that certain layer on other layers or substrate, or refers to other The other layers of sandwiched between layer or substrate.
The present invention provides a kind of expansion marrow reamer, is used to carry out expansion marrow to femoral bone cavitas medullaris.Expanding marrow reamer can be used as hip joint One of anterior approach instrument packet tool, with drag hook, hit handle device and Myelocavity file handle pulp cavity opener is used in conjunction with, complete hip Joint anterior approach device.
Hereinafter, the structure of expansion marrow reamer of the invention is described in detail.
As shown in Figure 1, 2, 3, expansion marrow reamer of the invention includes blade 10, shank 20 and interconnecting piece 30.
Blade 10 includes the first noumenon 11 and the first connecting pin 12 positioned at 11 one end of the first noumenon, and the first noumenon 11 can It protrudes into femoral bone cavitas medullaris, and the periphery of the first noumenon 11 has multiple expansion marrow slots.
Shank 20 include the second ontology 21 and the second connection end 22 positioned at 21 one end of the second ontology, the second ontology 21 it is another One end can be connect with power mechanism (not shown).
Wherein, the first connecting pin 12 and second connection end 22 with the rotatable connection of interconnecting piece 30 so that 10 He of blade Shank 20 being capable of relative rotation.
The present invention is will to expand marrow reamer to be divided into 20 two parts of blade 10 and shank, is carried out among the two by interconnecting piece 30 Connection, enables 20 relative rotation of blade 10 and shank.In surgical procedure, holds shank 20 and rotate, it can be as needed The angle between shank 20 and blade 10 is adjusted, shank 20 can be connect with power mechanism, the rotation of blade 10 can be controlled, and The angle between shank 20 and blade 10 can be adjusted while rotating.Whole process, the shank 20 and human body that reamer expands marrow are not It interferes, and does not influence the use of power mechanism.
Compared with existing stock class integral type expands marrow reamer, between the blade 10 and shank 20 of expansion marrow reamer of the invention Angle it is adjustable so that surgical procedure is convenient, save operating time.The present invention is that the minimally invasive of operation provides instrument guarantor Barrier, clinical feedback effects are good.
In the present embodiment, interconnecting piece 30 is double universal coupling, and blade 10 and shank 20 is allowed to have bigger curvature. The range of angle is between 100 degree -180 degree between blade 10 and shank 20.Such as shown in Fig. 2, between blade 10 and shank 20 Angle be about 100 degree.
Fig. 3 shows a variety of change locations, can be in angle, interconnecting piece 30 and the between interconnecting piece 30 and the first connecting pin 12 It can be in angle between two connecting pins 22.Therefore, the angle between blade 10 and shank 20 can flexible modulation, avoid and human body occur Interference, influences surgical procedure.
As a shown in Figure 6, expanding marrow reamer may also include elastic mechanism 40, surround interconnecting piece 30, the first connecting pin 12 and Second connection end 22 (elastic mechanism, which is not shown, in Fig. 1 surrounds the first connecting pin and interconnecting piece).As shown in Figure 1, blade 10 with Angle is 180 degree between shank 20, i.e., blade 10 and shank 20 linearly, at this point, elastic mechanism 40 in the raw under. When angle is less than 180 degree between blade 10 and shank 20, that is, relative rotation, when there is angle, elastic mechanism occur for the two 40 pairs of blades 10 surrounded and shank 20 apply elastic force, so that blade 10 and shank 20 have the trend straightened.Elastic mechanism 40 setting also provides constraint to the activity relatively of blade 10 and shank 20, prevents the excessively activity of blade 10 from losing position.Also, Blade 10 and shank 20 are connected by interconnecting piece 30 and elastic mechanism 40, improves and finishes while guaranteeing flexibility The globality of structure.
In the present embodiment, elastic mechanism 40 is to be interrupted double flat springs.Specifically, as shown in fig. 6, it may include two sections double To twisting resistance spring 41 and the elastic joint part 42 being connected between two sections of two-way twisting resistance springs 41, two sections of two-way twisting resistance bullets Spring 41 surrounds the first connecting pin 12 and second connection end 22 respectively, and elastic joint part 42 surrounds interconnecting piece 30.Therefore, elastic mechanism The two-way twisting resistance spring 41 of two sections of 40 provides elasticity to the first connecting pin 12 and second connection end 22 respectively, guarantees two connection Joint curvature number is essentially identical, provides constraint while guaranteeing flexibility.
In the present embodiment, as shown in Fig. 1,4, the first noumenon 11 is tapered, can be approximate with femoral bone cavitas medullaris vertebra degree.First 11 periphery of body is recessed with that first row cuts slot 13 and second row cuts slot 14, and first row is cut slot 13 and is set to along the axis of the first noumenon 11 The first noumenon 11 after first row cuts the molding of slot 13, forms second row along the hand of spiral around the periphery of the first noumenon 11 and cuts slot 14。
The quantity that first row cuts slot 13 can be multiple, and be uniformly distributed, and second row cuts slot 14 along the equidistant spiral of axis point Cloth, and it is 1-3mm that second row, which cuts the radius of slot 14,.In the present embodiment, the quantity that first row cuts slot 13 is 5, and second row cuts slot 14 be three helixes, radius 2mm, so that in terms of end face, the substantially pentagon of the first noumenon 11.
Axial first row cuts slot 13 and spiral helicine second row cuts slot 14 and facilitates chip removal and cooling, also, spiral helicine Second row, which cuts slot 14, can also reduce the contact area of reamer blade and sclerotin, reduce cutting force.
Form, the quantity that row cuts slot are without being limited thereto.For example, axial first row, which can only be arranged, cuts slot 13, can also only be arranged Spiral helicine second row cuts slot 14.The quantity that first row cuts slot 13 can be 3.
In conclusion compared with existing stock class integral type expands marrow reamer, the blade and handle of expansion marrow reamer of the invention Angle between portion is adjustable, so that surgical procedure is convenient, saves operating time.The present invention is that the minimally invasive of operation provides device Tool guarantee, clinical feedback effects are good.
Although exemplary embodiment describes the present invention with reference to several, it is to be understood that, term used is explanation and shows Example property, term and not restrictive.The spirit or reality that can be embodied in a variety of forms due to the present invention without departing from invention Matter, it should therefore be appreciated that above-described embodiment is not limited to any of the foregoing details, and the spirit defined by appended claims It all should be accompanying power with the whole change and modification widely explained, therefore fallen into claim or its equivalent scope in range Benefit requires to be covered.

Claims (10)

1. a kind of expansion marrow reamer, for carrying out expansion marrow to femoral bone cavitas medullaris comprising:
Blade, including the first noumenon and positioned at first connecting pin of the first noumenon one end, the first noumenon can extend into femoral bone cavitas medullaris It is interior, and the periphery of the first noumenon has multiple expansion marrow slots;
Shank, the second connection end including the second ontology and positioned at second ontology one end, the other end of the second ontology can with it is dynamic Force mechanisms connection;And
Interconnecting piece, the first connecting pin and second connection end with the rotatable connection of interconnecting piece, enable blade and shank phase To rotation.
2. expanding marrow reamer as described in claim 1, wherein interconnecting piece is double universal coupling.
3. as claimed in claim 2 expand marrow reamer, wherein between blade and shank the range of angle 100 degree -180 degree it Between.
4. expanding marrow reamer as described in claim 1, wherein expanding marrow reamer further includes elastic mechanism, surrounds interconnecting piece, first Connecting pin and second connection end, elastic mechanism in the raw under, angle is 180 degree between blade and shank, linearly;When When angle is less than 180 degree between blade and shank, elastic mechanism applies elastic force to blade and shank.
5. expanding marrow reamer as claimed in claim 4, wherein elastic mechanism includes two sections of two-way twisting resistance springs and is connected to two Elastic joint part between Duan Shuanxiang twisting resistance spring, two sections of two-way twisting resistance springs surround the first connecting pin and second respectively and connect End is connect, elastic joint part surrounds interconnecting piece.
6. expanding marrow reamer as described in claim 1, wherein the first noumenon periphery is recessed with first row and cuts slot, and first row cuts slot The first noumenon is set to along the axis of the first noumenon.
7. expanding marrow reamer as described in claim 1, wherein the first noumenon periphery is recessed with second row and cuts slot, and first row cuts slot It is arranged along the hand of spiral around the periphery of the first noumenon.
8. expanding marrow reamer as described in claim 1, wherein the first noumenon periphery is recessed with that first row cuts slot and second row is cut Slot, first row cuts slot and is set to the first noumenon along the axis of the first noumenon, after first row cuts Slot shaping, around the outer of the first noumenon Week forms second row along the hand of spiral and cuts slot.
9. expanding marrow reamer as claimed in claim 8, wherein the quantity that first row cuts slot is multiple, and is uniformly distributed, second row Slot is cut along the equidistant Spiral distribution of axis, and it is 1-3mm that second row, which cuts the radius of slot,.
10. a kind of hip joint anterior approach instrument packet comprising drag hook hits handle device, Myelocavity file handle, pulp cavity opener and such as weighs Benefit require any one of 1 to 9 described in expansion marrow reamer.
CN201711311395.7A 2017-12-11 2017-12-11 Reamer for reaming marrow and hip joint anterior surgical instrument package Active CN109893201B (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112716562A (en) * 2020-12-07 2021-04-30 迪恩医疗科技有限公司 Medullary cavity reaming device matched with intramedullary nail anatomy
CN113081154A (en) * 2021-04-02 2021-07-09 上海电气集团股份有限公司 Acetabular bone file curved rod mechanism
CN114587515A (en) * 2022-03-15 2022-06-07 青岛智兴医疗器械有限公司 Rotatable reamer capable of rotating 360 degrees and adjusting angle of cutter head

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20040267266A1 (en) * 2003-06-25 2004-12-30 Daniels David Wayne Modular tapered reamer for bone preparation and associated method
US20100056849A1 (en) * 2006-11-30 2010-03-04 Miracor Medical Systems Gmbh Method and device for the intermittent occlusion of a vein draining the organ system
CN205359556U (en) * 2016-01-18 2016-07-06 广州市天鹰精密工具有限公司 Pulp cavity file
CN106214213A (en) * 2016-08-29 2016-12-14 胡军 A kind of ultrasonic femoral myelocavity file being applicable to Wicresoft's artificial full hip-joint replacement
CN208435718U (en) * 2017-12-11 2019-01-29 北京纳通医学科技研究院有限公司 A kind of expansion marrow reamer and hip joint anterior approach instrument packet

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20040267266A1 (en) * 2003-06-25 2004-12-30 Daniels David Wayne Modular tapered reamer for bone preparation and associated method
US20100056849A1 (en) * 2006-11-30 2010-03-04 Miracor Medical Systems Gmbh Method and device for the intermittent occlusion of a vein draining the organ system
CN205359556U (en) * 2016-01-18 2016-07-06 广州市天鹰精密工具有限公司 Pulp cavity file
CN106214213A (en) * 2016-08-29 2016-12-14 胡军 A kind of ultrasonic femoral myelocavity file being applicable to Wicresoft's artificial full hip-joint replacement
CN208435718U (en) * 2017-12-11 2019-01-29 北京纳通医学科技研究院有限公司 A kind of expansion marrow reamer and hip joint anterior approach instrument packet

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112716562A (en) * 2020-12-07 2021-04-30 迪恩医疗科技有限公司 Medullary cavity reaming device matched with intramedullary nail anatomy
CN113081154A (en) * 2021-04-02 2021-07-09 上海电气集团股份有限公司 Acetabular bone file curved rod mechanism
CN114587515A (en) * 2022-03-15 2022-06-07 青岛智兴医疗器械有限公司 Rotatable reamer capable of rotating 360 degrees and adjusting angle of cutter head
CN114587515B (en) * 2022-03-15 2024-05-07 青岛智兴医疗器械有限公司 Rotatable reamer capable of rotating 360 degrees and adjusting angle of cutter head

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