CN110090097A - A kind of Scapula glenoid bone block transplanting casing implanting device - Google Patents

A kind of Scapula glenoid bone block transplanting casing implanting device Download PDF

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Publication number
CN110090097A
CN110090097A CN201910431518.3A CN201910431518A CN110090097A CN 110090097 A CN110090097 A CN 110090097A CN 201910431518 A CN201910431518 A CN 201910431518A CN 110090097 A CN110090097 A CN 110090097A
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CN
China
Prior art keywords
conduit
bone block
diameter
implanting device
casing
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.)
Granted
Application number
CN201910431518.3A
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Chinese (zh)
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CN110090097B (en
Inventor
杨睿
侯景义
李方奇
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Sun Yat Sen Memorial Hospital Sun Yat Sen University
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Sun Yat Sen Memorial Hospital Sun Yat Sen University
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Priority to CN201910431518.3A priority Critical patent/CN110090097B/en
Publication of CN110090097A publication Critical patent/CN110090097A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4601Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for introducing bone substitute, for implanting bone graft implants or for compacting them in the bone cavity
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2/4612Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of shoulders

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  • Health & Medical Sciences (AREA)
  • Transplantation (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)

Abstract

Casing implanting device is transplanted the invention discloses a kind of Scapula glenoid bone block, including conduit, leads core and conduit pullover, and the conduit is hollow cylinder, and end is tip, and two lateral handles are arranged in proximal end, and the conduit diameter is adjustable;The core of leading is solid cylinder, and two lateral handles are arranged in proximal end;The conduit pullover is hollow cylinder, and outer diameter is identical as the conduit diameter, and internal diameter is identical as the core diameter of leading, and the conduit pullover has reversible deformation behavior, can be expanded with the increase of the conduit diameter.The present invention realizes the quick transfer of bone block, by conduit and leads core bone block is transferred to corresponding position;Suitable for different size of bone block, conduit diameter can be changed according to size, the shape of bone block;Reduce operation wound;Keep enclosed environment.

Description

A kind of Scapula glenoid bone block transplanting casing implanting device
Technical field
The present invention relates to a kind of medical instrument, in particular to a kind of Scapula glenoid bone block transplants casing implanting device.
Background technique
The bone defect caused by various lesions treatments such as extracing as wound, inflammation, bone tumour is asking of clinically frequently encountering Topic, it is always the problem in orthopaedics reparation field that bone defect, which is unable to bony union after reaching certain distance,.Generally acknowledge both at home and abroad at present Repairing bone defect preferably and most popular method be autologous transplanting bone.
Dislocation of shoulder is common shoulder damage, accounts for 50% in general joint dislocation, is more common in injury gained in sports and friendship Logical casualty loss.High incidence age 15-40 years old, male was more than women.In dislocation of shoulder, forward direction dislocation is most common, primary Pathological change is the avulsion of the front lower broad-mouthed receptacle for holding liquid lip of Scapula glenoid, and referred to as Bankart damage, incidence is in anterior dislocation of shoulder for the first time Bone defect up to 87%-100%, the front lower broad-mouthed receptacle for holding liquid lip of Scapula glenoid due to caused by Bankart damage is that shoulder joint is caused to recur The main reason for property anterior dislocation.
Clinic mostly uses operative treatment anterior dislocation of shoulder to merge front lower broad-mouthed receptacle for holding liquid lipstick defect at present.However, for bone defect The biggish case of area, simple soft tissue of repairing are difficult to obtain satisfactory effect, and multi-pass, which is crossed, at present fills up bone defect, restores broad-mouthed receptacle for holding liquid lip Normal anatomical structures, to reach therapeutic effect.Scapula glenoid is self or allosome bone block transplantation is art more popular in recent years Formula can be divided into open surgery and arthrocsopic surgery.Carry out that Scapula glenoid is self or allosome bone block transplantation under shoulder joint mirror, to soft The damage of tissue is small, and post-operative recovery is fast, it has also become common reconstruction operations under arthroscope.
The art formula is very high to the positioning requirements of bone block, the bad fixation for being unfavorable for bone block in bone block position and it is postoperative more It closes, how under arthroscope bone block to be quickly transferred to one of the difficult point that corresponding position is the art formula.But it is suitable to lack at present Bone block transfer tool, bone block is needed to take a substantial amount of time and surgical procedure from being transferred in vitro on corresponding position in vivo It is more complex.
Therefore, a kind of device that bone block can be quickly and easily transferred to corresponding position in the course of surgery is researched and developed, it is right In simplifying bone block transplantation under arthroscope, shorten operating time, improves postoperative curative effect, be of great significance.
Summary of the invention
In view of this, quickly and easily bone block can be transferred to accurately in art it is an object of the invention to make one The device of position, i.e., a kind of Scapula glenoid bone block transplants casing implanting device, and aims to solve the problem that following problem:
(1) secondary transfer bone block.This implanting device by conduit and can lead core and be introduced into broad-mouthed receptacle for holding liquid lipstick defect, pull out later Core is led out, is put into bone block, and bone block is pushed into corresponding position along conduit with core is led, thus realize the fast transfer to bone block, letter Change operating procedure, shorten operating time, improves procedure efficiency.
(2) adaptive bone block size.The conduit of this implanting device has sliding groove structure, can be changed according to size, the shape of bone block Become conduit diameter, to realize the transfer to different sizes, different shape bone block.
(3) optimize operating procedure.If utilizing this implanting device, it is only necessary to which bone defect position can be entered by doing a notch, maximum Reduce to limit the damage to tendon around and soft tissue.
(4) enclosed environment is kept.The conduit pullover of this implanting device can close entrance, prevent joint fluid from overflowing, be conducive to Operation is lasting to be carried out.
This Scapula glenoid bone block transplanting casing implanting device includes conduit 1, leads core 2 and conduit pullover 3, and the conduit 1 is hollow Cylindrical body, end are tip, and two lateral handles 4 are arranged in proximal end, and 1 diameter of conduit is adjustable, is conveniently put into different rulers Very little, different shape bone block;
The core 2 of leading is solid cylinder, and two lateral handles 5 are arranged in proximal end, is facilitated with leading core for bone block along conduit It is pushed into corresponding position;
The conduit pullover 3 is hollow cylinder, and outer diameter is identical as 1 diameter of conduit, and internal diameter leads 2 diameter of core with described Identical, the conduit pullover 3 has reversible deformation behavior, can expand with the increase of 1 diameter of conduit, prevent joint hydrorrhea Out, be conducive to lasting progress of performing the operation.
Further, the lateral handle 5 is cylinder, and angle is set as 120 ° extremely between two lateral handles 150°。
Further, 1 inner wall of conduit is provided with a sliding slot 6, adjustable 1 diameter of conduit, Suitable for different size of bone block.
Further, the conduit 1 is transparent resin material.
Further, the conduit pullover 3 is elastic material, with the conduit 1 with it is described lead the cooperation of core 2 play stablize and Sealing function.
Further, the operating process of the Scapula glenoid bone block transplanting casing implanting device is as follows:
A) conduit 1 is passed through by deltoid muscle and rotator cuff gap by operative approach, is placed in Scapula glenoid bone defect position;
B) according to the suitable conduit diameter of big minor adjustment of transplanting bone block, it is put into bone block, covers guide sleeve pullover, core will be led and worn Conduit pullover is crossed, bone block is pushed into corresponding position, finally by conduit and core is led and extracts together in vitro.
Further, the conduit 1 is substituted for the material with reversible deformation behavior, can equally play to different size of The controllability of bone block.
Further, it is elastic resin material that the conduit 1, which is substituted for the material with reversible deformation behavior,.
The beneficial effects of the present invention are:
(1) the quick transfer of bone block is realized.This implanting device rapidly enters bone defect position by conduit, by conduit and leads Bone block is transferred to corresponding position by core, to simplify operating procedure, is shortened operating time, is improved procedure efficiency.
(2) it is suitable for different size of bone block.The conduit of this implanting device has sliding groove structure, can according to the size of bone block, Shape changes conduit diameter, to realize the transfer to different sizes, different shape bone block, has widespread popularity.
(3) operation wound is reduced.This implanting device, which only needs to do a notch, can enter bone defect position, subtract to the maximum extent The damage to tendon around and soft tissue is lacked.
(4) enclosed environment is kept.The conduit pullover of this implanting device can close entrance, prevent joint fluid from overflowing, be conducive to Operation is lasting to be carried out.
Detailed description of the invention
To describe the technical solutions in the embodiments of the present invention more clearly, make required in being described below to embodiment Attached drawing is briefly described, it should be apparent that, drawings in the following description are only some embodiments of the invention, for For those of ordinary skill in the art, without creative efforts, it can also be obtained according to these attached drawings other Attached drawing.
Fig. 1 is that Scapula glenoid bone block transplants casing implanting device guide-tube structure figure;
Fig. 2 is that Scapula glenoid bone block transplanting casing implanting device leads cored structure figure;
Fig. 3 is that Scapula glenoid bone block transplants casing implanting device sheathed catheter header structure figure;
Fig. 4 is that Scapula glenoid bone block transplants casing implanting device overall structure figure.
Specific embodiment
In order to enable those skilled in the art to better understand the solution of the present invention, below in conjunction in the embodiment of the present invention Attached drawing, technical scheme in the embodiment of the invention is clearly and completely described, it is clear that described embodiment is only A part of the embodiment of the present invention, instead of all the embodiments.Based on the embodiments of the present invention, those of ordinary skill in the art Every other embodiment obtained without creative efforts, shall fall within the protection scope of the present invention.
Description and claims of this specification and term " first " in above-mentioned attached drawing, " second " etc. are for distinguishing Different objects, are not use to describe a particular order.In addition, term " includes " and " having " and their any deformations, it is intended that It is to cover and non-exclusive includes.Such as process, method, device, product or the equipment for containing a series of steps or units do not have It is defined in listed step or unit, but optionally further comprising the step of not listing or unit, or optionally also wrap Include other step or units intrinsic for these process, methods, product or equipment.
Referenced herein " embodiment " is it is meant that a particular feature, structure, or characteristic described can wrap in conjunction with the embodiments Containing at least one embodiment of the present invention.Each position in the description occur the phrase might not each mean it is identical Embodiment, nor the independent or alternative embodiment with other embodiments mutual exclusion.Those skilled in the art explicitly and Implicitly understand, embodiment described herein can be combined with other embodiments.
Combined with specific embodiments below, the contents of the present invention are described in further detail:
Embodiment one: in order to reach the purpose of the present invention, as shown in figure 4, a kind of Scapula glenoid bone block of the invention transplants set Pipe implanting device by conduit 1, lead core 2 and conduit pullover 3 forms, as shown in Figure 1, the conduit 1 is hollow cylinder, end is point Two lateral handles 4 are arranged in head, proximal end, and angle is set as 120 ° to 150 ° between two lateral handles 4, the conduit 1 For clear hard resin material, and 1 inner wall of the conduit is provided with a sliding slot 6, the adjustable conduit diameter size, Suitable for different size of bone block;
As shown in Fig. 2, the core 2 of leading is solid cylinder, two lateral handles 5 are arranged in proximal end, and two transverse directions are held Angle between 5 is set as 120 ° to 150 °, is facilitated and is led core stress described in bone block is pushed into corresponding position along the conduit;
As shown in figure 3, the conduit pullover 3 be hollow cylinder, outer diameter is identical with conduit diameter, internal diameter with lead core diameter Identical, which has reversible deformation behavior, can expand with the increase of conduit diameter, lead with the conduit 1 with described Stable and sealing function is played in the cooperation of core 2, prevents joint fluid from overflowing, is conducive to lasting progress of performing the operation.
The operating process of the Scapula glenoid bone block transplanting casing implanting device is as follows:
A) conduit is passed through by deltoid muscle and rotator cuff gap by operative approach, is placed in Scapula glenoid bone defect position;
B) according to the suitable conduit diameter of big minor adjustment of transplanting bone block, it is put into bone block, covers guide sleeve pullover, core will be led and worn Conduit pullover is crossed, bone block is pushed into corresponding position, finally by conduit and core is led and extracts together in vitro.
Embodiment one: in order to reach the purpose of the present invention, as shown in figure 4, a kind of Scapula glenoid bone block of the invention transplants set Pipe implanting device by conduit 1, lead core 2 and conduit pullover 3 forms, the conduit 1 is hollow cylinder, and end is tip, and proximal end is set Two lateral handles 4 are set, angle is set as 120 ° to 150 ° between two lateral handles 4, and the conduit 1 is transparent elastic Resin material (does not regard out) in figure, adjusts the conduit diameter size using elastic property, is suitable for different size of bone block;
As shown in Fig. 2, the core 2 of leading is solid cylinder, two lateral handles 5 are arranged in proximal end, and two transverse directions are held Angle between 5 is set as 120 ° to 150 °, is facilitated and is led core stress described in bone block is pushed into corresponding position along the conduit;
As shown in figure 3, the conduit pullover 3 be hollow cylinder, outer diameter is identical with conduit diameter, internal diameter with lead core diameter Identical, which has reversible deformation behavior, can expand with the increase of conduit diameter, lead with the conduit 1 with described Stable and sealing function is played in the cooperation of core 2, prevents joint fluid from overflowing, is conducive to lasting progress of performing the operation.
The operating process of the Scapula glenoid bone block transplanting casing implanting device is as follows:
A) conduit is passed through by deltoid muscle and rotator cuff gap by operative approach, is placed in Scapula glenoid bone defect position;
B) according to the suitable conduit diameter of big minor adjustment of transplanting bone block, it is put into bone block, covers guide sleeve pullover, core will be led and worn Conduit pullover is crossed, bone block is pushed into corresponding position, finally by conduit and core is led and extracts together in vitro.

Claims (7)

1. a kind of Scapula glenoid bone block transplants casing implanting device, including conduit (1), lead core (2) and conduit pullover (3), the conduit It (1) is hollow cylinder, end is tip, and two lateral handles (4) are arranged in proximal end, and conduit (1) diameter is adjustable;
Described lead core (2) are solid cylinder, and two lateral handles (5) are arranged in proximal end;
The conduit pullover (3) is hollow cylinder, and outer diameter is identical as the conduit (1) diameter, and internal diameter leads core (2) directly with described Diameter is identical, and the conduit pullover (3) has reversible deformation behavior, can expand with the increase of the conduit (1) diameter.
2. Scapula glenoid bone block according to claim 1 transplants casing implanting device, it is characterised in that: the transverse direction handle (4) It (5) is cylinder, and angle is set as 120 ° to 150 ° between two lateral handles (4) or (5).
3. Scapula glenoid bone block according to claim 1 transplants casing implanting device, it is characterised in that: 1 inner wall of conduit is set It is equipped with a sliding slot 6, adjustable conduit (1) diameter is suitable for different size of bone block.
4. Scapula glenoid bone block according to claim 1 transplants casing implanting device, it is characterised in that: the conduit (1) is Bright hard resin material.
5. Scapula glenoid bone block according to claim 1 transplants casing implanting device, it is characterised in that: the conduit pullover (3) For elastic material, and the conduit (1) and described lead the cooperation of (2) core and play stable and sealing function.
6. Scapula glenoid bone block according to claim 1 transplants casing implanting device, it is characterised in that: the Scapula glenoid bone block is moved The operating process for planting casing implanting device is as follows:
A) conduit (1) is passed through by deltoid muscle and rotator cuff gap by operative approach, is placed in Scapula glenoid bone defect position;
B) according to suitably described conduit (1) diameter of big minor adjustment of transplanting bone block, it is put into bone block, covers the guide sleeve pullover (3), bone block is pushed into corresponding position, finally by the conduit (1) and institute across the conduit pullover (3) by described lead core (2) It states and leads core (2) and extract together in vitro.
7. Scapula glenoid bone block according to claim 1 transplants casing implanting device, it is characterised in that: conduit (1) replacement It is flexible resin material at the material with reversible deformation behavior.
CN201910431518.3A 2019-05-22 2019-05-22 Scapular glenoid bone block transplanting sleeve implanter Active CN110090097B (en)

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CN110090097B CN110090097B (en) 2024-04-05

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Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101128158A (en) * 2004-09-29 2008-02-20 新特斯有限责任公司 Less invasive surgical system and methods
US20100324490A1 (en) * 2009-06-23 2010-12-23 N.G.C. Medical S.P.A. Variable diameter tubular structure for a biomedical use
CN203059878U (en) * 2013-02-04 2013-07-17 贺利军 Intervertebral bone grafting apparatus suit
CN203354631U (en) * 2013-06-25 2013-12-25 左海明 Lumbar vertebrae space bone implanting device
CN104000641A (en) * 2014-06-13 2014-08-27 赵金忠 Shoulder joint bone grafting device under minimally invasive condition
CN204446062U (en) * 2015-01-02 2015-07-08 顾龙殿 Arc microtraumatic bone-grafting device
CN204542282U (en) * 2014-12-31 2015-08-12 李万里 Wicresoft's fast fetching bone object
CN105310755A (en) * 2015-05-26 2016-02-10 闻泰医疗科技(上海)有限公司 Shoulder joint scapula glenoid bone positioning device
CN206372160U (en) * 2016-10-20 2017-08-04 杭州启明医疗器械有限公司 A kind of local deformation expands formula catheter sheath and intervention apparatus conveying device
CN210433571U (en) * 2019-05-22 2020-05-01 中山大学孙逸仙纪念医院 Scapula glenoid bone block transplanting sleeve implanter

Patent Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101128158A (en) * 2004-09-29 2008-02-20 新特斯有限责任公司 Less invasive surgical system and methods
US20100324490A1 (en) * 2009-06-23 2010-12-23 N.G.C. Medical S.P.A. Variable diameter tubular structure for a biomedical use
CN203059878U (en) * 2013-02-04 2013-07-17 贺利军 Intervertebral bone grafting apparatus suit
CN203354631U (en) * 2013-06-25 2013-12-25 左海明 Lumbar vertebrae space bone implanting device
CN104000641A (en) * 2014-06-13 2014-08-27 赵金忠 Shoulder joint bone grafting device under minimally invasive condition
CN204542282U (en) * 2014-12-31 2015-08-12 李万里 Wicresoft's fast fetching bone object
CN204446062U (en) * 2015-01-02 2015-07-08 顾龙殿 Arc microtraumatic bone-grafting device
CN105310755A (en) * 2015-05-26 2016-02-10 闻泰医疗科技(上海)有限公司 Shoulder joint scapula glenoid bone positioning device
CN206372160U (en) * 2016-10-20 2017-08-04 杭州启明医疗器械有限公司 A kind of local deformation expands formula catheter sheath and intervention apparatus conveying device
CN210433571U (en) * 2019-05-22 2020-05-01 中山大学孙逸仙纪念医院 Scapula glenoid bone block transplanting sleeve implanter

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