CN110090097B - Scapular glenoid bone block transplanting sleeve implanter - Google Patents

Scapular glenoid bone block transplanting sleeve implanter Download PDF

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Publication number
CN110090097B
CN110090097B CN201910431518.3A CN201910431518A CN110090097B CN 110090097 B CN110090097 B CN 110090097B CN 201910431518 A CN201910431518 A CN 201910431518A CN 110090097 B CN110090097 B CN 110090097B
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Prior art keywords
catheter
diameter
guide
bone
guide pipe
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CN201910431518.3A
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CN110090097A (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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    • 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

The invention discloses a sleeve implanter for scapular glenoid bone block transplantation, which comprises a catheter, a guide core and a catheter sleeve head, wherein the catheter is a hollow cylinder, the tail end of the catheter is a pointed end, two transverse grips are arranged at the proximal end of the catheter, and the diameter of the catheter is adjustable; the guide core is a solid cylinder, and two transverse grips are arranged at the proximal end of the guide core; the catheter sleeve head is a hollow cylinder, the outer diameter of the catheter sleeve head is the same as the diameter of the catheter, the inner diameter of the catheter sleeve head is the same as the diameter of the catheter core, and the catheter sleeve head has reversible deformability and can be enlarged along with the increase of the diameter of the catheter. The invention realizes the rapid transfer of the bone blocks, and the bone blocks are transferred to corresponding positions through the guide pipe and the guide core; the device is suitable for bone blocks with different sizes, and the diameter of the guide pipe can be changed according to the sizes and the shapes of the bone blocks; the operation wound is reduced; a closed environment is maintained.

Description

Scapular glenoid bone block transplanting sleeve implanter
Technical Field
The invention relates to a medical instrument, in particular to a sleeve implanter for scapular glenoid bone block transplantation.
Background
Bone defect caused by various pathological changes such as trauma, inflammation, bone tumor removal and the like is a problem frequently encountered clinically, and bone defect can not be healed osseously after reaching a certain distance, and is always a difficult problem in the field of orthopedics repair. The best and most commonly accepted method for repairing bone defects at home and abroad at present is to transplant autologous bone.
Shoulder dislocation is a common shoulder injury, accounting for 50% of total body dislocation, and is most commonly seen in sports injury and traffic accident injury. The high hair age is 15-40 years old, and men are more than women. Among the shoulder dislocation, the forward dislocation is most commonly changed into the avulsion injury of the anterior sublabrum of the glenoid, called Bankart injury, the incidence rate in the first anterior sublabrum can reach 87% -100%, and the bone defect of the anterior sublabrum of the glenoid due to the Bankart injury is the main cause of recurrent anterior sublabrum of the shoulder joint.
At present, the operation is mostly adopted for treating the anterior dislocation of the shoulder joint and anterior inferior glenoid bone defect in clinic. However, in cases with large bone defect areas, it is difficult to achieve satisfactory therapeutic effects by simply repairing soft tissues, and at present, the normal anatomy of the labrum is recovered by filling the bone defect, thereby achieving therapeutic effects. Scapular autogenous or allograft bone block grafting is a popular procedure in recent years and can be classified into open surgery and arthroscopic surgery. The autogenous or allogenic bone block transplanting operation of the scapular glenoid is carried out under the shoulder arthroscope, the damage to soft tissues is small, the postoperative recovery is quick, and the autogenous or allogenic bone block transplanting operation is a common reconstruction operation under the arthroscope.
The positioning of the bone pieces by the surgical method has high requirements, poor bone piece positions are not beneficial to the fixation of the bone pieces and the healing after the operation, and how to quickly transfer the bone pieces to the corresponding positions under an arthroscope is one of the difficulties of the surgical method. However, there is currently a lack of suitable bone block transfer tools, which require a significant amount of time and complexity in the surgical procedure to transfer the bone block from the outside of the body to the corresponding location in the body.
Therefore, the device which can simply and rapidly transfer the bone blocks to the corresponding positions in the operation process is developed, and has important significance for simplifying arthroscopic bone block transplantation, shortening operation time and improving postoperative curative effect.
Disclosure of Invention
In view of the above, the present invention aims to make a device that can easily and quickly transfer bone pieces to accurate positions in surgery, namely a scapular glenoid bone piece graft sleeve implanter, and aims to solve the following problems:
(1) Assist in transferring bone pieces. The implanter can firstly enter the defect part of the labial bone through the guide pipe and the guide core, then the guide core is pulled out, the bone blocks are put into the implant, and the bone blocks are pushed to the corresponding positions along the guide pipe by the guide core, so that the rapid transfer of the bone blocks is realized, the operation steps are simplified, the operation time is shortened, and the operation efficiency is improved.
(2) And (5) adapting to the bone block size. The guide tube of the implanter has a chute structure, and the diameter of the guide tube can be changed according to the size and the shape of the bone blocks, so that the bone blocks with different sizes and different shapes can be transferred.
(3) Optimizing the surgical procedure. If the implant is used, only one incision is needed to be made to enter the bone defect part, so that the damage to surrounding tendons and soft tissues is reduced to the greatest extent.
(4) A closed environment is maintained. The catheter sleeve head of the implantation device can seal the inlet, prevent joint fluid from overflowing, and is favorable for continuous operation.
The sleeve implanter for scapular glenoid bone block transplanting comprises a guide pipe 1, a guide core 2 and a guide pipe sleeve head 3, wherein the guide pipe 1 is a hollow cylinder, the tail end of the guide pipe is a pointed end, two transverse grips 4 are arranged at the proximal end of the guide pipe, and the diameter of the guide pipe 1 is adjustable, so that bone blocks with different sizes and different shapes can be conveniently placed in the guide pipe;
the guide core 2 is a solid cylinder, and two transverse grips 5 are arranged at the proximal end, so that the bone blocks can be conveniently pushed to corresponding positions along the guide pipe by the guide core;
the catheter sleeve head 3 is a hollow cylinder, the outer diameter is the same as the diameter of the catheter 1, the inner diameter is the same as the diameter of the catheter core 2, the catheter sleeve head 3 has reversible deformability, can be enlarged along with the increase of the diameter of the catheter 1, prevents joint fluid from overflowing, and is favorable for continuous operation.
Further, the lateral grip 5 is cylindrical, and an angle between two lateral grips is set to 120 ° to 150 °.
Furthermore, a chute 6 is arranged on the inner wall of the guide tube 1, so that the diameter of the guide tube 1 can be adjusted, and the guide tube is suitable for bone blocks with different sizes.
Further, the catheter 1 is made of transparent resin.
Furthermore, the catheter sleeve head 3 is made of elastic materials, and is matched with the catheter 1 and the catheter core 2 to play a role in stabilizing and sealing.
Further, the operation flow of the scapular glenoid bone block graft sleeve implanter is as follows:
a) The catheter 1 is inserted into the defect part of the scapular glenoid bone through the deltoid muscle and the rotator cuff gap by a surgical access;
b) And adjusting the diameter of a proper guide pipe according to the size of the transplanted bone block, placing the bone block, covering the guide sleeve head, enabling the guide core to penetrate through the guide pipe sleeve head, pushing the bone block to a corresponding position, and finally pulling out the guide pipe and the guide core together.
Further, the catheter 1 is replaced by a material with reversible deformability, which can also provide adjustability for bone pieces of different sizes.
Further, the catheter 1 is replaced with a material having reversible deformability, which is an elastic resin material.
The invention has the beneficial effects that:
(1) Realizing the rapid transfer of the bone blocks. The implant can quickly enter the bone defect part through the guide pipe, and the bone blocks are transferred to the corresponding positions through the guide pipe and the guide core, so that the operation steps are simplified, the operation time is shortened, and the operation efficiency is improved.
(2) Is suitable for bone blocks with different sizes. The catheter of the implanter has a chute structure, and the diameter of the catheter can be changed according to the size and the shape of the bone blocks, so that the bone blocks with different sizes and different shapes can be transferred, and the implanter has wide application.
(3) Reduce the operation wound. The implant can be inserted into the bone defect part by making only one incision, thereby minimizing the damage to surrounding tendons and soft tissues.
(4) A closed environment is maintained. The catheter sleeve head of the implantation device can seal the inlet, prevent joint fluid from overflowing, and is favorable for continuous operation.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings required for the description of the embodiments will be briefly described below, and it is apparent that the drawings in the following description are only some embodiments of the present invention, and other drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.
FIG. 1 is a view of the construction of a scapular glenoid bone block graft sleeve implanter catheter;
FIG. 2 is a view showing the construction of the guide core of the scapular glenoid bone graft sleeve implanter;
FIG. 3 is a view of the construction of a catheter hub of the scapular glenoid bone block graft sleeve implanter;
fig. 4 is an overall construction view of the scapular glenoid bone block graft sleeve implant.
Detailed Description
In order that those skilled in the art will better understand the present invention, a technical solution in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in which it is apparent that the described embodiments are only some embodiments of the present invention, not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
The terms first, second and the like in the description and in the claims and in the above-described figures are used for distinguishing between different objects and not necessarily for describing a sequential or chronological order. Furthermore, the terms "comprise" and "have," as well as any variations thereof, are intended to cover a non-exclusive inclusion. For example, a process, method, apparatus, article, or device that comprises a list of steps or elements is not limited to the list of steps or elements but may, in the alternative, include other steps or elements not expressly listed or inherent to such process, method, article, or device.
Reference herein to "an embodiment" means that a particular feature, structure, or characteristic described in connection with the embodiment may be included in at least one embodiment of the invention. The appearances of such phrases in various places in the specification are not necessarily all referring to the same embodiment, nor are separate or alternative embodiments mutually exclusive of other embodiments. Those of skill in the art will explicitly and implicitly appreciate that the embodiments described herein may be combined with other embodiments.
The following describes the present invention in further detail with reference to specific examples:
embodiment one: in order to achieve the purpose of the invention, as shown in fig. 4, the scapular glenoid bone block transplanting sleeve implanter of the invention consists of a catheter 1, a guide core 2 and a catheter sleeve head 3, wherein the catheter 1 is a hollow cylinder, the tail end is a pointed end, two transverse handles 4 are arranged at the proximal end, an angle between the two transverse handles 4 is 120-150 degrees, the catheter 1 is made of transparent hard resin, and a chute 6 is arranged on the inner wall of the catheter 1, so that the diameter of the catheter can be adjusted, and the scapular glenoid bone block transplanting sleeve implanter is suitable for bone blocks with different sizes;
as shown in fig. 2, the guide core 2 is a solid cylinder, two transverse grips 5 are arranged at the proximal end, and an angle between the two transverse grips 5 is 120-150 degrees, so that the bone blocks can be conveniently pushed to corresponding positions along the guide pipe by the force of the guide core;
as shown in fig. 3, the catheter sleeve head 3 is a hollow cylinder, the outer diameter is the same as the diameter of the catheter, the inner diameter is the same as the diameter of the catheter core, the catheter sleeve head has reversible deformability, can be enlarged along with the increase of the diameter of the catheter, and has the functions of stabilizing and sealing by being matched with the catheter 1 and the catheter core 2, so that the joint fluid is prevented from overflowing, and the continuous operation is facilitated.
The operation flow of the scapular glenoid bone block transplanting sleeve implanter is as follows:
a) The catheter is inserted into the defect part of the scapular glenoid bone through the deltoid muscle and the rotator cuff gap by the operation access;
b) And adjusting the diameter of a proper guide pipe according to the size of the transplanted bone block, placing the bone block, covering the guide sleeve head, enabling the guide core to penetrate through the guide pipe sleeve head, pushing the bone block to a corresponding position, and finally pulling out the guide pipe and the guide core together.
Embodiment one: in order to achieve the purpose of the invention, as shown in fig. 4, the scapular glenoid bone block transplanting sleeve implanter of the invention consists of a catheter 1, a guide core 2 and a catheter sleeve head 3, wherein the catheter 1 is a hollow cylinder, the tail end is a pointed end, two transverse handles 4 are arranged at the proximal end, an angle between the two transverse handles 4 is 120-150 degrees, the catheter 1 is made of transparent elastic resin (not shown in the figure), and the diameter of the catheter is adjusted by utilizing the elastic performance, so that the scapular glenoid bone block transplanting sleeve implanter is suitable for bone blocks with different sizes;
as shown in fig. 2, the guide core 2 is a solid cylinder, two transverse grips 5 are arranged at the proximal end, and an angle between the two transverse grips 5 is 120-150 degrees, so that the bone blocks can be conveniently pushed to corresponding positions along the guide pipe by the force of the guide core;
as shown in fig. 3, the catheter sleeve head 3 is a hollow cylinder, the outer diameter is the same as the diameter of the catheter, the inner diameter is the same as the diameter of the catheter core, the catheter sleeve head has reversible deformability, can be enlarged along with the increase of the diameter of the catheter, and has the functions of stabilizing and sealing by being matched with the catheter 1 and the catheter core 2, so that the joint fluid is prevented from overflowing, and the continuous operation is facilitated.
The operation flow of the scapular glenoid bone block transplanting sleeve implanter is as follows:
a) The catheter is inserted into the defect part of the scapular glenoid bone through the deltoid muscle and the rotator cuff gap by the operation access;
b) And adjusting the diameter of a proper guide pipe according to the size of the transplanted bone block, placing the bone block, covering the guide sleeve head, enabling the guide core to penetrate through the guide pipe sleeve head, pushing the bone block to a corresponding position, and finally pulling out the guide pipe and the guide core together.

Claims (1)

1. The shoulder blade pelvis bone block transplanting sleeve implanter is characterized by comprising a guide pipe (1), a guide core (2) and a guide pipe sleeve head (3), wherein the guide pipe (1) is a hollow cylinder, the tail end of the guide pipe is a pointed end, two first transverse grips (4) are arranged at the proximal end of the guide pipe, and the diameter of the guide pipe (1) is adjustable;
the guide core (2) is a solid cylinder, and two second transverse grips (5) are arranged at the proximal end;
the first transverse handle (4) and the second transverse handle (5) are cylindrical;
the angle between the two first transverse grips (4) is 120-150 degrees;
the angle between the two second transverse handles (5) is set to 120-150 degrees, and the bone blocks are pushed to corresponding positions along the guide tube by the stress of the guide core;
the catheter sleeve head (3) is a hollow cylinder, the outer diameter is the same as the diameter of the catheter (1), the inner diameter is the same as the diameter of the guide core (2), the catheter sleeve head (3) has reversible deformability, can be enlarged along with the increase of the diameter of the catheter (1), and has the functions of stabilizing and sealing in cooperation with the catheter (1) and the guide core (2) so as to prevent joint fluid from overflowing;
the inner wall of the guide pipe (1) is provided with a chute (6) for adjusting the diameter of the guide pipe (1), and the guide pipe is suitable for bone blocks with different sizes;
the catheter (1) is made of transparent hard resin or elastic resin with reversible deformability;
the operation method of the scapular glenoid bone block transplanting sleeve implanter comprises the following steps:
a) The catheter (1) passes through deltoid muscle and rotator cuff gap through the operation access and is placed into the defect part of the scapular glenoid bone;
b) And adjusting the diameter of a proper guide tube (1) according to the size of the transplanted bone block, placing the bone block, covering the guide tube sleeve head (3), enabling the guide core (2) to penetrate through the guide tube sleeve head (3), pushing the bone block to a corresponding position, and finally pulling out the guide tube (1) and the guide core (2) together.
CN201910431518.3A 2019-05-22 2019-05-22 Scapular glenoid bone block transplanting sleeve implanter Active CN110090097B (en)

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CN110090097B true CN110090097B (en) 2024-04-05

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Citations (9)

* 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
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

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
IT1400376B1 (en) * 2009-06-23 2013-05-31 N G C Medical S P A TUBULAR STRUCTURE WITH VARIABLE DIAMETER, PARTICULARLY FOR BIOMEDICAL USE.

Patent Citations (9)

* 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
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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