CN111603232A - Scoliosis orthopedic device - Google Patents

Scoliosis orthopedic device Download PDF

Info

Publication number
CN111603232A
CN111603232A CN202010582736.XA CN202010582736A CN111603232A CN 111603232 A CN111603232 A CN 111603232A CN 202010582736 A CN202010582736 A CN 202010582736A CN 111603232 A CN111603232 A CN 111603232A
Authority
CN
China
Prior art keywords
screw
rod
shell
link
connecting rod
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN202010582736.XA
Other languages
Chinese (zh)
Inventor
马骏
李健
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Beijing Libeier Bio Engineering Institute Co Ltd
Original Assignee
Beijing Libeier Bio Engineering Institute Co Ltd
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Beijing Libeier Bio Engineering Institute Co Ltd filed Critical Beijing Libeier Bio Engineering Institute Co Ltd
Priority to CN202010582736.XA priority Critical patent/CN111603232A/en
Publication of CN111603232A publication Critical patent/CN111603232A/en
Pending legal-status Critical Current

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002Longitudinal elements, e.g. rods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002Longitudinal elements, e.g. rods
    • A61B17/7014Longitudinal elements, e.g. rods with means for adjusting the distance between two screws or hooks
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002Longitudinal elements, e.g. rods
    • A61B17/7019Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other
    • A61B17/7023Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other with a pivot joint
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7074Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • A61B17/8605Heads, i.e. proximal ends projecting from bone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • A61B17/8665Nuts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • A61B17/8685Pins or screws or threaded wires; nuts therefor comprising multiple separate parts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • A61B17/8665Nuts
    • A61B2017/867Nuts with integral locking or clamping means

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Neurology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

The invention provides a scoliosis orthopedic device, comprising: an upper housing member; the lower shell part is nested with the upper shell part, and the mouth part of the upper shell part and the mouth part of the lower shell part face opposite directions; a first screw; the second screw is arranged on the lower shell in a penetrating way; the orthopedic structure is arranged between the upper shell piece and the lower shell piece and comprises a first upper connecting rod and a first lower connecting rod, the first end of the first upper connecting rod is hinged with the upper shell piece, the first end of the first lower connecting rod is hinged with the lower shell piece, and the second end of the first upper connecting rod is hinged with the second end of the first lower connecting rod through a first hinging piece; the driving device comprises a driving structure and a screw driven by the driving structure, the screw penetrates through the first hinge, the driving structure drives the screw to rotate so as to drive the first hinge to move along the screw, and the upper shell and the lower shell are far away from each other. The technical scheme of this application has solved effectively in the relevant art with a plurality of screws with the long section fixed in the multi-section vertebra fusion make the problem of motion restriction.

Description

Scoliosis orthopedic device
Technical Field
The invention relates to the field of medical instruments, in particular to a scoliosis adjusting device.
Background
Adolescent Idiopathic Scoliosis (AIS) refers to a scoliosis of spinal structure occurring during adolescent without other organic diseases, and is the most common scoliosis. The AIS patient is greater than 10 at the side bend angle of coronal plane upside, along with the increase of the side bend angle and the appearance deformity of backbone, thorax that the quick progress of nature course of disease influences heart, lung function, causes serious harm to infant physical and mental health, brings serious burden simultaneously for infant family and society.
The treatment of AIS is diverse and can be summarized as non-operative treatment and operative treatment. The non-operative treatment is suitable for the children patients with early diagnosis, light degree and small risk of curve progression. Patients with AIS have Cobb's angle more than 40 deg. and immature skeleton development, patients with ineffective conservative treatment (half-year medial curvature progress more than 5 deg.), patients with chest and waist kyphosis or lumbar kyphosis with obvious appearance deformity, and patients with waist and back pain.
Scoliosis surgery is the most severe surgery for spinal injuries. A common procedure is to fuse multiple segments of vertebrae together with multiple screws, resulting in a permanent loss of mobility of the spine. In surgery where multiple screws are used to fuse together multiple segments of vertebrae, there is a significant amount of blood loss, neurological deficits including spinal cord injury, late stage infection, pseudoarthrosis, spinal pain, and disc degeneration, among others. The fixation of long segments in multi-segment vertebral fusion with multiple screws results in limited motion.
Disclosure of Invention
The main object of the present invention is to provide a scoliosis correction device to solve the problem of limited movement in the related art in which a plurality of screws are used to fix a long segment in a multi-segment vertebral fusion.
In order to achieve the above object, the present invention provides a scoliosis correction apparatus comprising: an upper housing member; the lower shell part is nested with the upper shell part, and the mouth part of the upper shell part and the mouth part of the lower shell part face opposite directions; the first screw penetrates through the upper shell piece; the second screw is arranged on the lower shell in a penetrating way; the orthopedic structure is arranged between the upper shell piece and the lower shell piece and comprises a first upper connecting rod and a first lower connecting rod, the first end of the first upper connecting rod is hinged with the upper shell piece, the first end of the first lower connecting rod is hinged with the lower shell piece, and the second end of the first upper connecting rod is hinged with the second end of the first lower connecting rod through a first hinging piece; the driving device comprises a driving structure and a screw driven by the driving structure, the screw penetrates through the first hinge, the driving structure drives the screw to rotate so as to drive the first hinge to move along the screw, and the upper shell and the lower shell are far away from each other.
Further, orthopedic structure still includes second upper connecting rod and second lower connecting rod, first upper connecting rod and second upper connecting rod become the contained angle setting, first lower connecting rod and second lower connecting rod become the contained angle setting, the first end of second upper connecting rod is articulated with the epitheca spare, the first end of second lower connecting rod is articulated with inferior valve spare, the second end of second upper connecting rod is articulated through the second articulated elements and the second end of second lower connecting rod, the screw rod wears to locate the second articulated elements, drive structure drive screw rotates, in order to drive first articulated elements and second articulated elements and be close to each other, in order to keep away from each other between epitheca spare and the inferior valve spare.
Furthermore, the upper shell piece comprises an upper shell and an upper fixing rod fixedly arranged on the upper shell in a penetrating mode, the lower shell piece comprises a lower shell and a lower fixing rod fixedly arranged on the lower shell in a penetrating mode, and the upper shell is nested on the outer side of the lower shell; the first end of dead lever is worn to locate by first screw, and the first end of first upper connecting rod is articulated with the second end of last dead lever, and the first end of second upper connecting rod is articulated with the second end of last dead lever, and the first end of dead lever is worn to locate by the second screw down, and the first end of first lower connecting rod is articulated with the second end of dead lever down, and the first end of second lower connecting rod is articulated with the second end of dead lever down.
Furthermore, the first screw movably penetrates through the first end of the upper fixing rod through the first metal bead, and the second screw movably penetrates through the first end of the lower fixing rod through the second metal bead.
Furthermore, be provided with on the first metal pearl and supply the first screw to pass the first hole of dodging, be formed with the first sphere hole with the surface contact of first metal pearl on the first end of going up the dead lever, set up the second hole of dodging that supplies the second screw to pass on the second metal pearl, be formed with the second sphere hole with the surface contact of second metal pearl on the first end of lower dead lever.
Further, first screw and second screw all include screw rod section, gasket segment, prism section, pole section and screw thread section, and first metal pearl or second metal pearl are supported to prism section, and the pole section dodges the hole cooperation with first or the second, and the scoliosis orthopedic device still includes the nut with screw thread section complex.
Further, the surfaces of the rod segments, the surfaces of the first metal beads, the surfaces of the second metal beads, the surfaces of the first spherical holes, the surfaces of the second spherical holes, the surfaces of the upper shell and the surfaces of the lower shell are all provided with antifriction layers.
Further, the driving structure comprises a magnetic part and a speed reducing structure connected with the magnetic part, and the speed reducing structure is connected with the screw rod.
Furthermore, the first hinge element comprises a first hinge shaft and a first connecting cylinder connected with the first hinge shaft, the axis of the first connecting cylinder is perpendicular to the axis of the first hinge shaft, the first hinge shaft penetrates through the second end of the first upper connecting rod and the second end of the first lower connecting rod, and the first connecting cylinder is sleeved on the optical axis section of the screw rod; the second articulated elements include the second articulated shaft and with the second connecting cylinder of second articulated shaft connection, the axis of second connecting cylinder perpendicular to the axis of second articulated shaft, the second articulated shaft is worn to establish the second of connecting rod on the second and is held in the second of connecting rod under the second, the second connecting cylinder cover is established on the screw thread section of screw rod.
Further, the speed reducing structure comprises a box body and a gear transmission arranged in the box body, a first end of the gear transmission is connected with the magnetic part, and a second end of the gear transmission is connected with the screw rod.
By applying the technical scheme of the invention, the scoliosis orthopedic device comprises: an upper shell member, a lower shell member, a first screw, a second screw, an orthopedic structure, and a drive device. The lower shell part and the upper shell part are nested, and the mouth part of the upper shell part and the mouth part of the lower shell part face opposite directions. The first screw penetrates through the upper shell piece. The second screw is arranged on the lower shell piece in a penetrating mode. The orthopedic structure is disposed between the superior shell member and the inferior shell member, the orthopedic structure including a first superior link and a first inferior link, a first end of the first superior link being hingedly connected to the superior shell member. The first end of the first lower connecting rod is hinged with the lower shell, and the second end of the first upper connecting rod is hinged with the second end of the first lower connecting rod through a first hinge. The driving device comprises a driving structure and a screw driven by the driving structure, and the screw penetrates through the first hinge. The first screw and the second screw are respectively fixed on the vertebral body of the spine to be corrected. At intervals, the screw rod is driven to rotate through the driving structure, the screw rod drives the first hinge piece to move along the screw rod, and the first upper connecting rod is driven to swing around the upper shell piece in the moving process of the first hinge piece, so that the first upper connecting rod pushes the upper shell piece to move upwards. Meanwhile, the first hinge piece drives the first lower connecting rod to swing around the lower shell piece, so that the first lower connecting rod pushes the lower shell piece to move downwards, and the upper shell piece and the lower shell piece are far away from each other. The whole height of the scoliosis orthopedic device is gradually increased, and the height of the scoliosis orthopedic device is adjusted. The scoliosis correcting device is enabled to open the segments to be corrected, so that unilateral stable support and fixation are realized, and the correction of the spinal deformity of the teenagers and children is realized. Furthermore, the multi-segment vertebrae are fused by a plurality of screws in the related art, so that the problem of limited movement caused by long-segment fixation is avoided. The technical scheme of the application effectively solves the problem that the movement is limited by fixing a long segment in multi-segment vertebral fusion by a plurality of screws in the related art.
Drawings
The accompanying drawings, which are incorporated in and constitute a part of this application, illustrate embodiments of the invention and, together with the description, serve to explain the invention and not to limit the invention. In the drawings:
FIG. 1 shows a schematic pre-spinal configuration of an embodiment of a scoliosis orthotic device according to the present invention;
FIG. 2 is a schematic representation of the device of FIG. 1 after spinal correction;
FIG. 3 shows a cross-sectional schematic view of the scoliosis orthotic device of FIG. 1;
FIG. 4 illustrates an exploded view of a first screw and a first metal bead of the scoliosis orthopedic device of FIG. 1; and
fig. 5 shows an exploded view of a second screw and a second metal bead of the scoliosis orthopedic device of fig. 1.
Wherein the figures include the following reference numerals:
1. the spine; 10. an upper housing member; 11. an upper shell; 12. an upper fixing rod; 121. a first spherical surface hole; 20. a lower housing member; 21. a lower case; 22. a lower fixing rod; 221. a second spherical hole; 30. a first screw; 31. a screw section; 32. a pad segment; 33. a prismatic section; 34. a pole section; 35. a threaded segment; 40. a second screw; 51. a first upper link; 52. a second upper link; 53. a first lower link; 54. a second lower link; 61. a first hinge member; 62. a second hinge member; 63. a third hinge member; 64. a fourth hinge member; 65. a fifth hinge member; 66. a sixth hinge; 71. a first metal bead; 711. a first avoidance hole; 72. a second metal bead; 721. a second avoidance hole; 81. a drive structure; 811. a magnetic member; 812. a deceleration structure; 82. a screw.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. The following description of at least one exemplary embodiment is merely illustrative in nature and is in no way intended to limit the invention, its application, or uses. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
It is noted that the terminology used herein is for the purpose of describing particular embodiments only and is not intended to be limiting of example embodiments according to the present application. As used herein, the singular forms "a", "an" and "the" are intended to include the plural forms as well, and it should be understood that when the terms "comprises" and/or "comprising" are used in this specification, they specify the presence of stated features, steps, operations, devices, components, and/or combinations thereof, unless the context clearly indicates otherwise.
The relative arrangement of the components and steps, the numerical expressions and numerical values set forth in these embodiments do not limit the scope of the present invention unless specifically stated otherwise. Meanwhile, it should be understood that the sizes of the respective portions shown in the drawings are not drawn in an actual proportional relationship for the convenience of description. Techniques, methods, and apparatus known to those of ordinary skill in the relevant art may not be discussed in detail but are intended to be part of the specification where appropriate. In all examples shown and discussed herein, any particular value should be construed as merely illustrative, and not limiting. Thus, other examples of the exemplary embodiments may have different values. It should be noted that: like reference numbers and letters refer to like items in the following figures, and thus, once an item is defined in one figure, further discussion thereof is not required in subsequent figures.
As shown in fig. 1 to 3, the scoliosis correcting apparatus of the present embodiment includes: a superior shell component 10, an inferior shell component 20, a first screw 30, a second screw 40, an orthopedic structure, and a drive device. The lower housing part 20 is nested with the upper housing part 10, and the mouth of the upper housing part 10 faces opposite to the mouth of the lower housing part 20. The first screw 30 is inserted through the upper case member 10. The second screw 40 is inserted into the lower housing member 20. An orthotic structure is provided between the superior shell member 10 and the inferior shell member 20, the orthotic structure including a first upper link 51 and a first lower link 53, a first end of the first upper link 51 being hingedly connected to the superior shell member 10. The first end of the first lower link 53 is hinged to the lower housing member 20, and the second end of the first upper link 51 is hinged to the second end of the first lower link 53 through the first hinge 61. The driving device includes a driving structure 81 and a screw rod 82 driven by the driving structure 81, and the screw rod 82 is disposed through the first hinge member 61.
With the solution of the present embodiment, the orthopedic structure includes a first upper link 51 and a first lower link 53, and a first end of the first upper link 51 is hinged with the upper shell member 10. The first end of the first lower link 53 is hinged to the lower housing member 20, and the second end of the first upper link 51 is hinged to the second end of the first lower link 53 through the first hinge 61. The driving device includes a driving structure 81 and a screw rod 82 driven by the driving structure 81, and the screw rod 82 is disposed through the first hinge member 61. The first screw 30 and the second screw are each fixed to a vertebral body of the spinal column 1 to be corrected. At intervals, the screw rod 82 is driven to rotate by the driving structure 81, the screw rod 82 drives the first hinge part 61 to move along the screw rod 82, and during the movement of the first hinge part 61, the first upper connecting rod 51 is driven to swing around the upper shell 10, so that the first upper connecting rod 51 pushes the upper shell 10 to move upwards. At the same time, the first hinge member 61 drives the first lower link 53 to swing around the lower casing member 20, so that the first lower link 53 pushes the lower casing member 20 to move downward, so as to move the upper casing member 10 and the lower casing member 20 away from each other. The whole height of the scoliosis orthopedic device is gradually increased, and the height of the scoliosis orthopedic device is adjusted. The scoliosis correcting device is enabled to open the segments to be corrected, so that unilateral stable support and fixation are realized, and the correction of the spinal deformity of the teenagers and children is realized. Furthermore, the multi-segment vertebrae are fused by a plurality of screws in the related art, so that the problem of limited movement caused by long-segment fixation is avoided. The technical scheme of the application effectively solves the problem that the movement is limited by fixing a long segment in multi-segment vertebral fusion by a plurality of screws in the related art.
As shown in fig. 3, the orthotic structure further includes a second upper link 52 and a second lower link 54, the first upper link 51 being angularly disposed with respect to the second upper link 52, and the first lower link 53 being angularly disposed with respect to the second lower link 54. A first end of the second upper link 52 is hinged to the upper housing member 10, a first end of the second lower link 54 is hinged to the lower housing member 20, and a second end of the second upper link 52 is hinged to a second end of the second lower link 54 via a second hinge member 62. The screw 82 is disposed through the second hinge member 62, and the driving structure 81 drives the screw 82 to rotate so as to drive the first hinge member 61 and the second hinge member 62 to approach each other, so as to move the upper casing member 10 and the lower casing member 20 away from each other. At intervals, the screw rod 82 is driven to rotate by the driving structure 81, and in the process that the screw rod 82 drives the first hinge part 61 and the second hinge part 62 to move along the screw rod 82, the second hinge part 62 drives the second upper connecting rod 52 to swing around the upper shell 10, the included angle between the first upper connecting rod 51 and the second upper connecting rod 52 is gradually reduced, and the first end of the first upper connecting rod 51 and the first end of the second upper connecting rod 52 jointly support the upper shell 10, so that the second upper connecting rod 52 pushes the upper shell 10 to move upwards. Meanwhile, the second hinge 62 drives the second lower connecting rod 54 to swing around the lower casing 20, the included angle between the corresponding first lower connecting rod 53 and the second lower connecting rod 54 is gradually reduced, and the first end of the first lower connecting rod 53 and the first end of the second lower connecting rod 54 support the lower casing 20 together, so that the second lower connecting rod 54 pushes the lower casing 20 to move downwards. Thus, the process of moving the upper housing member 10 upward and the lower housing member 20 downward is more smooth.
The overall height of the scoliosis correcting device before spinal correction is 80mm, the overall height can be adjusted by 5mm each time, and the overall height after spinal correction is 120 mm.
As shown in fig. 3, the upper casing 10 includes an upper casing 11 and an upper fixing rod 12 fixedly inserted through the upper casing 11. The lower casing member 20 includes a lower casing 21 and a lower fixing rod 22 fixedly inserted into the lower casing 21, and the upper casing 11 is nested outside the lower casing 21. In this way, the orthotic structure can be located within the cavity of the superior shell 11, making the scoliosis orthotic device compact. The upper fixing rod 12 is fixedly arranged on the upper shell 11 in a penetrating manner, so that the upper fixing rod 12 is reliably connected with the upper shell 11, and the structural strength of the upper shell 11 is increased. The lower fixing rod 22 is fixedly arranged on the lower shell 21 in a penetrating manner, so that the lower fixing rod 22 is reliably connected with the lower shell 21, and the structural strength of the lower shell 21 is increased.
As shown in fig. 3 to 5, the first screw 30 is inserted into the first end of the upper fixing rod 12, the first end of the first upper link 51 is hinged to the second end of the upper fixing rod 12, and the first end of the second upper link 52 is hinged to the second end of the upper fixing rod 12. In this way, since the upper fixing lever 12 itself has a high structural strength, the first screw 30, the first upper link 51, and the second upper link 52 are all provided at the upper fixing lever 12, and the structural strength at the connection position can be ensured. The second screw 40 is inserted into the first end of the lower fixing rod 22, the first end of the first lower connecting rod 53 is hinged to the second end of the lower fixing rod 22, and the first end of the second lower connecting rod 54 is hinged to the second end of the lower fixing rod 22. In this way, since the lower fixing lever 22 itself has a high structural strength, the second screw 40, the first lower link 53, and the second lower link 54 are all provided on the lower fixing lever 22, and the structural strength at the connection position can be ensured.
As shown in fig. 3 to 5, the first screw 30 is movably inserted into the first end of the upper fixing rod 12 through a first metal bead 71, and the second screw 40 is movably inserted into the first end of the lower fixing rod 22 through a second metal bead 72. In this way, the first screw 30 can be transitionally connected with the first end of the upper fixing rod 12 through the first metal bead 71, and the second screw 40 can be transitionally connected with the first end of the lower fixing rod 22 through the second metal bead 72, so that the first metal bead 71 and the second metal bead 72 can provide multiple degrees of freedom in the process of realizing the distraction of the segments to be corrected by the upper fixing rod 12 and the lower fixing rod 22, so that the upper fixing rod 12 can rotate and move relative to the first screw 30, and similarly, the lower fixing rod 22 can rotate and move relative to the second screw 40, and the non-fusion orthopedic treatment of scoliosis is realized.
As shown in fig. 3 to 5, the first metal bead 71 is provided with a first avoiding hole 711 for the first screw 30 to pass through, and the first end of the upper fixing rod 12 is provided with a first spherical hole 121 contacting with the outer surface of the first metal bead 71. The outer surface of the first metal bead 71 is in contact fit with the first spherical hole 121, so that the center of the first metal bead 71 and the center of the first spherical hole 121 can be overlapped, and the first end of the upper fixing rod 12 can rotate and tilt relative to the first screw 30. The second metal bead 72 is provided with a second avoiding hole 721 for the second screw 40 to pass through, and the first end of the lower fixing rod 22 is provided with a second spherical hole 221 contacting with the outer surface of the second metal bead 72. The outer surface of the second metal bead 72 is in contact fit with the second spherical hole 221, so that the center of the second metal bead 72 and the center of the second spherical hole 221 can be overlapped, and the first end of the lower fixing rod 22 can rotate and tilt relative to the second screw 40.
As shown in fig. 3 and 4, the surfaces of the first screw 30 corresponding to the first avoiding hole 711 are polished, so that the surface of the first screw 30 is smoother, the surface of the first screw 30 is in smooth contact with the hole wall of the first avoiding hole 711, and the first screw 30 and the first end of the upper fixing rod 12 can slide relatively.
As shown in fig. 3 and 5, the surfaces of the second screw 40 corresponding to the second avoiding hole 721 are polished, so that the surface of the second screw 40 is smoother, the surface of the second screw 40 is in smooth contact with the hole wall of the second avoiding hole 721, and the second screw 40 and the first end of the lower fixing rod 22 can slide relatively.
As shown in fig. 3 to 5, each of the first and second screws 30 and 40 includes a screw section 31, a washer section 32, a prism section 33, a rod section 34, and a screw section 35. The prism section 33 supports the first metal bead 71 or the second metal bead 72, the rod section 34 is fitted into the first relief hole 711 or the second relief hole 721, and the lateral curvature orthopedic device further includes a nut fitted into the threaded section 35. The provision of the nut on the first screw 30 prevents the upper fixing rod 12 from being disengaged from the first screw 30, and the provision of the nut on the second screw 40 prevents the lower fixing rod 22 from being disengaged from the second screw 40. The screw section 31 on the first screw 30 is implanted into the vertebral body and the screw section 31 on the second screw 40 is implanted into the vertebral body. During implantation, the prismatic section 33 on the first or second screw 30, 40 can be easily engaged with an operating tool to effect implantation of the first or second screw 30, 40 into a vertebral body in a threaded and unthreaded manner. Meanwhile, the end of the prism section 33 can support the first metal bead 71 or the second metal bead 72, so that the first metal bead 71 or the second metal bead 72 can be pressed on the section of the prism section 33. The prism section 33 of the present embodiment is a hexagonal prism, and of course, the prism section may be a triangular prism, a quadrangular prism, a pentagonal prism, a heptagonal prism, or more.
As shown in fig. 3 to 5, the surfaces of the rod segment 34, the first metal bead 71, the second metal bead 72, the first spherical surface hole 121, the second spherical surface hole 221, the upper shell 11, and the lower shell 21 are provided with friction reducing layers. The arrangement of the wear reducing layer can reduce friction and wear caused by movement between the rod section 34 of the first screw 30 and the first relief hole 711, between the rod section 34 of the second screw 40 and the second relief hole 721, between the outer surface of the first metal bead 71 and the first spherical hole 121, between the outer surface of the second metal bead 72 and the second spherical hole 221, and between the outer surface of the lower shell 21 and the inner surface of the upper shell 11. The friction reducing layer is preferably diamond-like carbon (DLC).
As shown in fig. 3, the driving structure 81 includes a magnetic member 811 and a speed reducing structure 812 coupled to the magnetic member 811, and the speed reducing structure 812 is coupled to the screw 82. The magnetic member 811 is magnetized in the radial direction thereof by the external driving magnetic field, and the magnetic member 811 can be rotated at high speed. The rotating speed of the high-speed rotation of the permanent magnet is reduced to 1/10000-1/1000 through the speed reducing structure 812, and then the rotating speed is transmitted to the adjusting screw rod 82, the rotating speed of the magnetic part 811 is reduced through the speed reducing structure 812, so that the rotating speed of the screw rod 82 is greatly reduced, the upper shell part 10 moves upwards slowly, the lower shell part 20 moves downwards slowly, and the orthopedic difficulty caused by the fact that the upper shell part 10 and the lower shell part 20 move too fast is avoided. The magnetic member 811 is preferably a cylindrical permanent magnet.
As shown in fig. 3, a first end of the first upper link 51 is hinged to the second end of the upper fixing rod 12 through a third hinge 63, a first end of the second upper link 52 is hinged to the second end of the upper fixing rod 12 through a fourth hinge 64, a first end of the first lower link 53 is hinged to the second end of the lower fixing rod 22 through a fifth hinge 65, and a first end of the second lower link 54 is hinged to the second end of the lower fixing rod 22 through a sixth hinge 66.
As shown in fig. 3, the first hinge member includes a first hinge shaft and a first connecting cylinder connected to the first hinge shaft, an axis of the first connecting cylinder is perpendicular to an axis of the first hinge shaft, the first hinge shaft penetrates through the second end of the first upper connecting rod 51 and the second end of the first lower connecting rod 53, and the first connecting cylinder is sleeved on the optical axis section of the screw rod 82. The first connecting cylinder is provided with a light hole matched with the optical axis section of the screw rod 82. First connecting cylinder and first articulated shaft simple structure, easy machine-shaping. The second hinge component comprises a second hinge shaft and a second connecting cylinder connected with the second hinge shaft, the axis of the second connecting cylinder is perpendicular to the axis of the second hinge shaft, the second hinge shaft penetrates through the second end of the second upper connecting rod 52 and the second end of the second lower connecting rod 54, and the second connecting cylinder is sleeved on the thread section of the screw rod 82. The second connector barrel is provided with internal threads that mate with the external threads of the screw 82. The second connecting cylinder and the second hinge shaft are simple in structure and easy to machine and form. The screw rod 82 comprises a screw head, a rod section and a blocking piece, one part of the rod section is the optical axis section of the screw rod 82, the other part of the rod section is the thread section of the screw rod 82, and the blocking piece is sleeved on the optical axis section of the screw rod 82 and is positioned between the screw head and the first connecting cylinder.
It should be noted that the working principle of the screw 82 in cooperation with the orthotic structure is similar to that of a scissor jack.
As shown in fig. 3, the speed reducing structure 812 includes a housing and a gear assembly disposed in the housing, a first end of the gear assembly is connected to the magnetic member 811, and a second end of the gear assembly is connected to the screw 82. The gear transmission comprises a first-stage gear, a first gear shaft, a second-stage gear, a second gear shaft, a third-stage gear and a third gear shaft. The first gear shaft is provided with a first-stage gear sleeve, the second gear shaft is provided with a second-stage gear sleeve, and the third gear shaft is provided with a third-stage gear sleeve. The first-stage gear is in meshed transmission with the second-stage gear, and the second-stage gear is in meshed transmission with the third-stage gear. The box body comprises a first side wall, a second side wall, a third side wall and a fourth side wall which are connected in sequence. The first gear shaft is rotatably arranged on the first side wall and the third side wall of the box body in a penetrating mode, the second gear shaft is rotatably arranged on the second side wall and the fourth side wall of the box body in a penetrating mode, and the third gear shaft is rotatably arranged on the third side wall and the first side wall of the box body in a penetrating mode. An end of the first gear shaft is connected to the magnetic member 811, and an end of the third gear shaft is connected to the screw 82.
In this embodiment, the scoliosis orthosis is made of medical metals including, but not limited to, titanium and titanium alloys, cobalt alloys, stainless steel and tantalum metals, magnesium alloys, which are specified in the international ISO-5830 series of standards, and the biocompatibility of which has been proven by years of practice for orthopedic implant applications at home and abroad.
The scoliosis orthopedic device is a non-fusion treatment scheme for treating adolescent idiopathic scoliosis, and can avoid a large amount of blood loss, neurological impairment including spinal cord injury, late infection and pseudoarthrosis caused by related fusion operations. Spinal motion limitation after fusion surgery also affects spinal pain and disc degeneration in the unfused segment. In addition, the height of the scoliosis orthopedic device is adjusted by limiting and fixing the upper shell part, the lower shell part and the orthopedic structure, secondary operation is not needed, and the adjusted height is controllable and quantifiable, so that the scoliosis orthopedic device can gradually realize the orthopedic of the scoliosis spine.
In the description of the present invention, it is to be understood that the orientation or positional relationship indicated by the orientation words such as "front, rear, upper, lower, left, right", "lateral, vertical, horizontal" and "top, bottom", etc. are usually based on the orientation or positional relationship shown in the drawings, and are only for convenience of description and simplicity of description, and in the case of not making a reverse description, these orientation words do not indicate and imply that the device or element being referred to must have a specific orientation or be constructed and operated in a specific orientation, and therefore, should not be considered as limiting the scope of the present invention; the terms "inner and outer" refer to the inner and outer relative to the profile of the respective component itself.
Spatially relative terms, such as "above … …," "above … …," "above … …," "above," and the like, may be used herein for ease of description to describe one device or feature's spatial relationship to another device or feature as illustrated in the figures. It will be understood that the spatially relative terms are intended to encompass different orientations of the device in use or operation in addition to the orientation depicted in the figures. For example, if a device in the figures is turned over, devices described as "above" or "on" other devices or configurations would then be oriented "below" or "under" the other devices or configurations. Thus, the exemplary term "above … …" can include both an orientation of "above … …" and "below … …". The device may be otherwise variously oriented (rotated 90 degrees or at other orientations) and the spatially relative descriptors used herein interpreted accordingly.
It should be noted that the terms "first", "second", and the like are used to define the components, and are only used for convenience of distinguishing the corresponding components, and the terms have no special meanings unless otherwise stated, and therefore, the scope of the present invention should not be construed as being limited.
The above description is only a preferred embodiment of the present invention and is not intended to limit the present invention, and various modifications and changes may be made by those skilled in the art. Any modification, equivalent replacement, or improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims (10)

1. A scoliosis orthopedic device, comprising:
an upper case member (10);
a lower shell member (20) nested with the upper shell member (10), wherein the mouth of the upper shell member (10) and the mouth of the lower shell member (20) face opposite directions;
the first screw (30) is arranged on the upper shell piece (10) in a penetrating way;
the second screw (40) is arranged on the lower shell piece (20) in a penetrating way;
an orthopedic structure arranged between the upper shell member (10) and the lower shell member (20), the orthopedic structure comprising a first upper link (51) and a first lower link (53), a first end of the first upper link (51) being hinged with the upper shell member (10), a first end of the first lower link (53) being hinged with the lower shell member (20), and a second end of the first upper link (51) being hinged with a second end of the first lower link (53) through a first hinge member (61);
the driving device comprises a driving structure (81) and a screw rod (82) driven by the driving structure (81), the screw rod (82) penetrates through the first hinge piece (61), and the driving structure (81) drives the screw rod (82) to rotate so as to drive the first hinge piece (61) to move along the screw rod (82), so that the upper shell piece (10) and the lower shell piece (20) are far away from each other.
2. The scoliosis orthopedic device according to claim 1, characterized in that the orthopedic structure further comprises a second upper link (52) and a second lower link (54), the first upper link (51) is disposed at an angle to the second upper link (52), the first lower link (53) is disposed at an angle to the second lower link (54), a first end of the second upper link (52) is hinged to the upper housing member (10), a first end of the second lower link (54) is hinged to the lower housing member (20), a second end of the second upper link (52) is hinged to a second end of the second lower link (54) through a second hinge member (62), the screw rod (82) is disposed through the second hinge member (62), the driving structure (81) drives the screw rod (82) to rotate so as to drive the first hinge member (61) and the second hinge member (62) to approach each other, so that the upper casing member (10) and the lower casing member (20) are spaced apart from each other.
3. The scoliosis orthopedic device of claim 2,
the upper shell piece (10) comprises an upper shell (11) and an upper fixing rod (12) fixedly arranged on the upper shell (11) in a penetrating mode, the lower shell piece (20) comprises a lower shell (21) and a lower fixing rod (22) fixedly arranged on the lower shell (21) in a penetrating mode, and the upper shell (11) is nested on the outer side of the lower shell (21);
the first screw (30) penetrates through the first end of the upper fixing rod (12), the first end of the first upper connecting rod (51) is hinged to the second end of the upper fixing rod (12), the first end of the second upper connecting rod (52) is hinged to the second end of the upper fixing rod (12), the second screw (40) penetrates through the first end of the lower fixing rod (22), the first end of the first lower connecting rod (53) is hinged to the second end of the lower fixing rod (22), and the first end of the second lower connecting rod (54) is hinged to the second end of the lower fixing rod (22).
4. The scoliosis orthopedic device according to claim 3, characterized in that the first screw (30) is movably disposed through the first end of the upper fixation rod (12) via a first metal bead (71) and the second screw (40) is movably disposed through the first end of the lower fixation rod (22) via a second metal bead (72).
5. The scoliosis orthosis according to claim 4, characterized in that the first metal bead (71) is provided with a first relief hole (711) for passing the first screw (30), the first end of the upper fixing rod (12) is formed with a first spherical hole (121) contacting an outer surface of the first metal bead (71), the second metal bead (72) is provided with a second relief hole (721) for passing the second screw (40), and the first end of the lower fixing rod (22) is formed with a second spherical hole (221) contacting an outer surface of the second metal bead (72).
6. The scoliosis orthosis according to claim 5, characterized in that the first screw (30) and the second screw (40) each comprise a screw section (31), a washer section (32), a prism section (33), a rod section (34) and a threaded section (35), the prism section (33) supporting the first metal bead (71) or the second metal bead (72), the rod section (34) cooperating with the first relief hole (711) or the second relief hole (721), the scoliosis orthosis further comprising a nut cooperating with the threaded section (35).
7. The scoliosis orthopedic device according to claim 6, characterized in that the surface of the rod section (34), the surface of the first metal bead (71), the surface of the second metal bead (72), the surface of the first spherical hole (121), the surface of the second spherical hole (221), the surface of the upper shell (11) and the surface of the lower shell (21) are provided with a wear reducing layer.
8. The scoliosis orthosis according to claim 1 or 7, characterized in that the drive structure (81) comprises a magnetic element (811) and a deceleration structure (812) connected to the magnetic element (811), the deceleration structure (812) being connected to the screw (82).
9. The scoliosis orthopedic device of claim 2,
the first hinge part comprises a first hinge shaft and a first connecting cylinder connected with the first hinge shaft, the axis of the first connecting cylinder is perpendicular to the axis of the first hinge shaft, the first hinge shaft penetrates through the second end of the first upper connecting rod (51) and the second end of the first lower connecting rod (53), and the first connecting cylinder is sleeved on the optical axis section of the screw rod (82);
the second articulated elements include the second articulated shaft and with the second connecting cylinder that the second articulated shaft is connected, the axis of second connecting cylinder is perpendicular to the axis of second articulated shaft, the second articulated shaft wear to establish the second end of connecting rod (52) on the second with in the second end of connecting rod (54) under the second, the second connecting cylinder cover is established on the screw thread section of screw rod (82).
10. The scoliosis orthopedic device according to claim 8, characterized in that the deceleration structure (812) comprises a box and a gear transmission arranged in the box, a first end of the gear transmission being connected with the magnetic member (811) and a second end of the gear transmission being connected with the screw (82).
CN202010582736.XA 2020-06-23 2020-06-23 Scoliosis orthopedic device Pending CN111603232A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202010582736.XA CN111603232A (en) 2020-06-23 2020-06-23 Scoliosis orthopedic device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202010582736.XA CN111603232A (en) 2020-06-23 2020-06-23 Scoliosis orthopedic device

Publications (1)

Publication Number Publication Date
CN111603232A true CN111603232A (en) 2020-09-01

Family

ID=72196720

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202010582736.XA Pending CN111603232A (en) 2020-06-23 2020-06-23 Scoliosis orthopedic device

Country Status (1)

Country Link
CN (1) CN111603232A (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116098689A (en) * 2023-04-11 2023-05-12 中国医学科学院北京协和医院 Spinal column orthopedic device

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116098689A (en) * 2023-04-11 2023-05-12 中国医学科学院北京协和医院 Spinal column orthopedic device
CN116098689B (en) * 2023-04-11 2023-07-28 中国医学科学院北京协和医院 Spinal column orthopedic device

Similar Documents

Publication Publication Date Title
RU2477096C2 (en) Flexible sliding dynamical implantable device for selected stabilisation and correction of deformations and instability of spine
US20230355418A1 (en) Orthosis for deformity correction
US11839410B2 (en) Magnetic implants with improved anatomical compatibility
EP2345381A1 (en) Dynamic Interspinous Process Device
US20120035656A1 (en) External maintenance feature for magnetic implant
BRPI0519373B1 (en) ADJUSTABLE SPIN PROSTHESIS
CN110368146A (en) A kind of rotary opening formula Invasive lumbar fusion device
CN111603232A (en) Scoliosis orthopedic device
CN212382720U (en) Scoliosis orthopedic device
CN104983544A (en) Wearable cervical vertebra rehabilitation medical robot
CN104799928A (en) Spine board dynamic stabilizing system
CN110840727A (en) Digestion-aiding device for severe abdominal distension patients lying in bed for long time
WO2021258546A1 (en) Assembled cervical vertebra and uncovertebral joint fusion cage
WO2014092521A1 (en) Controllable prosthesis for cervical region of vertebral column
CN212382721U (en) Scoliosis orthopedic device
CN109846598A (en) A kind of eyeball protective device
CN215937616U (en) Micro-motion structure and auxiliary device for lumbar vertebrae
CN111603231A (en) Scoliosis orthopedic device
CN208838467U (en) A kind of ophthalmology medial nursing frame
CN209404914U (en) Posterior occipitocervical joint prosthesis device
CN116172826B (en) Head fixer for nerve interventional therapy
CN112022565B (en) Head fixing device for ophthalmic therapy
CN110507462A (en) Positioning device for traction table treatment
CN112545732B (en) Be used for horizontal draw gear of cervical vertebra
CN204092200U (en) Prone position headrest

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination