CN114469373B - Bone plate laminating angle measuring device and system - Google Patents

Bone plate laminating angle measuring device and system Download PDF

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Publication number
CN114469373B
CN114469373B CN202210018429.8A CN202210018429A CN114469373B CN 114469373 B CN114469373 B CN 114469373B CN 202210018429 A CN202210018429 A CN 202210018429A CN 114469373 B CN114469373 B CN 114469373B
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China
Prior art keywords
bone plate
probe
push rod
angle measuring
angle
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CN202210018429.8A
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Chinese (zh)
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CN114469373A (en
Inventor
邢志利
许书富
霍尔凡
于亚靖
董骧
杨滨
刘晨
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Beijing Naton Medical Technology Holdings Co Ltd
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Beijing Naton Medical Technology Holdings Co Ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06Measuring instruments not otherwise provided for
    • 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
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • 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
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8863Apparatus for shaping or cutting osteosynthesis equipment by medical personnel
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06Measuring instruments not otherwise provided for
    • A61B2090/067Measuring instruments not otherwise provided for for measuring angles

Abstract

The invention discloses a bone plate attaching angle measuring device and a bone plate attaching angle measuring system, which belong to the technical field of medical equipment. The bone plate attaching angle measuring device and the bone plate attaching angle measuring system can measure the attaching angle of the bone plate and the bone surface, are simple and convenient to operate, and are visual in numerical reading, so that accurate bending operation of the bone plate in operation is facilitated, and the operation efficiency and the treatment effect are greatly improved.

Description

Bone plate laminating angle measuring device and system
Technical Field
The invention relates to the technical field of medical instruments, in particular to a bone plate attaching angle measuring device and a bone plate attaching angle measuring system.
Background
In the fracture operation treatment process, due to the differences of human bodies and the diversity of fracture parts, the bone plate can not be well attached to bones after being implanted, for example, in the radius distal fracture palm side operation process, the head of the bone plate is generally attached to the bone surface and fixed, at this time, the stem of the bone plate is tilted, then the bone plate is subjected to certain bending operation (due to the fact that the heights of the stem of the bone plate from the bone surface are different, if the bending operation is not performed, the tilting angle of the radius distal fracture block is also different, so that the palm inclination angle can be influenced), and finally the stem of the bone plate is pressed on the bone surface and fixed, so that the palm inclination angle can not be influenced by the operation, and a good treatment effect can be achieved.
The inventor finds in the research process that if the tilting angle of the bone plate (namely the fitting angle of the bone plate and the human skeleton/bone surface) can be measured in the operation process, the bending operation can be more accurately carried out on the bone plate, and the treatment effect of the operation is further improved. However, there is no corresponding measuring device in the prior art, which is a disadvantage of the prior art.
Disclosure of Invention
The invention aims to provide a bone plate attaching angle measuring device and a bone plate attaching angle measuring system capable of measuring attaching angles of a bone plate and a bone surface.
In order to solve the technical problems, the invention provides the following technical scheme:
in one aspect, a bone plate laminating angle measuring device is provided, including the travel sleeve, the lower terminal surface of travel sleeve is used for supporting the upper surface of bone plate that awaits measuring, be equipped with the push rod that can reciprocate in the travel sleeve, the lower extreme of push rod is used for supporting the bone face that corresponds of bone plate that awaits measuring, be equipped with the scale that is used for showing bone plate laminating angle on one of them travel sleeve and push rod, be equipped with on the other one and be used for reading the scale.
Further, the lower end drive of push rod is connected with measuring probe, measuring probe's lower extreme is used for supporting the bone face that corresponds of bone plate to be measured, the lower extreme of stroke sleeve is equipped with and is used for holding measuring probe's probe track.
Further, the measuring probe and the probe track are arc-shaped.
Further, the lower end of the travel sleeve is a flat abutting part, and the probe track is positioned on the abutting part;
and/or the upper end of the measuring probe is provided with a probe connecting column, and the lower end of the push rod is provided with a transverse ring groove for accommodating the probe connecting column.
Further, the radian of the measuring probe is 10-90 degrees;
and/or the extension distance of the measuring probe is 1-30mm;
and/or the included angle between the tangent line of the lower end of the probe track and the horizontal plane is 40-90 degrees.
Further, the scale is located on the upper portion of the push rod, and the score line is the upper end face of the stroke sleeve.
Further, the push rod comprises a first rod part positioned at the upper part and a second rod part positioned at the lower part, and the diameter of the first rod part is larger than that of the second rod part.
Further, a spring mounting cavity is arranged at the transition part of the first rod part and the second rod part in the travel sleeve, and a spring sleeved at the transition part and used for resetting the push rod is arranged in the spring mounting cavity.
On the other hand, provide a bone plate laminating angle measurement system, including bone plate and foretell bone plate laminating angle measurement device, be equipped with the angle measurement hole on the preset position of bone plate.
Further, the angle measurement hole is a preset distance from the end of the bone plate;
or the angle measuring hole is a preset distance from the bending part of the bone plate.
The invention has the following beneficial effects:
the bone plate attaching angle measuring device and system comprise the travel sleeve and the push rod which is positioned in the travel sleeve and can move up and down, the lower end face of the travel sleeve is used for abutting against the upper surface of the bone plate to be measured, the lower end of the push rod is used for abutting against the bone surface corresponding to the bone plate to be measured, one of the travel sleeve and the push rod is provided with scales for displaying the attaching angle of the bone plate, and the other one of the travel sleeve and the push rod is provided with scales for reading the scales, so that the attaching angle of the bone plate and the bone surface can be measured, the operation is simple and convenient, the numerical reading is visual, and the accurate bending operation of the bone plate in operation is convenient, and the operation efficiency and the treatment effect are greatly improved.
Drawings
Fig. 1 is a schematic view of the overall structure of a bone plate fitting angle measuring device according to the present invention, wherein (a) is a perspective view and (b) is a sectional view;
FIG. 2 is a schematic view of a travel sleeve in a bone plate fitting angle measuring device according to the present invention;
fig. 3 is a schematic structural view of a push rod in the bone plate fitting angle measuring device according to the present invention, wherein (a) is a perspective view, and (b) is an enlarged schematic structural view of the scale in (a);
FIG. 4 is a schematic view of the structure of a measuring probe in the bone plate fitting angle measuring device according to the present invention;
FIG. 5 is a schematic view of the structure of a spring in the bone plate fitting angle measuring device according to the present invention;
fig. 6 is a schematic view showing a use state of the bone plate fitting angle measuring device according to the present invention.
Detailed Description
In order to make the technical problems, technical solutions and advantages to be solved more apparent, the following detailed description will be given with reference to the accompanying drawings and specific embodiments.
On the one hand, the invention provides a bone plate attaching angle measuring device, as shown in fig. 1-6, comprising a travel sleeve 1, wherein the lower end surface of the travel sleeve 1 is used for abutting against the upper surface of a bone plate 10 to be measured, a push rod 2 capable of moving up and down is arranged in the travel sleeve 1, the lower end of the push rod 2 is used for abutting against a bone surface 20 corresponding to the bone plate 10 to be measured, one of the travel sleeve 1 and the push rod 2 is provided with a scale 21 for displaying the bone plate attaching angle alpha, and the other is provided with a scale line for reading the scale 21.
When in use, referring to fig. 6, the lower end surface of the travel sleeve 1 is abutted against the angle measuring hole 101 at the preset position of the bone plate 10 to be measured, the push rod 2 is driven to move downwards, and when the lower end of the push rod 2 (which can be directly used as a measuring probe) is abutted against the bone surface 20 corresponding to the bone plate 10 to be measured, the scale 21 indicated by the scale line is read, namely the bone plate attaching angle alpha (namely the tilting angle of the bone plate 10 to be measured).
The angle measurement principle is as follows: the angle measuring hole 101 is located at a preset position, and the distance between the preset position and the attachment point of the bone plate 10 and the bone surface 20 (i.e., the vertex of the bone plate attachment angle α) is a preset known distance; the lower end of the push rod 2 is provided with a measuring probe, and the included angle between the measuring probe and the bone plate 10 is known; the extension distance of the measurement probe is known (the thickness of the bone plate 10 can be reduced in advance); in the plane coordinate system, the bone plate attaching angle alpha can be calculated by using a conventional mathematical formula. The angle measurement range can be flexibly designed according to the needs, and can be 0-30 degrees for example.
The bone plate attaching angle measuring device comprises a travel sleeve and a push rod which is arranged in the travel sleeve and can move up and down, wherein the lower end face of the travel sleeve is used for abutting against the upper surface of a bone plate to be measured, the lower end of the push rod is used for abutting against the corresponding bone surface of the bone plate to be measured, one of the travel sleeve and the push rod is provided with scales for displaying the attaching angle of the bone plate, and the other one of the travel sleeve and the push rod is provided with scales for reading the scales, so that the attaching angle of the bone plate and the bone surface can be measured.
For convenient implementation and measurement, the lower end of the push rod 2 can be in driving connection with a measuring probe 3, the lower end of the measuring probe 3 is used for abutting against a bone surface 20 corresponding to the bone plate 10 to be measured, and the lower end of the stroke sleeve 1 is provided with a probe track 111 for accommodating the measuring probe 3. The measuring probe 3 can be straight or arc, but considering that the straight measuring probe has a straight moving distance, a short distance and low measuring precision, in order to improve measuring precision, as shown in fig. 1-2, the measuring probe 3 and the probe track 111 (specifically, the measuring probe 3 can simulate the outer diameter of a circle, and the measuring probe 3 is slidably connected in the probe track 111) in the invention are both preferably arc-shaped, so that the arc-shaped measuring probe 3 is matched with the arc-shaped probe track 111, the fault tolerance of corresponding measuring positions can be improved, the moving distance of the arc-shaped measuring probe 3 is long, the measuring result can be more accurate, in addition, the probe track 111 can guide the measuring probe 3, the stroke protection of the measuring probe 3 is improved, and the stability in the measuring process is improved.
To increase the contact area of the lower end of the travel sleeve 1 with the bone plate 10 to be measured (i.e. the lower end cross-sectional area of the row Cheng Taotong 1), and further improve the stability during measurement, the lower end of the travel sleeve 1 is preferably a flat abutment 11, and the probe rail 111 is located on the abutment 11. The shape of the abutment 11 can be flexibly set as required, however, in order to make the overall structure attractive, the shape of the abutment 11 may be square in side view and may be oblate in cross section.
In order to facilitate the driving connection of the lower end of the push rod 2 to the measuring probe 3, various structural forms which can be easily thought by a person skilled in the art can be adopted, for example, the lower end of the push rod 2 pushes the measuring probe 3 through a transverse push rod; however, in order to improve the fault tolerance of the probe during measurement and prevent the phenomenon of jamming during measurement, the invention preferably adopts the following structural form:
as shown in fig. 1 and 3 to 4, the upper end of the measuring probe 3 is provided with a probe attachment post 31, and the lower end of the push rod 2 is provided with a transverse ring groove 22 for receiving the probe attachment post 31 (the probe attachment post 31 is slidably coupled within the transverse ring groove 22). The transverse grooves 22 are preferably of the long bore type, i.e. racetrack type. The probe attachment post 31 is preferably cylindrical. The upper end of the push rod 2 may be provided with a round handle pressing head 23 to increase the comfort of the finger when pressing.
The radian of the measuring probe 3 is preferably 10-90 degrees, and may be specifically 30 degrees, 40 degrees, 50 degrees, 60 degrees, 70 degrees, etc. The extension distance of the measuring probe 3 is preferably 1-30mm to accommodate bone plates 10 of different tilting angles. As shown in fig. 2, the angle β between the tangent line of the lower end of the probe track 111 and the horizontal plane (i.e., the lower end face of the line Cheng Taotong 1) is preferably 40-90 degrees, specifically, may be 50 degrees, 60 degrees, 70 degrees, 80 degrees, etc., which enables a larger range of travel of the measurement probe 3.
The scale can be positioned on the push rod 2 or the stroke sleeve 1, and for convenient implementation, the scale 21 in the invention is preferably positioned on the upper part of the push rod 2, and the scale line is the upper end surface of the stroke sleeve 1, so that the scale mark is a linear scale mark, and the numerical value reading is simple and convenient.
As shown in fig. 1 and 3, the push rod 2 may be designed with different diameters (variable diameter structure), and the push rod 2 may include a first rod portion 24 located at an upper portion and a second rod portion 25 located at a lower portion, where the diameter of the first rod portion 24 is greater than that of the second rod portion 25, so that the overall strength of the push rod 2 may be improved, and the stability in the moving process may be compromised.
As shown in fig. 1 (b), in order to facilitate the return of the push rod 2, a spring mounting cavity may be provided in the travel sleeve 1 at the transition between the first lever portion 24 and the second lever portion 25, and a spring 12 is provided in the spring mounting cavity, which is sleeved at the transition for returning the push rod 2. When the device is used, the round handle pressing head 23 at the upper end of the push rod 2 can be directly pressed by the hand-held travel sleeve 1, after the measurement is completed, the round handle pressing head 23 is loosened, the push rod 2 is automatically reset under the action of the spring 12, and the device is simple and convenient to operate for the next time.
On the other hand, the invention provides a bone plate attaching angle measuring system, as shown in fig. 1-6, comprising a bone plate 10 and the bone plate attaching angle measuring device, wherein angle measuring holes 101 are arranged at preset positions of the bone plate 10, the number of the angle measuring holes 101 can be flexibly set according to requirements, and the angle measuring holes 101 can also share the same hole with a k-pin hole or a screw hole on the bone plate 10. The structure of the bone plate fitting angle measuring device is the same as that of the bone plate fitting angle measuring device, so that the bone plate fitting angle measuring device is not repeated here.
The bone plate attaching angle measuring system comprises a travel sleeve and a push rod which is positioned in the travel sleeve and can move up and down, wherein the lower end face of the travel sleeve is used for abutting against the upper surface of a bone plate to be measured, the lower end of the push rod is used for abutting against a bone surface corresponding to the bone plate to be measured, one of the travel sleeve and the push rod is provided with scales for displaying the attaching angle of the bone plate, and the other one of the travel sleeve and the push rod is provided with scales for reading the scales, so that the attaching angle of the bone plate and the bone surface can be measured, the operation is simple and convenient, the numerical reading is visual, and the accurate bending operation of the bone plate in operation is convenient, and the operation efficiency and the treatment effect are greatly improved. The measuring probe is designed to be arc-shaped, and the distance of the arc-shaped measuring probe extending out is converted into the stroke of the push rod by utilizing the structural principle of the cam roller, so that the numerical reading is visual and simple.
The angle measuring hole 101 is located at a preset position, and may be implemented by adopting a mode that the end of the angle measuring hole 101 away from the bone plate 10 (the end is regarded as a joint point between the bone plate 10 and the bone surface 20 at this time) is a preset distance, or adopting a mode that a bending part of the angle measuring hole 101 away from the bone plate 10 (the bending part is usually provided with a bending groove and is easy to identify; the bending part is regarded as a joint point between the bone plate 10 and the bone surface 20 at this time, namely, a black point on the left side of fig. 6) is a preset distance L. The embodiment shown in fig. 6 preferably uses the angle measuring hole 101 to be a preset distance L from the bent portion of the bone plate 10, and the preset distance L can be flexibly set according to the needs of different types of bone plates, for example, can be 1-5 cm.
While the foregoing is directed to the preferred embodiments of the present invention, it will be appreciated by those skilled in the art that various modifications and adaptations can be made without departing from the principles of the present invention, and such modifications and adaptations are intended to be comprehended within the scope of the present invention.

Claims (8)

1. The bone plate attaching angle measuring device is characterized by comprising a stroke sleeve, wherein the lower end face of the stroke sleeve is used for abutting against the upper surface of a bone plate to be measured, a push rod capable of moving up and down is arranged in the stroke sleeve, the lower end of the push rod is used for abutting against a bone surface corresponding to the bone plate to be measured, one of the stroke sleeve and the push rod is provided with a scale for displaying the attaching angle of the bone plate, and the other one of the stroke sleeve and the push rod is provided with a scale for reading the scale;
the lower extreme drive of push rod is connected with measuring probe, measuring probe's lower extreme is used for supporting the bone face that corresponds of bone plate to be measured, the lower extreme of travel sleeve is equipped with and is used for holding measuring probe's probe track, measuring probe with the probe track is the arc.
2. The bone plate fitting angle measuring device according to claim 1, wherein a lower end of the stroke sleeve is a flat abutting portion on which the probe rail is located;
and/or the upper end of the measuring probe is provided with a probe connecting column, and the lower end of the push rod is provided with a transverse ring groove for accommodating the probe connecting column.
3. The bone plate fit angle measurement device of claim 1, wherein the arc of the measurement probe is 10-90 degrees;
and/or the extension distance of the measuring probe is 1-30mm;
and/or the included angle between the tangent line of the lower end of the probe track and the horizontal plane is 40-90 degrees.
4. The bone plate fitting angle measuring device of any one of claims 1-3, wherein the scale is located on an upper portion of the pushrod, and the score line is an upper end surface of the travel sleeve.
5. The bone plate fit angle measuring device of claim 4, wherein the pushrod includes a first rod portion at an upper portion and a second rod portion at a lower portion, the first rod portion having a diameter greater than a diameter of the second rod portion.
6. The bone plate fitting angle measuring device of claim 5, wherein a spring mounting cavity is provided in the travel sleeve at a transition between the first and second rod portions, and a spring is provided in the spring mounting cavity and is sleeved at the transition for resetting the push rod.
7. A bone plate fitting angle measuring system, which is characterized by comprising a bone plate and the bone plate fitting angle measuring device according to any one of claims 1-6, wherein angle measuring holes are formed in preset positions of the bone plate.
8. The bone plate fit angle measurement system of claim 7, wherein the angle measurement hole is a predetermined distance from an end of the bone plate;
or the angle measuring hole is a preset distance from the bending part of the bone plate.
CN202210018429.8A 2022-01-07 2022-01-07 Bone plate laminating angle measuring device and system Active CN114469373B (en)

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CN202210018429.8A CN114469373B (en) 2022-01-07 2022-01-07 Bone plate laminating angle measuring device and system

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Application Number Priority Date Filing Date Title
CN202210018429.8A CN114469373B (en) 2022-01-07 2022-01-07 Bone plate laminating angle measuring device and system

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CN114469373B true CN114469373B (en) 2023-08-04

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JP2020146524A (en) * 2020-06-11 2020-09-17 アーオー テクノロジー アクチエンゲゼルシャフト Bone plate
CN213030646U (en) * 2021-02-23 2021-04-23 天津正天医疗器械有限公司 Measuring scale

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US8425575B2 (en) * 2010-09-27 2013-04-23 Acumed Llc Bone plate supported by a leg member and used as a lever
ATE318114T1 (en) * 2001-09-21 2006-03-15 Piergiacomi Sud Srl INSTRUMENT FOR INSERTING A BONE PLATE
US11504169B2 (en) * 2019-03-11 2022-11-22 Edge Surgical, Inc. Surgical depth instrument
US11337830B2 (en) * 2019-09-12 2022-05-24 Arthrex, Inc. Defect gauge instrument for preparation of surgical sites

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2020146524A (en) * 2020-06-11 2020-09-17 アーオー テクノロジー アクチエンゲゼルシャフト Bone plate
CN213030646U (en) * 2021-02-23 2021-04-23 天津正天医疗器械有限公司 Measuring scale

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