CN116473652A - Application of photo-curing resin bone cement in vertebral body forming and imbedding device thereof - Google Patents

Application of photo-curing resin bone cement in vertebral body forming and imbedding device thereof Download PDF

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Publication number
CN116473652A
CN116473652A CN202310267861.5A CN202310267861A CN116473652A CN 116473652 A CN116473652 A CN 116473652A CN 202310267861 A CN202310267861 A CN 202310267861A CN 116473652 A CN116473652 A CN 116473652A
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CN
China
Prior art keywords
bone cement
light
inner sleeve
vertebral body
catheter body
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Pending
Application number
CN202310267861.5A
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Chinese (zh)
Inventor
张�浩
陈可夫
郭瑛
卢一玮
许峰峰
袁一旻
江润益
孙海涛
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Second Military Medical University SMMU
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Second Military Medical University SMMU
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Publication date
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Priority to CN202310267861.5A priority Critical patent/CN116473652A/en
Publication of CN116473652A publication Critical patent/CN116473652A/en
Pending legal-status Critical Current

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    • 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
    • A61B17/8802Equipment for handling bone cement or other fluid fillers
    • 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
    • A61B17/8802Equipment for handling bone cement or other fluid fillers
    • A61B17/8805Equipment for handling bone cement or other fluid fillers for introducing fluid filler into bone or extracting it
    • 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
    • A61B17/8802Equipment for handling bone cement or other fluid fillers
    • A61B17/8805Equipment for handling bone cement or other fluid fillers for introducing fluid filler into bone or extracting it
    • A61B17/8825Equipment for handling bone cement or other fluid fillers for introducing fluid filler into bone or extracting it characterised by syringe details
    • 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
    • A61B17/8802Equipment for handling bone cement or other fluid fillers
    • A61B17/8833Osteosynthesis tools specially adapted for handling bone cement or fluid fillers; Means for supplying bone cement or fluid fillers to introducing tools, e.g. cartridge handling means
    • A61B17/8836Osteosynthesis tools specially adapted for handling bone cement or fluid fillers; Means for supplying bone cement or fluid fillers to introducing tools, e.g. cartridge handling means for heating, cooling or curing of bone cement or fluid fillers

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

Abstract

The invention provides an application of light-cured resin bone cement in vertebral body forming and an imbedding device thereof, which comprise an injection catheter body which can penetrate into the vertebral body, wherein an inner sleeve is arranged in the injection catheter body, a space between the injection catheter body and the inner sleeve is a bone cement pouring channel, and the bone cement adopts light-cured resin bone cement; the inside solidification device passageway that is of interior sleeve pipe, the one end of solidification device can follow interior sleeve pipe and move towards the direction of keeping away from injection pipe body injection mouth, and solidification device adopts the ultraviolet light purple light lamp pearl, and wavelength range is 365-410nm. The invention adopts the purple light lamp beads as the curing device to cure the light curing resin bone cement entering the vertebral body through the injection catheter body, the heat release amount in the curing process is less, soft tissues are not damaged even if the light curing resin bone cement is dispersed to the periphery, and the light curing resin bone cement cannot be absorbed by the tissues; the solidification adopts ultraviolet irradiation, the resin adhesive force is strong, the resin adhesive force is firm with bone adhesion, and the resin is not easy to fall off from the damaged position of the vertebral body.

Description

Application of photo-curing resin bone cement in vertebral body forming and imbedding device thereof
Technical Field
The invention relates to the technical field of medical auxiliary devices, in particular to application of light-cured resin bone cement in vertebral body forming and an imbedding device thereof.
Background
Currently, for old patients with vertebral compression fracture, vertebroplasty or kyphoplasty can be selected, and the bone cement materials commonly used at present are polymethyl methacrylate (PMMA) bone cement, calcium phosphate bone cement, calcium sulfate bone cement and the like, and the main purpose of the operation is to put semi-fluid bone cement into the fractured vertebral body and wait for the bone cement to solidify so as to achieve the supporting effect on the fractured vertebral body, but the following technical defects exist: 1) Because bone cement is in a semi-fluid state when being placed, the bone cement can be dispersed to other parts; 2) The PMMA bone cement can release a great amount of heat in the curing process, and can cause heat injury to surrounding tissues to cause inflammation and even cause tissue necrosis, the bone cement is dispersed to the surrounding tissues, and the released heat can cause injury to the tissues, such as injury to abdominal aorta and inferior vena cava in front of vertebral body, so that the patient is endangered by massive hemorrhage; dispersed into the vertebral canal, damage the caudal nerve and spinal cord of the horse, cause paralysis of the patient, etc.; 3) Because the curing time is long, the heat release in the curing process is relatively low, the adhesive force and strength of the calcium phosphate bone cement are relatively poor, and the calcium phosphate bone cement is easy to disintegrate from bone, so that the research of the calcium phosphate bone cement is still continued; because the calcium sulfate bone cement has poor biological activity, chemical bonds cannot be formed between the calcium sulfate implant and bone tissues, the calcium sulfate bone cement can be rapidly degraded, and the calcium sulfate bone cement can be completely absorbed within six weeks after being implanted into a body, and the rapid degradation condition is not matched with the bone formation process; 4) The setting time of the bone cement is short, and the bone cement is possibly hardened and cannot be put in after being put in a little later, so that additional bone cement is needed, and the cost of patients is increased; 5) The bone cement has high hardness and no elasticity after solidification, so that the stress of the adjacent segment vertebral bodies can be increased, and the bone cement is easy to fracture due to the osteoporosis of the old patients; 6) Due to the axial pressure, bone cement is easily extruded from the damaged position of the vertebral body and is displaced.
Therefore, how to design an implantation device of light-cured resin bone cement which is convenient for the bone cement in the vertebral body to be solidified, has certain elasticity after solidification, has smaller stress on the adjacent segment vertebral body and is not easy to cause the fracture of the adjacent segment vertebral body compared with the existing bone cement, and becomes the urgent problem to be solved.
Disclosure of Invention
The invention provides an application of photo-curing resin bone cement in vertebral body forming and an imbedding device thereof aiming at the problems existing in the prior art so as to solve at least one technical problem.
The technical scheme of the invention is as follows: the device for placing the light-cured resin bone cement in the vertebral body forming comprises an injection catheter body which can penetrate into the vertebral body, wherein an inner sleeve is arranged in the injection catheter body, a space between the injection catheter body and the inner sleeve is a bone cement pouring channel, and the bone cement adopts the light-cured resin bone cement; the inside solidification device passageway that is of interior sleeve pipe, the one end of solidification device can follow interior sleeve pipe and move towards the direction of keeping away from injection pipe body injection mouth, and solidification device adopts the ultraviolet light red light lamp pearl, and the wavelength range of ultraviolet light red light lamp pearl is 365-410nm.
The invention adopts the UVALED purple light lamp beads as the curing device to cure the photo-curing resin bone cement entering the vertebral body through the injection catheter body, solves the defect of the bone cement in the prior art, and has the following advantages: the fluidity of the resin is lower than that of the existing bone cement, and the resin has plasticity, so the resin is not easy to disperse outside the vertebral body; the resin solidification process has little heat release, and soft tissues are not damaged and absorbed by the tissues even if the resin is dispersed around; the resin solidification adopts ultraviolet irradiation, the non-illumination solidification time is longer, and a longer operation time window is provided; the resin has certain elasticity after solidification, has smaller stress on adjacent segment vertebral bodies, and is less likely to cause adjacent segment vertebral body fracture compared with the existing bone cement; the resin has strong adhesive force, is firmly adhered to bone, and is not easy to fall off from the damaged position of the vertebral body.
The technical scheme of the invention is as follows: an application of photo-curing resin bone cement in vertebroplasty, which is characterized in that: the light-cured resin is used as bone cement for vertebroplasty or kyphoplasty, and is cured by a curing device.
The invention adopts the photo-curing resin widely used in dentistry as bone cement for vertebroplasty or kyphoplasty, and compared with the existing bone cement, the bone cement is less likely to cause adjacent segment vertebral fracture after being cured by a curing device; the resin has strong adhesive force, is firmly adhered to bone, and is not easy to fall off from the damaged position of the vertebral body.
Drawings
FIG. 1 is a schematic view of the mounting structure of the present invention prior to use.
Fig. 2 is a cross-sectional view A-A of fig. 1.
FIG. 3 is a schematic view of the mounting structure of the present invention after use.
Fig. 4 is a schematic circuit diagram of the UVALED violet lamp bead of the present invention.
In the figure: 1. an injection catheter body; 2. an inner sleeve; 3. a light-transmitting unidirectional cover plate; 4. a baffle; uvaled violet light beads; 201. a limiting ring; 202. reinforcing rib plates.
Detailed Description
The invention is further described below with reference to the accompanying drawings.
Referring to fig. 1-4, the structures, proportions, sizes, etc. shown in the drawings attached hereto are shown only in order to provide a person skilled in the art with the benefit of the present disclosure, and are not intended to limit the scope of the invention in any way, and any structural modifications, proportional changes, or adjustments of size, which do not have any technical significance, would still fall within the scope of the present disclosure without affecting the efficacy or achievement of the present invention. Also, the terms such as "upper," "lower," "left," "right," "middle," and "a" and the like recited in the present specification are merely for descriptive purposes and are not intended to limit the scope of the invention, but are intended to provide relative positional changes or modifications without materially altering the technical context in which the invention may be practiced.
An apparatus for implanting light-cured resin bone cement into vertebral body in the forming process is disclosed in the first embodiment, referring to fig. 1, the apparatus comprises an injection catheter body 1 capable of penetrating into the vertebral body, an inner sleeve 2 is arranged in the injection catheter body 1, a space between the injection catheter body 1 and the inner sleeve 2 is a bone cement pouring channel, and the bone cement adopts light-cured resin bone cement; a curing device channel is formed in the inner sleeve 2, one end of the curing device can move along the inner sleeve 2 in a direction away from the injection port 1 of the injection catheter body, the curing device adopts UVA LED purple light beads 5, and the wavelength range of the UVA LED purple light beads 5 is 365-410nm; the antistatic capacity is 1000-1500V; maximum instantaneous current: 150mA. The invention adopts the UVALED purple light lamp beads as the curing device to cure the photo-curing resin bone cement entering the vertebral body through the injection catheter body, is suitable for vertebral fracture filling, solves the bone cement defect in the prior art, and has the following advantages: the fluidity of the resin is lower than that of the existing bone cement, and the resin has plasticity, so the resin is not easy to disperse outside the vertebral body; the resin solidification process has little heat release, and soft tissues are not damaged and absorbed by the tissues even if the resin is dispersed around; the resin solidification adopts ultraviolet irradiation, the non-illumination solidification time is longer, and a longer operation time window is provided; the resin has certain elasticity after solidification, has smaller stress on adjacent segment vertebral bodies, and is less likely to cause adjacent segment vertebral body fracture compared with the existing bone cement; the resin has strong adhesive force, is firmly adhered to bone, and is not easy to fall off from the damaged position of the vertebral body.
On the basis of the second embodiment, a light-transmitting unidirectional cover plate 3 is arranged on the end face of one end of the inner sleeve 2, which is close to the injection port of the injection catheter body 1, the light-transmitting unidirectional cover plate 3 seals the UVAED purple light lamp beads 5 in the inner sleeve 2, and the light-transmitting unidirectional cover plate 3 and an inner ring embedded in the inner sleeve 2. The ultraviolet light-emitting device adopts the light-transmitting unidirectional cover plate to seal the ultraviolet light-emitting lamp beads in the inner sleeve, so that the ultraviolet light-emitting lamp beads are prevented from being blocked due to the fact that light-cured resin bone cement reversely enters the inner sleeve.
In the third embodiment, referring to fig. 3, a stop ring 201 is disposed on an inner ring of the inner sleeve 2 near an injection port of the injection catheter body 1, a baffle 4 is disposed on an end of the inner sleeve 2 near a curing device, and the curing device is fixed on the baffle 4; the baffle 4 is welded with the stop collar 201. According to the invention, the baffle can be used for fixing the UVAED purple light lamp beads firstly, and then the baffle is welded with the limiting ring, so that the UVAED purple light lamp beads can be conveniently installed and positioned.
On the basis of the fourth embodiment, the middle part of the baffle 4 is provided with a through hole, the UVALED ultraviolet lamp beads 5 are provided with two supporting legs, wires are arranged on the two supporting legs, and the two wires sequentially penetrate out of the through hole of the baffle 4, the central hole of the limiting ring 201 and the other end of the inner sleeve 2.
Based on the fifth embodiment, referring to fig. 4, one wire sequentially passes through the connection switch, the dry battery and the indicator light and then is connected with another wire, wherein the positive electrode of the dry battery is connected with the positive electrode of the UVALED ultraviolet lamp bead 5, and the negative electrode of the dry battery is connected with the negative electrode of the UVALED ultraviolet lamp bead 5. The UVALED purple light lamp beads are powered by dry batteries, and the photo-curing resin bone cement in the vertebral body is cured.
In the sixth embodiment, on the basis of the fifth embodiment, the connection switch, the dry battery and the indicator lamp are all located outside the inner sleeve 2. The invention adopts the connecting switch, the dry battery and the indicator lamp to be positioned outside the inner sleeve, and controls the on-off of the UVAED purple light lamp beads through the connecting switch, and the indicator lamp can display the on-off state of the UVAED purple light lamp beads.
The difference between the seventh embodiment and the fifth embodiment is that the two wires of the UVALED ultraviolet lamp beads 5 are wound and then pass through the inner sleeve 2. According to the invention, the two wires are wound and then pass through the inner sleeve, so that the influence on the two wires when the inner sleeve moves can be greatly reduced.
An eighth embodiment, on the basis of the first embodiment, referring to fig. 2, the injection port of the injection catheter body 1 is provided with a tapered end; the inner wall of the straight section of the injection catheter body 1 is provided with a plurality of grooves uniformly distributed around the circumference, the outer ring of the inner sleeve 2 is provided with a plurality of reinforcing rib plates 202 uniformly distributed around the circumference, and the reinforcing rib plates 202 are correspondingly arranged with the grooves. The injection port with the conical end is adopted, so that the injection catheter body can conveniently enter the vertebral body; the reinforcing rib plates are guided through the grooves, so that the inner sleeve is convenient to operate to move along the axial direction of the injection catheter body.
An eighth embodiment, on the basis of the eighth embodiment, the injection catheter body 1 is integrally formed from polyurethane or polyethylene; the inner sleeve, the limiting ring 201 and the reinforcing rib plate 202 are integrally formed by polyurethane or polyethylene. The invention adopts the reinforcing rib plate and the inner sleeve to be understood as a whole, the inlet of the injection catheter body is communicated with the space between any adjacent reinforcing rib plate, and the inlet of the injection catheter body is connected with the inlet of the photo-curing bone cement pouring device; the injection molding integrated structure has stable product quality and greatly shortens the manufacturing time.
Embodiment ten, the application of light-cured resin bone cement in vertebral body shaping is characterized in that: the light-cured resin is used as bone cement for vertebroplasty or kyphoplasty, and is cured by a curing device. The invention adopts the photo-curing resin widely used in dentistry as bone cement for vertebroplasty or kyphoplasty, and compared with the existing bone cement, the bone cement is less likely to cause adjacent segment vertebral fracture after being cured by a curing device; the resin has strong adhesive force, is firmly adhered to bone, and is not easy to fall off from the damaged position of the vertebral body.
The foregoing is merely a preferred embodiment of the present invention and it should be noted that modifications and adaptations to those skilled in the art may be made without departing from the principles of the present invention, which are intended to be comprehended within the scope of the present invention.

Claims (10)

1. An implantation device of light-cured resin bone cement in vertebroplasty, comprising an injection catheter body (1) which can penetrate into the vertebroplasty, characterized in that: an inner sleeve (2) is arranged in the injection catheter body (1), a space between the injection catheter body (1) and the inner sleeve (2) is a bone cement pouring channel, and the bone cement adopts photo-curing resin bone cement; the inside solidification device passageway that is of interior sleeve pipe (2), the one end of solidification device can follow interior sleeve pipe (2) and move towards the direction of keeping away from injection pipe body (1) injection mouth, and solidification device adopts UVAED purple light lamp pearl (5), and the wavelength range of UVAED purple light lamp pearl (5) is 365-410nm.
2. The device for implanting light-cured resin bone cement in vertebral body formation according to claim 1, wherein: the one-way cover plate (3) is arranged on the end face of one end of the inner sleeve (2) close to the injection port of the injection catheter body (1), and the one-way cover plate (3) seals the UVALED ultraviolet lamp beads (5) in the inner sleeve (2).
3. The device for implanting light-cured resin bone cement in vertebral body formation according to claim 1, wherein: a limiting ring (201) is arranged on the inner ring of one end, close to the injection port, of the injection catheter body (1), of the inner sleeve (2), a baffle plate (4) is arranged on one end, close to the curing device, of the inner sleeve (2), and the curing device is fixed on the baffle plate (4); the baffle (4) is welded with the limiting ring (201).
4. A light-curable resin bone cement placement device for vertebroplasty according to claim 3, wherein: the middle part of baffle (4) is provided with the through-hole, and UVAED purple light lamp pearl (5) are provided with two stabilizer blades, all are provided with the wire on two stabilizer blades, and two wires all wear out from the other end of the through-hole of baffle (4), the centre bore of spacing ring (201), interior sleeve pipe (2) in proper order.
5. The device for implanting light-cured resin bone cement in vertebral body formation according to claim 4, wherein: one wire passes through the connecting switch, the dry battery and the indicating lamp in sequence and then is connected with the other wire, wherein the positive electrode of the dry battery is connected with the positive electrode of the UVAED purple light lamp bead (5), and the negative electrode of the dry battery is connected with the negative electrode of the UVAED purple light lamp bead (5).
6. The device for implanting light-cured resin bone cement in vertebral body formation according to claim 5, wherein: the connecting switch, the dry battery and the indicator lamp are all positioned outside the inner sleeve (2).
7. The device for implanting light-cured resin bone cement in vertebral body formation according to claim 5, wherein: two wires of the UVAED purple light lamp bead (5) penetrate out of the inner sleeve (2) after being wound.
8. The device for implanting light-cured resin bone cement in vertebral body formation according to claim 1, wherein: the injection port of the injection catheter body (1) is provided with a conical end; the inner wall of the straight section of the injection catheter body (1) is provided with a plurality of grooves uniformly distributed around the circumference, the outer ring of the inner sleeve (2) is provided with a plurality of reinforcing rib plates (202) uniformly distributed around the circumference, and the reinforcing rib plates (202) are correspondingly arranged with the grooves.
9. The device for implanting light-cured resin bone cement in vertebral body formation according to claim 8, wherein: the injection catheter body (1) is integrally formed by polyurethane or polyethylene; the inner sleeve, the limiting ring (201) and the reinforcing rib plate (202) are integrally formed by polyurethane or polyethylene.
10. An application of photo-curing resin bone cement in vertebroplasty, which is characterized in that: the light-cured resin is used as bone cement for vertebroplasty or kyphoplasty, and is cured by a curing device.
CN202310267861.5A 2023-03-20 2023-03-20 Application of photo-curing resin bone cement in vertebral body forming and imbedding device thereof Pending CN116473652A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202310267861.5A CN116473652A (en) 2023-03-20 2023-03-20 Application of photo-curing resin bone cement in vertebral body forming and imbedding device thereof

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202310267861.5A CN116473652A (en) 2023-03-20 2023-03-20 Application of photo-curing resin bone cement in vertebral body forming and imbedding device thereof

Publications (1)

Publication Number Publication Date
CN116473652A true CN116473652A (en) 2023-07-25

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN202310267861.5A Pending CN116473652A (en) 2023-03-20 2023-03-20 Application of photo-curing resin bone cement in vertebral body forming and imbedding device thereof

Country Status (1)

Country Link
CN (1) CN116473652A (en)

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