CN1935092A - Transdermal guiding bone reaming tool device and method - Google Patents

Transdermal guiding bone reaming tool device and method Download PDF

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Publication number
CN1935092A
CN1935092A CN 200510103166 CN200510103166A CN1935092A CN 1935092 A CN1935092 A CN 1935092A CN 200510103166 CN200510103166 CN 200510103166 CN 200510103166 A CN200510103166 A CN 200510103166A CN 1935092 A CN1935092 A CN 1935092A
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China
Prior art keywords
guiding
guide pin
screw pipe
vertebral
blunt nosed
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Pending
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CN 200510103166
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Chinese (zh)
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王超然
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Individual
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Individual
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Priority to CN 200510103166 priority Critical patent/CN1935092A/en
Publication of CN1935092A publication Critical patent/CN1935092A/en
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Abstract

The present invention relates to a percutaneous guided bone reaming tool device and its method. It mainly includes a blunt point guide pin and a guide screw tube, one end of said guide screw tube is made into a flat cone portion, its external surface is equipped with a helical toothed section. Said blunt point guide pin can be passed through skin and inserted into a bone tissue, said guide screw tube can be covered into said blunt point guide pin, and said flat cone portion and said helical toothed section can be clutched in said bone tissue, so that a working tube whose tube diameter can be covered into said guide screw tube can be punctured into said bone tissue along said guide screw tube.

Description

A kind of transdermal guiding bone reaming tool device and method
Technical field
The present invention is meant a kind of osseous tissue that is applied to especially relevant for a kind of transdermal guiding bone reaming tool device and method, enlarges the transdermal guiding bone reaming tool device and the method for perforation with a blunt nosed guide pin and a guiding screw pipe percutaneous safety guiding.
Background technology
Traditional vertebra grouting operation, for the doctor, in overall process, real in fact emphasis and most critical, be how the safe and reliable instrument thorn that makes passes the hard cortical bone at vertebral segments pedicle of vertebral arch place, in case can safety pass hard cortical bone, other actions that this operation is follow-up just just belong to may command, the grouting work of safety.
The at present general employed bone Centesis instrument of doctor, be with a bone drill vent needle, and non-visual but under the perspective of X-ray machine, directly enter in this predetermined vertebral segments vertebral body, and be the instrumentation tubes of a grouting action with the trocar sheath of this bone drill vent needle by the outer puncture of skin.So, may produce dangerous instrument and action has:
One, bone drill vent needle front end is quite sharp-pointed, stabs its hetero-organization easily.
Though two, bigger bone drill vent needle can cause Peripheral Bone to organize the probability of avalanche breakage just to improve with its trocar sheath as instrumentation tubes relatively.
Three, during doctor's surgical action,, make mistakes easily in the face of sharp-pointed and long instrument can produce great psychological burden.
Four, also but the bone drilling of none cover safety and stability, reaming tool device can use for the doctor is auxiliary at present.
Summary of the invention
The technical problem point that desire solves: bone drill vent needle front end is quite sharp-pointed, stab its hetero-organization easily, though or bigger bone drill vent needle can be with its trocar sheath as instrumentation tubes, but cause Peripheral Bone to organize the probability of avalanche breakage just to improve relatively, or during doctor's surgical action, in the face of sharp-pointed and long instrument can produce great psychological burden, make mistakes easily, but or also the bone drilling of none cover safety and stability, reaming tool device can use for the doctor is auxiliary at present.
The technical characterstic of dealing with problems:
So characteristics one of the present invention are, a kind of transdermal guiding bone reaming tool device and method are provided.
Characteristics two of the present invention are, provide a kind of blunt nosed guide pin and that comprises to guide a transdermal guiding bone reaming tool device and the method that the screw pipe matches layer cover.
Characteristics three of the present invention are, provide a kind of this blunt nosed guide pin percutaneous to penetrate in the osseous tissue, this guiding screw pipe box is gone into this blunt nosed guide pin and is snapped in this osseous tissue, makes an instrumentation tubes guide the screw pipe along this and punctures into transdermal guiding bone reaming tool device and method in this osseous tissue.
Characteristics four of the present invention are, provide a kind of this a guiding screw Guan Yiyi tack tapering and a threaded section spiral to be snapped at transdermal guiding bone reaming tool device and method in this osseous tissue.
Characteristics five of the present invention are that it further is a blunt shape end or a bulb end that a kind of this blunt nosed guide pin one end is provided, and further comprise a lever, the transdermal guiding bone reaming tool device and the method for the movable application of force that is connected with this guiding screw pipe.
So a kind of transdermal guiding bone reaming tool device of the present invention and method is characterized in that, comprising:
One blunt nosed guide pin, an end are blunt shape;
One guiding screw pipe, an end becomes a tack tapering, and outer surface is provided with a threaded section by this tack tapering to the other end;
This blunt nosed guide pin is with blunt shape end, percutaneous penetrates in the osseous tissue of pre-thorn one aperture, this guiding screw pipe wears in this blunt nosed guide pin with the one through hole, and be snapped in this osseous tissue with this tack tapering and threaded section spiral, the instrumentation tubes that makes a caliber just be inserted in this guiding screw pipe can be guided the screw pipe along this and puncture in this osseous tissue.
Above-mentioned transdermal guiding bone reaming tool device and method, wherein this blunt nosed guide pin one end further is a bulb, can pass the through hole of this guiding screw pipe.
Above-mentioned transdermal guiding bone reaming tool device and method, it further comprises a lever, be provided with that a bearing is movable to be connected with one of this guiding screw pipe other end application of force portion of connecing, this bearing is provided with a perforation, this blunt nosed guide pin is movable to pass this perforation, passes this tack tapering along the through hole of this guiding screw pipe.
Defined relative position among the present invention as forward and backward, side etc., means when operation is used, hand-held this transdermal guiding bone reaming tool device, with the visual direction of user be before, otherwise after being,, then be side with respect to the periphery of these forward and backward two ends.
The effect of contrast prior art: provide a kind of blunt nosed guide pin can not stab its hetero-organization, but and provide the bone drilling of a cover safety and stability, reaming tool device to use for the doctor is auxiliary, organize the probability of avalanche breakage just significantly to reduce to Peripheral Bone, make the doctor not have psychological burden, tool effect of the present invention is promoted.
For further specifying the present invention, cooperate graphic explanation embodiment as follows with preferred embodiment now.
Description of drawings
Fig. 1: be the preferred embodiment sketch map of the present invention's one percutaneous guiding bone reaming tool device.
Fig. 2: for the actual operation of this transdermal guiding bone reaming tool device is used signal step 1 figure.
Fig. 3: for the actual operation of this transdermal guiding bone reaming tool device is used signal step 2 figure.
Fig. 4: for the actual operation of this transdermal guiding bone reaming tool device is used signal step 3 figure.
Fig. 5: for the actual operation of this transdermal guiding bone reaming tool device is used signal step 4 figure.
Fig. 6: for the actual operation of this transdermal guiding bone reaming tool device is used signal step 5 figure.
Fig. 7: for the actual operation of this transdermal guiding bone reaming tool device is used signal step 6 figure.
Fig. 8: for the actual operation of this transdermal guiding bone reaming tool device is used signal step 7 figure.
The specific embodiment
Among Fig. 1, the present invention's one percutaneous guiding bone reaming tool device 10 comprises a blunt nosed guide pin 20, a guiding screw pipe 30, and a lever 40.The bulb end 21 that these blunt nosed guide pin 20 1 ends are blunt shape, these guiding screw pipe 30 central authorities have a through hole 31, one end becomes a tack tapering 32, the pipe shaft outer surface is by this tack tapering 32, be provided with a thin threaded section 33 to the other end, the other end then is provided with an application of force and meets portion 34, this lever 40 is provided with a bearing 41, the movable application of force with this guiding screw pipe 30 meets portion 34 and is connected, this bearing 41 is provided with a perforation 42, this blunt nosed guide pin 20 is movable to pass this perforation 42, and passes this tack tapering 32 along the through hole 31 of this guiding screw pipe 30.
Among Fig. 2, when the present invention uses in actual operation,, on a vertebral segments 50, directly penetrate through skin and muscular tissue 52 with a bone drill vent needle 60 earlier in an impaired skeletal tissue, and at vertebral segments 50 pedicle of vertebral arch 53 places thorns one aperture 54.
Among Fig. 3, the pricker taking-up with these bone drill vent needle 60 central authorities stays this trocar sheath 61, and with this blunt nosed guide pin 20 of the present invention, with its blunt shape bulb end 21, penetrates in this trocar sheath 61, and safe gos deep into to the vertebral body 55 of this vertebral segments 50.
Among Fig. 4,, should keep somewhere in original position by blunt nosed guide pin 20 trocar sheath 61 taking-ups of this bone drill vent needle 60, and because these blunt nosed guide pin 20 front ends are bulb shape 21, so can be very safe, be unlikely to have vertebral body 55 situations that pierce through this vertebral segments 50 and produce.
Among Fig. 5, should guide screw pipe 30 in conjunction with this lever 40, and 42 be inserted on this blunt nosed guide pin 20 with its through hole 31, perforation, be guiding with this blunt nosed guide pin 20 again, by these lever 40 application of forces, by this tack tapering 32 will these thin threaded section 33 pipe shafts guiding screw pipe 30, firm spiral is snapped at pedicle of vertebral arch 53 places of this vertebral segments 50.
Among Fig. 6, should blunt nosed guide pin 20 and this lever 40 take off taking-up, should guide screw pipe 30 keeps somewhere in original position, and because this threaded section 33 can firmly be snapped on the pedicle of vertebral arch 53 of this vertebral segments 50, so can be to the subsequent procedures operation, formation has one than major diameter, and has more the big guide pin effect of guiding stability.
Among Fig. 7, it is big slightly to get a caliber, just can be inserted in the instrumentation tubes 70 of this guiding screw pipe 30, usually this is the employed instrumentation tubes 70 of general vertebra grouting operation, along the guiding of this guiding screw pipe 30, can left and right deviation, can not change under the angle yet, smoothly the puncture of safety the pedicle of vertebral arch 53 of this vertebral segments 50, arrival can be carried out positions in the vertebral body 55 of vertebra grouting operation.
Among Fig. 8, should guide screw pipe 30 once more in conjunction with this lever 40, and reverse rotation is by taking out in this vertebral segments 50, this instrumentation tubes 70 is kept somewhere in original position, just safety and stable reach little wound, directly pass skin and muscular tissue 52 does not undermine the bone reaming work of other skeleton, nerve or vascular tissue, and follow-up vertebra grouting pipe fitting etc., just can enter in these vertebral segments 50 vertebral bodys 55 via this instrumentation tubes 70, undergo surgery.
From the above, a kind of transdermal guiding bone reaming method, this method is:
A. directly penetrate through skin and muscular tissue with a bone drill vent needle earlier, and at vertebral segments pedicle of vertebral arch place's thorn one aperture;
B. the pricker with bone drill vent needle central authorities takes out, and stays trocar sheath, and blunt nosed guide pin is penetrated in the trocar sheath with blunt shape bulb end, and safe gos deep into to the vertebral body of vertebral segments;
C. the trocar sheath with the bone drill vent needle takes out, and blunt nosed guide pin is kept somewhere in original position, and blunt nosed guide pin front end is the bulb shape, thus can be very safe, be unlikely to have the vertebral body situation that pierces through this vertebral segments and produce;
D. will guide screw pipe jointing lever, and with its through hole, the perforation be inserted on this blunt nosed guide pin, be guiding with blunt nosed guide pin again, the mat lever application of force, by this tack tapering will this thin threaded section pipe shaft guiding screw pipe, firm spiral is snapped at the pedicle of vertebral arch place of this vertebral segments;
E. blunt nosed guide pin and this lever are taken off taking-up, guiding screw pipe is kept somewhere in original position, and owing to this threaded section can firmly be snapped on the pedicle of vertebral arch of this vertebral segments, so can be to the subsequent procedures operation, formation has one than major diameter, and has more the big guide pin effect of guiding stability;
F. it is big slightly to get a caliber, just can be inserted in the instrumentation tubes of this guiding screw pipe, usually this is the employed instrumentation tubes of general vertebra grouting operation, guiding along this guiding screw pipe, can left and right deviation, can not change under the angle yet, smoothly the puncture of safety the pedicle of vertebral arch of this vertebral segments, arrival can be carried out position in the vertebral body of vertebra grouting operation;
G. will guide the screw pipe once more in conjunction with lever, and reverse rotation is by taking out in this vertebral segments, instrumentation tubes is kept somewhere in original position;
Method in view of the above, just safety and stable reach little wound, directly pass skin and muscular tissue does not undermine the bone reaming work of other skeleton, nerve or vascular tissue, and follow-up vertebra grouting pipe fitting etc., just can enter in this vertebral segments vertebral body via this instrumentation tubes, undergo surgery.

Claims (4)

1. transdermal guiding bone reaming tool device is characterized in that:
One blunt nosed guide pin, an end are blunt shape;
One guiding screw pipe, an end becomes a tack tapering, and outer surface is provided with a threaded section by this tack tapering to the other end;
This blunt nosed guide pin is with blunt shape end, percutaneous penetrates in the osseous tissue of pre-thorn one aperture, this guiding screw pipe wears in this blunt nosed guide pin with the one through hole, and be snapped in this osseous tissue with this tack tapering and threaded section spiral, the instrumentation tubes that makes a caliber just be inserted in this guiding screw pipe can be guided the screw pipe along this and puncture in this osseous tissue.
2. transdermal guiding bone reaming tool device as claimed in claim 1 is characterized in that: this blunt nosed guide pin one end further is a bulb, can pass the through hole of this guiding screw pipe.
3. transdermal guiding bone reaming tool device as claimed in claim 1, it is characterized in that: this guiding screw pipe also is provided with a lever, lever is provided with the movable application of force portion of connecing with this guiding screw pipe other end of a bearing and is connected, this bearing is provided with a perforation, this blunt nosed guide pin is movable to pass this perforation, passes this tack tapering along the through hole of this guiding screw pipe.
4. transdermal guiding bone reaming method, this method is:
A. directly penetrate through skin and muscular tissue with a bone drill vent needle earlier, and at vertebral segments pedicle of vertebral arch place's thorn one aperture;
B. the pricker with bone drill vent needle central authorities takes out, and stays trocar sheath, and blunt nosed guide pin is penetrated in the trocar sheath with blunt shape bulb end, and safe gos deep into to the vertebral body of vertebral segments;
C. sleeve pipe outside the bone drill vent needle is taken out, blunt nosed guide pin is kept somewhere in original position, and blunt nosed guide pin front end is the bulb shape, thus can be very safe, be unlikely to have the vertebral body situation that pierces through this vertebral segments and produce;
D. will guide screw pipe jointing lever, and with its through hole, the perforation be inserted on this blunt nosed guide pin, be guiding with blunt nosed guide pin again, the mat lever application of force, by this tack tapering will this thin threaded section pipe shaft guiding screw pipe, firm spiral is snapped at the pedicle of vertebral arch place of this vertebral segments;
E. blunt nosed guide pin and this lever are taken off taking-up, guiding screw pipe is kept somewhere in original position, and owing to this threaded section can firmly be snapped on the pedicle of vertebral arch of this vertebral segments, so can be to the subsequent procedures operation, formation has one than major diameter, and has more the big guide pin effect of guiding stability;
F. it is big slightly to get a caliber, just can be inserted in the instrumentation tubes of this guiding screw pipe, usually this is the employed instrumentation tubes of general vertebra grouting operation, guiding along this guiding screw pipe, can left and right deviation, can not change under the angle yet, smoothly the puncture of safety the pedicle of vertebral arch of this vertebral segments, arrival can be carried out position in the vertebral body of vertebra grouting operation;
G. will guide the screw pipe once more in conjunction with lever, and reverse rotation is by taking out in this vertebral segments, instrumentation tubes is kept somewhere in original position.
CN 200510103166 2005-09-22 2005-09-22 Transdermal guiding bone reaming tool device and method Pending CN1935092A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN 200510103166 CN1935092A (en) 2005-09-22 2005-09-22 Transdermal guiding bone reaming tool device and method

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN 200510103166 CN1935092A (en) 2005-09-22 2005-09-22 Transdermal guiding bone reaming tool device and method

Publications (1)

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CN1935092A true CN1935092A (en) 2007-03-28

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103006312A (en) * 2010-09-03 2013-04-03 张强 Minimally-invasive bone fracture screw imbedding and opening apparatus
CN103976779A (en) * 2014-05-30 2014-08-13 上海市东方医院 Intervertebral foramen mirror puncturing system
CN109528268A (en) * 2018-11-30 2019-03-29 广东工业大学 A kind of judgment method of the reaming tool progress path of bone reaming operation

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103006312A (en) * 2010-09-03 2013-04-03 张强 Minimally-invasive bone fracture screw imbedding and opening apparatus
CN103976779A (en) * 2014-05-30 2014-08-13 上海市东方医院 Intervertebral foramen mirror puncturing system
CN103976779B (en) * 2014-05-30 2016-09-21 上海市东方医院 Foramen intervertebrale lens lancing system
CN109528268A (en) * 2018-11-30 2019-03-29 广东工业大学 A kind of judgment method of the reaming tool progress path of bone reaming operation

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