CN201157401Y - Minimally invasive percutaneous transpedicular surgery positioning guide device - Google Patents

Minimally invasive percutaneous transpedicular surgery positioning guide device Download PDF

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Publication number
CN201157401Y
CN201157401Y CNU2008200444267U CN200820044426U CN201157401Y CN 201157401 Y CN201157401 Y CN 201157401Y CN U2008200444267 U CNU2008200444267 U CN U2008200444267U CN 200820044426 U CN200820044426 U CN 200820044426U CN 201157401 Y CN201157401 Y CN 201157401Y
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China
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micro
regulating block
percutaneous pedicle
revolving part
surgery
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Expired - Fee Related
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CNU2008200444267U
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Chinese (zh)
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梁道臣
李青
刘康
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Individual
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Abstract

The utility model discloses a positioning and guiding device for a minimally-invasive pedicle surgery through skin and vertebra, which has the technical proposal that the positioning and guiding device comprises a fixing bracket capable of being fixed on an operating-table; the fixing bracket is connected with a supporting seat; a rotating body capable of adjusting any angle in any direction is hinged on the supporting seat; one end of the rotating body is provided with an adjusting device capable of adjusting the angles and directions, and the direction-adjusting device is provided with a guiding piece. The positioning and guiding device aims to overcome the deficiencies existing in the prior art that the duration of surgery is long, the surgeons have large labor intensity and are easy to become fatigued, the surgery has high cost and is easy to harm the human bodies of surgeons and patients, and the surgery has the risk of failure. The utility model provides a positioning and guiding device for a minimally-invasive pedicle surgery through skin and vertebra, which can be positioned accurately, and can shorten the duration of the surgery, reduce the exposure duration of human bodies to the imaging rays, reduce the trauma caused to the patients and lower the cost of the surgery.

Description

A kind of micro-wound percutaneous pedicle location of operation guider
[technical field]
This utility model relates to a kind of surgical placement guider, a kind of percutaneous pedicle location of operation guider of more specifically saying so.
[background technology]
The operation of percutaneous pedicle is an importance of vertebral column minimally invasive surgical technic.Mainly contain percutaneous cervical arc root screw implanted prosthetics and Computer Aided Surgery, percutaneous spinal column way of escape internal fixation fusing device, use of the minimally invasive surgery treatment of percutaneous cervical arc root screw implanted prosthetics in lumbar vertebra compression fracture, use of the minimally invasive surgery treatment of percutaneous cervical arc root screw implanted prosthetics in spondylolishesis disease, balloon expandable kyphoplasty art, vertebroplasty, use the spinal column external fixation of percutaneous cervical arc root screw, use percutaneous cervical arc root approach surgical biopsy and give the value spinal column plastic operation of tumor of spine diagnosis aspect.Can carry out effective minimally-invasive treatment to lumbar vertebra compression fracture, lumbar spondylolisthesis, osteoporotic compression fracture of vertabral body etc.Percutaneous pedicle technology all adopts way of escape percutaneous pedicle approach, and under imaging device monitored, percutaneous puncture arrived pedicle of vertebral arch, inserts pedicle nail according to different requirements of operation again or carries out the pedicle of vertebral arch puncture.For fear of touching vertebra and outer vascellum laterale, nervous tissue, need repeated multiple times to carry out imaging during puncture and monitor, the angle direction of correction inserting needle, to guarantee safety, this will cause operating time long, and patient's anesthesia is with the pain increased, doctor's labor intensity is big, and is tired easily; The long-time imaging device that uses, operation cost height, also very high to the specification requirement of operative doctor, bigger defective is that patient and doctor are exposed under the imaging ray for a long time, easily human body is damaged, and has also strengthened the risk of operative failure simultaneously.
In order to solve above-mentioned deficiency of the prior art, this utility model has been done useful improvement.
[utility model content]
This utility model purpose is that to have overcome in the prior art operating time long, and doctor's labor intensity is big, and is tired easily; Operation cost height, easily doctor and human body are damaged, the deficiency of the risk of operative failure, providing a kind of can accurately locate, shorten operating time, reduce the open-assembly time of human body under imaging ray, reduce wound, reduce the percutaneous pedicle location of operation guider of operation cost the patient.
This utility model is achieved through the following technical solutions:
A kind of micro-wound percutaneous pedicle location of operation guider, it is characterized in that it comprises the fixed support that can be fixed on the operating-table, be connected with bearing on the described fixed support, be hinged with on the scalable any direction revolving part at any angle on the bearing, described revolving part one end is provided with adjustable-angle and direction adjusting apparatus, on the described direction adjusting apparatus guide is housed.
Aforesaid a kind of micro-wound percutaneous pedicle location of operation guider, it is characterized in that described direction adjusting apparatus comprises is arranged on the revolving part first regulating block that can rotate relative to revolving part, be provided with second regulating block that can rotate relative to first regulating block on first regulating block, described guide is fixed on the secondary regulating block.
Aforesaid a kind of micro-wound percutaneous pedicle location of operation guider, it is characterized in that described revolving part one side is provided with angle dial, first regulating block can rotate in the angle dial plane and have at least a side vertical with angle dial, be provided with second angle dial on first regulating block and the vertical side of angle dial, second regulating block can rotate in the second angle dial plane.
Aforesaid a kind of micro-wound percutaneous pedicle location of operation guider is characterized in that described revolving part is provided with orthogonal two-way horizontal chi, and described horizon rule is provided with groove, is fitted with scale in the groove.
Aforesaid a kind of micro-wound percutaneous pedicle location of operation guider, it is characterized in that between described bearing and the revolving part hinged by universal hinge, described universal hinge comprises the bulb that ball-and-socket in the bearing and tumbler one end can rotate in ball-and-socket, being provided with on described bearing can be with the hold-down screw of universal hinge.
Aforesaid a kind of micro-wound percutaneous pedicle location of operation guider is characterized in that being connected by flexible cross bar between described bearing and the fixed support.
Aforesaid a kind of micro-wound percutaneous pedicle location of operation guider is characterized in that described flexible cross bar and fixed support intersect vertically, and hinged in the cross point, but flexible cross bar lateral rotation.
Aforesaid a kind of micro-wound percutaneous pedicle location of operation guider is characterized in that described first regulating block is provided with first pointer, and second regulating block is provided with second pointer.
Aforesaid a kind of micro-wound percutaneous pedicle location of operation guider, it is characterized in that described fixed support comprise lower branch line and can be in lower branch line sliding extension on arm.
Aforesaid a kind of micro-wound percutaneous pedicle location of operation guider is characterized in that described ball-and-socket is made up of the first hemisphere nest and the second hemisphere nest.
Compared with prior art, this utility model has following advantage:
This utility model is simple in structure, can regulate the three dimensions angle direction exactly, and accurately positioning and guiding is regulated easily, shortens operating time, reduces the open-assembly time of human body under imaging ray, reduces the operation cost, reduces the wound to the patient.
[description of drawings]
Fig. 1 is this utility model axonometric chart;
Fig. 2 is this utility model partial structurtes figure;
Fig. 3 is this utility model exploded view;
Fig. 4 is this utility model cutaway view.
[specific embodiment]
A kind of micro-wound percutaneous pedicle location of operation guider, it comprises the fixed support 1 that can be fixed on the operating-table, be connected with bearing 2 on the described fixed support 1, be hinged with on the scalable any direction revolving part 3 at any angle on the bearing 2, described revolving part 3 one ends are provided with adjustable-angle and direction adjusting apparatus 4, on the described direction adjusting apparatus 4 guide 5 are housed.Described direction adjusting apparatus 4 comprises and is arranged on the revolving part 3 first regulating block 10 that can rotate relative to revolving part 3, be provided with second regulating block 11 that can rotate relative to first regulating block 10 on first regulating block 10, described guide 5 is fixed on the secondary regulating block 11.Described revolving part 3 one sides are provided with angle dial 301, first regulating block 10 can rotate in angle dial 301 planes and have at least a side vertical with angle dial 301, being provided with second angle dial, 1001, the second regulating blocks 11 on first regulating block 10 and angle dial 301 vertical sides can rotate in second angle dial, 1001 planes.Described revolving part 3 is provided with orthogonal two-way horizontal chi 12, and described horizon rule 12 is provided with groove 1201, is fitted with scale 13 in the groove.Hinged by universal hinge 15 between described bearing 2 and the revolving part 3, described universal hinge 15 comprises the bulb 302 that ball-and-socket 201 in the bearing 2 and tumbler 3 one ends can rotate in ball-and-socket 201, and being provided with on described bearing 2 can be with the hold-down screw 16 of universal hinge 15.Be connected by flexible cross bar 20 between described bearing 2 and the fixed support 1.Described flexible cross bar 20 intersects vertically with fixed support 1, and hinged in the cross point, but flexible cross bar 20 lateral rotation.Described first regulating block 10 is provided with first pointer, 1002, the second regulating blocks 11 and is provided with second pointer 1102.Described fixed support 1 comprise lower branch line 101 and can be in lower branch line 101 sliding extension on arm 102.Described ball-and-socket 201 is made up of the first hemisphere nest 202 and the second hemisphere nest 203.
During use, earlier fixed support 1 is fixed on the operating-table side, the cross bar 20 that will stretch then is hinged on the fixed support 1, the bulb 302 of bearing 2 is inserted in the ball-and-socket 201, tighten the two halves ball-and-socket in advance, adjust revolving part 3 both directions and adjust level, it is exactly planar horizontal with whole two-way horizontal chi 12, guarantee that promptly angle dial 301 is vertical with horizontal plane, tighten hold-down screw 16, first pointer 1002 and second pointer 1102 all are placed on the zero graduation place, scale 13 sides are gone in the groove 1201, adjust the end face almost parallel that revolving part 3 or flexible cross bar 20 make scale 13 and percutaneous pedicle, be fixed, adjust first regulating block 10 and second regulating block 11, make guide pipe 5 aim at pedicle of vertebral arch 100, tighten hold-down screw, and then puncture needle is inserted in the vertebral body in guide pipe 5, imaging device monitors adjusts the inserting needle direction down.
This utility model is simple in structure, can regulate the three dimensions angle direction exactly, and accurately positioning and guiding is regulated easily, shortens operating time, reduces the open-assembly time of human body under imaging ray, reduces the operation cost, reduces the wound to the patient.

Claims (10)

1, a kind of micro-wound percutaneous pedicle location of operation guider, it is characterized in that it comprises the fixed support (1) that can be fixed on the operating-table, be connected with bearing (2) on the described fixed support (1), be hinged with on the scalable any direction revolving part (3) at any angle on the bearing (2), described revolving part (3) one ends are provided with adjustable-angle and direction adjusting apparatus (4), and guide (5) is housed on the described direction adjusting apparatus (4).
2, a kind of micro-wound percutaneous pedicle location of operation guider according to claim 1, it is characterized in that described direction adjusting apparatus (4) comprises is arranged on first regulating block (10) that can rotate relative to revolving part (3) on the revolving part (3), be provided with second regulating block (11) that can rotate relative to first regulating block (10) on first regulating block (10), described guide (5) is fixed on the secondary regulating block (11).
3, a kind of micro-wound percutaneous pedicle location of operation guider according to claim 2, it is characterized in that described revolving part (3) one sides are provided with angle dial (301), first regulating block (10) can rotate in angle dial (301) plane and have at least a side vertical with angle dial (301), be provided with second angle dial (1001) on first regulating block (10) and the vertical side of angle dial (301), second regulating block (11) can rotate in second angle dial (1001) plane.
4, a kind of micro-wound percutaneous pedicle location of operation guider according to claim 1, it is characterized in that described revolving part (3) is provided with orthogonal two-way horizontal chi (12), described horizon rule (12) is provided with groove (1201), is fitted with scale (13) in the groove.
5, according to the described a kind of micro-wound percutaneous pedicle location of operation guider of claim 1, it is characterized in that between described bearing (2) and the revolving part (3) hinged by universal hinge (15), described universal hinge (15) comprises the bulb (302) that ball-and-socket (201) in the bearing (2) and tumbler (3) one ends can rotate in ball-and-socket (201), being provided with on described bearing (2) can be with the hold-down screw (16) of universal hinge (15).
6,, it is characterized in that being connected by flexible cross bar (20) between described bearing (2) and the fixed support (1) according to the described a kind of micro-wound percutaneous pedicle location of operation guider of claim 1.
7, according to the described a kind of micro-wound percutaneous pedicle location of operation guider of claim 6, it is characterized in that described flexible cross bar (20) and fixed support (1) intersect vertically, and hinged in the cross point, flexible cross bar (20) but lateral rotation.
8, according to the described a kind of micro-wound percutaneous pedicle location of operation guider of claim 3, it is characterized in that described first regulating block (10) is provided with first pointer (1002), second regulating block (11) is provided with second pointer (1102).
9, according to the described a kind of micro-wound percutaneous pedicle location of operation guider of claim 1, it is characterized in that described fixed support (1) comprise lower branch line (101) and can be in lower branch line (101) the last arm (102) of sliding extension.
10,, it is characterized in that described ball-and-socket (201) is made up of the first hemisphere nest (202) and the second hemisphere nest (203) according to the described a kind of micro-wound percutaneous pedicle location of operation guider of claim 5.
CNU2008200444267U 2008-02-25 2008-02-25 Minimally invasive percutaneous transpedicular surgery positioning guide device Expired - Fee Related CN201157401Y (en)

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Cited By (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101912300A (en) * 2009-09-29 2010-12-15 张强 Multi-section device for fixing and imbedding vertebral pedicle screws used in minimally invasive thoracolumbar vertebrae fractures
WO2012048480A1 (en) * 2010-10-15 2012-04-19 上海交通大学医学院附属新华医院 Surgical tool for installing epiphysiodesis internal 8-shaped steel plate
CN102883670A (en) * 2010-03-30 2013-01-16 S·华 Systems and methods for pedicle screw stabilization of spinal vertebrae
CN103006312A (en) * 2010-09-03 2013-04-03 张强 Minimally-invasive bone fracture screw imbedding and opening apparatus
CN103565507A (en) * 2013-10-15 2014-02-12 池永龙 Angle location guider used during computer aided surgery
CN104000648A (en) * 2014-05-15 2014-08-27 南华大学 Positioning platform of sighting device positioning device
WO2014127648A1 (en) * 2013-02-20 2014-08-28 南京医科大学第一附属医院 Guiding apparatus for x-ray-free screw placement by spinal posterior approach
CN105011970A (en) * 2015-06-09 2015-11-04 孙龙 Fixing device for puncture needle during operation
CN107049374A (en) * 2017-03-22 2017-08-18 中国人民解放军第四军医大学 The aid and device of a kind of minimal invasive lumbar surgery
CN108095802A (en) * 2018-02-09 2018-06-01 陕西东望科技有限公司 A kind of orthopedic positioning osteotomy guide plate and a kind of osteotomy straightening method
CN108814704A (en) * 2018-04-10 2018-11-16 谢小波 Proximal femoral nail sets nail guider
US10973551B2 (en) 2008-10-01 2021-04-13 Sherwin Hua Systems and methods for pedicle screw stabilization of spinal vertebrae
US11160580B2 (en) 2019-04-24 2021-11-02 Spine23 Inc. Systems and methods for pedicle screw stabilization of spinal vertebrae
CN116289029A (en) * 2023-03-13 2023-06-23 江南大学 Wet sizing hairiness pasting device and method after sizing

Cited By (23)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11759238B2 (en) 2008-10-01 2023-09-19 Sherwin Hua Systems and methods for pedicle screw stabilization of spinal vertebrae
US10973551B2 (en) 2008-10-01 2021-04-13 Sherwin Hua Systems and methods for pedicle screw stabilization of spinal vertebrae
CN101912300B (en) * 2009-09-29 2012-08-22 张强 Multi-section device for fixing and imbedding vertebral pedicle screws used in minimally invasive thoracolumbar vertebrae fractures
CN101912300A (en) * 2009-09-29 2010-12-15 张强 Multi-section device for fixing and imbedding vertebral pedicle screws used in minimally invasive thoracolumbar vertebrae fractures
CN102883670B (en) * 2010-03-30 2016-11-23 S·华 The system of pedicle screw and method for stable spinal column
CN102883670A (en) * 2010-03-30 2013-01-16 S·华 Systems and methods for pedicle screw stabilization of spinal vertebrae
CN103006312A (en) * 2010-09-03 2013-04-03 张强 Minimally-invasive bone fracture screw imbedding and opening apparatus
WO2012048480A1 (en) * 2010-10-15 2012-04-19 上海交通大学医学院附属新华医院 Surgical tool for installing epiphysiodesis internal 8-shaped steel plate
WO2014127648A1 (en) * 2013-02-20 2014-08-28 南京医科大学第一附属医院 Guiding apparatus for x-ray-free screw placement by spinal posterior approach
US9510873B2 (en) 2013-02-20 2016-12-06 The First Affiliated Hospital Of Nanjing Medical University Guiding apparatus for X-ray-free screw placement by spinal posterior approach
CN103565507A (en) * 2013-10-15 2014-02-12 池永龙 Angle location guider used during computer aided surgery
CN104000648B (en) * 2014-05-15 2016-01-20 南华大学 The locating platform of sight positioner
CN104000648A (en) * 2014-05-15 2014-08-27 南华大学 Positioning platform of sighting device positioning device
CN105011970B (en) * 2015-06-09 2018-01-30 孙龙 Fixing device in a kind of art of puncture needle
CN105011970A (en) * 2015-06-09 2015-11-04 孙龙 Fixing device for puncture needle during operation
CN107049374A (en) * 2017-03-22 2017-08-18 中国人民解放军第四军医大学 The aid and device of a kind of minimal invasive lumbar surgery
CN107049374B (en) * 2017-03-22 2018-06-22 中国人民解放军第四军医大学 The auxiliary tool and device of a kind of minimal invasive lumbar surgery
CN108095802A (en) * 2018-02-09 2018-06-01 陕西东望科技有限公司 A kind of orthopedic positioning osteotomy guide plate and a kind of osteotomy straightening method
CN108095802B (en) * 2018-02-09 2023-09-08 陕西东望科技有限公司 Orthopedic positioning osteotomy guide plate device
CN108814704A (en) * 2018-04-10 2018-11-16 谢小波 Proximal femoral nail sets nail guider
CN108814704B (en) * 2018-04-10 2023-12-22 谢小波 Proximal femur intramedullary nail placement guider
US11160580B2 (en) 2019-04-24 2021-11-02 Spine23 Inc. Systems and methods for pedicle screw stabilization of spinal vertebrae
CN116289029A (en) * 2023-03-13 2023-06-23 江南大学 Wet sizing hairiness pasting device and method after sizing

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C14 Grant of patent or utility model
GR01 Patent grant
C17 Cessation of patent right
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20081203

Termination date: 20100225