CN202699262U - Minimally invasive sleeve type expander and extension arm pedicle screw - Google Patents

Minimally invasive sleeve type expander and extension arm pedicle screw Download PDF

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Publication number
CN202699262U
CN202699262U CN 201220337828 CN201220337828U CN202699262U CN 202699262 U CN202699262 U CN 202699262U CN 201220337828 CN201220337828 CN 201220337828 CN 201220337828 U CN201220337828 U CN 201220337828U CN 202699262 U CN202699262 U CN 202699262U
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CN
China
Prior art keywords
screw
extension arm
hole
minimally invasive
wicresoft
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Expired - Lifetime
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CN 201220337828
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Chinese (zh)
Inventor
张文志
胡桓宇
朱军磊
仇万裕
黄锡艺
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Beijing Fule Science & Technology Development Co Ltd
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Beijing Fule Science & Technology Development Co Ltd
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Priority to CN 201220337828 priority Critical patent/CN202699262U/en
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Publication of CN202699262U publication Critical patent/CN202699262U/en
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Abstract

The utility model relates to a minimally invasive sleeve type expander and an extension arm pedicle screw, belonging to the field of medical instruments. The minimally invasive sleeve type expander and the extension arm pedicle screw consist of the minimally invasive sleeve type expander (1) and the extension arm pedicle screw (2), and are characterized in that the minimally invasive sleeve type expander (1) consists of a pin (3), a screw stem (4), a nut (5), a spring leaf (6), a slotted pan head screw (7), a left handle (8), a right handle (9), a spring (10), a shoulder screw (11), a rivet (12), a crossing plate (13), a pin shaft (14) and an expanding head (16), wherein the extension arm pedicle screw (2) consists of a connector (19), a screw plug (20), a pressing block (21) and a screw body (22). Firstly, the azimuth and the depth for implantation of the pedicle screw are determined, percutaneous puncture and positioning, catheter reaming and screw implantation are performed to impellent expansion restoration, and the screw plug (20) is screwed up.

Description

The telescopic dilator of Wicresoft and extension arm pedicle nail
Technical field
This utility model relates to the telescopic dilator of a kind of Wicresoft and extension arm pedicle nail, belongs to medical instruments field, is applicable to lumbar degenerative disc disease, lumbar spondylolisthesis.
Background technology
Minimally Invasive Surgery refers to that a kind of new technique of performing a surgical operation by endoscopies such as peritoneoscope, thoracoscopies, Minimally Invasive Surgery have that wound is little, pain light, recover the superiority such as fast in human body, Minimally Invasive Surgery more pays attention to alleviating patient's misery.For example the about 1cm of the most ripe LC:LC operative incision that becomes " goldstandard " does not cut off muscle, and ventral breathing recovers early, and is attractive in appearance, and postoperative abdominal motion and sensation be almost without affecting, and pulmonary complication is far below through the abdomen cholecystectomy.Along with the progress of science and technology, " Wicresoft " this concept has been deep into operating various field, and monitoring system also is not limited only to endoscope, and mostly is to adopt the mode that gets involved, such as spinal surgery, orthopaedics.But because the restriction of national economy level, some cost many and the large operation of difficulty is difficult to popularize and promote for the moment, make the laparoscopic surgical aggregate level of China and international standard that larger gap be arranged.
China's minimally invasive spine surgical technic is started late, and the eighties in 20th century, microscopically Micro Lumbar Discectomy, percutaneous puncture CO2 laser vertebral pulp vaporization/, percutaneous puncture Chemonucleolysis etc. successively appear in China.The minimally invasive spine surgical technic is in China's fast development, but the minimally invasive spine surgical technic is carried out imbalance.
Summary of the invention
This utility model provides a kind of the have telescopic dilator of simple in structure, easy to operate Wicresoft and extension arm pedicle nail.
The technical solution of the utility model is as follows:
The telescopic dilator of Wicresoft and extension arm pedicle nail, formed by the telescopic dilator 1 of Wicresoft, extension arm pedicle nail 2, it is characterized in that: the telescopic dilator 1 of Wicresoft by pin 3, screw rod 4, nut 5, spring leaf 6, fluting coiled hair nail 7, a handle left side 8, the handle right side 9, spring 10, axial screw 11, rivet 12, cross board 13, bearing pin 14, screw 15, strut 16 and form; Extension arm pedicle nail 2 is comprised of adapter 19, plug screw 20, briquetting 21, rivet nut 22.
Screw rod 4 is shaft-like, and two flat horizontal surfaces are arranged, and the side is spline-simulating, right-hand member has sloping platform, and is porose, and pin 3 passes this hole and screw rod 4 links together, nut 5, screw rod 4 and dilator handle are connected connection, and locking mode adopts tooth bar locking to add the screw-threaded coupling mode that combines, and makes locking quick reliable.
Nut 5 center tapped through holes, lower end are spherical, and the upper end is the colored shape of rule, is convenient to manual adjustments.
A handle left side 8, the left end head has fluting, there is tooth bar at fluting middle part, with the engagement of screw rod 4 tooth bar places, regulates the dilator end and struts scope herein, the right-hand member head has stepped hole, by rivet 12 with strut 15 and cross board 12 link together.
Handle 9, the left end head has fluting, and is porose, is connected with screw rod 4, the right-hand member head has stepped hole, by rivet 12 with strut 16 and cross board 13 link together.
There is through hole at cross board 13 middle parts, and respectively there is through hole at two ends, and two ends are arcuation, and left end middle part fluting is furnished with two cross boards 13 during assembling, regulate the scope that struts of dilator.
Strut 16 about having minute, and symmetrically, strutting 16 is comprised of sleeve 17 and parallel opening bar 18, sleeve 17 central through holes, right-hand member has step, and left end has fluting and arc opening, adopts telescopic opening head, reduce to strut the phenomenon that extension arm pedicle nail 2 and dilator are shaken off in the process and occur, make to strut the process safety and reliability; Parallel opening bar 18 right-hand members are arcuation, and step is arranged, and through hole is arranged, left end is circular-arc and porose, and there is microscler step groove at the middle part, and screw 15 connects cross board 13 and parallel opening bar 18, regulate the scope that struts of dilator by elongate slots, can realize 3~65mm scope parallel opening.
Adapter 19 outer surfaces have the U-shaped opening, the center step through-hole, screw thread is arranged, there is spherical pore left end inside, with rivet nut 22 head Spherical engagements, regulate the orientation of extension arm pedicle nail 2, there is annular groove at the outer surface middle part, is convenient to block the long-tail redundance after the operation, these adapter 19 tail length are 60~85 millimeters, in minimal invasive surgical procedures, make things convenient for operation technique, the extension arm design, the operation of realization minimal invasion, the little minimizing of otch alleviates patient's misery to the interference of soft tissue, shortens hospital stays and recovery time.
Extension arm pedicle nail 2 can one direction in operative process or is multi-direction fixing, and operation technique is simple and convenient, and extension arm pedicle nail 2 can be designed plurality of specifications, selects during for operation.
By the diagnosis such as CT or X-ray vertebra disease before the art, determine surgery location, determine that used implant comprises pedicle nail size and quantity, under the guiding of X-ray examination or navigation system, implement operation: at first determine orientation and the degree of depth that pedicle nail is implanted, the percutaneous puncture location, the conduit reaming, core drill bottoming hole, tapping, plant nail, penetrate pitman, the pre-bending pitman, use the same method and implant other pedicle nails, be screwed into plug screw 20, after whole pre-locking, be inserted in respectively two sleeves of head of dilator on the pedicle nail, and sleeve bottom U-shaped opening snapped in pitman, implement distraction reduction according to clinical requirement, tighten plug screw 20, realize finally locking, go pedicle nail long-tail part, realize stable fixing function.
The help of X-ray examination or navigation system is to instruct the accurate implantation of pedicle nail in this technology utilization art; but do not need to destroy the normal anatomical structures of spinal column; reduce iatrogenic adjacent segmental instability; the less invasive techniques operative incision is little, and protection muscle and ligament normally adhere to epispinal, do not need to expose spinal column; lose blood few; safety, accurately implant pedicle nail, reduced the injury of traditional operation to human body, greatly reduced disease to the patient to the inconvenience that comes and painful.
The telescopic dilator of Wicresoft and extension arm pedicle nail have advantages of simple in structurely, easy to operate, economical and practical, are suitable for Orthopedic Clinical and apply.
Description of drawings
Fig. 1 is the telescopic dilator of Wicresoft of the present utility model and extension arm pedicle nail structure chart.
Fig. 2 is pin 3 structure charts of the present utility model.
Fig. 3 is screw rod 4 structure charts of the present utility model.
Fig. 4 is nut 5 structure charts of the present utility model.
Fig. 5 is the left view of spring leaf 6 of the present utility model.
Fig. 6 is that fluting coiled hair of the present utility model is followed closely 7 structure charts.
Fig. 7 is left 8 structure charts of handle of the present utility model.
Fig. 8 is right 9 structure charts of handle of the present utility model.
Fig. 9 is spring 10 fixed structure figure of the present utility model.
Figure 10 is axial screw 11 structure charts of the present utility model.
Figure 11 is rivet 12 structure charts of the present utility model.
Figure 12 is cross board 13 structure charts of the present utility model.
Figure 13 is bearing pin 14 structure charts of the present utility model.
Figure 14 is screw 15 structure charts of the present utility model.
Figure 15 is 16 structure chart that strut of the present utility model.
Figure 16 is 16 sleeve 17 structure charts that strut of the present utility model.
Figure 17 is 16 parallel opening bar 18 structure charts that strut of the present utility model.
Figure 18 is extension arm pedicle nail 2 structure charts of the present utility model.
Figure 19 is adapter 19 structure charts of the present utility model.
Figure 20 is plug screw 20 structure charts of the present utility model.
Figure 21 is briquetting 21 structure charts of the present utility model.
Figure 22 is rivet nut 22 structure charts of the present utility model.
The specific embodiment
The utility model is described in further detail below in conjunction with accompanying drawing.
The telescopic dilator of Wicresoft and extension arm pedicle nail, formed by the telescopic dilator 1 of Wicresoft, extension arm pedicle nail 2, it is characterized in that: the telescopic dilator 1 of Wicresoft by pin 3, screw rod 4, nut 5, spring leaf 6, fluting coiled hair nail 7, a handle left side 8, the handle right side 9, spring 10, axial screw 11, rivet 12, cross board 13, bearing pin 14, screw 15, strut 16 and form; Extension arm pedicle nail 2 is comprised of adapter 19, plug screw 20, briquetting 21, rivet nut 22.Under the guiding of X-ray examination or navigation system, implement operation: at first determine orientation and the degree of depth that pedicle nail is implanted, the percutaneous puncture location, the conduit reaming, core drill bottoming hole, tapping, plant nail, penetrate pitman and pre-bending, use the same method and implant other pedicle nails, be screwed into plug screw 20, pre-locking, two sleeves of head of dilator are inserted on the pedicle nail respectively, and sleeve bottom U-shaped opening is snapped in pitman, implement distraction reduction according to clinical requirement, tighten plug screw 20, realize final locking, go pedicle nail long-tail part, realize stable fixing function.

Claims (3)

1. the telescopic dilator of Wicresoft and extension arm pedicle nail, by the telescopic dilator of Wicresoft (1), extension arm pedicle nail (2) forms, it is characterized in that: the telescopic dilator of Wicresoft (1) is by pin (3), screw rod (4), nut (5), spring leaf (6), fluting coiled hair nail (7), handle left (8), handle right (9), spring (10), axial screw (11), rivet (12), cross board (13), bearing pin (14), screw (15), strutting head (16) forms, nut (5) center tapped through hole, the lower end is spherical, and the upper end is the colored shape of rule; Extension arm pedicle nail (2) is comprised of adapter (19), plug screw (20), briquetting (21), rivet nut (22), adapter (19) outer surface has the U-shaped opening, the center step through-hole, screw thread is arranged, there is spherical pore left end inside, and this adapter (19) tail length is 60~85 millimeters.
2. the telescopic dilator of Wicresoft according to claim 1 and extension arm pedicle nail is characterized in that, there is through hole at described cross board (13) middle part, and respectively there is through hole at two ends, and two ends are arcuation, left end middle part fluting.
3. the telescopic dilator of Wicresoft according to claim 1 and extension arm pedicle nail, it is characterized in that, described strut head (16) about having minute, and symmetrically, strutting head (16) is comprised of sleeve (17) and parallel opening bar (18), sleeve (17) central through hole, right-hand member has step, and left end has fluting and arc opening; Parallel opening bar (18) right-hand member is arcuation, and step is arranged, and through hole is arranged, and left end is circular-arc and porose, and there is microscler step groove at the middle part.
CN 201220337828 2012-07-13 2012-07-13 Minimally invasive sleeve type expander and extension arm pedicle screw Expired - Lifetime CN202699262U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN 201220337828 CN202699262U (en) 2012-07-13 2012-07-13 Minimally invasive sleeve type expander and extension arm pedicle screw

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN 201220337828 CN202699262U (en) 2012-07-13 2012-07-13 Minimally invasive sleeve type expander and extension arm pedicle screw

Publications (1)

Publication Number Publication Date
CN202699262U true CN202699262U (en) 2013-01-30

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104161580A (en) * 2014-08-12 2014-11-26 苏州大学附属第一医院 Expanding instrument for space between lumbar spinous processes
CN110101419A (en) * 2019-04-26 2019-08-09 昆明医科大学第二附属医院 A kind of device for spreading being adapted to pedicle screw

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104161580A (en) * 2014-08-12 2014-11-26 苏州大学附属第一医院 Expanding instrument for space between lumbar spinous processes
CN104161580B (en) * 2014-08-12 2016-02-10 苏州大学附属第一医院 Distraction instrument between a kind of spinous process of lumbar vertebra
CN110101419A (en) * 2019-04-26 2019-08-09 昆明医科大学第二附属医院 A kind of device for spreading being adapted to pedicle screw

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Granted publication date: 20130130