Background technology
Periosteal elevator is one of the most frequently used orthopedic instrument, need in bone surgery process first the periosteum at fracture two ends to be carried out part stripping, sometimes also need to carry out extensive periosteum stripping, push muscular tissue open, it is avoided to block surgical field of view, be conducive to appearing fracture site, fracture is resetted under direct-view, be conducive to the storing of inside-fixture (such as steel plate), fix.Existing periosteal elevator generally comprise connect successively Handheld Division, cervical region and stripping head, Handheld Division is the operating position of medical worker when performing the operation, stripping head directly contacts with periosteum and has blade to be convenient to peel off, and cervical region is then for connecting Handheld Division and peeling off head.Under human lower jawbone, cause facial artery passes, and ramus marginalis mandibulae nervi facialis is walked, around masseter attachment gas larynx neck arteriovenous and branch up, dissect complicated.At present when utilizing existing periosteal elevator to carry out the operation of jaw lower cut, particularly often contusion important blood vessels is made to cause massive hemorrhage because of careless manipulation in osteotomy process, and ramus marginalis mandibulae nervi facialis, cause ramus marginalis mandibulae nervi facialis to damage, bring the sequela such as distortion of commissure, the gas leakage of the drum cheek and sialorrhea to patient, affect its diet, histrionic muscles function and face, reduce the charge stripping efficiency of operation process, restore cycle after lengthening, making patients is painful, improves medical treatment cost.
Therefore, just need a kind of periosteal elevator with barrier effect, can avoid peeling off head when carrying out the operation of jaw lower cut and dampen ramus marginalis mandibulae nervi facialis, reduce Accessory injury, improve the charge stripping efficiency of operation process, restore cycle after desmopyknosis, while alleviating patient suffering, reduce treatment cost.
Utility model content
In view of this, the purpose of this utility model is to provide a kind of periosteum stripping stopper, stripping head and other osteotomy instrument when carrying out the operation of jaw lower cut can be avoided to dampen important blood vessels and nerve, reduce Accessory injury, be conducive to exposing art district, improve the charge stripping efficiency of operation process, the restore cycle after desmopyknosis, while alleviating patient suffering, reduce treatment cost.
Periosteum stripping stopper of the present utility model, comprise connect successively Handheld Division, cervical region and stripping head, described cervical region is connected with and may be stuck in human bone edge and for the limit body of the dissection scope that limits described stripping head.
Further, described neck surface part evagination forms described limit body.
Further, described stripping head is flat arcs of recesses along its length, and described limit body is positioned at the side of neck axis.
Further, described limit body is located at described cervical region and the end of peeling off head link position, and the side of described stripping head is connected with limit body rounding off, and forms uncut jade shape cutting edge at connecting portion.
Further, the sword limit of described cutting edge is flat sword.
Further, described Handheld Division is the handle being provided with anti-slipping mechanism, and the upper end of described handle is provided with the arc groove coordinated with human finger, and described arc groove directly forms in the upper and lower Surface Machining of described handle.
Further, described anti-slipping mechanism comprises interval and arranges and the straight connected in star extending to described arc groove end from described handle bottom, and described straight connected in star directly forms in the upper and lower Surface Machining of described handle.
Further, described Handheld Division, cervical region, stripping head and limit body are one-body molded; This improvement project can also replace with, and described cervical region, stripping head and limit body are one-body molded, and described cervical region is removably connected with described Handheld Division; As the improvement of this alternative, at least lower end part of described cervical region is round bar shape, and described cervical region coaxially stretches into described Handheld Division and is threaded.
The beneficial effects of the utility model: periosteum stripping stopper of the present utility model, by setting up limit body, carrying out jaw lower cut time limit ofoperation position body and be subject to the stop of human bone edge, thus limit the dissection scope peeling off head, the synergy of peeling off head and limit body can have been given play to multi-functional, wherein can prevent peeling off head and dampen important blood vessels and nerve, reduce Accessory injury, improve the charge stripping efficiency of operation process, be conducive to fully exposing art district, restore cycle after desmopyknosis, while alleviating patient suffering, reduce treatment cost; In addition, the periosteum stripping stopper of different model, the position that its limit body is located on cervical region is different, thus can select according to the situation of the situation of different patient or different procedure; This utility model structure is simple, easy to use, is suitable for various bone surgery and uses, have very strong application value.
Detailed description of the invention
Embodiment one
Fig. 1 is the structural representation of the present embodiment, Fig. 2 is the A-A view in Fig. 1, as shown in the figure: the periosteum stripping stopper of the present embodiment, comprise the Handheld Division 1, the cervical region 2 that connect successively and peel off head 3, described cervical region 2 being connected with and may be stuck in human bone edge and for the limit body 4 of the dissection scope that limits described stripping head 3; Handheld Division 1 is operating position when medical worker performs the operation, and can be the handle of various shape, also can be that other is convenient to the structure (such as fingerstall) of medical worker's force; Peel off head 3 outer wall and can be provided with inactive edge, itself and periosteum directly contact and are used for peeling off; Cervical region 2, for connecting Handheld Division and peeling off head, can be round bar structure or long plate structure; The dissection scope peeling off head 3 refers to the zone of action of peeling off head 4 when strip operation, such as, when this periosteum stripping of use stopper is up peeled off from inferior border of mandible, peels off head 3 and reach maximum dissection scope when limit body 4 and inferior border of mandible; The present embodiment does not limit the concrete shape of limit body 4, as long as can play restriction, can be taper, column or tabular; By setting up limit body 3, carrying out jaw lower cut time limit ofoperation position body 4 and be subject to the stop of human bone edge, thus limit the dissection scope peeling off head 3, prevent from peeling off head 3 to contact with ramus marginalis mandibulae nervi facialis, can avoid peeling off head 3 and other osteotomy instrument contusion ramus marginalis mandibulae nervi facialis, reduce Accessory injury, improve the charge stripping efficiency of operation process, restore cycle after desmopyknosis, while alleviating patient suffering, reduce treatment cost; In addition, be located at the diverse location on cervical region 2 according to limit body 4, this periosteum stripping stopper can be designed to multiple different model, thus can select according to the situation of the situation of different patient or different procedure; Certainly, when this periosteum stripping stopper is not only applicable to the operation of jaw lower cut, its action principle also goes for other bone surgery, applied widely.
In the present embodiment, described cervical region 2 surface portion evagination forms described limit body 4; Limit body 4 is the bulge-structure on cervical region 2 surface, the molding in the lump when processing and manufacturing, is convenient to processing, saves production cost simultaneously, and is conducive to the effect ensureing medical treatment sterilization; Limit body 4 is preferably rotary structure, its axis can with cervical region 2 axes normal, also can tilt; Limit body 4 is preferably only positioned at the side of cervical region 2 axis, is convenient to operation technique, but can produces in pairs.
In the present embodiment, described stripping head 3 is flat arcs of recesses along its length, and described limit body is positioned at the side of neck axis; The protrusion direction of limit body 4 and the recessed to contrary of described stripping head 3; Peel off head 3 preferably in spoon shape, edge is provided with blade and sharp keen, and adopt cambered design, large with surface of bone contact area, charge stripping efficiency is high, and peeling effect is good; Limit body 4 is located at the one end near peeling off head 3 concave surface, can reach good limit effect.
In the present embodiment, described limit body 4 is located at described cervical region 2 and the end of peeling off head 3 link position, and the side of described stripping head 3 is connected with limit body 4 rounding off and forms uncut jade shape cutting edge at connecting portion; Limit body 4 is preferably in taper, and its one side relatively peeling off head 3 is plane, occurs skidding when preventing from contacting with bone edge; The sword limit of peeling off head 3 extends to limit body side, makes limit body 4 also have certain stripping effect, adapts to operation needs, strengthens the suitability; Preferably, limit body 4 form, just as people's thumb, has a uncut jade shape sword with the rounding off of the side peeling off head 3, and limit body 4 and the tiger's jaw shape transition of stripping head 3 just as staff, limit body 4 thickens, and needs some strength, slightly pauses in tip.
In the present embodiment, the sword limit of described cutting edge is flat sword; Sword limit is the flat sword of passivity, is suitable for carrying out pushing-type stripping.
In the present embodiment, described Handheld Division 1 is for being provided with the handle of anti-slipping mechanism, and the upper end of described handle is provided with the arc groove 12 coordinated with human finger, and described arc groove 12 directly forms in the upper and lower Surface Machining of described handle; Occur skidding between staff and handle when anti-slipping mechanism prevents from operating, increase the safety coefficient of this detacher operation; The upper end of handle is namely near one end of cervical region 2; Handle is preferably in tabular, arc groove 12 is located at the upper and lower surface of handle respectively, arc groove 12 in one side adapts with thumb finger belly, arc groove 12 on another side adapts with forefinger stage casing dactylus, enable medical worker's secure grip handle, strengthen the stability of operation, ensure that operation is carried out smoothly; Arc groove 12 is a part for handle, the molding in the lump when processing and manufacturing, is convenient to processing, saves production cost simultaneously, and is conducive to the effect ensureing medical treatment sterilization.
In the present embodiment, described anti-slipping mechanism comprises interval and arranges and the straight connected in star 11 extending to described arc groove 12 end from described handle bottom, and described straight connected in star 11 directly forms in the upper and lower Surface Machining of described handle; Handle bottom is namely away from one end of cervical region 2; The straight connected in star 11 of alternate setting can strengthen the radial friction resistance between staff and handle, occurs skidding, increase the safety coefficient of this detacher operation when preventing from operating between staff and handle; Straight connected in star 11 is a part for handle, the molding in the lump when processing and manufacturing, is convenient to processing, saves production cost simultaneously, and is conducive to the effect ensureing medical treatment sterilization.
In the present embodiment, described Handheld Division 1, cervical region 2, stripping head 3 and limit body 4 are one-body molded; This periosteum stripping stopper adopts the material such as rustless steel conforming with medical apparatus and instruments standard to make, and is convenient to cleaning and sterilizing to realize sterile working; The one-body molded structural strength that can ensure this periosteum stripping stopper, is convenient to processing and manufacturing simultaneously, saves production cost.
Embodiment two
Fig. 1 is the structural representation of the present embodiment, Fig. 3 is the A-A view in Fig. 1, as shown in the figure, this enforcement is substantially identical with embodiment one, but cervical region 2 described in the periosteum stripping stopper of the present embodiment, stripping head 3 and limit body 4 are one-body molded, and described cervical region 2 is removably connected with described Handheld Division 1; Body is peeled off in cervical region 2, stripping head 3 and the one-body molded formation of limit body 4, while proof strength and peeling effect, peels off body and is removably connected with Handheld Division 1, be convenient to the stripping body changing different structure, strengthen the versatility of this periosteum stripping stopper; As for the mode of removably connecting, can use existing comprise be spirally connected, the mode such as clamping, do not repeat them here; Certainly, the structure removably connected also may cause the problem of not easily cleaning and sterilizing.
In the present embodiment, at least lower end part of described cervical region 2 is round bar shape, and described cervical region 2 coaxially stretches into described Handheld Division 1 and is threaded; As shown in Figure 3, cervical region 2 is connected by screw thread pair 5 with Handheld Division 1; Adopt screw connection manner to realize removably connecting, its connection is reliable, easy to use, can also realize the scalable of cervical region 2 length simultaneously, to adapt to the carrying out of different operation.
What finally illustrate is, above embodiment is only in order to illustrate the technical solution of the utility model and unrestricted, although be described in detail this utility model with reference to preferred embodiment, those of ordinary skill in the art is to be understood that, can modify to the technical solution of the utility model or equivalent replacement, and not departing from aim and the scope of technical solutions of the utility model, it all should be encompassed in the middle of right of the present utility model.