CN205286454U - Operating angle variably and not shelters from articular process osteotome in image field of vision - Google Patents

Operating angle variably and not shelters from articular process osteotome in image field of vision Download PDF

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Publication number
CN205286454U
CN205286454U CN201520972984.XU CN201520972984U CN205286454U CN 205286454 U CN205286454 U CN 205286454U CN 201520972984 U CN201520972984 U CN 201520972984U CN 205286454 U CN205286454 U CN 205286454U
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CN
China
Prior art keywords
drive division
connecting portion
cutter
osteotome
articular process
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Withdrawn - After Issue
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CN201520972984.XU
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Chinese (zh)
Inventor
张为
王亚朋
侯志勇
张英泽
申勇
丁文元
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Individual
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Individual
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Priority to CN201520972984.XU priority Critical patent/CN205286454U/en
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Publication of CN205286454U publication Critical patent/CN205286454U/en
Withdrawn - After Issue legal-status Critical Current
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Abstract

The utility model relates to an operating angle variably and not shelters from articular process osteotome in image field of vision, its structure includes the work coat pipe and cup joints the outside group chisel pole of sleeve pipe, dial the chisel pole and move portion, connecting portion, drive division and clamping part including the chisel, the chisel move the portion with the drive division all is straight flute bodies that the groove face is the arc surface, the arc surface of cutting a hole the portion moved is upwards protruding, and its front end is most advanced and personally experiences sth. Part of the body, the downward arch of arc surface of drive division, its rear end is connected the clamping part, connecting portion are circular tube body, two terminal surfaces of circular tube body are to same lopsidedness, the chisel move the portion the rear end with the going up of one end of connecting portion is docked along level and smooth, the drive division with the lower of the connecting portion other end docks along level and smooth, the chisel move the portion connecting portion with the Z physique is constituteed to the drive division. The utility model discloses neither can damage work coat pipe and cross -under intervertebral foramen mirror wherein, also can not shelter from the front end at the intervertebral foramen mirror, realize visual chisel bone operation.

Description

Work angle is variable and does not block the articular process osteotome in the image visual field
Technical field
This utility model relates to the therapeutic device of a kind of spinal surgery, and specifically a kind of work angle is variable and do not block the articular process osteotome in the image visual field.
Background technology
In the both sides of each vertebra of lumbar vertebra, there is the osseous tissue projected upwards a pair, be called superior articular process, also have a pair downward projection of osseous tissue, be called inferior articular process. Between adjacent two vertebraes, the position of a pair articular process of homonymy is mutually corresponding up and down, constitutes a zygapophysial joints, therefore, often has a pair zygapophysial joints between adjacent two vertebraes. Zygapophysial joints constitutes the nerve root of the rear wall of intervertebral foramina, cervical region and waist to be passed through from the front of zygapophysial joints, therefore, when there is bony spur when intervertebral disc or zygapophysial joints generation regression hypertrophy, is easy for pressuring neural root, makes Principle of Pain unbearably. The mode of operative treatment is usually removal bony spur or prominent disc tissue, and employing minimal invasive operation is a kind of therapeutic modality more advanced at present, and international vertebral column minimally invasive surgical field has been recognized that foramen intervertebrale lens dominating in this field at present.
Smooth enforcement is expected in foramen intervertebrale lens operation, and the accurately implantation of working column (also known as " directed sleeve pipe " or " service aisle ") is a key of operation success or failure. Intraspinal tube is entered into owing to working column requires over this slype of intervertebral foramina; therefore; patient is had to the situation of lumbar vertebra congenital dysplasia or regression hypertrophy etc.; operative approach will be formed stop by the hypertrophy sclerotin at articular process place; cause that working column cannot be implanted to correct position and make operative failure; more have the patient of pressuring nerve because of intervertebral foramina stenosis, pathological factor that the sclerotin of articular process hypertrophy inherently causes a disease and need fully to excise when operation.
For solving the stop that working column is entered by articular process sclerotin, be clinically at present use the apparatus such as trepan or bone drill, when approach, the osseous tissue at articular process place is carried out thin layer grinding (now foramen intervertebrale lens is but without putting into, operation carries out under not having the visual visual field, there is bigger operational risk), the sclerotin ground away is very thin, thickness is within 0.5mm, to expand the space that working column enters. When needing more excision articular process sclerotin, then need to use High speed drill under mirror that articular process sclerotin is abraded, or use osteotome under mirror to cut. Even if but it is equipped with under the mirror that price is high abrasive drilling system, it is still extremely difficult in practical operation. Because abrasive drilling or osteotome are all entered by the narrow and long path being incorporated within foramen intervertebrale lens under mirror, and foramen intervertebrale lens is all rigid structure together with the working column outside it, after under mirror, abrasive drilling or osteotome enter, the mobility of its work head end is very little, although some design is by abrasive drilling under mirror or osteotome head end slight curve, but the limitation of bending, otherwise apparatus just cannot insert in the path of foramen intervertebrale lens at all. Simultaneously because the path of inserting of foramen intervertebrale lens inherently deviates from the direction of articular process, thus just often there is operative doctor it can be seen that articular process sclerotin but be exactly grind less than or cut a hole the difficult situation less than sclerotin. If attempting the direction of operating changing apparatus, just only have under brute force and press service aisle and foramen intervertebrale lens therein, result of which, not only effect is extremely limited, but also there is great risk and danger, because the lighter is likely to result in the damage of apparatus, severe one can cause the damage of patient's vital tissue structure.
In sum, causing the main cause excising articular process sclerotin difficulty under foramen intervertebrale lens, in that current foramen intervertebrale lens is the different systems such as imaging, lavation, operation to be combined, imaging system and operating system restrict mutually, it is thus impossible to be effectively taking place the deep operation of articular process.
Utility model content
It is variable and do not block the articular process osteotome in the image visual field that the purpose of this utility model is just to provide a kind of work angle, with solve articular process bone operation time use trepan to exist poor stability and use the unhandy problem that under mirror, apparatus exists.
This utility model is achieved in that a kind of work angle is variable and does not block the articular process osteotome in the image visual field, including working column and group cutter bar being socketed in described jacket exterior;
Described working column is pipe body, the axial core bore that inside is provided with through;
Described group of cutter bar includes the portion of cutting a hole, connecting portion, drive division and clamping part; The dynamic portion of described cutter and described drive division are all groove faces is the straight trough body of arc surface, and the arc surface in the dynamic portion of described cutter raises up, and its front end is tip body; The arc surface of described drive division is downwardly convex, and its rear end connects described clamping part; Described connecting portion is pipe body, and two end faces of described pipe body tilt to the same side; The rear end in the dynamic portion of described cutter is smooth with the upper edge of one end of described connecting portion docks, and described drive division is smooth with the lower edge of the described connecting portion other end to be docked, and described cutter moves portion, described connecting portion and described drive division and forms Z-shaped body.
The dynamic groove face in portion of described cutter and the groove face of described drive division constitute a concentric circular with described connecting portion pipe body, and this concentrically ringed internal diameter is slightly larger than the external diameter of described working column.
It is shaped with a circular arc recess pointing to drive division on the lower edge of one end connected with the dynamic portion of described cutter of described connecting portion.
The centrage in the dynamic portion of described cutter is with the centrage of described drive division in one plane.
The centrage in the axial line of described connecting portion and the dynamic portion of described cutter and the centrage of described drive division are all in one plane.
This utility model is owing to dialling the special Z-shaped body structure of cutter bar, make it can be attached on the outer wall of working column and together enter intervertebral foramina art district therewith, and, the leading section dialling cutter bar can also under the manipulation in back end grip portion, relative working column make outer group of certain angle, in choose and the action such as most advanced and sophisticated spurt, thus available cutter pole pair articular process of dialling carries out cutter bone operation. And, it is enclosed within working column owing to dialling outside cutter bar is, the various cutter bones operation that it carries out, working column will not be produced any adverse effect, thus, both it is damaged from working column and cross-under foramen intervertebrale lens therein, without blocking the front end at foramen intervertebrale lens, thereby ensures that the open and clear of the operation image visual field, achieve the operation of visual cutter bone, improve accuracy and the convenience of operation, also improve work efficiency accordingly, shorten operating time. This utility model is not owing to using drill bit to bone, so being absent from using bone drill to operate the unexpected injury that patient is likely to result in, the safety of operation is good. This utility model reasonable in design, simple operation, reliable.
This utility model is by inserting crucial apparatus from the mirror of foramen intervertebrale lens, both mirror downward view can have been obtained, ensure that the safety of operation, apparatus can be made again to obtain sufficient working place and variable-angle, thus efficiently solving existing apparatus can not safely, effectively implement the technical barrier of articular process sclerotin excision operation.
Accompanying drawing explanation
Fig. 1 is structural representation of the present utility model.
Fig. 2 dials the structural representation of the present utility model when cutter bar opens.
Fig. 3 is the structural representation dialling cutter bar.
In figure: 1, working column, 2, dial cutter bar, 21, connecting portion, 22, the dynamic portion of cutter, 23, drive division, 24, clamping part.
Detailed description of the invention
As it is shown in figure 1, this utility model includes working column 1 and dials cutter bar 2 two parts. Working column 1 is a pipe body, is internally provided with through axial core bore, it is possible to install or cross-under foramen intervertebrale lens. Dial cutter bar 2 and be socketed in the outside of working column 1.
As it is shown on figure 3, dial cutter bar 2 to include the portion of cutting a hole 22, connecting portion 21, drive division 23 and clamping part 24. The dynamic portion 22 of cutter and drive division 23 are all groove faces is the straight trough body of arc surface, and the arc surface in the dynamic portion 24 of cutter raises up, and its front end is tip body; The arc surface of drive division 23 is downwardly convex, and its rear end connects clamping part 24. Clamping part 24 is lever shape, and bone operation cut a hole by the hand-holdable group cutter bar 2 that carries out. The groove face vertical and intersectant centerline of the centrage of clamping part 24 and drive division 23, in order to grasp direction of operating. Connecting portion 21 is pipe body, and two end faces of pipe body tilt to the same side.
The rear end in the dynamic portion 22 of cutter with on one end of connecting portion 21 along one-body molded and smooth dock, drive division 23 and connecting portion 21 other end lower to one-body molded and smooth dock. The dynamic portion 22 of cutter, connecting portion 21 and drive division 23 form Z-shaped body, to realize being socketed the swinging operation under position at working column 1.
The pipe body of the groove face in the dynamic portion 22 of cutter and the groove face of drive division 23 and connecting portion 21 constitutes a concentric circular, and this concentrically ringed internal diameter is slightly larger than the external diameter of described working column, in order to flexible cross-under and being close on working column 1.
On the lower edge of one end connected with the dynamic portion of cutter of connecting portion 21, it is shaped with a circular arc recess pointing to drive division 23, thus can improve the deflection angle in the dynamic portion of cutter; Certainly, it is possible to when meeting deflection angle requirement, the length between connecting portion 21 two ends is suitably increased, thus improving the bulk strength of connecting portion, thus meeting the intensity needs of cutter bone.
The dynamic centrage in portion 22 of cutter and the centrage of drive division 23 in one plane, so should can increase the accuracy of operation. Preferably all in one plane, the accuracy of operation can further improve the centrage of the centrage in the axial line of connecting portion 21 and the dynamic portion 22 of cutter and drive division 23.
The clamping part 24 of hand-held group of cutter bar 2, can control to dial cutter bar 2 and move up and down on working column 1, it is achieved dial the most advanced and sophisticated spurt of cutter bar 2; Also can control to dial cutter bar 2 suitable beat (Fig. 2) on working column 1, it is achieved outer group of group cutter bar 2, in the action such as choose.

Claims (5)

1. work angle is variable and do not block the articular process osteotome in the image visual field, it is characterized in that, including working column and be socketed in described jacket exterior dial cutter bar;
Described working column is pipe body, the axial core bore that inside is provided with through;
Described group of cutter bar includes the portion of cutting a hole, connecting portion, drive division and clamping part; The dynamic portion of described cutter and described drive division are all groove faces is the straight trough body of arc surface, and the arc surface in the dynamic portion of described cutter raises up, and its front end is tip body; The arc surface of described drive division is downwardly convex, and its rear end connects described clamping part; Described connecting portion is pipe body, and two end faces of described pipe body tilt to the same side; The rear end in the dynamic portion of described cutter is smooth with the upper edge of one end of described connecting portion docks, and described drive division is smooth with the lower edge of the described connecting portion other end to be docked, and described cutter moves portion, described connecting portion and described drive division and forms Z-shaped body.
2. work angle according to claim 1 is variable and do not block the articular process osteotome in the image visual field, it is characterized in that, the dynamic groove face in portion of described cutter and the groove face of described drive division constitute a concentric circular with described connecting portion pipe body, and this concentrically ringed internal diameter is slightly larger than the external diameter of described working column.
3. work angle according to claim 1 is variable and do not block the articular process osteotome in the image visual field, it is characterized in that, is shaped with a circular arc recess pointing to drive division on the lower edge of one end connected with the dynamic portion of described cutter of described connecting portion.
4. the work angle according to claim 1,2 or 3 is variable and do not block the articular process osteotome in the image visual field, it is characterized in that, the centrage in the dynamic portion of described cutter is with the centrage of described drive division in one plane.
5. work angle according to claim 4 is variable and do not block the articular process osteotome in the image visual field, it is characterized in that, the centrage in the axial line of described connecting portion and the dynamic portion of described cutter and the centrage of described drive division are all in one plane.
CN201520972984.XU 2015-11-30 2015-11-30 Operating angle variably and not shelters from articular process osteotome in image field of vision Withdrawn - After Issue CN205286454U (en)

Priority Applications (1)

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CN201520972984.XU CN205286454U (en) 2015-11-30 2015-11-30 Operating angle variably and not shelters from articular process osteotome in image field of vision

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201520972984.XU CN205286454U (en) 2015-11-30 2015-11-30 Operating angle variably and not shelters from articular process osteotome in image field of vision

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CN205286454U true CN205286454U (en) 2016-06-08

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105342663A (en) * 2015-11-30 2016-02-24 张为 Operation angle changeable type zygopophysis osteotome capable of avoiding image covering

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105342663A (en) * 2015-11-30 2016-02-24 张为 Operation angle changeable type zygopophysis osteotome capable of avoiding image covering

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GR01 Patent grant
AV01 Patent right actively abandoned
AV01 Patent right actively abandoned

Granted publication date: 20160608

Effective date of abandoning: 20170623