CN205359585U - Pedicle of vertebral arch puncture orbit guider - Google Patents

Pedicle of vertebral arch puncture orbit guider Download PDF

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Publication number
CN205359585U
CN205359585U CN201620055860.XU CN201620055860U CN205359585U CN 205359585 U CN205359585 U CN 205359585U CN 201620055860 U CN201620055860 U CN 201620055860U CN 205359585 U CN205359585 U CN 205359585U
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China
Prior art keywords
puncture
needle
guider
fan
shaped disc
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Withdrawn - After Issue
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CN201620055860.XU
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Chinese (zh)
Inventor
王洪伟
陈语
于海龙
石英
赵忆文
韩建达
刘军
项良碧
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Individual
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Individual
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Abstract

The embodiment of the utility model discloses pedicle of vertebral arch puncture orbit guider, include: the puncture pilot pin, the puncture pilot pin include needle bar and handle, wherein, the one end of needle bar with handle swing joint, the other end set up to the needle point, angle deflection measuring apparatu, angle deflection measuring apparatu include inserted bar, fan -shaped disc and connecting rod, wherein, the inserted bar with set up the connecting rod between the fan -shaped disc, connecting rod activity sets up in the centre of a circle of fan -shaped disc, and laminates fan -shaped disc and rotate, and is provided with on the inserted bar and blocks the piece, the director is provided with a plurality of puncture locating holes on, puncture locating hole parallel arrangement runs through the director, locating hole and needle bar and inserted bar phase -match just puncture. The utility model discloses a guider, simple structure, convenient to use can carry out accurate sureness of pedicle of vertebral arch puncture orbit under opening and wicresoft's condition.

Description

A kind of vertebral pedicle puncture track guider
Technical field
This utility model relates to technical field of medical instruments, particularly relates to a kind of vertebral pedicle puncture track guider.
Background technology
Disease about spine is clinical common, multiple disease, and current Therapeutic Method has open and Wicresoft's pedicle screw Internal fixation technology and percutaneous vertebral body strengthening art, the accurate setting that it is critical only that vertebral pedicle puncture track of successful surgery.In operation process, pedicle screw is inserted improper or puts by mistake, Vertebroplasty art percutaneous puncture track is improper, the sequela such as not good enough easily caused by the reduction of the fracture, fixing shakiness, bone cement seepage, even occur that such as pedicle screw or bone cement wear out pedicle of vertebral arch, vertebral body, thus the complication such as injured blood vessel, spinal cord, nerve root.The generation of these complication is not only relevant with operator level, also relevant with pedicle of vertebral arch anatomical structure individual variation, therefore, how to get rid of pedicle of vertebral arch anatomical structure individual variation, and accurately setting vertebral pedicle puncture track plays vital effect in operation process.
In prior art, major part operative doctor because of the limitation of conditions, by virtue of experience determines vertebral pedicle puncture track in operation process with feel, and its position is difficult to control.In the hospital not having condition to limit, it is frequently used navigation system and carries out the accurate setting of vertebral pedicle puncture track.
But navigation system is expensive, it is difficult to realize in a short time using on a large scale.
Utility model content
This utility model embodiment provides a kind of vertebral pedicle puncture track guider, with the problem solving accurately to set vertebral pedicle puncture track in prior art when opening with Wicresoft.
In order to solve above-mentioned technical problem, this utility model embodiment discloses following technical scheme:
The utility model discloses a kind of vertebral pedicle puncture track guider, including:
Puncture localization needle, described puncture localization needle includes shank and handle, and wherein, one end of described shank is flexibly connected with described handle, and the other end is set to needle point;
Angular deflection measuring instrument, described angular deflection measuring instrument includes inserted link, fan-shaped disc and connecting rod, wherein, described connecting rod is set between described inserted link and described fan-shaped disc, described connecting rod is movably arranged on the center of circle and described fan-shaped disc of the fitting rotation of described fan-shaped disc, and is provided with barrier sheet on described inserted link;
Guider, described guider is provided with multiple Needle localization hole, and described Needle localization hole is arranged in parallel and runs through described guider, and described Needle localization hole matches with described shank and inserted link.
Preferably, described shank is provided with graduation mark, and described graduation mark extends to described handle along described needle point.
Preferably, described handle includes shell, spring, piston, conductive bar, snib button and snib, wherein,
Described spring and snib button are correspondingly arranged in the two ends in described shell and are connected by described conductive bar, described piston is set between described conductive bar and spring, described snib is arranged on described piston and parallel with described conductive bar, and described snib and shell are provided with the bayonet socket mated with described shank.
Preferably, described handle is provided with the screw mated with described shank, described pin shank is provided with the screw thread mated with described screw.
Preferably, described guider is set to cylindrical structural, and described Needle localization hole is uniformly arranged on described cylindrical structural and parallel with the axis direction of described cylindrical structural.
Preferably, described fan-shaped disc is set to semi-circular discs, and the curved edge of described semi-circular discs is provided with angle index.
Preferably, described barrier sheet is around being arranged on described inserted link.
Preferably, the spacing between the center of circle of described barrier sheet and described fan-shaped disc is more than the radius of described fan-shaped disc.
The beneficial effects of the utility model include: apparatus structure disclosed in this utility model is simple, easy to use, can either use under open condition and accurately determining of vertebral pedicle puncture track can be carried out when Wicresoft, doctor is when operation, without determining puncture track by experience, pedicle of vertebral arch anatomical structure individual difference can also be got rid of during operation, thus reducing postoperative complication simultaneously.It addition, avoid a large amount of RADIs of traditional method, the prefecture improving vertebral pedicle puncture track is pernicious, thus improving surgical effect.
Accompanying drawing explanation
In order to be illustrated more clearly that this utility model embodiment or technical scheme of the prior art, the accompanying drawing used required in embodiment or description of the prior art will be briefly described below, apparently, for those of ordinary skills, under the premise not paying creative work, it is also possible to obtain other accompanying drawing according to these accompanying drawings.
A kind of puncture localization needle structural representation that Fig. 1 provides for this utility model embodiment;
The another kind of puncture localization needle structural representation that Fig. 2 provides for this utility model embodiment;
A kind of guide structure schematic diagram that Fig. 3 provides for this utility model embodiment;
A kind of angular deflection measuring instrument structural representation that Fig. 4 provides for this utility model embodiment;
A kind of guider package assembly schematic diagram that Fig. 5 provides for this utility model embodiment;
In Fig. 1-Fig. 4, symbol represents:
1-puncture localization needle, 2-shank, 3-handle, 4-needle point, 5-guider, 6-Needle localization hole, 7-angular deflection measuring instrument, 8-inserted link, 9-fan-shaped disc, 10-connecting rod, 11-barrier sheet, 12-screw, 31-shell, 32-spring, 33-piston, 34-conductive bar, 35-snib button, 36-snib.
Detailed description of the invention
This utility model embodiment provides a kind of vertebral pedicle puncture track guider, in order to make those skilled in the art be more fully understood that the technical scheme in this utility model, below in conjunction with the accompanying drawing in this utility model embodiment, technical scheme in this utility model embodiment is clearly and completely described, obviously, described embodiment is only a part of embodiment of this utility model, rather than whole embodiments.Based on the embodiment in this utility model, the every other embodiment that those of ordinary skill in the art obtain under not making creative work premise, all should belong to the scope of this utility model protection.
In order to make those skilled in the art be more fully understood that this utility model scheme, below in conjunction with drawings and embodiments, the utility model is described in further detail.
The vertebral pedicle puncture track guider that this utility model provides includes puncture localization needle, guider and angular deflection measuring instrument, makes in use, three is combined.
Referring to Fig. 1, for a kind of puncture localization needle structural representation that this utility model embodiment provides, puncture localization needle 1 includes shank 2 and handle 3, and shank 2 is for Needle localization, and handle 3 is user-friendly for Needle localization.It is enclosed within shank 2 owing to use procedure needing be directed to device 5, so shank 2 needs to be flexibly connected with handle 3, say, that handle 3 can separate with shank 2 and combine.Therefore, one end of shank 2 is flexibly connected with handle 3, connected mode is as shown in FIG., handle 3 includes a shell 31, one end in shell 31 is provided with spring 32, the other end is provided with snib 36 button, connected by conductive bar 34 between spring 32 and snib button 35, and a piston 33 is set between conductive bar 34 and spring 32, piston 33 is provided with snib 36, snib 36 is parallel with conductive bar 34, and is positioned at the side of piston 33, is provided with the bayonet socket mated with shank 2 on snib 36 and shell 31.
When shank 2 and handle 3 are fitted together, first snib button 35 is pressed, after snib button 35 stress, oppress conductive bar 34, conductive bar 34 forces piston 33, under the elastic force effect of spring 32, piston 33 drives snib 36 to move, until the bayonet socket on snib 36 is corresponding with the bayonet socket on shell 31, then shank 2 is inserted the bayonet socket on shell 31 and snib 36, meanwhile, unclamp snib button 35, under the elastic force effect of spring 32, snib 36 is pushed away to the right by piston 33, and shank 2 is just stuck on snib 36.Above-mentioned shank 2 and the combination of handle 3 are a kind of implementation therein; but the restriction of this utility model protection domain should not be it can be used as; those skilled in the art may select other combining form according to practical situation; it all should fall within protection domain of the present utility model, for instance:
Referring to Fig. 2, the another kind of puncture localization needle structural representation that Fig. 2 provides for this utility model embodiment, handle 3 shown in figure is provided with a screw 12, combine one end at shank 2 with handle 3 and be provided with the screw thread corresponding with screw 12, shank 2 is threaded one end and can be rotatably inserted in screw 12, when needing to separate, firmly rotate shank 2.
Not being connected one end with handle 3 at shank 2 and be set to needle point 4, needle point 4 one end is provided with graduation mark, graduation mark extends from needle point 4 is most advanced and sophisticated to handle 3 place, and graduation mark is mainly used to the degree of depth that instruction punctures.
Referring to Fig. 3, for a kind of guide structure schematic diagram that this utility model embodiment provides, as shown in the figure, guider 5 is provided with multiple Needle localization hole 6, Needle localization hole 6 is arranged in parallel and runs through whole guider 5, in use owing to needing to penetrate shank 2 and angular deflection measuring instrument 7 in the Needle localization hole 6 of guider 5, so Needle localization hole 6 to match with the inserted link 8 on shank 2 and angel measuring instrument.
The guider 5 that the present embodiment provides is cylindrical structural, Needle localization hole 6 is uniformly arranged on cylindrical structural, and Needle localization hole 6 is parallel with the axis of cylindrical structural, it is parallel to each other between such guarantee hole and hole, and puncture localization needle 1 is corresponding with the deflection angle of angular deflection measuring instrument 7, that is puncture localization needle 1 can deflect along with the deflection of angular deflection measuring instrument 7, thus adjusting the deflection angle of puncture localization needle 1 accurately, namely punctures the deflection angle of track.
The shape of above-mentioned guider 5 is a kind of way of realization of the present utility model; but the restriction of this utility model protection domain should not be it can be used as; those skilled in the art may select other form according to practical situation, and it all should fall into protection domain of the present utility model.
Referring to Fig. 4, for a kind of angular deflection measuring instrument structural representation that this utility model embodiment provides, the angular deflection measuring instrument 7 that the present embodiment provides includes inserted link 8, fan-shaped disc 9 and connecting rod 10, inserted link 8 is mainly used in being inserted in the Needle localization hole 6 of above-mentioned guider 5, inserted link 8 and fan-shaped disc 9 are linked together by connecting rod 10, wherein, connecting rod 10 is connected with the center of circle of fan-shaped disc 9, and fit together with fan-shaped disc 9, connecting rod 10 can around the center of circle of fan-shaped disc 9, be attached to fan-shaped disc 9 surface rotate.Inserted link 8 is provided with barrier sheet 11, barrier sheet 11 is circumferentially positioned on inserted link 8, or being symmetricly set on inserted link 8 outer surface, barrier sheet 11 is mainly used to stop angular deflection measuring instrument 7, it is prevented that inserted link 8 and connecting rod 10 on angular deflection measuring instrument 7 each fall within Needle localization hole 6.
In the present embodiment, fan-shaped disc 9 is set to semi-circular discs, and the curved edge in semi-circular discs is provided with angle groove, and angle index line is in order to mark the deflection angle of guider.
A kind of guider package assembly schematic diagram that Fig. 5 provides for this utility model embodiment, as shown in Figure 5, the length of shank 2 of the guider that this utility model provides is greater than on guider 5 length in Needle localization hole 6, and on angular deflection measuring instrument 7, the spacing between the center of circle of barrier sheet 11 and fan-shaped disc 9 is more than the radius of fan-shaped disc 9.The length of shank 2 is more than the length in Needle localization hole 6 on guider 5, needle point 4 on shank 2 may be only inserted point of puncture, and the spacing between the center of circle of barrier sheet 11 and fan-shaped disc 9 rotates around the center of circle of fan-shaped disc 9 more than the radius guarantee connecting rod 10 of fan-shaped disc 9.
Additionally, when assembling guider and using, puncture localization needle 1 to insert from angular deflection measuring instrument 7 in different Needle localization holes 6, owing to being parallel relation between Kong Yukong, so the deflection angle of angular deflection measuring instrument 7 is the deflection angle of puncture localization needle 1, thus the deflection angle of angular deflection measuring instrument 7 can be determined according to the angle index on angle disk, and then the deflection angle of puncture localization needle 1 can also be determined.
In use, in order to increase the friction between handle 3 and guider 5 and user hand, handle 3 and guider 5 outer surface are disposed as frosted structure, so can increase the frictional force between hand and handle 3 and guider 5, it is prevented that operation process accident surgery occurs because hands is sliding.
Corresponding with a kind of vertebral pedicle puncture track guider embodiment that this utility model provides, this utility model additionally provides the using method of vertebral pedicle puncture track guider.
During operation, under open condition, first selecting to intend putting nail position and carry out inserting of puncture localization needle 1 needle point 4, the pin position of putting of puncture localization needle 1 needle point 4 is entry point;Then take off the handle 3 of puncture needle positioning needle, be directed to device 5 and be enclosed within the shank 2 of puncture localization needle 1 by one of them Needle localization hole 6, and handle 3 is arranged on shank 2 again, make shank 2 and handle 3 fit together;Subsequently, the inserted link 8 on angle lamellar measuring instrument is inserted on another Needle localization hole 6.
The deflection angle of adjusting angle deflection measuring instrument 7, makes connecting rod 10 rotate around the center of circle of fan-shaped disc 9, rotates to suitable angle, then will wear side positioning needle and insert puncture position.
The deflection angle of above-mentioned adjusting angle deflection measuring instrument 7, mainly determines the deflection angle into staple rail mark on coronalplane, then determines on C-arm fluoroscopic machine into the direction on staple rail mark sagittal plane, finally position slowly inserting of puncture needle.
The invention also discloses another kind of using method, when this using method is for Minimally Invasive Surgery.
When Wicresoft, by expanding sleeve step by step, sleeve maximum for diameter to be retained in skin incision, puts into guider 5 by sleeve, position inserting of puncture needle.The shank 2 of many pieces of puncture localization needles 1 is inserted in Needle localization hole 6, C-arm fluoroscopic machine is observed the situation of positioning needle, it is determined that the positioning puncture needle that point of puncture is optimum.By Needle localization hole 6 level on guider 5 or move up and down the adjustment carrying out point of puncture, until point of puncture position suitable.Angular deflection measuring instrument 7 is put into the Needle localization hole 6 of guider 5 and is determined that coronalplane enters the deflection angle of staple rail mark by point of puncture position after determining, then determine on C-arm fluoroscopic machine into the direction on staple rail mark sagittal plane, carry out inserting of puncture localization needle 1.
As seen from the above-described embodiment, guider simple in construction disclosed in this utility model, practical, can either use under open condition, being accurately positioned of vertebral pedicle puncture track can be carried out again under doing micro-wound percutaneous condition, avoid the substantial amounts of ray irradiation damage of traditional method, improve the accuracy of vertebral pedicle puncture track, improve surgical effect.It addition, effectively prevent because pedicle screw inserts generation that is improper or that put the complication such as not good enough, the fixing shakiness of the reduction of the fracture caused by mistake.
It should be noted that, in this article, the such as relational terms of " first " and " second " or the like is used merely to separate an entity or operation with another entity or operating space, and not necessarily requires or imply the relation that there is any this reality between these entities or operation or sequentially.And, term " includes ", " comprising " or its any other variant are intended to comprising of nonexcludability, so that include the process of a series of key element, method, article or equipment not only include those key elements, but also include other key elements being not expressly set out, or also include the key element intrinsic for this process, method, article or equipment.When there is no more restriction, statement " including ... " key element limited, it is not excluded that there is also other identical element in including the process of described key element, method, article or equipment.
The above is only detailed description of the invention of the present utility model, makes to skilled artisans appreciate that or realize this utility model.The multiple amendment of these embodiments be will be apparent to one skilled in the art, and generic principles defined herein when without departing from spirit or scope of the present utility model, can realize in other embodiments.Therefore, this utility model is not intended to be limited to the embodiments shown herein, and is to fit to the widest scope consistent with principles disclosed herein and features of novelty.

Claims (8)

1. a vertebral pedicle puncture track guider, it is characterised in that including:
Puncture localization needle (1), described puncture localization needle (1) includes shank (2) and handle (3), wherein, one end of described shank (2) is flexibly connected with described handle (3), and the other end is set to needle point (4);
Angular deflection measuring instrument (7), described angular deflection measuring instrument (7) includes inserted link (8), fan-shaped disc (9) and connecting rod (10), wherein, described connecting rod (10) is set between described inserted link (8) and described fan-shaped disc (9), described connecting rod (10) is movably arranged on the center of circle and described fan-shaped disc (9) of the fitting rotation of described fan-shaped disc (9), and is provided with barrier sheet (11) on described inserted link (8);
Guider (5), described guider (5) is provided with multiple Needle localization hole (6), described Needle localization hole (6) is arranged in parallel and runs through described guider (5), and described Needle localization hole (6) matches with described shank (2) and inserted link (8).
2. vertebral pedicle puncture track guider according to claim 1, it is characterised in that be provided with graduation mark on described shank (2), and described graduation mark extends along described needle point (4) to described handle (3).
3. vertebral pedicle puncture track guider according to claim 1, it is characterized in that, described handle (3) includes shell (31), spring (32), piston (33), conductive bar (34), snib button (35) and snib (36), wherein
Described spring (32) and snib button (35) are correspondingly arranged in the two ends in described shell (31) and are connected by described conductive bar (34), described piston (33) is set between described conductive bar (34) and spring (32), it is upper and parallel with described conductive bar (34) that described snib (36) is arranged on described piston (33), described snib (36) and be provided with the bayonet socket mated with described shank (2) on shell (31).
4. vertebral pedicle puncture track guider according to claim 1, it is characterized in that, described handle (3) is provided with the screw (12) mated with described shank (2), described shank (2) is provided with the screw thread mated with described screw (12).
5. vertebral pedicle puncture track guider according to claim 1, it is characterized in that, described guider (5) is set to cylindrical structural, and described Needle localization hole (6) is uniformly arranged on described cylindrical structural and parallel with the axis direction of described cylindrical structural.
6. vertebral pedicle puncture track guider according to claim 1, it is characterised in that described fan-shaped disc (9) is set to semi-circular discs, and the curved edge of described semi-circular discs is provided with angle index.
7. vertebral pedicle puncture track guider according to claim 1, it is characterised in that described barrier sheet (11) is around being arranged on described inserted link (8).
8. vertebral pedicle puncture track guider according to claim 1, it is characterised in that the spacing between the center of circle of described barrier sheet (11) and described fan-shaped disc (9) is more than the radius of described fan-shaped disc (9).
CN201620055860.XU 2016-01-21 2016-01-21 Pedicle of vertebral arch puncture orbit guider Withdrawn - After Issue CN205359585U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201620055860.XU CN205359585U (en) 2016-01-21 2016-01-21 Pedicle of vertebral arch puncture orbit guider

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201620055860.XU CN205359585U (en) 2016-01-21 2016-01-21 Pedicle of vertebral arch puncture orbit guider

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105411654A (en) * 2016-01-21 2016-03-23 王洪伟 Guiding device for vertebral pedicle puncture track
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
CN113367778A (en) * 2021-06-10 2021-09-10 西安交通大学第二附属医院 Ultrasonic-guided nerve block puncture support for anesthesia department

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105411654A (en) * 2016-01-21 2016-03-23 王洪伟 Guiding device for vertebral pedicle puncture track
CN105411654B (en) * 2016-01-21 2017-10-20 王洪伟 A kind of vertebral pedicle puncture track guider
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
CN113367778A (en) * 2021-06-10 2021-09-10 西安交通大学第二附属医院 Ultrasonic-guided nerve block puncture support for anesthesia department
CN113367778B (en) * 2021-06-10 2022-06-17 西安交通大学第二附属医院 Ultrasonic-guided nerve block puncture support for anesthesia department

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AV01 Patent right actively abandoned

Granted publication date: 20160706

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AV01 Patent right actively abandoned