CN205359603U - Atlantoaxial joint anterior dislocation fixer that resets - Google Patents

Atlantoaxial joint anterior dislocation fixer that resets Download PDF

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Publication number
CN205359603U
CN205359603U CN201520782471.2U CN201520782471U CN205359603U CN 205359603 U CN205359603 U CN 205359603U CN 201520782471 U CN201520782471 U CN 201520782471U CN 205359603 U CN205359603 U CN 205359603U
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China
Prior art keywords
universal
adjustable clamp
fixed
fixation clamps
clamp
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Expired - Fee Related
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CN201520782471.2U
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Chinese (zh)
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林仲可
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Individual
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Individual
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Abstract

The utility model provides a surgery surgical instruments field, atlantoaxial joint anterior dislocation fixer that resets of it is new. The utility model discloses comprise fixed pincers and activity pincers, the universal screw of fixed binding clip end is twisted in the dentata centrum to this be the fulcrum, application pole thick stick principle, and the the opening and shutting of the pincers piece that opens and shuts through the activity pincers, extension tongs piece flexible and universal screw and the fixed suitable angulation of somatic part that clamps reach the purpose of the extensive region vertebra that resets, come fixed universal screw by tightening universal fixed screw at last, come the propulsion degree of fixed back handle etc. By the fixed horizontal pole on the preceding handle of adjustable clamp, make each freely movable joint locked, keep the atlantoaxial joint's that has restored to the throne anatomical position. Be favorable to operation technique on next step to atlantoaxial joint operation technique's convenience, security improve, reduce the complication relevant with operation technique.

Description

Articulatio atlantoepistrophica anterior dislocation reduction fixture device
Technical field
The invention belongs to surgical operating instrument field, specifically, invent and a kind of the articulatio atlantoepistrophica of anterior dislocation can be carried out active homing and interim fixing spinal surgery apparatus---articulatio atlantoepistrophica anterior dislocation reduction fixture device.To articulatio atlantoepistrophica anterior dislocation patient, particularly irreducible anterior dislocation patient, (articulatio atlantoepistrophica front road open surgery is can be certainly also used to) during front road Microendoscopic replacement and fixation articulatio atlantoepistrophica, apply this operating theater instruments, can convenient effective reset to the articulatio atlantoepistrophica of anterior dislocation, and the anatomical position of the articulatio atlantoepistrophica resetted can be maintained temporarily, be conducive to next step operation technique, thus improving the convenience of articulatio atlantoepistrophica operation technique, safety;Reduce the complication relevant to operation technique.
Background technology
In atlantoaxial dislocation, anterior dislocation is modal dislocation mode, particularly in old anterior dislocation treatment, Qian Lu endoscope (or under a percutaneous perspective) phase replacement and fixation articulatio atlantoepistrophica art, it is that a kind of wound is little, postoperative patient recovers fast Therapeutic Method, but in next phase replacement and fixation articulatio atlantoepistrophica art of current endoscope, owing to lacking the anatomical position that effective operating theater instruments resets and maintains articulatio atlantoepistrophica, the atlas and axis coronary sinus retroperfusion so giving next step is fixed and is brought difficulty, also can strengthen the difficulty of operation technique simultaneously, increase the complication relevant to operation technique.A kind of articulatio atlantoepistrophica anterior dislocation fixation device of invention, the articulatio atlantoepistrophica of this apparatus convenient effective reset anterior dislocation of energy, and the anatomical position of the articulatio atlantoepistrophica resetted can be maintained temporarily, the screw being so beneficial to next step is fixed, so can not only improve the convenience of articulatio atlantoepistrophica operation technique, safety, moreover it is possible to reduce the complication relevant to operation technique.
Summary of the invention
Goal of the invention: a kind of articulatio atlantoepistrophica anterior dislocation fixation device of invention, this apparatus can convenient effective reset to the articulatio atlantoepistrophica of anterior dislocation, and maintain the anatomical position of the articulatio atlantoepistrophica resetted temporarily, it is beneficial to next step operation technique, so can not only improve the convenience of articulatio atlantoepistrophica operation technique, safety, moreover it is possible to reduce the complication relevant to operation technique.
The detailed description of the present invention: articulatio atlantoepistrophica anterior dislocation fixation device is made up of fixation clamps and adjustable clamp, the Universal screw nail of fixation clamps head end is screwed in dentata vertebral body, as fulcrum, use bar thick stick principle, reached the purpose of reset atlas by flexible and Universal screw nail and fixation clamps the suitable angulation of body of the open/close of the folding clamp piece of adjustable clamp, flexible clamp piece;Fix Universal screw nail finally by tightening universal fixed screw, fixed the propelling degree of back handle by the fixed transverse rod in the front hand grip of adjustable clamp, make each movable joint be locked, maintain the anatomical position of the articulatio atlantoepistrophica resetted.
A kind of articulatio atlantoepistrophica anterior dislocation reduction fixture device, is made up of fixation clamps, adjustable clamp.The head end of fixation clamps has one piece of Universal screw nail, and the afterbody of Universal screw nail has a universal connector, for polyhedron globe.The external cross section of the body of fixation clamps is regular hexagon, hollow in it, is used for holding universal fixed screw, and the tail end inner face of the body of fixation clamps has the screw thread of the universal fixed screw of screw thread and fixation clamps to match.The head end of the body of fixation clamps has universal connector groove, match with the universal connector of Universal screw nail afterbody, when tightening universal fixed screw, can the universal connector of Universal screw nail afterbody be pressed in universal connector groove, the direction of such Universal screw nail is just fixed, it is impossible to the free angulation of all directions;When unclamping universal fixed screw, can by universal connector and universal connector groove appropriate separation, such Universal screw nail again can to the free angulation of all directions.Fixation clamps body have several card and certain elasticity, match with the draw-in groove of fixing-adjustable clamp connecting portion, fixation clamps be fixed on adjustable clamp.
Adjustable clamp is by clamp piece of stretching, expansion strip, coil tension spring, folding clamp piece, folding tie rod, main instrumentation tubes, front hand grip, back handle, fixed transverse rod, fixing-adjustable clamp connecting portion, and Telescopic Fixed screw forms.The head end of the main instrumentation tubes of adjustable clamp has a movable joint to collectively constitute joint with the movable joint in adjustable clamp folding clamp piece, the folding clamp piece of adjustable clamp is connected with its other end of folding tie rod and is fixed on the expansion strip fixing point of back handle upper end of adjustable clamp, so when expansion brace is moved rearwards by, folding clamp piece can be made to upwarp and to open.
Folding clamp piece hollow, holds extension tongs sheet in it, there is an expansion strip at flexible clamp piece rear, for flexible structure;As it is advanced by non-telescope fixing screw toward front, effect because of coil tension spring, flexible clamp piece is in indentation state, tighten Telescopic Fixed screw, expansion strip is forwards advanced, drive flexible clamp piece forwards to stretch out, by controlling the degree of depth that Telescopic Fixed screw is screwed into, control the distance that flexible clamp piece is forwards stretched out.The anterior arch of atlas adapter head of clamp piece of stretching has bilobate, overlooks into " people " font, and side-looking is an arc, well can match on dissecting with extensive region pivot anterior arch, and form " 3 points " structure with Universal screw nail, is so conducive to the reset of the extensive region pivot to anterior dislocation and fixes.
The front hand grip of adjustable clamp is fixed, the back handle of adjustable clamp rotates activity with its movable joint for fulcrum, when back handle forwards advances, the expansion strip fixing point making back handle upper end is moved rearwards by, effect by folding tie rod so that folding clamp piece upwarps to be opened, opens when folding clamp piece is in upwarp, back handle position can be fixed, thus the fixing folding clamp piece that maintains is in fixed angle by the fixed transverse rod in the front hand grip of adjustable clamp.
Adjustable clamp fixing-adjustable clamp connecting portion hollow, hold body of fixation clamps in it, the body of fixation clamps have the draw-in groove of several card and fixing-adjustable clamp connecting portion match, be used for fixing fixation clamps.
During the work of articulatio atlantoepistrophica anterior dislocation reduction fixture device, first the Universal screw nail head end of adjustable clamp is placed into the target location of pivot body vertebral body, body of axis is screwed into the Universal screw nail of adjustable clamp head end, again by adjustable clamp fixing-adjustable clamp connecting portion is inserted in the body of fixation clamps, make fixation clamps and adjustable clamp group integral, by the folding of folding clamp piece and the flexible of flexible clamp piece, the vertebra anterior arch adapter of extension tongs sheet head end and anterior arch of atlas are matched, again with the Universal screw nail of fixation clamps head end for fulcrum, use lever principle, dilatability by the flexible clamp piece of reasonable adjusting, the angulation number of degrees of the body of the opening degree of folding clamp piece and Universal screw nail and fixation clamps, reach the purpose of reset articulatio atlantoepistrophica.After articulatio atlantoepistrophica completes reset, the angle of Universal screw nail is fixed by tightening fixing screw, fixed transverse rod fixes the advance rate etc. of back handle, so make each joint of anterior joint dislocation reduction fixture device, extensive region and flexible clamp piece place be in lock-out state, reach to maintain the anatomical position of the articulatio atlantoepistrophica that resets.
The invention has the beneficial effects as follows, with the Universal screw nail of fixation clamps for fulcrum, use lever principle, by regulating the dilatability of flexible clamp piece, the angulation number of degrees of the body of the opening degree of folding clamp piece and Universal screw nail and fixation clamps, can easily be resetted the articulatio atlantoepistrophica of anterior dislocation, the mode such as the advance rate of back handle and the fixing of Universal screw nail direction is fixed finally by fixed transverse rod, the each joint of anterior joint dislocation reduction fixture device, extensive region and flexible clamp piece place is so made to be in lock-out state, reach to maintain articulatio atlantoepistrophica temporarily and be in reset state, it is beneficial to the relevant operation of next articulatio atlantoepistrophica coronary sinus retroperfusion.So can not only improve the convenience of articulatio atlantoepistrophica operation technique, safety, moreover it is possible to reduce the complication relevant to operation technique.
Accompanying drawing explanation
The entirety that accompanying drawing 1 is articulatio atlantoepistrophica anterior dislocation reduction fixture device splits schematic diagram;The jaw that accompanying drawing 2 is articulatio atlantoepistrophica anterior dislocation reduction fixture device closes and draws schematic diagram in;The jaw that accompanying drawing 3 is articulatio atlantoepistrophica anterior dislocation reduction fixture device opens and stretches out schematic diagram;The fixation clamps element that accompanying drawing 4 is articulatio atlantoepistrophica anterior dislocation reduction fixture device splits schematic diagram.The adjustable clamp that accompanying drawing 5 is articulatio atlantoepistrophica anterior dislocation reduction fixture device splits schematic diagram;Accompanying drawing 6 is flexible clamp piece top view;In figure:
1 is fixation clamps;
2 is adjustable clamp;
3 is the Universal screw nail of fixation clamps head end;
4 is the universal connector of fixation clamps head end screw afterbody;
5 is the universal connector groove of fixation clamps body;
6 is the body of fixation clamps, hollow;
7 is the card of fixation clamps body;
8 is the screw thread of fixation clamps body tail end;
9 is the universal fixed screw of the universal connector of fixation clamps;
10 is the screw thread of the universal fixed screw of fixation clamps;
11 is the flexible clamp piece of adjustable clamp;
12 is the expansion strip at the flexible clamp piece rear of adjustable clamp, for flexible structure;
13 is the anterior arch of atlas adapter head of adjustable clamp, matches with the anatomical shape of extensive region pivot anterior arch;
14 is the coil tension spring of adjustable clamp;
15 is the folding clamp piece of adjustable clamp, hollow;
16 is the movable joint in adjustable clamp folding clamp piece;
17 is the folding tie rod of adjustable clamp;
18 is the front hand grip of adjustable clamp, fixing;
19 is the back handle of adjustable clamp, movable;
20 is the fixed transverse rod of adjustable clamp handle;
21 is the movable joint of adjustable clamp back handle;
22 be adjustable clamp fixing-adjustable clamp connecting portion, hollow;
23 be adjustable clamp fixing-draw-in groove of adjustable clamp connecting portion;
24 is the expansion strip fixing point of adjustable clamp back handle upper end;
25 is the Telescopic Fixed screw of adjustable clamp;
26 is the main instrumentation tubes of adjustable clamp, hollow;
27 is the movable joint of the main instrumentation tubes head end of adjustable clamp.
Detailed description of the invention
Below in conjunction with accompanying drawing, patent of the present invention is further described.
The entirety that accompanying drawing 1 is articulatio atlantoepistrophica anterior dislocation reduction fixture device splits schematic diagram, in figure, visible articulatio atlantoepistrophica anterior dislocation reduction fixture device is made up of fixation clamps (1) and adjustable clamp (2), the jaw that accompanying drawing 2 is articulatio atlantoepistrophica anterior dislocation reduction fixture device closes and draws in schematic diagram, and the jaw that accompanying drawing 3 is articulatio atlantoepistrophica anterior dislocation reduction fixture device opens and stretches out schematic diagram.
The fixation clamps element that accompanying drawing 4 is articulatio atlantoepistrophica anterior dislocation reduction fixture device splits schematic diagram, the adjustable clamp that accompanying drawing 5 is articulatio atlantoepistrophica anterior dislocation reduction fixture device splits schematic diagram, accompanying drawing 6 is flexible clamp piece top view, in figure, fixation clamps (1) head end has a Universal screw nail (3), the afterbody of Universal screw nail (3) has a universal connector (4), for polyhedron globe.The external cross section of the body (6) of fixation clamps is regular hexagon, hollow in it, for holding universal fixed screw (9), the tail end inner face of the body (6) of fixation clamps (1) has the screw thread (10) of the universal fixed screw (9) of screw thread (8) and fixation clamps (1) to match.The head end of the body (6) of fixation clamps (1) has universal connector groove (5), match with the universal connector (4) of Universal screw nail (3) afterbody, when tightening universal fixed screw (9), can the universal connector (4) of Universal screw nail (3) afterbody be pressed in universal connector groove (5), the direction of such Universal screw nail (3) is just fixed, it is impossible to the free angulation of all directions;When unclamping universal fixed screw (9), can by universal connector (4) and universal connector groove (5) appropriate separation, such Universal screw nail (3) just can to the free angulation of all directions.The card (7) of fixation clamps body has several, and certain elasticity, matches with the draw-in groove (23) of fixing-adjustable clamp connecting portion (22), fixation clamps (1) is fixed on adjustable clamp (2).
The head end of the main instrumentation tubes (26) of adjustable clamp (2) has a movable joint (27) to collectively constitute joint with the movable joint (16) in adjustable clamp (2) folding clamp piece (15), the folding clamp piece (15) of adjustable clamp (2) is connected with folding tie rod (17), when folding tie rod (17) is moved rearwards by so that folding clamp piece (15) upwarps to be opened.
Fixation clamps (1) head end has a Universal screw nail (3), its afterbody has a universal connector (4), for polyhedron globe, match with the universal connector groove (5) of the body of fixation clamps (1) (6) head end.
Adjustable clamp (2) fixing-adjustable clamp connecting portion (22) hollow, the body (6) of fixation clamps is held in it, the draw-in groove (23) having several card (7) and fixing-adjustable clamp connecting portion (22) on the body (6) of fixation clamps matches, and is used for fixing fixation clamps (1).
Folding clamp piece (15) hollow, extension tongs sheet (11) is held in it, there is an expansion strip (12) at flexible clamp piece (11) rear, tighten Telescopic Fixed screw (25), expansion strip (12) is forwards advanced, drives flexible clamp piece (11) forwards to stretch out.
The anterior arch of atlas adapter head (13) of flexible clamp piece (11) has bilobate, overlook into " people " font, side-looking is an arc, can well match on dissecting with extensive region pivot anterior arch, and same Universal screw nail (3) composition " 3 points " structure, be so conducive to the reset of extensive region pivot to anterior dislocation and fixing.
During work, first the universal fixed screw (9) of fixation clamps is tightened, so universal connector (4) is just pressed on universal connector groove (5), the direction of Universal screw nail (3) is just fixed, stiff, it is screwed into Universal screw nail (3) in dentata leading edge, by adjustable clamp (2) fixing-adjustable clamp connecting portion (22) is inserted in the body (6) of fixation clamps (1), matched by the draw-in groove (23) of the card (7) of the body (6) of fixation clamps (1) with fixing-adjustable clamp connecting portion (22), fixation clamps (1) is fixed on the rational position of adjustable clamp (2), unclamp the universal fixed screw (9) of fixation clamps (1), make the Universal screw nail (3) can to all directions angulation.Again the anterior arch of atlas adapter head (13) of adjustable clamp (2) is mated with the anatomical shape of anterior arch of atlas, control, by adjusting the advance rate of the back handle (19) of adjustable clamp (2), the angle that folding clamp piece (15) is opened;The degree of depth being screwed into by adjusting the Telescopic Fixed screw (25) of adjustable clamp (2) controls the extension elongation of flexible clamp piece (11), with Universal screw nail (3) for fulcrum, adjust the length that Universal screw nail (3) stretches out with the size of body (6) angulation of fixation clamps (1), the open angle of folding clamp piece (15), flexible clamp piece (11), extensive region pivot anterior arch is reset to ideal position.Finally tighten universal fixed screw (9) and fix Universal screw nail (3), and the fixed transverse rod (20) in the front hand grip (18) of adjustable clamp (2) fixes the propelling degree of back handle (19), make each movable joint be locked, maintain the anatomical position of the articulatio atlantoepistrophica resetted.

Claims (4)

1. an articulatio atlantoepistrophica anterior dislocation reduction fixture device, it is made up of fixation clamps (1) and adjustable clamp (2), it is characterized in that the head end of the main instrumentation tubes (26) of adjustable clamp (2) has a movable joint (27) to collectively constitute joint with the movable joint (16) in adjustable clamp (2) folding clamp piece (15), the folding clamp piece (15) of adjustable clamp (2) is connected with folding tie rod (17), when folding tie rod (17) is moved rearwards by so that folding clamp piece (15) upwarps to be opened.
2. articulatio atlantoepistrophica anterior dislocation reduction fixture device as claimed in claim 1, it is characterized in that described fixation clamps (1) head end has a Universal screw nail (3), its afterbody has a universal connector (4), for polyhedron globe, match with the universal connector groove (5) of the body of fixation clamps (1) (6) head end.
3. articulatio atlantoepistrophica anterior dislocation reduction fixture device as claimed in claim 1, what it is characterized in that described adjustable clamp (2) fixes-adjustable clamp connecting portion (22) hollow, the body (6) of fixation clamps is held in it, the draw-in groove (23) having several card (7) and fixing-adjustable clamp connecting portion (22) on the body (6) of fixation clamps matches, and is used for fixing fixation clamps (1).
4. articulatio atlantoepistrophica anterior dislocation reduction fixture device as claimed in claim 1, it is characterized in that described folding clamp piece (15) hollow, extension tongs sheet (11) is held in it, there is an expansion strip (12) at flexible clamp piece (11) rear, tighten Telescopic Fixed screw (25), expansion strip (12) is forwards advanced, drives flexible clamp piece (11) forwards to stretch out.
CN201520782471.2U 2015-10-10 2015-10-10 Atlantoaxial joint anterior dislocation fixer that resets Expired - Fee Related CN205359603U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201520782471.2U CN205359603U (en) 2015-10-10 2015-10-10 Atlantoaxial joint anterior dislocation fixer that resets

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201520782471.2U CN205359603U (en) 2015-10-10 2015-10-10 Atlantoaxial joint anterior dislocation fixer that resets

Publications (1)

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CN205359603U true CN205359603U (en) 2016-07-06

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105748138A (en) * 2014-12-26 2016-07-13 林仲可 Anterior dislocation reduction fixator for atlantoaxial joint
CN109771106A (en) * 2019-03-13 2019-05-21 杨进城 Oral preceding road atlas and axis Lateral mass joint resetting fusion device system and its application method

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105748138A (en) * 2014-12-26 2016-07-13 林仲可 Anterior dislocation reduction fixator for atlantoaxial joint
CN105748138B (en) * 2014-12-26 2019-09-27 林仲可 Articulatio atlantoepistrophica anterior dislocation reduction fixture device
CN109771106A (en) * 2019-03-13 2019-05-21 杨进城 Oral preceding road atlas and axis Lateral mass joint resetting fusion device system and its application method
CN109771106B (en) * 2019-03-13 2023-06-23 杨进城 Anterior atlantoaxial lateral mass joint reduction fusion cage system and application method thereof

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

Granted publication date: 20160706

Termination date: 20171010

CF01 Termination of patent right due to non-payment of annual fee