Utility model content
For solving the problems referred to above, this utility model provides a kind of space orientation auxiliary bore hole device, and it can be to spinal column
Pedicle of vertebral arch screw hammer into pin mark and orientation is accurately positioned, its simple in construction, easy to use, low cost is relatively low, is suitable for respectively
Level clinical application.
The technical scheme that this utility model is used by solving the problems referred to above is as follows:
This utility model include clamping device, for regulate an inclination angle head inclination-angle regulating device, be symmetricly set in described
Head inclination-angle regulating device two ends and for regulating the leaning angle adjusting means of leaning angle, for regulating described head tilt angle device displacement
Displacement adjustment device and for installing the probe guide cylinder of probe.
As further improvement of the utility model, described clamping device includes resilient clamp block and the setting of inverted U
In described resilient clamp block top, for the fastening bolt of resilient clamp block described in clamping.When tightening fastening bolt, elastic clip
Hold block both sides spacing to reduce, increase enclasping force, prevent resilient clamp block from slipping.
As further improvement of the utility model, described displacement adjustment device includes being fixedly installed on described resilient clamp
The slide block that the slide rail of block upper end is suitable with described slide rail;It is labeled with graduation mark on described slide block;Described slide block side is provided with
For controlling the knob that described slide block slides on described slide rail.
As further improvement of the utility model, described head inclination-angle regulating device includes being fixedly installed on described slide block
One end, surface and the head tilt adjustment sleeve alignd with described graduation mark zero point and be socketed in described head tilt adjustment sleeve
Head tilt adjustment bar;Described head tilt adjustment sleeve is a side opening the tube-in-tube structure fastened by fishbolt;Described
The end face of head tilt adjustment sleeve is labeled with angle index line;It is labeled with length scale line on described head tilt adjustment bar.When
When side fixing point distance is fixing, opposite side is transferred to corresponding scale.
As further improvement of the utility model, described head tilt adjustment bar is the set that two ends can carry out length fine setting
Bar.
As further improvement of the utility model, described head tilt adjustment bar includes interior bar and is socketed on outside described interior bar
The outer bar in portion;Described outer bar includes fixed part and is stuck in described fixed part two ends can be along described ear by ears respectively
The trimming part that part is movable;The elongated slot suitable with ears is offered, it is ensured that trimming part moves forward and backward on trimming part,
It is also possible to prevent trimming part to relatively rotate with fixed part;It is provided with spring between described fixed part and described trimming part;Two
The free end of trimming part described in side is provided with fine-tuning nut.
As further improvement of the utility model, described leaning angle adjusting means includes being fixedly installed on described trimming part
On leaning angle graduated disc;Described leaning angle graduated disc it is articulated with in the middle of described probe guide cylinder;Described probe guide cylinder bottom
Auxiliary positioning pipe is had by connecting the rotating connection of screw rod.
As further improvement of the utility model, described resilient clamp block is internally provided with preventing for increasing friction force
Slip teeth.
As further improvement of the utility model, described probe guide cylinder contacts side with leaning angle graduated disc and is provided with
Instruction pin.
As further improvement of the utility model, described head tilt adjustment sleeve is provided with transverse horizontal chi;Described
Slide block side is provided with vertical equity chi.
Described head inclination angle is the angle that a tilt adjustment bar rotates in head tilt adjustment sleeve;Described leaning angle is probe
Guide cylinder is around the angle of leaning angle graduated disc central rotation.
This utility model has the following technical effect that
(1) this utility model arranges displacement adjustment device, head inclination-angle regulating device and leaning angle adjusting means, by preoperative
SCT scans, and determines entry point, leaning angle and head inclination angle, makes pedicle screw implant under each parameter quantifies, pedicle of vertebral arch screw
More " accuracy ", both sides arrange pedicle screw and have more " symmetry " nail;Spinal column can be carried out accurately by this utility model
Location, it is to avoid the deviation that the experience punching of dependence occurs.
(2) this utility model simple in construction, easy to use, reduce operation cost, be suitable for promoting at basic hospital.
(3) the resilient clamp block of inverted U has certain elasticity, is strutted at two ends and can clamp spinous process during clamping spinous process, by
Spinous process in spinal column is vertebral body shape, and resilient clamp block is not easy promptly after clamping spinous process, arranges fastening bolt and can increase elasticity
The grip block enclasping force to spinous process, prevents from slipping.
(4) realized the regulation of displacement by slide rail and slide block, after displacement regulates, realize spacing work by knob
With.
(5) regulation at head inclination angle is realized by the rotation in head tilt adjustment sleeve of the head tilt adjustment bar, simple in construction,
Take up room little;Head tilt adjustment sleeve is a side opening the tube-in-tube structure fastened by fishbolt, inclines when regulating head
After angle, fishbolt is tightened, head inclination angle can be fixed.
(6) entering pin mark gap not quite due to different patient's spinous process to pedicles of vertebral arch, head tilt adjustment bar is that two ends can be carried out
The loop bar of length fine setting, can realize the regulation of length more accurately.
(7) the outer bar of head tilt adjustment bar includes fixed part and is stuck in described fixed part two ends can by ears respectively
With the trimming part movable along described ears;It is provided with spring between described fixed part and described trimming part;Described in both sides
The free end of trimming part is provided with fine-tuning nut;Turn clockwise fine-tuning nut time, spring is squeezed, trimming part to centre move
Dynamic, contraction in length, otherwise, spring flicks, and trimming part moves to both sides, and length increases;The setting of ears is possible not only to ensure
Trimming part moves forward and backward along ears, simultaneously it is also ensured that trimming part does not rotates.
(8) being articulated with in the middle of probe guide cylinder on leaning angle graduated disc, probe guide cylinder contacts one with leaning angle graduated disc
Side is provided with instruction pin, is realized the regulation of angle, the reading of angle around leaning angle graduated disc center rotating by probe guide cylinder
Can be read by instruction pin.
(9) resilient clamp block is internally provided with anti-slop serrations, for increasing friction force, prevents resilient clamp block and spine further
Prominent slippage.
(10) can be by observing in transverse horizontal chi and vertical equity chi the position determining means of bubble whether level.
Detailed description of the invention
Below in conjunction with accompanying drawing, the technical solution of the utility model is described in further detail.
As shown in Figure 1-2, this utility model includes clamping device, for regulating the head inclination-angle regulating device at an inclination angle, right
Claim to be arranged at described head inclination-angle regulating device two ends and for regulating the leaning angle adjusting means of leaning angle, for regulating described head
The displacement adjustment device of tilt angle device displacement and for installing the probe guide cylinder 15 of probe;It is determined by displacement, leaning angle
Reach spatial point is accurately positioned with head inclination angle, thus realize " target " position is carried out the purpose of drill precise holes, subtract
Little dependence doctors experience judges deviation and the operation risk brought.
Described clamping device includes the resilient clamp block 1 of inverted U and is arranged at described resilient clamp block 1 top, is used for
The fastening bolt 3 of resilient clamp block 1 described in clamping.Owing to the spinous process of spinal column is vertebral body shape, resilient clamp block 1 is clamped after spinous process not
The most promptly, when tightening fastening bolt 3, resilient clamp block 1 both sides spacing reduces, and increases enclasping force, prevents resilient clamp block 1
Slip.
Described displacement adjustment device includes slide rail 2 and the described slide rail 2 being fixedly installed on described resilient clamp block 1 upper end
Suitable slide block 5;It is labeled with graduation mark on described slide block 5;Described slide block 5 side is provided with and exists for controlling described slide block 5
The knob 4 slided on described slide rail 2, can realize the slide block 5 slip on described slide rail 2 by rack and pinion, clockwise
During turning knob 4, slide block 5 moves right, and when rotating counterclockwise knob 4, slide block 5 is moved to the left.
Described head inclination-angle regulating device include being fixedly installed on described slide block 5 upper surface one end and with described graduation mark zero
The head tilt adjustment sleeve 6 of some alignment and the head tilt adjustment bar being socketed in described head tilt adjustment sleeve 6;Described head inclination angle
Regulating sleeve 6 is a side opening the tube-in-tube structure fastened by fishbolt 19;The end face of described head tilt adjustment sleeve 6
It is labeled with angle index line;It is labeled with length scale line on described head tilt adjustment bar.Can be by reading resilient clamp block 1 limit
The scale that edge is corresponding, calculates the displacement between head inclination-angle regulating device and resilient clamp block 1.Inclined at head by head tilt adjustment bar
Rotation in angle regulating sleeve 6 realizes the regulation at head inclination angle, simple in construction, takes up room little;Head tilt adjustment sleeve 6 is side
The tube-in-tube structure that opening is also fastened by fishbolt 19, tightens fishbolt 19 after regulating an inclination angle, can be by
Head inclination angle is fixed.
Described head tilt adjustment bar is the loop bar that two ends can carry out length fine setting.
Described head tilt adjustment bar includes interior bar 17 and is socketed on the outer bar 7 outside described interior bar 17;Described outer bar 7 includes
Fixed part 7-1 and be stuck in described fixed part 7-1 two ends can be movable along described ears 16 by ears 16 respectively
Trimming part 7-3;The elongated slot suitable with ears 16 is offered, it is ensured that move before and after trimming part 7-3 on trimming part 7-3
Dynamic, it is also possible to prevent trimming part 7-3 from relatively rotating with fixed part 7-1;Described fixed part 7-1 and described trimming part 7-3 it
Between be provided with spring 7-2;Described in both sides, the free end of trimming part 7-3 is provided with fine-tuning nut 9;Arranging trimming part 7-3 can be more
Realize the regulation of length accurately;The setting of ears 16 is possible not only to ensure that trimming part 7-3 moves forward and backward along ears 16, with
Time it is also ensured that trimming part 7-3 does not rotates.
Described leaning angle adjusting means includes the leaning angle graduated disc 13 being fixedly installed on described trimming part 7-3;Described
It is articulated with described leaning angle graduated disc 13 in the middle of probe guide cylinder 15;Described probe guide cylinder 15 bottom can by connecting screw rod 14
The connection rotated has auxiliary positioning pipe 8.
Described resilient clamp block 1 is internally provided with the anti-slop serrations 12 for increasing friction force, prevents resilient clamp further
Block 1 slips with spinous process.
Described probe guide cylinder 15 contacts side and is provided with instruction pin 11 with leaning angle graduated disc 13, by probe guide cylinder
15 realize the regulation of angle around leaning angle graduated disc 13 center rotating, and the reading of angle can be read by instruction pin 11.
It is provided with transverse horizontal chi 10 on described head tilt adjustment sleeve 6;Described slide block 5 side is provided with vertical equity chi
18.Can be by observing in transverse horizontal chi 10 and vertical equity chi 18 position determining means of bubble whether level.
Use process of the present utility model is as follows:
Patient lies prone is positioned on operating-table, cuts skin and appears vertebral body.First resilient clamp block 1 is clamped patient's spinous process, see
Examine transverse horizontal chi 10 and vertical equity chi 18, after bubble is adjusted to centre position, fastening bolt 3 is tightened, makes elastic clip
Hold block 1 to be tightly secured on patient's spinous process.Plan entry point is positioned at the intersection point on the ordinate of the outer trailing edge of superior articular process with transverse process center line,
The plan leaning angle (being set to) of entry point, head inclination angle (being set to β) and transverse process upper limb is calculated to transverse process center line according to preoperative CT
Distance, i.e. spacing (being set to D) between probe guide cylinder 15 and auxiliary positioning pipe 8, swivel head tilt adjustment bar is adjusted at head inclination angle
Angle in joint sleeve 6, tightens the fishbolt 19 of head tilt adjustment sleeve 6 side after regulating, and prevents the inclination angle from adjusting
Pole rotates, and head tilt adjustment is got well with this and fixes;Then rotate probe guide cylinder 15, make instruction pin 11 and leaning angle scale
Calculate gained angular alignment on dish 13, with this leaning angle regulated and fix;Regulation fine-tuning nut 9, when probe guide cylinder 15
Till when end visits the outer trailing edge of superior articular process.Then one side adjusting knob 4, utilizes probe to pass through auxiliary positioning pipe 8
Visiting the upper limb of superior articular process, when visiting and arrive the upper limb of transverse process, drill bit is holed to appropriate depth by probe guide cylinder 15,
Opposite side parameter is set with method, after holing successfully, is screwed into pedicle screw.
Described above to the disclosed embodiments, makes professional and technical personnel in the field be capable of or uses this practicality new
Type.Multiple amendment to these embodiments will be apparent from for those skilled in the art, is determined herein
The General Principle of justice can realize in the case of without departing from spirit or scope of the present utility model in other embodiments.Cause
This, this utility model is not intended to be limited to the embodiments shown herein, and is to fit to and principles disclosed herein
The widest scope consistent with features of novelty.