CN206979568U - Multi-functional percutaneous cervical arc root locator - Google Patents
Multi-functional percutaneous cervical arc root locator Download PDFInfo
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- CN206979568U CN206979568U CN201720026683.7U CN201720026683U CN206979568U CN 206979568 U CN206979568 U CN 206979568U CN 201720026683 U CN201720026683 U CN 201720026683U CN 206979568 U CN206979568 U CN 206979568U
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- positioning
- pilot pin
- locating piece
- lateral rotation
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Abstract
A kind of multi-functional percutaneous cervical arc root locator, it has a sticker, there are two positioning terminals on sticker, end slipway is installed on positioning terminal, transverse slipway is installed on end slipway, positioning seat is installed on transverse slipway, lateral rotation positioning head is installed on positioning seat, it is provided with lateral rotation positioning head and longitudinally rotates locating piece, there is installation pilot pin on locating piece is longitudinally rotated;Advantage is, realize the adjustment of pilot pin needle point in longitudinal and transverse two directions, and the adjustment of pilot pin space angle in longitudinal and transverse two directions, it is completely superposed the direction of pedicle channel of the direction of pilot pin with setting, realize noninvasive positioning, it can meet that different angle enters the requirement of needle passageway, and positioning is rapid, accurate, it is easy to adjust, position fixing process only needs 2 ~ 3 X-ray line perspectives, harm to medical worker and patient is small, available for lumbar vertebrae, the operation of each section of thoracic vertebrae, it can also be used to which the articular process formed channel of foramen intervertebrale lens is established.
Description
Technical field
The utility model belongs to a kind of medical apparatus, the multi-functional percutaneous cervical arc root that more particularly to a kind of bone surgery uses
Locator.
Background technology
In clinic, orthopedist can run into a variety of spine disorderses, for example, disc herniation, spinal canal stenosis, vertebra side
Curved, spine fracture, tuberculosis and tumour etc..These diseases are required for pedicle punching or pedicle screw in operative treatment,
It is fixed or orthopedic, or expansion is strutted by pedicle of vertebral arch row compressed vertebral, bone cement is injected, to treat vertebral compression fracture.
And the foundation of pedicle channel, the success to operation are vital.When establishing pedicle channel, first have to determine to establish
The position and direction of pedicle channel.At present, the method for establishing pedicle channel position and direction mainly has two kinds, and one kind is to cut
Open, another kind is percutaneously to position.Incision is exactly to cut skin, peels off paravertebral muscles, vertebral posterior structures is exposed, straight
Depending on the position and direction of lower determination pedicle channel.Although this method comparison is directly perceived, also it is easier to determine pedicle channel
Position and direction, it also requires the auxiliary that X-ray is almost whole, continuous adjustment direction, especially beginner, starts X-ray
Number is more, and this has very big harm to medical worker and patient.Moreover, this method injures very to caused by patient
Greatly, after musculature is peeled off from vertebra, its blood vessel, muscle and nerve fiber can be by serious destructions, although musculature
It can heal, but be difficult to return to original state, moreover, hand intraoperative hemorrhage is more, the pain of patient is big, and convalescence is also very long.
Due to angle it is difficult to control, pedicle screw is difficult to keep straight line in art.Percutaneous positioning is percutaneous cervical arc root technique for fixing, this
Kind technology is exactly by one small otch of skin, is not required to peel off muscle, pedicle of vertebral arch position is determined in the body surface of patient by means of X-ray
Put.The accuracy requirement that this is positioned to pedicle of vertebral arch is higher, and difficulty is also bigger, during positioning and operation, even more needs anti-
X-ray is started again to correct and determine the position of pedicle channel and direction, and this just causes bigger to medical worker and patient
Harm, even if the pedicle channel being built such that, preferable position and direction are not often reached, and then influence the effect of operation yet
Fruit.
The content of the invention
The purpose of this utility model is to overcome above-mentioned the deficiencies in the prior art, there is provided a kind of that medical worker and patient are endangered
Multi-functional percutaneous cervical arc root locator that is small, rapidly, accurately being positioned to pedicle channel pilot pin.
The utility model has a sticker, has two positioning terminals on sticker, longitudinal cunning is provided with positioning terminal
Road, transverse slipway is installed on end slipway, positioning seat is installed on transverse slipway, be provided with positioning seat and laterally turn
Dynamic positioning head, is provided with lateral rotation positioning head and longitudinally rotates locating piece, has installation to position on locating piece is longitudinally rotated
Pin, by end slipway and transverse slipway by the entry point of the tip alignment pedicle channel of pilot pin, determined by lateral rotation
Potential head and the direction that locating piece determines pilot pin is longitudinally rotated, so as to accurately determine the position and direction of pedicle channel.
There is the scale for representing angle respectively on positioning seat and lateral rotation positioning head, there is one on locating piece is longitudinally rotated
0 degree of line of bar, in order to determine the direction of pilot pin.
The utility model has the advantage of:
The 1st, end slipway is set, and transverse slipway is set on end slipway, realizes pilot pin needle point in longitudinal and transverse two sides
Upward adjustment, the needle point of pilot pin is accurately directed at the entry point of pedicle channel, lateral rotation is set on positioning seat
Positioning head, set on lateral rotation positioning head and longitudinally rotate locating piece, realized to pilot pin space in longitudinal and transverse two directions
The adjustment of angle, the direction of pedicle channel of the direction of pilot pin with setting is completely superposed, noninvasive positioning is realized, can expire
Sufficient different angle enters the requirement of needle passageway, and positions rapidly, accurately, easy to adjust.
2nd, position fixing process only needs 2 ~ 3 X-ray lines perspective, and medical worker can avoid during perspective, reach medical worker and penetrated with X
Line zero contacts, and the harm to medical worker and patient is small.
3rd, application is wide, available for lumbar vertebrae, the operation of each section of thoracic vertebrae, it can also be used to the articular process of foramen intervertebrale lens into
Shape Path Setup.
Brief description of the drawings
Fig. 1 is structural representation of the present utility model;
Fig. 2 is Fig. 1 left view;
Fig. 3 is Fig. 1 A portions enlarged drawing;
Fig. 4 is the utility model positioning seat, lateral rotation positioning head and the assembling structure schematic diagram for longitudinally rotating locating piece;
Fig. 5 is Fig. 4 left view;
Fig. 6 is Fig. 4 B to enlarged drawing;
Fig. 7 is the utility model positioning seat, lateral rotation positioning head and another assembling structure for longitudinally rotating locating piece
Schematic diagram;
Fig. 8 is Fig. 7 left view;
Fig. 9 is Fig. 7 C to enlarged drawing.
Embodiment
Embodiment 1:
As shown in Figure 1, Figure 2, shown in Fig. 3, Fig. 4, Fig. 5 and Fig. 6, the utility model has a sticker 1, there is two on sticker 1
Positioning terminal 12, positioning terminal 12 are located at the both ends of sticker 1, and positioning terminal 12 is fixed together with sticker 1, in positioning terminal 12
On have pilot hole, trip bolt 4 is also equipped with positioning terminal 12;End slipway 3 is installed on positioning terminal 12, it is described
End slipway 3 by support 2 be arranged on positioning terminal 12 on, have a fixing axle on described support 2, fixing axle is arranged on
In the pilot hole of positioning terminal 12, and fixation is tightened with trip bolt 4, interference fit is used between end slipway 3 and support 2,
It is fixed between the two;Transverse slipway 5 is installed on end slipway 3, trip bolt 6 is also equipped with transverse slipway 5,
To be slidably matched between transverse slipway 5 and end slipway 3, fixation is tightened with trip bolt 6 after the position determination of transverse slipway 5;
Positioning seat 7 is installed on transverse slipway 5, positioning seat 7 is arranged on transverse slipway 5 by opening 14, also pacified on positioning seat 7
Equipped with trip bolt 11, fixation is tightened with trip bolt 11 after the position determination of positioning seat 7;Transverse direction is installed on positioning seat 7
Rotational positioning first 8, there is a connecting shaft on lateral rotation positioning head 8, there is a connecting hole, lateral rotation positioning on positioning seat 7
Connecting shaft on first 8 is arranged in the connecting hole on positioning seat 7, is between the two interference fits, i.e., in lateral rotation positioning head 8
During the less active force of upper application, lateral rotation positioning head 8 can not rotate, when applying larger active force, lateral rotation positioning
First 8 can rotate, to prevent it from being rotated during operation;It is provided with to longitudinally rotate on lateral rotation positioning head 8 and determines
Position block 9, the described locating piece 9 that longitudinally rotates are arranged on lateral rotation positioning head 8 by two bearing pins 13, and the riveting of bearing pin 13 is in horizontal stroke
To in rotational positioning first 8, it is interference fits to longitudinally rotate between locating piece 9 and lateral rotation positioning head 8, that is, is being longitudinally rotated calmly
When applying less active force on the block 9 of position, longitudinally rotating locating piece 9 can not rotate, and when applying larger active force, longitudinally rotate
Locating piece 9 can rotate, to prevent it from being rotated during operation;There is a pin hole 15 on locating piece 9 is longitudinally rotated,
There is installation pilot pin 10 on the pin hole 15 for longitudinally rotating locating piece 9;There is the scale 18 for representing angle on positioning seat 7, utilize
Scale 18 determines the angle of the lateral rotation of pilot pin 10, there is the scale 17 for representing angle on lateral rotation positioning head 8, vertical
There is 0 degree be used cooperatively with scale 17 a line 16 on to rotating locating blocks 9, determine to position using scale 17 and 0 degree of line 16
The angle that pin 10 longitudinally rotates, in order to determine the direction of pilot pin 10.
Embodiment 2:
As shown in Fig. 7, Fig. 8 and Fig. 9, its structure such as embodiment 1, it the difference is that only, horizontal stroke is installed on positioning seat 7
To rotational positioning first 19, the connecting shaft on lateral rotation positioning head 19 is connected with the connecting hole on positioning seat 7, between the two for
Interference fits, i.e., when applying less active force on lateral rotation positioning head 19, lateral rotation positioning head 19 can not rotate, and apply
When adding larger active force, lateral rotation positioning head 19 can rotate, to prevent it from being rotated during operation;In transverse direction
It is provided with rotational positioning first 19 and longitudinally rotates locating piece 20, longitudinally rotating has a connecting shaft, lateral rotation on locating piece 20
There is a connecting hole on positioning head 19, longitudinally rotate the company that the connecting shaft on locating piece 20 is arranged on lateral rotation positioning head 19
Connect in hole, be between the two interference fits, i.e., when applying less active force on longitudinally rotating locating piece 20, it is fixed to longitudinally rotate
Position block 20 can not rotate, and when applying larger active force, longitudinally rotating locating piece 20 can rotate, to prevent it in operation
During rotate;There is the scale 17 for representing angle on lateral rotation positioning head 19, there is one 0 on locating piece 20 is longitudinally rotated
Line 16 is spent, in order to determine angle that pilot pin 10 longitudinally rotates.
In use, being scanned first with CT to the illness position of patient, and scan and arrive skin, to determine pilot pin 10
Direction;Then, sticker 1 of the present utility model is attached to the back of patient, patient's row anteroposterior position is had an X-rayed with X-ray, determines inserting needle
Point, and mark is made on entry point;The utility model is installed on the positioning terminal 12 of sticker 1 again, adjusted according to CT film
It is whole to longitudinally rotate locating piece 9,20, the regulation of longitudinal angle of pilot pin 10 is determined, then lateral rotation positioning head 8,19 is adjusted, it is determined that positioning
The lateral angles of pin 10, complete the adjustment of the space angle in longitudinal and transverse two directions of pilot pin 10;Then, transverse slipway 5 is adjusted
Position on end slipway 3, and position of the positioning seat 7 on transverse slipway 5, make the tip alignment inserting needle mark of pilot pin 10
Note, tightens trip bolt 6,11, the positioning work of pilot pin 10 is tentatively completed;The entry point of pilot pin 10 is carried out with X-ray again
Scanning, confirm that errorless rear i.e. announcement positioning is completed, next step operation can be carried out.
Claims (2)
1. a kind of multi-functional percutaneous cervical arc root locator, it is characterised in that it has a sticker, there is two positioning ends on sticker
Son, end slipway is installed on positioning terminal, transverse slipway is installed on end slipway, it is fixed to be provided with transverse slipway
Position seat, lateral rotation positioning head is provided with positioning seat, is provided with lateral rotation positioning head and longitudinally rotates locating piece,
Longitudinally rotating on locating piece has installation pilot pin.
2. multi-functional percutaneous cervical arc root locator according to claim 1, it is characterised in that in positioning seat and lateral rotation
There is the scale for representing angle on positioning head respectively, there is 0 degree of line on locating piece is longitudinally rotated.
Priority Applications (1)
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CN201720026683.7U CN206979568U (en) | 2017-01-11 | 2017-01-11 | Multi-functional percutaneous cervical arc root locator |
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CN201720026683.7U CN206979568U (en) | 2017-01-11 | 2017-01-11 | Multi-functional percutaneous cervical arc root locator |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN106691573A (en) * | 2017-01-11 | 2017-05-24 | 王玉山 | Multifunctional percutaneous vertebral pedicle positioning apparatus |
-
2017
- 2017-01-11 CN CN201720026683.7U patent/CN206979568U/en active Active
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN106691573A (en) * | 2017-01-11 | 2017-05-24 | 王玉山 | Multifunctional percutaneous vertebral pedicle positioning apparatus |
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