CN209122320U - A kind of percutaneous cervical arc root nail replacement and fixation distraction reduction device - Google Patents

A kind of percutaneous cervical arc root nail replacement and fixation distraction reduction device Download PDF

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Publication number
CN209122320U
CN209122320U CN201821614715.6U CN201821614715U CN209122320U CN 209122320 U CN209122320 U CN 209122320U CN 201821614715 U CN201821614715 U CN 201821614715U CN 209122320 U CN209122320 U CN 209122320U
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China
Prior art keywords
handle
positioning tooth
pin shaft
rear end
slide opening
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Expired - Fee Related
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CN201821614715.6U
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Chinese (zh)
Inventor
刘成招
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Individual
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Individual
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Priority to CN201821614715.6U priority Critical patent/CN209122320U/en
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Abstract

The utility model relates to the field of medical instrument technology, replacement and fixation distraction reduction device is followed closely more particularly to a kind of percutaneous cervical arc root, including first handle, second handle, first pin shaft, positioning tooth bar, second pin shaft, reset spring, fixed block, angle modulation screw, connector, third pin shaft, strut bar and root nail sleeve, first handle rear end offers slide opening, described positioning tooth bar one end is hinged by the second pin shaft and second handle rear end, the other end passes through slide opening and is fixedly connected with limited block, the positioning tooth bar front end face is provided with positioning tooth, slide opening front side hole wall is cambered surface, it is offered in cambered surface and the intermeshing engaging tooth of positioning tooth, hole wall is fixed with reset spring on rear side of the slide opening, reset spring movable end is resisted against on the rear end face of positioning tooth bar, the first arc notch is provided at described nail sleeve lower ending opening.The distraction reduction device is easy to operate using simple, and dilator is fixed simple and reliable after strutting, and the angular adjustment of root nail sleeve is convenient.

Description

A kind of percutaneous cervical arc root nail replacement and fixation distraction reduction device
Technical field
The utility model relates to the field of medical instrument technology, and in particular to a kind of percutaneous cervical arc root nail replacement and fixation is with strutting Restorer.
Background technique
Thoracolumbar fracture refers to since external force causes the successional destruction of Thoracolumbar disk sclerotin, is common spinal injury.It passes The spinal operation mode of system is open reset, decompression and interior fixation, need to cut removing paraspinal muscle, different degrees of damage extensively Paravertebral muscles and posterior ramus of spinal nerve, postoperative back deep musculature denervation nutrition, adhesion and scar be postoperative waist without The main reason for power, lumbago.
Minimally invasive spine surgical becomes more and more popular at present, and an important component of minimal invasive techniques is percutaneous cervical arc root spiral shell Nail technology.Percutaneous vertebral internal fixation makes to have reduced to most the disturbance of paravertebral muscles since its special connecting rod is placed in technology Few degree is truly realized minimally invasiveization concept.The technology is by the accurate positioning and design of preoperative iconography equipment, by small Notch percutaneously implants fixing screws, achievees the purpose that reset, fixed fracture, avoid the big notch of conventional therapy, Extensive muscle removing, the disadvantage that bleeding is more, wound is big, conducive to patient early rehabilitation and be obviously shortened the hospital stays, be placed in Hold-down bars is set into the stern notch of pedicle screw by setting stick device after pedicle screw, hold-doun nut is tightened and screws again, saturating Depending on instructing lower dilator distraction reduction, sew up the incision all hold-doun nuts are tightened after vertebral height recovery satisfaction again, it is existing Dilator it is inconvenient, since the interference of notch skin is not easy to be inserted into when being percutaneously inserted into, dilator is strutting root nail sleeve After be not easy to fix, and since the pedicle screw of insertion is mostly splayed, so the root nail sleeve angle of dilator will be convenient for It adjusts.
Utility model content
The utility model to solve the above problems, devises a kind of percutaneous cervical arc root nail replacement and fixation with strutting Restorer, the distraction reduction device is easy to operate using simple, and dilator fixes simple and reliable, and the angle of root nail sleeve after strutting It spends easy to adjust.
In order to achieve the above technical purposes, reach above-mentioned technical effect, the utility model is real by the following technical programs Existing:
A kind of percutaneous cervical arc root follows closely replacement and fixation distraction reduction device, including first handle, second handle, the first pin shaft, Positioning tooth bar, reset spring, fixed block, angle modulation screw, connector, third pin shaft, struts bar and root nail set at the second pin shaft Cylinder, the first handle and second handle are hinged to X-shaped by the first pin shaft, and first handle rear end offers slide opening, described fixed Position rack gear one end is hinged by the second pin shaft and second handle rear end, and the other end passes through slide opening and is fixedly connected with limited block, described Positioning tooth bar front end face is provided with positioning tooth, and slide opening front side hole wall is cambered surface, offers in cambered surface and positioning tooth is intermeshing nibbles Tooth is closed, hole wall is fixed with reset spring on rear side of the slide opening, and reset spring movable end is resisted against on the rear end face of positioning tooth bar, institute It states first handle front end and second handle front end and is respectively and fixedly provided with fixed block, the fixed block front end face offers circular groove, Gu Determine block upper surface and offer the round regulating tank penetrated through with circular groove side, offers circumferential sliding slot in round regulating tank, circle Angle modulation screw is equipped in shape regulating tank, the connector includes connecting column and the articulated section for being fixed on connecting column front end, institute It states connection column outer wall and is uniformly provided with the first engaging tooth along axial direction, connecting column is plugged in circular groove, the articulated section and support Rear end of starting is hinged by third pin shaft, struts bar front end and is vertically and fixedly provided with root nail sleeve, at described nail sleeve lower ending opening It is provided with the first arc notch;
The angle modulation screw is made of nut and the screw rod being fixedly connected with nut, and the screw rod is plugged in round tune It saves in slot, screw rod upper end is fixed with the circumferential projection being adapted to circumferential sliding slot, circumferentially uniform on the screw rod of circumferential projection lower end It offers and is intermeshed with intermeshing second engaging tooth of the first engaging tooth, the second engaging tooth and the first engaging tooth, play resistance The effect for hindering connecting column to rotate, the screw rod outer wall and connecting column sustained height position are provided with arc notch, when arc notch turns When to round regulating tank with circular groove connectivity part, the size of arc notch can accommodate the normal rotation of connecting column.
Further, elastic reset item is provided between the first handle and second handle, the elastic reset item has Two, two elastic reset front ends are movably hinged, and rear end is separately fixed on the inside of first handle and on the inside of second handle.
Further, the first handle rear end and second handle rear end are provided with antiskid groove.
The beneficial effects of the utility model are: the distraction reduction device uses simply, and it is easy to operate, when being strutted, Positioning tooth bar is moved backward, and the positioning tooth of positioning tooth bar is separated with engaging tooth, and distraction reduction device unclamps after strutting suitable position Positioning tooth bar, the engaging tooth of the positioning tooth of positioning tooth bar and slide opening front side hole wall intermeshes progress under the action of reset spring Position is fixed, and fixation is simple and reliable;It is easily adjusted by the angle that angle modulation screw can follow closely sleeve to root, makes it It is better suited for being placed in the angle of intraspinal pedicle screw, carries out corpus vertebrae replacement convenient for dilator distraction pedicle screw;Root Nail sleeve lower end is provided with arc notch, reduces interference of the Minimally Invasive Surgery incision skin to root nail sleeve insertion when.
Detailed description of the invention
In order to illustrate more clearly of the technical solution of the utility model embodiment, make required for being described below to embodiment Attached drawing is briefly described, it should be apparent that, the drawings in the following description are merely some embodiments of the present invention, For those of ordinary skill in the art, without creative efforts, it can also be obtained according to these attached drawings Other attached drawings.
Fig. 1 is a kind of top view of percutaneous cervical arc root nail replacement and fixation distraction reduction device;
Fig. 2 be in Fig. 1 A-A to cross-sectional view;
Fig. 3 is schematic enlarged-scale view at B in Fig. 1;
Fig. 4 is connector, struts bar and root nail tube-in-tube structure schematic diagram;
Fig. 5 is the structural schematic diagram of angle modulation screw.
In attached drawing, parts list represented by the reference numerals are as follows:
1- first handle, 11- slide opening, 111- engaging tooth, 112- reset spring, 12- second handle, 13- elastic reset item, The first pin shaft of 14-, 2- positioning tooth bar, 21- positioning tooth, the second pin shaft of 22-, 23- limited block, 3- fixed block, 31- angular adjustment spiral shell Nail, 311- nut, 312- screw rod, 313- circumferential projection, 314- arc notch, the second engaging tooth of 315-, 32- circular groove, 33- Round regulating tank, 331- circumferential direction sliding slot, 4- connector, 41- connecting column, the first engaging tooth of 411-, the articulated section 42-, 5- strut bar, 51- third pin shaft, 6- root follow closely sleeve, the first arc notch of 61-.
Specific embodiment
The following will be combined with the drawings in the embodiments of the present invention, carries out the technical scheme in the embodiment of the utility model Clearly and completely describe, it is clear that the described embodiments are only a part of the embodiments of the utility model, rather than whole Embodiment.Based on the embodiments of the present invention, those of ordinary skill in the art are without creative efforts All other embodiment obtained, fall within the protection scope of the utility model.
Refering to fig. 1 shown in -5, a kind of percutaneous cervical arc root nail replacement and fixation distraction reduction device, including first handle 1, second Handle 12, positioning tooth bar 2, the second pin shaft 22, reset spring 112, fixed block 3, angle modulation screw 31, connects first pin shaft 14 Fitting 4, third pin shaft 51 strut bar 5 and root nail sleeve 6, and the first handle 1 and second handle 12 are cut with scissors by the first pin shaft 14 It is connected into X-shaped, 1 rear end of first handle offers slide opening 11, and described 2 one end of positioning tooth bar passes through the second pin shaft 22 and second handle 12 Rear end is hinged, and the other end passes through slide opening 11 and is fixedly connected with limited block 23, and 2 front end face of positioning tooth bar is provided with positioning tooth 21, 11 front side hole wall of slide opening is cambered surface, is offered in cambered surface and the intermeshing engaging tooth 111 of positioning tooth 21,11 rear side of slide opening Hole wall is fixed with reset spring 112, and 112 movable end of reset spring is resisted against on the rear end face of positioning tooth bar 2, the first handle 1 front end and 12 front end of second handle are respectively and fixedly provided with fixed block 3, and 3 front end face of fixed block offers circular groove 32, fixed block 3 upper surfaces offer the round regulating tank 33 with the perforation of 32 side of circular groove, offer circumferential sliding slot in round regulating tank 33 331, round regulating tank 33 is interior to be equipped with angle modulation screw 31, and the connector 4 includes connecting column 41 and is fixed on connecting column 41 The articulated section 42 of front end, 41 outer wall of connecting column are uniformly provided with the first engaging tooth 411 along axial direction, and connecting column 41 is plugged in circle In connected in star 32, the articulated section 42 passes through third pin shaft 51 hingedly with 5 rear end of bar is strutted, and struts 5 front end of bar and is vertically and fixedly provided with Root follows closely sleeve 6, is provided with the first arc notch 61 at described nail 6 lower ending opening of sleeve, arc notch 61 can reduce minimally invasive hand Interference when art incision skin is inserted into root nail sleeve 6;
The angle modulation screw 31 is made of nut 311 and the screw rod being fixedly connected with nut 31 312, the screw rod 312 are plugged in round regulating tank 33, and 312 upper end of screw rod is fixed with the circumferential projection 313 being adapted to circumferential sliding slot 331, circumferential Circumferentially be uniformly provided on the screw rod 312 of raised 313 lower ends with intermeshing second engaging tooth 315 of the first engaging tooth 411, Second engaging tooth 315 and the first engaging tooth 411 are intermeshed, and play the role of that connecting column 41 is hindered to rotate, outside the screw rod 312 Wall and 41 sustained height position of connecting column are provided with arc notch 314, when arc notch 314 goes to round regulating tank 33 and circle is recessed When 32 connectivity part of slot, the size of arc notch 314 can accommodate the normal rotation of connecting column 41.
It is therein, elastic reset item 13, the elastic reset item are provided between the first handle 1 and second handle 12 13 have two, and two 13 front ends of elastic reset item are movably hinged, and rear end is separately fixed at 1 inside of first handle and second handle 12 Inside.
Therein, 1 rear end of first handle and 12 rear end of second handle are provided with antiskid groove.
One concrete application of the present embodiment are as follows: when using percutaneous cervical arc root screw technology treatment thoracolumbar fracture, setting Hold-down bars is set into the stern notch of pedicle screw by setting stick device after entering pedicle screw, hold-doun nut is tightened and screws again, this When need using distraction reduction device the distraction reduction under perspective guidance, will vertebral height restore satisfied after tighten all hold-doun nuts It sews up the incision again, when using the distraction reduction device, turns at the nut 311 of angle modulation screw 31, make the arc of 312 lower end of screw rod V notch v 314 is in 33 connectivity part of circular groove 32 and round regulating tank, at this time the first engaging tooth 411 and spiral shell on connecting column 41 The second engaging tooth 315 separation on bar 312, connecting column 41 can be freely rotated in circular groove 32, and root is enabled to follow closely sleeve 6 Enough angles for preferably adapting to pedicle screw merging are covered in pedicle screw upper end, move positioning tooth bar 2 backward with hand, and it is fixed to make The positioning tooth 21 of position rack gear 2 is separated with the engaging tooth 111 of 11 antetheca of slide opening, struts this again under the action of elastic reset item 13 Position device strut, by root nail 6 lower end edge mini-incision of sleeve insertion, root nail 6 lower end of sleeve the first arc notch 61 with can subtract Interference when few incision skin is inserted into root nail sleeve 6, the lower end cap of root nail sleeve 6 turn angle behind pedicle screw upper end Screw 31 is adjusted, the second engaging tooth 315 on screw rod 312 is intermeshed with the first engaging tooth 411 on connecting column 41, prevents Connecting column 41 rotates, and after which is strutted vertebral height recovery satisfaction, unclamps positioning tooth bar 2, positioning tooth bar 2 exists Position will be strutted with the intermeshing of the engaging tooth 111 of 11 antetheca of slide opening under the action of reset spring 112 to fix, fixation simply may be used It leans on.The distraction reduction device is easily adjusted by the angle that angle modulation screw 31 can follow closely sleeve 6 to root, keeps it more preferable Ground is suitble to be placed in the angle of intraspinal pedicle screw, carries out corpus vertebrae replacement convenient for dilator distraction pedicle screw, uses letter It is single, it is easy to operate, convenient for promoting.
In the description of this specification, the description of reference term " one embodiment ", " example ", " specific example " etc. means Particular features, structures, materials, or characteristics described in conjunction with this embodiment or example are contained at least one of the utility model In embodiment or example.In the present specification, schematic expression of the above terms be not necessarily referring to identical embodiment or Example.Moreover, particular features, structures, materials, or characteristics described can be in any one or more embodiment or examples In can be combined in any suitable manner.
The preferred embodiment in the utility model disclosed above is only intended to help to illustrate the utility model.Preferred embodiment is simultaneously There is no the details that detailed descriptionthe is all, also not limiting the utility model is only the specific embodiment.Obviously, according to this theory The content of bright book can make many modifications and variations.These embodiments are chosen and specifically described to this specification, is in order to preferably The principles of the present invention and practical application are explained, so that skilled artisan be enable to better understand and utilize this Utility model.The utility model is limited only by the claims and their full scope and equivalents.

Claims (3)

1. a kind of percutaneous cervical arc root follows closely replacement and fixation distraction reduction device, it is characterised in that: including first handle, second handle, First pin shaft, the second pin shaft, reset spring, fixed block, angle modulation screw, connector, third pin shaft, struts positioning tooth bar Bar and root nail sleeve, the first handle and second handle are hinged to X-shaped by the first pin shaft, and first handle rear end offers cunning Hole, described positioning tooth bar one end is hinged by the second pin shaft and second handle rear end, and the other end passes through slide opening and fixes with limited block Connection, the positioning tooth bar front end face are provided with positioning tooth, and slide opening front side hole wall is cambered surface, offer in cambered surface mutual with positioning tooth The engaging tooth of engagement, the slide opening rear side hole wall is fixed with reset spring, after reset spring movable end is resisted against positioning tooth bar On end face, the first handle front end and second handle front end are respectively and fixedly provided with fixed block, and the fixed block front end face offers circle Connected in star, upper end of fixing block face offer the round regulating tank with the perforation of circular groove side, offer week in round regulating tank To sliding slot, angle modulation screw is equipped in round regulating tank, the connector includes connecting column and is fixed on connecting column front end Articulated section, the connection column outer wall are uniformly provided with the first engaging tooth along axial direction, and connecting column is plugged in circular groove, the hinge Socket part with to strut rod rear end hinged by third pin shaft, strut bar front end and be vertically and fixedly provided with root nail sleeve, under described nail sleeve The first arc notch is provided at end opening;
The angle modulation screw is made of nut and the screw rod being fixedly connected with nut, and the screw rod is plugged in round regulating tank Interior, screw rod upper end is fixed with the circumferential projection being adapted to circumferential sliding slot, circumferentially uniformly opens up on the screw rod of circumferential projection lower end Have and is provided with arc with intermeshing second engaging tooth of the first engaging tooth, the screw rod outer wall and connecting column sustained height position and lacks Mouthful.
2. percutaneous cervical arc root according to claim 1 follows closely replacement and fixation distraction reduction device, it is characterised in that: described first Elastic reset item is provided between handle and second handle, the elastic reset item there are two, and two elastic reset front ends are living Dynamic hinged, rear end is separately fixed on the inside of first handle and on the inside of second handle.
3. percutaneous cervical arc root according to claim 1 follows closely replacement and fixation distraction reduction device, it is characterised in that: described first Handle rear end and second handle rear end are provided with antiskid groove.
CN201821614715.6U 2018-09-30 2018-09-30 A kind of percutaneous cervical arc root nail replacement and fixation distraction reduction device Expired - Fee Related CN209122320U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201821614715.6U CN209122320U (en) 2018-09-30 2018-09-30 A kind of percutaneous cervical arc root nail replacement and fixation distraction reduction device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201821614715.6U CN209122320U (en) 2018-09-30 2018-09-30 A kind of percutaneous cervical arc root nail replacement and fixation distraction reduction device

Publications (1)

Publication Number Publication Date
CN209122320U true CN209122320U (en) 2019-07-19

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113456125A (en) * 2020-03-31 2021-10-01 胡建华 Self-adaptive angle spreading forceps

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113456125A (en) * 2020-03-31 2021-10-01 胡建华 Self-adaptive angle spreading forceps

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

Granted publication date: 20190719

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