CN209864024U - Reset pliers with sight - Google Patents
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- CN209864024U CN209864024U CN201920351017.XU CN201920351017U CN209864024U CN 209864024 U CN209864024 U CN 209864024U CN 201920351017 U CN201920351017 U CN 201920351017U CN 209864024 U CN209864024 U CN 209864024U
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- 210000000080 chela (arthropods) Anatomy 0.000 claims abstract description 19
- 230000000149 penetrating effect Effects 0.000 claims 1
- 238000005452 bending Methods 0.000 description 11
- 210000000988 bone and bone Anatomy 0.000 description 6
- 238000001356 surgical procedure Methods 0.000 description 6
- 238000002594 fluoroscopy Methods 0.000 description 3
- 210000004204 blood vessel Anatomy 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 210000005036 nerve Anatomy 0.000 description 2
- 206010061213 Iatrogenic injury Diseases 0.000 description 1
- 238000009825 accumulation Methods 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 239000012634 fragment Substances 0.000 description 1
- 230000000642 iatrogenic effect Effects 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 230000005855 radiation Effects 0.000 description 1
- 230000000638 stimulation Effects 0.000 description 1
- 238000003466 welding Methods 0.000 description 1
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Abstract
Description
技术领域technical field
本实用新型涉及医疗器械领域,尤其涉及一种带瞄准器的复位钳。The utility model relates to the field of medical instruments, in particular to a resetting forceps with a collimator.
背景技术Background technique
在髋臼骨折手术中,通过前路复位固定后方骨折时,因解剖特殊性,后方骨折不能完全暴露,需要用复位钳插入后方骨面,然后前后钳夹复位,再采用螺钉固定后方骨折,最后放置钢板固定前方骨面。因髋臼手术切口周围有重要神经血管及肌肉组织,同时关节面不能进入螺钉,因此实际操作时空间极其有限,复位钳往往占据了大多数操作空间,一般会严重影响临时固定及打入后方固定螺钉的操作通道,因此前后螺钉固定是公认的手术难点,即使积累了丰富经验,常还需反复更换复位钳位置或长时间反复透视,成为造成手术时间延长的最主要因素之一。In the acetabular fracture surgery, when the posterior fracture is fixed by anterior reduction, due to the special anatomy, the posterior fracture cannot be fully exposed. It is necessary to insert the reduction forceps into the posterior bone surface, then reduce the anterior and posterior clamps, and then fix the posterior fracture with screws. A plate was placed to fix the anterior bone surface. Because there are important neurovascular and muscle tissues around the incision of the acetabular surgery, and the articular surface cannot enter the screw, the actual operation space is extremely limited, and the reduction forceps often occupy most of the operation space, which generally seriously affects the temporary fixation and driving into the rear fixation The operating channel of the screw, so the front and rear screw fixation is recognized as a difficult point in surgery. Even with the accumulation of rich experience, it is often necessary to repeatedly change the position of the reset forceps or repeat fluoroscopy for a long time, which has become one of the most important factors that prolong the operation time.
为此,本实用新型提供了一种带瞄准器的复位钳,钳夹骨折复位后能通过柄头上的引导孔可直接打入固定后方骨折的固定针或螺钉,若需增加螺钉或螺钉置入通道不理想,可通过柄钳上的可旋转瞄准器进行调整,通过瞄准器上的引导孔打入固定针或螺钉,避免了需反复调整复位钳位置及透视确认后方固定螺钉通道的步骤,能明显节省手术时间及提高螺钉位置准确性,同时长柄体的弯度设计,最大限度避免了对骨面周围的神经血管张力性刺激,降低了常规复位钳设计的医源性损伤风险。For this reason, the utility model provides a reset pliers with a collimator. After the fracture is reset by the clamp, the pin or screw that fixes the rear fracture can be directly driven into the fixation pin or screw through the guide hole on the handle head. If the entry channel is not ideal, it can be adjusted through the rotatable sight on the handle pliers, and the fixing pin or screw is driven through the guide hole on the sight, avoiding the steps of repeatedly adjusting the position of the reset clamp and confirming the passage of the rear fixing screw through perspective. It can significantly save operation time and improve the accuracy of the screw position. At the same time, the curved design of the long handle body avoids tension stimulation of nerves and blood vessels around the bone surface to the greatest extent, and reduces the risk of iatrogenic injury caused by conventional reduction forceps design.
实用新型内容Utility model content
为实现本实用新型之目的,采用以下技术方案予以实现:In order to realize the purpose of this utility model, adopt following technical scheme to realize:
一种带瞄准器的复位钳,包括第一钳柄和第二钳柄,第一钳柄和第二钳柄在中部的位置各设有一个轴孔,两个轴孔中穿入销轴,第一钳柄和第二钳柄可旋转的活动连接,其中:第一钳柄包括轴孔前部的前柄体和轴孔后部的后柄体;第二钳柄包括轴孔前部的前柄体和轴孔后部的后柄体;第一钳柄的前柄体的柄头上固定有螺纹支撑杆,瞄准器可旋转的安装在该螺纹支撑杆上,瞄准器上设有引导通孔。A resetting pliers with a collimator, comprising a first pliers handle and a second pliers handle, the first pliers handle and the second pliers handle are each provided with a shaft hole in the middle, and a pin shaft is inserted into the two shaft holes, The first pliers handle and the second pliers handle are rotatably connected, wherein: the first pliers handle includes a front handle body at the front part of the shaft hole and a rear handle body at the rear part of the shaft hole; the second pliers handle includes a front handle body at the front part of the shaft hole The front handle body and the rear handle body at the rear of the shaft hole; a threaded support rod is fixed on the head of the front handle body of the first pliers handle, and the sight is rotatably installed on the thread support rod, and the sight is provided with a guide through hole.
所述的复位钳,其中:第一钳柄的前柄体前端为柄头,柄头设有多个柄尖。The reset pliers described above, wherein: the front end of the front handle body of the first pliers handle is a handle head, and the handle head is provided with a plurality of handle tips.
所述的复位钳,其中:柄头上设有一个通孔,多个柄尖环绕该通孔。The reset pliers, wherein: a through hole is provided on the crown, and a plurality of handle tips surround the through hole.
所述的复位钳,其中:第一钳柄的后柄体上设有安装孔,第二钳柄的后柄体上设有条形通孔,锁紧螺杆一端安装在安装孔中,且与第一钳柄的后柄体铰接连接,锁紧螺杆杆身穿过条形通孔,在穿出侧设有与锁紧螺杆杆身螺纹配合的锁紧螺母。The reset pliers, wherein: the rear handle body of the first pliers handle is provided with a mounting hole, the rear handle body of the second pliers handle is provided with a strip-shaped through hole, and one end of the locking screw is installed in the mounting hole, and is connected with the The rear handle body of the first pliers handle is hingedly connected, and the locking screw shaft passes through the strip-shaped through hole, and a locking nut threadedly engaged with the locking screw shaft body is provided on the passing-out side.
所述的复位钳,其中:条形通孔的长度大于锁紧螺杆的直径。The reset pliers, wherein: the length of the bar-shaped through hole is greater than the diameter of the locking screw.
所述的复位钳,其中:瞄准器包括安装座、滑块和锁紧螺钉,安装座一端设有螺纹孔,通过该螺纹孔安装在螺纹支撑杆上;安装座另一端沿安装座长度方向设有滑槽,滑块安装在该滑槽内,滑槽外壁设有螺纹孔,锁紧螺钉安装在该螺纹孔中,滑块的远离安装座的一端设有引导通孔。The reset pliers, wherein: the aimer includes a mounting base, a slider and a locking screw, one end of the mounting base is provided with a threaded hole, through which the threaded hole is installed on the threaded support rod; the other end of the mounting base is provided along the length direction of the mounting base. There is a chute, the slider is installed in the chute, the outer wall of the chute is provided with a threaded hole, the locking screw is installed in the threaded hole, and the end of the slider away from the mounting seat is provided with a guide through hole.
所述的复位钳,其中:引导通孔的横截面为长条形。The reset clamp, wherein: the cross-section of the guiding through hole is elongated.
所述的复位钳,其中:第一钳柄的前柄体具有一预定弧度,第一钳柄的前柄体朝向与第二钳柄的前柄体相反的方向凸出。Said reset pliers, wherein: the front handle body of the first pliers handle has a predetermined arc, and the front handle body of the first pliers handle protrudes in a direction opposite to the front handle body of the second pliers handle.
所述的复位钳,其中:第二钳柄的前柄体整体包括三段弧形段,其中第一弧形段与后柄体相连,且其弯曲方向与第一钳柄的前柄体弯曲方向相反,第二弧形段与第一弧形段平滑连接,其弯曲方向与第一弧形段弯曲方向相反,第三弧形段与第二弧形段平滑连接,其弯曲方向与第二弧形段弯曲方向相反,第三弧形段顶部为柄头,柄头包括一个柄尖。The reset pliers, wherein: the front handle body of the second pliers handle includes three arc sections as a whole, wherein the first arc section is connected with the rear handle body, and its bending direction is bent with the front handle body of the first pliers handle The direction is opposite, the second arc segment is smoothly connected with the first arc segment, and its bending direction is opposite to the bending direction of the first arc segment, and the third arc segment is smoothly connected with the second arc segment, and its bending direction is opposite to that of the second arc segment. The bending directions of the arc segments are opposite, and the top of the third arc segment is a crown, and the crown includes a handle tip.
所述的复位钳,其中:第一钳柄的长度短于第二钳柄的长度。The reset pliers, wherein: the length of the first pliers handle is shorter than the length of the second pliers handle.
附图说明Description of drawings
图1为带瞄准器的复位钳结构示意图;Fig. 1 is a structural schematic diagram of a reset clamp with a collimator;
图2为瞄准器结构示意图。Figure 2 is a schematic diagram of the structure of the aimer.
具体实施方式Detailed ways
如图1所示,如图1所示,带瞄准器的复位钳包括第一钳柄1和第二钳柄2,第一钳柄1的长度短于第二钳柄2的长度;第一钳柄1和第二钳柄2在中部的位置各设有一个轴孔,两个轴孔穿入销轴17后使得第一钳柄1和第二钳柄2可旋转的活动连接。第一钳柄1包括轴孔前部的前柄体5和轴孔后部的后柄体3,优选的,后柄体3后部设有握持环;第二钳柄2包括轴孔前部的前柄体6和轴孔后部的后柄体4,优选的,后柄体4后部设有握持环。后柄体3上设有安装孔11,后柄体4上设有条形通孔12,锁紧螺杆13一端安装在安装孔11中,且与后柄体3铰接连接,锁紧螺杆13杆身穿过条形通孔12,在穿出侧设有与锁紧螺杆13杆身螺纹配合的锁紧螺母14,条形通孔12的长度大于锁紧螺杆13的直径。As shown in Figure 1, as shown in Figure 1, the reset pliers with aiming device comprises a first pincer handle 1 and a second pincer handle 2, and the length of the first pincer handle 1 is shorter than the length of the second pincer handle 2; The pliers handle 1 and the second pliers handle 2 are each provided with a shaft hole in the middle, and the two shaft holes pass through the pin shaft 17 so that the first pliers handle 1 and the second pliers handle 2 are rotatably connected. The first pliers handle 1 includes a front handle body 5 at the front of the shaft hole and a rear handle body 3 at the rear of the shaft hole. Preferably, a grip ring is provided at the rear of the rear handle body 3; The front handle body 6 at the top and the rear handle body 4 at the rear portion of the shaft hole, preferably, the rear handle body 4 rear portion is provided with a grip ring. The rear handle body 3 is provided with a mounting hole 11, the rear handle body 4 is provided with a strip-shaped through hole 12, one end of the locking screw 13 is installed in the mounting hole 11, and is hingedly connected with the rear handle body 3, and the locking screw rod 13 is Body passes through bar-shaped through hole 12, is provided with the locking nut 14 that is threadedly engaged with locking screw rod 13 shafts at the passing out side, and the length of bar-shaped through hole 12 is greater than the diameter of locking screw rod 13.
第一钳柄1的前柄体5具有一定的弧度,前柄体5朝向与第二钳柄1的前柄体6相反的方向凸出,前柄体5前端为柄头15,柄头15设有多个柄尖,且柄头15上设有一个通孔(图中未示出),多个柄尖环绕该通孔。柄头15上固定有(例如可通过焊接等方式)螺纹支撑杆7,螺纹支撑杆7设置在前柄体5的远离第二钳柄1的前柄体6的一侧上,瞄准器可旋转的安装在该螺纹支撑杆7上。The front handle body 5 of the first pincer handle 1 has a certain radian, and the front handle body 5 protrudes toward the direction opposite to the front handle body 6 of the second pincer handle 1. The front end of the front handle body 5 is a handle head 15, and the handle head 15 A plurality of handle tips are provided, and a through hole (not shown in the figure) is provided on the handle head 15, and a plurality of handle tips surround the through hole. The handle 15 is fixed (for example by means of welding) a threaded support rod 7, the threaded support rod 7 is arranged on the side of the front handle body 5 away from the front handle body 6 of the second pincer handle 1, and the sight can be rotated installed on the threaded support rod 7.
如图2所示,瞄准器包括安装座8、滑块9和锁紧螺钉10,安装座一端设有螺纹孔19,通过该螺纹孔19安装在螺纹支撑杆7上;安装座8在另一端沿安装座8长度方向设有滑槽18,滑块9安装在该滑槽18内,滑槽18外壁设有螺纹孔(图中未示出),锁紧螺钉10安装在该螺纹孔中,滑块9可在滑槽18中滑动,以调节其伸出长度,拧紧锁紧螺钉10后,锁紧螺钉10头部顶紧滑块19,即可实现对滑块19的锁定定位。滑块9的远离安装座8的一端设有引导通孔13,引导通孔13的横截面优选的可以为长条形。As shown in Figure 2, the sight includes a mounting base 8, a slider 9 and a locking screw 10, one end of the mounting base is provided with a threaded hole 19, through which the threaded hole 19 is installed on the threaded support rod 7; the mounting base 8 is at the other end A chute 18 is provided along the length direction of the mounting seat 8, and the slide block 9 is installed in the chute 18. The outer wall of the chute 18 is provided with a threaded hole (not shown in the figure), and the locking screw 10 is installed in the threaded hole. The slider 9 can slide in the chute 18 to adjust its extension length. After the locking screw 10 is tightened, the head of the locking screw 10 presses against the slider 19 to realize the locking and positioning of the slider 19 . An end of the slider 9 away from the mounting seat 8 is provided with a guide through hole 13 , and the cross section of the guide through hole 13 may preferably be elongated.
如图1所示,第二钳柄2的前柄体6整体包括三段弧形段,其中第一弧形段与后柄体4相连,且其弯曲方向与第一钳柄1的前柄体5弯曲方向相反,第二弧形段与第一弧形段平滑连接,其弯曲方向与第一弧形段弯曲方向相反,第三弧形段与第二弧形段平滑连接,其弯曲方向与第二弧形段弯曲方向相反,第三弧形段顶部为柄头16,柄头16包括一个柄尖。As shown in Figure 1, the front handle body 6 of the second pliers handle 2 as a whole includes three arc sections, wherein the first arc section is connected with the rear handle body 4, and its bending direction is the same as that of the front handle of the first pliers handle 1. Body 5 has opposite bending direction, the second arc section is smoothly connected with the first arc section, and its bending direction is opposite to the first arc section's bending direction, and the third arc section is smoothly connected with the second arc section, and its bending direction is opposite to that of the first arc section. Opposite to the bending direction of the second arc segment, the top of the third arc segment is the crown 16, and the crown 16 includes a handle tip.
本实用新型的带瞄准器的复位钳主要应用于髋臼骨折手术中,在使用时,两柄头各夹住前后方骨折块,然后钳夹将骨折复位,复位时短柄的多个柄尖能够可靠的把持住骨面,复位后拧紧锁紧螺杆上的锁紧螺母,骨折端获得稳定,此时通过短柄头上的通孔可打入固定针经过骨折面固定后方骨折块,若透视满意,可直接经通孔更换成后方固定螺钉。若透视固定针位置不满意,或需增强骨折稳定性增加螺钉数量,则可左右旋转瞄准器的安装座到合适的位置,拧紧锁紧螺钉,通过瞄准器滑块上的引导孔打入固定针或螺钉,引导通孔为长条形孔,因此固定针或螺钉可有一定角度调节。The reset pliers with aimer of the utility model is mainly used in acetabular fracture surgery. When in use, the two handles clamp the front and rear fracture blocks, and then the clamps reset the fracture. When reset, the multiple handle tips of the short handle Can reliably hold the bone surface, tighten the lock nut on the locking screw after reset, and the fracture end will be stabilized. At this time, through the through hole on the short handle head, the fixation pin can be driven into the fracture surface to fix the rear fracture block. If you are satisfied, you can directly replace it with the rear fixing screw through the through hole. If the position of the fluoroscopy fixation pin is not satisfactory, or the number of screws needs to be increased to enhance the stability of the fracture, you can rotate the mount of the sight to a suitable position, tighten the locking screw, and drive the fixation pin through the guide hole on the slide of the sight Or screw, the guide through hole is a long strip hole, so the fixing pin or screw can be adjusted at a certain angle.
通过本实用新型带瞄准器的复位钳尤其是在髋臼骨折手术治疗时,因其柄头的多尖头设计,增加了夹持复位时的骨面把持稳定性,同时经短柄柄头通孔或瞄准器滑块上的引导孔,可直接通过骨折端固定对侧骨折块,故复位钳位置不影响手术操作,无需反复调整复位钳位置,大大节省了手术时间,同时通过引导孔增加了螺钉置入通道的准确性,简化了手术难度并避免了反复透视对患者及医生的辐射危害,另外因长柄的弯曲设计,避免了对骨面周围的神经血管干扰,降低了医源性损伤风险。The reset forceps with collimator of the utility model is especially used in the surgical treatment of acetabular fractures, because of the multi-pointed design of the handle head, the stability of holding the bone surface during clamping and reset is increased, and at the same time, the short handle handle can be used to The hole or the guide hole on the aimer slider can directly fix the contralateral fracture fragment through the fracture end, so the position of the reset forceps does not affect the operation, and there is no need to repeatedly adjust the position of the reset forceps, which greatly saves the operation time, and at the same time through the guide hole increases The accuracy of the screw insertion channel simplifies the difficulty of surgery and avoids the radiation hazards to patients and doctors caused by repeated fluoroscopy. In addition, due to the curved design of the long handle, it avoids the interference of nerves and blood vessels around the bone surface and reduces iatrogenic damage. risk.
Claims (10)
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN111789661A (en) * | 2020-08-18 | 2020-10-20 | 花奇凯 | A positioning sight |
CN112869904A (en) * | 2021-03-18 | 2021-06-01 | 哈尔滨理工大学 | Oral cavity adjustment supporting device |
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN111789661A (en) * | 2020-08-18 | 2020-10-20 | 花奇凯 | A positioning sight |
CN112869904A (en) * | 2021-03-18 | 2021-06-01 | 哈尔滨理工大学 | Oral cavity adjustment supporting device |
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