CN217793362U - Vertebral body front protection device for total vertebral body resection of vertebral column - Google Patents

Vertebral body front protection device for total vertebral body resection of vertebral column Download PDF

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CN217793362U
CN217793362U CN202220321356.5U CN202220321356U CN217793362U CN 217793362 U CN217793362 U CN 217793362U CN 202220321356 U CN202220321356 U CN 202220321356U CN 217793362 U CN217793362 U CN 217793362U
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vertebral body
plate
protection device
connection
screw hole
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白军军
冯毅
吕嘉
王红红
吕智
李健
杨王喆
张琨
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Abstract

本实用新型涉及骨科手术器械技术领域,具体地说是一种用于脊柱全椎体切除的椎体前方保护装置,其特征在于设有护板,护板的前端逐渐增厚呈左挡部,所述的左挡部的左端面的中部设有螺纹孔,螺纹孔内连接左侧手柄,所述的螺纹孔侧面的左挡部的端面上设有导向插入的插入板,护板的右端设有连接凸板,连接凸板的上侧面设有内连接螺孔,连接凸板与右侧手柄相连接,右侧手柄的左端设有连接凹头,连接凹头上设有与内连接螺孔位置相同的外连接螺孔,外连接螺孔和内连接孔内设有连接螺栓,连接螺栓穿过外连接螺孔和内连接螺孔实现连接凸板和连接凹头的连接,具有手术切口小、一次置入两侧保护、对周围组织间隔明确、不会挤压、避免手术并发症等优点。

Figure 202220321356

The utility model relates to the technical field of orthopedic surgical instruments, in particular to a vertebral body front protection device for total vertebral body resection of the spine, which is characterized in that a guard plate is provided, and the front end of the guard plate is gradually thickened to form a left retaining part, The middle part of the left end surface of the left retaining part is provided with a threaded hole, and the left handle is connected in the threaded hole. The end face of the left retaining part on the side of the threaded hole is provided with an insertion plate for guiding insertion, and the right end of the guard plate is provided with a There is a connecting convex plate, the upper side of the connecting convex plate is provided with an internal connecting screw hole, the connecting convex plate is connected with the right handle, the left end of the right handle is provided with a connecting concave head, and the connecting concave head is provided with an internal connecting screw hole The outer connecting screw holes with the same position, the outer connecting screw holes and the inner connecting holes are provided with connecting bolts, and the connecting bolts pass through the outer connecting screw holes and the inner connecting screw holes to realize the connection between the connecting convex plate and the connecting concave head, with a small surgical incision , One-time placement for protection on both sides, clear intervals for surrounding tissues, no extrusion, avoiding surgical complications, etc.

Figure 202220321356

Description

一种用于脊柱全椎体切除的椎体前方保护装置Anterior Vertebral Body Protection Device for Total Vertebrectomy of Spine

技术领域technical field

本实用新型涉及骨科手术器械技术领域,具体地说是一种结构简单、手术切口小、一次置入两侧保护、对周围组织间隔明确、不会挤压、避免手术并发症的用于脊柱全椎体切除的椎体前方保护装置。The utility model relates to the technical field of orthopedic surgical instruments, in particular to a spinal full-body device with simple structure, small surgical incision, one-time protection on both sides, clear intervals for surrounding tissues, no extrusion, and avoidance of surgical complications. Vertebral anterior protector for corpectomy.

背景技术Background technique

众所周知,随诊医学诊疗技术水平的提高,脊柱肿瘤全椎体切除手术量增加,术中工具的应用中出现了很多的不足,比如脊柱全椎体切除的椎体前方保护器械,传统为普通小号S钩,该椎体前方保护器械的置入要求手术切口大,椎体前方及两侧剥离范围大,带来了额外的出血增加、椎体周围器官损伤及挤压风险大、手术操作复杂、手术时间延长等并发症。As we all know, with the improvement of follow-up medical diagnosis and treatment technology, the amount of total vertebral body resection for spinal tumors has increased, and there have been many deficiencies in the application of intraoperative tools. No. S hook, the insertion of the protection device in front of the vertebral body requires a large surgical incision, and the stripping range of the front and both sides of the vertebral body is large, which brings additional bleeding, high risk of damage to the surrounding organs and compression of the vertebral body, and complicated surgical operation , Prolonged operation time and other complications.

发明内容Contents of the invention

本实用新型的目的是解决上述现有技术的不足,提供一种结构简单、手术切口小、一次置入两侧保护、对周围组织间隔明确、不会挤压、避免手术并发症的用于脊柱全椎体切除的椎体前方保护装置。The purpose of this utility model is to solve the above-mentioned deficiencies in the prior art, and to provide a spinal cord with simple structure, small surgical incision, one-time protection on both sides, clear intervals for surrounding tissues, no extrusion, and avoiding surgical complications. Vertebral anterior protector for total vertebral body resection.

本实用新型解决其技术问题所采用的技术方案是:The technical scheme that the utility model solves its technical problem adopts is:

一种用于脊柱全椎体切除的椎体前方保护装置,其特征在于设有护板,所述的护板的左端逐渐增厚呈左挡部,所述的左挡部的左端面的中部设有螺纹孔,螺纹孔内连接左侧手柄,所述的螺纹孔侧面的左挡部的端面上设有导向插入的插入板,所述的插入板与护板的宽度相同,所述的护板的右端设有连接凸板,连接凸板的上侧面设有内连接螺孔,连接凸板与右侧手柄相连接,所述的右侧手柄的左端设有连接凹头,连接凹头上设有与内连接螺孔位置相同的外连接螺孔,所述的外连接螺孔和内连接孔内设有连接螺栓,连接螺栓穿过外连接螺孔和内连接螺孔实现连接凸板和连接凹头的连接。A vertebral body front protection device for total vertebral body resection of the spine, characterized in that it is provided with a guard plate, the left end of the guard plate is gradually thickened to form a left stopper, and the middle part of the left end surface of the left stopper is A threaded hole is provided, and the left handle is connected in the threaded hole. An inserting plate for guiding insertion is provided on the end surface of the left blocking part on the side of the threaded hole, and the width of the inserting plate is the same as that of the guard plate. The right end of the plate is provided with a connecting convex plate, and the upper side of the connecting convex plate is provided with an inner connecting screw hole, and the connecting convex plate is connected with the right handle, and the left end of the right handle is provided with a connecting concave head, and the connecting concave head The outer connecting screw hole is provided with the same position as the inner connecting screw hole, and the outer connecting screw hole and the inner connecting hole are provided with connecting bolts, and the connecting bolt passes through the outer connecting screw hole and the inner connecting screw hole to realize the connection between the convex plate and the inner connecting screw hole. Connection with female head.

本实用新型所述的外连接螺孔设有至少两个,通过调节不同的外连接螺孔与内连接螺孔的连接来调节右侧手柄与护板的连接高度,进而不同的高度用于适应胖瘦不同的患者。There are at least two outer connection screw holes described in the utility model, and the connection height between the right handle and the guard plate is adjusted by adjusting the connection between different outer connection screw holes and inner connection screw holes, and then different heights are used to adapt Fat and thin patients.

本实用新型所述的护板的厚度为2mm,护板的宽度为20mm,所述的左挡部的左端厚度为5mm,所述的连接凸板的厚度为5mm。The thickness of the protective plate described in the utility model is 2mm, the width of the protective plate is 20mm, the thickness of the left end of the left blocking part is 5mm, and the thickness of the connecting convex plate is 5mm.

本实用新型所述的插入板的厚度为2mm,宽度为20mm,便于插入。The insertion plate described in the utility model has a thickness of 2mm and a width of 20mm, which is convenient for insertion.

本实用新型所述的左挡部的左端设为弧形头,便于插入。The left end of the left retaining part described in the utility model is set as an arc-shaped head, which is convenient for insertion.

本实用新型所述的螺纹孔、内连接螺孔和外连接螺孔的内径都设为3mm,所述的螺纹孔的深度为8mm。The internal diameters of the threaded hole, the inner connecting screw hole and the outer connecting screw hole described in the utility model are all set as 3mm, and the depth of the described threaded hole is 8mm.

本实用新型由于采用上述结构,具有结构简单、手术切口小、一次置入两侧保护、对周围组织间隔明确、不会挤压、避免手术并发症等优点。Due to the adoption of the above structure, the utility model has the advantages of simple structure, small surgical incision, one-time placement for protection on both sides, clear intervals for surrounding tissues, no extrusion, and avoidance of surgical complications.

附图说明Description of drawings

图1是本实用新型的结构示意图。Fig. 1 is the structural representation of the utility model.

图2是本实用新型使用状态中右侧手柄不同角度图。Fig. 2 is different angle views of the right handle in the use state of the utility model.

图3是本实用新型使用状态中连接凹头和连接凸板之间连接关系图。Fig. 3 is a connection relationship diagram between the connection concave head and the connection convex plate in the use state of the utility model.

具体实施方式Detailed ways

下面结合附图对本发明进一步说明:Below in conjunction with accompanying drawing, the present invention is further described:

如附图所示,一种用于脊柱全椎体切除的椎体前方保护装置,其特征在于设有护板1,所述的护板1的左端逐渐增厚呈左挡部2,所述的左挡部2的左端面的中部设有螺纹孔,所述的螺纹孔至少设有一个,螺纹孔内连接左侧手柄3,所述的螺纹孔侧面的左挡部2的端面上设有导向插入的插入板4,所述的插入板4与护板1的宽度相同,所述的护板1的右端设有连接凸板5,连接凸板5的上侧面设有内连接螺孔,连接凸板5与右侧手柄6相连接,所述的右侧手柄6的左端设有连接凹头7,连接凹头7上设有与内连接螺孔位置相同的外连接螺孔,所述的外连接螺孔和内连接孔内设有连接螺栓9,连接螺栓9穿过外连接螺孔和内连接螺孔实现连接凸板5和连接凹头7的连接。As shown in the accompanying drawings, a vertebral body front protection device for total vertebral body resection of the spine is characterized in that it is provided with a guard plate 1, and the left end of the guard plate 1 is gradually thickened to form a left stopper 2. The middle part of the left end surface of the left retaining part 2 is provided with a threaded hole, and the threaded hole is provided with at least one, and the left handle 3 is connected in the threaded hole, and the end face of the left retaining part 2 on the side of the threaded hole is provided with Guide the inserted insert plate 4, the insert plate 4 has the same width as the guard plate 1, the right end of the guard plate 1 is provided with a connecting convex plate 5, and the upper side of the connecting convex plate 5 is provided with an inner connecting screw hole, The connecting convex plate 5 is connected with the right handle 6, and the left end of the right handle 6 is provided with a connecting concave head 7, and the connecting concave head 7 is provided with an external connecting screw hole at the same position as the internal connecting screw hole. The outer connection screw hole and the inner connection hole are provided with connecting bolts 9, and the connecting bolts 9 pass through the outer connecting screw holes and the inner connecting screw holes to realize the connection between the connecting convex plate 5 and the connecting concave head 7.

进一步,所述的外连接螺孔设有至少两个,通过调节不同的外连接螺孔与内连接螺孔的连接来调节右侧手柄6与护板1的连接高度,进而不同的高度用于适应胖瘦不同的患者。Further, there are at least two external connection screw holes, and the connection height between the right handle 6 and the guard plate 1 is adjusted by adjusting the connection between different external connection screw holes and internal connection screw holes, and then different heights are used for Adapt to patients with different fat and thin.

进一步,所述的护板1的厚度为2mm,护板1的宽度为20mm,所述的左挡部2的左端厚度为5mm,所述的连接凸板5的厚度为5mm。Further, the thickness of the guard plate 1 is 2 mm, the width of the guard plate 1 is 20 mm, the thickness of the left end of the left blocking part 2 is 5 mm, and the thickness of the connecting convex plate 5 is 5 mm.

进一步,所述的插入板4的厚度为2mm,宽度为20mm,便于插入。Further, the thickness of the insertion plate 4 is 2mm and the width is 20mm, which is convenient for insertion.

进一步,所述的左挡部2的左端设为弧形头8,便于插入。Further, the left end of the left blocking part 2 is set as an arc-shaped head 8, which is convenient for insertion.

进一步,所述的螺纹孔、内连接螺孔和外连接螺孔的内径都设为3mm,所述的螺纹孔的深度为8mm。Further, the inner diameters of the threaded holes, the inner connecting screw holes and the outer connecting screw holes are all set to 3mm, and the depth of the threaded holes is 8mm.

本实用新型使用时,胸腰椎后路先行切除椎板、上下关节突关节、两侧椎弓根骨性结构后,显露硬膜囊及神经根后,引用椎体前方分离器械将椎体两侧及前方的器官与椎体分离,通过调节右侧手柄6的不同角度,将椎体前方保护装置沿分离间隙安置好,等处理好对侧病椎上下间盘后,再连接椎体前方保护装置中的左侧手柄3,处理本侧的病椎上下间盘后,便可轻松完成脊柱全椎体的切除。本专利可减少手术中器械使用步骤,根本上解决在传统小号S钩带来的手术并发症,同时可适应小切口创伤限制型脊柱肿瘤TES术,减少给患者带来的伤害,设计灵活,小切口置入、一次置入两侧保护、对周围组织间隔明确、不会挤压,从而可以避免以上的手术并发症,降低手术风险、缩短手术时间,给脊柱肿瘤患者术后的治疗带来利益,本实用新型由于采用上述结构,具有结构简单、手术切口小、一次置入两侧保护、对周围组织间隔明确、不会挤压、避免手术并发症等优点。When the utility model is used, the posterior approach of the thoracolumbar vertebral body first removes the lamina, the upper and lower facet joints, and the bony structures of the pedicles on both sides. and the front organs are separated from the vertebral body. By adjusting the different angles of the right handle 6, the frontal protection device of the vertebral body is placed along the separation gap. The left handle 3 in the center can easily complete the resection of the entire vertebral body of the spine after the upper and lower intervertebral discs of the diseased vertebra on this side are processed. This patent can reduce the use of instruments in the operation, and fundamentally solve the surgical complications caused by the traditional small S hook. At the same time, it can adapt to the small incision trauma-limited spinal tumor TES operation, reduce the harm to the patient, and the design is flexible. Small incision insertion, one-time protection on both sides, clear interval for surrounding tissues, no extrusion, so as to avoid the above surgical complications, reduce surgical risks, shorten operation time, and bring new benefits to the postoperative treatment of patients with spinal tumors. Benefits: Due to the adoption of the above-mentioned structure, the utility model has the advantages of simple structure, small surgical incision, one-time insertion for protection on both sides, clear intervals for surrounding tissues, no extrusion, and avoidance of surgical complications.

Claims (6)

1.一种用于脊柱全椎体切除的椎体前方保护装置,其特征在于设有护板,所述的护板的左端逐渐增厚呈左挡部,所述的左挡部的左端面的中部设有螺纹孔,螺纹孔内连接左侧手柄,所述的螺纹孔侧面的左挡部的端面上设有导向插入的插入板,所述的插入板与护板的宽度相同,所述的护板的右端设有连接凸板,连接凸板的上侧面设有内连接螺孔,连接凸板与右侧手柄相连接,所述的右侧手柄的左端设有连接凹头,连接凹头上设有与内连接螺孔位置相同的外连接螺孔,所述的外连接螺孔和内连接孔内设有连接螺栓,连接螺栓穿过外连接螺孔和内连接螺孔实现连接凸板和连接凹头的连接。1. A vertebral body front protection device for total vertebral body resection of the spine, characterized in that a guard is provided, the left end of the guard is gradually thickened to form a left stop, and the left end surface of the left stop is There is a threaded hole in the middle of the threaded hole, and the left handle is connected in the threaded hole. An inserting plate for guiding insertion is provided on the end surface of the left blocking part on the side of the threaded hole. The inserting plate has the same width as the guard plate. The right end of the guard plate is provided with a connecting convex plate, and the upper side of the connecting convex plate is provided with an inner connecting screw hole, and the connecting convex plate is connected with the right handle, and the left end of the right handle is provided with a connecting concave head, and the connecting concave The head is provided with the same outer connection screw hole as the inner connection screw hole, the outer connection screw hole and the inner connection hole are provided with connecting bolts, and the connecting bolts pass through the outer connection screw hole and the inner connection screw hole to realize the connection convex. Connection of plates and connecting sockets. 2.根据权利要求1所述的一种用于脊柱全椎体切除的椎体前方保护装置,其特征在于所述的外连接螺孔设有至少两个,通过调节不同的外连接螺孔与内连接螺孔的连接来调节右侧手柄与护板的连接高度。2. A vertebral body front protection device for total vertebral body resection according to claim 1, characterized in that said external connecting screw holes are provided with at least two, by adjusting different external connecting screw holes and The connection of the inner connection screw hole is used to adjust the connection height of the right handle and the guard plate. 3.根据权利要求1所述的一种用于脊柱全椎体切除的椎体前方保护装置,其特征在于所述的护板的厚度为2mm,护板的宽度为20mm,所述的左挡部的左端厚度为5mm,所述的连接凸板的厚度为5mm。3. A vertebral body front protection device for total vertebral body resection according to claim 1, characterized in that the thickness of the guard plate is 2 mm, the width of the guard plate is 20 mm, and the left retainer The thickness of the left end of the part is 5mm, and the thickness of the connecting convex plate is 5mm. 4.根据权利要求1所述的一种用于脊柱全椎体切除的椎体前方保护装置,其特征在于所述的插入板的厚度为2mm,宽度为20mm。4. A vertebral body front protection device for total vertebral body resection according to claim 1, characterized in that the thickness of the insertion plate is 2mm and the width is 20mm. 5.根据权利要求1所述的一种用于脊柱全椎体切除的椎体前方保护装置,其特征在于所述的左挡部的左端设为弧形头。5. A vertebral body front protection device for total vertebral body resection according to claim 1, characterized in that the left end of the left retaining part is set as an arc-shaped head. 6.根据权利要求1所述的一种用于脊柱全椎体切除的椎体前方保护装置,其特征在于所述的螺纹孔、内连接螺孔和外连接螺孔的内径都设为3mm,所述的螺纹孔的深度为8mm。6. A vertebral body front protection device for total vertebral body resection according to claim 1, characterized in that the inner diameters of the threaded holes, the inner connecting screw holes and the outer connecting screw holes are all set to 3mm, The depth of the threaded hole is 8mm.
CN202220321356.5U 2022-02-17 2022-02-17 Vertebral body front protection device for total vertebral body resection of vertebral column Expired - Fee Related CN217793362U (en)

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Granted publication date: 20221115