KR200380143Y1 - one time guide for CHS - Google Patents

one time guide for CHS Download PDF

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Publication number
KR200380143Y1
KR200380143Y1 KR20-2005-0000707U KR20050000707U KR200380143Y1 KR 200380143 Y1 KR200380143 Y1 KR 200380143Y1 KR 20050000707 U KR20050000707 U KR 20050000707U KR 200380143 Y1 KR200380143 Y1 KR 200380143Y1
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KR
South Korea
Prior art keywords
guide
guide pin
chs
metal plate
fixing
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Application number
KR20-2005-0000707U
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Korean (ko)
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정병오
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정병오
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Priority to KR20-2005-0000707U priority Critical patent/KR200380143Y1/en
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Publication of KR200380143Y1 publication Critical patent/KR200380143Y1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/74Devices for the head or neck or trochanter of the femur
    • A61B17/742Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck
    • A61B17/748Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck with means for adapting the angle between the longitudinal elements and the shaft axis of the femur
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/90Guides therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2/4607Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of hip femoral endoprostheses
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2002/4631Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor the prosthesis being specially adapted for being cemented

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Neurology (AREA)
  • Transplantation (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Vascular Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

대퇴골 경부나 전자간 골절시 내고정물로 사용되는 활강고나사의Sliding screw used as internal fixation for femoral neck or intertrochanteric fracture

가이드핀(guide pin) 고정시When fixing the guide pin

1.시행착오 없이 단번에 정확한 위치에 고정하기 위한 고안1.Designed to fix the correct position at once without trial and error

2.가이드핀이 금속판과 이루는 각도가 정확히 135도가 되게 하고2. Make sure that the angle of the guide pin to the metal plate is exactly 135 degrees.

관상면(coronal plane)에서의 기울어짐을 방지하여 금속판과    Prevents tilting in the coronal plane

대퇴골 간부의 밀착도를 높이기 위한 고안    Design to increase the adhesion of femoral shaft

Description

활강고나사를 위한 한방에 가이드{one time guide for CHS}One time guide for CHS}

종래의 활강고나사 가이드는 몸체가 짧고 고정시키는 구조물이 없이 구멍만 Conventional sliding screw guide has a short body and no holes for fixing.

나 있는 것으로 C-arm을 측면과 전후면으로 수차례 반복 확인해야 하면서도 I have to check the C-arm many times side and front

한 번에 정확한 위치를 찾는 것이 어려워 대퇴골 경부와 골두 쪽으로 여러 It is difficult to find the exact location at one time.

개의 구멍을 내는 시행착오가 불가피하여 수술에 많은 시간이 소요되며 It is inevitable that trials and errors that puncture dogs will be inevitable.

나사의 위치가 부정확했다.The screw position is incorrect.

또한 가이드핀 삽입시 대퇴골 간부와 금속판의 위치관계가 일정하지 않아  In addition, when the guide pin is inserted, the positional relationship between the femoral shaft and the plate

금속판이 들뜬 상태로 고정하거나 억지로 간부에 피질골 나사를 조임으로써 By fixing the metal plate in an excited state or forcing the cortical bone screw

금속판과 활강고나사 사이의 과도한 스트레스로 인하여 골절부의 정복 Reconstruction of fractures due to excessive stress between metal plate and sliding screw

상태가 수술 최종 단계에서 흐트러지거나 수술후 시간이 지나면서 골절부 Fracture at the end of the operation or as time passes after surgery

유합이 이루어지기도 전에 피질골 나사가 부러지는 원인이 되어 궁극적으로 Cause the cortical screw to break before the union occurs, ultimately

수술이 실패하기도 한다.Surgery may fail.

1.C-arm 측면상에서 실제 가이드핀을 삽입하지 않고도 핀이 자리할 위치를1. Position the pin on the side of the C-arm without inserting the actual guide pin.

알 수 있게 한다. Make it known.

2.측면상에서 위치를 결정한 후 가이드가 움직이지 않게 고정한다.2. After determining the position on the side, fix the guide without moving.

3.가이드핀 삽입을 위한 관이 아래위로 자유롭게 움직여야 한다.3. The pipe for the guide pin insertion should move freely up and down.

4.활강고나사 고정 전에 금속판의 위치를 미리 결정할 수 있어야 한다. 4. The position of the metal plate should be determined in advance before fixing the fastening screw.

1.도2의 ㉠,㉡ 금속 막대와 ㉤의 가이드핀 삽입을 위한 관과 그 연장선 ㉥이1. Pipes for the insertion of the metal rods and guide pins of Fig. 2 and the extension wires

동일 평면에 위치한다. Located on the same plane

2.가이드 몸체를 대퇴골 간부에 고정시키고 밀착시키는 집게(㉢,㉣)와2.Tongs (㉢, ㉣) to fix the guide body to the femur shaft

그 집게가 고정되고 회전할 수 있게 구멍을 뚫은 가이드 몸체가 있으며  There is a guide body punched to allow the tongs to be fixed and rotated,

두개의 집게는 용수철로 연결되어 있다. The two tongs are connected by a spring.

3.가이드핀 삽입을 위한 관(㉤)이 아래위로 자유롭게 움직일 수 있게3. Make sure that the pipe for the guide pin insertion can move freely up and down.

가이드 몸체에 홈(㉦)이 나 있음  Grooves in the guide body

1.구성1.의 효과 : ㉠,㉡,㉤,㉥이 동일 평면상에 위치하기 때문에 C-arm1. Effect of Configuration 1. C-arm because ㉠, ㉠, ㉤, ㉥ are located on the same plane

lateral view에서 ㉠과 ㉡의 영상이 겹치도록 하면 가이드핀을 실제로 삽입 When the images of ㉠ and 에서 overlap in the lateral view, the guide pin is actually inserted

하지 않고도 가이드핀이 고정될 위치를 정확히 예측할 수 있다. You can accurately predict where the guide pin will be fixed without

2.구성2.의 효과 : 간단히 두개의 집게를 잡았다가 놓음으로써 가이드2. Effect of Configuration 2: Guide by simply grasping and releasing two tongs

몸체가 대퇴골 간부에 고정되어 lateral view에서 확인한 후 전후면 The body is fixed to the femoral shaft and confirmed in the lateral view.

상에서 볼 수 있도록 C-arm을 조작하는 동안 그 위치를 유지할 수 있게  To maintain its position while operating the C-arm for viewing on the screen.

하고 활강고나사와 금속판이 정확히 135가 되도록 보장할 뿐 아니라 To ensure that the screw and metal plate are exactly 135

금속판이 기울어져서(tilting) 고정되는 것도 막을 수 있다.It is also possible to prevent the metal plate from tilting and being fixed.

3.구성3.의 효과 : 집게로 가이드 몸체를 대퇴골 간부에 고정시킨 후 3.Effect of configuration 3: After fixing the guide body to the femur shaft with forceps

가이드핀 삽입 관을 아래위로 움직일 수 있어 가이드 몸체를 움직이지  Can move the guide pin insertion tube up and down

않고도 C-arm의 전후면 상에서 원하는 위치에 가이드 핀을 삽입할 수 있다.  Guide pins can be inserted in the desired position on the front and back of the C-arm.

도1. 45도 사면도Figure 1. 45 degree slope

도2. 정면도 ㉠,㉡:지름 1-3mm의 금속 막대Figure 2. Front view ㉠, ㉡: Metal rod of diameter 1-3mm

㉤: 가이드핀을 삽입하는 관            ㉤: pipe inserting guide pin

㉥: 삽입관의 연장선, 즉 가이드핀이 고정될 위치            ㉥: extension line of the insertion tube, that is, the position where the guide pin is to be fixed

도3. 측면도 ㉢,㉣: 가이드 몸체를 고정시키는 집게Figure 3. Side view ㉢, ㉣: clamp to hold the guide body

㉦: ㉤이 아래위로 움직일 수 있게 한 홈             ㉦: groove allowing ㉤ to move up and down

도4. 도2의 ①에서의 단면도Figure 4. Sectional drawing in ① of FIG.

도5. 도2의 ②에서의 단면도Figure 5. Sectional drawing in ② of FIG.

Claims (3)

도2의 ㉠,㉡의 금속 막대와 ㉤의 가이드핀 삽입을 위한 관과    2, the tube for inserting the metal rods of ㉠, ㉤ and guide pins of ㉤ and 그 연장선(㉥)이 동일 평면에 위치하도록 한 구조     Structure whose extension line is located on the same plane 가이드 몸체를 대퇴골 간부에 고정시키고 밀착시키는 집게(㉢,㉣)가 달린   With tongs to secure and guide the guide body to the femoral shaft 가이드 구조   Guide structure 가이드핀 삽입을 위한 관(㉤)이 아래위로 자유롭게 움직일 수 있게    The tube for the guide pin insertion can move freely up and down 가이드 몸체에 홈(㉦)이 있는 구조   Grooved structure in the guide body
KR20-2005-0000707U 2005-01-11 2005-01-11 one time guide for CHS KR200380143Y1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
KR20-2005-0000707U KR200380143Y1 (en) 2005-01-11 2005-01-11 one time guide for CHS

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
KR20-2005-0000707U KR200380143Y1 (en) 2005-01-11 2005-01-11 one time guide for CHS

Publications (1)

Publication Number Publication Date
KR200380143Y1 true KR200380143Y1 (en) 2005-03-29

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KR20-2005-0000707U KR200380143Y1 (en) 2005-01-11 2005-01-11 one time guide for CHS

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