SU1708312A1 - Surgical apparatus for suturing bone tissue - Google Patents

Surgical apparatus for suturing bone tissue

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Publication number
SU1708312A1
SU1708312A1 SU894693157A SU4693157A SU1708312A1 SU 1708312 A1 SU1708312 A1 SU 1708312A1 SU 894693157 A SU894693157 A SU 894693157A SU 4693157 A SU4693157 A SU 4693157A SU 1708312 A1 SU1708312 A1 SU 1708312A1
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SU
USSR - Soviet Union
Prior art keywords
store
pusher
repository
matrices
thrust
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Application number
SU894693157A
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Russian (ru)
Unknown language (xx)
Inventor
Владимир Анатольевич Соколов
Иван Александрович Корольков
Владимир Михайлович Федотов
Владимир Анфимович Хлызов
Иосиф Львович Липовский
Сергей Иванович Шарипин
Original Assignee
Всесоюзный научно-исследовательский и испытательный институт медицинской техники
Московский городской научно-исследовательский институт скорой помощи им.Н.В.Склифосовского
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Application filed by Всесоюзный научно-исследовательский и испытательный институт медицинской техники, Московский городской научно-исследовательский институт скорой помощи им.Н.В.Склифосовского filed Critical Всесоюзный научно-исследовательский и испытательный институт медицинской техники
Priority to SU894693157A priority Critical patent/SU1708312A1/en
Application granted granted Critical
Publication of SU1708312A1 publication Critical patent/SU1708312A1/en

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Abstract

Использование: в медицине. The use in medicine. Сущность изобретени : магазин 7 и толкатель 10 аппарата выполнены с рабочими плоскост ми 14, 15. 16 и 17, параллельно которым расположены рабочие плоскости 18 и 19 матрицы 8. Костный отломок помещают между матрицей 8 и магазином 7, при этом рабочие плоскости 14,15, 16 и 17 и плоскости 18 и 19 обеспечивают прошивание костей под различными углами скобками, которые перемещает толкатель 10. 6 з.п. SUMMARY OF THE INVENTION: store 7 and the pusher unit 10 formed with the working planes 14, 15. 16 and 17, which are arranged parallel to the working plane 18 and the matrix 8. 19 Bone fragment is placed between the die 8 and the store 7, wherein the working plane 14.15 16 and 17 and the plane 18 and 19 provide a bone suturing staples at different angles, which moves the pushrod 10. 6 ZP ф-лы. f-ly. 11 ил.СПс 11 il.SPs

Description

Изобретение относитс к медицине, а именно к хирургическим сшивающим аппаратам дл сшивани костной ткани. The invention relates to medicine, namely to a surgical stapler for crosslinking bone.

Целью изобретени вл етс обеспечение возможности соединени костных отломков как в пр мой плоскости, так и под различными углами. The aim of the invention is to provide opportunities compound bone fragments in a straight plane and at different angles.

На фиг. FIG. 1 схематически изображен хирургический аппарат дл сшивани костной ткани, обаций вид; 1 schematically shows a surgical apparatus for crosslinking bone obatsy view; на фиг. FIG. 2 - вид А на фиг. 2 - view of FIG. 1; one; на фиг, 3 - вид Б, на фиг. FIG, 3 - view B in FIG. 2; 2; на фиг. FIG. А сечение В-В на фиг. A cross section B-B in FIG. 3; 3; на фиг. FIG. 5 - сечение Г-Г на фиг. 5 - cross section G-G in FIG. 2; 2; на фиг. FIG. 6-11 - расположение равных плоскостей аппарата. 6-11 - the location of the equal planes apparatus.

Аппарат содержит упорный корпус 1 с укрепленным на нем стержнем 2 с первым упорным крюком 3, репозитор 4 с вторым упорным крюком 5, соединенный с упорным орпусом 1 с возможностью перемещений относительно него, скобочный корпус 6 с глагазином 7 дл размещени скобок, соединенный с /порным корпусом 1 с возможностью перемещени относительно него, матрицы 8 с лунками 9 дл загиба скобок, станоаленные на упорных крюках ,3 и 5, кобочный толкатель 10. установленный на упорном корпусе 1, привод 11 репозитора 4, выполненный в виде первой гайки, привод 12 скобочного к The device comprises a thrust body 1 with a fortified thereon rod 2 with a first abutment hook 3 repository 4 to the second abutment hook 5 is connected with the thrust orpusom 1 movably with respect thereto, the bracket body 6 with glagazinom 7 for accommodating brackets coupled to / porn body 1 movably with respect thereto, the matrix 8 with holes 9 for bending staples stanoalennye thrust on hooks, 3 and 5, the pusher 10. kobochny mounted on the thrust housing 1, the actuator 11 repository 4, made in the form of the first nut, the actuator 12 at the clevis to рпуса 6 в виде второй гайки и привод 13 толкател 10, выполненный в виде третьей гайки, установленные на упорном корпусе 1. rpusa 6 as a second drive nut 13 and the pusher 10 formed in a third nut mounted on the thrust housing 1.

Магазин 7 и толкатель 10 выполнены с двум рабочими плоскост ми 14 и 15, 16 и 17, параллельно которым расположены рабочие плоскости 18 и 19 матриц 8. Рабочие плоскости 18 и 19 матриц В магазина 7 и толкател 10 расположены под углом к продольной оси аппарата, а стержень 2 с первым упорным крюком 3 выполнен съемным . Store 7 and the pusher 10 are two working planes 14 and 15, 16 and 17, which are arranged parallel to the working plane 18 and 8. 19 matrices working planes 18 and 19 in the matrix store 7 and the pusher 10 are arranged at an angle to the longitudinal axis of the apparatus, and rod 2 with a first abutment hook 3 is removable.

Вершина углов между рабочими плоскост ми 14-17 матриц 8, магазина 7 и толкател 10 расположена посередине между стержнем 2 и репозитором 4, Угол между . The vertex angle between working planes 14-17 matrices 8, the store 7 and the pusher 10 located midway between the rod 2 and the Repository 4, the angle between. рабочими плоскост ми 14 и 15,16 и 17, 18 и 19 матриц 8, магазина 7 и толкател 10 не превышает 180° и ориентирован вершиной к упорному крюку. working planes 14 and 15,16 and 17, 18 and 19 of the matrices 8, the store 7 and the pusher 10 does not exceed 180 ° and apex directed towards the persistent hook.

Угол между рабочими плоскост ми 14 и 15, 16 и 17, 18 и 19 матриц 8, магазина 7 и толкател 10 более 180° и ориентирован к приводу 13 толкател 10. The angle between the working planes 14 and 15, 16 and 17, 18 and 19 of the matrices 8, the store 7 and the pusher 10 over 180 ° and is oriented to the actuator 13 of the pusher 10.

Перва рабоча плоскость 14, 15 и 18 матрицы 8, магазина 7 и толкател 10 выполнена перпендикул рно продольной оси аппарата . The first working plane 14, 15 and 18 of the matrix 8, the store 7 and the pusher 10 is perpendicular to the longitudinal axis of the apparatus.

На упорных крюках 3 м 5, стержне 2, репозиторе 4, на внутренней поверхности магазина 7 выполнены продольные канавки , а на матрицах 8, наружных сторонах магазина 7 и на толкателе 10 выполнены выступы, соответствующие формой канавкам , причем выступы 20 на матрицах 8 соответствуют канавкам 21 на упорных крюках 3 и 5. выступы 22 на магазине 7 соответствуют канавкам 23 на стержне 2 и репозиторе 4, а выступы 24 на толкателе 10 соответствуют канавкам 25 на внутренней поверхности магазина . On thrust hooks 3 m 5, the rod 2, Repository 4, on the inner surface of the store 7 are longitudinal grooves, and on the matrices 8, the outer sides of the store 7 and on the follower 10 provided with protrusions corresponding to the shape of the grooves, the projections 20 on the matrices 8 correspond to the grooves 21 on the thrust hooks 3 and 5. The protrusions 22 on the store 7 correspond to the grooves 23 on the shaft 2 and the repository 4, and the projections 24 on the plunger 10 correspond to the grooves 25 on the inner surface of the store. Репозитор 4 выполнен в виде съемного стержн . Repository 4 is configured as a removable rod.

Аппарат работает следующим образом. The device operates as follows. Операционным разрезом обнажают костные отломки, например, ребер. Incision exposing the bone fragments, e.g., edges. Выдел ют isolated

концы отломков и определ ют, под каким углом необходимо их соединить. ends of the fragments and determining the angle at which you need to connect them. В соответствии с этим подбирают форму и размер скобки. In accordance with the selected shape and size of the brackets.

При ортопедических операци х по In orthopedic surgery by x

коррекции деформаций грудной клетки из операционного разреза обнажают деформированные ребра и грудину и осуществл ют их преднадкостную остеотомию. correcting deformations of the chest incision expose deformed ribs and sternum and effected their prednadkostnuyu osteotomy. Также определ ют требуемую форму и размер скобок . Also determined desired size and shape brackets.

По плану операции и в зависимости от необходимой скобки подбирают соответствующие друг другу стержень 2. репозитор4, магазин 7, толкатель 10, матрицы 8 и собирают аппарат в последовательности, предусмотренной инструкцией. According to the plan and the operations needed depending on selected brackets corresponding to one another the rod 2 repozitor4, the store 7, a pusher 10, the matrix unit 8 and is collected in the sequence provided the instruction. Вращением гайки (привод скобочного корпуса), вращением гайки (привод репозитора) и вращением накидной гайки (привод толкател ) By turning the nut (staple actuator housing), the rotation of the nut (repository drive) and rotating the cap nut (drive pusher)

скобочный корпус 6, репозитор 4 и толкатель 10 устанавливают в исходное положение . the bracket body 6, the repository 10 and the pusher 4 is reset. Магазин 7 скобочного корпуса 6 зар жают скобками 26 так. Top staple housing 7 6 brackets 26 is charged so. чтобы скобка 26 своими заостренными ножками была направлена в сторону матриц 8. 26 to bracket his pointy legs has been directed towards the matrix 8.

Один костный отломок помещают между матрицей 8 и магазином 7. Вращением гайки (привод скобочного корпуса) скобочный корпус 6 приближают к матрице 8 так. One bone fragment is placed between the die 8 and the store 7. Rotate the nut (staple actuator housing) the bracket body 6 closer to the die 8 so.

чтобы этот костный отломок был зажат (зафиксирован ) между матрицей 8 и магазином 7. Второй костный отломок помещают между матрицей 8 и магазином 7 так, чтобы оба отломка совпала между собой по that this was the bone fragment is clamped (fixed) between the die 8 and the store 7. The second bone fragment is placed between the die 8 and the store 7 so that both the fragment coincided with each other by

линии излома. the fracture line. Вращением гайки (привод репозмтора) матрица 8 приближаетс к магазину 7, зажимай второй отломок между матрицей 8 и магазином 7 и, таким образом , фиксиру отломки между собой. By turning the nut (repozmtora drive) matrix 8 approaches the store 7, clamping the second fragment is between the die 8 and the store 7 and thus fixing the fragments to one another. Затем , вращением накидной гайки (привод толкател ) толкател 10 скобки 26 выталкивают из магазина 7. Скобки 26 своими заостренными ножками прокалывают костные отломкии,/пира сь в луики9матриц8,загибаютс в В-образнуюформу,прочно соедин Then, by rotating the coupling nut (drive pusher) pusher brackets 26, 10 are pushed from the store 7. The brackets 26 with their sharpened legs pierce the bone fragments / feast Referring to luiki9matrits8, folded in V-obraznuyuformu firmly connected

octHbie отломкиЛрошивание законченоБращением гайки (привод скобочного корпуса) магазин 7 отвод т в исходное положение, в результате чего сшитые костные отломки освобождаютс от защемлени между мага- 5 зином 7 и матрицами 8. Аппарат снимают. octHbie otlomkiLroshivanie zakonchenoBrascheniem nuts (staple actuator housing) store 7 is retracted to its original position, whereby crosslinked bone fragments are released from jamming between 5 maga- zine matrices 7 and 8. The apparatus is removed. Наложение шва закончено. Suturing is completed.

Claims (7)

  1. Формула изобретени 1. Хирургический аппарат дл сшивани 10 костной ткани, содержащий упорный корпус с укрепленным на нем стержнем с первым упорным крюком, репозитор с вторым упорным крюком, соединенный с упорным корпусом с возможностью перемещени 15 относительно него, скобочный корпус с магазином дл размещени скобок, соединенный с упорным корпусом с возможностью перемещени .относительно него, матрицы с лунками дл загиба скобок, у(;|:а- 20 новленные на упорных крюках, скобочный толкатель, установленный в упорном корпусе , привод репозитора, выпо Claims 1. A surgical apparatus 10 for crosslinking bone comprising a body with thrust thereon reinforced rod with a first abutment hook repository with the second abutment hook is connected with the thrust body 15 to be movable with respect thereto, the bracket body with a store for receiving staples, coupled to the abutment body movably The relatively it matrix with holes for bending staples, y (; |: a- 20 ment of thrust on the hooks, the bracket pusher mounted in the thrust housing repository drive vypo ненный в виде первой гайки, привод скобочного корпуса в виде второй гайки и привод толкател в виде 25 третьей гайки, установленные на упорном корпусе, отличающийс тем, что, с целью обеспечени соединени костных отломков как в пр мой плоскости, так и под различными углами, аппарат содержит вза- 30 имосв занные съемные стержни, репозиторы , матрицы, магазин и толкатель, при этом магазин и толкатель выполнены с двум рабочими плоскост ми, параллельно которым расположены рабочие плоскости матриц, 35 причем рабочие плоскости матриц, магазина и толкате cepts a first nut drive staple housing in the form of a second nut and drive the pusher in the form 25 of the third nut mounted on the thrust housing, characterized in that in order to provide a compound of the bone fragments in a straight plane and at different angles, apparatus 30 comprises mutually associated imosv removable rods repository matrix store and a pusher, the pusher and store formed with the two operating planes, which are arranged parallel to the working plane of the matrices, the matrices 35 wherein the working plane, and store tolkate расположены под углом к продольной оси аппарата, а стержень с первым упорным крюком выполнен съемным, disposed at an angle to the longitudinal axis of the machine and the rod with the first abutment hook is removable,
  2. 2.Аппарат по п. 1,отличающийс тем, что вершина углов между рабочими плоскост ми матриц, магазина и толкател расположена посер)едине между стержнем и репозитором. 2.Apparat claim. 1, characterized in that the vertex angle between working planes matrices store and pusher disposed poser) Unified between the rod and the repository.
  3. 3.Аппарат по п. 1,отличающийс тем, что, угол между рабочими плоскост ми матриц, магазина и толкател не превышает 180° и ориентирован вершиной к упорному крюку, 3.Apparat claim. 1, characterized in that the angle between working planes matrices store and pusher does not exceed 180 ° and apex directed towards the persistent hook
  4. 4.Аппарат по п. 1, отличающийс тем, что угол между рабочими плоскост ми матриц, магазина и толкател более 180° и ориентирован к приводу толкател . 4.Apparat claim. 1, characterized in that the angle between working planes matrices store and pusher 180 ° and is oriented to the drive pusher.
  5. 5.Аппарат по п. 1,; 5.Apparat according to Claim. 1 ,; отличающийс тем, что первые рабочие плоскости матрицы , магазина и толкател выполнены перпендикул рно продольной оси аппарата. characterized in that the first working plane of the matrix store and the pusher are made perpendicular to the longitudinal axis of the apparatus.
  6. 6.Аппарат поп, 1,отличающийс тем, что на упорных крюках, стержне, репозиторе , на внутренней поверхности магазина выполнены продольные канавки, а на матрицах, наружных сторонах магазина и на толкателе - выступы, соответствующие формой канавкам, причем выступы на матрицах соответствуют канавкам на упорных крюках, выступы на магазине - канавкам на стержне и репозиторе, а выступы на толкателе - канавкам на внутренней поверхности магазина. 6.Apparat pop 1, characterized in that on the thrust hooks rod repository to store an inner surface formed with longitudinal grooves, and on the matrices, the outer sides of the store and on the pushrod - projections corresponding to the shape of the grooves, the projections on matrices correspond to the grooves the stubborn hooks, tabs on the store - the grooves on the shaft and the repository, and the tabs on the pusher - the grooves on the inner surface of the store.
  7. 7.Аппарат по п. 1, о т л и ч а ю щ и и с тем, что репозитор выполнен в виде съемного стержн . 7.Apparat according to Claim. 1, l and m of h and u, and w and that the repository is designed as a removable rod.
    ВидА see
    Buds Buds
    Ц C
    С) г C) z
    FJ FJ
    т т tt
    А .. 2 A .. 2
    Oih Oih
    II II ч Т| II II T h | Т| T | И|Т1||«ИИВ11ИВ Г And | T1 || «IIV11IV D
    Фие.З Fie.Z
    фиг. FIG.
    Фаз. Phases. 6 ГФиг . 6 GFig. 5 five
    / /
    S S
    Фиг. FIG. 7 Г 7 G
    Фиг. FIG. 10 ten
    0i/e. 0i / e.
SU894693157A 1989-05-16 1989-05-16 Surgical apparatus for suturing bone tissue SU1708312A1 (en)

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