SU1745231A1 - Appliance for correction of spiral curvatures - Google Patents
Appliance for correction of spiral curvatures Download PDFInfo
- Publication number
- SU1745231A1 SU1745231A1 SU904852866A SU4852866A SU1745231A1 SU 1745231 A1 SU1745231 A1 SU 1745231A1 SU 904852866 A SU904852866 A SU 904852866A SU 4852866 A SU4852866 A SU 4852866A SU 1745231 A1 SU1745231 A1 SU 1745231A1
- Authority
- SU
- USSR - Soviet Union
- Prior art keywords
- hose
- vertebrae
- cavity
- correction
- pressure
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7002—Longitudinal elements, e.g. rods
- A61B17/7011—Longitudinal element being non-straight, e.g. curved, angled or branched
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7002—Longitudinal elements, e.g. rods
- A61B17/7019—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other
- A61B17/7031—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other made wholly or partly of flexible material
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Neurology (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Abstract
Использование: коррекци искривлений позвоночника. Устранение ротационных смешений позвонков и упрощение конструкции устройства. Устргйство состоит из полого герметичного крпуса 1, выполФиг . ненного в виде гибкого армированного шланга, торец 2 которого заглушен, а в противоположном торце установлен обратный клапан 3, сообщающийс с полостью 4 корпуса 1. Устройство крепитс к позвонкам 5 с помощью жестких серег 6. фиксированных к его поперечным и остистым отросткам. К клапану 3 подсоединен напорный шланг 7. который при ушивании краев операционной раны выводитс над . кожей больного. К шлангу 7 через трубопровод 8 подключаетс гидравлический насос 9 с манометром 10. В исходном положении полость 4 корпуса 1 заполнена нейтральной жидкостью, например дистиллированной водой, наход щейс под атмосферным давлением. 4 ил. 2 СЛ кэ О)Use: correction of spinal curvature. Elimination of rotational mixes of vertebrae and simplification of the device design. The device consists of a hollow hermetic seal 1, vypolFig. A flexible reinforced hose, the end 2 of which is plugged, and a check valve 3 is installed at the opposite end, which communicates with the cavity 4 of the housing 1. The device is attached to the vertebrae 5 by means of rigid earrings 6. fixed to its transverse and spinous processes. A pressure hose 7 is connected to valve 3, which is removed over the edges of the wound. skin of the patient. A hydraulic pump 9 with a pressure gauge 10 is connected to the hose 7 through a pipe 8. In the initial position, the cavity 4 of the housing 1 is filled with a neutral liquid, such as distilled water, which is under atmospheric pressure. 4 il. 2 SLK ke O)
Description
Изобретение относитс к медицинской технике, а именно к травматологии и ортопедии , и предназначено дл коррекции искривлений позвоночника.The invention relates to medical technology, namely to traumatology and orthopedics, and is intended to correct the curvature of the spine.
Цель изобретени -устранение ротационных смещений позвонков.The purpose of the invention is to eliminate the rotational displacement of the vertebrae.
Цель достигаетс тем. что в устройстве дл коррекции искривлений позвоночника, выполненном в виде полого герметичного корпуса с обратным клапаном дл ввода жидкости и элементами креплени на позвоночнике , корпус выполнен в виде гибкого армированного шланга.The goal is achieved by those. That in the device for correcting the curvature of the spine, made in the form of a hollow hermetic body with a check valve for introducing fluid and fastening elements on the spine, the body is made in the form of a flexible reinforced hose.
На фиг.1 изображено устройство дл коррекции искривлений позвоночника, корпус которого не находитс под избыточным давлением жидкости, общий вид; на фиг.2 - схема фиксации устройства к искривленному позвоночнику и подключение к гидравлическому насосу; на фиг.З - форма корпуса устройства, которую он принимает, наход сь под избыточным давлением жидкости; на фиг.4 - конечна стади коррекции позвоночника .Fig. 1 shows a device for correcting the curvature of the spine, the body of which is not under excess fluid pressure, a general view; figure 2 - scheme of fixation of the device to the curved spine and the connection to the hydraulic pump; in FIG. 3, the shape of the device body, which it takes under pressure of the fluid; figure 4 - the final stage of the correction of the spine.
Устройство дл коррекции искривлений позвоночника состоит из полого герметичного корпуса 1, выполненного в виде гибкого армированного шланга, торец 2 которого заглушен, а в противоположном торце установлен обратный клапан 3, сообщающийс с полостью 4 корпуса 1. Устройство крепитс к позвонкам 5 с помощью жестких серег 6, фиксированных с их поперечным и остистым отросткам. Серьги 6 устанавливаютс между позвонками 5 и окружающей их мышечной тканью. К клапану 3 подсоедин етс напорный шланг 7, который при ушивании краев операционной раны дитс над кожей больного. К шлангу 7 через трубопровод 8 подключаетс гидравлический насос 9 с манометром 10. В исходном положении полость 4 корпуса 1 заполнена нейтральной жидкостью, например дистиллированной водой, наход щейс под атмосферным давлением.The device for correction of spinal curvatures consists of a hollow sealed body 1, made in the form of a flexible reinforced hose, the end of which 2 is plugged, and a check valve 3 is installed at the opposite end, which communicates with the cavity 4 of the body 1. The device is attached to the vertebrae 5 with hard earrings 6 fixed with their transverse and spinous processes. The earrings 6 are installed between the vertebrae 5 and the surrounding muscle tissue. A pressure hose 7 is connected to valve 3, which, when suturing the edges of the surgical wound, is above the patient's skin. A hydraulic pump 9 with a pressure gauge 10 is connected to the hose 7 through a pipe 8. In the initial position, the cavity 4 of the housing 1 is filled with a neutral liquid, such as distilled water, which is under atmospheric pressure.
Устройство используют следующим образом .The device is used as follows.
После соответствующей обработки операционного пол производ т продольный паравертебральный разрез кожи (на 1,5 см кнаружи от остистых отростков) деформации позвоночника. Отдел ют мышцы, обнажа полностью остистые и поперечные отростки позвонков, а также дужку между ними, деформированного отдепа позвоночника и по два позвонка выше и ниже угла деформации. По центру обнаженных остистых и поперечных отростков просверливают отверсти , в которые провод т мобильные усики серьги 6 и шплинтуют наAfter appropriate treatment of the operative field, a longitudinal paravertebral skin incision is made (1.5 cm outwards from the spinous processes) of the spinal cord. The muscles are separated, exposing the fully spinous and transverse processes of the vertebrae, as well as the arch between them, the deformed spine and two vertebrae above and below the angle of deformity. Holes are drilled through the center of the exposed spinous and transverse processes, into which the mobile antennae of earring 6 is led and pinned to
противоположной стороне отростков, чем достигаетс жестка фиксаци серег 6 на каждом позвонке в отдельности. Через фиксированные серьги вдоль позвонков провод т армированный шланг 1, нижний конец которого крепитс к серьге жестко, что устран ет возможность смещени шланга и по- звол ет в последующем свободное перемещение остальных серег по нему и неthe opposite side of the processes, which results in a rigid fixation of the earrings 6 on each vertebra separately. A reinforced hose 1 is held through fixed earrings along the vertebrae, the lower end of which is rigidly attached to the earring, which eliminates the possibility of displacement of the hose and allows subsequent free movement of the remaining earrings along it and not
преп тствует росту позвонков. К клапану 3 привинчиваетс напорный шланг 7 и трубопровод 8. Провер ют герметичность соединений корпуса 1 с шлангом 7 через клапан 3 путем подкачивани жидкости в него насосомЭ .interferes with vertebral growth. The pressure hose 7 and the pipe 8 are screwed to the valve 3. Check the tightness of the connections of the housing 1 to the hose 7 through the valve 3 by pumping fluid into it with the pump E.
Отдельные мышцы от позвоночника пришивают к остистым отросткам, укрыва шланг мышечным слоем. Кожа ушиваетс наглухо, оставл ют полихлорвиниловыйSeparate muscles from the spine are attached to the spinous processes, covering the hose with a muscle layer. The skin is sutured tightly, leaving the polyvinyl chloride.
дренаж на 3 - 4 дн и вывод т кнаружи напорный шланг 7.drainage for 3–4 days and outwardly discharge hose 7.
После заживлени операционной раны к выступающему над поверхностью кожи напорному шлангу 7 подключаетс трубопровод 8, соедин ющий полость 4 корпуса 1 с гидравлическим насосом 9. При включении насоса 9 нейтральна жидкость поступает в полость 4 через обратный клапан 3. Давление жидкости в полости 4 увеличиваетс , что приводит к распр млению гибкого шланга 1. В результате распр млени шланг оказывает на позвоночник не только изгибающие поперечные усили , но и ротационные (вокруг продольной оси позвоночника),After the wound has healed, the pipeline 8 connecting the cavity 4 of the pressure tube 7 protruding above the skin connects the cavity 4 with the hydraulic pump 9. When the pump 9 is turned on, the neutral fluid enters the cavity 4 through the check valve 3. The pressure of the fluid in cavity 4 increases, which leads to the alignment of the flexible hose 1. As a result of the expansion, the hose exerts on the spine not only bending transverse forces, but also rotational (around the longitudinal axis of the spine),
что приводит к устранению обычной деформации позвоночника и ротационных смещений позвонков. Дозировка коррекции искривлений позвоночника достигаетс за счет регулировани давлени жидкости вwhich leads to the elimination of the usual spinal deformity and rotational displacement of the vertebrae. The dosage of spinal curvature correction is achieved by adjusting the fluid pressure in
полости 4, которое контролируетс манометром 10. При этом ротационные разгибающие усили , оказываемые устройством, пр мо пропорциональны давлению жидкости в полости 4.cavity 4, which is controlled by a pressure gauge 10. In this case, the rotational extension forces exerted by the device are directly proportional to the pressure of the fluid in the cavity 4.
Устройство позвол ет осуществл ть полноценную дозированную коррекцию искривлений позвоночника, в том числе и ротационных смещений позвонков, имеет довольно простую конструкцию и повышенную надежность в эксплуатации.The device allows for a complete metered correction of spinal curvatures, including rotational displacement of the vertebrae, it has a fairly simple design and an increased reliability in operation.
Claims (1)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
SU904852866A SU1745231A1 (en) | 1990-05-24 | 1990-05-24 | Appliance for correction of spiral curvatures |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
SU904852866A SU1745231A1 (en) | 1990-05-24 | 1990-05-24 | Appliance for correction of spiral curvatures |
Publications (1)
Publication Number | Publication Date |
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SU1745231A1 true SU1745231A1 (en) | 1992-07-07 |
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ID=21528548
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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SU904852866A SU1745231A1 (en) | 1990-05-24 | 1990-05-24 | Appliance for correction of spiral curvatures |
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SU (1) | SU1745231A1 (en) |
Cited By (10)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5658286A (en) * | 1996-02-05 | 1997-08-19 | Sava; Garard A. | Fabrication of implantable bone fixation elements |
EP1292239A1 (en) * | 2000-06-23 | 2003-03-19 | University Of Southern California | Percutaneous vertebral fusion system |
US7727262B2 (en) | 2000-06-23 | 2010-06-01 | Warsaw Orthopedic, Inc. | Formed in place fixation system with thermal acceleration |
US7771476B2 (en) | 2006-12-21 | 2010-08-10 | Warsaw Orthopedic Inc. | Curable orthopedic implant devices configured to harden after placement in vivo by application of a cure-initiating energy before insertion |
US7833249B2 (en) | 2000-06-23 | 2010-11-16 | Warsaw Orthopedic, Inc. | Formable orthopedic fixation system |
US8211153B2 (en) | 2003-04-25 | 2012-07-03 | Warsaw Orthopedic, Inc. | Articulating spinal fixation rod and system |
US8337556B2 (en) | 2000-06-23 | 2012-12-25 | Sdgi Holdings, Inc. | Curable media for implantable medical device |
US8480718B2 (en) | 2006-12-21 | 2013-07-09 | Warsaw Orthopedic, Inc. | Curable orthopedic implant devices configured to be hardened after placement in vivo |
US8663328B2 (en) | 2006-12-21 | 2014-03-04 | Warsaw Orthopedic, Inc. | Methods for positioning a load-bearing component of an orthopedic implant device by inserting a malleable device that hardens in vivo |
US8758407B2 (en) | 2006-12-21 | 2014-06-24 | Warsaw Orthopedic, Inc. | Methods for positioning a load-bearing orthopedic implant device in vivo |
-
1990
- 1990-05-24 SU SU904852866A patent/SU1745231A1/en active
Non-Patent Citations (1)
Title |
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Авторское свидетельство СССР Ns 906068, кл. А 61 В 17/58, 1980, * |
Cited By (14)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5658286A (en) * | 1996-02-05 | 1997-08-19 | Sava; Garard A. | Fabrication of implantable bone fixation elements |
US7833249B2 (en) | 2000-06-23 | 2010-11-16 | Warsaw Orthopedic, Inc. | Formable orthopedic fixation system |
EP1292239A4 (en) * | 2000-06-23 | 2007-01-31 | Univ Southern California | Percutaneous vertebral fusion system |
US7727262B2 (en) | 2000-06-23 | 2010-06-01 | Warsaw Orthopedic, Inc. | Formed in place fixation system with thermal acceleration |
US7780705B2 (en) | 2000-06-23 | 2010-08-24 | Warsaw Orthopedic, Inc. | Formed in place fixation system with thermal acceleration |
EP1292239A1 (en) * | 2000-06-23 | 2003-03-19 | University Of Southern California | Percutaneous vertebral fusion system |
US8083774B2 (en) | 2000-06-23 | 2011-12-27 | Warsaw Orthopedic, Inc. | Percutaneous vertebral fusion system |
US8337556B2 (en) | 2000-06-23 | 2012-12-25 | Sdgi Holdings, Inc. | Curable media for implantable medical device |
US8211153B2 (en) | 2003-04-25 | 2012-07-03 | Warsaw Orthopedic, Inc. | Articulating spinal fixation rod and system |
US8317838B2 (en) | 2003-04-25 | 2012-11-27 | Warsaw Orthopedic | System and method for minimally invasive posterior fixation |
US7771476B2 (en) | 2006-12-21 | 2010-08-10 | Warsaw Orthopedic Inc. | Curable orthopedic implant devices configured to harden after placement in vivo by application of a cure-initiating energy before insertion |
US8480718B2 (en) | 2006-12-21 | 2013-07-09 | Warsaw Orthopedic, Inc. | Curable orthopedic implant devices configured to be hardened after placement in vivo |
US8663328B2 (en) | 2006-12-21 | 2014-03-04 | Warsaw Orthopedic, Inc. | Methods for positioning a load-bearing component of an orthopedic implant device by inserting a malleable device that hardens in vivo |
US8758407B2 (en) | 2006-12-21 | 2014-06-24 | Warsaw Orthopedic, Inc. | Methods for positioning a load-bearing orthopedic implant device in vivo |
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