TW201822730A - Surgical inserter for a medical device - Google Patents

Surgical inserter for a medical device Download PDF

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Publication number
TW201822730A
TW201822730A TW105144254A TW105144254A TW201822730A TW 201822730 A TW201822730 A TW 201822730A TW 105144254 A TW105144254 A TW 105144254A TW 105144254 A TW105144254 A TW 105144254A TW 201822730 A TW201822730 A TW 201822730A
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Taiwan
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engaging
ratchet
rod
shaft
medical device
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TW105144254A
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Chinese (zh)
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TWI709394B (en
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黃仁宏
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黃仁宏
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Publication of TWI709394B publication Critical patent/TWI709394B/en

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Abstract

A surgical inserter includes a shaft, a lever, a bolt, and a locking mechanism. The shaft includes a shaft body and an engaging head. An end of the lever is adjacent to an inner side of the engaging head. The bolt is mounted on the end of the lever and passes through the engaging head to connect a medical device. The locking mechanism is movably disposed on the other end of the shaft body for selectively locking or releasing angular movement of the lever relative to the shaft body. When the lever is bending relative to the shaft body, the end of the lever pries the bolt, so that the medical device is driven by the bolt to abut against an outer side of the engaging head tightly.

Description

適用於醫療裝置之植入器Implant for medical devices

本發明關於一種手術工具,尤指一種適用於醫療裝置之植入器。The present invention relates to a surgical tool, and more particularly to an implanter suitable for use in a medical device.

在手術操作中,通常會使用一些手術工具來連接醫療裝置(例如植入物、植入物試件或手術器械),來協助使用者能夠更靈活地操作醫療裝置,由於醫療裝置與手術工具之間是以可拆裝的方式連接,因此為了避免在手術操作中發生意外鬆脫,常見的方式是利用輔助機構來確保醫療裝置與手術工具的結合穩固。In surgical procedures, surgical tools are often used to connect medical devices (such as implants, implant specimens, or surgical instruments) to assist the user in more flexible operation of the medical device, due to the medical device and surgical tools. The detachment is connected in a detachable manner, so in order to avoid accidental loosening during the surgical operation, it is common to use an auxiliary mechanism to ensure the stability of the medical device and the surgical tool.

現有的輔助機構是由複雜的連桿機構所構成,而這種結構具有許多連接關節、小元件、深孔以及內溝槽,因此手術工具的清洗與滅菌變得十分困難,由於這些元件在每次手術操作的過程中會頻繁地與血液、軟組織或骨頭接觸,若無法徹底清洗與滅菌,將會大幅增加病患術後感染的風險。The existing auxiliary mechanism is composed of a complicated linkage mechanism, which has many joint joints, small components, deep holes and inner grooves, so the cleaning and sterilization of the surgical tools becomes very difficult, since these components are in each Frequent contact with blood, soft tissue or bone during the operation of the operation, if not thoroughly cleaned and sterilized, will greatly increase the risk of postoperative infection.

有些手術工具雖然設計成可部份拆解以進行清洗,然而這種設計的結構更加複雜且容易損壞,不但可能造成手術過程的意外和延誤,繁複的清洗程序也增加了醫療人員的負擔以及醫院營運成本。Although some surgical tools are designed to be partially disassembled for cleaning, the structure of this design is more complicated and easily damaged, which may not only cause accidents and delays in the surgical procedure, but also complicated cleaning procedures increase the burden on medical personnel and hospitals. Operating costs.

因此,本發明之目的在於提供一種植入器,其可穩固地連接一醫療裝置,且結構簡單與清洗容易,以解決上述問題。Accordingly, it is an object of the present invention to provide an implanter that can be securely attached to a medical device and that is simple in construction and easy to clean to solve the above problems.

本發明係利用桿件以撬動螺栓,進而帶動醫療裝置緊抵於接合頭部之外側;再者,本發明另利用卡合機構限制桿件相對於軸體之角位移,以確保醫療裝置始終緊抵著接合頭部之外側,進而有效地避免在手術操作中發生意外鬆脫,藉以提昇操作可靠度以及手術精確度。此外,相較於現有設計,由於本發明之植入器結構簡單且具有方便操作與容易清洗滅菌之優點,因此有效地減輕了醫療人員的負擔且降低病患術後感染的風險。The invention utilizes the rod member to sway the bolt, thereby driving the medical device to abut against the outer side of the joint head; further, the present invention further utilizes the engaging mechanism to limit the angular displacement of the rod member relative to the shaft body to ensure that the medical device is always It is close to the outer side of the joint head, thereby effectively avoiding accidental loosening during the surgical operation, thereby improving operational reliability and surgical precision. In addition, compared with the prior design, the implanter of the present invention has the advantages of simple structure and convenient operation and easy cleaning and sterilization, thereby effectively reducing the burden on medical personnel and reducing the risk of postoperative infection of patients.

請參閱第1圖與第2圖,本發明第一實施例之植入器1係用以連接一醫療裝置2,植入器1包含有一軸件10、一桿件11、一螺栓12、一卡合機構13、一把手14以及一板件15,軸件10包含有一軸體100以及一接合頭部101,接合頭部101設置於軸體100之一端。Referring to FIG. 1 and FIG. 2, the implanter 1 of the first embodiment of the present invention is used for connecting a medical device 2, and the implanter 1 includes a shaft member 10, a rod member 11, a bolt 12, and a The engaging mechanism 13 has a handle 14 and a plate member 15. The shaft member 10 includes a shaft body 100 and an engaging head portion 101. The joint head portion 101 is disposed at one end of the shaft body 100.

桿件11活動地設置於軸體100上,桿件11之一端鄰近接合頭部101之一內側,螺栓12安裝於桿件11之該端且穿過接合頭部101以連接醫療裝置2,卡合機構13活動地設置於軸體100之另一端,即卡合機構13係位於軸體100遠離接合頭部101之一端,卡合機構13選擇性地限制或允許桿件11相對於軸體100之一角位移。於此實施例中,軸體100之一側上形成有一容置槽102,用以容置桿件11以及卡合機構13,桿件11係可拆卸地設置於容置槽102內。然而於其他實施例中,桿件11與軸體100也可以並排的方式設置。把手14延伸於軸體100之另一端,板件15連接於把手14,使用者可方便操作與施力於把手14以及板件15,以將醫療裝置2置入於手術部位。於此實施例中,植入器1可為髖骨杯植入器,醫療裝置2可為髖骨杯植入物,而於其他實施例中,醫療裝置2也可為其他手術裝置(例如植入物、植入物試件或手術器械)。The rod member 11 is movably disposed on the shaft body 100, one end of the rod member 11 is adjacent to one inner side of the joint head portion 101, and the bolt 12 is mounted to the end of the rod member 11 and passes through the joint head portion 101 to connect the medical device 2, the card The engaging mechanism 13 is movably disposed at the other end of the shaft body 100, that is, the engaging mechanism 13 is located at one end of the shaft body 100 away from the joint head 101. The engaging mechanism 13 selectively limits or allows the rod member 11 relative to the shaft body 100. One angular displacement. In this embodiment, a accommodating groove 102 is formed on one side of the shaft body 100 for accommodating the rod member 11 and the engaging mechanism 13 . The rod member 11 is detachably disposed in the accommodating groove 102 . However, in other embodiments, the rod member 11 and the shaft body 100 may also be disposed side by side. The handle 14 extends to the other end of the shaft 100. The plate member 15 is coupled to the handle 14. The user can conveniently manipulate and apply the handle 14 and the plate member 15 to place the medical device 2 in the surgical site. In this embodiment, the implant 1 can be a hip cup implant, the medical device 2 can be a hip cup implant, and in other embodiments, the medical device 2 can also be a other surgical device (eg, implant Implants, implant specimens or surgical instruments).

於此實施例中,植入器1另包含有一第一棘齒16,其設置於桿件11之另一端,卡合結構13包含有一卡合本體130以及一第二棘齒131,卡合本體130滑動地連接於軸體100,舉例來說,卡合本體130可藉由插銷與滑槽的配合滑動地連接於軸體100,第二棘齒131設置於卡合機構130之一側且對應於第一棘齒16,第一棘齒16選擇性地與第二棘齒131互相卡合或脫離卡合,以限制或允許桿件11相對於軸體100之該角位移。然而於其他實施例中,第一棘齒16與第二棘齒131亦可由其他元件(例如凸輪、齒輪或肘節機構)取代。In this embodiment, the implanter 1 further includes a first ratchet 16 disposed at the other end of the rod member 11. The engaging structure 13 includes a latching body 130 and a second ratchet 131. The sliding body 130 is slidably coupled to the shaft body 100. For example, the engaging body 130 can be slidably coupled to the shaft body 100 by the cooperation of the latch and the sliding slot. The second ratchet teeth 131 are disposed on one side of the engaging mechanism 130 and corresponding to In the first ratchet 16, the first ratchet 16 is selectively engaged or disengaged from the second ratchet 131 to limit or allow the angular displacement of the rod 11 relative to the shaft 100. However, in other embodiments, the first ratchet 16 and the second ratchet 131 may also be replaced by other components such as cams, gears or toggle mechanisms.

再者,第一棘齒16包含有複數個第一卡合齒160、一第一卡合勾161以及一第一棘齒本體162,第一卡合齒160以及第一卡合勾161突出於第一棘齒本體162,第一卡合勾161位於第一卡合齒160之一側,且各第一卡合齒160之一高度小於第一卡合勾161之一高度。Furthermore, the first ratchet 16 includes a plurality of first engaging teeth 160, a first engaging hook 161 and a first ratchet body 162. The first engaging teeth 160 and the first engaging hooks 161 protrude from the first engaging teeth 160. The first ratchet body 162 is located on one side of the first engaging teeth 160 , and one of the first engaging teeth 160 has a height lower than a height of the first engaging hook 161 .

請參閱第2圖,於此實施例中,軸體100與桿件11分別呈直桿狀,螺栓12之一頭部123容置於桿件11內且可隨軸體100與桿件11旋轉,桿件11之該端上形成有一缺口110,缺口110鄰近接合頭部101,螺栓12包含有用以卡合於缺口110之一頸部120以及用以連接醫療裝置2之一連接部121。於此實施例中,連接部121係以螺紋連接方式連接於醫療裝置2,而於其他實施例中,連接部121也可以卡栓或是鳩尾榫之方式間接或直接連接於醫療裝置2。Referring to FIG. 2, in this embodiment, the shaft body 100 and the rod member 11 are respectively in a straight rod shape, and one of the head portions 123 of the bolt 12 is received in the rod member 11 and is rotatable with the shaft body 100 and the rod member 11. A notch 110 is formed on the end of the rod member 11. The notch 110 is adjacent to the engaging head portion 101. The bolt 12 includes a neck portion 120 for engaging with the notch 110 and a connecting portion 121 for connecting the medical device 2. In this embodiment, the connecting portion 121 is connected to the medical device 2 by screwing. In other embodiments, the connecting portion 121 can also be connected to the medical device 2 indirectly or directly by means of a plug or a dovetail.

請參閱第3圖至第5圖,第3圖至第5圖分別為本發明第一實施例植入器1位於釋鎖狀態、鎖定狀態與拆解狀態之示意圖,軸件10另包含有兩插銷103,其設置軸體100之另一端,卡合本體130上對應形成有兩滑槽132,兩插銷103分別穿過兩滑槽132,使得卡合機構13可藉由插銷103與滑槽132的配合相對於軸體100滑動,而本發明的滑動配置方式並不侷限於本實施例。Please refer to FIG. 3 to FIG. 5 . FIG. 3 to FIG. 5 are respectively schematic diagrams showing the implant 1 in the unlocked state, the locked state and the disassembled state according to the first embodiment of the present invention, and the shaft member 10 further includes two The latch 103 is disposed at the other end of the shaft body 100. The latching body 130 is formed with two sliding slots 132. The two latching pins 103 pass through the two sliding slots 132 respectively, so that the engaging mechanism 13 can be coupled to the sliding slot 132 by the latch 103. The fit is slid relative to the shaft 100, and the sliding arrangement of the present invention is not limited to the embodiment.

此外,植入器1另包含有一彈性件17,其設置於卡合結構13與軸體100之間且用以驅動卡合機構13彈性復位而卡合於第一棘齒16,軸體100之另一側上形成有一避讓區104,避讓區104與容置槽102相對設置且用以避免桿件11與軸體100間彼此干涉。In addition, the implanter 1 further includes an elastic member 17 disposed between the engaging structure 13 and the shaft body 100 for driving the latching mechanism 13 to elastically reset to engage with the first ratchet 16, and the shaft body 100 A escaping region 104 is formed on the other side, and the escaping region 104 is disposed opposite to the accommodating groove 102 to prevent the rod member 11 and the shaft body 100 from interfering with each other.

當欲將醫療裝置2連接於植入器1時,使用者可操作卡合本體130相對於軸體100滑動,以使第二棘齒131與第一棘齒16脫離卡合,進而允許桿件11相對於軸體 100之該角位移,因此桿件11可被調整至一釋鎖位置。接者,當卡合本體130被釋放時,彈性件17驅動卡合本體130復位,使得第二棘齒131卡合於第一卡合勾161,以將桿件11定位於如第3圖所示之該釋鎖位置,此時,醫療裝置2便可藉由螺栓12之連接部121連接於植入器1,例如將連接部121預鎖至醫療裝置2之一螺栓孔。When the medical device 2 is to be attached to the implant device 1, the user can operate the engaging body 130 to slide relative to the shaft body 100 to disengage the second ratchet teeth 131 from the first ratchet teeth 16, thereby allowing the rod member to be engaged. This angular displacement relative to the shaft 100 is such that the lever member 11 can be adjusted to a release position. When the engaging body 130 is released, the elastic member 17 drives the engaging body 130 to be reset, so that the second ratchet 131 is engaged with the first engaging hook 161 to position the rod 11 as shown in FIG. The unlocking position is shown. At this time, the medical device 2 can be connected to the implanter 1 by the connecting portion 121 of the bolt 12, for example, the connecting portion 121 is pre-locked to one of the bolt holes of the medical device 2.

當醫療裝置2連接於植入器1後,使用者可接著操作桿件11相對於軸體100由如第3圖所示之該釋鎖位置施力彎曲至如第4圖所示之一鎖定位置,在上述過程中,桿件11之該端會逐漸地撬動螺栓12,使得醫療裝置2可被螺栓12帶動而緊抵合頭部101之一外側。同時,使用者可操作卡合本體130以驅動第二棘齒131與第一卡合勾161脫離卡合,並使第二棘齒131卡合於相對應之第一卡合齒160,以將桿件11定位於該鎖定位置,進而確保醫療裝置2始終緊抵合頭部101之該外側。然而於其他實施例中,桿件11也可藉由將第二棘齒131卡合於其他第一卡合齒160,被定位於如第3圖所示之該釋鎖位置與第4圖所示之該鎖定位置間之任一卡合位置。After the medical device 2 is attached to the implanter 1, the user can then operate the lever member 11 to be bent relative to the shaft body 100 by the release position as shown in FIG. 3 to lock as shown in FIG. Position, in the above process, the end of the rod 11 will gradually tilt the bolt 12 so that the medical device 2 can be driven by the bolt 12 to abut against one of the outside of the head 101. At the same time, the user can operate the engaging body 130 to drive the second ratchet 131 to disengage from the first engaging hook 161, and the second ratchet 131 is engaged with the corresponding first engaging tooth 160 to The lever member 11 is positioned in the locked position, thereby ensuring that the medical device 2 always abuts against the outside of the head portion 101. However, in other embodiments, the lever member 11 can also be positioned in the unlocking position as shown in FIG. 3 and the fourth embodiment by engaging the second ratchet teeth 131 with the other first engaging teeth 160. Show any of the engagement positions between the locked positions.

當欲將醫療裝置2與植入器1分離時,使用者可操作卡合本體130相對於軸體100滑動,使得第二棘齒131與第一卡合齒160脫離卡合,進而允許桿件11相對於軸體100之該角位移,此時,受力彎曲的桿件11會由如第4圖所示之該鎖定位置復位至如第3圖所示之該釋鎖位置,使得第一卡合勾161接觸第二棘齒131,接著,當卡合本體130被釋放時,彈性件17便會驅動卡合本體130以使第二棘齒131卡合於第一卡合勾161。當桿件11位於該釋鎖位置時,桿件11不再撬動螺栓12,使得醫療裝置2不再緊抵於接合端部101之該外側,因此醫療裝置2可輕易地由植入器1上拆卸下來。When the medical device 2 is to be separated from the implant device 1, the user can operate the engaging body 130 to slide relative to the shaft body 100, so that the second ratchet teeth 131 are disengaged from the first engaging teeth 160, thereby allowing the rods to be engaged. 11 with respect to the angular displacement of the shaft body 100, at this time, the force-bending rod member 11 is reset by the locking position as shown in Fig. 4 to the unlocking position as shown in Fig. 3, so that the first The engaging hook 161 contacts the second ratchet 131. Then, when the engaging body 130 is released, the elastic member 17 drives the engaging body 130 to engage the second ratchet 131 with the first engaging hook 161. When the lever 11 is in the release position, the lever 11 no longer tilts the bolt 12, so that the medical device 2 no longer abuts the outer side of the engagement end 101, so the medical device 2 can be easily used by the implanter 1 Remove it on the top.

此外,當欲將桿件11由軸體100上拆卸下來以進行清洗或滅菌時,使用者可操作卡合本體130相對於軸體100滑動,使得第二棘齒131與第一棘齒16完全脫離卡合,此時,桿件11移動至如第5圖所示之一拆解位置,因此桿件11與螺栓12可輕易地由容置槽102移出。In addition, when the lever member 11 is to be detached from the shaft body 100 for cleaning or sterilization, the user can operate the engaging body 130 to slide relative to the shaft body 100 such that the second ratchet teeth 131 and the first ratchet teeth 16 are completely When the engagement is released, the lever member 11 is moved to a disassembled position as shown in Fig. 5, so that the lever member 11 and the bolt 12 can be easily removed from the accommodating groove 102.

由於各第一卡合齒160之該高度小於第一卡合勾161之該高度,因此當卡合本體130被操作而滑動一預定距離以使第二棘齒131與第一卡合齒160脫離卡合時,第二棘齒131會先與第一卡合勾161接觸,使得桿件11不會突然移動至該拆解位置,兩段式的操作方式可以避免桿件11與軸體100意外分離。Since the height of each of the first engaging teeth 160 is smaller than the height of the first engaging hooks 161, when the engaging body 130 is operated to slide a predetermined distance to disengage the second ratchet teeth 131 from the first engaging teeth 160 When engaging, the second ratchet 131 will first contact the first engaging hook 161, so that the rod 11 does not suddenly move to the disassembling position, and the two-stage operation mode can prevent the rod 11 and the shaft 100 from being accidental. Separation.

請參閱第6圖和第7圖,第二實施例之植入器1’與第一實施例植入器1的差別在於,植入器1’另包含有螺絲起子180,用以驅動螺栓12’,螺栓12’之一頭部123’上形成有一套接部124,用以與螺絲起子180接合,而於其他實施例中,螺栓12’另可由錐齒輪或其他傳動元件帶動。一軸體100’呈彎曲狀,一軸件10’包含有一樞接銷105,其設置於軸體100’之另一端,一卡合本體130’藉由樞接銷105以可旋轉地方式連接於軸體100’,以限制或允許桿件11’相對於軸體100’之一角位移,本實施例與前述實施例中具有相同標號之元件具有相同結構與功能,於此不再贅述。Referring to FIGS. 6 and 7, the implant 1' of the second embodiment differs from the implant 1 of the first embodiment in that the implanter 1' further includes a screwdriver 180 for driving the bolt 12. 'One of the bolts 12' is formed with a set of joints 124 for engaging the screwdriver 180, while in other embodiments, the bolts 12' may be driven by bevel gears or other transmission elements. A shaft member 100' is curved, and a shaft member 10' includes a pivot pin 105 disposed at the other end of the shaft body 100'. The engaging body 130' is rotatably coupled to the shaft by a pivot pin 105. The body 100', in order to limit or allow the angular displacement of the rod member 11' relative to the shaft body 100', the embodiment has the same structure and function as the elements having the same reference numerals in the foregoing embodiments, and details are not described herein.

請參閱第8圖至第10圖,第8圖至第10圖為本發明第二實施例植入器1’位於釋鎖狀態、鎖定狀態與拆解狀態之示意圖,當欲將醫療裝置2連接至植入器1’時,使用者可操作卡合本體130’相對於軸體100’旋轉,以允許桿件11’相對於軸體100’之該角位移,使得桿件11’可調整至如第8圖所示之一釋鎖位置,此時醫療裝置2可藉由螺絲起子180以及螺栓12’的配合以連接於植入器1’。Please refer to FIG. 8 to FIG. 10 . FIG. 8 to FIG. 10 are schematic diagrams showing the implant device 1 ′ in the unlocked state, the locked state and the disassembled state according to the second embodiment of the present invention, when the medical device 2 is to be connected. By the implant 1', the user can operate the engaging body 130' to rotate relative to the shaft 100' to allow the angular displacement of the rod 11' relative to the shaft 100' such that the rod 11' can be adjusted to As one of the unlocking positions shown in Fig. 8, the medical device 2 can be coupled to the implant 1' by the cooperation of the screwdriver 180 and the bolt 12'.

當醫療裝置2連接於植入器1’後,使用者可操作桿件11’相對於軸體100’受力彎曲而由如第8圖所示之該釋鎖位置移動至如第9圖所示之一鎖定位置,在上述過程中,桿件11’之一端逐漸撬動螺栓12’,使得醫療裝置2緊抵於接合頭部101之該外側。接著,使用者可操作卡合本體130’旋轉地驅動第二棘齒131與第一卡合勾161脫離卡合且與相對應之第一卡合齒160互相卡合,以將桿件11’定位於該鎖定位置,進而確保醫療裝置2緊抵著接合頭部101之該外側。After the medical device 2 is attached to the implanter 1', the user operable lever 11' is bent relative to the shaft 100' to be moved by the unlocking position as shown in Fig. 8 to Fig. 9 One of the locking positions is shown, in which one end of the rod 11' gradually tilts the bolt 12' such that the medical device 2 abuts against the outside of the engaging head 101. Then, the user can operate the engaging body 130 ′ to rotationally drive the second ratchet 131 to disengage from the first engaging hook 161 and engage with the corresponding first engaging tooth 160 to connect the rod 11 ′. Positioned in the locked position, thereby ensuring that the medical device 2 abuts against the outside of the engaging head 101.

當欲將醫療裝置2與植入器1’分離時,使用者可操作卡合本體130’相對於軸體100’旋轉,使得第二棘齒131與第一卡合齒160脫離卡合,進而允許桿件11’相對於軸體100’之該角位移,此時受力彎曲之桿件11’會由如第9圖所示之該鎖固位置朝如第8圖所示之該釋鎖位置復位,使得第一卡合勾161接觸第二棘齒131。接著,當卡合本體130’被釋放時,彈性件17便會驅動卡合本體130’復位且卡合於第一卡合勾161。當桿件11’位於釋鎖位置時,桿件11’不再撬動螺栓12’,使得醫療裝置2不再緊抵於接合端部101之該外側,因此醫療裝置2可輕易地由植入器1’上拆卸下來。When the medical device 2 is to be separated from the implant device 1', the user can operate the engaging body 130' to rotate relative to the shaft body 100', so that the second ratchet teeth 131 are disengaged from the first engaging teeth 160, thereby Allowing the angular displacement of the rod member 11' relative to the shaft body 100', at which time the force-stretched rod member 11' is biased toward the lock position as shown in Fig. 8 toward the lock shown in Fig. 8. The position is reset such that the first snap hook 161 contacts the second ratchet 131. Then, when the engaging body 130' is released, the elastic member 17 drives the engaging body 130' to be reset and engaged with the first engaging hook 161. When the lever 11' is in the unlocked position, the lever 11' no longer tilts the bolt 12', so that the medical device 2 no longer abuts against the outer side of the engagement end 101, so the medical device 2 can be easily implanted Remove it from the 1'.

再者,當欲將桿件11’由軸體100’上拆卸下來時以便於清洗滅菌,使用者可操作卡合本體130’相對於軸體100’旋轉,使得第二棘齒131與第一棘齒16完全脫離卡合,此時,桿件11’係位於如第10圖所示之一拆解位置,因此桿件11’、螺栓12’以及螺絲起子180可輕易地由容置槽102拆卸下來,以便於進行徹底的清洗與滅菌。Moreover, when the rod member 11' is to be detached from the shaft body 100' for cleaning and sterilization, the user can operate the engaging body 130' to rotate relative to the shaft body 100', so that the second ratchet teeth 131 and the first The ratchet 16 is completely disengaged from the engagement. At this time, the rod 11' is in a disassembled position as shown in Fig. 10, so that the rod 11', the bolt 12' and the screwdriver 180 can be easily accommodated by the receiving groove 102. Disassemble for thorough cleaning and sterilization.

相較於現有技術,本發明利用桿件來撬動螺栓以帶動醫療裝置緊抵於接合頭部之外側;再者,本發明實施例另利用卡合機構以選擇性地限制桿件相對於軸體之角位移,以確保醫療裝置緊抵合頭部之外側,進而有效地避免在手術操作中發生意外鬆脫,藉以提昇操作可靠度以及手術精確度。此外,相較於傳統設計,由於本發明簡單可靠且具有方便操作與容易清洗滅菌之優點,因此有效地減輕醫療人員的負擔且降低病患術後感染的風險。 以上所述僅為本發明之較佳實施例,凡依本發明申請專利範圍所做之均等變化與修飾,皆應屬本發明之涵蓋範圍。Compared with the prior art, the present invention utilizes a rod to sway the bolt to drive the medical device against the outer side of the joint head; further, the embodiment of the invention further utilizes a snap mechanism to selectively limit the rod relative to the shaft The angular displacement of the body ensures that the medical device abuts the outer side of the head, thereby effectively avoiding accidental loosening during the surgical operation, thereby improving operational reliability and surgical precision. In addition, compared with the conventional design, the present invention is simple and reliable, and has the advantages of convenient operation and easy cleaning and sterilization, thereby effectively reducing the burden on medical personnel and reducing the risk of postoperative infection of patients. The above are only the preferred embodiments of the present invention, and all changes and modifications made to the scope of the present invention should be within the scope of the present invention.

1、1’‧‧‧植入器1, 1'‧‧‧ implanter

10、10’‧‧‧軸件10, 10'‧‧‧ shaft parts

100、100’‧‧‧軸體100, 100’‧‧‧ shaft body

101‧‧‧接合頭部101‧‧‧ joint head

102‧‧‧容置槽102‧‧‧ accommodating slots

103‧‧‧插銷103‧‧‧Tram

104‧‧‧避讓區104‧‧‧ escaping area

105‧‧‧樞接銷105‧‧‧ pivot pin

11、11’‧‧‧桿件11, 11'‧‧‧ rods

110‧‧‧缺口110‧‧‧ gap

12、12’‧‧‧螺栓12, 12’‧‧‧ bolts

120‧‧‧頸部120‧‧‧ neck

121‧‧‧連接部121‧‧‧Connecting Department

123、123’‧‧‧頭部123, 123’‧‧‧ head

124‧‧‧套接部124‧‧‧ Sockets

13、13’‧‧‧卡合機構13, 13' ‧ ‧ engaging institutions

130、130’‧‧‧卡合本體130, 130’‧‧‧ engaged body

131‧‧‧第二棘齒131‧‧‧second ratchet

132‧‧‧滑槽132‧‧‧Chute

14‧‧‧把手14‧‧‧Hands

15‧‧‧板件15‧‧‧ boards

16‧‧‧第一棘齒16‧‧‧First ratchet

160‧‧‧第一卡合齒160‧‧‧First engagement tooth

161‧‧‧第一卡合勾161‧‧‧First card hook

162‧‧‧第一棘齒本體162‧‧‧First ratchet body

17‧‧‧彈性件17‧‧‧Flexible parts

180‧‧‧螺絲起子180‧‧‧ Screwdriver

2‧‧‧醫療裝置2‧‧‧ medical devices

第1圖為本發明第一實施例植入器之外觀示意圖。 第2圖為本發明第一實施例植入器之元件爆炸圖。 第3圖為本發明第一實施例植入器位於釋鎖狀態之示意圖。 第4圖為本發明第一實施例植入器位於鎖定狀態之示意圖。 第5圖為本發明第一實施例植入器位於拆解狀態之示意圖。 第6圖為本發明第二實施例植入器之外觀示意圖。 第7圖為本發明第二實施例植入器之元件爆炸圖。 第8圖為本發明第二實施例植入器位於釋鎖狀態之示意圖。 第9圖為本發明第二實施例植入器位於鎖定狀態之示意圖。 第10圖為本發明第二實施例植入器位於拆解狀態之示意圖。Fig. 1 is a schematic view showing the appearance of an implanter according to a first embodiment of the present invention. Fig. 2 is an exploded view of the components of the implanter of the first embodiment of the present invention. Fig. 3 is a schematic view showing the state in which the implanter is in the unlocked state according to the first embodiment of the present invention. Figure 4 is a schematic view showing the implanter in a locked state according to the first embodiment of the present invention. Fig. 5 is a schematic view showing the implanter in a disassembled state according to the first embodiment of the present invention. Figure 6 is a schematic view showing the appearance of an implanter according to a second embodiment of the present invention. Figure 7 is an exploded view of the components of the implanter of the second embodiment of the present invention. Figure 8 is a schematic view of the second embodiment of the present invention in which the implanter is in a released state. Figure 9 is a schematic view showing the implanter in a locked state according to a second embodiment of the present invention. Figure 10 is a schematic view showing the implanter in a disassembled state according to a second embodiment of the present invention.

Claims (10)

一種適用於一醫療裝置之植入器,其包含有︰ 一軸件,其包含有一軸體以及設置於該軸體一端之一接合頭部; 一桿件,其活動地設置於該軸體上,該桿件之一端鄰近於該接合頭部之一內側; 一螺栓,其安裝於該桿件之該端且穿過該接合頭部以連接該醫療裝置;以及 一卡合機構,其活動地設置於該軸體之另一端且遠離該接合頭部,該卡合機構係選擇性地限制或允許該桿件相對於該軸體之角位移; 其中當該桿件相對於該軸體受力彎曲時,該桿件之該端撬動該螺栓,使得該醫療裝置被該螺栓驅動而緊抵於該接合頭部之一外側。An implant device suitable for use in a medical device, comprising: a shaft member comprising a shaft body and one of the one end of the shaft body engaging the head; a rod member movably disposed on the shaft body, One end of the rod is adjacent to an inner side of the joint head; a bolt mounted to the end of the rod and passing through the joint head to connect the medical device; and a snap mechanism movably disposed At the other end of the shaft body and away from the joint head, the engaging mechanism selectively limits or allows angular displacement of the rod relative to the shaft body; wherein when the rod member is bent relative to the shaft body The end of the rod sways the bolt such that the medical device is driven by the bolt to abut one of the outside of the engagement head. 如請求項1所述之植入器,另包含有一第一棘齒,其設置於該桿件之另一端,該卡合機構包含有一卡合本體以及一第二棘齒,該第二棘齒設置於該卡合本體之一側上且對應於該第一棘齒,且該第一棘齒用以卡合於該第二棘齒,以限制該桿件相對於該軸體之該角位移。The implanter of claim 1, further comprising a first ratchet disposed at the other end of the rod, the engaging mechanism comprising a latching body and a second ratchet, the second ratchet And disposed on one side of the engaging body and corresponding to the first ratchet, and the first ratchet is configured to be engaged with the second ratchet to limit the angular displacement of the rod relative to the shaft . 如請求項2所述之植入器,其中該第一棘齒包含有複數個第一卡合齒、一第一卡合勾以及一第一棘齒本體,該複數個第一卡合齒以及該第一卡合勾突出於該第一棘齒本體,該第一卡合勾設置於該複數個第一卡合齒之一側,各第一卡合齒之一高度小於該第一卡合勾之一高度,且該第二棘齒選擇性地卡合於相對應之該第一卡合齒或該第一卡合勾,藉以限制該桿件相對於該軸體之該角位移。The implanter of claim 2, wherein the first ratchet comprises a plurality of first engaging teeth, a first engaging hook and a first ratchet body, the plurality of first engaging teeth and The first engaging hook protrudes from the first ratchet body, the first engaging hook is disposed on one side of the plurality of first engaging teeth, and a height of each of the first engaging teeth is smaller than the first engaging The hook has a height, and the second ratchet is selectively engaged with the corresponding first engaging tooth or the first engaging hook to limit the angular displacement of the rod relative to the shaft. 如請求項3所述之植入器,其中當該第二棘齒卡合於相對應之該第一卡合齒時,該桿件位於一鎖定位置,當該第二棘齒卡合於該第一卡合勾時,該桿件位於一釋鎖位置,且當該第二棘齒與該第一棘齒脫離卡合時,該桿件位於一拆解位置。The implanter of claim 3, wherein when the second ratchet is engaged with the corresponding first engaging tooth, the lever is in a locked position, and when the second ratchet is engaged When the first latch is hooked, the lever is in a release position, and when the second ratchet is disengaged from the first ratchet, the lever is in a disassembled position. 如請求項1所述之植入器,其中該軸體以及該桿件分別呈直桿狀,該螺栓之一頭部容置於該桿件內且可隨該軸體與該桿件旋轉。The implant device of claim 1, wherein the shaft body and the rod member are respectively in the shape of a straight rod, and a head of the bolt is received in the rod member and rotatable with the shaft member and the rod member. 如請求項1所述之植入器,其中該軸體呈彎曲狀,該植入器另包含有一螺絲起子,其中該螺栓之一頭部形成有一套接部,用以與該螺絲起子接合,使得該螺絲起子可帶動該螺栓轉動。The implanter of claim 1, wherein the shaft body is curved, the implanter further comprises a screwdriver, wherein a head of one of the bolts is formed with a set of joints for engaging the screwdriver. The screwdriver can drive the bolt to rotate. 如請求項1所述之植入器,其中該桿件係可拆卸地設置於該軸體上。The implant of claim 1, wherein the rod is detachably disposed on the shaft. 如請求項1所述之植入器,其中該桿件之該端形成有一缺口,該缺口鄰近該接合頭部,且該螺栓包含有一頸部,用以卡合於該桿件上之該缺口。The implant of claim 1, wherein the end of the rod is formed with a notch adjacent to the engaging head, and the bolt includes a neck for engaging the notch on the rod . 如請求項1所述之植入器,其中該螺栓包含有一連接部,該連接部係藉由螺紋、卡栓或是鳩尾榫之方式連接該醫療裝置。The implant of claim 1, wherein the bolt comprises a connecting portion connected to the medical device by means of a thread, a plug or a dovetail. 如請求項1所述之植入器,其中該醫療裝置為一植入物、一植入物試件或一手術器械。The implant of claim 1, wherein the medical device is an implant, an implant test piece, or a surgical instrument.
TW105144254A 2016-12-30 2016-12-30 Surgical inserter for a medical device TWI709394B (en)

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