TWM522697U - Spinal internal fixation aimer - Google Patents

Spinal internal fixation aimer Download PDF

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Publication number
TWM522697U
TWM522697U TW104221356U TW104221356U TWM522697U TW M522697 U TWM522697 U TW M522697U TW 104221356 U TW104221356 U TW 104221356U TW 104221356 U TW104221356 U TW 104221356U TW M522697 U TWM522697 U TW M522697U
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Taiwan
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arc
guide rail
sliding unit
intra
tool
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TW104221356U
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Chinese (zh)
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shao-gang Xue
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shao-gang Xue
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Priority to TW104221356U priority Critical patent/TWM522697U/en
Publication of TWM522697U publication Critical patent/TWM522697U/en

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Description

脊椎內固定瞄準器 Intraspinal fixed sight

本創作係有關於一種脊椎內固定瞄準器設計,尤指可作為脊椎相關手術而使用者。 This creation is about a design of an intra-vertebral fixed sight, especially as a spine-related surgery user.

按,現今醫界於進行脊椎內固定之手術時,通常係採自手術患者之背部正中線剖開且切開棘上韌帶,再將其脊椎旁肌肉以骨膜撥離器撥離至內固定之入釘點,並以勾具將脊椎旁肌肉勾向二側之方式而固定,以致於眾多附著於脊椎上之肌腱勢必須切斷,隨之造成脊椎旁之肌肉與肌腱遭破壞,並產生有下列手術後之缺失: According to the current medical practice in the internal fixation of the spine, it is usually taken from the midline of the back of the surgical patient and the superior ligament is cut, and the paraspinal muscles are then dissected from the periosteal distractor to the internal fixation. Nail the nails and fix them with the hooks to hook the muscles of the paravertebral muscles to the two sides, so that many tendons attached to the spine must be cut off, which causes the muscles and tendons around the spine to be destroyed, and the following are produced. Missing after surgery:

1.當手術完成肌肉縫合後,脊椎旁肌肉與肌腱已無法貼回手術前之剖開位置,嚴重破壞手術患者之肌肉組織。 1. When the muscle is sutured by the operation, the paraspinal muscles and tendons can no longer be attached to the open position before the operation, which seriously damages the muscle tissue of the surgical patient.

2.死空間(dead space)之區域過於廣泛,容易造成手術後之沾黏(epidural fibrosis),致使手術完成後之效果不佳。 2. The area of the dead space is too wide and is prone to post-operative epidural fibrosis, resulting in poor outcome after surgery.

3.因手術患者之棘上韌帶、椎棘及棘間韌帶皆遭切開,連帶造成手術後之椎柱不穩定。 3. Because of the operation of the patient's spinous ligament, vertebral spine and interspinous ligament are cut open, and the resulting vertebral column instability after surgery.

為解決習式脊椎內固定手術之各項缺失,另有相關人員研發出傷口小且肌肉組織破壞少之脊椎內固定微創手術,而 目前常進行之脊椎內固定微創手術主要有兩種方式,其一係以經皮椎弓根作內固定並植入,另一係採撐開式套筒以目視狀態作內固定,但仍皆有缺失如下: In order to solve the various defects in the practice of internal fixation of the spine, other people have developed minimally invasive surgery for intraspinal fixation with small wounds and less damage to muscle tissue. At present, there are two main methods for minimally invasive intraspinal fixation. One of them is internally fixed and implanted with percutaneous pedicle, and the other is made of open sleeve for visual fixation. All are missing as follows:

一、經皮椎弓根作內固定: First, percutaneous pedicle for internal fixation:

1.該手術於進行過程中產生過多之透光,對手術醫師與手術患者皆可能造成視覺上之傷害。 1. The operation produces excessive light transmission during the operation, which may cause visual damage to both the surgeon and the surgical patient.

2.絕大部分屬於較高位之腰椎或胸腰段骨折,將造成退行性之下腰段滑脫或脊柱不穩定,以致於該手術之困難度高而不常採用。 2. Most of the higher lumbar vertebrae or thoracolumbar fractures will cause degenerative lumbar spondylolisthesis or instability of the spine, so that the difficulty of the operation is high and not often used.

3.該手術使用之植入物與手術器械皆為配合經皮手術而特別配套設計,因此造成所使用手術器材之開發費用過於昂貴。 3. The implants and surgical instruments used in the operation are specially designed to match the percutaneous surgery, so the development cost of the surgical instruments used is too expensive.

二、撐開式套筒作內固定: Second, the open sleeve for internal fixation:

1.手術醫師雖採直接目視,但內固定入釘處之周遭血管分布密集且循環廣泛,致使手術患者於手術進行中容易大量出血,且由於入釘處之手術傷口較深,導致手術醫師之開刀視野受到影響,連帶增加該手術之難度。 1. Although the surgeon takes direct visual observation, the surrounding blood vessels are densely distributed and widely circulated, which makes the surgical patients easy to bleed during the operation, and the surgical wounds at the nails are deep, resulting in the surgeon's The open vision is affected, which increases the difficulty of the operation.

2.該手術使用之撐開式套筒、植入物及手術器械於手術進行中常彼此相互碰撞,明顯妨礙手術之順利操作。 2. The open sleeves, implants and surgical instruments used in the operation often collide with each other during the operation, which obviously hinders the smooth operation of the operation.

3.該手術使用之撐開式套筒多為金屬材質而無法透 光,以致於手術進行過程中之手術燈光源受到部分遮擋。 3. The open sleeve used in the operation is mostly made of metal and cannot be penetrated. Light, so that the surgical light source during the operation is partially blocked.

本創作之主要目的,在於可於使用時,將弧型導軌固定於手術台上,並令弧型滑動單元與工具固定座依手術過程所需而進行適當角度之調整,當手術醫師用以調整時,係利用弧型導軌與弧型滑動單元之配合,使工具固定座於各移動角度皆可對應手術患者之脊椎內固定入釘點,進而達到易於操作與準確對位之功效。 The main purpose of this creation is to fix the curved guide rail on the operating table during use, and to adjust the arc-shaped sliding unit and the tool holder according to the needs of the surgical procedure, when the surgeon adjusts At the same time, the arc-shaped guide rail and the arc-shaped sliding unit are matched, so that the tool fixing seat can be fixed into the nail point of the surgical patient's spine at each moving angle, thereby achieving the effect of easy operation and accurate alignment.

為達上述目的,本創作係一種脊椎內固定瞄準器,其包含有:一弧型導軌;一與弧型導軌活動結合之弧型滑動單元;以及一設於弧型滑動單元上之工具固定座,而該工具固定座可於移動至預定位置後予以固定。 In order to achieve the above object, the present invention is an intra-vertical fixed sight comprising: an arc-shaped guide rail; an arc-shaped sliding unit combined with the arc-shaped guide rail; and a tool holder provided on the arc-shaped sliding unit And the tool holder can be fixed after moving to a predetermined position.

於本創作之一實施例中,該弧型導軌之一端係設有一固定桿。 In an embodiment of the present invention, one end of the arc-shaped guide rail is provided with a fixing rod.

於本創作之一實施例中,該弧型滑動單元係包含有一座體、分別相對應自座體端面延伸之導引部、及分別設於各導引部上且與弧型導軌活動結合之穿孔。 In an embodiment of the present invention, the arc-shaped sliding unit includes a body, a guiding portion corresponding to the end surface of the body, and a guiding portion respectively disposed on each guiding portion and coupled with the arc-shaped guide rail. perforation.

於本創作之一實施例中,該工具固定座係包含有一工具置放部、分別設於工具置放部兩側且分別與各導引部結合之滑套、分別連通各滑套之內螺紋部、以及分別結合各內螺紋部之螺接件。 In an embodiment of the present invention, the tool fixing base includes a tool placing portion, a sliding sleeve respectively disposed on two sides of the tool placing portion and respectively coupled with the guiding portions, and internal threads respectively connecting the sliding sleeves And a screw joint that respectively couples the internal thread portions.

於本創作之一實施例中,該弧型導軌、弧型滑動單元及工具固定座係為可透光之材質。 In an embodiment of the present invention, the arc type guide rail, the arc type sliding unit and the tool fixing seat are made of a light transmissive material.

1‧‧‧弧型導軌 1‧‧‧arc guide

11‧‧‧固定桿 11‧‧‧Fixed rod

2‧‧‧弧型滑動單元 2‧‧‧Arc type sliding unit

21‧‧‧座體 21‧‧‧ body

22‧‧‧導引部 22‧‧‧ Guidance Department

23‧‧‧穿孔 23‧‧‧Perforation

3‧‧‧工具固定座 3‧‧‧Tool holder

31‧‧‧工具置放部 31‧‧‧Tools placement department

32‧‧‧滑套 32‧‧‧Sleeve

33‧‧‧內螺紋部 33‧‧‧Threaded Department

34‧‧‧螺接件 34‧‧‧ Screws

第一圖,係本創作之立體外觀示意圖。 The first picture is a three-dimensional appearance of the creation.

第二圖,係本創作之立體分解示意圖。 The second picture is a three-dimensional exploded view of the creation.

第三圖,係本創作之使用狀態示意圖。 The third picture is a schematic diagram of the state of use of this creation.

請參閱「第一、二及第三圖」所示,係分別為本創作之立體外觀示意圖、本創作之立體分解示意圖及本創作之使用狀態示意圖。如圖所示:本創作一種脊椎內固定瞄準器,其至少係由一弧型導軌1、一弧型滑動單元2及一工具固定座3所構成,而該弧型導軌1、弧型滑動單元2及工具固定座3係為可透光之材質。 Please refer to the "First, Second and Third Figures" for the three-dimensional appearance of the creation, the three-dimensional exploded view of the creation and the state of use of the creation. As shown in the figure, the present invention relates to an intra-vertical fixed aiming device which is composed of at least an arc-shaped guide rail 1, an arc-shaped sliding unit 2 and a tool holder 3, and the arc-shaped guide rail 1 and the arc-shaped sliding unit 2 and the tool holder 3 is made of light transmissive material.

上述該弧型導軌1之一端係設有一固定桿11。 One end of the arc-shaped guide rail 1 is provided with a fixing rod 11.

該弧型滑動單元2係與弧型導軌1活動結合,而該弧型滑動單元2係包含有一座體21、分別相對應自座體21端面延伸之導引部22、及分別設於各導引部22上且與弧型導軌1活動結合之穿孔23。 The arc-type sliding unit 2 is movably coupled to the arc-shaped guide rail 2, and the arc-shaped sliding unit 2 includes a body 21, a guiding portion 22 corresponding to the end surface of the corresponding body 21, and a guide portion 22, respectively. A through hole 23 on the lead portion 22 and movably coupled to the curved guide rail 1.

該工具固定座3係設於弧型滑動單元2上,且可於移動至預定位置後予以固定,而該工具固定座3係包含有一工具置放部31、分別設於工具置放部31兩側且分別與各導引部22結合之滑套32、分別連通各滑套32之內螺紋部3 3、以及分別結合各內螺紋部33之螺接件34。如是,藉由上述技術特徵組合成一全新之脊椎內固定瞄準器。 The tool holder 3 is disposed on the arc-shaped sliding unit 2 and can be fixed after being moved to a predetermined position. The tool holder 3 includes a tool placing portion 31 and is respectively disposed on the tool placing portion 31. The sliding sleeve 32 which is combined with each guiding portion 22 and the internal thread portion 3 of each sliding sleeve 32 respectively 3. A screw member 34 that is coupled to each of the internal thread portions 33, respectively. If so, the above technical features are combined into a new intravertebral fixed sight.

當本創作於使用時,可將弧型導軌1利用固定桿11而固定於手術台(圖未示)上,並依手術進行所需而調整弧型滑動單元2於弧型導軌1上之角度與位置,而用以調整時,可令手術醫師直接施力於座體21上(或各導引部22上)進行移動,而使各導引部22透過穿孔23於弧型導軌1之移動,以進行左右角度之調整(其移動之角度可為0度~45度),而後再依所需調整工具固定座3於弧型滑動單元2上之位置,當調整位置時,可令手術醫師直接施力於其中一螺接件34上,藉以使各滑套32分別於各導引部22上移動,以進行前後角度之調整(其移動之角度可為0度~45度),待調整至預定位置後,再施力將各螺接件34旋入內螺紋部33內,而使各螺接件34之一端分別抵頂於各導引部22上以形成固定;另由於弧型導軌1與弧型滑動單元2設置後係形成一球面,因此該弧型滑動單元2或工具固定座3無論移動至任何之角度,皆可使工具置放部31對應手術患者之脊椎內固定入釘點(其相當於球體圓心之位置),以方便手術醫師可將手術須使用之相關器械置放於工具置放部31內而進行操作。 When the present invention is used, the curved guide rail 1 can be fixed on the operating table (not shown) by using the fixing rod 11, and the angle of the curved sliding unit 2 on the curved guide rail 1 can be adjusted according to the operation required. When the position is adjusted, the surgeon can directly apply force to the seat body 21 (or the guide portions 22) to move, and the guide portions 22 are moved through the through holes 23 to the curved guide rail 1. To adjust the left and right angles (the angle of movement can be 0 degrees to 45 degrees), and then adjust the position of the tool holder 3 on the arc type sliding unit 2 as needed, and when adjusting the position, the surgeon can be adjusted. Applying force directly to one of the screw members 34, so that the sliding sleeves 32 are respectively moved on the guiding portions 22 for adjusting the front and rear angles (the angle of movement can be 0 to 45 degrees), to be adjusted After the predetermined position, the screwing member 34 is screwed into the internal thread portion 33, so that one end of each screw member 34 abuts against each guiding portion 22 to form a fixed portion; 1 and the arc type sliding unit 2 is arranged to form a spherical surface, so the arc type sliding unit 2 or the tool holder 3 is moved At any angle, the tool placement portion 31 can be fixed in the spinal field of the surgical patient (which corresponds to the position of the center of the sphere), so that the surgeon can place the related instruments to be used in the tool. The inside of the discharge unit 31 is operated.

此外,弧型導軌1、弧型滑動單元2及工具固定座3可以透光之材質作為設計,如此可避免於使用上產生手術燈光 源之陰影,而使手術醫師於手術進行過程中取得更佳之視野範圍,且當調整後以手術器械固定手術患者之脊椎內固定入釘點時,即可直接進行x光片之攝影,除了明顯減少手術醫師曝露於所處x光射線環境之時間,更大幅提升手術進行之使用方便性。 In addition, the arc-shaped guide rail 1, the arc-shaped sliding unit 2 and the tool holder 3 can be designed to transmit light, so that the surgical light can be avoided from being used. The shadow of the source, so that the surgeon can obtain a better field of vision during the operation, and when the patient is fixed in the spinal cord of the surgical instrument fixed surgery, the x-ray film can be directly photographed, except obvious Reduce the time the surgeon is exposed to the x-ray environment, and greatly improve the ease of use.

綜上所述,本創作脊椎內固定瞄準器有效改進習式缺失,可於使用時,將弧型導軌固定於手術台上,並令弧型滑動單元與工具固定座依手術過程所需而進行適當角度之調整,當手術醫師用以調整時,係透過弧型導軌與弧型滑動單元之配合,使工具固定座於各移動角度皆可對應手術患者之脊椎內固定入釘點,進而達到易於操作與準確對位之功效,確實使本創作更進步、實用且符合手術醫師於手術進行過程中之需求,理已具備專利申請之基本要件,爰依法提出新型申請。 In summary, the artificial intra-vertebral fixed sight effectively improves the missing formula, and can be used to fix the curved guide rail on the operating table, and the arc-shaped sliding unit and the tool holder are required according to the surgical procedure. Appropriate angle adjustment, when the surgeon adjusts, through the cooperation of the arc-shaped guide rail and the arc-shaped sliding unit, the tool holder can be fixed to the nail point in the spinal cord of the surgical patient at each movement angle, thereby achieving easy The effect of operation and accurate alignment makes the creation more progressive, practical and meets the needs of the surgeon during the operation. It has the basic requirements for patent application and proposes a new application according to law.

惟以上所述,僅為本創作之較佳實施例,當不可以此限定本創作實施之技術範圍,因此凡參考本創作申請專利範圍與說明書所作之等效修改與實施,皆應仍屬本創作日後核准專利所涵蓋之範圍內,於此一併陳明。 However, the above description is only a preferred embodiment of the present invention. When the technical scope of the present invention is not limited thereto, the equivalent modification and implementation of the scope and the specification of the present invention should still be Within the scope of the patents approved for the future creation, this will be stated together.

1‧‧‧弧型導軌 1‧‧‧arc guide

2‧‧‧弧型滑動單元 2‧‧‧Arc type sliding unit

21‧‧‧座體 21‧‧‧ body

22‧‧‧導引部 22‧‧‧ Guidance Department

23‧‧‧穿孔 23‧‧‧Perforation

3‧‧‧工具固定座 3‧‧‧Tool holder

31‧‧‧工具置放部 31‧‧‧Tools placement department

32‧‧‧滑套 32‧‧‧Sleeve

33‧‧‧內螺紋部 33‧‧‧Threaded Department

34‧‧‧螺接件 34‧‧‧ Screws

Claims (5)

一種脊椎內固定瞄準器,其包含有:一弧型導軌;一弧型滑動單元,係與弧型導軌活動結合;以及一工具固定座,係設於弧型滑動單元上,且可於移動至預定位置後予以固定。 An intra-vertical fixed sight comprising: an arc-shaped guide rail; an arc-shaped sliding unit coupled to the arc-shaped guide rail; and a tool holder mounted on the arc-shaped sliding unit and movable to Fix it after booking the location. 如申請專利範圍第1項所述之脊椎內固定瞄準器,其中該弧型導軌之一端係設有一固定桿。 The intra-vertebral fixed sight according to claim 1, wherein one end of the curved guide is provided with a fixing rod. 如申請專利範圍第2項所述之脊椎內固定瞄準器,其中該弧型滑動單元係包含有一座體、分別相對應自座體端面延伸之導引部、及分別設於各導引部上且與弧型導軌活動結合之穿孔。 The intra-vertebral fixed sight according to claim 2, wherein the arc-shaped sliding unit comprises a body, a guiding portion respectively corresponding to an end surface of the seat body, and respectively disposed on each guiding portion. And the perforation combined with the arc-shaped guide rail activity. 如申請專利範圍第3項所述之脊椎內固定瞄準器,其中該工具固定座係包含有一工具置放部、分別設於工具置放部兩側且分別與各導引部結合之滑套、分別連通各滑套之內螺紋部、以及分別結合各內螺紋部之螺接件。 The intra-vertebral fixed sight of the third aspect of the invention, wherein the tool fixing base comprises a tool placing portion, a sliding sleeve respectively disposed on two sides of the tool placing portion and respectively combined with the guiding portions, The internal thread portions of the sliding sleeves and the screwing members respectively coupled to the internal thread portions are respectively connected. 如申請專利範圍第4項所述之脊椎內固定瞄準器,其中該弧型導軌、弧型滑動單元及工具固定座係為可透光之材質。 The intraocular fixation sight according to the fourth aspect of the invention, wherein the arc guide rail, the arc type sliding unit and the tool fixing seat are made of a light transmissive material.
TW104221356U 2015-12-31 2015-12-31 Spinal internal fixation aimer TWM522697U (en)

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