TWM584175U - Minimally invasive drilling guider - Google Patents

Minimally invasive drilling guider Download PDF

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Publication number
TWM584175U
TWM584175U TW108206929U TW108206929U TWM584175U TW M584175 U TWM584175 U TW M584175U TW 108206929 U TW108206929 U TW 108206929U TW 108206929 U TW108206929 U TW 108206929U TW M584175 U TWM584175 U TW M584175U
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TW
Taiwan
Prior art keywords
guide
perforation
minimally invasive
operating end
drill
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TW108206929U
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Chinese (zh)
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柯煥章
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柯煥章
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Priority to TW108206929U priority Critical patent/TWM584175U/en
Publication of TWM584175U publication Critical patent/TWM584175U/en

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Abstract

一種微創鑽孔導引器,其主要包括一握柄、至少一操作端及一導引部,該操作端是設於該握柄的一端,該操作端上開設有一穿孔,該操作端底面周緣分設有複數支撐腳,該導引部是設於該操作端頂面且位於穿孔上方,且該導引部上設有一導引孔,該導引孔是與該穿孔連通;本創作透過導引孔的設置來增加鑽頭受導引之距離,而使鑽頭能夠垂直的鑽孔,減少鑽頭鑽孔時偏擺的角度,避免斷骨兩邊所鑽的孔不平行而必須重新鑽孔的狀況發生。 A minimally invasive drilling guide, which mainly includes a handle, at least one operation end and a guide portion. The operation end is provided at one end of the handle. The operation end is provided with a perforation, and the bottom of the operation end. A plurality of support legs are provided on the periphery. The guide portion is provided on the top surface of the operation end and is located above the perforation. The guide portion is provided with a guide hole which communicates with the perforation. The setting of the guide hole increases the guided distance of the drill bit, so that the drill bit can drill vertically, reducing the deflection angle of the drill bit during drilling, and avoiding the situation that the holes drilled on the two sides of the broken bone are not parallel and must be re-drilled. occur.

Description

微創鑽孔導引器 Minimally invasive drilling guide

本創作是有關一種外科微創手術使用的鑽孔導引器,尤指一種使用骨板治療骨折時可穩定在骨頭上鑽孔,以供骨釘將骨板鎖固在斷骨上的微創鑽孔導引器。 This creation relates to a drilling guide used in minimally invasive surgery, especially a minimally invasive method that can be used to stabilize a hole in the bone when a bone plate is used to treat a fracture, so that the bone plate can fix the bone plate to the broken bone. Drilling guide.

所謂骨折,是指骨組織之完整性及連續性受到破壞,屬常見的意外傷害,而由於骨折的癒合時間較長,因此,一旦疏於照護,即容易造成傷口感染、患部癒合不佳或肌肉萎縮後遺症。 The so-called fracture refers to the damage to the integrity and continuity of bone tissue, which is a common accidental injury. Because of the long healing time of the fracture, once neglected, it is easy to cause wound infection, poor healing of the affected area or muscle atrophy. Sequelae.

而臨床上常見之病理性骨折,係導因於骨頭本身已產生不正常或病理性病變,例如骨質疏鬆或骨頭因癌細胞擴散導致骨頭品質及結構變差;而壓力性骨折或疲勞骨折則常見於運動選手或舞者。 The common clinical pathological fractures are caused by abnormal or pathological changes in the bone itself, such as osteoporosis or bone deterioration due to the spread of cancer cells; pressure fractures or fatigue fractures are common For sports players or dancers.

骨折固定方法及骨材選擇隨著醫療技術進步而日新月異,其中,骨板骨釘仍為最常用來治療骨折之內固定物,尤其是在粉碎性骨折、患有骨質疏鬆症之骨折、及靠近關節位置之骨折等,一般皆需要骨板骨釘等鋼材進行輔助,以加速骨折癒合。 Fracture fixation methods and bone choices change with the advancement of medical technology. Among them, bone plate bone nails are still the most commonly used internal fixation to treat fractures, especially in comminuted fractures, fractures with osteoporosis, and near Fractures at joints, etc., generally require the assistance of steel such as bone plates and bone nails to accelerate fracture healing.

而在利用骨板骨釘治療骨折時,必須先在斷裂的兩截斷骨上上分別鑽孔,然後利用骨釘將骨板鎖固在兩截斷骨之間,以做為固定斷骨 之用,但是,在斷骨上鑽孔時,必須令兩截斷骨上所鑽的孔成平行狀,如此方可利用骨釘將骨板順利鎖固在兩截斷骨上,而若斷骨上所鑽的孔並非平行,將會造成骨板無法鎖固,或鎖固後的斷骨之間產生一角度而無法順利接合。 When using a bone plate bone nail to treat a fracture, it is necessary to first drill holes in the fractured two fractured bones, and then use the bone nail to lock the bone plate between the two fractured bones as a fixed fractured bone. However, when drilling holes on broken bones, the holes drilled on the two broken bones must be parallel, so that the bone plate can be used to fix the bone plate on the two broken bones smoothly. The drilled holes are not parallel, which will cause the bone plate not to be locked, or an angle will be formed between the broken bones after the locking, which will not be able to smoothly join.

然而,目前用以輔助鑽孔的鑽孔導引器,其用以導引鑽頭的穿孔因為在鑽頭鑽孔時,需要提供血水及骨屑流出的預留空間,因此孔徑會較鑽頭的外徑稍大,但又因為鑽孔導引器的厚度較薄,造成穿孔的高度不足以將鑽頭導引為垂直穿孔的狀態,致使透過鑽孔導引器導引的鑽頭所鑽出的孔,仍會出現角度的偏差,造成必須重新鑽孔的狀況。 However, the current drilling guide used to assist the drilling, which is used to guide the perforation of the drill bit, because when the drill bit is drilled, it is necessary to provide a space for the outflow of blood and bone debris, so the hole diameter will be smaller than the outer diameter of the drill bit. Slightly larger, but because the thickness of the drilling guide is thin, the height of the perforation is not enough to guide the drill into a vertical perforation state, so that the hole drilled by the drill guided through the drilling guide is still Angle deviations may occur, resulting in a situation where drilling must be re-drilled.

由上所述,目前的鑽孔導引器仍有相當多的問題,故,本案創作人鑑於上述之問題,乃亟思加以改良創新,並經多年苦心孤詣潛心研究後,終於成功研發完成本件微創鑽孔導引器。 From the above, there are still quite a few problems with the current drilling guides. Therefore, in view of the above problems, the creator of this case was eager to improve and innovate. After years of painstaking research, he finally successfully developed this microcomputer. Create a drilling guide.

為解決上述先前技術的問題,本創作之一目的是在於提供一種可協助穩定鑽頭,避免鑽孔時產偏移的微創鑽孔導引器。 In order to solve the above-mentioned problems of the prior art, one of the objectives of the present invention is to provide a minimally invasive drilling guide that can help stabilize the drill and avoid shifting during drilling.

為達成上述目的,本創作所提供的微創鑽頭導引器主要包括一握柄,該握柄至少其中一端為操作端,該握柄的其中另一端為握持端或另一個操作端。 To achieve the above purpose, the minimally invasive drill guide provided by this creation mainly includes a grip, at least one end of which is an operating end, and the other end of the grip is a holding end or another operating end.

其中,該操作端上開設有一穿孔,該操作端底部周緣分設有複數支撐腳,該穿孔的上方設有一向操作端頂面方向延伸的導引部,且該導引部上開設有一與該穿孔連通的導引孔。 Wherein, the operating end is provided with a perforation, a plurality of supporting legs are provided at the periphery of the bottom of the operating end, and a guide portion extending toward the top surface of the operating end is provided above the perforation, and a guide portion is provided on the guide portion. Perforated communicating guide holes.

另外,且該操作端底部設有一貫穿該操作端任一相對兩邊並通過該穿孔底部的導槽,透過該導槽的設置,令鑽孔時所產生的骨屑及血水可由該導槽流出。 In addition, the bottom of the operating end is provided with a guide groove that runs through any two opposite sides of the operating end and passes through the bottom of the perforation. Through the setting of the guide groove, bone debris and blood water generated during drilling can flow out of the guide groove.

1‧‧‧握柄 1‧‧‧ grip

2‧‧‧操作端 2‧‧‧Operator

21‧‧‧穿孔 21‧‧‧perforation

22‧‧‧支撐腳 22‧‧‧ support feet

23‧‧‧導槽 23‧‧‧Guide

3‧‧‧導引部 3‧‧‧Guide

31‧‧‧導引孔 31‧‧‧Guide hole

4‧‧‧骨板 4‧‧‧ bone plate

41‧‧‧孔 41‧‧‧hole

圖1為本創作微創鑽頭導引器的立體示意圖;圖2為本創作微創鑽頭導引器之操作端的立體示意圖;圖3為本創作微創鑽頭導引器的第一使用狀態示意圖;圖4為本創作微創鑽頭導引器的第二使用狀態示意圖;以及圖5為本創作微創鑽頭導引器的第三使用狀態示意圖。 Figure 1 is a schematic perspective view of the creative minimally invasive drill guide; Figure 2 is a schematic perspective view of the operating end of the creative minimally invasive drill guide; Figure 3 is a schematic view of the first use of the creative minimally invasive drill guide; FIG. 4 is a schematic diagram of the second use state of the minimally invasive drill guide of the creation; and FIG. 5 is a schematic diagram of the third use state of the minimally invasive drill guide of the creation.

以下將描述具體之實施例以說明本創作之實施態樣,惟其並非用以限制本創作所欲保護之範疇。 The following will describe specific embodiments to illustrate the implementation of this creation, but it is not intended to limit the scope of protection of this creation.

請參閱圖1~2,本創作所提供之微創鑽頭導引器其主要包括一握柄1,該握柄1的其中一端為一操作端2,該握柄1相對操作端2之另一端為握持端11,該操作端2為一扁平的塊體,該操作端2的中間開設有一貫穿操作部2頂面及底面的穿孔21,該操作端2的底面周緣設有複數支撐腳22,且該操作端2的底面開設有一貫穿該操作端2任意相對兩邊並通過該穿孔21底部的導槽23,另外,該操作端2在該穿孔21的上方設有一向操作端2頂面方向延伸之柱狀導引部3,該導引部3中間開設有一與該穿孔21相同孔徑且相連通的導引孔31。 Please refer to FIGS. 1-2. The minimally invasive drill guide provided by this creation mainly includes a grip 1, one end of the grip 1 is an operating end 2, and the other end of the grip 1 is opposite to the operating end 2. To hold the end 11, the operation end 2 is a flat block. A hole 21 is formed in the middle of the operation end 2 and penetrates the top surface and the bottom surface of the operation portion 2. The bottom edge of the operation end 2 is provided with a plurality of supporting legs 22. The bottom of the operating end 2 is provided with a guide groove 23 penetrating through any two opposite sides of the operating end 2 and passing through the bottom of the perforation 21. In addition, the operating end 2 is provided above the perforation 21 with a direction facing the top surface of the operating end 2. The extended columnar guide portion 3 is provided with a guide hole 31 having the same hole diameter as the perforation hole 21 in the middle of the guide portion 3.

請參閱圖3~5,本創作所提供之微創鑽頭導引部使用時,將骨板4先放置在要鑽孔的骨頭(圖中未示)上,並使骨板4上的孔41對準要鑽孔的位置,接著,握住本創作之微創鑽孔導引器的握持端11,然後將操作端2底部抵在骨板4的上表面,並透過將操作端2底部的支撐腳22抵在骨板的外側邊緣,並使穿孔21對準骨板4上的孔41,接著再將鑽頭5由導引部3的導引孔31穿過穿孔21及骨板4之孔41,以利用鑽頭5在骨頭上進行鑽孔。 Please refer to Figures 3 ~ 5. When using the minimally invasive drill guide provided by this creation, place the bone plate 4 on the bone to be drilled (not shown), and make the hole 41 on the bone plate 4 Align the position to be drilled, then hold the holding end 11 of the minimally invasive drilling guide of this creation, and then press the bottom of the operation end 2 against the upper surface of the bone plate 4, and push the bottom of the operation end 2 through The supporting feet 22 rest on the outer edge of the bone plate, and align the perforation 21 with the hole 41 on the bone plate 4, and then pass the drill 5 through the perforation 21 and the bone plate 4 through the guide hole 31 of the guide 3 Hole 41 to drill a bone with a drill 5.

由上所述,本創作所提供的微創鑽孔導引器是在習知的鑽孔導引器上增加一具有導引孔31的導引部3,藉以增加鑽頭5受導引之距離,而使鑽頭5能夠更加垂直的鑽孔,減少鑽頭5鑽孔時偏擺的角度,進而控制鑽孔的角度及位置,避免斷骨兩邊所鑽的孔不平行,導致骨板4沒辦法固定斷骨而需要重新鑽孔的狀況發生。 From the above, the minimally invasive drilling guide provided by this creation is to add a guide 3 with a guide hole 31 to the conventional drilling guide, thereby increasing the guided distance of the drill 5 , So that the drill bit 5 can drill more vertically, reduce the deflection angle of the drill bit 5, and then control the angle and position of the drill hole to avoid the holes drilled on the two sides of the broken bone are not parallel, resulting in the bone plate 4 cannot be fixed Broken bones require re-drilling.

上列詳細說明係針對本創作之一可行實施例之具體說明,惟該實施例並非用以限制本創作之專利範圍,凡未脫離本創作技藝精神所為之等效實施或變更,均應包含於本案之專利範圍中。 The above detailed description is a specific description of one of the feasible embodiments of this creation, but this embodiment is not intended to limit the scope of the patent for this creation. Any equivalent implementation or change that does not depart from the spirit of this creation technique should be included in Within the scope of the patent in this case.

Claims (3)

一種微創鑽孔導引器,其主要包括:一握柄;至少一操作端,該操作端是設於該握柄之一端或兩端,該操作端包括:一穿孔,該穿孔是貫穿該操作端中心的之頂面及底面;一導引部,該導引部是設於該穿孔的上方並向操作端頂面方向延伸,且該導引部上開設有一與該穿孔連通的導引孔;複數支撐腳,該等支撐腳分設是設於該操作端底面周緣。 A minimally invasive drilling guide, which mainly includes: a grip; at least one operating end, the operating end is provided at one or both ends of the grip, the operating end includes: a perforation, the perforation is penetrated through the A top surface and a bottom surface of the center of the operating end; a guide portion provided above the perforation and extending toward the top surface of the operating end; and a guide communicating with the perforation is provided on the guide portion Holes; a plurality of support feet, which are arranged at the periphery of the bottom surface of the operating end. 如請求項1所述之微創鑽孔導引器,其中該導引部為一柱體,該導引孔與該穿孔之孔徑相同。 The minimally invasive drilling guide according to claim 1, wherein the guiding portion is a cylinder, and the guiding hole has the same hole diameter as the perforation. 如請求項1所述之微創鑽孔導引器,其中該操作端底面開設有一導槽,該導槽連通該操作端之任意相對兩面,且該導槽通過該穿孔底部。 The minimally invasive drilling guide according to claim 1, wherein a bottom surface of the operation end is provided with a guide groove, the guide groove communicates with any two opposite sides of the operation end, and the guide groove passes through the bottom of the perforation.
TW108206929U 2019-05-31 2019-05-31 Minimally invasive drilling guider TWM584175U (en)

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