WO2017211210A1 - Ultrasound bone cutting tool - Google Patents

Ultrasound bone cutting tool Download PDF

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Publication number
WO2017211210A1
WO2017211210A1 PCT/CN2017/086368 CN2017086368W WO2017211210A1 WO 2017211210 A1 WO2017211210 A1 WO 2017211210A1 CN 2017086368 W CN2017086368 W CN 2017086368W WO 2017211210 A1 WO2017211210 A1 WO 2017211210A1
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WO
WIPO (PCT)
Prior art keywords
cutting
ultrasonic bone
bone cutter
cutter head
cutting portion
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PCT/CN2017/086368
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French (fr)
Chinese (zh)
Inventor
姜亮
战松涛
曹群
Original Assignee
江苏水木天蓬科技有限公司
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Application filed by 江苏水木天蓬科技有限公司 filed Critical 江苏水木天蓬科技有限公司
Priority to JP2018600163U priority Critical patent/JP3224960U/en
Priority to BR212018074793-4U priority patent/BR212018074793U2/en
Publication of WO2017211210A1 publication Critical patent/WO2017211210A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments

Definitions

  • the present invention relates to the field of medical device equipment, and in particular to a scalpel, and more particularly to an ultrasonic bone cutter head.
  • Ultrasonic osteotome uses high-intensity focused ultrasound to convert electrical energy into mechanical energy through a transducer. After high-frequency ultrasonic vibration, the water in the contacted tissue cells is vaporized, and the protein hydrogen bonds are broken, thereby thoroughly cutting the bone tissue that needs to be cut during surgery. damage. Since the high-intensity focused ultrasound has a destructive effect on bone tissue of a specific hardness and has a characteristic of being hard and not soft, it is particularly suitable for spinal surgery in which the periphery is a bone structure and the soft tissue in the middle is a spinal cord. Surgery with an ultrasonic bone knife can effectively prevent the occurrence of medical accidents in the spinal cord due to excessive force and accidental injury to the spinal cord, thereby improving the safety of the operation.
  • the often used ultrasonic scalpel blade is a cutting-based cutter.
  • most of these cutter heads are mainly in the shape of a straight sheet, and the direction of the blade edge is the same as the direction of the axis of the ultrasonic bone cutter head, as shown in FIG.
  • the cutting trajectory can only be carried out along the axis of the ultrasonic bone cutter head, and the vertical cutting has a good cutting effect.
  • the specific surgical conditions vary widely. For some surgical operations that require lateral cutting, due to the limited operation space, this straight-shaped knife, which is only used for longitudinal cutting, has lost its usefulness.
  • the present invention provides an ultrasonic bone cutter head comprising a cutting portion at the front end of the ultrasonic bone cutter head, a cutter rod connected at one end to the cutting portion and the other end connected to the ultrasonic osteotome transducer.
  • the cutting portion includes two cutting edges respectively located at two sides of the cutting portion and an upper cutting surface and a lower cutting surface perpendicular to and opposite to the cutting edge, the upper cutting surface and the lower cutting surface being inclined to the axis of the ultrasonic bone cutter head.
  • the curved structure of the ultrasonic bone cutter head can help the doctor to bypass the spinal cord for lateral cutting and osteotomy, and can also complete the lateral section of some invisible areas. Bone operation; when the operation space is small, the ultrasonic bone cutter head of the present invention can complete the osteotomy operation instead of the straight shape, thereby reducing the length of the incision of the operation, reducing the risk of surgery and shortening the operation time.
  • the upper cutting surface of the cutting portion and the cutter rod adopt a circular arc transition, and a concave arc is formed at the transition portion; the lower cutting surface of the cutting portion and the cutter rod adopt a circular arc transition, and A convex arc is formed at the transition.
  • the circular arc structure is a common design method for mechanical design.
  • the arc transition can avoid stress concentration on the one hand, and can facilitate the processing on the one hand, and more importantly, can effectively prevent the sharp corners of the sharp corner transition from harming the body tissue. .
  • the cutting portion is a uniform flat sheet structure in which the upper cut surface is parallel to the lower cut surface.
  • the cutting portion is a flat sheet structure, which occupies less space in space, has more room for maneuvering, and has a wider application range.
  • the cutting portion is a graded flat sheet structure which is gradually gathered toward the front end by the rear end of the cutting portion along the upper and lower cut surfaces.
  • the operator can select different shapes of ultrasonic bone cutter heads according to different needs to better complete the operation.
  • the lower cut surface is provided with a reinforcing rib which protrudes from the outer surface of the reinforcing rib.
  • the rib is a support structure of the cutting portion, which can effectively improve the service life of the ultrasonic bone cutter head.
  • the cut portion is a blade protruding from the rib, the rib does not affect the ultrasonic bone. The cutting effect of the cutter head.
  • one of the two cutting edges is provided with a knife Teeth; preferably, the two blades are respectively provided with teeth.
  • the setting of the teeth allows the medical staff to better grip the cutting surface and perform the cutting quickly.
  • the end of the cutting portion is a circular arc structure or a planar structure, which can effectively prevent the sharp corner from harming the body tissue.
  • a thread is provided at the tail end of the cutter bar.
  • the threaded setting is used to tightly attach the ultrasonic bone cutter head to the ultrasonic bone knife transducer.
  • the embodiment of the invention has the advantages that the ultrasonic bone cutter head of the invention has the advantages of simple structure, convenient processing, flexible operation and wide application range.
  • the curved structure of the ultrasonic bone cutter head can help the doctor to bypass the spinal cord for lateral cutting and osteotomy, and can also complete the lateral section of some invisible areas. Bone operation; when the operation space is small, the ultrasonic bone cutter head of the present invention can complete the osteotomy operation instead of the straight shape, thereby reducing the length of the incision of the operation, reducing the risk of surgery and shortening the operation time.
  • Figure 1 is a perspective view of a first embodiment of an ultrasonic bone cutter head of the present invention
  • Figure 2 is a front elevational view showing the first embodiment of the ultrasonic bone cutter head of the present invention
  • Figure 3 is a top plan view of a first embodiment of the ultrasonic bone cutter head of the present invention.
  • FIG. 4 is a perspective view of a second embodiment of the ultrasonic bone cutter head of the present invention.
  • Figure 5 is a front elevational view of a prior art straight-shaped ultrasonic bone cutter head
  • 6A is a schematic view showing a first state when spinal surgery is performed using the ultrasonic bone cutter head of the present invention
  • 6B is a schematic view showing a second state when performing spinal surgery using the ultrasonic bone cutter head of the present invention.
  • Fig. 6C is a schematic view showing the state of bone tissue after spinal surgery using the ultrasonic bone cutter head of the present invention.
  • connection In the description of the present invention, it should be noted that the terms “installation”, “connected”, and “connected” are to be understood broadly, and may be fixed or detachable, for example, unless otherwise explicitly defined and defined. Connected, or integrally connected; can be mechanical or electrical; can be directly connected, or indirectly connected through an intermediate medium, can be the internal communication of the two components.
  • Connected, or integrally connected can be mechanical or electrical; can be directly connected, or indirectly connected through an intermediate medium, can be the internal communication of the two components.
  • the specific meaning of the above terms in the present invention can be understood in a specific case by those skilled in the art.
  • FIG. 1 is a perspective view of a first embodiment of an ultrasonic bone cutter head of the present invention
  • FIG. 2 is a front elevational view of the first embodiment of the ultrasonic bone cutter head of the present invention.
  • the ultrasonic bone cutter head of the present invention comprises a cutting portion 1 at the front end of the ultrasonic bone cutter head, and a knife connected at one end to the cutting portion 1 and at the other end to the ultrasonic bone knife transducer.
  • Rod 2 is a front elevational view of the first embodiment of the ultrasonic bone cutter head of the present invention
  • the cutting portion 1 comprises a cutting edge 3 respectively located on both sides of the cutting portion 1 and an upper cutting surface 4 and a lower cutting surface 5 perpendicular to and opposite to the cutting edge 3, the upper cutting surface 4 and the lower cutting surface 5 being inclined to the axis of the ultrasonic bone cutter head.
  • the curved structure of the ultrasonic bone cutter head can help the doctor to bypass the spinal cord for lateral cutting and osteotomy, and can also complete the lateral section of some invisible areas. Bone operation; when the operation space is small, the ultrasonic bone cutter head of the present invention can complete the osteotomy operation instead of the straight shape, thereby reducing the length of the incision of the operation, reducing the risk of surgery and shortening the operation time.
  • the upper cutting surface 4 of the cutting portion 1 of the ultrasonic bone cutter head of the present invention and the knife bar 2 adopt a circular arc transition, and a concave arc 6 is formed at the transition portion; the lower cutting surface 5 of the cutting portion 1 and the knife
  • the rod 2 adopts a circular arc transition and forms a convex arc 7 at the transition.
  • the circular arc structure is a common design method for mechanical design.
  • the arc transition can avoid stress concentration, and on the other hand, it is easy to process. More importantly, it can effectively prevent the sharp corners of the sharp corners from being damaged to the body tissue. .
  • the cutting portion 1 may also be a uniform flat sheet structure in which the upper cutting surface 4 and the lower cutting surface 5 are parallel.
  • the cutting portion 1 having a flat sheet structure occupies less space in space, has a larger space for swirling, and has a wider application range.
  • the cutting portion 1 may be a graded flat sheet structure which gradually gathers from the rear end of the cutting portion 1 along the generatrices of the upper cut surface 4 and the lower cut surface 5 toward the front end. That is, the cutting portion 1 may be a graded flat sheet structure in which the upper cut surface 4 and the lower cut surface 5 gradually approach from the rear end toward the front end of the cut portion 1. The operator can select different shapes of ultrasonic bone cutter heads according to different needs to better complete the operation.
  • the ultrasonic bone cutter head of the present invention may be provided with the cutter teeth 9 on the one-side cutting edge 3, or the cutter teeth 9 may be respectively formed on the double-sided cutting edge 3.
  • the teeth 9 are formed by a plurality of grooves spaced apart by a certain distance. The arrangement of the teeth 9 enables the medical staff to better grip the cutting surface and perform the cutting quickly when cutting.
  • FIG. 4 is a perspective view of a second embodiment of the ultrasonic bone cutter head of the present invention.
  • a rib 8 is provided on the lower section 5 of the ultrasonic bone cutter head, and the blade 3 protrudes from the outer surface of the rib 8.
  • the strong rib 8 is a supporting structure of the cutting portion 1, which can effectively improve the service life of the ultrasonic bone cutter head, and at the same time, since the portion to be cut is the blade edge 3 protruding from the rib 8, the rib 8 Does not affect the cutting effect of the ultrasonic bone cutter head.
  • the end of the cutting portion 1 has a circular arc structure or a planar structure, which can effectively prevent the sharp corner from harming the body tissue.
  • a thread 10 is formed at the trailing end of the cutter bar 2.
  • the ultrasonic bone cutter head is securely attached to the ultrasonic osteotome transducer by threads 10 during surgery.
  • FIG. 6A is a schematic view showing a first state when spinal surgery is performed using the ultrasonic bone cutter head of the present invention
  • FIG. 6B is a second state diagram when performing spinal surgery using the ultrasonic bone cutter head of the present invention
  • FIG. 6C is a schematic view of the present invention.
  • the curved structure of the ultrasonic bone cutter head can help the doctor to bypass the spinal cord for lateral cutting and osteotomy, and can also be completed. Transverse osteotomy for certain invisible areas.
  • the ultrasonic bone cutter head of the present invention can complete the osteotomy operation instead of the straight shape, thereby reducing the length of the incision of the operation, reducing the risk of surgery and shortening the operation time. This situation is difficult to achieve with the prior art straight-form ultrasonic bone cutter head shown in FIG.

Abstract

An ultrasound bone cutting tool, comprising a cutting portion (1) provided at a front end of the ultrasound bone cutting tool, and a shaft (2) connected to the cutting portion (1) and to an ultrasound bone cutter transducer. The cutting portion (1) comprises two blades (3) disposed on two sides of the cutting portion (1), and an upper cutting surface (4) and a lower cutting surface (5) disposed opposite each other and perpendicular to the blade (3). The upper cutting surface (4) and lower cutting surface (5) are provided at an angle to the axis of the ultrasound bone cutting tool. The ultrasound bone cutting tool has a simple structure, is easy to process, can be flexibly operated, and provides a wide range of use. When performing a specific surgery using the ultrasound bone cutting tool, a bent structure of the ultrasound bone cutting tool can help a physician complete an operation that cannot be achieved by means of a straight blade. The invention reduces the length of a surgical wound, reduces surgical risks, and shortens a surgical duration.

Description

一种超声骨刀刀头Ultrasonic bone cutter head 技术领域Technical field
本发明涉及医疗器械设备领域,特别是涉及一种手术刀,尤其是涉及一种超声骨刀刀头。The present invention relates to the field of medical device equipment, and in particular to a scalpel, and more particularly to an ultrasonic bone cutter head.
背景技术Background technique
在现代社会中,随着医疗技术的发展,骨科手术呈现多样化趋势,相应地,实施手术时,需要针对不同的骨科病情采用不同形状的手术刀头对患处进行切割、磨削、刮疗、夹持等操作。In modern society, with the development of medical technology, orthopedic surgery presents a diversified trend. Accordingly, when performing surgery, it is necessary to use different scalpel heads for different orthopedic conditions to cut, grind and cure the affected area. Clamp and other operations.
针对骨骼结构的特殊构造,结合近年来不断发展的超声技术,超声骨刀逐渐成为现代骨科手术的主要工具。超声骨刀利用高强度聚焦超声波,通过换能器将电能转化为机械能,经高频超声震荡,使所接触的组织细胞内水分汽化,蛋白氢键断裂,从而将手术中需要切割的骨组织彻底破坏。由于该高强度聚焦超声波只对特定硬度的骨组织具有破坏作用,具有切硬不切软的特性,因而特别适用于外围为骨骼结构,中间为脊髓这种柔软组织的脊柱手术。利用超声骨刀进行手术可以有效地防止手术中由于用力过猛,不小心伤到脊髓的医疗事故的发生,从而提高手术安全性。In response to the special construction of bone structure, combined with the development of ultrasound technology in recent years, ultrasonic bone knife has gradually become the main tool for modern orthopedic surgery. Ultrasonic osteotome uses high-intensity focused ultrasound to convert electrical energy into mechanical energy through a transducer. After high-frequency ultrasonic vibration, the water in the contacted tissue cells is vaporized, and the protein hydrogen bonds are broken, thereby thoroughly cutting the bone tissue that needs to be cut during surgery. damage. Since the high-intensity focused ultrasound has a destructive effect on bone tissue of a specific hardness and has a characteristic of being hard and not soft, it is particularly suitable for spinal surgery in which the periphery is a bone structure and the soft tissue in the middle is a spinal cord. Surgery with an ultrasonic bone knife can effectively prevent the occurrence of medical accidents in the spinal cord due to excessive force and accidental injury to the spinal cord, thereby improving the safety of the operation.
在骨科手术中,经常使用的超声骨刀的片形刀头是一种以切割为主的刀头。但是目前这类刀头多是以直片形为主,其刀刃方向与超声骨刀刀头轴线方向相同,如图5所示。其切割轨迹只能沿超声骨刀刀头轴线方向进行,进行竖直切割具有很好的切割效果。但具体的手术情况千差万别,针对某些需要横向切割的手术操作,由于手术操作空间所限,这种只为纵切而生的直片形刀就失去了用武之地。In orthopedic surgery, the often used ultrasonic scalpel blade is a cutting-based cutter. However, at present, most of these cutter heads are mainly in the shape of a straight sheet, and the direction of the blade edge is the same as the direction of the axis of the ultrasonic bone cutter head, as shown in FIG. The cutting trajectory can only be carried out along the axis of the ultrasonic bone cutter head, and the vertical cutting has a good cutting effect. However, the specific surgical conditions vary widely. For some surgical operations that require lateral cutting, due to the limited operation space, this straight-shaped knife, which is only used for longitudinal cutting, has lost its usefulness.
发明内容 Summary of the invention
为解决现有技术的问题,本发明提供一种超声骨刀刀头,包括位于超声骨刀刀头前端的切割部、一端与切割部连接而另一端与超声骨刀换能器相连的刀杆,切割部包括分别位于切割部两侧的两个刀刃以及与刀刃垂直并且相对设置的上切面与下切面,上切面和下切面倾斜于超声骨刀刀头的轴线。In order to solve the problems of the prior art, the present invention provides an ultrasonic bone cutter head comprising a cutting portion at the front end of the ultrasonic bone cutter head, a cutter rod connected at one end to the cutting portion and the other end connected to the ultrasonic osteotome transducer. The cutting portion includes two cutting edges respectively located at two sides of the cutting portion and an upper cutting surface and a lower cutting surface perpendicular to and opposite to the cutting edge, the upper cutting surface and the lower cutting surface being inclined to the axis of the ultrasonic bone cutter head.
使用本发明的超声骨刀刀头进行特定手术时,由于超声骨刀刀头的弯曲结构,能够帮助医生绕过脊髓进行横向的切割截骨操作,也可以完成对某些不可见区域的横向截骨操作;当操作空间较小时,本发明的超声骨刀刀头能够代替直片形完成截骨操作,从而缩小了手术的切口长度,降低了手术风险,缩短了手术时间。When using the ultrasonic bone cutter head of the present invention for a specific operation, the curved structure of the ultrasonic bone cutter head can help the doctor to bypass the spinal cord for lateral cutting and osteotomy, and can also complete the lateral section of some invisible areas. Bone operation; when the operation space is small, the ultrasonic bone cutter head of the present invention can complete the osteotomy operation instead of the straight shape, thereby reducing the length of the incision of the operation, reducing the risk of surgery and shortening the operation time.
根据本发明的超声骨刀刀头,优选为,切割部的上切面与刀杆采用圆弧过渡,并在过渡处形成内凹弧;切割部的下切面与刀杆采用圆弧过渡,并在过渡处形成外凸弧。圆弧结构为机械设计的常用设计手段,采用圆弧过渡一方面可以避免应力集中,在一方面可以便于加工,更为重要的是,可以有效防止尖角过渡的尖锐边角对机体组织的伤害。According to the ultrasonic bone cutter head of the present invention, preferably, the upper cutting surface of the cutting portion and the cutter rod adopt a circular arc transition, and a concave arc is formed at the transition portion; the lower cutting surface of the cutting portion and the cutter rod adopt a circular arc transition, and A convex arc is formed at the transition. The circular arc structure is a common design method for mechanical design. The arc transition can avoid stress concentration on the one hand, and can facilitate the processing on the one hand, and more importantly, can effectively prevent the sharp corners of the sharp corner transition from harming the body tissue. .
根据本发明的超声骨刀刀头,优选为,切割部为上切面与下切面平行的均匀扁片结构。切割部为扁片结构,在空间上占用的位置更少,能够回旋的余地更大,具有更广阔的应用范围。According to the ultrasonic bone cutter head of the present invention, preferably, the cutting portion is a uniform flat sheet structure in which the upper cut surface is parallel to the lower cut surface. The cutting portion is a flat sheet structure, which occupies less space in space, has more room for maneuvering, and has a wider application range.
根据本发明的超声骨刀刀头,优选为,切割部为由切割部后端沿上切面和下切面的母线逐渐向前端收拢的渐变扁片结构。操作人员可以根据不同需要选用不同形状的超声骨刀刀头,来更好的完成手术。According to the ultrasonic bone cutter head of the present invention, preferably, the cutting portion is a graded flat sheet structure which is gradually gathered toward the front end by the rear end of the cutting portion along the upper and lower cut surfaces. The operator can select different shapes of ultrasonic bone cutter heads according to different needs to better complete the operation.
根据本发明的超声骨刀刀头,优选为,下切面设置有加强筋,刀刃凸出于加强筋的外表面。加强筋为切割部的支撑结构,它可以有效地提高超声骨刀刀头的使用寿命,与此同时,由于完成切割的部分为凸出于加强筋的刀刃,因此,加强筋不会影响超声骨刀刀头的切割效果。According to the ultrasonic bone cutter head of the present invention, it is preferable that the lower cut surface is provided with a reinforcing rib which protrudes from the outer surface of the reinforcing rib. The rib is a support structure of the cutting portion, which can effectively improve the service life of the ultrasonic bone cutter head. At the same time, since the cut portion is a blade protruding from the rib, the rib does not affect the ultrasonic bone. The cutting effect of the cutter head.
根据本发明的超声骨刀刀头,优选为,两个刀刃中的一个刀刃上开设有刀 齿;优选地,两个刀刃上分别开设有刀齿。刀齿的设置使得医护人员在进行切割时更好地把持切割面,并快速地完成切割。According to the ultrasonic bone cutter head of the present invention, preferably, one of the two cutting edges is provided with a knife Teeth; preferably, the two blades are respectively provided with teeth. The setting of the teeth allows the medical staff to better grip the cutting surface and perform the cutting quickly.
根据本发明的超声骨刀刀头,优选为,切割部端头为圆弧结构或平面结构,可以有效地防止尖角对机体组织的伤害。According to the ultrasonic bone cutter head of the present invention, preferably, the end of the cutting portion is a circular arc structure or a planar structure, which can effectively prevent the sharp corner from harming the body tissue.
根据本发明的超声骨刀刀头,优选为,在刀杆的尾端开设有螺纹。螺纹的设置用于将超声骨刀刀头紧密连接在超声骨刀换能器上。According to the ultrasonic bone cutter head of the present invention, preferably, a thread is provided at the tail end of the cutter bar. The threaded setting is used to tightly attach the ultrasonic bone cutter head to the ultrasonic bone knife transducer.
与现有技术相比,本发明实施例的优点在于:本发明中的超声骨刀刀头结构简单,加工方便,操作灵活,使用范围广。使用本发明的超声骨刀刀头进行特定手术时,由于超声骨刀刀头的弯曲结构,能够帮助医生绕过脊髓进行横向的切割截骨操作,也可以完成对某些不可见区域的横向截骨操作;当操作空间较小时,本发明的超声骨刀刀头能够代替直片形完成截骨操作,从而缩小了手术的切口长度,降低了手术风险,缩短了手术时间。Compared with the prior art, the embodiment of the invention has the advantages that the ultrasonic bone cutter head of the invention has the advantages of simple structure, convenient processing, flexible operation and wide application range. When using the ultrasonic bone cutter head of the present invention for a specific operation, the curved structure of the ultrasonic bone cutter head can help the doctor to bypass the spinal cord for lateral cutting and osteotomy, and can also complete the lateral section of some invisible areas. Bone operation; when the operation space is small, the ultrasonic bone cutter head of the present invention can complete the osteotomy operation instead of the straight shape, thereby reducing the length of the incision of the operation, reducing the risk of surgery and shortening the operation time.
附图说明DRAWINGS
为了更清楚地说明本发明具体实施方式或现有技术中的技术方案,下面将对具体实施方式或现有技术描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图是本发明的一些实施方式,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to more clearly illustrate the specific embodiments of the present invention or the technical solutions in the prior art, the drawings to be used in the specific embodiments or the description of the prior art will be briefly described below, and obviously, the attached in the following description The drawings are some embodiments of the present invention, and those skilled in the art can obtain other drawings based on these drawings without any creative work.
图1为本发明的超声骨刀刀头的第一实施例的立体示意图;Figure 1 is a perspective view of a first embodiment of an ultrasonic bone cutter head of the present invention;
图2为本发明的超声骨刀刀头的第一实施例的主视示意图;Figure 2 is a front elevational view showing the first embodiment of the ultrasonic bone cutter head of the present invention;
图3为本发明的超声骨刀刀头的第一实施例的俯视示意图;Figure 3 is a top plan view of a first embodiment of the ultrasonic bone cutter head of the present invention;
图4为本发明的超声骨刀刀头的第二实施例的立体示意图。4 is a perspective view of a second embodiment of the ultrasonic bone cutter head of the present invention.
图5是现有技术的直片形超声骨刀刀头的主视示意图;Figure 5 is a front elevational view of a prior art straight-shaped ultrasonic bone cutter head;
图6A是利用本发明的超声骨刀刀头进行脊柱手术时的第一状态示意图;6A is a schematic view showing a first state when spinal surgery is performed using the ultrasonic bone cutter head of the present invention;
图6B是利用本发明的超声骨刀刀头进行脊柱手术时的第二状态示意图;6B is a schematic view showing a second state when performing spinal surgery using the ultrasonic bone cutter head of the present invention;
图6C是利用本发明的超声骨刀刀头进行脊柱手术后的骨组织状态示意图。 Fig. 6C is a schematic view showing the state of bone tissue after spinal surgery using the ultrasonic bone cutter head of the present invention.
附图标记:Reference mark:
1~切割部;2~刀杆;3~刀刃;4~上切面;5~下切面;6~内凹弧;7~外凸弧;8~加强筋;9~刀齿;10~螺纹。1 to cutting section; 2 to shank; 3 to blade; 4 to upper section; 5 to lower section; 6 to inner concave arc; 7 to outer convex arc; 8 to rib;
具体实施方式detailed description
下面将结合附图对本发明的技术方案进行清楚、完整地描述,显然,所描述的实施例是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The technical solutions of the present invention will be clearly and completely described in the following with reference to the accompanying drawings. It is obvious that the described embodiments are a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments obtained by those skilled in the art based on the embodiments of the present invention without creative efforts are within the scope of the present invention.
在本发明的描述中,需要说明的是,术语“中心”、“上”、“下”、“左”、“右”、“竖直”、“水平”、“内”、“外”等指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述本发明和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本发明的限制。此外,术语“第一”、“第二”、“第三”仅用于描述目的,而不能理解为指示或暗示相对重要性。In the description of the present invention, it is to be noted that the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inside", "outside", etc. The orientation or positional relationship of the indications is based on the orientation or positional relationship shown in the drawings, and is merely for the convenience of the description of the invention and the simplified description, rather than indicating or implying that the device or component referred to has a specific orientation, in a specific orientation. The construction and operation are therefore not to be construed as limiting the invention. Moreover, the terms "first," "second," and "third" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.
在本发明的描述中,需要说明的是,除非另有明确的规定和限定,术语“安装”、“相连”、“连接”应做广义理解,例如,可以是固定连接,也可以是可拆卸连接,或一体地连接;可以是机械连接,也可以是电连接;可以是直接相连,也可以通过中间媒介间接相连,可以是两个元件内部的连通。对于本领域的普通技术人员而言,可以具体情况理解上述术语在本发明中的具体含义。In the description of the present invention, it should be noted that the terms "installation", "connected", and "connected" are to be understood broadly, and may be fixed or detachable, for example, unless otherwise explicitly defined and defined. Connected, or integrally connected; can be mechanical or electrical; can be directly connected, or indirectly connected through an intermediate medium, can be the internal communication of the two components. The specific meaning of the above terms in the present invention can be understood in a specific case by those skilled in the art.
图1为本发明的超声骨刀刀头的第一实施例的立体示意图,图2为本发明的超声骨刀刀头的第一实施例的主视示意图。如图1、图2所示,本发明的超声骨刀刀头包括位于超声骨刀刀头前端的切割部1、以及一端与切割部1连接而另一端与超声骨刀换能器相连的刀杆2。切割部1包括分别位于切割部1两侧的刀刃3以及与刀刃3垂直并且相对设置的上切面4与下切面5,上切面4和下切面5倾斜于超声骨刀刀头的轴线。 1 is a perspective view of a first embodiment of an ultrasonic bone cutter head of the present invention, and FIG. 2 is a front elevational view of the first embodiment of the ultrasonic bone cutter head of the present invention. As shown in FIG. 1 and FIG. 2, the ultrasonic bone cutter head of the present invention comprises a cutting portion 1 at the front end of the ultrasonic bone cutter head, and a knife connected at one end to the cutting portion 1 and at the other end to the ultrasonic bone knife transducer. Rod 2. The cutting portion 1 comprises a cutting edge 3 respectively located on both sides of the cutting portion 1 and an upper cutting surface 4 and a lower cutting surface 5 perpendicular to and opposite to the cutting edge 3, the upper cutting surface 4 and the lower cutting surface 5 being inclined to the axis of the ultrasonic bone cutter head.
使用本发明的超声骨刀刀头进行特定手术时,由于超声骨刀刀头的弯曲结构,能够帮助医生绕过脊髓进行横向的切割截骨操作,也可以完成对某些不可见区域的横向截骨操作;当操作空间较小时,本发明的超声骨刀刀头能够代替直片形完成截骨操作,从而缩小了手术的切口长度,降低了手术风险,缩短了手术时间。When using the ultrasonic bone cutter head of the present invention for a specific operation, the curved structure of the ultrasonic bone cutter head can help the doctor to bypass the spinal cord for lateral cutting and osteotomy, and can also complete the lateral section of some invisible areas. Bone operation; when the operation space is small, the ultrasonic bone cutter head of the present invention can complete the osteotomy operation instead of the straight shape, thereby reducing the length of the incision of the operation, reducing the risk of surgery and shortening the operation time.
如图2所示,本发明的超声骨刀刀头的切割部1的上切面4与刀杆2采用圆弧过渡,并在过渡处形成内凹弧6;切割部1的下切面5与刀杆2采用圆弧过渡,并在过渡处形成外凸弧7。圆弧结构为机械设计的常用设计手段,采用圆弧过渡一方面可以避免应力集中,在一方面也便于加工,更为重要的是,可以有效防止以尖锐棱角过渡的尖锐棱角对机体组织的伤害。As shown in FIG. 2, the upper cutting surface 4 of the cutting portion 1 of the ultrasonic bone cutter head of the present invention and the knife bar 2 adopt a circular arc transition, and a concave arc 6 is formed at the transition portion; the lower cutting surface 5 of the cutting portion 1 and the knife The rod 2 adopts a circular arc transition and forms a convex arc 7 at the transition. The circular arc structure is a common design method for mechanical design. On the one hand, the arc transition can avoid stress concentration, and on the other hand, it is easy to process. More importantly, it can effectively prevent the sharp corners of the sharp corners from being damaged to the body tissue. .
本发明的超声骨刀刀头中,切割部1也可以是上切面4与下切面5平行的均匀扁片结构。具有扁片结构的切割部1在空间上占用的位置更少,能够回旋的空间更大,具有更广阔的应用范围。In the ultrasonic bone cutter head of the present invention, the cutting portion 1 may also be a uniform flat sheet structure in which the upper cutting surface 4 and the lower cutting surface 5 are parallel. The cutting portion 1 having a flat sheet structure occupies less space in space, has a larger space for swirling, and has a wider application range.
本发明的超声骨刀刀头中,切割部1可以是从切割部1后端沿上切面4和下切面5的母线逐渐向前端收拢的渐变扁片结构。也就是说,切割部1可以是上切面4和下切面5随着从切割部1后端向前端而逐渐靠近的渐变扁片结构。操作人员可以根据不同需要选用不同形状的超声骨刀刀头,来更好的完成手术。In the ultrasonic bone cutter head of the present invention, the cutting portion 1 may be a graded flat sheet structure which gradually gathers from the rear end of the cutting portion 1 along the generatrices of the upper cut surface 4 and the lower cut surface 5 toward the front end. That is, the cutting portion 1 may be a graded flat sheet structure in which the upper cut surface 4 and the lower cut surface 5 gradually approach from the rear end toward the front end of the cut portion 1. The operator can select different shapes of ultrasonic bone cutter heads according to different needs to better complete the operation.
图3为本发明的超声骨刀刀头的第一实施例的俯视示意图。如图1、图3所示,本发明的超声骨刀刀头可以在单侧刀刃3上开设有刀齿9,也可以在双侧刀刃3上分别开设有刀齿9。刀齿9由多个凹槽间隔一定距离形成。刀齿9的设置使得医护人员在进行切割时能够更好地把持切割面,并快速地完成切割。3 is a top plan view of a first embodiment of an ultrasonic bone cutter head of the present invention. As shown in FIG. 1 and FIG. 3, the ultrasonic bone cutter head of the present invention may be provided with the cutter teeth 9 on the one-side cutting edge 3, or the cutter teeth 9 may be respectively formed on the double-sided cutting edge 3. The teeth 9 are formed by a plurality of grooves spaced apart by a certain distance. The arrangement of the teeth 9 enables the medical staff to better grip the cutting surface and perform the cutting quickly when cutting.
图4为本发明的超声骨刀刀头的第二实施例的立体示意图。图4中,在超声骨刀刀头的下切面5设置有加强筋8,刀刃3凸出于加强筋8的外表面。加 强筋8为切割部1的支撑结构,它可以有效地提高超声骨刀刀头的使用寿命,与此同时,由于实施切割的部分为凸出于加强筋8的刀刃3,因此,加强筋8不会影响超声骨刀刀头的切割效果。4 is a perspective view of a second embodiment of the ultrasonic bone cutter head of the present invention. In Fig. 4, a rib 8 is provided on the lower section 5 of the ultrasonic bone cutter head, and the blade 3 protrudes from the outer surface of the rib 8. Plus The strong rib 8 is a supporting structure of the cutting portion 1, which can effectively improve the service life of the ultrasonic bone cutter head, and at the same time, since the portion to be cut is the blade edge 3 protruding from the rib 8, the rib 8 Does not affect the cutting effect of the ultrasonic bone cutter head.
本发明的超声骨刀刀头中,切割部1端头为圆弧结构或平面结构,可以有效地防止尖角对机体组织的伤害。In the ultrasonic bone cutter head of the present invention, the end of the cutting portion 1 has a circular arc structure or a planar structure, which can effectively prevent the sharp corner from harming the body tissue.
本发明的超声骨刀刀头中,在刀杆2的尾端开设有螺纹10。手术中通过螺纹10将超声骨刀刀头可靠地连接在超声骨刀换能器上。In the ultrasonic bone cutter head of the present invention, a thread 10 is formed at the trailing end of the cutter bar 2. The ultrasonic bone cutter head is securely attached to the ultrasonic osteotome transducer by threads 10 during surgery.
图6A是利用本发明的超声骨刀刀头进行脊柱手术时的第一状态示意图,图6B是利用本发明的超声骨刀刀头进行脊柱手术时的第二状态示意图,图6C是利用本发明的超声骨刀刀头进行脊柱手术后的骨组织状态示意图。如图6A~图6C所示,使用本发明的超声骨刀刀头进行特定手术时,由于超声骨刀刀头的弯曲结构,能够帮助医生绕过脊髓进行横向的切割截骨操作,也可以完成对某些不可见区域的横向截骨操作。当操作空间较小时,本发明的超声骨刀刀头能够代替直片形完成截骨操作,从而缩小了手术的切口长度,降低了手术风险,缩短了手术时间。这种情况对于图5所示的现有技术的直片形超声骨刀刀头来说,是很难实现的。6A is a schematic view showing a first state when spinal surgery is performed using the ultrasonic bone cutter head of the present invention, and FIG. 6B is a second state diagram when performing spinal surgery using the ultrasonic bone cutter head of the present invention, and FIG. 6C is a schematic view of the present invention. Schematic diagram of the bone tissue state after spinal surgery performed by the ultrasonic bone cutter head. As shown in FIG. 6A to FIG. 6C, when the specific operation is performed by using the ultrasonic bone cutter head of the present invention, the curved structure of the ultrasonic bone cutter head can help the doctor to bypass the spinal cord for lateral cutting and osteotomy, and can also be completed. Transverse osteotomy for certain invisible areas. When the operation space is small, the ultrasonic bone cutter head of the present invention can complete the osteotomy operation instead of the straight shape, thereby reducing the length of the incision of the operation, reducing the risk of surgery and shortening the operation time. This situation is difficult to achieve with the prior art straight-form ultrasonic bone cutter head shown in FIG.
最后应说明的是:以上各实施例仅用以说明本发明的技术方案,而非对其限制;尽管参照前述各实施例对本发明进行了详细的说明,本领域的普通技术人员应当理解:其依然可以对前述各实施例所记载的技术方案进行修改,或者对其中部分或者全部技术特征进行等同替换;而这些修改或者替换,并不使相应技术方案的本质脱离本发明各实施例技术方案的范围。 Finally, it should be noted that the above embodiments are merely illustrative of the technical solutions of the present invention, and are not intended to be limiting; although the present invention has been described in detail with reference to the foregoing embodiments, those skilled in the art will understand that The technical solutions described in the foregoing embodiments may be modified, or some or all of the technical features may be equivalently replaced; and the modifications or substitutions do not deviate from the technical solutions of the embodiments of the present invention. range.

Claims (10)

  1. 一种超声骨刀刀头,包括位于所述超声骨刀刀头前端的切割部、以及一端与所述切割部连接而另一端与超声骨刀换能器相连的刀杆,其特征在于,An ultrasonic bone cutter head comprising a cutting portion at a front end of the ultrasonic bone cutter head, and a cutter rod having one end connected to the cutting portion and the other end connected to the ultrasonic osteotome transducer, wherein
    所述切割部包括分别位于所述切割部两侧的两个刀刃以及与所述刀刃垂直并且相对设置的上切面与下切面,所述上切面和所述下切面倾斜于所述超声骨刀刀头的轴线。The cutting portion includes two cutting edges respectively located at two sides of the cutting portion and an upper cutting surface and a lower cutting surface perpendicular and opposite to the cutting edge, the upper cutting surface and the lower cutting surface being inclined to the ultrasonic bone cutter The axis of the head.
  2. 根据权利要求1所述的超声骨刀刀头,其特征在于,The ultrasonic bone cutter bit according to claim 1, wherein
    所述切割部的上切面与所述刀杆采用圆弧过渡,并在过渡处形成内凹弧。The upper cutting surface of the cutting portion and the arbor are arc-transitioned, and a concave arc is formed at the transition.
  3. 根据权利要求1所述的超声骨刀刀头,其特征在于,The ultrasonic bone cutter bit according to claim 1, wherein
    所述切割部的下切面与所述刀杆采用圆弧过渡,并在过渡处形成外凸弧。The lower cut surface of the cutting portion and the arbor adopt a circular arc transition, and form a convex arc at the transition.
  4. 根据权利要求1至3中任意一项所述的超声骨刀刀头,其特征在于,The ultrasonic bone cutter head according to any one of claims 1 to 3, characterized in that
    所述切割部为所述上切面与所述下切面平行的扁片结构。The cutting portion is a flat sheet structure in which the upper cutting surface is parallel to the lower cutting surface.
  5. 根据权利要求1至3中任意一项所述的超声骨刀刀头,其特征在于,The ultrasonic bone cutter head according to any one of claims 1 to 3, characterized in that
    所述切割部为从所述切割部后端沿所述上切面和所述下切面的母线逐渐向前端收拢的渐变扁片结构。The cutting portion is a graded flat sheet structure that gradually gathers from the rear end of the cutting portion along the bus bar of the upper cutting surface and the lower cutting surface toward the front end.
  6. 根据权利要求1至3中任意一项所述的超声骨刀刀头,其特征在于,The ultrasonic bone cutter head according to any one of claims 1 to 3, characterized in that
    所述下切面设置有加强筋,所述刀刃凸出于所述加强筋的外表面。The lower cutting surface is provided with a reinforcing rib protruding from the outer surface of the reinforcing rib.
  7. 根据权利要求1所述的超声骨刀刀头,其特征在于,The ultrasonic bone cutter bit according to claim 1, wherein
    所述两个刀刃中的一个刀刃上开设有刀齿。One of the two cutting edges is provided with a cutter tooth.
  8. 根据权利要求1所述的超声骨刀刀头,其特征在于,The ultrasonic bone cutter bit according to claim 1, wherein
    所述两个刀刃上分别开设有刀齿。The two cutting edges are respectively provided with teeth.
  9. 根据权利要求1所述的超声骨刀刀头,其特征在于, The ultrasonic bone cutter bit according to claim 1, wherein
    所述切割部端头为圆弧结构。The cutting end has a circular arc structure.
  10. 根据权利要求1所述的超声骨刀刀头,其特征在于,The ultrasonic bone cutter bit according to claim 1, wherein
    在所述刀杆的尾端开设有螺纹,在所述刀杆的外周设置有夹持面。 A thread is formed at a tail end of the arbor, and a clamping surface is provided on an outer circumference of the shank.
PCT/CN2017/086368 2016-06-08 2017-05-27 Ultrasound bone cutting tool WO2017211210A1 (en)

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