WO2018010510A1 - Dispositif de correction de colonne vertébrale en trois dimensions - Google Patents

Dispositif de correction de colonne vertébrale en trois dimensions Download PDF

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Publication number
WO2018010510A1
WO2018010510A1 PCT/CN2017/087850 CN2017087850W WO2018010510A1 WO 2018010510 A1 WO2018010510 A1 WO 2018010510A1 CN 2017087850 W CN2017087850 W CN 2017087850W WO 2018010510 A1 WO2018010510 A1 WO 2018010510A1
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WO
WIPO (PCT)
Prior art keywords
seat
push
pull
dimensional ridge
supporting post
Prior art date
Application number
PCT/CN2017/087850
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English (en)
Chinese (zh)
Inventor
张益�
张吉林
Original Assignee
张益�
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.)
Filing date
Publication date
Priority claimed from CN201620743405.9U external-priority patent/CN206044788U/zh
Priority claimed from CN201610555607.5A external-priority patent/CN106109069A/zh
Application filed by 张益� filed Critical 张益�
Priority to CN201780043487.3A priority Critical patent/CN109475423A/zh
Priority to SG11201900385UA priority patent/SG11201900385UA/en
Publication of WO2018010510A1 publication Critical patent/WO2018010510A1/fr
Priority to PH12019500111A priority patent/PH12019500111A1/en

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/04—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints

Definitions

  • the invention relates to the technical field of medical instruments, in particular to a three-dimensional ridge device for treating spinal intervertebral disease and spinal health.
  • intervertebral disease Cervical spondylosis, lumbar disc herniation, thoracolumbar posterior joint disorders, spinal related diseases and other diseases of the spine intervertebral soft tissue injury referred to as intervertebral disease, is a common disease, frequently-occurring disease, seriously affecting people's health. Although the clinical manifestations of intervertebral disease are different, the etiology, pathology and treatment principles are basically the same.
  • the human orthodontic bone can only apply the force in one direction or both directions, and the force in the three-dimensional direction can not be applied to the lesion at the same time; 3) traction treatment
  • the traction devices used are various, they are all one-dimensional linear traction, only control the traction force, do not control the distance, no sudden load, and the traction force is evenly distributed among the multiple intervertebral bodies being pulled, and the positioning is not accurate. Therefore, the effects of manipulation and traction therapy are limited and the treatment period is long, which is not effective for heavier patients. It is imperative to create a three-dimensional ridge device that accurately corrects the spine in all directions.
  • the present invention provides a three-dimensional ridge device capable of increasing the health function of the spine and improving the comfort and precision of the treatment, including the pillar.
  • the head fixing device being fixed to a top end of the bracket
  • the pillar sleeve being movably fitted On the pillar, the upper end of the pillar sleeve is connected to the pillar, and the lower end of the pillar sleeve is connected to the seat;
  • the three-dimensional ridge device further comprises an impact displacement limiting device and a lateral restraining device for the spine, each The pillar sleeve is connected to a human body fixing belt, and a muscle relaxation monitoring sensing device is installed on a side of the human body fixing belt contacting the human body;
  • the plurality of pillar sleeves are connected to each other with an openable locking device;
  • the spine side The limit push-pull device can move up and down along the pillar, and perform a rapid push-pull action perpendicular to the axis of the spine;
  • the seat can be along
  • the impact displacement limiting device comprises a stepping motor and a worm wheel screw, the stepping motor is connected with a worm wheel screw; the top end of the worm wheel screw is provided with an impact resistant steel cap, the steel cap The top of the object is provided with a layer of a flexible material that is resistant to impact.
  • the impact displacement limiting device is coupled to a displacement sensor for monitoring the distance the seat is dropped.
  • the three-dimensional ridge device further includes a sleeve integral expansion device mounted between the upper end of the strut sleeve and the upper end of the strut.
  • the plurality of human body fixing straps are connected to each other with an elastic connector.
  • the head fixing device includes a head cover and a head cover rotating mechanism, the head cover rotating mechanism is fixed to a top end of the bracket and connected to the head cover; the head cover is used for fixing a skull of a patient, and the rotating mechanism of the head cover is adopted Doing a quantitative rotation, the quantitative rotation of the headgear is completed in 0.3 seconds.
  • One side of the seat is fixedly coupled with a push rod that pushes the seat to rotate, and the rotation of the seat is completed within 0.3 seconds.
  • the spine lateral limiting push-pull device comprises a push-pull limiting mechanism, an upper and lower positioning mechanism and a semi-annular horizontal positioning mechanism; the upper and lower positioning mechanism can be moved up and down along the bracket and fixed on the bracket; the push-pull
  • the limiting mechanism comprises a push-pull rod and a limit driving mechanism thereof, and a bottom of the limiting driving mechanism is movably fixed in the sliding groove of the semi-annular horizontal positioning mechanism.
  • the push-pull action of the lateral lateral push-pull device of the spine is completed within 0.3 seconds.
  • the three-dimensional ridge device further includes a seat reset mechanism that returns the seat to a starting position.
  • the three-dimensional ridge device provided by the invention overcomes the disadvantages of the treatment of the cervical vertebrae, the thoracic vertebrae and the lumbar vertebrae respectively.
  • the structure is scientific and reasonable, the three-dimensional movement is complete and accurate, the controllability is strong, the treatment course is short, the curative effect is high, the normal tissue is not damaged, there is no iatrogenic injury, no pain, safe and reliable, and the abnormal relationship between the vertebrae can be corrected, and the nerve is released.
  • the adhesion of the root to the surrounding tissue has the effect of returning to a natural state or towards a natural state.
  • the three-dimensional ridge device provided by the present invention can be used not only for the treatment of spinal intervertebral disease, but also for health care and adjustment of spinal sub-health.
  • FIG. 1 is a schematic side view showing a structure of a three-dimensional ridge device according to an embodiment of the present invention
  • FIG. 2 is a schematic front view of a three-dimensional ridge device according to an embodiment of the present invention.
  • FIG. 3 is a top plan view of a lateral restraining push-pull device of a spine according to an embodiment of the present invention
  • FIG. 4 is a schematic structural view of a seat locking mechanism in an embodiment of the present invention.
  • an embodiment of the present invention provides a three-dimensional ridge device capable of treating spinal intervertebral disease and increasing the health function of the spine and improving the comfort and precision of the treatment, including the pillar 1, the seat 2, A plurality of human body fixing straps 302, a head fixing device, a bracket 9, a plurality of strut sleeves 3, a lateral lateral limiting push-pull device 6, a sleeve integral telescopic device 304, a seat locking mechanism 10, and an impact displacement limiting device 7.
  • the head fixing device is fixed to the top end of the bracket 9, the strut sleeve 3 is movably fitted on the strut 1, and each strut sleeve 3 is connected to a human body fixing strap 302.
  • a muscle relaxation monitoring sensing device (not shown), such as a breathing sensor, is provided on a side of the human body strap 302 that contacts the human body, and the breathing sensor issues a command through the computer control system to sense the muscle relaxation, instructing the three-dimensional ridge device The action is quickly completed according to the preset operating parameters.
  • the lower end of the strut sleeve 3 is connected to the seat 2, and the upper end of the strut sleeve 3 is connected to the strut 1.
  • a plurality of pillar sleeves 3 are connected to each other with an openable locking device 301, which may be a latch or a hook.
  • an openable locking device 301 which may be a latch or a hook.
  • the strut sleeve is locked relative to the healthy segment, and is open relative to the strut cannula of the diseased vertebra, so that the patient's diseased intervertebral space is located at the segment to ensure The longitudinal impact of the ridge is mainly applied to the lesion.
  • the lateral lateral push-pull device 6 can move up and down along the strut 1 and perform a rapid push-pull action perpendicular to the axis of the spine to align the intervertebral space, so that the force of pushing and pulling acts on the intervertebral space.
  • the seat 2 is coupled to the strut 1 by bearings (not shown) and is movable up and down along the strut 1 and can be fixed by the seat lock mechanism 10.
  • the seat lock mechanism 10 is fixed between the bracket 9 and the seat 2, and the seat 2 is in a locked state in the non-treatment state, and the seat lock mechanism 10 is opened at the moment of treatment, and the seat 2 completes the quick set distance in cooperation with other acceleration forces. Shock.
  • the impact displacement limiting device 7 is located below the seat 2 for adjusting the distance at which the seat 2 falls, and the impact drop of the seat 2 is completed within 0.3 seconds.
  • the time for the impact reduction of the seat 2 is limited to 0.3 seconds, because the muscles of the human body have the characteristics of stretch reflex, the slow continuous traction will cause muscle tension, and the force will cause the muscle fiber to break, so the general traction force should not exceed the human body. 2/3 of the weight; the formation of such stretch reflection takes a certain period of time, such as rapid movement in a very short period of time (ie, the time during which the stretch reflection is not formed), no damage to the muscle fiber, no pain Moreover, the intervertebral space of the lesion can be increased, and the appropriate torsion force and shear force (also fast action) can be used to correct the dislocation of the intervertebral body in an instant. Since rapid movement requires a large force, if the movement distance is not limited and the excess energy is not released, the damage of the normal tissue is caused. Therefore, the rapid and limit movement is one of the key technologies for the implementation of the present invention.
  • an impact displacement limiting device 7 of an embodiment of the present invention includes a stepping motor (not shown) and a worm wheel screw 701.
  • the stepping motor is coupled to the worm wheel screw 701; the top end of the worm wheel screw 701 is provided with a withstand resistance.
  • the striking steel cap 702, the top end of the steel cap 702 is provided with an impact resistant flexible substance layer 705.
  • the impact displacement limiting device 7 is used to define the impact distance and release excess energy, and its lifting control can be realized by the stepper motor driving the worm gear screw 701; the flexible material can be selected from silicone rubber.
  • the impact displacement limiting device 7 of the embodiment of the present invention may be connected with a displacement sensor (not shown) for monitoring the distance at which the seat 2 falls.
  • the distance of the drop ie, the rapid impact distance of the seat 2 along the longitudinal direction of the spine
  • the distance of the drop needs to be accurately set according to the patient's height, weight, lesion location, and degree of disease.
  • the sleeve expansion device 304 of the embodiment of the invention is installed between the upper end of the strut sleeve 3 and the upper end of the strut 1 to adjust the sleeve telescopic device 304 to be used by people of different heights.
  • a plurality of elastic fastening members 303 are connected to each other between the plurality of human body fixing straps 302.
  • the elastic connecting material 303 may be woven by a plurality of rubber bands, or may be a rubber belt for maintaining the human body fixing strap 302. Positional relationship between.
  • the head fixing device comprises a head cover 4 and a head cover rotating mechanism 5, and the head cover rotating mechanism 5 is fixed to the top end of the bracket 9 and connected to the head cover 4; the head cover 4 is used for fixing the head of the patient, and is rotated by the head cover. 5
  • the headgear rotation mechanism 5 can be powered by a torque motor or a servo motor.
  • the three-dimensional ridge device of the embodiment of the present invention further includes a seat reset mechanism 305 that returns the seat 2 to the home position.
  • the seat reset mechanism 305 adopts a cam mechanism. When the seat 2 falls and touches the cam mechanism trigger switch 703 located on the impact displacement limiting device 7, the cam rotates to raise the seat 2 to the top of the cam. The seat 2 is restored to the initial locking position.
  • the seat reset mechanism 305 can also be implemented by an electromagnet mechanism or the like. The embodiment of the present invention does not specifically limit the implementation of the seat reset mechanism, as long as the seat 2 can be returned. Start locking position.
  • the lateral lateral push-pull device 6 of the embodiment of the present invention includes a push-pull limiting mechanism 601, an upper and lower positioning mechanism (not shown), and a semi-annular horizontal positioning mechanism 603.
  • the upper and lower positioning mechanisms are movable up and down along the bracket 9 and are fixed to the bracket 9.
  • the push-pull limiting mechanism 601 includes a push-pull rod 6011 and a limit driving mechanism thereof.
  • the bottom of the limit driving mechanism is movably mounted in the sliding slot 602 of the semi-annular horizontal positioning mechanism 603 and can be fixed at a certain position in the sliding slot 602. And the position corresponds to the position of the vertebrae of the lesion.
  • the push-pull rod 6011 is pushed forward and backward by the limit driving mechanism, and the push-pull rod 6011 is connected with the human body fixing belt 302.
  • the change of the force point can make the spine move back and forth, left and right or rotate, and the push-pull action of the push-pull rod 6011 should be Completed in 0.3 seconds, the vertebral bone is subjected to omnidirectional quantitative displacement correction to achieve the purpose of tending to the natural state between the vertebrae of the spine.
  • the limit drive mechanism of the push-pull rod 6011 can be realized by a linear motor or a hydraulic machine having a limit moving distance.
  • the seat locking mechanism 10 includes a telescopic torsion spring 1011, a pulling twist 1012, a wire 1013, a bolt 1014, and a fixed pulley 1015.
  • the telescopic torsion spring 1011 is sleeved on the connecting rod of the bolt 1014, and one end of the wire 1013 and the pin 1014 are The connecting rods are connected, and the other end of the wire 1013 is connected to the pulling twist 1012 via two fixed pulleys 1015.
  • the trigger twist 1012 is pulled, the bolt 1014 is contracted internally by the wire 1013, the telescopic torsion spring 1011 is pressed, the bolt 1014 is disengaged from the welded plate on the seat 2, and the seat 2 is free to fall; Release the toggle 1012, the telescopic torsion spring 1011 is reset, and the latch 1014 is extended outward; when the seat 2 is raised by the seat reset mechanism 305, the welded plate on the seat 2 hits the latch 1014, and the latch 1014 instantly contracts inwardly. The welded plate on the seat 2 passes over the latch 1014, returning the seat 2 to the starting position.
  • a heavy object may be loaded around the seat 2, or an external force driving device may be installed between the seat 2 and the impact displacement limiting device 7.
  • one side of the seat 2, such as the left side, the right side or the front side of the seat 2 is also fixedly connected with a pushable seat 2
  • the rotating push rod 204 in this embodiment, the push rod 204 is fixedly connected to the front side of the seat 2, and the seat 2 can be rotated within 0-50 degrees according to the needs of treatment or health care, and the rotation action of the seat 2 is completed within 0.3 seconds. .
  • each strut sleeve 3 is provided with a through hole through which the through hole is sleeved, and the horizontal ends of each strut sleeve 3 are bent forward (forming an approximately arch shape), each The distal ends of the two pillar sleeves 3 are connected to a human body fixing strap 302; each of the pillar sleeves 3 and a human body fixing strap 302 can be connected in various ways, for example, a button connection, a rivet connection, Stitching and other methods.
  • the patient In the correction or treatment of thoracolumbar intervertebral disease, the patient is seated on the seat 2, and according to the height of the person, the spacing between the strut sleeves 3 is adjusted using the cannula overall expansion device 304, and the human fixation band 302 fixes the thoracolumbar portions respectively. According to the height, weight, degree of lesions, lesions, etc., the distance between the seat 2 and the landing point, the rotation direction and the rotation angle of the seat 2 are adjusted to suit the needs of the treatment; the lateral limitation of the spine is adjusted.
  • the push-pull device 6 is placed at the level of the diseased vertebrae and connected with a corresponding one of the human body fixing straps 302 to determine the action point of the lateral lateral push-pull device 6 and its extension and extension; after checking, the action actuators are activated to make the seat 2
  • the fall, rotation, and lateral restraint push-pull coordination are performed synchronously to correct the intervertebral dislocation, position the vertebrae, and loosen the adhesion between the soft tissue (especially the nerve root) of the vertebrae and the surrounding tissue, so that it tends to a natural state.
  • the patient In the treatment of cervical spondylosis, the patient is seated on the seat 2, and the human body fixing strap 302 fixes the thoracolumbar portion respectively, and the distance between the seat 2 and the falling point is set and adjusted according to the height, the weight, the degree of the lesion, the lesion portion, and the like.
  • the head cover 4 fixes the head, adjusts the position of the head according to the needs of the treatment, determines the rotation direction and the rotation angle of the head sleeve rotating mechanism 5, and adapts it to the needs of the treatment; after checking the error, the action actuators are activated to make the seat fall and the head cover rotate.
  • the actions are coordinated and synchronized to achieve the purpose of treating cervical spondylosis or correcting the sub-health of the cervical spine.
  • the three-dimensional ridge device of the embodiment of the invention has the following advantages:
  • the three-dimensional ridge device of the embodiment of the present invention can be used not only for the treatment of spinal intervertebral disease, but also for health care and adjustment of spinal sub-health.

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  • Health & Medical Sciences (AREA)
  • Nursing (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

Un dispositif de correction de colonne vertébrale tridimensionnelle comprenant un montant de support (1), un siège (2), de multiples sangles de fixation de corps humain (302), un support (9), de multiples manchons de montant de support (3), des moyens de limitation et de traction /de compression latérale de la colonne vertébrale (6), et d'un mécanisme de blocage de siège (10). Les manchons de montant de support (3) étant ajustés de manière mobile sur le montant de support (1), et chaque manchon de montant de support (3) étant connecté à une sangle de fixation de corps humain (302). L'extrémité inférieure de chaque manchon de montant de support (3) étant connectée au siège (2), et l'extrémité supérieure de celui-ci étant connectée au montant de support (1). Des moyens de verrouillage (301) qui peuvent être ouverts ou fermés étant interconnectés entre les multiples manchons de montant de support (3). Les moyens de limitation et de traction /de compression latérale de la colonne vertébrale (6) pouvant se déplacer vers le haut et vers le bas le long du montant de support (1) ou étant fixé sur le montant de support (1). Le siège (2) étant connecté au montant de support (1) par l'intermédiaire d'un palier, et pouvant se déplacer vers le haut et vers le bas le long du montant de support (1). Le mécanisme de blocage du siège (10) étant fixé entre le support (9) et le siège (2), et l'impact descendant du siège (2) pouvant être terminé en 0.3s. Le dispositif de correction de colonne vertébrale tridimensionnelle est précis dans la localisation de zones traitées et avec une quantification précise des indices de mouvement.
PCT/CN2017/087850 2016-07-15 2017-06-11 Dispositif de correction de colonne vertébrale en trois dimensions WO2018010510A1 (fr)

Priority Applications (3)

Application Number Priority Date Filing Date Title
CN201780043487.3A CN109475423A (zh) 2016-07-15 2017-06-11 一种三维正脊装置
SG11201900385UA SG11201900385UA (en) 2016-07-15 2017-06-11 Three-dimensional spine correction device
PH12019500111A PH12019500111A1 (en) 2016-07-15 2019-01-15 Three-dimensional spine correction device

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
CN201610555607.5 2016-07-15
CN201620743405.9U CN206044788U (zh) 2016-07-15 2016-07-15 一种三维正脊装置
CN201610555607.5A CN106109069A (zh) 2016-07-15 2016-07-15 一种三维正脊装置
CN201620743405.9 2016-07-15

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Publication Number Publication Date
WO2018010510A1 true WO2018010510A1 (fr) 2018-01-18

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Application Number Title Priority Date Filing Date
PCT/CN2017/087850 WO2018010510A1 (fr) 2016-07-15 2017-06-11 Dispositif de correction de colonne vertébrale en trois dimensions

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PH (1) PH12019500111A1 (fr)
SG (1) SG11201900385UA (fr)
WO (1) WO2018010510A1 (fr)

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2051102U (zh) * 1989-02-26 1990-01-17 郭学亮 微机控制颈腰椎牵旋复位机
CN1440732A (zh) * 2003-02-18 2003-09-10 张吉林 一种颈椎病快速治疗仪
US20110060260A1 (en) * 2009-09-10 2011-03-10 Drexel University Cervical spine protection apparatus and methods of use
CN103371879A (zh) * 2012-04-13 2013-10-30 北京瑞德埃克森医疗投资有限公司 患者接口设备和利用患者接口设备对准毗邻颈椎骨的方法
US20140309693A1 (en) * 2011-10-09 2014-10-16 Jilin Zhang Three-dimensional spine correction robot
US20150202072A1 (en) * 2012-02-14 2015-07-23 The Methodist Hospital System Cervical spine orthosis
CN106109069A (zh) * 2016-07-15 2016-11-16 张益� 一种三维正脊装置
CN206044788U (zh) * 2016-07-15 2017-03-29 张益� 一种三维正脊装置

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2051102U (zh) * 1989-02-26 1990-01-17 郭学亮 微机控制颈腰椎牵旋复位机
CN1440732A (zh) * 2003-02-18 2003-09-10 张吉林 一种颈椎病快速治疗仪
US20110060260A1 (en) * 2009-09-10 2011-03-10 Drexel University Cervical spine protection apparatus and methods of use
US20140309693A1 (en) * 2011-10-09 2014-10-16 Jilin Zhang Three-dimensional spine correction robot
US20150202072A1 (en) * 2012-02-14 2015-07-23 The Methodist Hospital System Cervical spine orthosis
CN103371879A (zh) * 2012-04-13 2013-10-30 北京瑞德埃克森医疗投资有限公司 患者接口设备和利用患者接口设备对准毗邻颈椎骨的方法
CN106109069A (zh) * 2016-07-15 2016-11-16 张益� 一种三维正脊装置
CN206044788U (zh) * 2016-07-15 2017-03-29 张益� 一种三维正脊装置

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PH12019500111A1 (en) 2019-10-14

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