WO2019184783A1 - Ultrasonic osteotome head - Google Patents

Ultrasonic osteotome head Download PDF

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Publication number
WO2019184783A1
WO2019184783A1 PCT/CN2019/078884 CN2019078884W WO2019184783A1 WO 2019184783 A1 WO2019184783 A1 WO 2019184783A1 CN 2019078884 W CN2019078884 W CN 2019078884W WO 2019184783 A1 WO2019184783 A1 WO 2019184783A1
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WIPO (PCT)
Prior art keywords
grinding
cutter head
ultrasonic bone
bone cutter
grinding portion
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PCT/CN2019/078884
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French (fr)
Chinese (zh)
Inventor
姜亮
曹群
战松涛
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江苏水木天蓬科技有限公司
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Publication of WO2019184783A1 publication Critical patent/WO2019184783A1/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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3209Incision instruments

Definitions

  • the present invention relates to the field of medical devices, and in particular to a scalpel, and more particularly to an ultrasonic bone cutter head.
  • the present invention provides an ultrasonic bone cutter head comprising a grinding portion at a front end of an ultrasonic bone cutter head, a blade body coupled to the transducer, and a joint for grinding the blade portion and the blade body.
  • the shank and the grinding portion have a trapezoidal structure, and the long side of the trapezoidal structure of the grinding portion forms an edge of the front end of the ultrasonic bone cutter head, and the short side of the trapezoidal structure is connected with the shank, and the grinding portion includes the grinding portion.
  • the grinding surface on the upper side and the bottom surface on the lower side of the grinding portion are provided with grinding grooves on the grinding surface.
  • the long side and the side of the trapezoidal structure of the grinding portion have an arc-shaped transition.
  • the bottom surface of the grinding portion is a smooth bottom surface.
  • the grinding portion is bent upward with respect to the holder.
  • the grinding surface of the grinding portion has a circular arc surface and protrudes upward.
  • the grinding portion of the grinding portion has a smooth transition to the grinding surface of the grinding portion.
  • the grinding groove is a lateral groove opened in a direction perpendicular to the axis of the holder.
  • the surface of the grinding portion is formed as a guillotine surface, and the grinding groove is a sipe groove.
  • the cutter bar and the blade body are formed in a hollow structure, and a water injection hole is formed in the grinding portion.
  • the cutter body is provided with a wrench position for clamping.
  • the ultrasonic bone cutter head of the invention has the advantages of simple structure, convenient processing, flexible operation and wide application range. By using the ultrasonic bone cutter head of the present invention, it is possible to safely remove the deep deep skeleton of the inside without damaging the spinal cord during the sneak decompression operation.
  • the cutter head has a good visual field of operation, safe and convenient operation, reduces the risk of surgery, and shortens the operation time.
  • FIG. 1 is a perspective view of an ultrasonic bone cutter head according to a first embodiment of the present invention
  • FIG. 2 is a top plan view of an ultrasonic bone cutter head according to a first embodiment of the present invention
  • FIG. 3 is a front elevational view showing an ultrasonic bone cutter head according to a first embodiment of the present invention
  • FIG. 4 is a perspective view of an ultrasonic bone cutter head according to a second embodiment of the present invention.
  • Fig. 5 is a top plan view of an ultrasonic bone cutter head according to a second embodiment 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 meanings of the above terms in the present invention can be understood on a case-by-case basis.
  • FIGS. 1 to 3 show an ultrasonic bone cutter head according to a first embodiment of the present invention.
  • 1 is a perspective view of an ultrasonic bone cutter head according to a first embodiment of the present invention
  • FIG. 2 is a top plan view of an ultrasonic bone cutter head according to a first embodiment of the present invention
  • FIG. 3 is an ultrasonic bone according to a first embodiment of the present invention.
  • the ultrasonic bone cutter head according to the first embodiment of the present invention includes a grinding portion 1 at the front end of the ultrasonic bone cutter head, a blade body 3 connected to the transducer, and a grinding body for grinding.
  • the blade 2 connected to the blade 1 and the blade body 3 has a trapezoidal structure, and the long side 4 of the trapezoidal structure of the grinding portion 1 forms the edge of the front end of the ultrasonic bone cutter head, and the trapezoidal structure of the grinding portion 1
  • the short side 5 is connected to the shank 2, and the grinding section 1 includes a grinding surface 7 on the upper side of the grinding section 1 and a bottom surface 8 on the lower side of the grinding section 1, and a grinding machine is provided on the grinding surface 7.
  • Slot 9 9.
  • the ultrasonic bone cutter head according to the first embodiment of the present invention can safely remove the deep internal iliac crest without damaging the spinal cord.
  • the front wide and rear narrow structure of the ultrasonic bone cutter head of the present invention allows the operator to observe the surgical position from the rear end without obstructing the visual field, greatly improving the reliability and safety of the surgical operation.
  • the grinding surface 7 is the main working surface of the ultrasonic bone cutter head of the present invention, and the grinding groove 9 formed on the grinding surface 7 can maximize the energy generated by the ultrasonic transducer to be concentrated in the working part of the operation.
  • the cutting edge of the tool has the strongest energy output for the strongest working effect.
  • the long side 4 and the side edge 6 of the trapezoidal structure of the grinding portion 1 of the ultrasonic bone cutter head according to the first embodiment of the present invention are transitioned in an arc shape.
  • the structure with a circular arc transition can minimize the concentration of stress on one point, thus avoiding the damage of stress concentration on the body tissue.
  • the bottom surface 8 of the grinding portion 1 is a smooth bottom surface, thereby avoiding scratching of the soft tissue when the bottom surface 8 contacts the soft tissue.
  • the grinding portion 1 may be bent upward with respect to the cutter bar 2, thereby facilitating the surgical operation to be wound around the spinal cord.
  • the grinding surface 7 of the grinding portion 1 has a circular arc surface and protrudes upward.
  • the upwardly convex circular arc-shaped grinding surface 7 can be better contacted with the osteophytes that need to be ground for effective grinding.
  • the bottom surface 8 of the grinding portion 1 smoothly transitions to the grinding surface 7 of the grinding portion 1, and the smooth transition structure is for the operator and the surgery.
  • the patient has a good protective effect.
  • the grinding groove 9 is a lateral groove opened in a direction perpendicular to the axis of the holder 2.
  • the opening direction of the lateral groove is perpendicular to the axial direction of the shank 2, and in a general surgical operation, the operator usually holds the ultrasonic bone knives to reciprocate in the axial direction of the shank 2. In this way, the lateral grooves repeatedly scrape the epiphyses alternately, so that the osteophytes can be effectively removed.
  • FIG. 4 to 5 show an ultrasonic bone cutter head according to a second embodiment of the present invention.
  • 4 is a perspective view of an ultrasonic bone cutter head according to a second embodiment of the present invention
  • FIG. 5 is a top plan view of the ultrasonic bone cutter head according to the second embodiment of the present invention.
  • the ultrasonic bone cutter head according to the second embodiment of the present invention is substantially the same as the ultrasonic bone cutter head according to the first embodiment of the present invention, except that the ultrasonic method according to the second embodiment of the present invention is used.
  • the grinding surface 7 is formed like a trowel surface, and the grinding groove 9 is formed as a grooving groove, and the structural features of the groove of the grooving groove are more favorable for scraping the bone stalk from different directions. And it is more conducive to protecting tissues from accidental damage.
  • the grinding groove 9 of the grinding surface 7 is not a structure in which only the lateral groove can be adopted, and any type of grinding structure capable of grinding the bone can be used. Both can be used as the shape of the grinding groove 9, such as a wave groove, a twill groove, and the like.
  • the blade body 3 is provided with a wrench bit 10 for holding the ultrasonic bone cutter head, thereby facilitating the operator to use the tool to apply the ultrasonic bone cutter of the present invention.
  • the cutter head is screwed onto the transducer to increase the reliability of its work.
  • the number of the wrench bits 10 of the ultrasonic bone cutter head is an even number, and the two pairs are symmetrically arranged, so that the tools such as a wrench can be used for clamping and tightening.
  • a thread (not shown) for connection to the transducer is provided on the blade body 3.
  • the thread may be an external thread or an internal thread, and the ultrasonic bone cutter head of the present invention adopts an internal thread structure.
  • the cutter bar 2 may have a hollow structure, and a water injection hole (not shown) may be formed in a portion of the cutter bar 2 near the grinding portion 1.
  • the rinse liquid is directly injected into the grinding section 1.
  • a water injection hole can also be formed in the grinding portion 1.
  • the ultrasonic cutter head has a hollow structure, and the grinding portion has a water injection hole to ensure that the perfusion liquid flows out from the portion of the cutter bar 2 near the grinding portion 1, and can fully inject water, and the entire cutter head and the contact are contacted during the operation.
  • the tissue is completely in the cleaning and cooling of the perfusate in real time, which further reduces the risk of surgery and improves the safety and success rate of the operation.
  • the embodiment of the invention has the advantages that the ultrasonic bone cutter head has the advantages of simple structure, convenient processing, flexible operation and wide application range.
  • the use of the ultrasonic bone cutter head of the present invention can safely remove deep bones inside the spine without injuring the spinal cord.
  • the grinding surface 7 is the main working surface of the ultrasonic bone cutter head of the present invention, and the grinding groove 9 formed thereon can maximize the concentration of ultrasonic energy in the grinding portion where the cutter head and the tissue are released.
  • the front and rear narrow structure of the ultrasonic bone cutter head of the present invention allows the operator to view the surgical field from the rear end without obstructing the visual field, thereby greatly improving the reliability and safety of the surgical operation.

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgical Instruments (AREA)

Abstract

Disclosed in the present invention is an ultrasonic osteotome head, comprising a grinding part positioned at the front end of the ultrasonic osteotome head, an osteotome body connected to a transducer, and an osteotome barrel used to connect the grinding part and the osteotome body. The grinding part has a trapezoidal structure, the long side of the trapezoidal structure of the grinding part forming the edge of the front end of the ultrasonic osteotome head, and the short side of the trapezoidal structure connecting to the osteotome barrel. The grinding part comprises a grinding face positioned on the upper side of the grinding part and a bottom face positioned on the lower side of the grinding part, the grinding face being provided with grinding grooves. When the ultrasonic osteotome head of the present invention is used in conducting subcutaneous decompression, osteophytes can be safely removed from deep inside the body without injuring the spinal cord. The ultrasonic osteotome head of the present invention offers a simple structure, easy processing, and flexibility in operation, and has broad application.

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领域,特别是涉及一种手术刀,尤其涉及一种超声骨刀刀头。The present invention relates to the field of medical devices, 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磨削、刮疗、夹持等操作。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。在骨科手术中,经常使用的超声骨刀的打磨用刀头是一种匙形或球形刀头,但是目前这类刀头只适合表层的打薄和骨组织刮除,不适合针对潜行减压的操作。In modern society, with the development of medical technology, orthopedic surgery presents a diversified trend. Correspondingly, when performing surgery, it is necessary to use different scalpel heads for different orthopedic conditions to grind, cure, and clamp the affected area. Wait for the operation. 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. In orthopedic surgery, the often used ultrasonic bone cutter is a spoon-shaped or spherical cutter head, but currently this type of cutter head is only suitable for surface thinning and bone scraping, and is not suitable for sneak decompression. Operation.
发明内容Summary of the invention
针对现有技术存在的问题,本发明提供一种超声骨刀刀头,包括位于超声骨刀刀头的前端的磨削部、与换能器连接的刀身以及用于连接磨削部和刀身的刀杆,磨削部为梯形结构,磨削部的梯形结构的长边形成超声骨刀刀头的前端的边缘,梯形结构的短边与刀杆相连接,磨削部包括位于磨削部的上侧的磨削面以及位于磨削部的下侧的底面,在磨削面上开设有磨槽。In view of the problems existing in the prior art, the present invention provides an ultrasonic bone cutter head comprising a grinding portion at a front end of an ultrasonic bone cutter head, a blade body coupled to the transducer, and a joint for grinding the blade portion and the blade body. The shank and the grinding portion have a trapezoidal structure, and the long side of the trapezoidal structure of the grinding portion forms an edge of the front end of the ultrasonic bone cutter head, and the short side of the trapezoidal structure is connected with the shank, and the grinding portion includes the grinding portion. The grinding surface on the upper side and the bottom surface on the lower side of the grinding portion are provided with grinding grooves on the grinding surface.
本发明的超声骨刀刀头中,优选为,磨削部的梯形结构的长边与侧边呈圆弧状过渡。In the ultrasonic bone cutter head of the present invention, it is preferable that the long side and the side of the trapezoidal structure of the grinding portion have an arc-shaped transition.
本发明的超声骨刀刀头中,优选为,磨削部的底面为光滑底面。In the ultrasonic bone cutter head of the present invention, it is preferable that the bottom surface of the grinding portion is a smooth bottom surface.
本发明的超声骨刀刀头中,优选为,磨削部相对于刀杆向上弯曲。In the ultrasonic bone cutter head of the present invention, preferably, the grinding portion is bent upward with respect to the holder.
本发明的超声骨刀刀头中,优选为,磨削部的磨削面呈圆弧面且向上凸出。In the ultrasonic bone cutter head of the present invention, it is preferable that the grinding surface of the grinding portion has a circular arc surface and protrudes upward.
本发明的超声骨刀刀头中,优选为,磨削部的底面向磨削部的磨削面平滑过渡。In the ultrasonic bone cutter head of the present invention, it is preferable that the grinding portion of the grinding portion has a smooth transition to the grinding surface of the grinding portion.
本发明的超声骨刀刀头中,优选为,磨槽为沿与刀杆轴线垂直的方向开设的横槽。In the ultrasonic bone cutter head of the present invention, preferably, the grinding groove is a lateral groove opened in a direction perpendicular to the axis of the holder.
本发明的超声骨刀刀头中,优选为,磨削部的表面形成为锉刀面,磨槽为锉面槽。In the ultrasonic bone cutter head of the present invention, preferably, the surface of the grinding portion is formed as a guillotine surface, and the grinding groove is a sipe groove.
本发明的超声骨刀刀头中,优选为,刀杆和所述刀身形成为中空结构,在磨削部形成有注水孔。In the ultrasonic bone cutter head of the present invention, preferably, the cutter bar and the blade body are formed in a hollow structure, and a water injection hole is formed in the grinding portion.
本发明的超声骨刀刀头中,优选为,刀身上设置有用于夹持的扳手位。In the ultrasonic bone cutter head of the present invention, preferably, the cutter body is provided with a wrench position for clamping.
本发明中的超声骨刀刀头的结构简单,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在进行潜行减压操作时,能够在不伤及脊髓的情况下安全去除内部的深层次的骨赘。该刀头操作视野良好,操作安全方便,降低了手术风险,缩短了手术时间。The ultrasonic bone cutter head of the invention has the advantages of simple structure, convenient processing, flexible operation and wide application range. By using the ultrasonic bone cutter head of the present invention, it is possible to safely remove the deep deep skeleton of the inside without damaging the spinal cord during the sneak decompression operation. The cutter head has a good visual field of operation, safe and convenient operation, reduces the risk of surgery, and shortens 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的介绍,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 following description of the drawings used in the specific embodiments or the description of the prior art will be briefly introduced, 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为本发明第一实施方式的超声骨刀刀头的立体示意图;1 is a perspective view of an ultrasonic bone cutter head according to a first embodiment of the present invention;
图2为本发明第一实施方式的超声骨刀刀头的俯视示意图;2 is a top plan view of an ultrasonic bone cutter head according to a first embodiment of the present invention;
图3为本发明第一实施方式的超声骨刀刀头的主视示意图;3 is a front elevational view showing an ultrasonic bone cutter head according to a first embodiment of the present invention;
图4为本发明第二实施方式的超声骨刀刀头的立体示意图;4 is a perspective view of an ultrasonic bone cutter head according to a second embodiment of the present invention;
图5为本发明第二实施方式的超声骨刀刀头的俯视示意图。Fig. 5 is a top plan view of an ultrasonic bone cutter head according to a second embodiment of the present invention.
附图标记:Reference mark:
1~磨削部,2~刀杆,3~刀身,4~长边,5~短边,6~侧边,7~磨削面,8~底面,9~磨槽,10~扳手位。1 to grinding section, 2 to shank, 3 to blade, 4 to long side, 5 to short side, 6 to side, 7 to grinding surface, 8 to bottom, 9 to grinding groove, and 10 to wrench.
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,可以根据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. For those skilled in the art, the specific meanings of the above terms in the present invention can be understood on a case-by-case basis.
下面通过具体的实施例子并结合附图对本发明做进一步的详细描述。图1至图3示出了本发明第一实施方式的超声骨刀刀头。图1为本发明第一实施方式的超声骨刀刀头的立体示意图,图2为本发明第一实施方式的超声骨刀刀头的俯视示意图,图3为本发明第一实施方式的超声骨刀刀头的主视示意图。如图1~图3所示,本发明第一实施方式的超声骨刀刀头包括位于超声骨刀刀头前端的磨削部1、与换能器连接的刀身3、以及用于将磨削部1和刀身3连接的刀杆2,磨削部1为梯形结构,磨削部1的梯形结构的长边4形成了超声骨刀刀头的前端的边缘,磨削部1的梯形结构的短边5与刀杆2相连接,磨削部1包括位于磨削部1的上侧的磨削面7以及位于磨削部1的下侧的底面8,在磨削面7上开设有磨槽9。The present invention will be further described in detail below through specific embodiments and in conjunction with the accompanying drawings. 1 to 3 show an ultrasonic bone cutter head according to a first embodiment of the present invention. 1 is a perspective view of an ultrasonic bone cutter head according to a first embodiment of the present invention, FIG. 2 is a top plan view of an ultrasonic bone cutter head according to a first embodiment of the present invention, and FIG. 3 is an ultrasonic bone according to a first embodiment of the present invention. A schematic view of the cutter head. As shown in FIGS. 1 to 3, the ultrasonic bone cutter head according to the first embodiment of the present invention includes a grinding portion 1 at the front end of the ultrasonic bone cutter head, a blade body 3 connected to the transducer, and a grinding body for grinding. The blade 2 connected to the blade 1 and the blade body 3 has a trapezoidal structure, and the long side 4 of the trapezoidal structure of the grinding portion 1 forms the edge of the front end of the ultrasonic bone cutter head, and the trapezoidal structure of the grinding portion 1 The short side 5 is connected to the shank 2, and the grinding section 1 includes a grinding surface 7 on the upper side of the grinding section 1 and a bottom surface 8 on the lower side of the grinding section 1, and a grinding machine is provided on the grinding surface 7. Slot 9.
在进行潜行减压手术操作时,本发明第一实施方式的超声骨刀刀头能够在不伤及脊髓的情况下,安全去除内部深层次的骨赘。同时,本发明的超声骨刀刀头的前宽后窄的结构使得操作人员从后端观察手术位置时,视野不受阻挡,极大地提高了手术操作的可靠性和安全性。磨削面7为本发明的超声骨刀刀头的主要工作面,在磨削面7上开设的磨槽9能够将超声换能器所产生的能量最大限度地汇聚于手术中的工作部位,使刀具的刀前端部分具有最强的能量输出,达到最强的工作效果。When performing the sneak decompression operation, the ultrasonic bone cutter head according to the first embodiment of the present invention can safely remove the deep internal iliac crest without damaging the spinal cord. At the same time, the front wide and rear narrow structure of the ultrasonic bone cutter head of the present invention allows the operator to observe the surgical position from the rear end without obstructing the visual field, greatly improving the reliability and safety of the surgical operation. The grinding surface 7 is the main working surface of the ultrasonic bone cutter head of the present invention, and the grinding groove 9 formed on the grinding surface 7 can maximize the energy generated by the ultrasonic transducer to be concentrated in the working part of the operation. The cutting edge of the tool has the strongest energy output for the strongest working effect.
如图1至图3所示,本发明第一实施方式的超声骨刀刀头的磨削部1的梯形结构的长边4与侧边6以圆弧状过渡。以圆弧状过渡的结构可以最大限度地避免应力集中于一点,从而避免应力集中对机体组织的伤害。As shown in FIGS. 1 to 3, the long side 4 and the side edge 6 of the trapezoidal structure of the grinding portion 1 of the ultrasonic bone cutter head according to the first embodiment of the present invention are transitioned in an arc shape. The structure with a circular arc transition can minimize the concentration of stress on one point, thus avoiding the damage of stress concentration on the body tissue.
本发明第一实施方式的超声骨刀刀头中,磨削部1的底面8为光滑底面,从而避免了底面8接触软组织时对软组织的刮伤。In the ultrasonic bone cutter head according to the first embodiment of the present invention, the bottom surface 8 of the grinding portion 1 is a smooth bottom surface, thereby avoiding scratching of the soft tissue when the bottom surface 8 contacts the soft tissue.
如图2所示,本发明第一实施方式的超声骨刀刀头中,也可以是,磨削部1相对于刀杆2向上弯曲,由此便于绕到脊髓后方进行手术操作。As shown in Fig. 2, in the ultrasonic bone cutter head according to the first embodiment of the present invention, the grinding portion 1 may be bent upward with respect to the cutter bar 2, thereby facilitating the surgical operation to be wound around the spinal cord.
本发明第一实施方式的超声骨刀刀头中,优选为,磨削部1的磨削面7呈圆弧面且向上凸出。向上凸出的圆弧形的磨削面7可以更好地与需要被磨削的骨赘进行接触,从而进行有效磨削。In the ultrasonic bone cutter head according to the first embodiment of the present invention, it is preferable that the grinding surface 7 of the grinding portion 1 has a circular arc surface and protrudes upward. The upwardly convex circular arc-shaped grinding surface 7 can be better contacted with the osteophytes that need to be ground for effective grinding.
本发明第一实施方式的超声骨刀刀头中,如图1所示,磨削部1的底面8向磨削部1的磨削面7平滑过渡,平滑过渡的结构会对操作人员和手术患者起到良好的保护作用。In the ultrasonic bone cutter head according to the first embodiment of the present invention, as shown in Fig. 1, the bottom surface 8 of the grinding portion 1 smoothly transitions to the grinding surface 7 of the grinding portion 1, and the smooth transition structure is for the operator and the surgery. The patient has a good protective effect.
本发明第一实施方式的超声骨刀刀头中,优选为,磨槽9为沿与刀杆2的轴线相垂直的方向所开设的横槽。横槽的开设方向与刀杆2的轴线方向垂直,而在一般的手术操作中,操作者通常会握持超声骨刀沿刀杆2的轴线方向往复运动。如此,横槽会反复交替地磨刮骨赘,从而能够有效地将骨赘除下。In the ultrasonic bone cutter head according to the first embodiment of the present invention, it is preferable that the grinding groove 9 is a lateral groove opened in a direction perpendicular to the axis of the holder 2. The opening direction of the lateral groove is perpendicular to the axial direction of the shank 2, and in a general surgical operation, the operator usually holds the ultrasonic bone knives to reciprocate in the axial direction of the shank 2. In this way, the lateral grooves repeatedly scrape the epiphyses alternately, so that the osteophytes can be effectively removed.
图4~图5示出了本发明第二实施方式的超声骨刀刀头。图4为本发明第二实施方式的超声骨刀刀头的立体示意图,图5为本发明第二实施方式的超声骨刀刀头的俯视示意图。如图4~图5所示,本发明第二实施方式的超声骨刀刀头与本发明第一实施方式的超声骨刀刀头基本相同,不同之处在于,本发明第二实施方式的超声骨刀刀头中,磨削面7形成为类似锉刀的表面,相应地磨槽9形成为锉面槽,锉面槽的槽齿的结构特征更利于将骨赘从不同方向上刮磨下来,并且更利于保护组织免受意外损伤。4 to 5 show an ultrasonic bone cutter head according to a second embodiment of the present invention. 4 is a perspective view of an ultrasonic bone cutter head according to a second embodiment of the present invention, and FIG. 5 is a top plan view of the ultrasonic bone cutter head according to the second embodiment of the present invention. As shown in FIG. 4 to FIG. 5, the ultrasonic bone cutter head according to the second embodiment of the present invention is substantially the same as the ultrasonic bone cutter head according to the first embodiment of the present invention, except that the ultrasonic method according to the second embodiment of the present invention is used. In the bone cutter head, the grinding surface 7 is formed like a trowel surface, and the grinding groove 9 is formed as a grooving groove, and the structural features of the groove of the grooving groove are more favorable for scraping the bone stalk from different directions. And it is more conducive to protecting tissues from accidental damage.
另外,本发明第二实施方式的超声骨刀刀头中,磨削面7的磨槽9并不是只能采取横槽这一种结构,凡是能够将骨赘磨下的任何形式的磨削结构都可以作为磨槽9的形状,例如波浪槽、斜纹槽等等。Further, in the ultrasonic bone cutter head according to the second embodiment of the present invention, the grinding groove 9 of the grinding surface 7 is not a structure in which only the lateral groove can be adopted, and any type of grinding structure capable of grinding the bone can be used. Both can be used as the shape of the grinding groove 9, such as a wave groove, a twill groove, and the like.
本发明第二实施方式的超声骨刀刀头中,优选为,刀身3上设置有用于夹持超声骨刀刀头的扳手位10,由此可以方便操作人员使用工具将本发明的超声骨刀刀头旋紧在换能器上,从而提高其工作的可靠性。优选为,超声骨刀刀头的扳手位10的数量为偶数个,且两两对称设置,便于采用扳手等工具进行夹持、拧紧等操作。在刀身3上开设有用于与换能器连接的螺纹(图中未示出)。螺纹可以是外螺纹也可以是内螺纹,本发明的超声骨刀刀头采用内螺纹结构。In the ultrasonic bone cutter head according to the second embodiment of the present invention, preferably, the blade body 3 is provided with a wrench bit 10 for holding the ultrasonic bone cutter head, thereby facilitating the operator to use the tool to apply the ultrasonic bone cutter of the present invention. The cutter head is screwed onto the transducer to increase the reliability of its work. Preferably, the number of the wrench bits 10 of the ultrasonic bone cutter head is an even number, and the two pairs are symmetrically arranged, so that the tools such as a wrench can be used for clamping and tightening. A thread (not shown) for connection to the transducer is provided on the blade body 3. The thread may be an external thread or an internal thread, and the ultrasonic bone cutter head of the present invention adopts an internal thread structure.
本发明的第一、第二实施方式的超声骨刀刀头中,刀杆2也可以为中空 结构,并且可以在刀杆2的靠近磨削部1的部位开设注水孔(未图示),将冲洗液直接注到磨削部1。也可以在磨削部1上开设注水孔。超声刀刀头为中空结构,磨削部上有注水孔,可确保灌注液由刀杆2的靠近磨削部1的部位流出,能够充分注水,手术时使整个刀头头部和接触到的组织实时地完全处于灌注液的清洗和冷却中,使手术风险进一步降低,手术安全性、成功率得到提高。In the ultrasonic bone cutter head according to the first and second embodiments of the present invention, the cutter bar 2 may have a hollow structure, and a water injection hole (not shown) may be formed in a portion of the cutter bar 2 near the grinding portion 1. The rinse liquid is directly injected into the grinding section 1. A water injection hole can also be formed in the grinding portion 1. The ultrasonic cutter head has a hollow structure, and the grinding portion has a water injection hole to ensure that the perfusion liquid flows out from the portion of the cutter bar 2 near the grinding portion 1, and can fully inject water, and the entire cutter head and the contact are contacted during the operation. The tissue is completely in the cleaning and cooling of the perfusate in real time, which further reduces the risk of surgery and improves the safety and success rate of the operation.
与现有技术相比,本发明的实施例的优点在于,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能够在不伤及脊髓的情况下安全去除脊柱内部深层次的骨赘。磨削面7为本发明的超声骨刀刀头的主要工作面,在其上开设的磨槽9能够最大限度地将超声波能量汇聚于刀头与组织解除的磨削部位。同时,本发明的超声骨刀刀头前宽后窄的结构使得操作人员从后端看向手术位置时,视野不受阻挡,极大地提高了手术操作的可靠性及安全性。Compared with the prior art, the embodiment of the invention has the advantages that the ultrasonic bone cutter head has the advantages of simple structure, convenient processing, flexible operation and wide application range. The use of the ultrasonic bone cutter head of the present invention can safely remove deep bones inside the spine without injuring the spinal cord. The grinding surface 7 is the main working surface of the ultrasonic bone cutter head of the present invention, and the grinding groove 9 formed thereon can maximize the concentration of ultrasonic energy in the grinding portion where the cutter head and the tissue are released. At the same time, the front and rear narrow structure of the ultrasonic bone cutter head of the present invention allows the operator to view the surgical field from the rear end without obstructing the visual field, thereby greatly improving the reliability and safety of the surgical operation.
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。The above embodiments are only used to illustrate the technical solutions of the present invention, and are not limited thereto. Although the present invention has been described in detail with reference to the foregoing embodiments, it will be understood by those of ordinary skill in the art that the technical solutions described in the foregoing embodiments may be modified or equivalently substituted for some or all of the technical features. The modifications and substitutions of the present invention do not depart from the scope of the technical solutions of the embodiments of the present invention.

Claims (10)

  1. 一种超声骨刀刀头,包括位于所述超声骨刀刀头的前端的磨削部、与超声换能器连接的刀身、以及连接所述磨削部和所述刀身的刀杆,其特征在于,An ultrasonic bone cutter head comprising a grinding portion at a front end of the ultrasonic bone cutter head, a blade body coupled to the ultrasonic transducer, and a knife bar connecting the grinding portion and the blade body, characterized Yes,
    所述磨削部为梯形结构,所述磨削部的梯形结构的长边形成所述超声骨刀刀头的前端边缘,所述梯形结构的短边与所述刀杆相连,所述磨削部包括位于所述磨削部的上侧的磨削面以及位于所述磨削部的下侧的底面,在所述磨削面上开设有磨槽。The grinding portion is a trapezoidal structure, and a long side of the trapezoidal structure of the grinding portion forms a front end edge of the ultrasonic bone cutter head, and a short side of the trapezoidal structure is connected to the cutter bar, the grinding The portion includes a grinding surface on an upper side of the grinding portion and a bottom surface on a lower side of the grinding portion, and a grinding groove is formed in the grinding surface.
  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
    所述磨削部的梯形结构的长边与侧边呈圆弧过渡。The long side and the side of the trapezoidal structure of the grinding portion have a circular arc transition.
  3. 根据权利要求1或2所述的超声骨刀刀头,其特征在于,The ultrasonic bone cutter head according to claim 1 or 2, wherein
    所述磨削部的底面为光滑底面。The bottom surface of the grinding portion is a smooth bottom surface.
  4. 根据权利要求1或2所述的超声骨刀刀头,其特征在于,The ultrasonic bone cutter head according to claim 1 or 2, wherein
    所述磨削部相对于所述刀杆向上弯曲。The grinding portion is bent upward relative to the arbor.
  5. 根据权利要求1或2所述的超声骨刀刀头,其特征在于,The ultrasonic bone cutter head according to claim 1 or 2, wherein
    所述磨削部的磨削面呈圆弧面且向上凸出。The ground surface of the grinding portion has a circular arc surface and protrudes upward.
  6. 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
    所述磨削部的底面向所述磨削部的磨削面平滑过渡。The bottom of the grinding portion smoothly transitions toward the grinding surface of the grinding portion.
  7. 根据权利要求1或2所述的超声骨刀刀头,其特征在于,The ultrasonic bone cutter head according to claim 1 or 2, wherein
    所述磨槽为沿与所述刀杆轴线垂直的方向开设的横槽。The grinding groove is a lateral groove that is opened in a direction perpendicular to the axis of the shank.
  8. 根据权利要求1或2所述的超声骨刀刀头,其特征在于,The ultrasonic bone cutter head according to claim 1 or 2, wherein
    所述磨削部的表面形成为锉刀面,所述磨槽为锉面槽。The surface of the grinding portion is formed as a guillotine surface, and the grinding groove is a kneading groove.
  9. 根据权利要求1或2所述的超声骨刀刀头,其特征在于,The ultrasonic bone cutter head according to claim 1 or 2, wherein
    所述刀杆和所述刀身形成为中空结构,在所述磨削部形成有注水孔。The shank and the blade body are formed in a hollow structure, and a water injection hole is formed in the grinding portion.
  10. 根据权利要求1或2所述的超声骨刀刀头,其特征在于,The ultrasonic bone cutter head according to claim 1 or 2, wherein
    所述刀身上设置有用于夹持的扳手位。The cutter body is provided with a wrench bit for clamping.
PCT/CN2019/078884 2018-03-30 2019-03-20 Ultrasonic osteotome head WO2019184783A1 (en)

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