WO2020125605A1 - Negative pressure suction-type bone cement injection device and injection method - Google Patents

Negative pressure suction-type bone cement injection device and injection method Download PDF

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Publication number
WO2020125605A1
WO2020125605A1 PCT/CN2019/125864 CN2019125864W WO2020125605A1 WO 2020125605 A1 WO2020125605 A1 WO 2020125605A1 CN 2019125864 W CN2019125864 W CN 2019125864W WO 2020125605 A1 WO2020125605 A1 WO 2020125605A1
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WO
WIPO (PCT)
Prior art keywords
cylinder
bone cement
needle tube
button
cover
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Application number
PCT/CN2019/125864
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French (fr)
Chinese (zh)
Inventor
蔡金朝
Original Assignee
艾科美医疗器械(深圳)有限公司
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Publication of WO2020125605A1 publication Critical patent/WO2020125605A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8802Equipment for handling bone cement or other fluid fillers
    • A61B17/8805Equipment for handling bone cement or other fluid fillers for introducing fluid filler into bone or extracting it
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8802Equipment for handling bone cement or other fluid fillers
    • A61B17/8805Equipment for handling bone cement or other fluid fillers for introducing fluid filler into bone or extracting it
    • A61B17/8819Equipment for handling bone cement or other fluid fillers for introducing fluid filler into bone or extracting it characterised by the introducer proximal part, e.g. cannula handle, or by parts which are inserted inside each other, e.g. stylet and cannula
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8802Equipment for handling bone cement or other fluid fillers
    • A61B17/8805Equipment for handling bone cement or other fluid fillers for introducing fluid filler into bone or extracting it
    • A61B17/8825Equipment for handling bone cement or other fluid fillers for introducing fluid filler into bone or extracting it characterised by syringe details
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8802Equipment for handling bone cement or other fluid fillers
    • A61B17/8833Osteosynthesis tools specially adapted for handling bone cement or fluid fillers; Means for supplying bone cement or fluid fillers to introducing tools, e.g. cartridge handling means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8802Equipment for handling bone cement or other fluid fillers
    • A61B17/8833Osteosynthesis tools specially adapted for handling bone cement or fluid fillers; Means for supplying bone cement or fluid fillers to introducing tools, e.g. cartridge handling means
    • A61B2017/8838Osteosynthesis tools specially adapted for handling bone cement or fluid fillers; Means for supplying bone cement or fluid fillers to introducing tools, e.g. cartridge handling means for mixing bone cement or fluid fillers

Definitions

  • the present invention relates to the technical field of medical devices, in particular to a bone cement perfusion device and perfusion method.
  • the technical problem to be solved by the present invention is to provide a negative-pressure suction type bone cement infusion device and method in which the design is more reasonable, the infusion method is more scientific, and bone cement can be prevented from leaking along the bone cracks.
  • a negative pressure suction type bone cement perfusion device which is characterized by:
  • the inner cylinder is used to store bone cement, which is provided with a piston rod and an inner needle tube at the front end, which together constitute the final injection structure of bone cement;
  • the middle tube is used to evacuate the bone to be repaired.
  • the side wall is provided with an extraction tube, which is connected to the vacuum device through the extraction tube;
  • an outer needle tube is installed at the front end of the middle tube, and the inner tube is fixed inside the middle tube,
  • the inner needle tube passes through the outer needle tube, and a gap for evacuating the bone to be repaired is provided between the inner tube and the middle tube and between the inner needle tube and the outer needle tube;
  • the outer cylinder is used to support the middle cylinder, the middle cylinder is sleeved inside the outer cylinder to form a movable structure, and the outer needle tube and the inner needle tube pass through the front end of the outer cylinder;
  • the inner cavity of the bone to be repaired is evacuated through the middle tube and the outer needle tube to form a negative pressure in the inner cavity,
  • the bone cement in the inner cylinder is sucked into the inner cavity through the inner needle tube by the action of negative pressure.
  • a pull ring is provided on the rear side of the middle cylinder, the suction pipe is aligned with the pull ring, and a guide groove is provided on the side wall of the middle and rear sections of the outer cylinder, and the pull ring and the suction pipe extend from the guide groove
  • the bone cement can be injected by pulling the pull ring to slowly move back along the guide groove to supplement the negative pressure suction and perfusion;
  • a buckle is provided, and a cylinder cover is fixed by the buckle, the piston rod is connected and fixed with the cylinder cover, and the piston rod forms a fixed immovable structure by fixing the cylinder cover and the rear end of the outer cylinder.
  • a hook rod with a hook is provided on the inner surface of the cylinder cover, and a clamping hole is provided on the sidewall of the piston rod, and the piston rod and the cylinder are formed in the clamping hole by the clamping of the hook of the hook rod.
  • a rack and a scale are provided on the outer side of the middle cylinder, the rack is aligned with the pull ring, the rack is embedded in a guide groove on the side wall of the outer cylinder to form a slideable structure forward and backward;
  • a rotation adjustment is provided on the outer cylinder Mechanism, the rotation adjustment mechanism is clamped on the side wall of the outer cylinder through a snap ring on the outer cylinder; the rotation adjustment mechanism is docked with the rack, and the middle cylinder is moved backward by controlling the rotation adjustment mechanism to mesh with the rack and rotating the rotation adjustment mechanism to Complete the high-precision infusion of the final part of bone cement, and further complement the negative pressure inhalation infusion.
  • the rotation adjustment mechanism includes a ring cover, the ring cover is formed by the butt joint of the first half cover and the second half cover, both of which are provided with button holes; Symmetrical pressing structure, including a first button member, a second button member and two linkage blocks, the inner surface of the first button member and the second button member is provided with a screw structure matching with the rack; the first button member is linked with a The blocks are arranged side by side in the first half cover, the second button piece and the other linkage block are arranged side by side in the second half cover, the button on the first button piece is exposed from the button hole of the first half cover, the second button piece The button on the top is exposed from the button hole of the second half cover; the two ends of the first button member and the second button member are respectively connected to the rotor through screws, and a spring is provided in the rotor, and the springs respectively pass through the hole sleeves at both ends of the linkage block On the spring columns in the first half cover and the second half cover; the button of
  • rotating the ring cover can push the rack to move backward, so that the middle The cylinder moves backward with the inner cylinder, thereby pressing the bone cement in the inner cylinder into the bone; after releasing the button, under the elastic force of the spring, the first button member and the second button member are respectively directed toward the first half cover and Second half cover push And reset the corresponding linkage block.
  • an injection stirring device which includes an injection plunger, a piston and a syringe, a funnel is installed at the front end of the syringe to form a structure for injecting bone cement, the funnel is removed, and inserted into the front end of the syringe
  • the mixing rod forms a mixing device structure for mixing bone cement.
  • a stirring impeller is installed at the front end of the stirring rod, and the stirring impeller is inserted into the injection barrel together with the front end of the stirring rod to form a stirring structure; a rear end of the stirring rod is provided with a puller that is convenient for fingers to pull to stir the stirring rod.
  • the buckle and the buckle form a ring-shaped structure, and the stirring impeller is rotated by pushing and pulling the stirring rod, so as to stir the bone cement of the syringe.
  • the syringe cover, the waterproof ring and the waterproof ring cover sleeved on the stirring rod are fixed together at the front end of the syringe to form a leak-proof structure, wherein the syringe cover and the syringe The front end is fixed, the waterproof ring seals the gap between the stirring rod and the syringe cover, and the waterproof ring cover fixes the waterproof ring in the syringe cover.
  • a negative pressure suction type bone cement infusion method characterized in that: a vacuum system is provided to evacuate the bone cavity through a vacuum needle tube to form a negative pressure in the bone cavity, and at the same time the bone cement infusion needle tube Inserted into the bone cavity, under the negative pressure of the bone cavity, the bone cement in the infusion device is automatically sucked into the bone cavity to complete the bone cement infusion.
  • the needle tube used for evacuation is an outer needle tube
  • the needle tube used for infusion of bone cement is an inner needle tube
  • the inner needle tube is smaller than the outer needle tube, and is longer than the outer needle tube
  • the inner needle tube passes through the outer needle tube, the two There is a gap between the airflow.
  • the present invention extracts air, bone meal, blood water and blood clots in the bone to be repaired by providing an extraction tube on the side wall of the middle cylinder and a vacuum extraction device, which not only prevents the above substances from flowing to other parts and causes infection after extraction, but also enables
  • the bone cavity of the site to be repaired basically reaches a vacuum environment, so that the bone cement in the infuser can be sucked through the negative pressure to achieve perfusion, to avoid the pressure caused by pushing the piston rod to cause the bone cement to seep out of the bone cracks and cause nerve compression as a result of.
  • the middle cylinder drives the inner cylinder to move backwards, and the push rod does not move to achieve bone cement infusion, which supplements the negative pressure infusion method.
  • the negative pressure infusion method can also substitute when the negative pressure infusion method cannot be used.
  • FIG. 1 is a perspective structural view of an infusion device of the present invention
  • FIG. 2 is a plan view of the infuser of the present invention.
  • FIG. 3 is a sectional view taken along line A-A of FIG. 2;
  • FIG. 4 is a longitudinal cross-sectional structural view of the infuser of the present invention.
  • FIG. 5 is a sectional view taken along line C-C in FIG. 2;
  • FIG. 6 is a D-D sectional view of FIG. 2;
  • FIG. 7 is an exploded structural view of the infuser of the present invention.
  • FIG. 8 is an exploded structural view of the rotation adjusting mechanism of the present invention.
  • FIG. 9 is a perspective structural view of an injection device of the present invention.
  • FIG. 10 is a perspective structural view of the stirring device of the present invention.
  • FIG. 11 is a schematic sectional view of the stirring device of the present invention.
  • FIG. 12 is an exploded structural view of the injection stirring device of the present invention.
  • 1 is an injection plunger
  • 2 is a piston
  • 3 is a syringe
  • 4 is a funnel
  • 5 is a stirring impeller
  • 6 is a stirring rod
  • 61 is a buckle
  • 7 is a syringe cover
  • 8 is a waterproof ring
  • 9 is the waterproof ring cover
  • 10 is the cylinder cover
  • 101 is the hook rod
  • 11 is the piston rod
  • 111 is the clamping hole
  • 12 is the rotating adjustment mechanism
  • 13 is the inner cylinder
  • 14 is the first half cover
  • 15 is the linkage block
  • 16 is the first button member
  • 17 is the spring
  • 18 is the rotor
  • 19 is the screw
  • 20 is the second button member
  • 21 is the second half cover
  • 22 is the middle tube
  • 221 is the exhaust pipe
  • 222 is
  • 223 is a pull ring
  • 23 is an outer cylinder
  • 231 is a guide groove
  • 232 is a snap ring
  • 233 is a snap
  • 24 is an outer needle tube
  • 25 is an inner needle tube
  • 26 is a button hole
  • 27 is a spring column.
  • the negative pressure suction type bone cement infusion device includes,
  • the inner cylinder 13 is used for storing bone cement, and a piston rod 11 is provided therein, and an inner needle tube 25 is installed at the front end, and the three together constitute the final injection structure of bone cement;
  • the middle tube 22 is used to evacuate the bone to be repaired.
  • the side wall is provided with an extraction tube 221, and a vacuum extraction device (not shown) is connected through the extraction tube 221;
  • an outer needle tube is installed at the front end of the middle tube 22 24, inner cylinder 13 fixed Inside the middle tube 22, and the inner needle tube 25 (longer than the outer needle tube 24) passes through the outer needle tube 24, between the inner tube 13 and the middle tube 22 and between the inner needle tube 25 and the outer needle tube 24 are provided for bone Vacuum clearance of the part to be repaired;
  • the outer cylinder 23 is used to support the middle cylinder 22, the middle cylinder 22 is sleeved inside the outer cylinder 23 to form a movable structure, and the outer needle tube 24 and the inner needle tube 24 pass through the front end of the outer cylinder 23;
  • the inner cavity of the bone to be repaired is evacuated through the middle tube 22 and the outer needle tube 24, so that the inner cavity forms a negative pressure, and the bone cement in the inner tube 13 is sucked into the inner needle tube 13 through the inner needle tube 24 In the lumen.
  • a pull ring 223 is provided on the rear side of the middle tube 22, the suction pipe 221 is aligned with the pull ring 223, and a guide groove 231 is provided on the middle rear wall of the outer tube 23, and the pull ring 223 and the suction pipe 221 are arranged from The guide groove 231 protrudes.
  • a buckle 233 is provided on the outer side of the rear end of the outer cylinder 23, a cylinder cover 10 is fixed by the buckle 233, the piston rod 11 is connected and fixed to the cylinder cover 10, and the cylinder rod 10 is fixed to the rear end of the outer cylinder 23 to make the piston rod 11 Form a fixed immobile structure.
  • the inner surface of the cylinder cover 10 is provided with a hook the hook rod card 101, the card is provided with holes 111 on the side wall of the piston rod 11, the card 1 by the hook 10 hook rod chucking hole is formed in the card m
  • the fixing structure of the piston rod 11 and the cylinder cover 10 can achieve that the piston rod 11 does not move during the pouring process, and does not cause forward pressure on the bone cement.
  • a rack 222 and a scale are provided on the outer surface of the middle cylinder 22, the rack 222 is aligned with the pull ring 223, and the rack 222 is embedded in a guide groove 231 on the side wall of the outer cylinder 23 to form a slideable structure forward and backward;
  • a rotation adjusting mechanism 12 is provided on the side wall of the outer cylinder 23 via a snap ring 232 on the outer cylinder 23; the rotation adjusting mechanism 12 is docked with the rack 222 and is engaged with the rack 222 by controlling the rotation adjustment mechanism 12 At the same time, the rotation adjustment mechanism 12 is rotated to realize the backward movement of the middle cylinder 22 to complete the high-precision infusion of the final part of bone cement, which further supplements the negative pressure inhalation infusion.
  • the rotation adjustment mechanism 12 includes a ring cover, the ring cover is formed by the first half cover 14 and the second half cover 21 butted, both of which are provided with a button hole 26;
  • a symmetrical pressing structure including a first button member 16, a second button member 20 and two linkage blocks 15, the inner surface of the first button member 16 and the second button member 20 is provided with a screw structure matching the rack 222;
  • the first button member 16 and a linkage block 15 are arranged side by side in the first half cover 14, the second button member 20 and the other linkage block 14 are arranged side by side in the second half cover 21, the buttons on the first button member 16 are
  • the button hole 26 of the first half cover 14 is exposed, and the button on the second button member 20 is removed from the second
  • the button hole 26 of the half cover 21 is exposed;
  • the two ends of the first button member 16 and the second button member 20 are respectively connected to the rotor 18 through screws 19, and a spring 17 is provided in the rotor 18, and the spring 17 respectively passes through the linkage
  • high-precision bone cement pouring can be achieved. For example, if it is preset to inject 4ML bone cement, then pull the pull ring 223 to make the marking line reach the corresponding scale, but if it is not convenient to perform precise operation by pulling because the dose is small, stop pulling when the marking line reaches the corresponding scale soon
  • the button is pressed, the entire rotation adjustment mechanism 12 will contact the rack on the side wall of the middle cylinder 22 and fix the middle cylinder 22 and the outer cylinder 23 so that they cannot continue to move. Then, the rotation adjustment mechanism 12 is rotated, and the inner cylinder 13 will slowly move backward, so that the perfusion amount can be accurately controlled.
  • an injection stirring device which includes an injection plunger 1, a piston 2, and a syringe 3.
  • a funnel 4 is installed at the front end of the syringe 3 to form a structure for injecting bone cement.
  • the funnel 4 is removed, and a stirring rod 6 is inserted into the front end of the syringe 3 to form a stirring device structure for stirring bone cement.
  • the stirring rod 6 is also removed, and the injection push rod 1 is pushed to inject the bone cement into the inner cylinder 13.
  • a stirring impeller 5 is installed at the front end of the stirring rod 6, and the stirring impeller 5 is inserted into the injection barrel 3 along with the front end of the stirring rod 6 to form a stirring structure; a rear end of the stirring rod 6 is provided with a finger buckle to facilitate stirring The buckle 61 of the rod is formed into a ring-shaped structure, and the agitating impeller 5 is rotated by pushing and pulling the agitating rod 6 to agitate the bone cement in the syringe 3.
  • the stirring rod 6 After the stirring rod 6 is inserted into the syringe 3, the syringe cover 7, the waterproof ring 8 and the waterproof ring cover 9 sleeved on the stirring rod 6 are fixed together at the front end of the syringe 3 to form a leak-proof structure, wherein the syringe cover 7 is fixed to the front end of the syringe 3, the waterproof ring 8 seals the gap between the stirring rod 6 and the syringe cover 7, and the waterproof ring cover 9 fixes the waterproof ring 8 in the syringe cover 7.
  • the negative pressure suction type bone cement infusion method is provided with a vacuum system to evacuate the bone cavity through a vacuum needle Vacuum is applied to form a negative pressure in the bone cavity.
  • a needle tube for injecting bone cement is inserted into the bone cavity. Under the negative pressure of the bone cavity, the bone cement in the infusion device is automatically sucked into the bone cavity to complete the bone cement perfusion.
  • the needle tube used for evacuation is an outer needle tube 24, and the needle tube used for infusion of bone cement is an inner needle tube 25.
  • the inner needle tube 25 is smaller than the outer needle tube 24, and is longer than the outer needle tube 24.
  • the inner needle tube 25 passes through the outer needle tube 24 However, there is an air gap between the two.
  • the outer needle tube 24 is evacuated, the bone lumen forms a negative pressure to draw bone cement through the inner needle tube 25. While vacuuming, the air, bone meal, blood water and blood clots of the bone to be repaired can also be evacuated to prevent the above substances from flowing to other parts and causing infection.

Abstract

A negative pressure suction-type bone cement injection device, comprising an inner cylinder (13), an intermediate cylinder (22), and an outer cylinder (23). The inner cylinder (13) is provided with a piston rod (11), and an inner needle tube (25) is mounted at a front end of the inner cylinder. A side wall of the intermediate cylinder (22) is provided with a suction pipe (221) connected to a vacuum pump device. A front end of the intermediate cylinder (22) is provided with an outer needle tube (24), the inner cylinder (13) is fixed inside the intermediate cylinder (22), and the inner needle tube (25) passes through the outer needle tube (24). The intermediate cylinder (22) is sleeved inside the outer cylinder (23) to form a movable structure. The device extracts air, bone powder, liquid blood, and blood clots at a bone site to be repaired by providing the suction pipe (221) on the side wall of the intermediate cylinder (22) in combination with a vacuum extraction device, so as to form a negative pressure in the bone cavity to suck bone cement into an injection device, such that pressure produced by pushing the piston rod (11) is prevented from causing the bone cement to seep out of a bone crack resulting in nerve compression and other adverse consequences. A manual pulling structure and a rotary driving structure are further utilized to facilitate causing the intermediate cylinder (22) to drive the inner cylinder (13) to move backwards, and a push rod (1) is not moved to realize bone cement injection. This supplements the negative pressure injection, and can also substitute the negative pressure injection when a negative pressure is unavailable. Further disclosed is a corresponding injection method.

Description

一种负压吸入式骨水泥灌注装置及灌注方法 技术领域 Negative pressure suction type bone cement perfusion device and method
[0001] 本发明涉及医疗器械技术领域, 具体涉及一种骨水泥灌注装置及灌注方法。 [0001] The present invention relates to the technical field of medical devices, in particular to a bone cement perfusion device and perfusion method.
背景技术 Background technique
[0002] 在实施骨科手术时, 为了人工关节的固定、 不稳定性骨折的内固定等, 通常需 要往骨骼中灌注骨水泥。 传统的骨水泥灌注器都是采用正面施压活塞杆以推动 骨水泥向灌注方向移动, 然而, 这种正面推活塞杆的方式会形成较大的压力, 这种压力会使得骨水泥进入待修复骨骼内腔后不受控地流动。 由于一般骨骼待 修复部位都会伴有细微的骨裂, 在压力作用下, 骨水泥很可能会顺着裂缝渗出 , 从而可能影响到神经系统, 产生严重的后果。 另外, 在手术时待修复部位一 般先要先用器械钻开, 会产生骨粉、 血水及血块等物质, 而这些物质用一般的 方法比较难以清理干净, 可能会流至其他部位造成感染。 [0002] When performing orthopedic surgery, in order to fix artificial joints, internal fixation of unstable fractures, etc., usually bone cement needs to be poured into the bones. The traditional bone cement infusion device adopts a positive pressure to push the piston rod to push the bone cement to move in the direction of pouring. However, this method of pushing the piston rod positively will form a large pressure, which will cause the bone cement to enter the repair Uncontrolled flow behind the bone cavity. Since the bones to be repaired are usually accompanied by fine bone cracks, under the effect of pressure, bone cement is likely to seep along the cracks, which may affect the nervous system and have serious consequences. In addition, during surgery, the area to be repaired is usually drilled with instruments first, which will produce bone meal, blood water and blood clots. These substances are more difficult to clean up by general methods and may flow to other parts and cause infection.
[0003] 发明内容 SUMMARY OF THE INVENTION
[0004] 本发明要解决的技术问题是提供一种设计更合理、 灌注方式更科学、 可防止骨 水泥顺着骨裂缝渗出的负压吸入式骨水泥灌注装置及灌注方法。 [0004] The technical problem to be solved by the present invention is to provide a negative-pressure suction type bone cement infusion device and method in which the design is more reasonable, the infusion method is more scientific, and bone cement can be prevented from leaking along the bone cracks.
[0005] 为解决上述技术问题, 本发明采用如下技术方案: 一种负压吸入式骨水泥灌注 装置, 其特征在于: 包括有, [0005] In order to solve the above technical problems, the present invention adopts the following technical solutions: A negative pressure suction type bone cement perfusion device, which is characterized by:
[0006] 内筒, 用于储存骨水泥, 其内设有活塞杆, 前端装有内针管, 三者共同构成骨 水泥的最终注射结构; [0006] The inner cylinder is used to store bone cement, which is provided with a piston rod and an inner needle tube at the front end, which together constitute the final injection structure of bone cement;
[0007] 中筒, 用于给骨骼待修复部位抽真空, 其侧壁设置有抽气管, 通过抽气管连接 抽真空装置; 在中筒的前端装有外针管, 内筒固定于中筒里面, 而内针管从外 针管中穿出, 内筒与中筒的之间及内针管与外针管之间设置有用于给骨骼待修 复部位抽真空的间隙; [0007] The middle tube is used to evacuate the bone to be repaired. The side wall is provided with an extraction tube, which is connected to the vacuum device through the extraction tube; an outer needle tube is installed at the front end of the middle tube, and the inner tube is fixed inside the middle tube, The inner needle tube passes through the outer needle tube, and a gap for evacuating the bone to be repaired is provided between the inner tube and the middle tube and between the inner needle tube and the outer needle tube;
[0008] 外筒, 用于支撑中筒, 中筒套设于外筒里面形成可移动结构, 外针管连同内针 管从外筒前端穿出; [0008] The outer cylinder is used to support the middle cylinder, the middle cylinder is sleeved inside the outer cylinder to form a movable structure, and the outer needle tube and the inner needle tube pass through the front end of the outer cylinder;
[0009] 通过中筒及外针管对骨骼待修复部位的内腔进行抽真空, 使该内腔形成负压, 通过负压作用使内筒里面的骨水泥通过内针管被吸入到该内腔中。 [0009] The inner cavity of the bone to be repaired is evacuated through the middle tube and the outer needle tube to form a negative pressure in the inner cavity, The bone cement in the inner cylinder is sucked into the inner cavity through the inner needle tube by the action of negative pressure.
[0010] 进一步地, 在中筒的后部侧面设有拉环, 抽气管与拉环对齐, 在外筒的中后段 侧壁上设有导向槽, 拉环及抽气管从导向槽中伸出, 当剩下一小部分骨骼内腔 未灌注时, 可以通过拉动拉环, 使其顺着导向槽往后缓慢移动将骨水泥注入, 对负压吸入灌注形成补充; 在外筒的后端外侧面设有卡扣, 通过卡扣固定有一 筒盖, 所述活塞杆与该筒盖连接固定, 通过筒盖与外筒后端固定使活塞杆形成 固定的不动结构。 [0010] Further, a pull ring is provided on the rear side of the middle cylinder, the suction pipe is aligned with the pull ring, and a guide groove is provided on the side wall of the middle and rear sections of the outer cylinder, and the pull ring and the suction pipe extend from the guide groove When a small part of the bone cavity is not perfused, the bone cement can be injected by pulling the pull ring to slowly move back along the guide groove to supplement the negative pressure suction and perfusion; on the outer side of the rear end of the outer cylinder A buckle is provided, and a cylinder cover is fixed by the buckle, the piston rod is connected and fixed with the cylinder cover, and the piston rod forms a fixed immovable structure by fixing the cylinder cover and the rear end of the outer cylinder.
[0011] 进一步地, 在筒盖的内面设有带勾的卡勾杆, 在活塞杆的侧壁上设有卡孔, 通 过卡勾杆的卡勾卡紧在卡孔内形成活塞杆与筒盖的固定结构, 这样可以实现灌 注过程中活塞杆始终不动, 不会对骨水泥造成往前推的压力。 [0011] Further, a hook rod with a hook is provided on the inner surface of the cylinder cover, and a clamping hole is provided on the sidewall of the piston rod, and the piston rod and the cylinder are formed in the clamping hole by the clamping of the hook of the hook rod The fixing structure of the cover can achieve that the piston rod does not move during the pouring process, and does not cause forward pressure on the bone cement.
[0012] 进一步地, 在中筒的外侧面设有齿条及刻度, 齿条与拉环对齐, 齿条嵌入在外 筒侧壁的导向槽内形成可前后滑动结构; 在外筒上设置有旋转调节机构, 旋转 调节机构通过外筒上的卡环卡在外筒侧壁上; 旋转调节机构与齿条对接, 通过 控制旋转调节机构与齿条啮合并旋动旋转调节机构实现中筒朝后移动, 以完成 最后部分骨水泥的高精度灌注, 进一步对负压吸入灌注形成补充。 [0012] Further, a rack and a scale are provided on the outer side of the middle cylinder, the rack is aligned with the pull ring, the rack is embedded in a guide groove on the side wall of the outer cylinder to form a slideable structure forward and backward; a rotation adjustment is provided on the outer cylinder Mechanism, the rotation adjustment mechanism is clamped on the side wall of the outer cylinder through a snap ring on the outer cylinder; the rotation adjustment mechanism is docked with the rack, and the middle cylinder is moved backward by controlling the rotation adjustment mechanism to mesh with the rack and rotating the rotation adjustment mechanism to Complete the high-precision infusion of the final part of bone cement, and further complement the negative pressure inhalation infusion.
[0013] 进一步地, 所述旋转调节机构包括有圆环盖, 圆环盖由第一半盖和第二半盖对 接而成, 两者均设有按钮孔; 在圆环盖内设有呈对称的按压结构, 包括有第一 按钮件、 第二按钮件及两联动块, 第一按钮件及第二按钮件的内侧表面设有与 齿条相配的螺纹结构; 第一按钮件与一联动块并排设置于第一半盖中, 第二按 钮件与另一联动块并排设置于第二半盖中, 第一按钮件上的按钮从第一半盖的 按钮孔中露出, 第二按钮件上的按钮从第二半盖的按钮孔中露出; 第一按钮件 及第二按钮件的两端分别通过螺丝连接有转子, 在转子中设有弹簧, 弹簧分别 穿过联动块两端的孔套在第一半盖和第二半盖中的弹簧柱上; 第一按钮件的按 钮压在与其并排联动块上, 第二按钮件的按钮则压在与其自身并排的联动块上 ; 通过按压两按钮件的按钮推动第一按钮件及第二按钮件相向移动, 使两者内 侧表面的螺纹与中筒的齿条卡合, 此时旋转圆环盖即可推动齿条朝后移动, 使 中筒带着内筒朝后移动, 从而将内筒中的骨水泥压入骨骼内; 松开按钮后, 在 弹簧的弹力作用下, 将第一按钮件及第二按钮件分别朝第一半盖和第二半盖推 动, 并带动各自对应的联动块复位。 通过旋动旋转调节机构, 并配合中筒上的 刻度, 可以实现骨水泥的高精度灌注。 [0013] Further, the rotation adjustment mechanism includes a ring cover, the ring cover is formed by the butt joint of the first half cover and the second half cover, both of which are provided with button holes; Symmetrical pressing structure, including a first button member, a second button member and two linkage blocks, the inner surface of the first button member and the second button member is provided with a screw structure matching with the rack; the first button member is linked with a The blocks are arranged side by side in the first half cover, the second button piece and the other linkage block are arranged side by side in the second half cover, the button on the first button piece is exposed from the button hole of the first half cover, the second button piece The button on the top is exposed from the button hole of the second half cover; the two ends of the first button member and the second button member are respectively connected to the rotor through screws, and a spring is provided in the rotor, and the springs respectively pass through the hole sleeves at both ends of the linkage block On the spring columns in the first half cover and the second half cover; the button of the first button member is pressed against the link block side by side, and the button of the second button member is pressed against the link block side by side; The button of the button pushes the first button and the second button to move towards each other, so that the thread on the inner surface of the two engages with the rack of the middle cylinder. At this time, rotating the ring cover can push the rack to move backward, so that the middle The cylinder moves backward with the inner cylinder, thereby pressing the bone cement in the inner cylinder into the bone; after releasing the button, under the elastic force of the spring, the first button member and the second button member are respectively directed toward the first half cover and Second half cover push And reset the corresponding linkage block. By turning the rotation adjustment mechanism and matching the scale on the middle cylinder, high-precision infusion of bone cement can be achieved.
[0014] 进一步地, 还包括有注射搅拌装置, 其包括有注射推杆、 活塞和注射筒, 在注 射筒前端装漏斗形成用于注入骨水泥的结构, 将漏斗取下, 往注射筒前端插入 搅拌杆形成用于搅拌骨水泥的搅拌装置结构。 需要将骨水泥注入灌注器时把搅 拌杆也取下, 推动注射推杆即可将骨水泥注入内筒中。 [0014] Further, it also includes an injection stirring device, which includes an injection plunger, a piston and a syringe, a funnel is installed at the front end of the syringe to form a structure for injecting bone cement, the funnel is removed, and inserted into the front end of the syringe The mixing rod forms a mixing device structure for mixing bone cement. When the bone cement needs to be injected into the infusion device, the stirring rod is also removed, and the injection push rod can be injected into the inner cylinder.
[0015] 进一步地, 在搅拌杆的前端安装有一搅拌叶轮, 搅拌叶轮随搅拌杆的前端一起 插入注射筒内形成搅拌结构; 在搅拌杆的后端设置有一便于手指扣住以拉动搅 拌杆的拉扣, 拉扣形成环状结构, 通过推拉搅拌杆使搅拌叶轮旋转, 对注射筒 的骨水泥起搅拌作用。 [0015] Further, a stirring impeller is installed at the front end of the stirring rod, and the stirring impeller is inserted into the injection barrel together with the front end of the stirring rod to form a stirring structure; a rear end of the stirring rod is provided with a puller that is convenient for fingers to pull to stir the stirring rod The buckle and the buckle form a ring-shaped structure, and the stirring impeller is rotated by pushing and pulling the stirring rod, so as to stir the bone cement of the syringe.
[0016] 进一步地, 搅拌杆插入注射筒后, 将搅拌杆上套设的注射筒盖、 防水圈及防水 圈盖一起固定在注射筒的前端形成防漏结构, 其中注射筒盖与注射筒的前端固 定, 防水圈将搅拌杆与注射筒盖之间的空隙密封, 防水圈盖将防水圈固定在注 射筒盖中。 [0016] Further, after the stirring rod is inserted into the syringe, the syringe cover, the waterproof ring and the waterproof ring cover sleeved on the stirring rod are fixed together at the front end of the syringe to form a leak-proof structure, wherein the syringe cover and the syringe The front end is fixed, the waterproof ring seals the gap between the stirring rod and the syringe cover, and the waterproof ring cover fixes the waterproof ring in the syringe cover.
[0017] 一种负压吸入式骨水泥灌注方法, 其特征在于: 设置抽真空系统通过抽真空的 针管将骨骼内腔进行抽真空, 使骨骼内腔形成负压, 同时将灌注骨水泥的针管 插入骨骼内腔, 在骨骼内腔的负压作用下, 使灌注器内的骨水泥自动吸入骨骼 内腔中完成骨水泥灌注。 [0017] A negative pressure suction type bone cement infusion method, characterized in that: a vacuum system is provided to evacuate the bone cavity through a vacuum needle tube to form a negative pressure in the bone cavity, and at the same time the bone cement infusion needle tube Inserted into the bone cavity, under the negative pressure of the bone cavity, the bone cement in the infusion device is automatically sucked into the bone cavity to complete the bone cement infusion.
[0018] 进一步, 用于抽真空的针管为外针管, 用于灌注骨水泥的针管为内针管, 内针 管小于外针管, 并比外针管长, 内针管从外针管中穿过, 两者之间具有气流间 隙, 在外针管抽真空的时, 骨骼内腔形成负压通过内针管将骨水泥吸入。 在抽 真空的同时, 也可以将骨骼待修复部位的空气、 骨粉、 血水及血块等抽走, 防 止上述物质流至其他部位造成感染。 [0018] Further, the needle tube used for evacuation is an outer needle tube, the needle tube used for infusion of bone cement is an inner needle tube, the inner needle tube is smaller than the outer needle tube, and is longer than the outer needle tube, the inner needle tube passes through the outer needle tube, the two There is a gap between the airflow. When the outer needle tube is evacuated, the bone lumen forms a negative pressure and the bone cement is sucked through the inner needle tube. While vacuuming, the air, bone meal, blood water and blood clots of the bone to be repaired can also be evacuated to prevent the above substances from flowing to other parts and causing infection.
[0019] 本发明通过在中筒侧壁设置抽气管配合真空抽取装置抽取骨骼待修复部位的空 气、 骨粉、 血水及血块, 不仅抽取后可避免上述物质流至其他部位造成感染, 同时还能使得待修复部位骨骼内腔基本达到真空环境, 使灌注器内的骨水泥可 通过负压被吸入实现灌注, 避免因推动活塞杆造成的压力使骨水泥从骨裂缝中 渗出而造成压迫神经等不良后果。 另外还辅以手动拉动结构及旋转驱动结构使 中筒带动内筒向后移动, 而推杆不动实现灌注骨水泥, 对负压灌注法起到补充 作用, 当然在无法使用负压法灌注的情况下还能起替代作用。 [0019] The present invention extracts air, bone meal, blood water and blood clots in the bone to be repaired by providing an extraction tube on the side wall of the middle cylinder and a vacuum extraction device, which not only prevents the above substances from flowing to other parts and causes infection after extraction, but also enables The bone cavity of the site to be repaired basically reaches a vacuum environment, so that the bone cement in the infuser can be sucked through the negative pressure to achieve perfusion, to avoid the pressure caused by pushing the piston rod to cause the bone cement to seep out of the bone cracks and cause nerve compression as a result of. In addition, it is supplemented by manual pulling structure and rotating driving structure The middle cylinder drives the inner cylinder to move backwards, and the push rod does not move to achieve bone cement infusion, which supplements the negative pressure infusion method. Of course, it can also substitute when the negative pressure infusion method cannot be used.
[0020] 附图说明 BRIEF DESCRIPTION OF THE DRAWINGS
[0021] 图 1为本发明灌注器的立体结构图; [0021] FIG. 1 is a perspective structural view of an infusion device of the present invention;
[0022] 图 2为本发明灌注器的平面结构图; [0022] FIG. 2 is a plan view of the infuser of the present invention;
[0023] 图 3为图 2的 A- A剖视图; [0023] FIG. 3 is a sectional view taken along line A-A of FIG. 2;
[0024] 图 4为本发明灌注器的纵剖面结构图; [0024] FIG. 4 is a longitudinal cross-sectional structural view of the infuser of the present invention;
[0025] 图 5为图 2的 C-C剖视图; [0025] FIG. 5 is a sectional view taken along line C-C in FIG. 2;
[0026] 图 6为图 2的 D-D剖视图; [0026] FIG. 6 is a D-D sectional view of FIG. 2;
[0027] 图 7为本发明灌注器的分解结构图; [0027] FIG. 7 is an exploded structural view of the infuser of the present invention;
[0028] 图 8为本发明旋转调节机构的分解结构图; [0028] FIG. 8 is an exploded structural view of the rotation adjusting mechanism of the present invention;
[0029] 图 9为本发明注射装置的立体结构图; [0029] FIG. 9 is a perspective structural view of an injection device of the present invention;
[0030] 图 10为本发明搅拌装置的立体结构图; [0030] FIG. 10 is a perspective structural view of the stirring device of the present invention;
[0031] 图 11为本发明搅拌装置的剖面示意图; [0031] FIG. 11 is a schematic sectional view of the stirring device of the present invention;
[0032] 图 12为本发明注射搅拌装置的分解结构图。 [0032] FIG. 12 is an exploded structural view of the injection stirring device of the present invention.
[0033] 图中, 1为注射推杆, 2为活塞, 3为注射筒, 4为漏斗, 5为搅拌叶轮, 6为搅拌 杆, 61为拉扣, 7为注射筒盖, 8为防水圈, 9为防水圈盖, 10为筒盖, 101为卡 勾杆, 11为活塞杆, 111为卡孔, 12旋转调节机构, 13为内筒, 14为第一半盖, In the figure, 1 is an injection plunger, 2 is a piston, 3 is a syringe, 4 is a funnel, 5 is a stirring impeller, 6 is a stirring rod, 61 is a buckle, 7 is a syringe cover, 8 is a waterproof ring , 9 is the waterproof ring cover, 10 is the cylinder cover, 101 is the hook rod, 11 is the piston rod, 111 is the clamping hole, 12 is the rotating adjustment mechanism, 13 is the inner cylinder, 14 is the first half cover,
15为联动块, 16为第一按钮件, 17为弹簧, 18为转子, 19为螺丝, 20为第二按 钮件, 21为第二半盖, 22为中筒, 221为抽气管, 222为齿条, 223为拉环, 23为 外筒, 231为导向槽, 232为卡环, 233为卡扣, 24为外针管, 25为内针管, 26为 按钮孔, 27为弹簧柱。 15 is the linkage block, 16 is the first button member, 17 is the spring, 18 is the rotor, 19 is the screw, 20 is the second button member, 21 is the second half cover, 22 is the middle tube, 221 is the exhaust pipe, 222 is For the rack, 223 is a pull ring, 23 is an outer cylinder, 231 is a guide groove, 232 is a snap ring, 233 is a snap, 24 is an outer needle tube, 25 is an inner needle tube, 26 is a button hole, and 27 is a spring column.
[0034] 具体实施方式 DETAILED DESCRIPTION
[0035] 本实施例中, 参照图 1-图 8 , 所述负压吸入式骨水泥灌注装置, 包括有, [0035] In this embodiment, referring to FIGS. 1-8, the negative pressure suction type bone cement infusion device includes,
[0036] 内筒 13 , 用于储存骨水泥, 其内设有活塞杆 11, 前端装有内针管 25 , 三者共同 构成骨水泥的最终注射结构; [0036] The inner cylinder 13 is used for storing bone cement, and a piston rod 11 is provided therein, and an inner needle tube 25 is installed at the front end, and the three together constitute the final injection structure of bone cement;
[0037] 中筒 22, 用于给骨骼待修复部位抽真空, 其侧壁设置有抽气管 221, 通过抽气 管 221连接抽真空装置 (未图示) ; 在中筒 22的前端装有外针管 24, 内筒 13固定 于中筒 22里面, 而内针管 25 (比外针管 24长) 从外针管 24中穿出, 内筒 13与中 筒 22的之间及内针管 25与外针管 24之间设置有用于给骨骼待修复部位抽真空的 间隙; [0037] The middle tube 22 is used to evacuate the bone to be repaired. The side wall is provided with an extraction tube 221, and a vacuum extraction device (not shown) is connected through the extraction tube 221; an outer needle tube is installed at the front end of the middle tube 22 24, inner cylinder 13 fixed Inside the middle tube 22, and the inner needle tube 25 (longer than the outer needle tube 24) passes through the outer needle tube 24, between the inner tube 13 and the middle tube 22 and between the inner needle tube 25 and the outer needle tube 24 are provided for bone Vacuum clearance of the part to be repaired;
[0038] 外筒 23, 用于支撑中筒 22, 中筒 22套设于外筒 23里面形成可移动结构, 外针管 24连同内针管 24从外筒 23前端穿出; [0038] The outer cylinder 23 is used to support the middle cylinder 22, the middle cylinder 22 is sleeved inside the outer cylinder 23 to form a movable structure, and the outer needle tube 24 and the inner needle tube 24 pass through the front end of the outer cylinder 23;
[0039] 通过中筒 22及外针管 24对骨骼待修复部位的内腔进行抽真空, 使该内腔形成负 压, 通过负压作用使内筒 13里面的骨水泥通过内针管 24被吸入到该内腔中。 [0039] The inner cavity of the bone to be repaired is evacuated through the middle tube 22 and the outer needle tube 24, so that the inner cavity forms a negative pressure, and the bone cement in the inner tube 13 is sucked into the inner needle tube 13 through the inner needle tube 24 In the lumen.
[0040] 在中筒 22的后部侧面设有拉环 223, 抽气管 221与拉环 223对齐, 在外筒 23的中 后段侧壁上设有导向槽 231, 拉环 223及抽气管 221从导向槽 231中伸出, 当剩下 一小部分骨骼内腔未灌注时, 可以通过拉动拉环 223 , 使其顺着导向槽 231往后 缓慢移动将骨水泥注入, 对负压吸入灌注形成补充; 在外筒 23的后端外侧面设 有卡扣 233 , 通过卡扣 233固定有一筒盖 10, 活塞杆 11与该筒盖 10连接固定, 通 过筒盖 10与外筒 23后端固定使活塞杆 11形成固定的不动结构。 [0040] A pull ring 223 is provided on the rear side of the middle tube 22, the suction pipe 221 is aligned with the pull ring 223, and a guide groove 231 is provided on the middle rear wall of the outer tube 23, and the pull ring 223 and the suction pipe 221 are arranged from The guide groove 231 protrudes. When a small part of the bone cavity is not infused, you can pull the pull ring 223 to slowly move back along the guide groove 231 to inject bone cement to supplement the negative pressure inhalation and perfusion A buckle 233 is provided on the outer side of the rear end of the outer cylinder 23, a cylinder cover 10 is fixed by the buckle 233, the piston rod 11 is connected and fixed to the cylinder cover 10, and the cylinder rod 10 is fixed to the rear end of the outer cylinder 23 to make the piston rod 11 Form a fixed immobile structure.
[0041] 在筒盖 10的内面设有带勾的卡勾杆 101, 在活塞杆 11的侧壁上设有卡孔 111, 通 过卡勾杆 101的卡勾卡紧在卡孔 m内形成活塞杆 11与筒盖 10的固定结构, 这样 可以实现灌注过程中活塞杆 11始终不动, 不会对骨水泥造成往前推的压力。 [0041] The inner surface of the cylinder cover 10 is provided with a hook the hook rod card 101, the card is provided with holes 111 on the side wall of the piston rod 11, the card 1 by the hook 10 hook rod chucking hole is formed in the card m The fixing structure of the piston rod 11 and the cylinder cover 10 can achieve that the piston rod 11 does not move during the pouring process, and does not cause forward pressure on the bone cement.
[0042] 在中筒 22的外侧面设有齿条 222及刻度, 齿条 222与拉环 223对齐, 齿条 222嵌入 在外筒 23侧壁的导向槽 231内形成可前后滑动结构; 在外筒 23上设置有旋转调节 机构 12, 旋转调节机构 12通过外筒 23上的卡环 232卡在外筒 23侧壁上; 旋转调节 机构 12与齿条 222对接, 通过控制旋转调节机构 12与齿条 222啮合并旋动旋转调 节机构 12实现中筒 22朝后移动, 以完成最后部分骨水泥的高精度灌注, 进一步 对负压吸入灌注形成补充。 [0042] A rack 222 and a scale are provided on the outer surface of the middle cylinder 22, the rack 222 is aligned with the pull ring 223, and the rack 222 is embedded in a guide groove 231 on the side wall of the outer cylinder 23 to form a slideable structure forward and backward; A rotation adjusting mechanism 12 is provided on the side wall of the outer cylinder 23 via a snap ring 232 on the outer cylinder 23; the rotation adjusting mechanism 12 is docked with the rack 222 and is engaged with the rack 222 by controlling the rotation adjustment mechanism 12 At the same time, the rotation adjustment mechanism 12 is rotated to realize the backward movement of the middle cylinder 22 to complete the high-precision infusion of the final part of bone cement, which further supplements the negative pressure inhalation infusion.
[0043] 所述旋转调节机构 12包括有圆环盖, 圆环盖由第一半盖 14和第二半盖 21对接而 成, 两者均设有按钮孔 26; 在圆环盖内设有呈对称的按压结构, 包括有第一按 钮件 16、 第二按钮件 20及两联动块 15 , 第一按钮件 16及第二按钮件 20的内侧表 面设有与齿条 222相配的螺纹结构; 第一按钮件 16与一联动块 15并排设置于第一 半盖 14中, 第二按钮件 20与另一联动块 14并排设置于第二半盖 21中, 第一按钮 件 16上的按钮从第一半盖 14的按钮孔 26中露出, 第二按钮件 20上的按钮从第二 半盖 21的按钮孔 26中露出; 第一按钮件 16及第二按钮件 20的两端分别通过螺丝 1 9连接有转子 18 , 在转子 18中设有弹簧 17 , 弹簧 17分别穿过联动块 15两端的孔套 在第一半盖 14和第二半盖 21中的弹簧柱 27上; 第一按钮件 16的按钮压在与其并 排联动块 15上, 第二按钮件 20的按钮则压在与其自身并排的联动块 15上; 通过 按压两按钮件的按钮推动第一按钮件 16及第二按钮件 20相向移动, 使两者内侧 表面的螺纹与中筒 22的齿条 222卡合, 此时旋转圆环盖即可推动齿条 222朝后移 动, 使中筒 22带着内筒 13朝后移动, 从而将内筒 13中的骨水泥压入骨骼内; 松 开按钮后, 在弹簧 17的弹力作用下, 将第一按钮件 16及第二按钮件 20分别朝第 一半盖 14和第二半盖 21推动, 并带动各自对应的联动块 15复位。 通过旋动旋转 调节机构 12, 并配合中筒 22上的刻度, 可以实现骨水泥的高精度灌注。 比如, 预设要注射 4ML骨水泥, 则拉动拉环 223使标记线达到对应刻度, 但如果因剂量 较小通过拉动的方式也不方便精确操作, 则在标记线快到达对应刻度时, 停止 拉动并压住按钮, 此时整个旋转调节机构 12会与中筒 22侧壁上的齿条接触并将 中筒 22与外筒 23固定住使其不能继续移动。 接着旋动旋转调节机构 12, 则内筒 1 3会慢慢后移, 这样就可以精确控制灌注量。 [0043] The rotation adjustment mechanism 12 includes a ring cover, the ring cover is formed by the first half cover 14 and the second half cover 21 butted, both of which are provided with a button hole 26; A symmetrical pressing structure, including a first button member 16, a second button member 20 and two linkage blocks 15, the inner surface of the first button member 16 and the second button member 20 is provided with a screw structure matching the rack 222; The first button member 16 and a linkage block 15 are arranged side by side in the first half cover 14, the second button member 20 and the other linkage block 14 are arranged side by side in the second half cover 21, the buttons on the first button member 16 are The button hole 26 of the first half cover 14 is exposed, and the button on the second button member 20 is removed from the second The button hole 26 of the half cover 21 is exposed; the two ends of the first button member 16 and the second button member 20 are respectively connected to the rotor 18 through screws 19, and a spring 17 is provided in the rotor 18, and the spring 17 respectively passes through the linkage block The holes at both ends of 15 are sleeved on the spring columns 27 in the first half cover 14 and the second half cover 21; the button of the first button member 16 is pressed against the link block 15 side by side, and the button of the second button member 20 is pressed On the interlocking block 15 parallel to itself; by pressing the buttons of the two button members, the first button member 16 and the second button member 20 are moved toward each other, so that the threads on the inner surfaces of the two engage with the rack 222 of the middle cylinder 22, When the ring cover is rotated, the rack 222 can be pushed back, so that the middle cylinder 22 can move backward with the inner cylinder 13 to press the bone cement in the inner cylinder 13 into the bone; after releasing the button, the spring 17 Under the action of the elastic force, the first button member 16 and the second button member 20 are pushed toward the first half cover 14 and the second half cover 21, respectively, and drive the corresponding linkage block 15 to reset. By turning the rotation adjustment mechanism 12 and matching the scale on the middle cylinder 22, high-precision bone cement pouring can be achieved. For example, if it is preset to inject 4ML bone cement, then pull the pull ring 223 to make the marking line reach the corresponding scale, but if it is not convenient to perform precise operation by pulling because the dose is small, stop pulling when the marking line reaches the corresponding scale soon When the button is pressed, the entire rotation adjustment mechanism 12 will contact the rack on the side wall of the middle cylinder 22 and fix the middle cylinder 22 and the outer cylinder 23 so that they cannot continue to move. Then, the rotation adjustment mechanism 12 is rotated, and the inner cylinder 13 will slowly move backward, so that the perfusion amount can be accurately controlled.
[0044] 参照图 9 -图 12, 还包括有注射搅拌装置, 其包括有注射推杆 1、 活塞 2和注射筒 3 , 在注射筒 3前端装漏斗 4形成用于注入骨水泥的结构, 将漏斗 4取下, 往注射 筒 3前端插入搅拌杆 6形成用于搅拌骨水泥的搅拌装置结构。 需要将骨水泥注入 灌注器时把搅拌杆 6也取下, 推动注射推杆 1即可将骨水泥注入内筒 13中。 [0044] Referring to FIGS. 9-12, an injection stirring device is also included, which includes an injection plunger 1, a piston 2, and a syringe 3. A funnel 4 is installed at the front end of the syringe 3 to form a structure for injecting bone cement. The funnel 4 is removed, and a stirring rod 6 is inserted into the front end of the syringe 3 to form a stirring device structure for stirring bone cement. When the bone cement needs to be injected into the infuser, the stirring rod 6 is also removed, and the injection push rod 1 is pushed to inject the bone cement into the inner cylinder 13.
[0045] 在搅拌杆 6的前端安装有一搅拌叶轮 5 , 搅拌叶轮 5随搅拌杆 6的前端一起插入注 射筒 3内形成搅拌结构; 在搅拌杆 6的后端设置有一便于手指扣住以拉动搅拌杆 的拉扣 61, 拉扣 61形成环状结构, 通过推拉搅拌杆 6使搅拌叶轮 5旋转, 对注射 筒 3内的骨水泥起搅拌作用。 [0045] A stirring impeller 5 is installed at the front end of the stirring rod 6, and the stirring impeller 5 is inserted into the injection barrel 3 along with the front end of the stirring rod 6 to form a stirring structure; a rear end of the stirring rod 6 is provided with a finger buckle to facilitate stirring The buckle 61 of the rod is formed into a ring-shaped structure, and the agitating impeller 5 is rotated by pushing and pulling the agitating rod 6 to agitate the bone cement in the syringe 3.
[0046] 搅拌杆 6插入注射筒 3后, 将搅拌杆 6上套设的注射筒盖 7、 防水圈 8及防水圈盖 9 一起固定在注射筒 3的前端形成防漏结构, 其中注射筒盖 7与注射筒 3的前端固定 , 防水圈 8将搅拌杆 6与注射筒盖 7之间的空隙密封, 防水圈盖 9将防水圈 8固定在 注射筒盖 7中。 [0046] After the stirring rod 6 is inserted into the syringe 3, the syringe cover 7, the waterproof ring 8 and the waterproof ring cover 9 sleeved on the stirring rod 6 are fixed together at the front end of the syringe 3 to form a leak-proof structure, wherein the syringe cover 7 is fixed to the front end of the syringe 3, the waterproof ring 8 seals the gap between the stirring rod 6 and the syringe cover 7, and the waterproof ring cover 9 fixes the waterproof ring 8 in the syringe cover 7.
[0047] 该负压吸入式骨水泥灌注方法, 设置抽真空系统通过抽真空的针管将骨骼内腔 进行抽真空, 使骨骼内腔形成负压, 同时将灌注骨水泥的针管插入骨骼内腔, 在骨骼内腔的负压作用下, 使灌注器内的骨水泥自动吸入骨骼内腔中完成骨水 泥灌注。 [0047] The negative pressure suction type bone cement infusion method is provided with a vacuum system to evacuate the bone cavity through a vacuum needle Vacuum is applied to form a negative pressure in the bone cavity. At the same time, a needle tube for injecting bone cement is inserted into the bone cavity. Under the negative pressure of the bone cavity, the bone cement in the infusion device is automatically sucked into the bone cavity to complete the bone cement perfusion.
[0048] 用于抽真空的针管为外针管 24, 用于灌注骨水泥的针管为内针管 25 , 内针管 25 小于外针管 24, 便比外针管 24长, 内针管 25从外针管 24中穿过, 两者之间具有 气流间隙, 在外针管 24抽真空的时, 骨骼内腔形成负压通过内针管 25将骨水泥 吸入。 在抽真空的同时, 也可以将骨骼待修复部位的空气、 骨粉、 血水及血块 等抽走, 防止上述物质流至其他部位造成感染。 [0048] The needle tube used for evacuation is an outer needle tube 24, and the needle tube used for infusion of bone cement is an inner needle tube 25. The inner needle tube 25 is smaller than the outer needle tube 24, and is longer than the outer needle tube 24. The inner needle tube 25 passes through the outer needle tube 24 However, there is an air gap between the two. When the outer needle tube 24 is evacuated, the bone lumen forms a negative pressure to draw bone cement through the inner needle tube 25. While vacuuming, the air, bone meal, blood water and blood clots of the bone to be repaired can also be evacuated to prevent the above substances from flowing to other parts and causing infection.
[0049] 以上已将本发明做一详细说明, 以上所述, 仅为本发明之较佳实施例而已, 当 不能限定本发明实施范围, 即凡依本申请范围所作均等变化与修饰, 皆应仍属 本发明涵盖范围内。 [0049] The present invention has been described in detail above. The above are only preferred embodiments of the present invention. When the scope of the present invention cannot be limited, that is, all changes and modifications made in accordance with the scope of the present application should be It still falls within the scope of the present invention.
发明概述 Summary of the invention
技术问题 technical problem
问题的解决方案 Solution to the problem
发明的有益效果 Beneficial effects of invention

Claims

权利要求书 Claims
[权利要求 1] 一种负压吸入式骨水泥灌注方法, 其特征在于: 设置抽真空系统通过 抽真空的针管将骨骼内腔进行抽真空, 使骨骼内腔形成负压, 同时将 灌注骨水泥的针管插入骨骼内腔, 在骨骼内腔的负压作用下, 使灌注 器内的骨水泥自动吸入骨骼内腔中完成骨水泥灌注。 [Claim 1] A negative pressure suction type bone cement perfusion method, characterized in that: a vacuum system is provided to evacuate the bone cavity through a vacuum needle tube to form a negative pressure in the bone cavity, and at the same time the bone cement is perfused The needle tube is inserted into the bone cavity, and under the negative pressure of the bone cavity, the bone cement in the infusion device is automatically sucked into the bone cavity to complete the bone cement infusion.
[权利要求 2] 根据权利要求 1所述的负压吸入式骨水泥灌注方法, 其特征在于: 用 于抽真空的针管为外针管, 用于灌注骨水泥的针管为内针管, 内针管 从外针管中穿过, 两者之间具有气流间隙, 在外针管抽真空的时, 骨 骼内腔形成负压通过内针管将骨水泥吸入。 [Claim 2] The negative pressure suction bone cement infusion method according to claim 1, characterized in that: the needle tube used for evacuation is an outer needle tube, the needle tube used for infusion of bone cement is an inner needle tube, and the inner needle tube is from the outside The needle tube passes through, and there is an air gap between the two. When the outer needle tube is evacuated, a negative pressure is formed in the bone cavity to suck the bone cement through the inner needle tube.
[权利要求 3] 一种负压吸入式骨水泥灌注装置, 其特征在于: 包括有, [Claim 3] A negative pressure suction type bone cement perfusion device, characterized in that it includes,
内筒, 用于储存骨水泥, 其内设有活塞杆, 前端装有内针管, 三者共 同构成骨水泥的最终注射结构; The inner cylinder is used to store bone cement, which has a piston rod and an inner needle tube at the front end, which together constitute the final injection structure of bone cement;
中筒, 用于给骨骼待修复部位抽真空, 其侧壁设置有抽气管, 通过抽 气管连接抽真空装置; 在中筒的前端装有外针管, 内筒固定于中筒里 面, 而内针管从外针管中穿出, 内筒与中筒的之间及内针管与外针管 之间设置有用于给骨骼待修复部位抽真空的间隙; 外筒, 用于支撑中筒, 中筒套设于外筒里面形成可移动结构, 外针管 连同内针管从外筒前端穿出; The middle tube is used to evacuate the bone to be repaired. The side wall is provided with a suction tube, which is connected to the vacuum device through the suction tube; an outer needle tube is installed at the front end of the middle tube, the inner tube is fixed inside the middle tube, and the inner needle tube Passing out of the outer needle tube, there is a gap between the inner tube and the middle tube and between the inner needle tube and the outer needle tube to evacuate the bone to be repaired; the outer tube is used to support the middle tube, and the middle tube is sleeved on A movable structure is formed inside the outer cylinder, and the outer needle tube and the inner needle tube pass through the front end of the outer cylinder;
通过中筒及外针管对骨骼待修复部位的内腔进行抽真空, 使该内腔形 成负压, 通过负压作用使内筒里面的骨水泥通过内针管被吸入到该内 腔中。 The inner cavity of the bone to be repaired is evacuated through the middle tube and the outer needle tube to form a negative pressure in the inner cavity, and the bone cement in the inner tube is sucked into the inner cavity through the inner needle tube by the action of the negative pressure.
[权利要求 4] 根据权利要求 3所述的负压吸入式骨水泥灌注装置, 其特征在于: 在 中筒的后部侧面设有拉环, 在外筒的中后段侧壁上设有导向槽, 拉环 及抽气管从导向槽中伸出; 在外筒的后端外侧面设有卡扣, 通过卡扣 固定有一筒盖, 所述活塞杆与该筒盖连接固定, 通过筒盖与外筒后端 固定使活塞杆形成固定的不动结构。 [Claim 4] The negative-pressure suction type bone cement infusion device according to claim 3, characterized in that: a pull ring is provided on the rear side of the middle cylinder, and a guide groove is provided on the side wall of the middle and rear sections of the outer cylinder , The pull ring and the suction pipe protrude from the guide groove; a buckle is provided on the outer side of the rear end of the outer cylinder, a cylinder cover is fixed by the buckle, the piston rod is connected and fixed to the cylinder cover, and the cylinder cover is connected to the outer cylinder The fixed rear end makes the piston rod form a fixed immobile structure.
[权利要求 5] 根据权利要求 4所述的负压吸入式骨水泥灌注装置, 其特征在于: 在 筒盖的内面设有带勾的卡勾杆, 在活塞杆的侧壁上设有卡孔, 通过卡 勾杆的卡勾卡紧在卡孔内形成活塞杆与筒盖的固定结构。 [Claim 5] The negative pressure suction type bone cement infusion device according to claim 4, characterized in that: a hook bar with a hook is provided on the inner surface of the cylinder cover, and a hole is provided on the side wall of the piston rod , By card The hook of the hook rod is clamped in the clamping hole to form a fixing structure of the piston rod and the cylinder cover.
[权利要求 6] 根据权利要求 5所述的负压吸入式骨水泥灌注装置, 其特征在于: 在 中筒的外侧面设有齿条及刻度, 齿条与拉环对齐, 齿条嵌入在外筒侧 壁的导向槽内形成可前后滑动结构; 在外筒上设置有旋转调节机构, 旋转调节机构通过外筒上的卡环卡在外筒侧壁上; 旋转调节机构与齿 条对接, 通过控制旋转调节机构与齿条啮合并旋动旋转调节机构实现 中筒朝后移动。 [Claim 6] The negative-pressure suction type bone cement infusion device according to claim 5, characterized in that: a rack and a scale are provided on the outer side of the middle cylinder, the rack is aligned with the pull ring, and the rack is embedded in the outer cylinder The guide groove on the side wall forms a slideable structure forward and backward; a rotation adjustment mechanism is provided on the outer cylinder, and the rotation adjustment mechanism is caught on the side wall of the outer cylinder through a snap ring on the outer cylinder; the rotation adjustment mechanism is docked with the rack, which is adjusted by controlling the rotation The mechanism meshes with the rack and rotates the rotation adjustment mechanism to realize the backward movement of the middle cylinder.
[权利要求 7] 根据权利要求 6所述的负压吸入式骨水泥灌注装置, 其特征在于: 所 述旋转调节机构包括有圆环盖, 圆环盖由第一半盖和第二半盖对接而 成, 两者均设有按钮孔; 在圆环盖内设有呈对称的按压结构, 包括有 第一按钮件、 第二按钮件及两联动块, 第一按钮件及第二按钮件的内 侧表面设有与齿条相配的螺纹结构; 第一按钮件与一联动块并排设置 于第一半盖中, 第二按钮件与另一联动块并排设置于第二半盖中, 第 一按钮件上的按钮从第一半盖的按钮孔中露出, 第二按钮件上的按钮 从第二半盖的按钮孔中露出; 第一按钮件及第二按钮件的两端分别通 过螺丝连接有转子, 在转子中设有弹簧, 弹簧分别穿过联动块两端的 孔套在第一半盖和第二半盖中的弹簧柱上; 第一按钮件的按钮压在与 其并排联动块上, 第二按钮件的按钮则压在与其自身并排的联动块上 ; 通过按压两按钮件的按钮推动第一按钮件及第二按钮件相向移动, 使两者内侧表面的螺纹与中筒的齿条卡合, 此时旋转圆环盖即可推动 齿条朝后移动, 使中筒带着内筒朝后移动, 从而将内筒中的骨水泥压 入骨骼内; 松开按钮后, 在弹簧的弹力作用下, 将第一按钮件及第二 按钮件分别朝第一半盖和第二半盖推动, 并带动各自对应的联动块复 位。 [Claim 7] The negative pressure suction type bone cement perfusion device according to claim 6, characterized in that: the rotation adjustment mechanism includes a ring cover, the ring cover is docked by the first half cover and the second half cover Both are provided with button holes; a symmetrical pressing structure is provided in the ring cover, including a first button member, a second button member and two linkage blocks, the first button member and the second button member The inner surface is provided with a screw structure matched with the rack; the first button member and one linkage block are arranged side by side in the first half cover, the second button member and the other linkage block are arranged side by side in the second half cover, and the first button The button on the piece is exposed from the button hole of the first half cover, and the button on the second button piece is exposed from the button hole of the second half cover; the two ends of the first button piece and the second button piece are respectively connected by screws The rotor is provided with a spring in the rotor, and the springs are respectively sleeved on the spring columns in the first half cover and the second half cover through the holes at the two ends of the linkage block; the button of the first button member is pressed against the linkage block side by side, The buttons of the two button pieces are pressed against the linkage block side by side; by pressing the buttons of the two button pieces, the first button piece and the second button piece are moved toward each other, so that the threads on the inner surface of the two buttons and the rack of the middle cylinder are caught At this time, rotating the ring cover can push the rack back to move the middle cylinder with the inner cylinder backward, thereby pressing the bone cement in the inner cylinder into the bone; after releasing the button, the elastic force of the spring acts Next, push the first button member and the second button member toward the first half cover and the second half cover, respectively, and drive the corresponding linkage blocks to reset.
[权利要求 8] 根据权利要求 7所述的负压吸入式骨水泥灌注装置, 其特征在于: 还 包括有注射搅拌装置, 其包括有注射推杆、 活塞和注射筒, 在注射筒 前端装漏斗形成用于注入骨水泥的结构, 在注射筒前端插入搅拌杆形 成用于搅拌骨水泥的搅拌装置结构。 [Claim 8] The negative-pressure suction type bone cement infusion device according to claim 7, further comprising: an injection stirring device, which includes an injection push rod, a piston and a syringe, and a funnel is installed at the front end of the syringe A structure for injecting bone cement is formed, and a mixing rod is inserted at the front end of the injection barrel to form a structure of a mixing device for mixing bone cement.
[权利要求 9] 根据权利要求 8所述的负压吸入式骨水泥灌注装置, 其特征在于: 在 搅拌杆的前端安装有一搅拌叶轮, 搅拌叶轮随搅拌杆的前端一起插入 注射筒内形成搅拌结构; 在搅拌杆的后端设置有一便于手指扣住以拉 动搅拌杆的拉扣, 拉扣形成环状结构。 [Claim 9] The negative pressure suction type bone cement infusion device according to claim 8, characterized in that: a stirring impeller is installed at the front end of the stirring rod, and the stirring impeller is inserted into the injection cylinder together with the front end of the stirring rod to form a stirring structure The rear end of the stirring rod is provided with a pull buckle which is convenient for fingers to pull to pull the stirring rod, and the pull buckle forms a ring structure.
[权利要求 10] 根据权利要求 6所述的负压吸入式骨水泥灌注装置, 其特征在于: 搅 拌杆插入注射筒后, 将搅拌杆上套设的注射筒盖、 防水圈及防水圈盖 一起固定在注射筒的前端形成防漏结构, 其中注射筒盖与注射筒的前 端固定, 防水圈将搅拌杆与注射筒盖之间的空隙密封, 防水圈盖将防 水圈固定在注射筒盖中。 [Claim 10] The negative-pressure suction type bone cement infusion device according to claim 6, characterized in that: after the stirring rod is inserted into the syringe, the syringe cover, the waterproof ring and the waterproof ring cover sleeved on the stirring rod are put together The front end of the syringe is fixed to form a leak-proof structure, wherein the syringe cover is fixed to the front end of the syringe, the waterproof ring seals the gap between the stirring rod and the syringe cover, and the waterproof ring cover fixes the waterproof ring in the syringe cover.
PCT/CN2019/125864 2018-12-18 2019-12-17 Negative pressure suction-type bone cement injection device and injection method WO2020125605A1 (en)

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