CN102579116A - Surgical instrument with frangible part - Google Patents
Surgical instrument with frangible part Download PDFInfo
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- CN102579116A CN102579116A CN2012100051894A CN201210005189A CN102579116A CN 102579116 A CN102579116 A CN 102579116A CN 2012100051894 A CN2012100051894 A CN 2012100051894A CN 201210005189 A CN201210005189 A CN 201210005189A CN 102579116 A CN102579116 A CN 102579116A
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- operating instrument
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- bonding part
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Abstract
The invention provides a surgical instrument (1.1, 1.2) with an implant, which comprises a handle part (2.1, 2.1) and a predetermined breaking point (4, 5, 6, 7).The predetermined breaking point (4, 5, 6, 7) connects the implant with the handle part (2.1, 2.2), wherein the implant is a joining profile (3.1, 3.2).
Description
Technical field
The present invention relates to according to the surgical operating instrument of the characteristic of the upperseat concept of claim 1 and be used for inserting apparatus (Einbringinstrument) and being used for the boring grab (Bohrschablone) of this surgical operating instrument of this surgical operating instrument.
Background technology
Nail or folder are used to connect bone parts, for example use in according to the hand of Weil, Scarf, Austin, Chevron and Cheil and foot's surgical operation and a lot in other operations.Folder is used for fixing and/or oppresses bone parts and stay in the health as a rule.Sometimes these nails and/or folder are very little implants, and owing to its shape is difficult to grasping.Through according to prior art insert apparatus only can insert very consuming timely the folder and/or the nail.Another problem is when implanting nail and/or folder, before inserting folder, will hole in advance usually.The hole of boring in advance is difficult to find after removing drill bit.Boring grab known in the state of the art, however boring grab can not be used in combination with nail.
Summary of the invention
The objective of the invention is to: a kind of surgical operating instrument is provided, makes to overcome above-mentioned shortcoming or above-mentioned shortcoming is minimized at least.In addition, should realize boring grab and insert apparatus, to implant bonding part or nail better.
This purpose realizes through the characteristic of the characteristic of claim 1.
For the surgical operating instrument with implantation portion and handle portion, implantation portion is connected through cracking point with handle portion.Preferably, implant is the bonding part.The bonding part for example is threaded fastener, anchor, cage structure, nail and/or folder.
In typical embodiment, surgical operating instrument comprises guiding tube.Preferably, the diameter of this guiding tube is less than or equal to 4mm.Particularly preferably, this guiding tube is an infusion cannula.
Can consider that at this different forms is as the bonding part.Terrifically, be included in perhaps part circle contour of all U profiles in the side view, C profile, half or 3/4ths, and the implant that is called as folder or nail.
In typical embodiment, implant is nail.Nail is applicable to fixing bone parts and/or soft tissue and/or ligament and/or tendon.
Notion " nail (Staple) " is the professional notion that is used for the bonding part in medical skill in German.
What also can expect is; The bonding part has for example 4,6,10 posts of a plurality of posts; These posts can be network structure a kind of of star, honeycomb texture, arbitrary form; And be not only the flat shape that can also have the bone surface of being adapted to, and form 1/4th, 1/2nd, 3/4ths or shell arbitrarily with post, these posts through incorporate boring and stationary fixture in bone after the boring in advance quilt inserted in the bone.
The bonding part is very little, is difficult to hold and handle them.Handle portion is better held with respect to the bonding part, and the advantage that therefore produces is, can handle, keep, receive, rotate and/or move the implant that is used to insert comfily through handle portion.When implant at least in part implant or bonding part, can under the situation of not using other instruments, handle portion be separated with implant or bonding part at cracking point place.
Handle also can be made up of a plurality of parts, for example is two-part, wherein be not connected with the bonding part and the second in command that is connected with cracking point part can fracture, the handle portion that this cracking point extremely is connected with the bonding part.
After the second in command's part that fractures, it forms so-called removable boring grab and/or fixing hole and/or guide surface and/or the gathering sill that is used to engage the post of taking turns the storehouse, is used for guide engagement part when bone is inserted in the bonding part.
Particularly preferably, surgical operating instrument comprises a plurality of cracking points.Consequent advantage is that handle portion and bonding part can interconnect well.Another advantage is, the space preferably is provided between cracking point.Particularly preferably, these spaces are applicable to the apparatus of inserting that engagement hereinafter describes.
The bonding part, just the nail can process by implantable, absorbable material.
On purpose, surgical operating instrument is a single-piece, is for example processed by titanium plate or metal dish.Preferably, manufacturing approach is cut, Wire EDM, punching out, crooked perhaps cutting working method such as milling, polishing, and nail is processed also by implantable, absorbable material or plastics and is fine.Consequent advantage is that the cracking point can very accurately be processed.This is important, to guarantee that the cracking point breaks under the situation of active force that limits or moment of torsion.Another advantage of said manufacturing approach is to have the surgical operating instrument of implant with low relatively cost manufacturing.
In typical embodiment, bonding part or nail are made up of the titanium silk.Consequent advantage is, can make the bonding part with low-down cost.
Particularly preferably, cracking point or a plurality of cracking points are disposed on the bonding part in the following manner, promptly are arranged in the depression of bonding part, and can not have the fracture of burr ground, and perhaps burr is deeper than the surface of bonding part.Consequent advantage is that the possible burr of bonding part or cracking point can not cause damaged tissue, skin or bone.
In typical embodiment, the bonding part has first post.Preferably, this bonding part has second post.Particularly preferably, this bonding part comprises brace, is applicable to connect first and second posts.
What also can expect is; The bonding part has for example 4,6,10 posts of a plurality of posts; These posts can be network structure a kind of of star, honeycomb texture, arbitrary form; And be not only the flat shape that can also have the bone surface of being adapted to, and form 1/4th, 1/2nd, 3/4ths or shell arbitrarily with post, these posts through incorporate boring and stationary fixture in bone after the boring in advance quilt inserted or be pressed in the bone.
In typical embodiment, first post and second post of bonding part are parallel to each other.In the case, the angle of post and brace formation is between 120 ° to 15 °.The bonding part especially preferred embodiment be so-called 90 ° of bonding parts and so-called 26 ° of bonding parts.To 90 ° of bonding parts, brace and cylindricality are spent at an angle of 90.For 26 ° of bonding parts, parallel post becomes 26 ° with brace.
In typical embodiment, the angle that the post of bonding part forms is between 60 ° and 220 °.Therefore, said post extends not parallelly.Be that said post is outstanding each other, perhaps each other towards extension.Consequent advantage is, single post can for example accomplish and oppress, fix, the task of directed and/or guiding.
Also can improve compressing, and this mode is provided in preferred embodiment through becoming stagewise post.
In typical embodiment, post has depression, groove, breach, space, slit and/or slotted hole.Consequent advantage is that post can be accomplished for example fixing or directed task.Another advantage is, through specific post shapes bonding part preferred elastomeric effect and generation compressing.Advantageously, will improve bonding part and bone healing afterwards through described post shapes.
In typical embodiment, that the free end of post is configured to point and/or have a sword.Preferably, post has sawtooth and/or barb.Consequent advantage is, will insert bonding part and will be better and grappling bonding part in bone more safely with being more prone to.
On purpose, surgical operating instrument comprises impingement area.Preferably, this impingement area appears on the bonding part after handle portion breaks.Consequent advantage is that after handle portion broke, the bonding part can further be inserted in bone or the tissue through other the workpiece that acts on the impingement area.
In typical embodiment, the bonding part comprises a structure.Preferably, this structure forms impingement area.Consequent advantage is, the bonding part through handle portion or handle portion breaks after acting on during workpiece on the impingement area can further be inserted bone or organize through other.
On purpose, handle portion comprises impingement area.Consequent advantage is that surgical operating instrument preferably can further be inserted in bone or the tissue through another workpiece through the impingement area on the handle portion.
On purpose, the impingement area of handle portion is a structure.Consequent advantage is, handle portion and impingement area can be made for single-piece.
In typical embodiment, surgical operating instrument has the hole.Preferably, handle portion has the hole.Particularly preferably, surgical operating instrument has a plurality of holes.
Said hole is preferably used as the boring grab for the bar that is used for joint element.Other selected hole be can introduce, bone and boring grab are used for fixing.
Consequent advantage is that through the hole in the handle portion, handle portion can be positioned on the boring tinsel of having inserted in the health.Therefore, surgical operating instrument or bonding part can be positioned with respect to boring tinsel or the hole that has occurred.
In typical embodiment, nail, more precisely implant be configured to tubular or part tubular, for example be perhaps polygonal profile of annular.On purpose, implant preferably is made out of tubes or is made for preferred circle by solid-state material.Preferred manufacturing approach is laser or injection method, also is possible in these all modification wherein.
In typical embodiment, implant is particularly followed closely and is comprised point.Preferably, point is arranged between the post of nail.The advantage that produces through said point is, also can extra soft tissue, tendon or ligament for example be fixed on the bone through it.
In typical embodiment, very little nail embodiment is processed by tube of material by tubular or part as described above.Said nail is preferably inserted in the health by means of the guiding tube or the infusion cannula that have less than the diameter of 4mm.The advantage that said nail has is, can insert nail through destination channel by means of " little otch " method or through skin.Consequent advantage is, the method that is used for connecting breach can be used in the meniscus of knee joint fracture.This is faster and simpler than the method for using a plurality of anchors and silk thread.
In typical embodiment, implant, particularly nail comprise the foraminous side connecting plate of tool (Lasche).Consequent advantage is, guarantees outward that with whorl side the safety of following closely is possible.
In typical embodiment, implant, particularly nail are included between the post at least one pin and/or the foraminous connecting plate of tool as separator, and wherein said pin provides fixed angle correction or fixed spacing.
In typical embodiment, nail comprises space and/or hole.Preferably, can in said space and/or hole, insert apparatus.Consequent advantage is, after recovery from illness or when inspection, can more easily remove once more.Preferably, said space or hole are used as the cracking point, make user for example to separate through the side cutting knife targetedly.Advantage does, only need produce little passage in order to remove this isolating, and this does not affect the appearance and healing very soon.
In typical embodiment, boring grab comprises at least one opening, for example has the V-opening or the Z-opening of different angles.Preferably, boring grab is configured to the saw cramp tool, has the side channel mouth that is used for saw blade.Can be as an alternative, surgical operating instrument has the saw cramp tool that separates that ruptures on handle, has at least one fixing hole and/or navigation auxiliary.
In typical embodiment, nail or implant comprise a plurality of posts.Preferably, nail comprises plate, the particularly plate for forcing between the post.Preferably, said plate has a plurality of holes.Especially, said hole is used for fixing with the boring tinsel and/or being used to the bone parts of screwing.This embodiment is with respect to the advantage with plate and nail and/or screw fixing bone parts, when inserting the nail with post, needs screw still less, and realizes lasting compressing through the post design, and this almost is impossible for plate.In addition, advantage is, pilot nail quickly, and can dismantle once more quickly.
In typical embodiment, plate designs preferred corresponding bone surface.Consequent advantage is, can satisfy the demands of different aspect skeletal structure.For example, plate preferably is configured to straight or approaching straight plate according to operating position.
In typical embodiment, implant is configured to so that can offset angle and radius, perhaps be constructed with stagewise plate near straight plate and extra bending and/or bending, is used in particular for offsetting highly different.
In typical embodiment, on said plate, form at least one pin.Preferably, this pin is arranged between the post.Consequent advantage is that pin provides fixed angle correction or fixed spacing.
In typical embodiment, surgical operating instrument comprises the pipe and/or the saw cramp tool that can rupture.Preferably, this pipe and/or saw cramp tool comprise fixing hole and/or navigation auxiliary.
In typical embodiment, implant is an anchor.Anchor is preferably processed by materials that all medical treatment allow by the solid-state material, tubule of circle with flat shape.Usually, anchor has the perhaps all kinds tooth portion of thread type on outer surface, so that implant more safely is anchored in the bone.Bolt shape embodiment also is fine, and it is inserting the back stretching, extension.Consequent advantage is, can insert anchor through simple mode and method.The fixedly problem of ligament of safety so far always appears when inserting anchor, but the complexity of the use apparatus under also existing and the problem of operability.
In addition advantageously, have as the surgical operating instrument of inserting the anchor of thing be single-piece and therefore can low-costly make.This is huge advantages for disposable products when following situation especially, promptly when all operations can provide aseptic packaging, and does not need expensive apparatus suit, and when only needing very tiny apparatus suit.
In typical embodiment, anchor by circle, part solid-state material or tubule process.Preferably, anchor is configured to bolt shape/or for plane form.The material that all medical treatment allow is applicable to manufacturing.
In typical embodiment, outer surface has screw thread and/or tooth portion.Consequent advantage is, can more safely anchor be fixed in the bone.
In typical embodiment, surgical operating instrument comprises the two anchors as implant.Consequent advantage is that for example the band in the device can be opened by pretension with the elastic force of confirming, and can be inserted in two bone parts with the distance that limits then.Preferably, same like integrated fixing hole for every other modification, oblique fixing hole, boring/saw cramp tool and guider on anchor and/or bar to this.
In typical embodiment, anchor has the anchor post of being processed by plastics or absorbable material.It is preferred especially on anchor, spraying the formation brace.Consequent advantage is, can abandon extra suture material.
Preferably, each anchor post has separable extension rod.Consequent advantage is, a plurality of anchors can one in another border district and/or one after another stack, hold together together, as in the cartridge clip.This is favourable, because can as cartridge clip, be used in particular for " stitching " crack by the anchor from infusion cannula.Also advantageously, needn't use expensive knotting technology.Can accomplish whole surgery with apparatus and implant.
In typical embodiment, implant is folder.Use the folder of different sizes for general surgery with for Minimally Invasive Surgery, the blood vessel, intestinal and the organ that have blood flow to cross with joint.Hollow bar keeps apparatus this to be had the diameter of 5mm to 12mm at least.
Usually, be placed in one by one on the position that organ should cut in a plurality of both sides that are clipped in.
Preferably, folder with part circle, part becomes other forms of the materials angle and that allow with all medical treatment to be made.Preferably, folder comprises lock, and their brakings are in this lock when two folder posts are pressed together.Preferably lock when closing power reaching predetermined.Preferably, folder is processed by plastic material.
In typical embodiment, folder is made of titanium.Preferably, material behavior is chosen to, and makes to be clipped in to be pressed together to keep shape afterwards.
Problem is, presss from both sides to be very little parts.From cartridge clip, take out and remain on the apparatus oral area and be difficult to, because not have to be directed against the maintenance measure that drops out for the embodiment of titanium especially until surgery location.
In typical embodiment, handle portion comprises engagement, is applicable to handle to be connected, and consequent advantage is that each user can connect preferred handle portion.
In typical embodiment, be formed on the handle portion to the handle single-piece.Consequent advantage is, can make surgical operating instrument with simple mode and method, and can be used as the unit of aseptic packaging.
In typical embodiment, folder comprises first bar and second bar.Preferably, said bar has the diameter less than 5mm, especially preferably has the diameter less than 3.5mm.Consequent advantage is that a plurality of rod instruments can be inserted in the umbilicus through little opening especially.
In typical embodiment, bar is configured to stagewise.Consequent advantage is, can damaged tissue.
In typical embodiment, bar is partly crooked and/or a radius is crooked.Consequent advantage is that double-layered quilt places separable prolongation place, and wherein prolonging can be according to the operating position elastic forming.
In typical embodiment, bar is processed by elasticity and flexible material.Consequent advantage is, user can be crooked arbitrarily before placing folder, reaching surgery location better, and needn't use new passage.
In typical embodiment, rod-shape is configured to, make simultaneously a plurality of folders, preferably to six folders, they are locked and/or are placed one by one.
In typical embodiment, engagement is not disposed in the bar, but is arranged in the bar outside.Consequent advantage is, can be configured to the equipment mechanism that is used for as the folder of implant bigger.
Preferably, a plurality of folders interconnect.Preferably, the folder side direction interconnects on placing direction.Can be as an alternative, folder layout one by one, and interconnect, consequent advantage is that folder can easierly be contained in the cartridge clip.
Preferably, folder is made up of material composite.Preferably, at least a material is absorbable.In typical embodiment, separable extension comprises the engagement that is used for being contained in handle portion.
In typical embodiment, implant is a cage structure.Such cage structure is for example disclosed in DE 10 2,011 022 076.Preferably, cage structure is used for stable and the interval rotary body.Yet importantly, these cage structures are specially adapted to following method for posting: " miniature opening " and pass through skin.To this, surgical operating instrument preferably includes guiding tube, particularly a guiding tube.Consequent advantage is, cage structure is installable under the angle of confirming, can be particularly well by navigation and can be by extends parallel.This cage structure embodiment also can be used in other medical field, for example is used for realizing to the hollow space of the damaged Minimally Invasive Surgery method of vertebra, is used in veterinary and the non-medical field.
Preferably, cage structure comprises upper casing and lower casing.Particularly preferably, upper casing and lower casing interconnect through adjusting device movably.Preferably, pin is used as adjusting device.Consequent advantage is, can simply move the distance that changes upper casing to lower casing through pin.
In typical embodiment, pin, main shaft, air cushion, gel mat or band are used as adjusting device.Consequent advantage is that cage structure can be as dynamically connecting rotary body.
Handle portion is connected with cage structure as implant through at least one cracking point.
Preferably, at least lower casing and/or upper casing and/or for example pin structure become extra at least one plate that has, this at least one plate has at least one fixing hole, to reinforce rotary body.Preferably, two plate side form fit ground interlocks each other are can receive higher active force.Can be as an alternative, the dowel plate of also can extraly screwing on, perhaps also can with separable be connected integrated.
In typical embodiment, the junction point place between implant and handle portion preferably before handle portion breaks, implements other tasks, as inserts, navigates, makes and fixing cage structure.
In typical embodiment, cage structure partly comprises bearing-surface.Preferably, said bearing-surface is applicable to and when breaking off or clashing into cage structure, receives the pressure that produces.
In typical embodiment, apparatus comprises engagement at one end, is applicable to connect to insert apparatus.Consequent advantage is, can make at low cost.
Can be as an alternative, apparatus can be connected with handle distolateral.Preferably, handle and implant are processed by a kind of material.Preferably, cut, burn into cutting or injection are used as manufacturing approach.
After for example inserting cage structure in the intervertebral disc, this cage structure can and apply the angle that pulling force above that goes up in any direction to confirm through the connection that is used to navigate and be rotated.At this, can on handle, have unshowned scale, make to make user control and/or keep the angle setting of hope.
In typical embodiment, apparatus comprises notch or otch.Consequent advantage is that user is discerned and/or perceived, and whether reaches position, desirable angle and cage structure and whether can stretch.
In typical embodiment, the cracking point is designed to, preferably when power that reaches qualification or the moment of torsion that limits after cage structure stretches connection break and/or separate.Preferably, at first therefore separate handle portion.
Preferably, pin structure becomes, and makes when cage structure stretches, not reach definite position that the peak of pin is skipped.Consequent advantage is that cage structure moves to together once more, and therefore can be removed better.
Preferably, the cracking point is configured to, and makes the motion that limits can remove separation process.Example to said motion can be to rotatablely move or rectilinear motion.Under various situation, for example the instrument of chisel or pliers form can be used for separating the cracking point.
Preferably, apparatus comprises and is applicable to and connects the band treat separating part.Consequent advantage is, can control separated portions, to avoid damaging, damaging and/or lose tissue on every side.
In typical embodiment, apparatus is made of a variety of materials.Consequent advantage is, can be used for its function by manufacturing by having all elements that low-cost specific material processes.
In typical embodiment, apparatus comprises the bar that is applicable to the enforcement Navigational Movements.Preferably, bar can be connected with cage structure.Particularly preferably, said bar comprises shape memory alloy material, and particularly Nitinol perhaps is configured to line, is applicable to through pulling motion navigation cage structure.Particularly preferably, cage structure has hole or fixing point.Consequent advantage is, can be with simple mode and method static line or bar.
The apparatus of inserting to being used to insert described surgical operating instrument requires separately protection.
Preferably, insert apparatus and comprise handle.Consequent advantage is, can well control and control to be used for the operating apparatus of inserting.
On purpose, insert apparatus and comprise the gathering sill that is used to have implant.Preferably, handle portion is directed in gathering sill.On purpose, the bonding part also can be directed in gathering sill.Particularly preferably, gathering sill is applicable to the guiding handle portion, and therefore is applicable to the guide engagement part.More preferably, insert apparatus and comprise two or more a plurality of gathering sills.Consequent advantage is, through inserting apparatus guided surgery operating theater instruments more safely.
In typical embodiment, insert apparatus and comprise impingement area.Consequent advantage is, can surgical operating instrument be inserted in the hard tissue such as bone through inserting apparatus.
On purpose, insert apparatus and comprise bearing-surface.Preferably, bearing-surface can effectively be connected with the impingement area of bonding part and/or the impingement area of handle portion.Consequent advantage is, being applied in impact on the impingement area of inserting apparatus can be more safely and guiding ground and particularly on correct angle, being transferred on the surgical operating instrument, particularly on handle and/or the bonding part.Consequent advantage is, avoids that handle portion separates with the bonding part when impact being applied on the impingement area of inserting apparatus.
On purpose, supporting surface comprises gathering sill.Consequent advantage is, surgical operating instrument can be more safely leans on the bearing-surface of apparatus and is directed inserting.
Require separately protection to the boring grab that is used to insert described surgical operating instrument.
Preferably, boring grab comprises preferably having the anchor clamps that are applicable to the handle of inserting the hole, and the bonding part of surgical operating instrument is inserted in the said hole.Consequent advantage is, has simplified the opening of holing in advance for the bonding part.
Another embodiment is described the boring grab that is used to insert surgical operating instrument.
In typical embodiment, boring grab comprises and is applicable to the anchor clamps that are used for fixing bone of inserting the hole.Preferably, in said hole, insert the boring tinsel.Consequent advantage is that surgical operating instrument can relatively easily navigate to the hole that is used to insert the bonding part of boring in advance through boring grab with by means of the boring tinsel of being inserted in the boring grab.More easily find the hole that is used for the bonding part thus.
In typical embodiment, boring grab comprises one or more and guides face and/or gathering sill into, with the guided surgery operating theater instruments.Preferably, spigot surface is applicable to the guide engagement part.Particularly preferably, spigot surface is applicable to guiding handle portion when inserting the bonding part.Consequent advantage is, can guide engagement partly and with it insert in the tissue with the angle that limits.
Description of drawings
Hereinafter, according to the present invention of accompanying drawing Short Description, wherein in the accompanying drawing:
Fig. 1 illustrates the front view that has the surgical operating instrument of handle portion (Griffteil) and bonding part (Fuegenprofil) according to of the present invention;
Fig. 2 illustrates to the perspective view according to the surgical operating instrument of Fig. 1;
Fig. 3 illustrates the front view according to another embodiment of the surgical operating instrument with handle portion and bonding part of the present invention;
Fig. 4 illustrates to the perspective view according to the surgical operating instrument of Fig. 3;
Fig. 5 illustrate have according to surgical operating instrument of the present invention according to front view of inserting apparatus of the present invention;
Fig. 6 illustrate do not have said surgical operating instrument according to perspective view of inserting apparatus of the present invention;
Fig. 7 illustrates the perspective view according to boring grab of the present invention (Bohrschablone);
Fig. 8 illustrates the front view according to boring grab of the present invention according to Fig. 7;
Fig. 9 to Figure 12 illustrates the amplification sectional view according to boring grab of the present invention according to Fig. 8;
Figure 13 illustrates the perspective view according to surgical operating instrument of the present invention of inserting apparatus and pressing from both sides according to boring of the present invention according to of the present invention that has when inserting surgical operating instrument in the tissue;
Figure 14 illustrates the explanatory view according to the front view of surgical operating instrument of the present invention of the nail (Staple) that has as implant;
Figure 15 illustrates to have as the nail of implant and has the explanatory view according to another embodiment of surgical operating instrument of the present invention of infusion cannula;
Figure 16 illustrates the explanatory view according to the vertical view of the surgical operating instrument of Figure 15;
Figure 17 illustrates the explanatory view according to the perspective view of the embodiment of the surgical operating instrument of Figure 15 and Figure 16;
Figure 18 illustrates the explanatory view according to the side view of another embodiment of surgical operating instrument of the present invention that has as the nail that has nail point (Spikes) of implant;
Figure 19 illustrates the explanatory view according to the vertical view of the surgical operating instrument of Figure 18;
Figure 20 illustrates the perspective view according to the surgical operating instrument of Figure 18 and Figure 19;
Figure 21 illustrates the explanatory view according to the side view of another embodiment of surgical operating instrument of the present invention, and wherein implant is for having the nail of four posts (Schenkel);
Figure 22 illustrates the explanatory view of perspective view of surgical operating instrument that has the nail of four posts according to having of Figure 21;
Figure 23 illustrates the explanatory view according to the side view of another embodiment of surgical operating instrument of the present invention, and wherein this surgical operating instrument has the nail that has nail-plate and has the side pin (seitlicher Keil) that is used for RA;
Figure 24 illustrates the explanatory view according to the perspective view of the surgical operating instrument of Figure 23;
Figure 25 illustrates the explanatory view according to the side view of another embodiment of surgical operating instrument of the present invention, and wherein implant is anchor (Anker).
Figure 26 illustrates the explanatory view according to the side view of another embodiment of surgical operating instrument of the present invention, and wherein implant is folder (Klammer);
Figure 27 illustrates the amplification sectional view according to the front area of the surgical operating instrument of Figure 26;
Figure 28 illustrates the explanatory view of vertical view of front area of another embodiment of surgical operating instrument;
Figure 29 illustrates the explanatory view according to the intercepting side view of the extensile cage structure of the main shaft of prior art (Spindel expandierbar Cage);
Figure 30 illustrates the explanatory view that has as the intercepting side view according to the embodiment of the present invention of the surgical operating instrument of the cage structure of implant;
Figure 31 illustrates the explanatory view according to the vertical view of surgical operating instrument of the present invention as the cage structure of implant that has according to Figure 30;
Figure 32 illustrates the explanatory view according to the intercepting side view of another embodiment of surgical operating instrument of the present invention that has as the cage structure of implant;
Figure 33 illustrates the explanatory view according to the intercepting side view of another embodiment of surgical operating instrument of the present invention that has as the cage structure under extended configuration not of implant;
Figure 34 illustrates the explanatory view as the intercepting side view according to the embodiment of the present invention of the surgical operating instrument of the cage structure of implant that has according to Figure 33, and wherein cage structure is under extended configuration;
Figure 35 illustrates the explanatory view according to the intercepting side view of another embodiment of the present invention that has as the surgical operating instrument of the cage structure of implant;
Figure 36 illustrates the explanatory view according to the intercepting side view of another embodiment of surgical operating instrument of the present invention that has as the cage structure of implant;
Figure 37 illustrates the explanatory view according to the intercepting side view of another embodiment of the present invention that has as the surgical operating instrument of the cage structure of implant.
The specific embodiment
Fig. 1 and Fig. 2 disclose a kind of surgical operating instrument 1.1.This surgical operating instrument 1.1 comprises handle portion 2.1 and bonding part 3.1.This bonding part 3.1 comprises first post 8 and second post 9.This handle portion 2.1 is connected with bonding part 3.1 with secondary fissure solution point 5 through primary fissure solution point 4.
First post 8 of bonding part 3.1 is connected through brace (Steg) 10 with second post 9.The post 9 and the brace 10 angulation α of bonding part 3.1.In the embodiment of Fig. 1 and Fig. 2, this angle [alpha] is 26 °.
Post 8 and 9 free end have point 11 respectively.Said point is preferably polished.In addition, post 8 and 9 each comprise a plurality of barbs 12.
Bonding part 3.1 comprises bonding part impingement area 13.This bonding part impingement area 13 is positioned on the surface of brace 10 of bonding part 3.1.
Handle portion 2.1 comprises hand portion impingement area 14.This hand portion impingement area 14 is positioned on the upside of handle portion 2.1.In addition, handle portion 2.1 comprises two anchor clamps holes 15 and 16.In addition, handle portion 2.1 comprises circular void 17 and rectangular apertures 18, and wherein rectangular apertures 18 is configured to, and makes cracking point 5 and 4 be structured between handle portion 2.1 and the bonding part 3.1.
Fig. 3 and surgical operating instrument 1.2 shown in Figure 4 are configured to be substantially similar to surgical operating instrument illustrated in figures 1 and 2 1.1.The fundamental difference part is, bonding part 3.2 structures are rectangular, i.e. the brace 21 angulation β of first post 19 of bonding part 3.2 and second post 20 and bonding part 3.2, and this angle beta is 90 °.The every other section construction of surgical operating instrument 1.2 becomes to be substantially similar to the parts of surgical operating instrument illustrated in figures 1 and 2 1.1, and therefore has identical reference marker.The handle portion 2.2 that should be understood that surgical operating instrument 1.2 is different from handle portion 2.1 aspect following, promptly handle portion 2.2 can be connected with 90 ° bonding part 3.2.
Fig. 5 disclose have surgical operating instrument 1.1 according to the apparatus 22 of inserting of the present invention.Like Fig. 5 and shown in Figure 6, this apparatus 22 of inserting according to the present invention comprises handle 23.This is inserted apparatus 22 and on the upside of handle 23, comprises impingement area 40.In addition, insert apparatus 22 and comprise first gathering sill 24 and second gathering sill 25 that is used for handle portion 2.1 or 2.2.
As shown in Figure 6, insert apparatus 22 and be included in the bearing-surface 26 on the end of bonding part.This bearing-surface 26 is applicable on the bonding part impingement area 13 or handle impingement area 14 that abuts in surgical operating instrument 2.1 or 2.2.The bearing-surface 26 of in addition, inserting apparatus 22 comprises gathering sill 27.This gathering sill 27 is applicable to the upside that surrounds and guide handle portion 2.1 or 2.2.
Fig. 7 and Fig. 8 illustrate the boring grab 28 according to the present invention.This boring grab 28 comprises handle 29, to handle boring grab 28 better.Boring grab 28 comprises function element 30 at its first end place.Boring grab 28 comprises function element 31 at its second end place.Function element 30 and 31 has a plurality of fixtures and induction element respectively.Functional unit 30 and functional unit 31 have the guide surface 33 or 34 that is used for surgical operating instrument 1.1 or 1.2 respectively.
Fig. 9 illustrates the amplification plan view of the functional unit 30 of boring grab 28.This functional unit 30 comprises a plurality of holes 35, and they are applicable to that as anchor clamps to introduce described 90 ° bonding part, just surgical operating instrument 1.2.Compatible ground, Figure 11 discloses the ground plan of the functional unit 30 with hole 36, and they are equally applicable to introduce surgical operating instrument 1.2.Hole 35 and hole 36 meet at right angles with the surface of functional unit 30.The hole 36 that in Figure 11, occurs is conical, because they are arranged in the guide surface 33 of the inclination of functional unit 30.
Figure 10 illustrates the vertical view of functional unit 31, and this functional unit 31 is applicable to as the anchor clamps that are used for surgical operating instrument 1.1.Therefore, make up hole 41, and with angle [alpha], preferred 26 °.Under the help of the functional unit 31 of boring grab 28, can be to the post 8 of the bonding part 3.1 of surgical operating instrument 1.1 and the hole of 9 generation proper angle.
Function of the present invention is described hereinafter:
Implant surgical operating instrument 1.1 and 2.1 with method in an identical manner.Hereinafter, implantation surgical operating instrument 1.2 has only been described in order to know.
For implanting bonding part 3.2, surgical operating instrument 1.2 is placed in inserts in the apparatus 22.To this, the handle portion 2.2 of surgical operating instrument 1.2 is imported in the gathering sill 24 and 25 of inserting apparatus 22.At this, bearing-surface 26 acts on the rectangular apertures 18 of handle portion 2.2, makes bearing-surface 26 in rectangular apertures 18 and the impingement area 13 of the bonding part 3.2 that reclines.Be guiding better, handle portion 2.2 is arranged in the gathering sill 27 of inserting apparatus 22 with its handle portion impingement area 14.
Figure 13 illustrates and is received in the surgical operating instrument 1.2 of inserting in the apparatus 22, the boring grab 28 and the first boring tinsel 38 and the second boring tinsel 39.Boring tinsel 38 and 39 has been placed in the bodily tissue, in the preferred bone.
For positioning surgical apparatus 1.2 well, boring grab 28 is directed on the first boring tinsel 38 and second is holed tinsel 39 with its opening 35.
Free hole 35.1 and 35.4 and the hole that is placed in wherein of boring tinsel 38 and 39 have a plurality of purposes.Can use other boring tinsel with fixing bone parts.In addition, hole 35.1 and 35.4 is used for the post 19 of bonding part 3.2 and 20 opening also at least in part as anchor clamps with preboring.For placing bonding part 3.2, boring tinsel 38 and 39 can take out from tissue or bone at least in part.
For making bonding part 3.2 get in the bone, can knock the impingement area 3.2 of inserting apparatus 22.When bonding part 3.2 entered to certain depth, bonding part 3.2 can be through rotatablely moving and/or curvature movement and separating with handle portion 2.2 with 7 places at cracking point 6.
In addition, exist bonding part 3.2 further to get into the probability of tissue or bone through knocking bonding part impingement area 13.
Can be as an alternative, this surgical operating instrument also can directly get into tissue under the situation of not inserting apparatus in other, unshowned embodiment, preferably get in the bone.Through handle portion, the good relatively manipulation in bonding part makes to exist the surgeon holding this surgical operating instrument in the handle portion office and through knocking the handle portion impingement area bonding part is inserted the probability in the tissue at least in part.Then, the surgeon can separate at cracking point place handle portion with the bonding part.Work as needs, can the bonding part further be inserted in the bone through knocking the hand portion impingement area.
Figure 14 illustrates the front end area that has as the surgical operating instrument 42 of the nail 43 of implant.Nail 43 has pin 44.This pin 44 is applicable to RA.This nail 43 is connected with handle portion 47 with 46 through two cracking points 45.This handle portion has slit 48.This slit 48 for example is applicable to as the saw cramp tool.
Figure 15,16 and 17 illustrates another embodiment according to apparatus 49 of the present invention.Provide nail 50 as implant.This nail 50 has little size, preferably less than 4mm.In addition, surgical operating instrument 49 comprises infusion cannula 51.Be directed at infusion cannula 51 by handle portion and the surgical operating instrument that nail 50 constitutes.Infusion cannula 51 has very sharp limit 53.Advantage is thus, and surgical operating instrument 49 also is applicable to cutting.Embodiment according to Figure 15,16 and 17 surgical operating instrument 49 is specially adapted to through the fixing for example fractionlet of bone of skin.Through infusion cannula 51, nail 50 can be inserted under not to the situation of organizing major injury on every side.
Figure 18,19 and 20 illustrates another embodiment according to surgical operating instrument 54 of the present invention that has as the nail 55 of implant.Nail 55 is made out of tubes.Nail 55 has three posts 56,57 and 58, like what in Figure 19, can see.Nail 55 or post 56,57 and 58 have barb 59.In addition, nail 55 has point 60 in the zone at an upper portion thereof.
Figure 21 and Figure 22 illustrate another embodiment of surgical operating instrument 63.This surgical operating instrument 63 comprises the nail 64 with four posts 65,66,67 and 68.In addition, nail 64 comprises the plate 69 with fixing hole 70.Nail 64 is connected with handle portion 72 through a plurality of cracking points 71.This handle portion 72 has slit 73, and this slit 73 can be used as the saw cramp tool.Hole 74 to 76 in the handle portion 72 is used as boring grab.
Fig. 3 and Figure 24 illustrate another embodiment of surgical operating instrument 77.This surgical operating instrument 77 comprises as the nail 78 of implant and as the support plate 79 of handle portion.This support plate 79 is connected with nail 78 through brace 80.This support plate 79 is arranged to and brace 80 angled γ.This angle γ is preferably between 90 ° to 120 °.
In addition, nail 78 comprises post 83 in each bight of plate for forcing 81.Be similar to aforesaid embodiment, plate for forcing 81 comprises opening 166 and slit 167, is used as boring grab.
According to the embodiment of the present invention as follows functional of Figure 14 to Figure 23:
Figure 25 illustrates another according to surgical operating instrument 84 of the present invention.This surgical operating instrument 84 comprises as the anchor 85 of implant and handle portion 86.This anchor 85 is connected with handle portion 86 through cracking point 87.In the embodiment shown, cracking point 87 is configured to annular.The functional aforementioned embodiments that is similar to surgical operating instrument.
In other, unshowned embodiment, surgical operating instrument 84 is in guiding tube, be directed in infusion cannula especially.
Figure 26 illustrates another embodiment of surgical operating instrument 93.
Figure 27 illustrates the amplification sectional view of the front area of surgical operating instrument 93.Wherein provide a plurality of folders 94,95,96,97 and 98 as implant.Folder 94 is connected with folder 95 through a cracking point or through two cracking points 99.Folder 95 is connected with folder 96 in a similar fashion.Folder 98 is connected with handle portion 101 through cracking point 100.Handle portion 101 is directed in infusion cannula 102 with a plurality of folders 94 to 98.This handle portion 101 can be connected with the instrument handle that is not shown specifically through engagement.Basically, handle portion 101 can form single-piece respectively on instrument handle.
For the embodiment shown in Figure 27, folder 94,95,96,97 and 98 can be with the mode of cartridge clip being removed one by one.
Figure 28 illustrates the amplification plan view of the front area of surgical operating instrument 88.Folder 89 is connected with handle portion 91 through cracking point 90.This handle portion 91 is directed in infusion cannula with cracking point 90.Handle portion 91 can be connected with the instrument handle that is not shown specifically through engagement.Basically, handle portion 91 can form single-piece on instrument handle.
Figure 29 illustrates the cage structure 103 as implant according to prior art.This cage structure 103 comprises upper casing 104 and lower casing 105.Cage structure 103 stretches through the junction point 106 of the main shaft that is used for not being shown specifically.Pin 107 through be operatively connected a little 106 and main shaft be shifted.Selling 107 thus is adjusted to and makes cage structure 103 stretch.Upper casing 104 also is with 108 to be connected through flexibility with lower casing 105 except pin 107.
Figure 30 and Figure 31 illustrate have as the cage structure 110 of implant according to surgical operating instrument of the present invention.This cage structure 110 comprises upper casing 111 and lower casing 112.Upper casing 111 is located to be with 113 to interconnect like the flexuose pin of a plurality of formation and through flexibility at mutual opposed with lower casing 112.Flexibility with 113 be arranged in upper casing 111 and lower casing 112 wedge shape, between the mutual opposed inboard.Preferably, be with 113 to process by elastomeric material.
Be to connect elastic webbing 113 and cage structure, this band is preferably processed or is sprayed for single-piece.Can be as an alternative, said band also can be riveted or be bonded on the cage structure.In addition, upper casing 111 and lower casing 112 are interconnected to single-piece through bend pipe.
Thus, upper casing 111 is with 113 to be connected with lower casing 112 through at least one flexibility, and the advantage of generation is, must not use other expensive maintaining bodies such as joint or hinge.
In other unshowned embodiments, upper casing or lower casing also have at least one separable connection or have other separable connections.
This surgical operating instrument as follows functional:
Figure 32 illustrate surgical operating instrument 122 according to another embodiment of the present invention.This surgical operating instrument 122 comprises as the cage structure 123 of implant and as three bars 124,125 and 126 of handle portion.This cage structure 123 comprises the pin chain (Keilkette) 129 as Connection Element.In addition, this pin chain 129 is with 171 to be with 172 to be connected with upper casing 128 with lower casing 132 and through flexibility through flexibility.Bar 124 is connected with the upper casing 128 of cage structure 123 through cracking point 127.Bar 125 is connected with pin chain 129 through cracking point 130.Bar 126 is connected with the lower casing 132 of cage structure 123 through cracking point 131.
This surgical operating instrument as follows functional:
Figure 33 and 34 illustrates another embodiment of surgical operating instrument 133.This surgical operating instrument 133 comprises as the cage structure 134 of implant with as the pull bar or the push rod 135 of handle portion.This pull bar/push rod 135 is connected with the upper casing 137 of cage structure 134 through cracking point 136.This pull bar/push rod 135 is connected with the lower casing 139 of cage structure 134 through cracking point 138.The upper casing 137 and the lower casing 139 of cage structure 134 directly interconnect through first brace 140 and second brace 141.Consequent advantage is, cage structure 134 can be configured to single- piece.Brace 140 and 141 is used for the stretching, extension of cage structure 134 through pulling force and/or pressure, and wherein the brace orientation also can be in one direction.Pull bar/push rod 13 is used for directed cage structure.
In other unshowned embodiments, also can use other isolating apparatus to be used for directed cage structure.
Figure 35 illustrates another embodiment of surgical operating instrument 142.This surgical operating instrument 142 comprises as the cage structure 143 of implant with as three bars 144,145 and 146 of handle portion.The upper casing 147 of cage structure 143 is with 148 to be connected with middle brace 149 through flexibility.Similarly, lower casing 150 is with 148 to be connected with middle brace 149 through flexibility.Cage structure 143 is through bar 144 to 146 location.Through exerting pressure and/or pressure with 145 pairs of middle braces 149 of bar, upper casing 147 stretches with lower casing 150 each other.When cage structure 143 had correct opening size and correctly locatees, bar 144,145 separated with cage structure 143 with 153 places at corresponding cracking point 151,152 with 146.
Figure 36 illustrates another embodiment of surgical operating instrument 154.This surgical operating instrument 154 comprises the cage structure 155 as implant.Cage structure 155 comprises incorporate gusset plate 156.In this embodiment, cage structure 155 is through 157 adjustment of pin chain.
This surgical operating instrument 154 comprises the bar 158 as handle portion, and this bar 158 is connected with pin chain 157 through cracking point 159.
In other unshowned embodiments, all so far described cage structure forms can combine with gusset plate.
Figure 37 discloses another embodiment of surgical operating instrument 160.This surgical operating instrument 160 comprises the cage structure 161 as the incorporate nail 162 of having of implant.This nail 162 comprises nail-plate 163 and two nail posts 164 and 165.Make up handle portion 168 with the mode that is similar to above-mentioned embodiment.
Reference numerals list:
| 1 | Surgical operating instrument | 54 | Surgical operating instrument | 109 | Surgical operating instrument |
| 2 | Handle portion | 55 | Nail | 110 | Cage structure |
| 3 | The bonding part | 56 | Post | 111 | Upper casing |
| 4 | The cracking point | 57 | Post | 112 | Lower casing |
| 5 | The cracking point | 58 | Post | 113 | Flexible band |
| 6 | The cracking point | 59 | Barb | 114 | Handle portion, bar |
| 7 | The cracking point | 60 | Point | 115 | Bar |
| 8 | Post | 61 | The cracking point | 116 | The cracking point |
| 9 | Post | 62 | Handle portion | 117 | The cracking point |
| 10 | Brace | 63 | Surgical operating instrument | 118-120 | Bar |
| 11 | Point | 64 | Nail | 121 | Flexible band |
| 12 | Barb | 65 | Post | 122 | Surgical operating instrument |
| 13 | The bonding part impingement area | 66 | Post | 123 | Cage structure |
| 14 | The handle portion impingement area | 67 | Post | 124-126 | Three bars |
| 15 | The anchor clamps hole | 68 | Post | 127 | The cracking point |
| 16 | The anchor clamps hole | 69 | Plate | 128 | Upper casing |
| 17 | Circular void | 70 | Fixing hole | 129 | The pin chain |
| 18 | Rectangular apertures | 71 | The cracking point | 130 | The cracking point |
| 19 | Post | 72 | Handle portion | 131 | The cracking point |
| 20 | Post | 73 | The slit | 132 | Lower casing |
| 21 | Brace | 74 | The hole | 133 | Surgical operating instrument |
| 22 | Insert apparatus | 75 | The hole | 134 | Cage structure |
| 23 | Handle | 76 | The hole | 135 | Pull bar or push rod |
| 24 | Gathering sill | 77 | Surgical operating instrument | 136 | The cracking point |
| 25 | Gathering sill | 78 | Nail | 137 | Upper casing |
| 26 | Bearing-surface | 79 | Support plate | 138 | The cracking point |
| 27 | Gathering sill | 80 | Brace | 139 | Lower casing |
| 28 | Boring grab | 81 | Plate for forcing | 140 | First brace |
| 29 | Handle | 82 | Pin | 141 | Second brace |
| 30 | Functional unit | 83 | Post | 142 | Surgical operating instrument |
| 31 | Functional unit | 84 | |
143 | |
| 32 | The surface | γ | The angle | 144-146 | Three |
| 33 | Guide surface | δ | The |
147 | |
| 34 | Guide surface | 85 | |
148 | |
| 35 | The hole | 86 | |
149 | |
| 36 | The hole | 87 | The |
150 | |
| 37 | |
88 | Surgical operating instrument | 151-153 | The cracking |
| 38 | The |
89 | |
154 | |
| 39 | The |
90 | The |
155 | |
| 40 | |
91 | |
156 | |
| 41 | The |
92 | |
157 | The pin chain |
| 42 | |
93 | |
158 | Bar |
| 43 | Nail | 94-98 | |
159 | The cracking point |
| 44 | |
99 | The |
160 | Surgical operating instrument |
| 45 | The |
100 | The cracking |
161 | Cage structure |
| 46 | The |
101 | |
162 | Nail |
| 47 | |
102 | |
163 | Nail-plate |
| 48 | The slit | 103 | Cage structure | 164-165 | The nail post |
| 49 | Surgical operating instrument | 104 | Upper casing | 166 | |
| 50 | Nail | 105 | |
167 | The |
| 51 | Infusion cannula | 106 | Junction point | 168 | Handle portion |
| 52 | Handle portion | 107 | |
169 | The cracking |
| 53 | The limit | 108 | Flexible band |
Claims (30)
1. a surgical operating instrument (1.1,1.2); Have implant, handle portion (2.1,2.2) and breakaway poing (4,5,6,7); Said breakaway poing connects implant and handle portion (2.1,2.2), it is characterized in that said implant is bonding part (3.1,3.2).
2. surgical operating instrument according to claim 1 (49,84,93,88) is characterized in that, said implant comprises guiding tube (51,92,102), particularly comprises infusion cannula.
3. according to claim 1 or 2 described surgical operating instruments, it is characterized in that said implant is nail (43,50,55,64,78).
4. according to each described surgical operating instrument in the aforementioned claim, it is characterized in that said bonding part (3.1,3.2) have first post (8,19).
5. according to each described surgical operating instrument in the aforementioned claim, it is characterized in that said bonding part (3.1,3.2) have at least one second post (9,20).
6. according to each described surgical operating instrument in the aforementioned claim, it is characterized in that brace (10,21), said brace is used to connect said first post (8,19) and said at least one second post (9,20).
7. according to each described surgical operating instrument in the aforementioned claim, it is characterized in that impingement area, wherein said impingement area (13) occurs after fracture is located in bonding part (3.1,3.2) at handle portion (2.1,2.2).
8. according to each described surgical operating instrument in the aforementioned claim, it is characterized in that the structure that said bonding part (3.1,3.2) is located, wherein this structure is configured to impingement area (13).
9. according to each described surgical operating instrument in the aforementioned claim, it is characterized in that said handle portion (2.1,2.2) has impingement area (14).
10. surgical operating instrument according to claim 9 is characterized in that, the impingement area (14) of said handle portion (2.1,2.2) is a structure.
11., it is characterized in that said handle portion (2.1,2.2) has the hole according to each described surgical operating instrument in the aforementioned claim.
12., it is characterized in that said implant is anchor (85) according to claim 1 or 2 described surgical operating instruments.
13., it is characterized in that said implant is folder (89,94) according to claim 1 or 2 described surgical operating instruments.
14., it is characterized in that said handle portion is bar (114,115) according to the described surgical operating instrument of last claim.
15. surgical operating instrument according to claim 14 is characterized in that, a plurality of folders (94,95,96,97,98) are connected with handle portion (101).
16., it is characterized in that a plurality of folders (94,95,96,97,98) interconnect according to each described surgical operating instrument in the claim 13 to 15.
17., it is characterized in that said implant is cage structure (110,123,134,143,155,161) according to claim 1 or 2 described surgical operating instruments.
18. surgical operating instrument according to claim 17; It is characterized in that said cage structure (110,123,134,143,155,161) comprises upper casing (111,128,137,147), lower casing (112,132,139,150) and connecting device (113,129,141,140,149,157).
19., it is characterized in that said handle portion (114,124,135,144) is connected with said upper casing (111,128,137,147) through cracking point (116,127,136,151) according to claim 17 or 18 described surgical operating instruments.
20., it is characterized in that said handle portion (115,126,135,146) is connected with said lower casing (112,132,139,150) through cracking point (117,131,138,153) according to each described surgical operating instrument in the claim 17 to 19.
21. according to claim 17 or 20 described surgical operating instruments; It is characterized in that said handle portion (125,135,145,158) is connected with said connecting device (129,141,140,149,157) through cracking point (130,136,138,153,159).
22. one kind is used for inserting the apparatus of inserting according to each described surgical operating instrument of claim 1 to 21 (1.1,1.2), has handle (23), it is characterized in that being used at least one gathering sill (27) of said surgical operating instrument (1.1,1.2).
23. the apparatus of inserting according to claim 22 is characterized in that impingement area (40).
24. according to claim 22 or the 23 described apparatuses of inserting, it is characterized in that bearing-surface, this bearing-surface can effectively be connected with the impingement area of bonding part (3.1,3.2) and/or the impingement area (14) of handle portion (2.1,2.2).
25. the apparatus of inserting according to claim 24 is characterized in that, said bearing-surface has gathering sill (24,25).
26. one kind is used for inserting the boring grab according to each described surgical operating instrument of claim 1 to 21 (1.1,1.2), it is characterized in that anchor clamps, said anchor clamps are applicable to inserts the hole, and said bonding part (3.1,3.2) can be inserted in the said hole.
27. one kind is used for inserting the boring grab according to each described surgical operating instrument of claim 1 to 21 (1.1,1.2), it is characterized in that anchor clamps, said anchor clamps are applicable to inserts the hole that is used for fixing bone.
28. one kind is used for inserting the boring grab according to each described surgical operating instrument of claim 1 to 21 (1.1,1.2); It is characterized in that spigot surface (33,34), said spigot surface is used for guide engagement part (3.1,3.2) and/or handle portion (2.1,2.2).
29. one kind is used for inserting the boring grab according to each described surgical operating instrument of claim 1 to 28 (1.1,1.2); It is characterized in that anchor clamps; Said anchor clamps are applicable to inserts the hole; Said vent needle is to the bonding part and be used for fixing bone, also integrated on handle and can connect through at least one cracking point with rupturing.
30. one kind is used for inserting the boring grab according to each described surgical operating instrument of claim 1 to 29 (1.1,1.2); It is characterized in that the anchor clamps that can rupture; This at least one gathering sill of fixture supports that can rupture, this at least one gathering sill guide said bonding part when inserting bonding part (3.1,3.2).
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE102011000058.5 | 2011-01-07 | ||
| DE102011000058 | 2011-01-07 |
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| CN102579116B CN102579116B (en) | 2015-12-16 |
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| CN104023655A (en) * | 2011-09-02 | 2014-09-03 | 艾瑟瑞孚知识产权管理公司 | Surgical kit for cartilage repair |
| CN106028962A (en) * | 2013-12-23 | 2016-10-12 | 伊西康内外科有限责任公司 | Surgical staples and methods for making the same |
| CN106716071A (en) * | 2014-09-08 | 2017-05-24 | 皇家飞利浦有限公司 | Detection of surface contact with optical shape sensing |
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| US10987101B2 (en) | 2017-12-22 | 2021-04-27 | Ortho Solutions Holdings Limited | Superelastic bone compression staple |
| US11000323B2 (en) | 2018-06-01 | 2021-05-11 | Ortho Solutions Holdings Limited | Claw foot bone plate and plate inserter system with fixed and active compression, and method for its use |
| US11000281B2 (en) | 2017-12-22 | 2021-05-11 | Ortho Solutions Holdings Limited | Bone staple inserter |
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| US11000323B2 (en) | 2018-06-01 | 2021-05-11 | Ortho Solutions Holdings Limited | Claw foot bone plate and plate inserter system with fixed and active compression, and method for its use |
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