CN105342690B - A kind of unobstructed operation probe of cervical vertebral level angle - Google Patents
A kind of unobstructed operation probe of cervical vertebral level angle Download PDFInfo
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- CN105342690B CN105342690B CN201510887038.XA CN201510887038A CN105342690B CN 105342690 B CN105342690 B CN 105342690B CN 201510887038 A CN201510887038 A CN 201510887038A CN 105342690 B CN105342690 B CN 105342690B
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- probe
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- bar segment
- segment
- nut
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- 239000000523 sample Substances 0.000 title claims abstract description 66
- 210000003746 feather Anatomy 0.000 claims description 19
- NJPPVKZQTLUDBO-UHFFFAOYSA-N novaluron Chemical compound C1=C(Cl)C(OC(F)(F)C(OC(F)(F)F)F)=CC=C1NC(=O)NC(=O)C1=C(F)C=CC=C1F NJPPVKZQTLUDBO-UHFFFAOYSA-N 0.000 claims description 4
- 231100000241 scar Toxicity 0.000 abstract description 8
- 108010048734 sclerotin Proteins 0.000 abstract description 8
- 238000006073 displacement reaction Methods 0.000 abstract description 5
- 230000000149 penetrating effect Effects 0.000 abstract description 4
- 210000000988 bone and bone Anatomy 0.000 description 8
- 238000000034 method Methods 0.000 description 7
- 230000006378 damage Effects 0.000 description 6
- 210000004872 soft tissue Anatomy 0.000 description 5
- 230000007812 deficiency Effects 0.000 description 4
- 210000003195 fascia Anatomy 0.000 description 4
- 210000000278 spinal cord Anatomy 0.000 description 4
- 238000013459 approach Methods 0.000 description 3
- 230000015572 biosynthetic process Effects 0.000 description 3
- 230000000694 effects Effects 0.000 description 3
- 230000000007 visual effect Effects 0.000 description 3
- 230000000903 blocking effect Effects 0.000 description 2
- 238000005553 drilling Methods 0.000 description 2
- 239000007787 solid Substances 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 230000001054 cortical effect Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 210000004907 gland Anatomy 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 208000020431 spinal cord injury Diseases 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8897—Guide wires or guide pins
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/90—Guides therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B2017/564—Methods for bone or joint treatment
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Biomedical Technology (AREA)
- Engineering & Computer Science (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a kind of unobstructed operation probe of cervical vertebral level angle, it is characterized in that provided with probe's bar segment, arm of force bar segment, operate bar segment and handle drives section, probe's bar segment is parallel with operation bar segment, the arm of force bar segment lower end is connected with probe's bar segment cross-fixing, upper end is connected with operation bar segment cross-fixing, the operation bar segment rear end is fixedly connected with handle drives section, probe's bar segment front end extends axially forward bluff body section, and bluff body section and plane-parallel, popped one's head in provided with flat knife the bluff body section front end, the flat knife probe is oval, in favor of sclerotin can be penetrated using low-force amount, prevent because probe's head end justifies blunt, it is not sharp, the displacement of fracture distal end need to be caused with larger strength when penetrating sclerotin, the present invention is due to using said structure, it is novel with structure, it is easy to operate, success rate of operation is high, operating time is short, patient suffering is small, the advantages of scar scope is small.
Description
Technical field
The present invention relates to technical field of medical instruments, specifically a kind of unobstructed operation probe of cervical vertebral level angle.
Background technology
Odontoid fracture is a kind of common injury, accounts for the 8%-15% of fracture of cervical spine.Odontoid fracture is divided into 3 types, its
In II type nonunion rate be 15%-85%.Clinic fixes odontoid fracture using single piece of hollow screw of anterior approach, remains extensive region
Dentata mobility, improves union rate, and strong outer fixation is not required to after internal fixation treatment, is a kind of preferably treatment side
Method.
C2 odontoid fractures, preceding road cannulated compression screw ligamentopexis are, it is necessary to first insert guide pin, the method that guide pin is inserted at present
For：First carry Kirschner wire with bone drill and from the preceding lower edge of C2 centrums pierce drilling, after insert guide pin, this Kirschner wire is due to linear
Shape, is shown in accompanying drawing 1, exists in surgical procedure following substantive not enough：
1.C2 positions are deeper, and the straight line depth apart from skin is larger.Sometimes for the preferable level angle of acquisition, it is necessary to certainly
C5.6 levels appear, and big to prevertebral fascia damage range, the adhesion of formation, scar scope are big.
The two ends of odontoid fracture are substantially horizontal, and inserting Kirschner wire needs to keep close to horizontal level.And otch position
In before entry point, downside, into there is angle in sagittal plain during Kirschner wire, it is impossible to keep the position of level of approximation, cause to put
Enter Kirschner wire it is difficult, it is necessary to repeatedly, repeatedly change its course and insert Kirschner wire, cause screw way to expand, screw is lost due fixed effect
Power.
The presence of stop and neck important body of gland of the C2 front due to mandibular, it is impossible to directly form operative approach,
Can only be in the horizontal approaches of C5, it is necessary to have individual angle upwards.And be upwardly formed after angle, it is impossible to level of approximation position enters Kirschner wire,
Cause to insert screw failure, operative failure.
Because Kirschner wire can not be bent substantially, it is necessary to linear operating, may cause that fracture site can not be fixed during operation,
Kirschner wire may also be caused to be strayed into intraspinal tube and cause spinal cord injury, simultaneously as the operation of straight line stops operating field, damage is caused.
The content of the invention
Present invention aim to address above-mentioned the deficiencies in the prior art there is provided a kind of structure it is novel, easy to operate, perform the operation into
Power is high, the unobstructed operation probe of cervical vertebral level angle that operating time is short, patient suffering is small, scar scope is small.
The technical solution adopted for the present invention to solve the technical problems is：
A kind of unobstructed operation probe of cervical vertebral level angle, it is characterised in that provided with probe's bar segment, arm of force bar segment, action bars
Section and handle drives section, probe's bar segment are parallel with operation bar segment, and the arm of force bar segment lower end intersects solid with probe's bar segment
Fixed connection, upper end is connected with operation bar segment cross-fixing, and the operation bar segment rear end is fixedly connected with handle drives section, described to visit
Sub bar section front end extends axially forward bluff body section, and bluff body section and plane-parallel, and the bluff body section front end is provided with
Flat knife probe, the position entered due to the position and probe's bar segment that operate bar segment will not form the visual field not in same level
Block, do not easily cause extra damage, the flat knife probe is oval, in favor of that can penetrate bone using low-force amount
Matter, is prevented because probe's head end justifies blunt, not sharp, need to cause the displacement of fracture distal end with larger strength when penetrating sclerotin.
Flat knife probe of the present invention is deflected up along horizontal line, and flat knife probe is connected with bluff body section rounding off,
So that otch is in C3.4 intervertenral space levels operations, it is not necessary to local soft tissue is carried out to peel off on a large scale, exposed, is significantly subtracted
Few harassment scope to prevertebral fascia, the adhesion of formation, scar scope are small.
Flat knife probe of the present invention can tilt upward 5-15 °, so that probe enters along cortex on front side of cdontoid process, be difficult
Cortex of bone through rear side injures spinal cord.
The present invention can the handle drives section on be provided with linear drive apparatus, the linear drive apparatus include support,
Turning handle nut, support sliding sleeve, lift cylinder, positioning sucker disk, controlling switch, bearing and bearing block, the handle drives section middle part
Feather key section, convex rim segment and thread segment are sequentially provided with to rear end, the feather key section is above axially disposed feather key,
The pedestal upper end is anterior to be connected with support sliding sleeve, and rear end is fixedly connected with the bearing seat, and the pedestal lower end is provided with supporting leg, institute
Supporting leg lower end is stated provided with lift cylinder, the telescopic rod end of the lift cylinder is provided with positioning sucker disk, the support sliding sleeve endoporus
Provided with the chute being engaged with feather key, the support sliding sleeve is enclosed on feather key section, and is slid axially along feather key, the turning handle
Nut front is threadedly coupled with thread segment, and rear end is fixedly connected with the bearing seat through bearing, the lift cylinder and positioning sucker disk point
Not through controlling switch control, so that by rotating turning handle nut, driving handle drive section is linearly moved, and then flat knife is driven to visit
Head quickly penetrate fracture of cervical spine position, abandoned can only be in one direction during conventional Kirschner wire is pierced rotation and cause office
The deficiency that portion's soft tissue is involved on Kirschner wire.
Convex rim segment of the present invention can be set to fine-tuning nut, and the fine-tuning nut is by front end nut section, fine setting
Hold section and rear end nut segment is coaxially fixedly connected sequentially and formed, the front end nut section holds section with fine setting and is threadedly coupled, institute
Rear end nut segment is stated to be threadedly coupled with fine setting holding section,
The front end nut section is identical with rear end nut segment diameter, and pitch difference 0.1mm, when needing fine setting, manually
Rotary fine adjustment holds Duan Yizhou, and the distance of front end nut section reach is 0.1mm with the range difference moved after the nut segment of rear end, then flat knife
Probe i.e. reach 0.1mm, reaches the effect of precise fine-adjustment, significantly improves operative speed.
The present invention due to using said structure, with structure is novel, easy to operate, success rate of operation is high, operating time is short,
The advantages of patient suffering is small, scar scope is small.
Brief description of the drawings
Fig. 1 is the structural representation of the present invention.
Reference：Probe's bar segment 1, arm of force bar segment 2, operation bar segment 3, handle drives section 4, bluff body section 5, flat knife probe
6th, support 7, turning handle nut 8, support sliding sleeve 9, lift cylinder 10, positioning sucker disk 11, bearing block 12, supporting leg 13, controlling switch, preceding
End nut section 14, fine setting hold section 15, rear end nut segment 16, feather key 17.
Embodiment：
The present invention is further described below in conjunction with the accompanying drawings：
As shown in drawings, the unobstructed operation probe of a kind of cervical vertebral level angle, it is characterised in that provided with probe's bar segment 1, power
Armed lever section 2, operation bar segment 3 and handle drives section 4, probe's bar segment 1 are parallel with operation bar segment 3, under the arm of force bar segment 2
End is connected with the cross-fixing of probe's bar segment 1, and upper end is connected with the operation cross-fixing of bar segment 3, the operation rear end of bar segment 3 and handle
Drive section 4 is fixedly connected, and the front end of probe's bar segment 1 extends axially forward bluff body section 5, and bluff body section 5 and horizontal plane
Parallel, bluff body 5 front ends of section are provided with flat knife probe 6, the position entered due to the position and probe's bar segment 1 that operate bar segment 3
Not in same level, blocking for the visual field will not be formed, extra damage is not easily caused, the flat knife probe 6 is in ellipse
Shape, in favor of that can penetrate sclerotin using low-force amount, is prevented because probe's head end justifies blunt, not sharp, needs to use when penetrating sclerotin
Larger strength and causing is fractured the displacement of distal end.
Flat knife probe 6 of the present invention is deflected up along horizontal line, and flat knife probe 6 connects with bluff body 5 rounding ofves of section
Connect, so that otch is in C3.4 intervertenral space levels operations, it is not necessary to local soft tissue is carried out to peel off on a large scale, exposed, is shown
The harassment scope reduced to prevertebral fascia is write, the adhesion of formation, scar scope are small.
Flat knife probe 6 of the present invention can tilt upward 5-15 °, so that probe enters along cortex on front side of cdontoid process, no
Cortex of bone easily through rear side injures spinal cord.
The present invention can be provided with linear drive apparatus in handle drives section 4, and the linear drive apparatus includes support
7th, turning handle nut 8, support sliding sleeve 9, lift cylinder 10, positioning sucker disk 11, controlling switch, bearing and bearing block 12, the handle
The middle part of drive section 4 to rear end is sequentially provided with feather key section, convex rim segment and thread segment, and the feather key section is upper axially disposed
There is feather key 17, the upper-end front of support 7 is connected with support sliding sleeve 9, and rear end is fixedly connected with bearing block 12, the support
7 lower ends are provided with supporting leg 13, and the lower end of supporting leg 13 is provided with lift cylinder 10, and the telescopic rod end of the lift cylinder 10 is provided with fixed
Position sucker 11, support sliding sleeve 9 endoporus is provided with the chute being engaged with feather key, and the support sliding sleeve 9 is enclosed on feather key section,
And slid axially along feather key, the front portion of turning handle nut 8 is threadedly coupled with thread segment, and rear end is fixed through bearing with bearing block 12
Connection, the lift cylinder 10 and positioning sucker disk 11 are respectively through controlling switch control, in favor of by rotating turning handle nut 8, driving
Fixed handle drive section 4 is linearly mobile, and then drives flat knife probe 6 quickly to penetrate fracture of cervical spine position, has abandoned conventional Kirschner wire
Rotation that can only be in one direction during piercing and the deficiency for causing local soft tissue to be involved on Kirschner wire.
Convex rim segment of the present invention can be set to fine-tuning nut, and the fine-tuning nut is by front end nut section 14, micro-
Holding section 15 and coaxial be fixedly connected sequentially of rear end nut segment 16 is adjusted to form, after the front end nut section 14 and fine setting holding section 15
The screwed hole threaded connection being provided with is held, the rear end nut segment 16 holds section 15 with fine setting and is threadedly coupled, the front end nut section
14 is identical with the diameter of rear end nut segment 16, and pitch difference 0.1mm, and when needing fine setting, manual rotation fine setting holds section 15 1
Week, the distance of the reach of front end nut section 14 is 0.1mm with the range difference moved after rear end nut segment 16, then flat knife probe 6 moves forward
0.1mm, reaches the effect of precise fine-adjustment, significantly improves operative speed.
The present invention is when clinic is performed the operation to the patient of C2 odontoid fractures, and operative doctor holds operation bar segment on the other hand,
The locating flange of turning handle nut front end is held on the other hand, and first carry Kirschner wire with bone drill pierces drilling from the preceding lower edge of C2 centrums, after
Guide pin is inserted, during guide pin is placed in, because probe's bar segment 1 is horizontally disposed with 4 bar segments of operation, and the flat knife probe of front end
6 are deflected up along horizontal line, and flat knife probe 6 is connected with bluff body 5 rounding ofves of section, otch is grasped in C3.4 intervertenral spaces level
Make, it is not necessary to local soft tissue is carried out to peel off on a large scale, exposed, the harassment scope to prevertebral fascia, shape is substantially reduced
Into adhesion, scar scope it is small, also, flat knife probe is oval, and is inclined upwardly 5-15 °, in favor of using smaller
Strength can penetrate sclerotin, it is to avoid not sharp because probe's head end justifies blunt, need to cause bone with larger strength when penetrating sclerotin
The deficiency of the displacement of distal end is rolled over, after flat knife probe 6 penetrates sclerotin, operative doctor clicks on controlling switch, drives lift cylinder 10
Action, makes lift cylinder 10 drive positioning sucker disk 11 to be displaced downwardly on operating table, and controls positioning sucker disk 11 to adsorb on operating table,
In favor of quickly being positioned to flat knife probe, it is to avoid the displacement of probe's bar segment 1 during operation, facilitate operation technique, then rotate and turn
Handle nut, driving handle drive section 4 moves forward along support sliding sleeve, and then drives flat knife probe 6, along cdontoid process front side cortical level
Into making otch in C3.4 intervertenral space levels operations, it is to avoid the cortex of bone of flat knife probe 6 through rear side injures spinal cord, meanwhile, by
In the position of operation bar segment and the position of probe's bar segment entrance in same level, blocking for the visual field will not be formed, is difficult to make
Into extra damage, after flat knife probe is penetrated, then by the way of rotary fine adjustment nut, the reach to flat knife probe 6 is carried out
Fine setting, when needing fine setting, manual rotation fine setting holds section 15 1 weeks, the distance and rear end nut segment of the reach of front end nut section 14
The range difference moved after 16 is 0.1mm, then flat knife probe 6 i.e. reach 0.1mm, it is to avoid the cortex of bone through rear side injures spinal cord, protects
Demonstrate,prove the safety of operation and accurate, meanwhile, operative speed is also significantly increased, after flat knife probe reaches focus, then passes through neck
Preceding single piece of hollow screw in road fixes cdontoid process fracture site, remains atlas and axis mobility, improves union rate, and interior solid
Strong outer fixation is not required to after fixed treatment.
The present invention due to using said structure, with structure is novel, easy to operate, success rate of operation is high, operating time is short,
The advantages of patient suffering is small, scar scope is small.
Claims (3)
1. a kind of unobstructed operation probe of cervical vertebral level angle, it is characterised in that provided with probe's bar segment, arm of force bar segment, operation bar segment
With handle drives section, probe's bar segment is parallel with operation bar segment, the arm of force bar segment lower end and probe's bar segment cross-fixing
Connection, upper end is connected with operation bar segment cross-fixing, and the operation bar segment rear end is fixedly connected with handle drives section, the probe
Bar segment front end extends axially forward bluff body section, and bluff body section and plane-parallel, and the bluff body section front end is provided with flat
Knife is popped one's head in, and the flat knife probe is oval, and the handle drives section is provided with linear drive apparatus, the linear drive apparatus
Including support, turning handle nut, support sliding sleeve, lift cylinder, positioning sucker disk, controlling switch, bearing and bearing block, the handle drives
Feather key section, convex rim segment and thread segment are sequentially provided with to rear end in the middle part of dynamic section, the feather key section is above axially disposed to be had
Feather key, the pedestal upper end is anterior to be connected with support sliding sleeve, and rear end is fixedly connected with the bearing seat, and the pedestal lower end is set
There is supporting leg, the supporting leg lower end is provided with lift cylinder, and the telescopic rod end of the lift cylinder is provided with positioning sucker disk, the support
Sliding sleeve endoporus is provided with the chute being engaged with feather key, and the support sliding sleeve is enclosed on feather key section, and is slid axially along feather key,
The turning handle nut front is threadedly coupled with thread segment, and rear end is fixedly connected with the bearing seat through bearing, the lift cylinder and fixed
Position sucker is respectively through controlling switch control, and the flat knife probe is deflected up along horizontal line, and flat knife probe and bluff body Duan Yuan
Slip over and cross connection.
2. the unobstructed operation probe of a kind of cervical vertebral level angle according to claim 1, it is characterised in that the flat knife is visited
Head can tilt upward 5-15 °.
3. a kind of unobstructed operation probe of cervical vertebral level angle according to claim 1, it is characterised in that the convex
Rim segment can be set to fine-tuning nut, the fine-tuning nut be by front end nut section, fine setting hold section and rear end nut segment it is coaxial according to
Secondary to be formed by fixedly connecting, the front end nut section holds section with fine setting and is threadedly coupled, and the rear end nut segment holds section with fine setting
Threaded connection, the front end nut section is identical with rear end nut segment diameter, and pitch difference 0.1mm.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510887038.XA CN105342690B (en) | 2015-12-07 | 2015-12-07 | A kind of unobstructed operation probe of cervical vertebral level angle |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510887038.XA CN105342690B (en) | 2015-12-07 | 2015-12-07 | A kind of unobstructed operation probe of cervical vertebral level angle |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN105342690A CN105342690A (en) | 2016-02-24 |
| CN105342690B true CN105342690B (en) | 2017-09-26 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201510887038.XA Expired - Fee Related CN105342690B (en) | 2015-12-07 | 2015-12-07 | A kind of unobstructed operation probe of cervical vertebral level angle |
Country Status (1)
| Country | Link |
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| CN (1) | CN105342690B (en) |
Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107397580B (en) * | 2016-05-20 | 2023-04-07 | 田磊 | Bone fixing device |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US9204891B2 (en) * | 2010-07-07 | 2015-12-08 | Carevature Medical Ltd. | Flexible surgical device for tissue removal |
| CN202537600U (en) * | 2011-12-31 | 2012-11-21 | 雷高 | Adjustable intervertebral disc exsector kit |
| CN203710086U (en) * | 2013-12-27 | 2014-07-16 | 张俊廷 | Microsurgery instrument of neurosurgery |
| CN205198125U (en) * | 2015-12-07 | 2016-05-04 | 山东省文登整骨医院 | Cervical vertebra horizontal angle do not have shelter from operation scout |
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| CN105342690A (en) | 2016-02-24 |
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Effective date of registration: 20171025 Address after: 264400 Weihai, Shandong, Feng Shan Road, Wendeng District No. 1 Patentee after: Wendeng Drthopedics Hospital, Shandong Prov. Address before: 264400 Weihai, Shandong, Feng Shan Road, Wendeng District No. 1 Patentee before: Fu Song |
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