CN205198125U - Cervical vertebra horizontal angle do not have shelter from operation scout - Google Patents

Cervical vertebra horizontal angle do not have shelter from operation scout Download PDF

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Publication number
CN205198125U
CN205198125U CN201521002726.5U CN201521002726U CN205198125U CN 205198125 U CN205198125 U CN 205198125U CN 201521002726 U CN201521002726 U CN 201521002726U CN 205198125 U CN205198125 U CN 205198125U
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China
Prior art keywords
section
probe
nut
rear end
scout
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Expired - Fee Related
Application number
CN201521002726.5U
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Chinese (zh)
Inventor
付松
吕仁花
邵诗泽
王龙强
侯海涛
刘海军
王欢
黄相鹏
王亚楠
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Shandong Wendeng Osteopathy Hospital
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Shandong Wendeng Osteopathy Hospital
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Application filed by Shandong Wendeng Osteopathy Hospital filed Critical Shandong Wendeng Osteopathy Hospital
Priority to CN201521002726.5U priority Critical patent/CN205198125U/en
Application granted granted Critical
Publication of CN205198125U publication Critical patent/CN205198125U/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Abstract

The utility model discloses a cervical vertebra horizontal angle do not have shelter from operation scout, its characterized in that is equipped with scout's pole section, arm of force pole section, action bars section and handle driving section, scout's pole section AND operation pole section parallels, arm of force pole section lower extreme is connected with scout's pole section cruciate fixation, and upper end AND operation pole section cruciate fixation connects, action bars section rear end and handle driving section fixed connection, scout's pole section front end is followed the axial and is extended the bluff body section forward, and the bluff body section is parallel with the horizontal plane, bluff body section front end is equipped with flat sword probe, flat sword probe is the ellipse to do benefit to and use less strength can penetrate the sclerotin, prevent because of scout's head end circle blunt, sharp, the aversion of the distal end that needs to lead to with great strength when penetrating the sclerotin to fracture, by adopting the above structure, the utility model, have that novel structure, convenient operation, operation success rate are high, operation time is short, painful little, the advantage such as the scar scope is little of patient.

Description

Cervical vertebral level angle unobstructed operation probe
Technical field
This utility model relates to technical field of medical instruments, specifically a kind of cervical vertebral level angle unobstructed operation probe.
Background technology
Odontoid fracture is a kind of common injury, accounts for the 8%-15% of fracture of cervical vertebra.Odontoid fracture is divided into 3 types, and wherein II type nonunion rate is 15%-85%.Odontoid fracture fixed by clinical employing anterior approach single piece of hollow screw, remains atlas and axis mobility, improves union of fracture rate, and do not need strong extenal fixation after internal fixation treatment, is a kind of Therapeutic Method preferably.
C2 odontoid fracture, front road cannulated compression screw fixation, need first to insert guide pin, the method inserting guide pin is at present: first carry Kirschner wire lower edge before C2 vertebral body with bone drill and pierce boring, after insert guide pin, this Kirschner wire, due to linearly shape, is shown in accompanying drawing 1, there is following substantive deficiency in operation process:
1.C2 position is comparatively dark, and the straight line degree of depth of distance skin is larger.Sometimes in order to obtain good level angle, need to appear from C5.6 level, large to prevertebral fascia damage range, adhesion, the cicatrix scope of formation are large.
2. the two ends of odontoid fracture are level substantially, and inserting Kirschner wire needs to keep close to horizontal level.And otch be positioned at entry point before, downside, there is angle in sagittal plain when entering Kirschner wire, the position of level of approximation can not be kept, cause inserting Kirschner wire difficulty, needing repeatedly, repeatedly changes its course inserts Kirschner wire, causes nail road to expand, makes screw lose due internal validity.
The stop of dead ahead due to mandibular bone of 3.C2 and the existence of the important body of gland of cervical region, directly can not form operative approach, at the horizontal approach of C5, can only need upwards have individual angle.And upwards after angulation, Kirschner wire can not be entered in level of approximation position, cause inserting screw failure, operative failure.
4. because Kirschner wire can not bend substantially, need linear operating, may cause during operation fracture site can not being fixed, Kirschner wire also may be caused to be strayed into intraspinal tube and cause spinal cord injury, simultaneously because the operation of straight line stops operating field, cause damage.
Summary of the invention
The purpose of this utility model solves above-mentioned the deficiencies in the prior art, provides a kind of novel structure, easy to operate, success rate of operation is high, operating time is short, patient suffering is little, cervical vertebral level angle unobstructed operation probe that cicatrix scope is little.
This utility model solves the technical scheme that its technical problem adopts:
A kind of cervical vertebral level angle unobstructed operation probe, it is characterized in that being provided with probe's bar section, arm bar section, action bars section and handle drives section, described probe's bar section parallels with action bars section, described arm bar section lower end intersects with probe's bar section and is fixedly connected with, upper end intersects with action bars section and is fixedly connected with, described action bars section rear end is fixedly connected with handle drives section, described probe's bar section front end edge axially extends thallus section forward, and thallus section and plane-parallel, described thallus section front end is provided with flat cutter probe, the position entered due to position and probe's bar section of action bars section is not in same level, blocking of the visual field can not be formed, not easily cause extra damage, described flat cutter probe ovalize, be beneficial to use low-force amount to penetrate sclerotin, prevent because probe's head end circle is blunt, not sharp, the displacement of fracture far-end need be caused by larger strength when penetrating sclerotin.
Flat cutter probe described in the utility model is along deflection on horizontal alignment, and flat cutter probe is connected with thallus section rounding off, to make otch at C3.4 intervertebral space levels operation, do not need to peel off on a large scale the soft tissue of local, expose, remarkable minimizing is to the harassment scope of prevertebral fascia, and adhesion, the cicatrix scope of formation are little.
Flat cutter probe described in the utility model can be tilted upward 5-15 °, and be beneficial to probe and enter along cortex on front side of Odontoid process, the cortical bone not easily through rear side injures spinal cord.
This utility model can be provided with linear drive apparatus in described handle drives section, described linear drive apparatus comprises support, turning handle nut, support sliding sleeve, lift cylinder, positioning sucker disk, gauge tap, bearing and bearing block, feather key section is provided with successively to rear end in the middle part of described handle drives section, locating flange section and thread segment, described feather key section is provided with feather key vertically, described pedestal upper end is anterior to be connected with support sliding sleeve, rear end is fixedly connected with bearing block, described pedestal lower end is provided with supporting leg, described supporting leg lower end is provided with lift cylinder, the expansion link end of described lift cylinder is provided with positioning sucker disk, described support sliding sleeve endoporus is provided with the chute matched with feather key, described support sliding sleeve is enclosed within feather key section, and slide axially along feather key, described turning handle nut front is threaded with thread segment, rear end is fixedly connected with bearing block through bearing, described lift cylinder and positioning sucker disk control through gauge tap respectively, be beneficial to by rotating turning handle nut, driving handle drives section Linear-moving, and then drive flat cutter probe to penetrate fracture of cervical vertebra position fast, abandon Kirschner wire in the past to pierce in process local soft tissue can only be caused along the rotation in a direction to be involved in deficiency on Kirschner wire.
Locating flange section described in the utility model can be arranged to fine-tuning nut, described fine-tuning nut is coaxially fixedly connected sequentially by front end nut section, fine setting holding section and rear end nut segment to form, described fine-tuning nut is threaded with handle drives section rear end through front end nut section, described fine-tuning nut is connected with turning handle nut thread through rear end nut segment
Described front end nut section is identical with rear end nut segment diameter, and pitch difference 0.1mm, when needs are finely tuned, manual rotation fine setting holds Duan Yizhou, after the distance of front end nut section reach and rear end nut segment, the range difference that moves is 0.1mm, then namely flat cutter probe moves forward 0.1mm, reaches the effect of precise fine-adjustment, significantly improves operative speed.
This utility model is owing to adopting said structure, advantages such as having novel structure, easy to operate, success rate of operation is high, operating time is short, patient suffering is little, cicatrix scope is little.
Accompanying drawing explanation
Fig. 1 is structural representation of the present utility model.
Reference numeral: probe's bar section 1, arm bar section 2, action bars section 3, handle drives section 4, thallus section 5, flat cutter probe 6, support 7, turning handle nut 8, support sliding sleeve 9, lift cylinder 10, positioning sucker disk 11, bearing block 12, supporting leg 13, gauge tap, front end nut section 14, fine setting hold section 15, rear end nut segment 16, feather key 17.
Detailed description of the invention:
Below in conjunction with accompanying drawing, this utility model is further illustrated:
As shown in drawings, a kind of cervical vertebral level angle unobstructed operation probe, it is characterized in that being provided with probe's bar section 1, arm bar section 2, action bars section 3 and handle drives section 4, described probe's bar section 1 parallels with action bars section 3, described arm bar section 2 lower end intersects with probe's bar section 1 and is fixedly connected with, upper end intersects with action bars section 3 and is fixedly connected with, described action bars section 3 rear end is fixedly connected with handle drives section 4, described probe's bar section 1 front end edge axially extends thallus section 5 forward, and thallus section 5 and plane-parallel, described thallus section 5 front end is provided with flat cutter probe 6, the position entered due to position and probe's bar section 1 of action bars section 3 is not in same level, blocking of the visual field can not be formed, not easily cause extra damage, described flat cutter is popped one's head in 6 ovalizes, be beneficial to use low-force amount to penetrate sclerotin, prevent because probe's head end circle is blunt, not sharp, the displacement of fracture far-end need be caused by larger strength when penetrating sclerotin.
Flat cutter probe 6 described in the utility model is along deflection on horizontal alignment, and flat cutter probe 6 is connected with thallus section 5 rounding off, to make otch at C3.4 intervertebral space levels operation, do not need to peel off on a large scale the soft tissue of local, expose, remarkable minimizing is to the harassment scope of prevertebral fascia, and adhesion, the cicatrix scope of formation are little.
Flat cutter probe 6 described in the utility model can be tilted upward 5-15 °, and be beneficial to probe and enter along cortex on front side of Odontoid process, the cortical bone not easily through rear side injures spinal cord.
This utility model can be provided with linear drive apparatus in described handle drives section 4, described linear drive apparatus comprises support 7, turning handle nut 8, support sliding sleeve 9, lift cylinder 10, positioning sucker disk 11, gauge tap, bearing and bearing block 12, feather key section is provided with successively to rear end in the middle part of described handle drives section 4, locating flange section and thread segment, described feather key section is provided with feather key 17 vertically, described support 7 upper-end front is connected with support sliding sleeve 9, rear end is fixedly connected with bearing block 12, described support 7 lower end is provided with supporting leg 13, described supporting leg 13 lower end is provided with lift cylinder 10, the expansion link end of described lift cylinder 10 is provided with positioning sucker disk 11, described support sliding sleeve 9 endoporus is provided with the chute matched with feather key, described support sliding sleeve 9 is enclosed within feather key section, and slide axially along feather key, described turning handle nut 8 front portion is threaded with thread segment, rear end is fixedly connected with bearing block 12 through bearing, described lift cylinder 10 and positioning sucker disk 11 control through gauge tap respectively, be beneficial to by rotating turning handle nut 8, driving handle drives section 4 Linear-moving, and then drive flat cutter probe 6 to penetrate fracture of cervical vertebra position fast, abandon Kirschner wire in the past to pierce in process local soft tissue can only be caused along the rotation in a direction to be involved in deficiency on Kirschner wire.
Locating flange section described in the utility model can be arranged to fine-tuning nut, described fine-tuning nut is by front end nut section 14, fine setting holding section 15 and rear end nut segment 16 are coaxially fixedly connected sequentially and form, the screwed hole that described fine-tuning nut is provided with through front end nut section 14 and handle drives section 4 rear end is threaded, described fine-tuning nut is threaded with turning handle nut 8 through rear end nut segment 16, described front end nut section 14 is identical with rear end nut segment 16 diameter, and pitch difference 0.1mm, when needs are finely tuned, manual rotation fine setting holds section 15 1 weeks, after the distance that front end nut section 14 moves forward and rear end nut segment 16, the range difference that moves is 0.1mm, then namely flat cutter probe 6 moves forward 0.1mm, reach the effect of precise fine-adjustment, significantly improve operative speed.
This utility model is when the clinical patient to C2 odontoid fracture performs the operation, operative doctor holds action bars section on the other hand, hold the locating flange of turning handle nut front end on the other hand, first carry Kirschner wire lower edge before C2 vertebral body with bone drill and pierce boring, after insert guide pin, be placed in the process of guide pin, because probe's bar section 1 and operation 4 bar sections are horizontally disposed with, and the flat cutter probe 6 of front end is along deflection on horizontal alignment, and flat cutter probe 6 is connected with thallus section 5 rounding off, make otch at C3.4 intervertebral space levels operation, do not need to peel off on a large scale the soft tissue of local, expose, remarkable minimizing is to the harassment scope of prevertebral fascia, the adhesion formed, cicatrix scope is little, and, described flat cutter probe ovalize, and the 5-15 ° that is inclined upwardly, be beneficial to use low-force amount to penetrate sclerotin, avoid because probe's head end circle is blunt, not sharp, the deficiency of the displacement of fracture far-end need be caused by larger strength when penetrating sclerotin, after flat cutter probe 6 penetrates sclerotin, operative doctor clicks gauge tap, drive lift cylinder 10 action, lift cylinder 10 is made to drive positioning sucker disk 11 to be displaced downwardly on operating-table, and control positioning sucker disk 11 and be adsorbed on operating-table, be beneficial to position flat cutter probe fast, the displacement of probe's bar section 1 when avoiding performing the operation, facilitate operation technique, rotate turning handle nut again, driving handle drives section 4 along the reach of support sliding sleeve, and then drive flat cutter to pop one's head in 6, on front side of Odontoid process, cortical level enters, make otch at C3.4 intervertebral space levels operation, flat cutter probe 6 is avoided to injure spinal cord through the cortical bone of rear side, simultaneously, the position entered due to position and probe's bar section of action bars section is in same level, blocking of the visual field can not be formed, not easily cause extra damage, after flat cutter probe penetrates, adopt the mode of rotary fine adjustment nut again, the reach of flat cutter probe 6 is finely tuned, when needs are finely tuned, manual rotation fine setting holds section 15 1 weeks, after the distance that front end nut section 14 moves forward and rear end nut segment 16, the range difference that moves is 0.1mm, then namely flat cutter probe 6 moves forward 0.1mm, the cortical bone through rear side is avoided to injure spinal cord, ensure that the safety of operation is with accurate, simultaneously, also significantly increase operative speed, after flat cutter probe arrives focus, Odontoid process fracture site is fixed again by anterior approach single piece of hollow screw, remain atlas and axis mobility, improve union of fracture rate, and do not need strong extenal fixation after internal fixation treatment.
This utility model is owing to adopting said structure, advantages such as having novel structure, easy to operate, success rate of operation is high, operating time is short, patient suffering is little, cicatrix scope is little.

Claims (5)

1. a cervical vertebral level angle unobstructed operation probe, it is characterized in that being provided with probe's bar section, arm bar section, action bars section and handle drives section, described probe's bar section parallels with action bars section, described arm bar section lower end intersects with probe's bar section and is fixedly connected with, upper end intersects with action bars section and is fixedly connected with, described action bars section rear end is fixedly connected with handle drives section, described probe's bar section front end edge axially extends thallus section forward, and thallus section and plane-parallel, described thallus section front end is provided with flat cutter probe, described flat cutter probe ovalize.
2. a kind of cervical vertebral level angle according to claim 1 unobstructed operation probe, it is characterized in that described flat cutter probe is along deflection on horizontal alignment, and flat cutter probe is connected with thallus section rounding off.
3. a kind of cervical vertebral level angle according to claim 1 unobstructed operation probe, is characterized in that described flat cutter probe can be tilted upward 5-15 °.
4. a kind of cervical vertebral level angle according to claim 1 unobstructed operation probe, it is characterized in that described handle drives section is provided with linear drive apparatus, described linear drive apparatus comprises support, turning handle nut, support sliding sleeve, lift cylinder, positioning sucker disk, gauge tap, bearing and bearing block, feather key section is provided with successively to rear end in the middle part of described handle drives section, locating flange section and thread segment, described feather key section is provided with feather key vertically, described pedestal upper end is anterior to be connected with support sliding sleeve, rear end is fixedly connected with bearing block, described pedestal lower end is provided with supporting leg, described supporting leg lower end is provided with lift cylinder, the expansion link end of described lift cylinder is provided with positioning sucker disk, described support sliding sleeve endoporus is provided with the chute matched with feather key, described support sliding sleeve is enclosed within feather key section, and slide axially along feather key, described turning handle nut front is threaded with thread segment, rear end is fixedly connected with bearing block through bearing, described lift cylinder and positioning sucker disk control through gauge tap respectively.
5. a kind of cervical vertebral level angle according to claim 4 unobstructed operation probe, it is characterized in that described locating flange section can be arranged to fine-tuning nut, described fine-tuning nut is coaxially fixedly connected sequentially by front end nut section, fine setting holding section and rear end nut segment to form, described fine-tuning nut is threaded with handle drives section rear end through front end nut section, described fine-tuning nut is connected with turning handle nut thread through rear end nut segment, described front end nut section is identical with rear end nut segment diameter, and pitch difference 0.1mm.
CN201521002726.5U 2015-12-07 2015-12-07 Cervical vertebra horizontal angle do not have shelter from operation scout Expired - Fee Related CN205198125U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105342690A (en) * 2015-12-07 2016-02-24 付松 Level-angle unblocked surgical probe for cervical vertebra
CN109199393A (en) * 2018-09-13 2019-01-15 山东省文登整骨医院 Nose facial swelling survey meter

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105342690A (en) * 2015-12-07 2016-02-24 付松 Level-angle unblocked surgical probe for cervical vertebra
CN109199393A (en) * 2018-09-13 2019-01-15 山东省文登整骨医院 Nose facial swelling survey meter
CN109199393B (en) * 2018-09-13 2024-04-02 山东省文登整骨医院 Detector for turgescence of nose and face

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GR01 Patent grant
CF01 Termination of patent right due to non-payment of annual fee
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20160504

Termination date: 20161207