CN106073884B - A kind of PVP vertebral oriented dilated balloon-system and its manufacturing method - Google Patents
A kind of PVP vertebral oriented dilated balloon-system and its manufacturing method Download PDFInfo
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- 238000004519 manufacturing process Methods 0.000 title claims abstract description 12
- 229910000861 Mg alloy Inorganic materials 0.000 claims description 65
- 238000001816 cooling Methods 0.000 claims description 38
- 238000010438 heat treatment Methods 0.000 claims description 20
- 239000002994 raw material Substances 0.000 claims description 16
- 229910000831 Steel Inorganic materials 0.000 claims description 11
- 239000010959 steel Substances 0.000 claims description 11
- 238000001746 injection moulding Methods 0.000 claims description 10
- 238000007731 hot pressing Methods 0.000 claims description 8
- ZQBZAOZWBKABNC-UHFFFAOYSA-N [P].[Ca] Chemical compound [P].[Ca] ZQBZAOZWBKABNC-UHFFFAOYSA-N 0.000 claims description 7
- 239000011248 coating agent Substances 0.000 claims description 7
- 238000000576 coating method Methods 0.000 claims description 7
- 238000002844 melting Methods 0.000 claims description 5
- 230000008018 melting Effects 0.000 claims description 5
- 239000002775 capsule Substances 0.000 claims description 2
- 210000005239 tubule Anatomy 0.000 claims 2
- 229910000846 In alloy Inorganic materials 0.000 claims 1
- FYYHWMGAXLPEAU-UHFFFAOYSA-N Magnesium Chemical compound [Mg] FYYHWMGAXLPEAU-UHFFFAOYSA-N 0.000 claims 1
- 229910052749 magnesium Inorganic materials 0.000 claims 1
- 239000011777 magnesium Substances 0.000 claims 1
- 238000003801 milling Methods 0.000 claims 1
- 230000000903 blocking effect Effects 0.000 abstract description 57
- 208000010392 Bone Fractures Diseases 0.000 abstract description 30
- 206010017076 Fracture Diseases 0.000 abstract description 30
- 230000006378 damage Effects 0.000 abstract description 9
- 230000010339 dilation Effects 0.000 abstract description 7
- 208000006670 Multiple fractures Diseases 0.000 abstract 1
- 210000000988 bone and bone Anatomy 0.000 description 17
- 239000002639 bone cement Substances 0.000 description 11
- 230000001681 protective effect Effects 0.000 description 9
- 239000000463 material Substances 0.000 description 6
- 238000000034 method Methods 0.000 description 6
- 239000000945 filler Substances 0.000 description 5
- 239000002872 contrast media Substances 0.000 description 4
- 238000010586 diagram Methods 0.000 description 4
- 239000000243 solution Substances 0.000 description 4
- 230000008901 benefit Effects 0.000 description 3
- 230000007547 defect Effects 0.000 description 3
- 230000000694 effects Effects 0.000 description 3
- 238000001727 in vivo Methods 0.000 description 3
- 230000002093 peripheral effect Effects 0.000 description 3
- 230000009467 reduction Effects 0.000 description 3
- 208000001164 Osteoporotic Fractures Diseases 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 229910045601 alloy Inorganic materials 0.000 description 2
- 239000000956 alloy Substances 0.000 description 2
- 230000006835 compression Effects 0.000 description 2
- 238000007906 compression Methods 0.000 description 2
- 208000014674 injury Diseases 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 230000035790 physiological processes and functions Effects 0.000 description 2
- 206010010214 Compression fracture Diseases 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
- 230000035515 penetration Effects 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
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- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/885—Tools for expanding or compacting bones or discs or cavities therein
- A61B17/8852—Tools for expanding or compacting bones or discs or cavities therein capable of being assembled or enlarged, or changing shape, inside the bone or disc
- A61B17/8855—Tools for expanding or compacting bones or discs or cavities therein capable of being assembled or enlarged, or changing shape, inside the bone or disc inflatable, e.g. kyphoplasty balloons
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Abstract
本发明为一种医疗器械,具体为一种PVP椎体定向扩张球囊装置及其制造方法,包括导管和导杆,还包括:一旋转组件,所述旋转组件包括固定套管和设于所述固定套管上的挡片件,所述挡片件包括:一挡片一,旋转固定套管,可使挡片一遮挡住一预挡部位;和至少一个挡片二,沿固定套管的周向移动所述挡片二,可使挡片二遮挡住至少另一预挡部位。本发明提供的PVP椎体定向扩张球囊装置,可提供目前尚无法解决的定向扩张功能,通过旋钮调整固定套管头部的挡片件的位置,且通过卡块在卡槽中移动的位置来调整挡片二的位置,即可将多个不能被撑开的骨折部位挡住,使得球囊能向预先设定的撑开复位方向膨胀,从而不会加重破碎部位的骨折损伤程度、并避免引起再骨折。
The present invention is a medical device, specifically a PVP vertebral body directional dilation balloon device and a manufacturing method thereof, including a catheter and a guide rod, and also includes: a rotating assembly, the rotating assembly includes a fixed sleeve and is arranged on the The baffle piece on the fixed sleeve, the baffle piece includes: a baffle 1, rotating the fixed sleeve, so that the baffle 1 can cover a pre-blocking position; and at least one baffle 2, along the fixed sleeve Moving the blocking piece 2 in the circumferential direction can make the blocking piece 2 cover at least another pre-blocking position. The PVP vertebral body directional expansion balloon device provided by the present invention can provide a directional expansion function that cannot be solved at present. The position of the stop piece on the head of the fixed sleeve can be adjusted by the knob, and the position of the block moving in the slot can be adjusted. By adjusting the position of the stopper 2, multiple fractures that cannot be stretched can be blocked, so that the balloon can expand in the direction of the preset stretching and reset, so as not to aggravate the degree of fracture damage of the broken parts and avoid causing Refracture.
Description
技术领域technical field
本发明涉及医疗器械技术领域,具体涉及一种PVP椎体定向扩张球囊装置及其制造方法。The invention relates to the technical field of medical devices, in particular to a PVP vertebral body directional expansion balloon device and a manufacturing method thereof.
背景技术Background technique
椎体压缩性骨折在老年群体中发病率较高,骨折部位椎体各部分的塌陷压缩程度不同,对于压缩程度大的部位需要撑开复位,并注入骨水泥等填充物进行填充,简称PVP手术。骨水泥凝固后可增加椎体强度和稳定性,这就保证了复原的椎体不会再被压缩,不会再次造成椎体高度、压迫神经。目前,临床上对于球囊的膨胀并没有理想的解决方案,只能根据医生的操作手感进行调整。Vertebral compression fractures have a high incidence in the elderly population. The degree of collapse and compression of each part of the vertebral body at the fracture site is different. For the part with a high degree of compression, it needs to be stretched and reset, and filled with bone cement and other fillers, referred to as PVP surgery. . After the bone cement solidifies, it can increase the strength and stability of the vertebral body, which ensures that the restored vertebral body will not be compressed again, and will not cause the height of the vertebral body and compress the nerve again. At present, there is no ideal solution for the expansion of the balloon clinically, and it can only be adjusted according to the doctor's operating feel.
因此急需一种新导管,可以精确调节球囊扩张方向,解决这一临床难题。使球囊向预先设定的撑开复位方向膨胀,将塌陷的椎体逐步撑起直至恢复到临床的治疗要求,并形成一个可供填充的空腔以便填入骨水泥等骨填充物,避免加重破碎部位的骨折损伤程度及引起再骨折的PVP椎体定向扩张球囊装置。Therefore, there is an urgent need for a new catheter that can precisely adjust the direction of balloon expansion to solve this clinical problem. Make the balloon expand in the direction of pre-set distraction and reset, gradually prop up the collapsed vertebral body until it returns to the clinical treatment requirements, and form a cavity for filling in bone cement and other bone fillers, avoiding Aggravate the degree of fracture injury at the broken part and the PVP vertebral body directional expansion balloon device that causes re-fracture.
发明内容Contents of the invention
有鉴于此,本发明提供一种使球囊向预先设定的撑开复位方向膨胀,将塌陷的椎体逐步撑起直至恢复到临床的治疗要求,并形成一个可供填充的空腔以便填入骨水泥等骨填充物,避免加重破碎部位的骨折损伤程度及引起再骨折的PVP椎体定向扩张球囊装置。In view of this, the present invention provides a method to expand the balloon to the preset direction of expansion and reduction, gradually prop up the collapsed vertebral body until it returns to the clinical treatment requirements, and form a cavity that can be filled for filling. Bone fillers such as bone cement should be inserted to avoid aggravating the degree of fracture injury at the broken site and the PVP vertebral body directional expansion balloon device that causes re-fracture.
为实现上述目的,本发明提供如下技术方案:To achieve the above object, the present invention provides the following technical solutions:
一种PVP椎体定向扩张球囊装置,包括导管和导杆,所述导管的一端连接有Y形连接器,所述导管的另一端连接有球囊,所述导杆的一端依次穿设过所述Y形连接器的一个接头和所述导管后延伸到所述球囊内,还包括:A PVP vertebral body directional dilation balloon device, comprising a catheter and a guide rod, one end of the catheter is connected with a Y-shaped connector, the other end of the catheter is connected with a balloon, and one end of the guide rod is sequentially passed through a joint of the Y-connector and the catheter extending rearwardly into the balloon, further comprising:
一旋转组件,所述旋转组件套设在所述导管的外侧,所述旋转组件包括固定套管和设于所述固定套管上的挡片件,所述挡片件位于所述球囊的外侧,所述挡片件用于遮挡住至少一预挡部位,其中,所述挡片件包括:A rotating assembly, the rotating assembly is sheathed on the outside of the catheter, the rotating assembly includes a fixed sleeve and a blocking piece arranged on the fixed sleeve, the blocking piece is located on the balloon On the outside, the blocking piece is used to cover at least one pre-blocking position, wherein the blocking piece includes:
一挡片一,所述挡片一固定设置在所述固定套管上,旋转所述固定套管,可使挡片一遮挡住一预挡部位;A blocking piece, the blocking piece is fixedly arranged on the fixed sleeve, rotating the fixed sleeve can make the blocking piece cover a pre-blocking position;
和至少一个挡片二,所述挡片二活动设置在所述固定套管的外周上,沿所述固定套管的周向移动所述挡片二,可使所述挡片二遮挡住至少另一预挡部位;and at least one baffle piece 2, the baffle piece 2 is movably arranged on the outer periphery of the fixed sleeve, and the baffle piece 2 is moved along the circumferential direction of the fixed sleeve, so that the said baffle piece 2 can cover at least Another pre-blocking part;
镁合金支架,所述镁合金支架表面具有钙磷涂层,使用时,将所述球囊放入所述镁合金支架内,将所述镁合金支架闭合成条索状,将所述镁合金支架放入椎体被扩张形成的可供填充的空腔后,扩张所述镁合金支架内的球囊,使得所述镁合金支架被扩张形成球囊状。Magnesium alloy stent, the surface of the magnesium alloy stent has a calcium-phosphorus coating. When in use, the balloon is put into the magnesium alloy stent, the magnesium alloy stent is closed into a rope shape, and the magnesium alloy stent After the stent is placed into the cavity available for filling formed by the expansion of the vertebral body, the balloon in the magnesium alloy stent is expanded, so that the magnesium alloy stent is expanded to form a balloon shape.
进一步地,所述挡片二的尾部设有连接杆,所述连接杆的尾部设有卡块,所述卡块活动设置在所述固定套管的外周上,且所述卡块通过连接杆可带动所述挡片二沿所述固定套管的周向运动。Further, a connecting rod is provided at the tail of the blocking piece 2, and a clamping block is provided at the tail of the connecting rod, and the clamping block is movably arranged on the outer circumference of the fixed sleeve, and the clamping block passes through the connecting rod The blocking piece 2 can be driven to move along the circumferential direction of the fixed sleeve.
更进一步地,所述固定套管的外圆周面上环设有与所述卡块滑动连接的若干个卡槽。Furthermore, the outer peripheral surface of the fixed sleeve is provided with a plurality of locking grooves which are slidably connected with the locking block.
更进一步地,所述卡槽呈锯齿状。Furthermore, the card slot is in a zigzag shape.
本发明还提供一种PVP椎体定向扩张球囊装置的制造方法,包括以下步骤:The present invention also provides a manufacturing method of a PVP vertebral body directional expansion balloon device, comprising the following steps:
步骤S01,向注塑机内添加原料,原料熔融后注塑至Y形连接器的模具内,冷却10分钟~15分钟,开启模具,将Y形连接器的毛坯取出,用扩孔器扩Y形连接器的接头的连接孔,用倒角器倒Y形连接器的接头的连接孔孔口;Step S01, adding raw materials into the injection molding machine, injecting the melted raw materials into the mold of the Y-shaped connector, cooling for 10 to 15 minutes, opening the mold, taking out the blank of the Y-shaped connector, and expanding the Y-shaped connection with a hole expander The connection hole of the joint of the connector, use the chamferer to chamfer the connection hole of the joint of the Y-shaped connector;
步骤S02,向注塑机内添加原料,原料熔融后注塑至固定套管的模具内,冷却5分钟~8分钟,开启模具,将固定套管的毛坯取出,用扩孔器扩固定套管的内孔,用开槽装置在固定套管上开制卡槽,将固定套管的前端铣削形成挡片一;Step S02, adding raw materials into the injection molding machine, injecting the raw materials into the mold of the fixed sleeve after melting, cooling for 5 minutes to 8 minutes, opening the mold, taking out the blank of the fixed sleeve, and expanding the inside of the fixed sleeve with a hole expander Hole, use a slotting device to open a slot on the fixed sleeve, and mill the front end of the fixed sleeve to form a stopper one;
步骤S03,截取一节细管,用倒角器去除细管孔口毛刺,形成导管,取球囊,将球囊的开口套设在导管的一端,装在热压模具内,加压、加热后取出冷却,加热温度为130℃~195℃,压力为0.5MPa~0.85MPa,保压时间为1分钟~2分钟,冷却循环时间为2分钟~3分钟;Step S03, cut a thin tube, use a chamfer to remove the burr at the orifice of the thin tube to form a catheter, take a balloon, set the opening of the balloon on one end of the catheter, install it in a hot pressing mold, pressurize and heat Then take it out and cool it, the heating temperature is 130℃~195℃, the pressure is 0.5MPa~0.85MPa, the holding time is 1 minute to 2 minutes, and the cooling cycle time is 2 minutes to 3 minutes;
步骤S04,将导管的另一端套设在Y形连接器的一个接头内,装在热压模具内,加压、加热后取出冷却,加热温度为190℃~225℃,压力为0.8MPa~0.95MPa,保压时间为2分钟~5分钟,冷却循环时间为2分钟~5分钟;Step S04, set the other end of the conduit in a joint of the Y-shaped connector, install it in a hot pressing mold, pressurize and heat it, take it out and cool it, the heating temperature is 190°C-225°C, and the pressure is 0.8MPa-0.95 MPa, the holding time is 2 minutes to 5 minutes, and the cooling cycle time is 2 minutes to 5 minutes;
步骤S05,将导杆的一端依次穿设过所述Y形连接器的一个接头和所述导管后延伸到所述球囊内;Step S05, passing one end of the guide rod sequentially through a joint of the Y-shaped connector and the catheter, and then extending into the balloon;
步骤S06,在球囊上装上保护钢套,将固定套管套从保护钢套上穿过,装在导管上后,去掉保护钢套;Step S06, installing a protective steel sheath on the balloon, passing the fixed sheath through the protective steel sheath, and removing the protective sheath after being installed on the catheter;
步骤S07,将卡块卡合在卡槽内,所述挡片二通过连接杆连接在卡块上。Step S07, engaging the clamping block in the clamping slot, and the second blocking piece is connected to the clamping block through a connecting rod.
进一步地,所述步骤S01中的冷却时间为13分钟。Further, the cooling time in step S01 is 13 minutes.
进一步地,所述步骤S02中的冷却时间为6分钟30秒。Further, the cooling time in the step S02 is 6 minutes and 30 seconds.
进一步地,所述步骤S03中的加热温度为175℃,压力为0.77MPa,保压时间为1分钟25秒,冷却循环时间为2分钟33秒。Further, the heating temperature in the step S03 is 175° C., the pressure is 0.77 MPa, the holding time is 1 minute and 25 seconds, and the cooling cycle time is 2 minutes and 33 seconds.
进一步地,所述步骤S04中的加热温度为207℃,压力为0.87MPa,保压时间为3分钟52秒,冷却循环时间为4分钟。Further, the heating temperature in the step S04 is 207° C., the pressure is 0.87 MPa, the holding time is 3 minutes and 52 seconds, and the cooling cycle time is 4 minutes.
从上述的技术方案可以看出,本发明的优点是通过旋钮调整固定套管前端的挡片件的位置,且通过卡块在卡槽中移动的位置来调整挡片二的位置,即可将多个不能被撑开的骨折部位挡住,使得球囊能向预先设定的撑开复位方向膨胀,从而不会加重破碎部位的骨折损伤程度、并避免引起再骨折;通过在导管外侧设有刻度,可以显示球囊进入的深度。It can be seen from the above-mentioned technical scheme that the advantage of the present invention is that the position of the stop piece at the front end of the fixed sleeve is adjusted by the knob, and the position of the stop piece two is adjusted by the position of the block moving in the slot, so that multiple A fracture site that cannot be distracted can be blocked, so that the balloon can expand to the preset direction of retraction and reset, so as not to aggravate the degree of fracture damage of the broken site and avoid re-fracture; by setting a scale on the outside of the catheter, The depth of balloon entry can be displayed.
除了上面所描述的目的、特征和优点之外,本发明还有其它的目的、特征和优点。下面将参照图,对本发明作进一步详细的说明。In addition to the objects, features and advantages described above, the present invention has other objects, features and advantages. Hereinafter, the present invention will be described in further detail with reference to the drawings.
附图说明Description of drawings
为了更清楚地说明本发明实施例或现有技术中的技术方案,下面将对实施例或现有技术描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本发明的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。在附图中:In order to more clearly illustrate the technical solutions in the embodiments of the present invention or the prior art, the following will briefly introduce the drawings that need to be used in the description of the embodiments or the prior art. Obviously, the accompanying drawings in the following description are only These are some embodiments of the present invention. Those skilled in the art can also obtain other drawings based on these drawings without creative work. In the attached picture:
图1是本发明的结构示意图。Fig. 1 is a structural schematic diagram of the present invention.
图2是图1的局部放大示意图。FIG. 2 is a partially enlarged schematic diagram of FIG. 1 .
图3是本发明的卡块、挡片二与卡槽连接关系的示意图。Fig. 3 is a schematic diagram of the connection relationship between the locking block, the blocking piece 2 and the locking slot of the present invention.
图4是本发明的旋钮与固定套管的连接示意图。Fig. 4 is a schematic diagram of the connection between the knob and the fixing sleeve of the present invention.
图中标记为:1为导管,2为Y形连接器,3为球囊,4为导杆,5为卡块,6为固定套管,7为挡片件,71为挡片一,72为挡片二,73为连接杆,8为旋钮,9为卡槽,10为通孔,11为显影环,12为手柄。Marked in the figure: 1 is the catheter, 2 is the Y-shaped connector, 3 is the balloon, 4 is the guide rod, 5 is the block, 6 is the fixed sleeve, 7 is the block piece, 71 is the block one, 72 73 is a connecting rod, 8 is a knob, 9 is a draw-in groove, 10 is a through hole, 11 is a developing ring, and 12 is a handle.
具体实施方式Detailed ways
下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The following will clearly and completely describe the technical solutions in the embodiments of the present invention with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only some, not all, embodiments of the present invention. Based on the embodiments of the present invention, all other embodiments obtained by persons of ordinary skill in the art without making creative efforts belong to the protection scope of the present invention.
实施例一Embodiment one
如图1、图2、图3和图4所示,一种PVP椎体定向扩张球囊装置,包括导管1、Y形连接器2、球囊3和导杆4,所述导管1的一端连接有Y形连接器2,所述导管1的另一端连接有所述球囊3,所述导杆4的一端依次穿设过Y形连接器2的一个接头和导管1后延伸到所述球囊3内,还包括套设在所述导管1外侧的旋转组件,旋转组件包括固定套管6、设于所述固定套管6前端的挡片件7、设于所述固定套管6尾部的旋钮8和活动设置在所述固定套管6外周上的卡块5,所述挡片件7设于所述球囊3外侧,挡片件7由挡片一71、若干挡片二72和设于挡片二72尾部的连接杆73组成,卡块5通过连接杆73带动挡片二72运动,柱骨质疏松骨折,椎体成形术,可扩张球囊3的设计,使用可扩张的材料,设想使用人群为年轻患者,球囊3扩张,松质骨植骨愈合,球囊3收缩,局部环境回归自然生理状态。As shown in Figure 1, Figure 2, Figure 3 and Figure 4, a PVP vertebral body directional dilation balloon device includes a catheter 1, a Y-shaped connector 2, a balloon 3 and a guide rod 4, and one end of the catheter 1 A Y-shaped connector 2 is connected, the other end of the catheter 1 is connected to the balloon 3, and one end of the guide rod 4 is sequentially passed through a joint of the Y-shaped connector 2 and the catheter 1 and then extends to the The balloon 3 also includes a rotating assembly sleeved on the outside of the catheter 1. The rotating assembly includes a fixed sleeve 6, a blocking piece 7 arranged at the front end of the fixed sleeve 6, and a The knob 8 at the tail and the block 5 that is movably arranged on the outer periphery of the fixed sleeve 6, the blocking piece 7 is arranged on the outside of the balloon 3, and the blocking piece 7 is composed of a blocking piece 71, a plurality of blocking pieces two 72 and the connecting rod 73 that is located at the end of the blocking piece two 72 are formed, the block 5 drives the blocking piece two 72 to move through the connecting rod 73, column osteoporotic fractures, vertebroplasty, and the design of the expandable balloon 3 can be used. The expanded material is assumed to be used by young patients, the balloon 3 expands, the cancellous bone graft heals, the balloon 3 shrinks, and the local environment returns to the natural physiological state.
优选地,所述挡片二72的个数为1个~6个。Preferably, the number of the second blocking piece 72 is 1-6.
最优地,所述挡片二72的个数为2个。Optimally, the number of the second blocking piece 72 is two.
所述固定套管6的外圆周面上环设有供卡块5滑动连接的卡槽9,且所述卡槽9呈锯齿状结构,所述导管1上设有刻度,可以显示所述球囊3进入的深度,所述挡片一71固定设置在所述固定套管6的前端,且所述挡片一71为空心结构,所述旋钮8中设置有与所述固定套管6中的通道相通的通孔10,位于所述球囊3的空腔内的所述导杆4上环设有两个显影环11,显影环11采用不透放射材料制成,使用时显影环11可在CT机下确定所述球囊3的具体位置,所述Y形连接器2的尾部设有手柄12,所述手柄12与所述导杆4的另一端采用螺纹固定连接,这样的设置能够牢固的将导杆置于导管中,对整个结构起到了更好的支撑作用,旋钮8上设有防滑纹路,增加手与旋钮的摩擦力,使得能够更好的旋转整个挡片件到所需的位置。The outer peripheral surface of the fixed sleeve 6 is provided with a card slot 9 for the sliding connection of the block 5, and the card slot 9 is in a zigzag structure, and the catheter 1 is provided with a scale, which can display the ball The depth that the capsule 3 enters, the first stopper 71 is fixedly arranged on the front end of the fixed sleeve 6, and the first stopper 71 is a hollow structure, the knob 8 is provided with a There are through holes 10 connected to the passages of the balloon 3, and two development rings 11 are arranged on the upper ring of the guide rod 4 in the cavity of the balloon 3. The development rings 11 are made of radiopaque materials. When in use, the development rings 11 The specific position of the balloon 3 can be determined under the CT machine, the tail of the Y-shaped connector 2 is provided with a handle 12, and the handle 12 is fixedly connected with the other end of the guide rod 4 by threads. The guide rod can be firmly placed in the conduit, which plays a better role in supporting the entire structure. The knob 8 is provided with anti-skid lines to increase the friction between the hand and the knob, so that the entire blocking piece can be better rotated to the desired position. desired location.
所述PVP椎体定向扩张球囊装置还包括镁合金支架,所述镁合金支架表面具有钙磷涂层,使用时,将所述球囊3放入所述镁合金支架内,将所述镁合金支架闭合成条索状,将所述镁合金支架放入椎体被扩张形成的可供填充的空腔后,扩张所述镁合金支架内的球囊3,使得所述镁合金支架被扩张形成球囊状。The PVP vertebral body directional dilation balloon device also includes a magnesium alloy stent, the surface of the magnesium alloy stent has a calcium-phosphorus coating, and when in use, the balloon 3 is put into the magnesium alloy stent, and the magnesium alloy The alloy stent is closed into a cord shape, and after the magnesium alloy stent is placed into the cavity formed by the expansion of the vertebral body for filling, the balloon 3 in the magnesium alloy stent is expanded, so that the magnesium alloy stent is expanded form a balloon.
本发明提供的PVP椎体定向扩张球囊装置,通过在导管1外侧安装由卡块5、固定套管6、挡片件7以及旋钮8等构成的旋转组件,所述旋钮8能够带动整个挡片件7旋转,所述卡块5可带动所述挡片二72旋转,使得球囊3能向预先设定的撑开复位方向膨胀,从而不会加重破碎部位的骨折损伤程度、并避免引起再骨折,进一步的,通过在导管1外侧设有刻度,使得可以显示所述球囊3进入的深度,进一步的,所述旋钮8上设有防滑纹路,增加手与旋钮的摩擦力,使得能够更好的旋转整个挡片件到所需的位置,进一步的,位于球囊空腔内的导杆上还环设有两个显影环11,显影环11采用不透放射材料制成,使用时显影环11可在CT机下确定球囊的具体位置,进一步的,Y形连接器2的尾部设有供导杆紧固连接的手柄12,手柄12与Y型连接器2的接头端为螺纹连接,这样的设置能够牢固的将导杆置于导管中,对这个整个结构起到了更好的支撑作用,进一步的,所述镁合金支架位于所述球囊3的外侧,扩张所述镁合金支架内的球囊3,使得所述镁合金支架被扩张形成球囊状起到压缩骨折复位作用。In the PVP vertebral body directional dilation balloon device provided by the present invention, a rotating assembly composed of a block 5, a fixed sleeve 6, a blocking piece 7 and a knob 8 is installed on the outside of the catheter 1, and the knob 8 can drive the entire blocking piece. When the piece 7 rotates, the block 5 can drive the second baffle 72 to rotate, so that the balloon 3 can expand toward the preset direction of stretching and resetting, so as not to aggravate the degree of fracture damage of the broken part and avoid causing Further fracture, further, by providing a scale on the outside of the catheter 1, the depth of entry of the balloon 3 can be displayed, and further, the knob 8 is provided with anti-slip lines to increase the friction between the hand and the knob, so that it can It is better to rotate the entire blocking piece to the desired position. Further, two developing rings 11 are arranged around the guide rod in the cavity of the balloon. The developing rings 11 are made of radiopaque materials. The development ring 11 can determine the specific position of the balloon under the CT machine. Further, the tail of the Y-shaped connector 2 is provided with a handle 12 for the fastening connection of the guide rod, and the joint end of the handle 12 and the Y-shaped connector 2 is threaded. connection, such a setting can securely place the guide rod in the catheter, which plays a better supporting role for the whole structure. Further, the magnesium alloy stent is located on the outside of the balloon 3 to expand the magnesium alloy The balloon 3 in the stent makes the magnesium alloy stent expand to form a balloon to compress the fracture and reset it.
该球囊3可以扩张,还具有一定强度;该球囊3上具有镁合金支架,所述镁合金支架表面具有钙磷涂层,使所述镁合金支架可吸收,所述镁合金支架合拢时呈网状结构,扩张后形成球囊状留在损伤部位起到固定支撑的作用,所述镁合金支架内可以填充松质骨,或者骨水泥,因而具有所述镁合金支架的球囊3不仅能够实现体内修复骨缺损的作用,而且具有优良力学性能。The balloon 3 can be expanded and has a certain strength; the balloon 3 has a magnesium alloy stent, and the surface of the magnesium alloy stent has a calcium-phosphorus coating, so that the magnesium alloy stent can be absorbed, and when the magnesium alloy stent is closed, It has a mesh structure, and after expansion, it forms a balloon shape and stays in the injured part to play a role of fixation and support. The magnesium alloy stent can be filled with cancellous bone or bone cement, so the balloon 3 with the magnesium alloy stent not only It can realize the effect of repairing bone defect in vivo, and has excellent mechanical properties.
本发明提供的椎体扩张球囊导管的使用方法是:在手术中,将固定套管6通过预先钻出的通道伸入到骨折椎体中,通过所述旋钮8调整固定套管6头部的挡片件7的位置,且通过卡块5在卡槽9中移动的位置来调整所述挡片二72的位置,即可将多个不能被撑开的骨折部位挡住,将导管上的球囊3从固定套管6中伸入到需撑开复位的骨折部位后,通过Y形连接器2上的另一个接口对球囊3注入一定体积的显影剂加压使其膨胀,使球囊3向预先设定的撑开复位方向膨胀,将塌陷的椎体逐步撑起直至恢复到临床的治疗要求,并形成一个可供填充的空腔以便填入骨水泥等骨填充物,然后将所述球囊3进行收缩、取出,然后将导管上带有镁合金支架的球囊3重新从固定套管6中伸入到需撑开复位的骨折部位,向球囊3注入一定体积的显影剂加压使其膨胀,进而使所述镁合金支架扩张形成球囊状,起到支撑固定作用,从而不会加重破碎部位的骨折损伤程度,并避免引起再骨折,再次将所述球囊3进行收缩、取出,球囊状镁合金支架留在里边,由于所述镁合金支架具有一定的强度,因而可以暂时起到支架固定骨折的作用,然后在所述镁合金支架内填充骨水泥或松质骨,由于所述镁合金支架可吸收,因此所述镁合金支架降解溶解后,植骨愈合。The use method of the vertebral body expansion balloon catheter provided by the present invention is: during the operation, the fixing sleeve 6 is inserted into the fractured vertebral body through the passage drilled in advance, and the head of the fixing sleeve 6 is adjusted through the knob 8 The position of the block piece 7, and the position of the block piece 2 72 is adjusted by the position of the block 5 moving in the slot 9, so that a plurality of fracture sites that cannot be stretched can be blocked, and the ball on the catheter can be blocked. After the balloon 3 extends from the fixed sleeve 6 to the fracture site that needs to be retracted, a certain volume of contrast agent is injected into the balloon 3 through another interface on the Y-shaped connector 2 to pressurize it to expand, so that the balloon 3 Expand toward the pre-set direction of expansion and reduction, gradually prop up the collapsed vertebral body until it returns to the clinical treatment requirements, and form a cavity for filling in bone cement and other bone fillers, and then place the The balloon 3 is contracted and taken out, and then the balloon 3 with the magnesium alloy stent on the catheter is re-inserted from the fixed sleeve 6 to the fracture site that needs to be retracted, and a certain volume of contrast agent is injected into the balloon 3 Pressurize to make it expand, and then expand the magnesium alloy stent to form a balloon shape, which plays a role of support and fixation, so that the degree of fracture damage at the broken part will not be aggravated, and re-fracture will be avoided, and the balloon 3 will be placed again Shrink and take it out, the balloon-shaped magnesium alloy stent stays inside, because the magnesium alloy stent has a certain strength, it can temporarily play the role of stent to fix the fracture, and then fill the bone cement or cancellous bone in the magnesium alloy stent bone, since the magnesium alloy scaffold can be absorbed, the bone graft heals after the magnesium alloy scaffold is degraded and dissolved.
实施例二Embodiment two
如图1、图2、图3和图4所示的PVP椎体定向扩张球囊装置的制造方法,包括以下步骤:The manufacture method of the PVP vertebral body directional expansion balloon device as shown in Figure 1, Figure 2, Figure 3 and Figure 4, comprises the following steps:
步骤S01,向注塑机内添加原料,原料熔融后注塑至Y形连接器2的模具内,冷却10分钟~15分钟,开启模具,将Y形连接器2的毛坯取出,用扩孔器扩Y形连接器2的接头的连接孔,用倒角器倒Y形连接器2的接头的连接孔孔口;Step S01, adding raw materials into the injection molding machine, injecting the melted raw materials into the mold of the Y-shaped connector 2, cooling for 10 to 15 minutes, opening the mold, taking out the blank of the Y-shaped connector 2, and enlarging the Y shape with a hole expander. The connection hole of the joint of the Y-shaped connector 2, the connection hole orifice of the joint of the Y-shaped connector 2 is chamfered with a chamferer;
最优地,步骤S01中的冷却时间为13分钟。Optimally, the cooling time in step S01 is 13 minutes.
步骤S02,向注塑机内添加原料,原料熔融后注塑至固定套管6的模具内,冷却5分钟~8分钟,开启模具,将固定套管6的毛坯取出,用扩孔器扩固定套管6的内孔,用开槽装置在固定套管6上开制卡槽9,所述卡槽9位于所述固定套管6的外周向上,且将固定套管6的前端铣削形成挡片一71;Step S02, adding raw materials into the injection molding machine, injecting the raw materials into the mold of the fixed sleeve 6 after melting, cooling for 5 minutes to 8 minutes, opening the mold, taking out the blank of the fixed sleeve 6, and expanding the fixed sleeve with a hole expander 6, use a slotting device to open a slot 9 on the fixed sleeve 6, the slot 9 is located on the outer circumference of the fixed sleeve 6, and the front end of the fixed sleeve 6 is milled to form a stopper 71;
优选地,步骤S02中的冷却为6分钟30秒。Preferably, the cooling in step S02 is 6 minutes and 30 seconds.
步骤S03,截取一节细管,用倒角器去除细管孔口毛刺,形成导管1,取球囊3,将球囊3的开口套设在导管1的一端,装在热压模具内,加压、加热后取出冷却,加热温度为130℃~195℃,压力为0.5MPa~0.85MPa,保压时间为1分钟~2分钟,冷却循环时间为2分钟~3分钟;Step S03, cut a thin tube, use a chamferer to remove the burr at the orifice of the thin tube to form a catheter 1, take the balloon 3, set the opening of the balloon 3 on one end of the catheter 1, and install it in a hot pressing mold, After pressurizing and heating, take it out and cool it, the heating temperature is 130℃~195℃, the pressure is 0.5MPa~0.85MPa, the holding time is 1 minute to 2 minutes, and the cooling cycle time is 2 minutes to 3 minutes;
优选地,步骤S03中的加热温度为175℃,压力为0.77MPa,保压时间为1分钟25秒,冷却循环时间为2分钟33秒。Preferably, the heating temperature in step S03 is 175° C., the pressure is 0.77 MPa, the dwell time is 1 minute and 25 seconds, and the cooling cycle time is 2 minutes and 33 seconds.
步骤S04,将导管1的另一端套设在Y形连接器2的一个接头内,装在热压模具内,加压、加热后取出冷却,加热温度为190℃~225℃,压力为0.8MPa~0.95MPa,保压时间为2分钟~5分钟,冷却循环时间为2分钟~5分钟;Step S04, set the other end of the conduit 1 in a joint of the Y-shaped connector 2, install it in a hot pressing mold, pressurize and heat it, take it out and cool it, the heating temperature is 190°C-225°C, and the pressure is 0.8MPa ~0.95MPa, the holding time is 2 minutes to 5 minutes, and the cooling cycle time is 2 minutes to 5 minutes;
优选地,步骤S04中的加热温度为207℃,压力为0.87MPa,保压时间为3分钟52秒,冷却循环时间为4分钟。Preferably, the heating temperature in step S04 is 207° C., the pressure is 0.87 MPa, the dwell time is 3 minutes and 52 seconds, and the cooling cycle time is 4 minutes.
步骤S05,将导杆4的一端依次穿设过所述Y形连接器2的一个接头和所述导管1后延伸到所述球囊3内;Step S05, passing one end of the guide rod 4 sequentially through a joint of the Y-shaped connector 2 and the catheter 1, and then extending into the balloon 3;
步骤S06,在球囊3上装上保护钢套,将固定套管6套从保护钢套上穿过,装在导管1上后,去掉保护钢套;Step S06, installing a protective steel sheath on the balloon 3, passing 6 sets of fixed sleeves through the protective steel sheath, and after installing it on the catheter 1, removing the protective steel sheath;
步骤S07,将卡块5卡合在卡槽9内,所述挡片二72通过连接杆73连接在卡块5上。Step S07 , engaging the clamping block 5 in the clamping slot 9 , and the blocking piece 2 72 is connected to the clamping block 5 through the connecting rod 73 .
上述冷却采用了风冷,使变形速度慢,避免出现裂纹。The above-mentioned cooling adopts air cooling, so that the deformation speed is slow and cracks are avoided.
该球囊3可以扩张,还具有一定强度;该球囊3上具有镁合金支架,所述镁合金支架表面具有钙磷涂层,使所述镁合金支架可吸收,所述镁合金支架合拢时呈网状结构,扩张后留在损伤部位作为新球囊起到固定支撑的作用,所述镁合金支架内可以填充松质骨,或者骨水泥,因而具有所述镁合金支架的球囊3不仅能够实现体内修复骨缺损的作用,而且具有优良力学性能。The balloon 3 can be expanded and has a certain strength; the balloon 3 has a magnesium alloy stent, and the surface of the magnesium alloy stent has a calcium-phosphorus coating, so that the magnesium alloy stent can be absorbed, and when the magnesium alloy stent is closed, It has a net-like structure, and after expansion, it stays at the damaged site as a new balloon to play a role in fixing and supporting. The magnesium alloy stent can be filled with cancellous bone or bone cement, so the balloon 3 with the magnesium alloy stent not only It can realize the effect of repairing bone defect in vivo, and has excellent mechanical properties.
实施例三Embodiment three
如图1、图2、图3和图4所示,一种PVP椎体定向扩张球囊装置,包括导管1和导杆4,所述导管1的一端连接有Y形连接器2,所述导管1的另一端连接有球囊3,所述导杆4的一端依次穿设过所述Y形连接器2的一个接头和所述导管1后延伸到所述球囊3内,位于所述球囊3空腔的导杆4上环设有两个显影环11,所述显影环11采用不透放射材料制成,使用时显影环11可在CT机下确定球囊的具体位置,还包括一旋转组件,所述旋转组件套设在所述导管1的外侧,所述旋转组件包括固定套管6和设于所述固定套管6上的挡片件7,所述挡片件7位于所述球囊3的外侧,所述挡片件7用于遮挡住至少一预挡部位,所述导管1上设有刻度,用于显示所述球囊3的进入深度。As shown in Fig. 1, Fig. 2, Fig. 3 and Fig. 4, a kind of PVP vertebral body directional dilatation balloon device comprises catheter 1 and guide rod 4, and one end of described catheter 1 is connected with Y-shaped connector 2, and described The other end of the catheter 1 is connected to a balloon 3, and one end of the guide rod 4 is sequentially passed through a joint of the Y-shaped connector 2 and the catheter 1 and then extends into the balloon 3. Two development rings 11 are arranged on the upper ring of the guide rod 4 of the cavity of the balloon 3, and the development rings 11 are made of radiopaque materials. During use, the development rings 11 can determine the specific position of the balloon under the CT machine, and also Including a rotating assembly, the rotating assembly is sleeved on the outside of the catheter 1, the rotating assembly includes a fixed sleeve 6 and a blocking piece 7 arranged on the fixed sleeve 6, the blocking piece 7 Located on the outside of the balloon 3 , the blocking piece 7 is used to cover at least one pre-blocking position, and the catheter 1 is provided with a scale for displaying the penetration depth of the balloon 3 .
所述挡片件7包括一个挡片一71和至少一个挡片二72,所述挡片一71固定设置在所述固定套管6的前端上,且所述挡片一71为空心结构,旋转所述固定套管6,可使挡片一71遮挡住一预挡部位,方便调整遮挡位置;所述挡片二72活动设置在所述固定套管6的外周上,沿所述固定套管6的周向移动所述挡片二72,可使所述挡片二72遮挡住至少另一预挡部位,方便调整遮挡位置;所述挡片一71与所述挡片二72配合使用可将多个不能被撑开的骨折部位挡住,使得球囊3能向预先设定的撑开复位方向膨胀,从而不会加重破碎部位的骨折损伤程度、并避免引起再骨折,所述挡片二72的尾部设有连接杆73,所述连接杆73的尾部设有卡块5,所述卡块5活动设置在所述固定套管6的外周上,且所述卡块5通过连接杆73可带动所述挡片二72沿所述固定套管6的周向运动,柱骨质疏松骨折,椎体成形术,可吸收扩张球囊3的设计,使用可吸收、可扩张的材料,设想使用人群为年轻患者,球囊3扩张,松质骨植骨愈合,球囊3收缩,局部环境回归自然生理状态。The blocking piece 7 includes a blocking piece one 71 and at least one blocking piece two 72, the blocking piece one 71 is fixedly arranged on the front end of the fixed sleeve 6, and the blocking piece one 71 is a hollow structure, Rotating the fixed sleeve 6 can make the first blocking piece 71 cover a pre-blocking position, so as to facilitate the adjustment of the blocking position; the second blocking piece 72 is movably arranged on the outer periphery of the fixed sleeve 6, along the Moving the second blocking piece 72 in the circumferential direction of the tube 6 can make the second blocking piece 72 cover at least another pre-blocking position, so as to facilitate the adjustment of the blocking position; the first blocking piece 71 is used in conjunction with the second blocking piece 72 A plurality of fracture sites that cannot be distracted can be blocked, so that the balloon 3 can expand to the preset direction of retraction and reset, so as not to aggravate the degree of fracture damage of the broken site and avoid causing re-fracture. The afterbody of two 72 is provided with connecting rod 73, and the afterbody of described connecting rod 73 is provided with clamping block 5, and described clamping block 5 is movably arranged on the outer periphery of described fixed sleeve 6, and described clamping block 5 passes connecting rod 73 can drive the stopper 2 72 to move along the circumferential direction of the fixed sleeve 6, column osteoporosis fracture, vertebroplasty, the design of the absorbable expandable balloon 3, using absorbable and expandable materials, It is assumed that the user population is young patients, the balloon 3 expands, the cancellous bone graft heals, the balloon 3 contracts, and the local environment returns to a natural physiological state.
优选地,所述挡片二72和所述卡块5的个数均为1个~6个。Preferably, the number of the second blocking piece 72 and the locking block 5 is 1-6.
最优地,所述挡片二72和所述卡块5的个数均为2个。Optimally, there are two blocking pieces 72 and two blocks 5 .
所述固定套管6的外圆周面上环设有与所述卡块5滑动连接的若干个卡槽9,且所述卡槽9呈锯齿状,所述固定套管6的尾部设有旋钮8,所述旋钮8内设置有与所述固定套管6内的通道相通的通孔10,且所述旋钮8外设有防滑纹,增加手与旋钮的摩擦力,使得能够更好的旋转整个挡片件到所需的位置。The outer peripheral surface of the fixed sleeve 6 is provided with a plurality of slots 9 slidingly connected with the block 5, and the slots 9 are serrated, and the tail of the fixed sleeve 6 is provided with a knob 8. The knob 8 is provided with a through hole 10 communicating with the channel in the fixed sleeve 6, and the knob 8 is provided with anti-skid lines to increase the friction between the hand and the knob, so that it can be rotated better the entire blank piece into the desired position.
优选地,所述卡槽9的个数为1个~6个。Preferably, the number of the card slots 9 is 1-6.
最优地,所述卡槽9的个数为2个。Optimally, the number of the card slots 9 is two.
所述Y形连接器2的尾部设有手柄12,所述手柄12与所述导杆4的另一端固定连接,能够牢固的将导杆置于导管中,对这个整个结构起到了更好的支撑作用。The tail of the Y-shaped connector 2 is provided with a handle 12, and the handle 12 is fixedly connected to the other end of the guide rod 4, so that the guide rod can be firmly placed in the catheter, which has played a better role in this whole structure. supporting role.
所述PVP椎体定向扩张球囊装置还包括镁合金支架,所述镁合金支架表面具有钙磷涂层,使用时,将所述球囊3放入所述镁合金支架内,将所述镁合金支架闭合成条索状,将所述镁合金支架放入椎体被扩张形成的可供填充的空腔后,扩张所述镁合金支架内的球囊3,使得所述镁合金支架被扩张形成球囊状。The PVP vertebral body directional dilation balloon device also includes a magnesium alloy stent, the surface of the magnesium alloy stent has a calcium-phosphorus coating, and when in use, the balloon 3 is put into the magnesium alloy stent, and the magnesium alloy The alloy stent is closed into a cord shape, and after the magnesium alloy stent is placed into the cavity formed by the expansion of the vertebral body for filling, the balloon 3 in the magnesium alloy stent is expanded, so that the magnesium alloy stent is expanded form a balloon.
本发明提供的PVP椎体定向扩张球囊装置,通过在导管1外侧安装由卡块5、固定套管6、挡片件7以及旋钮8等构成的旋转组件,所述旋钮8能够带动整个挡片件7旋转,所述卡块5可带动所述挡片二72旋转,使得球囊3能向预先设定的撑开复位方向膨胀,从而不会加重破碎部位的骨折损伤程度、并避免引起再骨折,进一步的,通过在导管1外侧设有刻度,使得可以显示所述球囊3进入的深度,进一步的,所述旋钮8上设有防滑纹路,增加手与旋钮的摩擦力,使得能够更好的旋转整个挡片件到所需的位置,进一步的,位于球囊空腔内的导杆上还环设有两个显影环11,显影环11采用不透放射材料制成,使用时显影环11可在CT机下确定球囊的具体位置,进一步的,Y形连接器2的尾部设有供导杆紧固连接的手柄12,手柄12与Y型连接器2的接头端为螺纹连接,这样的设置能够牢固的将导杆置于导管中,对这个整个结构起到了更好的支撑作用,进一步的,所述镁合金支架位于所述球囊3的外侧,扩张所述镁合金支架内的球囊3,使得所述镁合金支架被扩张形成球囊状起到压缩骨折复位作用。In the PVP vertebral body directional dilation balloon device provided by the present invention, a rotating assembly composed of a block 5, a fixed sleeve 6, a blocking piece 7 and a knob 8 is installed on the outside of the catheter 1, and the knob 8 can drive the entire blocking piece. When the piece 7 rotates, the block 5 can drive the second baffle 72 to rotate, so that the balloon 3 can expand toward the preset direction of stretching and resetting, so as not to aggravate the degree of fracture damage of the broken part and avoid causing Further fracture, further, by providing a scale on the outside of the catheter 1, the depth of entry of the balloon 3 can be displayed, and further, the knob 8 is provided with anti-slip lines to increase the friction between the hand and the knob, so that it can It is better to rotate the entire blocking piece to the desired position. Further, two developing rings 11 are arranged around the guide rod in the cavity of the balloon. The developing rings 11 are made of radiopaque materials. The development ring 11 can determine the specific position of the balloon under the CT machine. Further, the tail of the Y-shaped connector 2 is provided with a handle 12 for the fastening connection of the guide rod, and the joint end of the handle 12 and the Y-shaped connector 2 is threaded. connection, such a setting can securely place the guide rod in the catheter, which plays a better supporting role for the whole structure. Further, the magnesium alloy stent is located on the outside of the balloon 3 to expand the magnesium alloy The balloon 3 in the stent makes the magnesium alloy stent expand to form a balloon to compress the fracture and reset it.
该球囊3可以扩张,还具有一定强度;该球囊3上具有镁合金支架,所述镁合金支架表面具有钙磷涂层,使所述镁合金支架可吸收,所述镁合金支架合拢时呈网状结构,扩张后形成球囊状留在损伤部位起到固定支撑的作用,所述镁合金支架内可以填充松质骨,或者骨水泥,因而具有所述镁合金支架的球囊3不仅能够实现体内修复骨缺损的作用,而且具有优良力学性能。The balloon 3 can be expanded and has a certain strength; the balloon 3 has a magnesium alloy stent, and the surface of the magnesium alloy stent has a calcium-phosphorus coating, so that the magnesium alloy stent can be absorbed, and when the magnesium alloy stent is closed, It has a mesh structure, and after expansion, it forms a balloon shape and stays in the injured part to play a role of fixation and support. The magnesium alloy stent can be filled with cancellous bone or bone cement, so the balloon 3 with the magnesium alloy stent not only It can realize the effect of repairing bone defect in vivo, and has excellent mechanical properties.
本发明提供的椎体扩张球囊导管的使用方法是:在手术中,将固定套管6通过预先钻出的通道伸入到骨折椎体中,通过所述旋钮8调整固定套管6头部的挡片件7的位置,且通过卡块5在卡槽9中移动的位置来调整所述挡片二72的位置,即可将多个不能被撑开的骨折部位挡住,将导管上的球囊3从固定套管6中伸入到需撑开复位的骨折部位后,通过Y形连接器2上的另一个接口对球囊3注入一定体积的显影剂加压使其膨胀,使球囊3向预先设定的撑开复位方向膨胀,将塌陷的椎体逐步撑起直至恢复到临床的治疗要求,并形成一个可供填充的空腔以便填入骨水泥等骨填充物,然后将所述球囊3进行收缩、取出,然后将导管上带有镁合金支架的球囊3重新从固定套管6中伸入到需撑开复位的骨折部位,向球囊3注入一定体积的显影剂加压使其膨胀,进而使所述镁合金支架扩张形成球囊状,起到支撑固定作用,从而不会加重破碎部位的骨折损伤程度,并避免引起再骨折,再次将所述球囊3进行收缩、取出,球囊状的镁合金支架留在里边由于所述镁合金支架具有一定的强度,因而可以暂时起到支架固定骨折的作用,然后在所述镁合金支架内填充骨水泥或松质骨,由于所述镁合金支架可吸收,因此所述镁合金支架降解溶解后,植骨愈合。The use method of the vertebral body expansion balloon catheter provided by the present invention is: during the operation, the fixing sleeve 6 is inserted into the fractured vertebral body through the passage drilled in advance, and the head of the fixing sleeve 6 is adjusted through the knob 8 The position of the block piece 7, and the position of the block piece 2 72 is adjusted by the position of the block 5 moving in the slot 9, so that a plurality of fracture sites that cannot be stretched can be blocked, and the ball on the catheter can be blocked. After the balloon 3 extends from the fixed sleeve 6 to the fracture site that needs to be retracted, a certain volume of contrast agent is injected into the balloon 3 through another interface on the Y-shaped connector 2 to pressurize it to expand, so that the balloon 3 Expand toward the pre-set direction of expansion and reduction, gradually prop up the collapsed vertebral body until it returns to the clinical treatment requirements, and form a cavity for filling in bone cement and other bone fillers, and then place the The balloon 3 is contracted and taken out, and then the balloon 3 with the magnesium alloy stent on the catheter is re-inserted from the fixed sleeve 6 to the fracture site that needs to be retracted, and a certain volume of contrast agent is injected into the balloon 3 Pressurize to make it expand, and then expand the magnesium alloy stent to form a balloon shape, which plays a role of support and fixation, so that the degree of fracture damage at the broken part will not be aggravated, and re-fracture will be avoided, and the balloon 3 will be placed again Shrink, take out, and the balloon-shaped magnesium alloy stent stays inside. Because the magnesium alloy stent has a certain strength, it can temporarily play the role of stent to fix the fracture, and then fill the bone cement or cancellous substance in the magnesium alloy stent bone, since the magnesium alloy scaffold can be absorbed, the bone graft heals after the magnesium alloy scaffold is degraded and dissolved.
一种PVP椎体定向扩张球囊装置的制造方法,包括以下步骤:A method for manufacturing a PVP vertebral body directional expansion balloon device, comprising the following steps:
步骤S01,向注塑机内添加原料,原料熔融后注塑至Y形连接器2的模具内,冷却10分钟~15分钟,开启模具,将Y形连接器2的毛坯取出,用扩孔器扩Y形连接器2的接头的连接孔,用倒角器倒Y形连接器2的接头的连接孔孔口;Step S01, adding raw materials into the injection molding machine, injecting the melted raw materials into the mold of the Y-shaped connector 2, cooling for 10 to 15 minutes, opening the mold, taking out the blank of the Y-shaped connector 2, and enlarging the Y shape with a hole expander. The connection hole of the joint of the Y-shaped connector 2, the connection hole orifice of the joint of the Y-shaped connector 2 is chamfered with a chamferer;
最优地,步骤S01中的冷却时间为13分钟。Optimally, the cooling time in step S01 is 13 minutes.
步骤S02,向注塑机内添加原料,原料熔融后注塑至固定套管6的模具内,冷却5分钟~8分钟,开启模具,将固定套管6的毛坯取出,用扩孔器扩固定套管6的内孔,用开槽装置在固定套管6上开制卡槽9,所述卡槽9位于所述固定套管6的外周向上,且将固定套管6的前端铣削形成挡片一71;Step S02, adding raw materials into the injection molding machine, injecting the raw materials into the mold of the fixed sleeve 6 after melting, cooling for 5 minutes to 8 minutes, opening the mold, taking out the blank of the fixed sleeve 6, and expanding the fixed sleeve with a hole expander 6, use a slotting device to open a slot 9 on the fixed sleeve 6, the slot 9 is located on the outer circumference of the fixed sleeve 6, and the front end of the fixed sleeve 6 is milled to form a stopper 71;
优选地,步骤S02中的冷却为6分钟30秒。Preferably, the cooling in step S02 is 6 minutes and 30 seconds.
步骤S03,截取一节细管,用倒角器去除细管孔口毛刺,形成导管1,取球囊3,将球囊3的开口套设在导管1的一端,装在热压模具内,加压、加热后取出冷却,加热温度为130℃~195℃,压力为0.5MPa~0.85MPa,保压时间为1分钟~2分钟,冷却循环时间为2分钟~3分钟;Step S03, cut a thin tube, use a chamferer to remove the burr at the orifice of the thin tube to form a catheter 1, take the balloon 3, set the opening of the balloon 3 on one end of the catheter 1, and install it in a hot pressing mold, After pressurizing and heating, take it out and cool it, the heating temperature is 130℃~195℃, the pressure is 0.5MPa~0.85MPa, the holding time is 1 minute to 2 minutes, and the cooling cycle time is 2 minutes to 3 minutes;
优选地,步骤S03中的加热温度为175℃,压力为0.77MPa,保压时间为1分钟25秒,冷却循环时间为2分钟33秒。Preferably, the heating temperature in step S03 is 175° C., the pressure is 0.77 MPa, the dwell time is 1 minute and 25 seconds, and the cooling cycle time is 2 minutes and 33 seconds.
步骤S04,将导管1的另一端套设在Y形连接器2的一个接头内,装在热压模具内,加压、加热后取出冷却,加热温度为190℃~225℃,压力为0.8MPa~0.95MPa,保压时间为2分钟~5分钟,冷却循环时间为2分钟~5分钟;Step S04, set the other end of the conduit 1 in a joint of the Y-shaped connector 2, install it in a hot pressing mold, pressurize and heat it, take it out and cool it, the heating temperature is 190°C-225°C, and the pressure is 0.8MPa ~0.95MPa, the holding time is 2 minutes to 5 minutes, and the cooling cycle time is 2 minutes to 5 minutes;
优选地,步骤S04中的加热温度为207℃,压力为0.87MPa,保压时间为3分钟52秒,冷却循环时间为4分钟。Preferably, the heating temperature in step S04 is 207° C., the pressure is 0.87 MPa, the dwell time is 3 minutes and 52 seconds, and the cooling cycle time is 4 minutes.
步骤S05,将导杆4的一端依次穿设过所述Y形连接器2的一个接头和所述导管1后延伸到所述球囊3内;Step S05, passing one end of the guide rod 4 sequentially through a joint of the Y-shaped connector 2 and the catheter 1, and then extending into the balloon 3;
步骤S06,在球囊3上装上保护钢套,将固定套管6套从保护钢套上穿过,装在导管1上后,去掉保护钢套;Step S06, installing a protective steel sheath on the balloon 3, passing 6 sets of fixed sleeves through the protective steel sheath, and after installing it on the catheter 1, removing the protective steel sheath;
步骤S07,将卡块5卡合在卡槽9内,所述挡片二72通过连接杆73连接在卡块5上。Step S07 , engaging the clamping block 5 in the clamping slot 9 , and the blocking piece 2 72 is connected to the clamping block 5 through the connecting rod 73 .
上述冷却采用了风冷,使变形速度慢,避免出现裂纹。The above-mentioned cooling adopts air cooling, so that the deformation speed is slow and cracks are avoided.
以上仅为本发明的优选实施例而已,并不用于限制本发明,对于本领域的技术人员来说,本发明可以有各种更改和变化。凡在本发明的精神和原则之内,所作的任何修改、等同替换、改进等,均应包含在本发明的保护范围之内。The above are only preferred embodiments of the present invention, and are not intended to limit the present invention. For those skilled in the art, the present invention may have various modifications and changes. Any modifications, equivalent replacements, improvements, etc. made within the spirit and principles of the present invention shall be included within the protection scope of the present invention.
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| CN101384223A (en) * | 2004-05-18 | 2009-03-11 | 科丰公司 | Insertion devices and method of use |
| EP2077776A2 (en) * | 2006-08-25 | 2009-07-15 | Kyphon SÀRL | Apparatus and methods for use of expandable members in surgical applications |
| CN102247200A (en) * | 2011-06-23 | 2011-11-23 | 苏州爱得科技发展有限公司 | Vertebral oriented dilated balloon catheter |
| CN204699234U (en) * | 2015-04-19 | 2015-10-14 | 苏州爱得科技发展有限公司 | A kind of vertebral body augmentation formation system |
| CN204734844U (en) * | 2015-05-21 | 2015-11-04 | 普霖医疗科技(广州)有限公司 | Directional expansion sacculus pipe of centrum |
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| CN106073884A (en) | 2016-11-09 |
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