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CN107320166A - Vertebral column minimally invasive pitman - Google Patents

Vertebral column minimally invasive pitman Download PDF

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Publication number
CN107320166A
CN107320166A CN201710673755.1A CN201710673755A CN107320166A CN 107320166 A CN107320166 A CN 107320166A CN 201710673755 A CN201710673755 A CN 201710673755A CN 107320166 A CN107320166 A CN 107320166A
Authority
CN
China
Prior art keywords
taper
pitman
cut portion
minimally invasive
vertebral column
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201710673755.1A
Other languages
Chinese (zh)
Inventor
江旭
杨大诚
杨杰
张国元
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Changzhou Orthmed Medical Instrument Co Ltd
Original Assignee
Changzhou Orthmed Medical Instrument Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Changzhou Orthmed Medical Instrument Co Ltd filed Critical Changzhou Orthmed Medical Instrument Co Ltd
Priority to CN201710673755.1A priority Critical patent/CN107320166A/en
Publication of CN107320166A publication Critical patent/CN107320166A/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002Longitudinal elements, e.g. rods
    • A61B17/7019Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other
    • A61B17/7026Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other with a part that is flexible due to its form
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
    • A61B17/7074Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/00234Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00238Type of minimally invasive operation

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Neurology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (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)
  • Prostheses (AREA)

Abstract

The present invention provides a kind of vertebral column minimally invasive pitman, taper-cut portion including pitman body and located at described body one end, the taper-cut portion is coaxially disposed with the body, taper-cut portion side wall is uniformly provided with multiple blades vertically, the blade is set along taper-cut portion small end to big extreme direction in divergent shape, taper-cut portion top is smooth arc-shaped surface, the body includes at least three sections barred bodies, flexible connector is provided between barred body described in adjacent two, the barred body is to meet the arcuate structure that Human Physiology dissects radian, the connector is U-shaped structure, the connector is opposite with the barred body bending direction.A kind of vertebral column minimally invasive pitman that the present invention is provided, sets taper-cut portion to result only in micro-incisions when wearing rod, is not used in cutting 7CM to 20CM otch at vertebra, beneficial to post-operative recovery using connection club head.

Description

Vertebral column minimally invasive pitman
Technical field
The present invention relates to technical field of medical instruments, more particularly to a kind of vertebral column minimally invasive pitman.
Background technology
In spinal surgery, pedicle screw fixation system is used usually as internal fixation system, and pedicle screw fixation system is main It is made up of bone screws, plug screw, pitman, its application method is:Bone screws are first implanted into the specified location of each section of backbone, then In the groove that pitman is inserted to each murices nail seat by apparatus, and coordinated using plug screw and the nail seat screw thread of bone screws, led to Crossing the screw-down torque of screw thread makes plug screw that securely pitman is pressed in the nail seat of bone screws, makes pitman and each bone screws complete Connect firmly, so complete the implantation of pedicle screw fixation system.By such fixed form, it can remain relative steady at spine dislocation It is qualitative, make patient that there is basic sitting walking function.
In traditional pedicle screw fixation system, because pitman uses rigid material, therefore this system is easily caused ridge Power is transmitted between each section of post " stress shielding "." stress shielding " be when backbone bear along backbone direction unidirectional force or During the torque that the action such as person's backbone grantee's trunk bending forwards is produced, because the rigidity between bone screws and pitman is connected firmly, in implantation The spinal segments of pedicle screw fixation system, the external force or torque are mostly to be born by pedicle screw fixation system rather than by ridge Post is born, and this phenomenon is " stress shielding ".
When " stress shielding " situation is produced, stress concentration is disconnected this not only adds pitman in pitman and non-spinal The possibility of rod, may also cause the generation of the human body unfavorable condition such as backbone Adjacent segment degeneration.Backbone bone and its attached people Body tissue, as a kind of biomaterial, has the phenomenon of " being moved back with entering to give up ", if certain section backbone and its attached tissue are long Phase is not subject to mechanical loading, and its risk for producing tissue degeneration will increase.
The operation for being implanted into bone screws and pitman in vertebra at present typically uses open surgery, by entire patient fiber crops It is liquor-saturated, 7CM to 20CM otch is cut at vertebra, bone screws are implanted into backbone, then pitman is connected across to the bone of implantation On screw, the bone screws and pitman of implantation are fixed together by plug screw fixation, finally sewed up a wound again.The technology wound Greatly, bleeding is more, after bone screws are implanted into backbone, it is necessary to which the musculature cut between bone screws carries out open operation, ability Pitman is smoothly allowed to pass through bone screws, so wound is big in operation, bleeding is more, and operation risk is big, and patient is extensive after surgery Multiple generally require slowly three months can just leave the bed, and easily leave sequelae.
The content of the invention
The technical problems to be solved by the invention are:In order to overcome in the prior art pitman easily produce " stress shielding " And when pitman is implanted into the big deficiency of surgical wound, the present invention provides a kind of vertebral column minimally invasive pitman.
The present invention solves its technical problem technical scheme to be taken:A kind of vertebral column minimally invasive pitman, including connection Rod body and the taper-cut portion located at described body one end, the taper-cut portion are coaxially disposed with the body, described Taper-cut portion side wall is uniformly provided with multiple blades vertically, and the blade is in along taper-cut portion small end to big extreme direction Divergent shape is set, and taper-cut portion top is smooth arc-shaped surface.
Taper-cut portion is that, in order to preferably wear rod, blade structure is used to cut musculature, makes to wear rod and is easier, taper Cutting part top hurts artery or nerve fiber using smooth arc-shaped surface in order to prevent from wearing during rod, body passes through bone screws and plug screw Pitman is fixed on backbone by cooperation, is made dislocation restoring backbone by the supporting role of pitman, is played recovery effects.
Further, the body includes being provided with flexible connection between at least three sections barred bodies, barred body described in adjacent two Part.One section of barred body and a section backbone coordinate, and barred body are fixed on backbone by the cooperation of bone screws and plug screw, the barred body at two ends It is fixedly connected with natural spine, middle barred body is fixedly connected with the backbone of lesion, makes dislocation by the supporting role of pitman Restoring backbone, plays recovery effects, and connector reduces stress shielding to produce the effect of the same elastic micro-motion of spring-like Effect, delay the regression of adjacent phases backbone.
Further, the barred body is arcuate structure, and the connector is U-shaped structure, and the connector and the barred body are curved It is bent in opposite direction.Barred body dissects the arcuate structure of radian using Human Physiology is met, and barred body is connected with backbone and more agrees with, even Fitting can improve the elasticity of connector using U-shaped, and U-shape structure opening direction is opposite with the caudal directions of bone screws.
Further, the one end of the body away from the taper-cut portion is provided with the connecting portion, and the connecting portion is used for With wearing bar device socket connection.
The beneficial effects of the invention are as follows:A kind of vertebral column minimally invasive pitman that the present invention is provided, is set using connection club head Taper-cut portion results only in micro-incisions when wearing rod, is not used in cutting 7CM to 20CM otch at vertebra, beneficial to postoperative extensive It is multiple, using connector in order to produce the effect of the same elastic micro-motion of spring-like, the effect of stress shielding is reduced, is delayed adjacent The regression of stage backbone.
Brief description of the drawings
The invention will be further described with reference to the accompanying drawings and examples.
Fig. 1 is the structural representation of preferred embodiment;
Fig. 2 is the enlarged diagram of A in Fig. 1;
Fig. 3 is spine nail rod assembling schematic diagram.
In figure:1st, barred body, 2, connector, 3, taper-cut portion, 3-1, blade, 4, connecting portion, 5, bone screws, 6, plug screw.
Embodiment
Presently in connection with accompanying drawing, the present invention is described in detail.This figure is simplified schematic diagram, is only illustrated in a schematic way The basic structure of the present invention, therefore it only shows the composition relevant with the present invention.
As shown in Figure 1-2, a kind of vertebral column minimally invasive pitman of the invention, including three sections of arc barred bodies 1, rod described in adjacent two Flexible U-shaped connector 2 is provided between body 1, the axis of barred body 1 is on same circumference, and the U-shaped connector 2 is curved Qu Fangxiang is with the bending direction of barred body 1 on the contrary, the barred body 1 is made of titanium alloy, and the U-shaped connector 2 uses poly- ammonia Ester material injection molding is made.
The one end of the barred body 1 away from the U-shaped connector 2 is provided with taper-cut portion 3, the side wall of taper-cut portion 3 Multiple blade 3-1 are uniformly provided with vertically, and the blade 3-1 is along the small end of taper-cut portion 3 to big extreme direction in divergent shape Set, the top of taper-cut portion 3 is smooth arc-shaped surface, the taper-cut portion 3 is integrally machined with the barred body 1 and is made, institute Blade 3-1 is stated to form using cutter cutting.
The other end of the barred body 1 away from the U-shaped connector 2 is provided with connecting portion 4, and the connecting portion 4 is used for wearing rod Device socket connection, the connecting portion 4 is that section is the polygonized structures such as triangle, square or regular hexagon.
Installation process:
Dislocated as shown in figure 3, being first implanted into three bone screws 5 respectively on backbone and its two adjacent normal backbones of section, Then pitman is inserted in the groove of each nail seat of bone screws 5 by wearing bar device, and uses plug screw 6 and the nail seat of bone screws 5 Screw thread coordinates, and makes plug screw 6 that securely pitman barred body 1 is pressed in the nail seat of bone screws 5 by the screw-down torque of screw thread, until Dislocation backbone is pulled to normal position.
Using the above-mentioned desirable embodiment according to the present invention as enlightenment, pass through above-mentioned description, related staff Various changes and amendments can be carried out in without departing from the scope of the present invention completely.The technical scope of this invention is not It is confined to the content on specification, it is necessary to its technical scope is determined according to right.

Claims (4)

1. a kind of vertebral column minimally invasive pitman, it is characterised in that:Taper including pitman body and located at described body one end Cutting part (3), the taper-cut portion (3) is coaxially disposed with the body, and taper-cut portion (3) side wall is uniform vertically Provided with multiple blades (3-1), the blade (3-1) is set along taper-cut portion (3) small end to big extreme direction in divergent shape, Taper-cut portion (3) top is smooth arc-shaped surface.
2. vertebral column minimally invasive pitman as claimed in claim 1, it is characterised in that:The body includes at least three sections barred bodies (1), Flexible connector (2) is provided between barred body (1) described in adjacent two.
3. vertebral column minimally invasive pitman as claimed in claim 2, it is characterised in that:The barred body (1) is arcuate structure, the company Fitting (2) is U-shaped structure, and the connector (2) is opposite with the barred body (1) bending direction.
4. vertebral column minimally invasive pitman as claimed in claim 1, it is characterised in that:The body is away from the taper-cut portion (3) one end is provided with the connecting portion (4), and the connecting portion (4) is used for wearing bar device socket connection.
CN201710673755.1A 2017-08-09 2017-08-09 Vertebral column minimally invasive pitman Pending CN107320166A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201710673755.1A CN107320166A (en) 2017-08-09 2017-08-09 Vertebral column minimally invasive pitman

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201710673755.1A CN107320166A (en) 2017-08-09 2017-08-09 Vertebral column minimally invasive pitman

Publications (1)

Publication Number Publication Date
CN107320166A true CN107320166A (en) 2017-11-07

Family

ID=60198959

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201710673755.1A Pending CN107320166A (en) 2017-08-09 2017-08-09 Vertebral column minimally invasive pitman

Country Status (1)

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CN (1) CN107320166A (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109549697A (en) * 2019-01-28 2019-04-02 江苏嘉斯康医疗科技有限公司 Flexible rod is used in a kind of operation

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20020161368A1 (en) * 1999-10-20 2002-10-31 Foley Kevin T. Instruments and methods for stabilization of bony structures
CN201175363Y (en) * 2008-04-14 2009-01-07 上海凯得精密模具有限公司 Medical visual puncture awl
CN201194833Y (en) * 2008-05-22 2009-02-18 南方医科大学 Elastic internal fixation device for lumbar
JP2015226746A (en) * 2014-11-04 2015-12-17 日本メディカルオーダー株式会社 Implant for connecting vertebra fixing rod
CN208447751U (en) * 2017-08-09 2019-02-01 常州奥斯迈医疗器械有限公司 Vertebral column minimally invasive pitman

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20020161368A1 (en) * 1999-10-20 2002-10-31 Foley Kevin T. Instruments and methods for stabilization of bony structures
CN201175363Y (en) * 2008-04-14 2009-01-07 上海凯得精密模具有限公司 Medical visual puncture awl
CN201194833Y (en) * 2008-05-22 2009-02-18 南方医科大学 Elastic internal fixation device for lumbar
JP2015226746A (en) * 2014-11-04 2015-12-17 日本メディカルオーダー株式会社 Implant for connecting vertebra fixing rod
CN208447751U (en) * 2017-08-09 2019-02-01 常州奥斯迈医疗器械有限公司 Vertebral column minimally invasive pitman

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109549697A (en) * 2019-01-28 2019-04-02 江苏嘉斯康医疗科技有限公司 Flexible rod is used in a kind of operation

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SE01 Entry into force of request for substantive examination
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Application publication date: 20171107