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CN102824204B - Medical multifunctional operating bit - Google Patents

Medical multifunctional operating bit Download PDF

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Publication number
CN102824204B
CN102824204B CN201210363079.5A CN201210363079A CN102824204B CN 102824204 B CN102824204 B CN 102824204B CN 201210363079 A CN201210363079 A CN 201210363079A CN 102824204 B CN102824204 B CN 102824204B
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China
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edge area
spindle
drill
shaped
drill bit
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CN102824204A (en
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陈继川
杨成
钱宇
王宜南
李明栋
杨俊慧
吴晓平
孟德静
尚婷婷
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Third Affiliated Hospital of TMMU
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Third Affiliated Hospital of TMMU
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Abstract

一种医用多功能手术钻头,一杆状体的前端为钻头,后端为连接柄,所述钻头为纺锤型,纺锤型钻头的前部为圆锥台,圆锥台表面设为第一刃区,第一刃区占纺锤型钻头1/7,纺锤型钻头的后部为圆柱体,圆柱体表面设为第二刃区,第二刃区占纺锤型钻头6/7,所述第一刃区上设置若干三棱切割刃或金钢砂,所述第二刃区上设置若干条弧形切割刃或金钢砂。本发明既可用于手术中骨组织的打孔,又可用于手术中骨组织的切割、磨光等,解决了单一功能手术钻头在手术中反复多次更换的问题,节省了大量更换钻头浪费的时间,保护了邻近重要神经和血管,有效降低了临床风险。

A medical multifunctional surgical drill, the front end of a rod-shaped body is a drill, the rear end is a connecting handle, the drill is spindle-shaped, the front of the spindle-shaped drill is a truncated cone, and the surface of the truncated cone is set as the first edge area, The first edge area accounts for 1/7 of the spindle drill, the rear portion of the spindle drill is a cylinder, and the surface of the cylinder is set as the second edge area, which accounts for 6/7 of the spindle drill, and the first edge area A plurality of triangular cutting edges or diamond grits are arranged on the upper part, and a plurality of arc-shaped cutting edges or emery grits are arranged on the second edge area. The invention can be used not only for punching bone tissue during surgery, but also for cutting and polishing bone tissue during surgery, which solves the problem of repeated replacement of single-function surgical drill bits during surgery, and saves a lot of wasted time for replacing drill bits. Time, protect the adjacent important nerves and blood vessels, and effectively reduce the clinical risk.

Description

医用多功能手术钻头Medical Multifunctional Surgical Drill

技术领域 technical field

本发明涉及一种医用手术钻头,尤其涉及一种钻头上同时具备切削结构和磨光结构的医用多功能手术钻头。 The invention relates to a medical surgical drill, in particular to a medical multifunctional surgical drill with a cutting structure and a polishing structure on the drill.

背景技术 Background technique

骨组织是人体内关键的支撑和组成结构,外科手术对骨组织的处理过程中,手术钻头的应用也越来越广泛,针对不同部位的骨组织病变,也产生了很多种类的外科手术钻头。现有常用的外科手术钻头多为球形钻头,在钻孔过程中,工作面的距离较小,不适应临床手术的多种需求。其次,现有的外科手术钻头多为单一功能的手术钻头,一种钻头仅针对一种外科操作而设计,如负责切削的钻头就不宜承担磨光的任务。而在骨组织的处理过程中,常因钻头功能单一而导致钻头折断、钻孔过深, 不仅伤及周围软组织,钻头还会缠绕周围软组织。一旦在复杂手术中出现此类情况,势必会产生严重的医源性创伤,甚至导致病人死亡。而为避免此类情况发生,医生常需在手术过程反复多次更换不同型号不同材质的专用钻头。而在手术过程反复多次更换不同型号不同材质的专用钻头出入狭窄手术区不仅会造成不必要误伤,还浪费大量更换钻头的时间,延长了手术时间,增大了临床风险, Bone tissue is the key support and composition structure in the human body. In the process of surgical treatment of bone tissue, the application of surgical drills is becoming more and more extensive. Many types of surgical drills have also been produced for different parts of bone tissue lesions. Most of the currently used surgical drills are spherical drills. During the drilling process, the distance between the working faces is small, which is not suitable for the various needs of clinical operations. Secondly, most of the existing surgical drills are single-function surgical drills, and a kind of drill is only designed for a kind of surgical operation, such as the drill that is responsible for cutting should not undertake the task of polishing. In the process of bone tissue processing, the drill bit is often broken due to the single function of the drill bit, and the drill hole is too deep, which not only hurts the surrounding soft tissue, but also entangles the surrounding soft tissue. Once such a situation occurs in a complex operation, it will inevitably cause serious iatrogenic trauma, and even lead to the death of the patient. And for avoiding this kind of situation to take place, the doctor often needs to repeatedly change the special-purpose drill bit of different models and different materials repeatedly in the operation process. Repeatedly changing special drills of different types and materials in and out of the narrow surgical area during the operation process will not only cause unnecessary accidental injury, but also waste a lot of time for changing drills, prolong the operation time, and increase the clinical risk.

其次,近十年随着耳鼻咽喉及颅底外科的飞速发展,显微外科技术中手术电钻的操作愈发接近耳颅底的危险区域。由于耳颅底位置深遂,区域空间狭小,术区常被骨质及其内部的重要结构所阻隔,且耳鼻咽喉颅底解剖结构特殊,多组颅神经与重要的血管汇集于此,并与周围的眼球和颅脑组织互为毗邻,故这一区域在十年前曾被视为“外科手术的禁区”。因此,该区域的手术医疗风险增大,对显微镜下电钻操作技术和钻头质量的要求也愈发严格和精准。而一旦在此狭窄区域出现因钻头功能单一而导致钻头折断、钻孔过深等器械意外,即会产生灾难性的后果,为此改进目前仅具备单一功能的手术钻头已迫在眉睫,以适应临床外科技术的进步。 Secondly, with the rapid development of otolaryngology and skull base surgery in the past ten years, the operation of surgical electric drill in microsurgery technology is getting closer to the dangerous area of the ear and skull base. Due to the deep position of the skull base of the ear and the narrow space, the operation area is often blocked by bone and important internal structures, and the anatomical structure of the skull base of the ear, nose, throat and throat is special, where multiple groups of cranial nerves and important blood vessels converge and are connected with the skull base. The surrounding eyeball and brain tissue are adjacent to each other, so this area was considered a "surgical forbidden area" ten years ago. Therefore, the surgical and medical risks in this area have increased, and the requirements for the operation technology of the electric drill under the microscope and the quality of the drill bit have become more stringent and precise. However, once an accident occurs in this narrow area due to the single function of the drill bit, which causes the drill bit to break and drill too deep, it will have disastrous consequences. For this reason, it is imminent to improve the current surgical drill bit with only a single function, so as to adapt to clinical surgery. advances in technology.

发明内容    Invention content

本发明是针对现有技术的不足,提供了一种医用多功能手术钻头,既可用于手术中骨组织的打孔,又可用于手术中骨组织的切割、磨光等,解决了单一功能手术钻头在手术中反复多次更换的问题,节省了大量更换钻头浪费的时间,保护了邻近重要神经和血管,有效降低了临床风险。 The present invention aims at the deficiencies of the prior art, and provides a medical multifunctional surgical drill, which can be used not only for punching bone tissue during surgery, but also for cutting and polishing bone tissue during surgery, and solves the problem of single-function surgery. The problem of repeated replacement of the drill bit during the operation saves a lot of time wasted in changing the drill bit, protects the adjacent important nerves and blood vessels, and effectively reduces the clinical risk.

本发明为解决上述技术问题采用的技术方案为:一种医用多功能手术钻头,一杆状体的前端为钻头,后端为连接柄,所述钻头为纺锤型,纺锤型钻头的前部为圆锥台,圆锥台表面设为第一刃区,第一刃区占纺锤型钻头1/7,纺锤型钻头的后部为圆柱体,圆柱体表面设为第二刃区,第二刃区占纺锤型钻头6/7,所述第一刃区上设置若干三棱切割刃或金钢砂,所述第二刃区上设置若干条弧形切割刃或金钢砂。 The technical scheme that the present invention adopts for solving the above-mentioned technical problems is: a kind of medical multifunctional surgical drill bit, the front end of a rod-shaped body is a drill bit, the rear end is a connecting handle, the drill bit is a spindle type, and the front part of the spindle type drill bit is Conical frustum, the surface of the conical frustum is set as the first edge area, which accounts for 1/7 of the spindle drill, the rear part of the spindle drill is a cylinder, and the surface of the cylinder is set as the second edge area, which occupies 1/7 of the spindle drill. Spindle drill bit 6/7, several triangular cutting edges or diamond emery are arranged on the first edge area, and several arc-shaped cutting edges or emery emery are arranged on the second edge area.

所述纺锤型钻头前部的圆锥台小径端面上设置若干三棱切割刃,圆锥台曲面上设置若干三棱切割刃或金钢砂。 A plurality of triangular cutting edges are arranged on the small-diameter end surface of the truncated cone at the front of the spindle-shaped drill bit, and a plurality of triangular cutting edges or corundum are arranged on the curved surface of the truncated cone.

所述第一刃区与第二刃区之间留有间隔缓冲区,间隔缓冲区设有染色标记,形成区别于第一刃区和第二刃区的色带。 There is an interval buffer zone between the first edge area and the second edge area, and the interval buffer area is provided with dyeing marks to form a color band different from the first edge area and the second edge area.

所述色带的宽度为纺锤型钻头直径的1/10。 The width of the ribbon is 1/10 of the diameter of the spindle drill.

所述第二刃区上设置的相邻的弧形切割刃之间为螺纹状沟槽。 Between the adjacent arc-shaped cutting edges on the second edge area is a thread-shaped groove.

所述第二刃区上设置的若干条弧形切割刃与第一刃区相邻的端部钝化。 The ends adjacent to the first edge area are blunted for the several arc-shaped cutting edges provided on the second edge area.

本发明采用上述技术方案的有益效果为:这种医用多功能手术钻头的钻头为纺锤型,纺锤型钻头的前部为圆锥台,圆锥台表面设为第一刃区,第一刃区占纺锤型钻头1/7,纺锤型钻头的后部为圆柱体,圆柱体表面设为第二刃区,第二刃区占纺锤型钻头6/7,所述第一刃区上设置若干三棱切割刃或金钢砂,所述第二刃区上设置若干条弧形切割刃或金钢砂,既可用于手术中骨组织的打孔,又可用于手术中骨组织的切割、磨光等,解决了采用单一功能手术钻头在手术中反复多次更换的问题,克服了在反复更换手术钻头过程中容易造成对邻近重要神经和血管的损伤,其次,这种纺锤型复合型钻头,解决了需要在狭窄手术区域内不断进出更换不同型号不同材质专用钻头的问题,节省了大量反复更换手术钻头浪费的时间,缩短了手术时间,有效降低了临床风险,与传统球形钻头相比,纺锤型钻头第二刃区增大,加大了钻头的运动行程,增大了工作面的距离,可以适应临床手术的多种需求,且纺锤型钻头在高速旋转的情况下,所述纺锤型钻头前部的圆锥台小径端面的若干三棱切割刃对骨组织进行切割打孔,然后,纺锤型钻头前部的圆锥台弧形端面的若干三棱切割刃还可以继续对骨组织进行切割,扩大骨组织中圆孔的直径,所述纺锤型钻头第二刃区上设置的切割刃或磨削刃还可以对骨组织进行进一步的磨光或切割等。 The present invention adopts the beneficial effects of the above-mentioned technical scheme as follows: the drill bit of this medical multifunctional surgical drill is a spindle type, and the front part of the spindle type drill bit is a truncated cone, and the surface of the truncated cone is set as the first edge area, and the first edge area occupies 100% of the spindle. 1/7 of the spindle-type drill, the rear of the spindle-type drill is a cylinder, the surface of the cylinder is set as the second edge area, the second edge area accounts for 6/7 of the spindle-type drill, and several triangular cuttings are set on the first edge area blade or emery, and several arc-shaped cutting blades or emery are arranged on the second blade area, which can be used for punching bone tissue during operation, and can be used for cutting and polishing bone tissue during operation, etc. It solves the problem of repeated replacement of the single-function surgical drill during the operation, and overcomes the damage to the adjacent important nerves and blood vessels during the repeated replacement of the surgical drill. Secondly, this spindle-shaped composite drill solves the need The problem of continuously changing special drills of different types and materials in the narrow surgical area saves a lot of time wasted in repeated replacement of surgical drills, shortens the operation time, and effectively reduces clinical risks. Compared with traditional spherical drills, the spindle drill is the first The enlargement of the second edge area increases the motion stroke of the drill bit and increases the distance of the working face, which can meet the various needs of clinical operations, and when the spindle-type drill rotates at high speed, the front part of the spindle-type drill Several triangular cutting edges on the small-diameter end face of the truncated cone cut and drill holes in the bone tissue, and then, several triangular cutting edges on the arc-shaped end face of the truncated cone at the front of the spindle drill can continue to cut the bone tissue, expanding the size of the bone tissue. The diameter of the circular hole, the cutting edge or grinding edge provided on the second edge area of the spindle drill bit can also further polish or cut the bone tissue.

所述第二刃区上设置的若干条弧形切割刃与第一刃区相邻的端部钝化,避免与间隔缓冲区相邻的弧形切割刃端部的尖锐刃端在进入手术区域或高速旋转的过程中造成不必要的误伤,可以提高手术的安全操作性能。 The ends of several arc-shaped cutting edges arranged on the second edge area are passivated adjacent to the first edge area, so as to prevent the sharp edges of the ends of the arc-shaped cutting edges adjacent to the interval buffer zone from entering the operation area. Or cause unnecessary accidental injury during high-speed rotation, which can improve the safe operation performance of the operation.

所述第一刃区与第二刃区之间留有间隔缓冲区,所述间隔缓冲区将两种不同形式的切削刃隔开,可以减少两种不同形式的切削刃有效衔接时的复杂工艺。间隔缓冲区设有染色标记,形成区别于第一刃区和第二刃区的色带,以便在临床手术过程中,纺锤型钻头在高速旋转的情况下,始终有一个区别于第一刃区和第二刃区的色带作为第一刃区和第二刃区的界限,有利于在直视情况下通过该指示性标记物明确采用钻头的哪一个刃区工作,既可以方便临床使用,也可以提高手术的安全操作性能。 There is an interval buffer zone between the first edge area and the second edge area, and the interval buffer area separates the two different types of cutting edges, which can reduce the complicated process when the two different types of cutting edges are effectively connected . The interval buffer zone is provided with dyeing marks to form a color band that is different from the first edge area and the second edge area, so that in the clinical operation process, when the spindle drill rotates at high speed, there is always a difference from the first edge area. The color band of the drill and the second blade area is used as the boundary between the first blade area and the second blade area, which is beneficial to use the indicator mark to clearly determine which blade area of the drill is used for work under direct vision, which is convenient for clinical use. It can also improve the safe operation performance of the operation.

附图说明 Description of drawings

图1为本发明实施例一的结构图; Fig. 1 is a structural diagram of Embodiment 1 of the present invention;

图2为本发明实施例二的结构图; FIG. 2 is a structural diagram of Embodiment 2 of the present invention;

图3为本发明实施例三的结构图。 Fig. 3 is a structural diagram of Embodiment 3 of the present invention.

附图中,1为第一刃区,1a为圆锥台小径端面,1b为圆锥台曲面,2为第二刃区,3为隔离缓冲区,4为纺锤型钻头,5为连接柄。 In the accompanying drawings, 1 is the first edge area, 1a is the small-diameter end face of the truncated cone, 1b is the curved surface of the truncated cone, 2 is the second edge area, 3 is the isolation buffer zone, 4 is the spindle drill, and 5 is the connecting shank.

具体实施方式 Detailed ways

下面结合附图和实施例对本发明作进一步说明: Below in conjunction with accompanying drawing and embodiment the present invention will be further described:

实施例一 Embodiment one

参见图1所示,一种医用多功能手术钻头,一杆状体的前端为钻头,后端为连接柄5,所述连接柄5连接驱动钻头高速旋转的驱动装置,所述钻头为纺锤型,纺锤型钻头4的前部为圆锥台,圆锥台表面设为第一刃区1,第一刃区1占纺锤型钻头1/7,纺锤型钻头4的后部为圆柱体,圆柱体表面设为第二刃区2,第二刃区2占纺锤型钻头6/7,所述纺锤型钻头4前部的圆锥台小径端面1a上设置若干三棱切割刃,圆锥台曲面1b上设置金钢砂,所述第二刃区2上设置若干条弧形切割刃,相邻的弧形切割刃之间为螺纹状沟槽,以便骨屑随冲洗液流出。这种圆锥台小径端面1a上设置若干三棱切割刃,圆锥台曲面1b上设置金钢砂,第二刃区2上设置若干条弧形切割刃的结构,使钻头既可用于手术中骨组织的打孔,又可用于手术中骨组织的切割、磨光等,所述若干三棱切割刃采用特殊高钢材制成效果最佳,当然也可采用其他材料制成,所述若干三棱切割刃均匀分布在圆锥台小径端面1a上,若干三棱切割刃间形成不规则空间,使骨屑可随冲洗液流出。所述金钢砂可以是天然金钢砂,也可以是人造金钢砂,所述金钢砂牢固均匀附着圆锥台曲面1b上,形成有效的磨光处理界面。所述若干条弧形切割刃采用钨钢制成效果最佳,当然也可采用其他材料制成。所述第一刃区1与第二刃区2之间留有间隔缓冲区3,所述间隔缓冲区3将三棱切割刃与弧形切割刃隔开,可以减少三棱切割刃与弧形切割刃有效衔接时的复杂工艺。间隔缓冲区设有染色标记,该染色标记采用金属染色标记为佳,形成区别于第一刃区1和第二刃区2的色带,所述色带的宽度为纺锤型钻头4直径的1/10,以便在临床手术过程中,纺锤型钻头4在高速旋转的情况下,始终有一个区别于第一刃区1和第二刃区2的色带作为第一刃区1和第二刃区2的界限,有利于在直视情况下通过该指示性标记物明确采用钻头的哪一个刃区工作,既可以方便临床使用,也可以提高手术的安全操作性能。所述第二刃区2上设置的若干条弧形切割刃与间隔缓冲区相邻的端部钝化,避免与间隔缓冲区相邻的弧形切割刃端部的尖锐刃端在进入手术区域或高速旋转的过程中造成不必要的误伤,可以提高手术的安全操作性能。 Referring to shown in Fig. 1, a kind of medical multifunctional surgical drill bit, the front end of a rod-shaped body is a drill bit, and the rear end is a connecting handle 5, and the connecting handle 5 is connected to a driving device that drives the drill bit to rotate at a high speed, and the drill bit is a spindle-shaped , the front portion of the spindle drill bit 4 is a truncated cone, and the surface of the truncated cone is set as the first edge zone 1, which accounts for 1/7 of the spindle drill bit, and the rear portion of the spindle drill bit 4 is a cylinder, and the surface of the cylinder Set as the second edge area 2, the second edge area 2 accounts for 6/7 of the spindle drill bit, and several triangular cutting edges are arranged on the small-diameter end face 1a of the frustum of the cone 4 at the front of the spindle drill bit, and gold For steel grit, several arc-shaped cutting edges are arranged on the second edge area 2, and there are thread-shaped grooves between adjacent arc-shaped cutting edges, so that bone chips can flow out with the flushing liquid. The small-diameter end face 1a of the truncated cone is provided with several triangular cutting edges, the curved surface 1b of the truncated cone is provided with emery, and the second edge area 2 is provided with a plurality of arc-shaped cutting edges, so that the drill bit can be used for bone tissue in the operation. It can also be used for cutting and polishing of bone tissue in the operation. The three-edged cutting edges are made of special high-quality steel for the best effect. Of course, they can also be made of other materials. The three-edged cutting edges The blades are evenly distributed on the small-diameter end surface 1a of the truncated cone, and irregular spaces are formed between several triangular cutting blades, so that bone chips can flow out with the flushing liquid. The emery grit can be natural emery or artificial emery, and the emery is firmly and evenly attached to the frustum of conical surface 1b to form an effective polishing interface. The plurality of arc-shaped cutting edges are best made of tungsten steel, but of course they can also be made of other materials. An interval buffer zone 3 is left between the first edge area 1 and the second edge area 2, and the interval buffer zone 3 separates the triangular cutting edge from the arc-shaped cutting edge, which can reduce the triangular cutting edge and the arc-shaped cutting edge. A complex process when the cutting edges are effectively engaged. The interval buffer zone is provided with a dyeing mark, and the dyeing mark is preferably a metal dyeing mark, forming a color band different from the first edge area 1 and the second edge area 2, and the width of the color band is 1 of the diameter of the spindle drill 4 /10, so that in the clinical operation process, the spindle drill 4 always has a color band that is different from the first edge area 1 and the second edge area 2 as the first edge area 1 and the second edge area under the condition of high-speed rotation. The boundary of area 2 is beneficial to use the indicator marker to determine which edge area of the drill bit to work under direct vision, which can not only facilitate clinical use, but also improve the safe operation performance of the operation. The ends of several arc-shaped cutting edges arranged on the second edge area 2 are passivated adjacent to the space buffer zone, so as to prevent the sharp edge ends of the arc-shaped cutting edges adjacent to the space buffer zone from entering the operation area. Or cause unnecessary accidental injury during high-speed rotation, which can improve the safe operation performance of the operation.

与传统球形钻头相比,纺锤型钻头4第二刃区2增大,加大了钻头的运动行程,增大了工作面的距离,且纺锤型钻头4在高速旋转的情况下,首先,所述纺锤型钻头4前部的圆锥台小径端面的若干三棱切割刃对骨组织进行切割打孔,然后,纺锤型钻头4前部的圆锥台曲面1b上的金钢砂对骨组织进行磨削,扩大骨组织中圆孔的直径,所述纺锤型钻头4第二刃区2上设置的若干条弧形切割刃还可以对骨组织进行进一步的切割等。 Compared with the traditional spherical drill bit, the second edge area 2 of the spindle drill bit 4 is increased, which increases the motion stroke of the drill bit and increases the distance of the working face, and when the spindle drill bit 4 rotates at high speed, firstly, the A number of triangular cutting edges on the small-diameter end face of the frustum of the spindle-shaped drill 4 are used to cut and punch the bone tissue, and then the emery on the curved surface 1b of the frustum of the spindle-shaped drill 4 is used to grind the bone tissue , enlarge the diameter of the circular hole in the bone tissue, and the several arc-shaped cutting edges provided on the second blade area 2 of the spindle drill bit 4 can further cut the bone tissue.

所述纺锤型钻头4直径采用1mm,或1.8mm,或2mm,或2.5mm,或3mm,或4mm,或5mm,或6mm。 The diameter of the spindle drill bit 4 is 1mm, or 1.8mm, or 2mm, or 2.5mm, or 3mm, or 4mm, or 5mm, or 6mm.

在临床应用过程中,直径≥4mm的纺锤型钻头4多用于处理表浅骨质或神经血管较少的区域的安全骨质,直径≤3mm的纺锤型钻头4多用于解剖位置深遂,周围毗邻关系复杂危险的狭窄手术区域,特别是耳颅底区的手术进路。此类纺锤型钻头4在临床手术过程,都需在显微镜直视下由医生仔细操作下进行工作。 During clinical application, the spindle-shaped drill 4 with a diameter ≥ 4 mm is mostly used to treat superficial bone or safe bone in areas with few neurovascular vessels, and the spindle-shaped drill 4 with a diameter ≤ 3 mm is mostly used in deep anatomical positions, adjacent to Narrow surgical areas with complicated and dangerous relationships, especially the surgical approach in the ear-cranial base area. This type of spindle drill bit 4 all needs to work under the careful operation of the doctor under the direct vision of the microscope in the clinical operation process.

实施例二 Embodiment two

参见图2所示,一种医用多功能手术钻头,一杆状体的前端为钻头,后端为连接柄5,所述连接柄5连接驱动钻头高速旋转的驱动装置,所述钻头为纺锤型,纺锤型钻头4的前部为圆锥台,圆锥台表面设为第一刃区1,第一刃区1占纺锤型钻头1/7,纺锤型钻头4的后部为圆柱体,圆柱体表面设为第二刃区2,第二刃区2占纺锤型钻头6/7,所述第一刃区上设置若干三棱切割刃,所述第二刃区2上设置若干条弧形切割刃,相邻的弧形切割刃之间为螺纹状沟槽,以便骨屑随冲洗液流出。这种第一刃区1上设置若干三棱切割刃,第二刃区2上设置若干条弧形切割刃的结构,使钻头既可用于手术中骨组织的打孔,又可用于手术中骨组织的切割、磨光等,本发明所述纺锤型钻头前部的圆锥台小径端面与曲面均设置若干三棱切割刃,所述若干三棱切割刃采用特殊高钢材制成效果最佳,当然也可采用其他材料制成,所述若干三棱切割刃均匀分布在纺锤型钻头4的第一刃区1上,若干三棱切割刃间形成不规则空间,使骨屑可随冲洗液流出。所述若干条弧形切割刃采用钨钢制成效果最佳,当然也可采用其他材料制成。所述第一刃区1与第二刃区2之间留有间隔缓冲区3,所述间隔缓冲区3将三棱切割刃与弧形切割刃隔开,可以减少三棱切割刃与弧形切割刃有效衔接时的复杂工艺。间隔缓冲区设有染色标记,该染色标记采用金属染色标记为佳,形成区别于第一刃区1和第二刃区2的色带,所述色带的宽度为纺锤型钻头4直径的1/10,以便在临床手术过程中,纺锤型钻头4在高速旋转的情况下,始终有一个区别于第一刃区1和第二刃区2的色带作为第一刃区1和第二刃区2的界限,有利于在直视情况下通过该指示性标记物明确采用钻头的哪一个刃区工作,既可以方便临床使用,也可以提高手术的安全操作性能。所述第二刃区2上设置的若干条弧形切割刃与间隔缓冲区相邻的端部钝化,避免与间隔缓冲区相邻的弧形切割刃端部的尖锐刃端在进入手术区域或高速旋转的过程中造成不必要的误伤,可以提高手术的安全操作性能。 Referring to shown in Fig. 2, a kind of medical multifunctional surgical drill bit, the front end of a rod-shaped body is a drill bit, and the rear end is a connecting handle 5, and the connecting handle 5 is connected to a driving device that drives the drill bit to rotate at a high speed, and the drill bit is a spindle-shaped , the front portion of the spindle drill bit 4 is a truncated cone, and the surface of the truncated cone is set as the first edge zone 1, which accounts for 1/7 of the spindle drill bit, and the rear portion of the spindle drill bit 4 is a cylinder, and the surface of the cylinder Set as the second edge area 2, the second edge area 2 occupies 6/7 of the spindle drill bit, the first edge area is provided with several triangular cutting edges, and the second edge area 2 is provided with several arc-shaped cutting edges , There is a threaded groove between adjacent arc-shaped cutting edges, so that bone chips can flow out with the irrigating fluid. The structure in which several triangular cutting edges are set on the first edge area 1 and several arc-shaped cutting edges are set on the second edge area 2 enables the drill bit to be used not only for punching bone tissue during surgery, but also for bone tissue drilling during surgery. Cutting, polishing, etc. of the tissue, the small-diameter end face and the curved surface of the frustum of the spindle-shaped drill bit in the present invention are provided with several triangular cutting edges, and the several triangular cutting edges are made of special high-quality steel for the best effect. It can also be made of other materials. The several triangular cutting edges are evenly distributed on the first edge area 1 of the spindle drill 4, and an irregular space is formed between the several triangular cutting edges so that bone chips can flow out with the flushing fluid. The plurality of arc-shaped cutting edges are best made of tungsten steel, but of course they can also be made of other materials. An interval buffer zone 3 is left between the first edge area 1 and the second edge area 2, and the interval buffer zone 3 separates the triangular cutting edge from the arc-shaped cutting edge, which can reduce the triangular cutting edge and the arc-shaped cutting edge. A complex process when the cutting edges are effectively engaged. The interval buffer zone is provided with a dyeing mark, and the dyeing mark is preferably a metal dyeing mark, forming a color band different from the first edge area 1 and the second edge area 2, and the width of the color band is 1 of the diameter of the spindle drill 4 /10, so that in the clinical operation process, the spindle drill 4 always has a color band that is different from the first edge area 1 and the second edge area 2 as the first edge area 1 and the second edge area under the condition of high-speed rotation. The boundary of area 2 is beneficial to use the indicator marker to determine which edge area of the drill bit to work under direct vision, which can not only facilitate clinical use, but also improve the safe operation performance of the operation. The ends of several arc-shaped cutting edges arranged on the second edge area 2 are passivated adjacent to the space buffer zone, so as to prevent the sharp edge ends of the arc-shaped cutting edges adjacent to the space buffer zone from entering the operation area. Or cause unnecessary accidental injury during high-speed rotation, which can improve the safe operation performance of the operation.

与传统球形钻头相比,纺锤型钻头4第二刃区2增大,加大了钻头的运动行程,增大了工作面的距离,且纺锤型钻头4在高速旋转的情况下,首先,所述纺锤型钻头4前部的圆锥台小径端面的若干三棱切割刃对骨组织进行切割打孔,然后,纺锤型钻头4前部的圆锥台曲面的若干三棱切割刃继续对骨组织进行切割,扩大骨组织中圆孔的直径,所述纺锤型钻头4第二刃区2上设置的若干条弧形切割刃还可以对骨组织进行进一步的切割等。 Compared with the traditional spherical drill bit, the second edge area 2 of the spindle drill bit 4 is increased, which increases the motion stroke of the drill bit and increases the distance of the working face, and when the spindle drill bit 4 rotates at high speed, firstly, the The several triangular cutting edges on the small-diameter end face of the truncated cone at the front of the spindle-shaped drill 4 cut and punch the bone tissue, and then the several triangular cutting edges on the curved surface of the truncated cone at the front of the spindle-shaped drill 4 continue to cut the bone tissue , enlarge the diameter of the circular hole in the bone tissue, and the several arc-shaped cutting edges provided on the second blade area 2 of the spindle drill bit 4 can further cut the bone tissue.

所述纺锤型钻头4直径采用1mm,或1.8mm,或2mm,或2.5mm,或3mm,或4mm,或5mm,或6mm。 The diameter of the spindle drill bit 4 is 1mm, or 1.8mm, or 2mm, or 2.5mm, or 3mm, or 4mm, or 5mm, or 6mm.

在临床应用过程中,直径≥4mm的纺锤型钻头4多用于处理表浅骨质或神经血管较少的区域的安全骨质,直径≤3mm的纺锤型钻头4多用于解剖位置深遂,周围毗邻关系复杂危险的狭窄手术区域,特别是耳颅底区的手术进路。此类纺锤型钻头4在临床手术过程,都需在显微镜直视下由医生仔细操作下进行工作。 During clinical application, the spindle-shaped drill 4 with a diameter ≥ 4 mm is mostly used to treat superficial bone or safe bone in areas with few neurovascular vessels, and the spindle-shaped drill 4 with a diameter ≤ 3 mm is mostly used in deep anatomical positions, adjacent to Narrow surgical areas with complicated and dangerous relationships, especially the surgical approach in the ear-cranial base area. This type of spindle drill bit 4 all needs to work under the careful operation of the doctor under the direct vision of the microscope in the clinical operation process.

实施例三 Embodiment three

参见图3所示,一种医用多功能手术钻头,一杆状体的前端为钻头,后端为连接柄5,所述连接柄5连接驱动钻头高速旋转的驱动装置,所述钻头为纺锤型,纺锤型钻头4的前部为圆锥台,圆锥台表面设为第一刃区1,第一刃区1占纺锤型钻头1/7,纺锤型钻头4的后部为圆柱体,圆柱体表面设为第二刃区2,第二刃区2占纺锤型钻头6/7,所述第一刃区1上设置若干三棱切割刃,所述第二刃区2上设置金钢砂,所述金钢砂可以是天然金钢砂,也可以是人造金钢砂,所述金钢砂牢固均匀附着在纺锤型钻头4的第二刃区2上,形成有效的磨光处理界面。这种第一刃区1上设置若干三棱切割刃,第二刃区2上设置金钢砂的结构,使钻头既可用于手术中骨组织的打孔,又可用于手术中骨组织的切割、磨光等,本发明所述纺锤型钻头4前部的圆锥台小径端面与曲面均设置若干三棱切割刃,所述若干三棱切割刃采用特殊高钢材制成效果最佳,当然也可采用其他材料制成,所述若干三棱切割刃均匀分布在纺锤型钻头4的第一刃区1上,若干三棱切割刃间形成不规则空间,使骨屑可随冲洗液流出。所述若干条弧形切割刃采用钨钢制成效果最佳,当然也可采用其他材料制成。所述第一刃区1与第二刃区2之间留有间隔缓冲区3,所述间隔缓冲区3将三棱切割刃与金钢砂隔开,可以减少三棱切割刃与金钢砂有效衔接时的复杂工艺。间隔缓冲区3设有染色标记,该染色标记采用金属染色标记为佳,形成区别于第一刃区1和第二刃区2的色带,所述色带的宽度为纺锤型钻头直径的1/10,以便在临床手术过程中,纺锤型钻头4在高速旋转的情况下,始终有一个区别于第一刃区1和第二刃区2的色带作为第一刃区1和第二刃区2的界限,有利于在直视情况下通过该指示性标记物明确采用钻头的哪一个刃区工作,既可以方便临床使用,也可以提高手术的安全操作性能。 Referring to shown in Fig. 3, a kind of medical multifunctional surgical drill bit, the front end of a rod-shaped body is a drill bit, and the rear end is a connecting handle 5, and the connecting handle 5 is connected to a driving device that drives the drill bit to rotate at a high speed, and the drill bit is a spindle-shaped , the front portion of the spindle drill bit 4 is a truncated cone, and the surface of the truncated cone is set as the first edge zone 1, which accounts for 1/7 of the spindle drill bit, and the rear portion of the spindle drill bit 4 is a cylinder, and the surface of the cylinder Set as the second edge area 2, the second edge area 2 accounts for 6/7 of the spindle drill, a number of triangular cutting edges are set on the first edge area 1, emery grit is set on the second edge area 2, and the The emery grit can be natural emery or artificial emery, and the emery is firmly and uniformly attached to the second edge region 2 of the spindle drill bit 4 to form an effective polishing interface. The first edge area 1 is provided with a number of triangular cutting edges, and the second edge area 2 is provided with a structure of emery, so that the drill can be used for both drilling and cutting bone tissue during surgery. , polishing, etc., the small-diameter end face and the curved surface of the frustum of the cone 4 at the front of the spindle drill bit 4 according to the present invention are provided with several triangular cutting edges, and the several triangular cutting edges are made of special high-quality steel for the best effect. Made of other materials, the several triangular cutting edges are evenly distributed on the first edge area 1 of the spindle drill 4, and irregular spaces are formed between the several triangular cutting edges, so that bone debris can flow out with the flushing liquid. The plurality of arc-shaped cutting edges are best made of tungsten steel, but of course they can also be made of other materials. An interval buffer zone 3 is left between the first edge area 1 and the second edge area 2, and the interval buffer area 3 separates the triangular cutting edge from the emery, which can reduce the triangular cutting edge and emery. Complicated workmanship in effective articulation. The interval buffer zone 3 is provided with a dyeing mark, and the dyeing mark is preferably a metal dyeing mark, forming a color band different from the first edge area 1 and the second edge area 2, and the width of the color band is 1 of the diameter of the spindle drill. /10, so that in the clinical operation process, the spindle drill 4 always has a color band that is different from the first edge area 1 and the second edge area 2 as the first edge area 1 and the second edge area under the condition of high-speed rotation. The boundary of area 2 is beneficial to use the indicator marker to determine which edge area of the drill bit to work under direct vision, which can not only facilitate clinical use, but also improve the safe operation performance of the operation.

与传统球形钻头相比,纺锤型钻头第二刃区2增大,加大了钻头的运动行程,增大了工作面的距离,且纺锤型钻头在高速旋转的情况下,首先,所述纺锤型钻头前部的圆锥台小径端面的若干三棱切割刃对骨组织进行切割打孔,然后,纺锤型钻头前部的圆锥台曲面的若干三棱切割刃继续对骨组织进行切割,扩大骨组织中圆孔的直径,所述纺锤型钻头第二刃区2上设置的金钢砂还可以对骨组织进行进一步的磨削等。 Compared with the traditional spherical drill bit, the second edge area 2 of the spindle drill bit is enlarged, which increases the motion stroke of the drill bit and increases the distance of the working face, and when the spindle drill bit rotates at high speed, firstly, the spindle Several triangular cutting edges on the small-diameter end face of the frustum of the spindle-shaped drill bit cut and punch bone tissue, and then several triangular cutting edges on the curved surface of the frustum of the spindle-shaped drill bit continue to cut the bone tissue and expand the bone tissue. The diameter of the central hole, the emery grit provided on the second edge area 2 of the spindle drill bit can further grind the bone tissue and the like.

所述纺锤型钻头4直径采用1mm,或1.8mm,或2mm,或2.5mm,或3mm,或4mm,或5mm,或6mm。 The diameter of the spindle drill bit 4 is 1mm, or 1.8mm, or 2mm, or 2.5mm, or 3mm, or 4mm, or 5mm, or 6mm.

在临床应用过程中,直径≥4mm的纺锤型钻头4多用于处理表浅骨质或神经血管较少的区域的安全骨质,直径≤3mm的纺锤型钻头4多用于解剖位置深遂,周围毗邻关系复杂危险的狭窄手术区域,特别是耳颅底区的手术进路。此类纺锤型钻头4在临床手术过程,都需在显微镜直视下由医生仔细操作下进行工作。 During clinical application, the spindle-shaped drill 4 with a diameter ≥ 4 mm is mostly used to treat superficial bone or safe bone in areas with few neurovascular vessels, and the spindle-shaped drill 4 with a diameter ≤ 3 mm is mostly used in deep anatomical positions, adjacent to Narrow surgical areas with complicated and dangerous relationships, especially the surgical approach in the ear-cranial base area. This type of spindle drill bit 4 all needs to work under the careful operation of the doctor under the direct vision of the microscope in the clinical operation process.

Claims (4)

1.一种医用多功能手术钻头,一杆状体的前端为钻头,后端为连接柄(5),其特征在于:所述钻头为纺锤型,纺锤型钻头(4)的前部为圆锥台,圆锥台表面设为第一刃区(1),第一刃区(1)占纺锤型钻头1/7,纺锤型钻头(4)的后部为圆柱体,圆柱体表面设为第二刃区(2),第二刃区(2)占纺锤型钻头6/7,所述第一刃区(1)与第二刃区(2)之间留有间隔缓冲区(3),间隔缓冲区(3)设有染色标记,形成区别于第一刃区(1)和第二刃区(2)的色带,所述第一刃区(1)的纺锤型钻头(4)前部的圆锥台小径端面(1a)上设置若干三棱切割刃,圆锥台曲面(1b)上设置若干三棱切割刃或金钢砂,所述第二刃区(2)上设置若干条弧形切割刃或金钢砂。 1. A medical multifunctional surgical drill, the front end of a rod-shaped body is a drill bit, and the rear end is a connecting handle (5), characterized in that: the drill bit is spindle-shaped, and the front part of the spindle-shaped drill bit (4) is a cone platform, the surface of the conical frustum is set as the first cutting edge area (1), the first cutting edge area (1) accounts for 1/7 of the spindle drill bit, the rear part of the spindle drill bit (4) is a cylinder, and the cylinder surface is set as the second The edge area (2), the second edge area (2) accounts for 6/7 of the spindle drill, and there is a buffer zone (3) between the first edge area (1) and the second edge area (2). The buffer zone (3) is provided with dyeing marks forming a color band that is distinguished from the first edge zone (1) and the second edge zone (2) on the front of the spindle-shaped drill (4) A number of triangular cutting edges are set on the small diameter end face (1a) of the frustum of the cone, a number of triangular cutting edges or corundum are set on the curved surface of the truncated cone (1b), and a number of arc-shaped cutting edges are set on the second edge area (2). Blade or emery. 2.根据权利要求1所述的医用多功能手术钻头,其特征在于:所述色带的宽度为纺锤型钻头(4)直径的1/10。 2. The medical multifunctional surgical drill according to claim 1, characterized in that: the width of the ribbon is 1/10 of the diameter of the spindle drill (4). 3.根据权利要求1所述的医用多功能手术钻头,其特征在于:所述第二刃区(2)上设置的相邻的弧形切割刃之间为螺纹状沟槽。 3. The medical multifunctional surgical drill according to claim 1, characterized in that: there are thread-like grooves between adjacent arc-shaped cutting edges provided on the second cutting edge area (2). 4.根据权利要求1或3所述的医用多功能手术钻头,其特征在于:所述第二刃区(2)上设置的若干条弧形切割刃与第一刃区(1)相邻的端部钝化。 4. The medical multifunctional surgical drill according to claim 1 or 3, characterized in that: the number of arc-shaped cutting edges set on the second edge area (2) is adjacent to the first edge area (1) End blunt.
CN201210363079.5A 2012-09-26 2012-09-26 Medical multifunctional operating bit Expired - Fee Related CN102824204B (en)

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DE3007036C2 (en) * 1980-02-26 1987-01-15 Johannes 4000 Düsseldorf Mühle Rotary instrument for bone surgery
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US5122134A (en) * 1990-02-02 1992-06-16 Pfizer Hospital Products Group, Inc. Surgical reamer
DE69936685T2 (en) * 1998-06-17 2008-04-30 Precimed S.A. Surgical reamer
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