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CN103876822B - Medical minimally-invasive broken screw taking-out device - Google Patents

Medical minimally-invasive broken screw taking-out device Download PDF

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Publication number
CN103876822B
CN103876822B CN201410084019.9A CN201410084019A CN103876822B CN 103876822 B CN103876822 B CN 103876822B CN 201410084019 A CN201410084019 A CN 201410084019A CN 103876822 B CN103876822 B CN 103876822B
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CN
China
Prior art keywords
handle
hole
down screw
tie down
minimally invasive
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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.)
Expired - Fee Related
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CN201410084019.9A
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Chinese (zh)
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CN103876822A (en
Inventor
赵雄
李军
雷伟
吴子祥
严亚波
张扬
张大伟
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Fourth Military Medical University FMMU
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Fourth Military Medical University FMMU
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Priority to CN201410084019.9A priority Critical patent/CN103876822B/en
Publication of CN103876822A publication Critical patent/CN103876822A/en
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Publication of CN103876822B publication Critical patent/CN103876822B/en
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    • 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
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/92Impactors or extractors, e.g. for removing intramedullary devices
    • 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

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  • Health & Medical Sciences (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)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgical Instruments (AREA)

Abstract

本发明涉及一种医用微创断钉取出装置,包括:第一手柄和第二手柄,所述第一手柄中部和所述第二手柄中部通过一转轴活动连接;所述第一手柄和第二手柄的同一端之间活动设置有锁紧装置,另一端端部内侧均设置有若干防滑齿槽。本发明能方便拧出骨中的螺钉,使得螺钉周围的骨质损伤减到最低程度。同时,该医用微创断钉取出装置具有锁紧功能,锁紧装置可以拆卸,实用性强。

The invention relates to a medical minimally invasive broken nail removal device, comprising: a first handle and a second handle, the middle part of the first handle and the middle part of the second handle are movably connected by a rotating shaft; the first handle and the second A locking device is movably arranged between the same ends of the handle, and a plurality of anti-slip tooth grooves are arranged on the inner side of the other end. The invention can conveniently unscrew the screw in the bone, so that the bone damage around the screw can be minimized. At the same time, the medical minimally invasive broken nail removal device has a locking function, the locking device can be disassembled, and has strong practicability.

Description

一种医用微创断钉取出装置A medical minimally invasive device for removing broken nails

技术领域technical field

本发明属于医疗器械领域,尤其涉及到一种医用微创断钉取出装置。The invention belongs to the field of medical devices, and in particular relates to a medical minimally invasive device for removing broken nails.

背景技术Background technique

四肢骨折钢板螺钉内固定治疗术后,由于钢板与螺钉之间应力较大,长期在体内存留常常导致螺钉尾部与钢板接触处断裂。断裂螺钉取出比较困难,目前临床通常需要去除断裂螺钉周围大量骨质,用咬骨钳等工具将螺钉取出。该方法对骨质破坏较为严重,术后可能出现局部再次骨折。目前临床尚无一种既可以方便取出断钉,又能最少破坏骨质的医用微创断钉取出工具。After internal fixation of extremity fractures with plates and screws, due to the high stress between the plates and screws, long-term retention in the body often leads to breakage at the contact between the tail of the screws and the plates. It is difficult to remove the broken screw. At present, it is usually necessary to remove a large amount of bone around the broken screw in clinical practice, and use tools such as rongeurs to remove the screw. This method is more serious to bone destruction, and local refracture may occur after operation. At present, there is no medical minimally invasive broken nail removal tool that can conveniently take out the broken nail and can destroy the bone at least.

发明内容Contents of the invention

本发明提供了一种医用微创断钉取出装置,其目的在于解决断钉取出困难的问题,同时解决在断钉取出的过程中骨质破坏严重的问题。The invention provides a medical minimally invasive device for removing broken nails, which aims to solve the problem of difficulty in taking out broken nails and at the same time solve the problem of serious bone destruction during the process of taking out broken nails.

本发明能方便拧出骨中断钉,能断钉周围的骨质损伤减到最低程度。同时,该医用微创断钉取出装置具有锁紧功能,锁紧装置可以拆卸,实用性强。The invention can conveniently unscrew the broken bone nail, and can minimize bone damage around the broken nail. At the same time, the medical minimally invasive broken nail removal device has a locking function, the locking device can be disassembled, and has strong practicability.

附图说明Description of drawings

图1为本发明的结构图;Fig. 1 is a structural diagram of the present invention;

图2为本发明的使用状态图;Fig. 2 is the use state figure of the present invention;

图3为图1的A向视图;Fig. 3 is the A direction view of Fig. 1;

图4为图1中的B-B向断面图。Fig. 4 is a cross-sectional view along B-B direction in Fig. 1 .

图中各序号与其对应的名称分别为:The serial numbers and their corresponding names in the figure are:

1、第一手柄;11、第一通孔;2、第二手柄;21、第二通孔;3、锁紧装置;31、锁紧螺杆;32、螺母;33、垫圈;34、蝶形螺母;4、转轴。1. The first handle; 11. The first through hole; 2. The second handle; 21. The second through hole; 3. Locking device; 31. Locking screw; 32. Nut; 33. Washer; 34. Butterfly Nut; 4, rotating shaft.

具体实施方式detailed description

为了使本发明所要解决的技术问题、技术方案及有益效果更加清楚明白,以下结合附图及实施例,对本发明进行进一步详细说明。应当理解,此处所描述的具体实施例仅仅用以解释本发明,并不用于限定本发明。In order to make the technical problems, technical solutions and beneficial effects to be solved by the present invention clearer, the present invention will be further described in detail below in conjunction with the accompanying drawings and embodiments. It should be understood that the specific embodiments described here are only used to explain the present invention, not to limit the present invention.

一种医用微创断钉取出装置,包括:第一手柄和第二手柄,所述第一手柄中部和所述第二手柄中部通过一转轴活动连接;所述第一手柄和第二手柄的同一端之间活动设置有锁紧装置,另一端端部内侧均设置有若干防滑齿槽。A device for taking out medical minimally invasive broken nails, comprising: a first handle and a second handle, the middle part of the first handle and the middle part of the second handle are movably connected through a rotating shaft; A locking device is movable between the ends, and a number of anti-slip tooth grooves are arranged on the inner side of the other end.

具体地,参考图1,转轴4设置在第一手柄1和第二手柄2的中部,并将第一手柄1和第二手柄2连接起来。第一手柄1和第二手柄2以转轴4为转动中心,可以在平面内张开和闭和,实现取出装置夹住断钉的目的。具体的,转轴4可以销钉,也可以是其他杆件。锁紧装置3设置在第一手柄1和第二手柄2的同侧之间。第一手柄1设置有第一通孔11,第二手柄2设置有第二通孔21,锁紧装置3穿设在第一通孔11和第二通孔21之间。Specifically, referring to FIG. 1 , the rotating shaft 4 is arranged in the middle of the first handle 1 and the second handle 2 and connects the first handle 1 and the second handle 2 . The first handle 1 and the second handle 2 take the rotating shaft 4 as the center of rotation, and can be opened and closed in a plane, so as to achieve the purpose of clamping broken nails by the take-out device. Specifically, the rotating shaft 4 can be a pin or other rods. The locking device 3 is arranged between the same side of the first handle 1 and the second handle 2 . The first handle 1 is provided with a first through hole 11 , the second handle 2 is provided with a second through hole 21 , and the locking device 3 is disposed between the first through hole 11 and the second through hole 21 .

具体地,锁紧装置3包括锁紧螺杆31、螺母32、垫圈33和蝶形螺母34。锁紧螺杆31穿过第一通孔11和第二通孔21。螺母32套在锁紧螺杆31上,同时位于第一手柄1内侧端面;垫圈33也套在锁紧螺杆31上,位于第二手柄2的外端面。蝶形螺母34套在锁紧螺杆31端头上,同时,它紧压在垫圈33上。垫圈33的作用在于防止医用微创断钉取出装置在工作过程中蝶形螺母34对第二手柄2的损害。Specifically, the locking device 3 includes a locking screw 31 , a nut 32 , a washer 33 and a wing nut 34 . The locking screw 31 passes through the first through hole 11 and the second through hole 21 . The nut 32 is set on the locking screw 31 and is located on the inner end surface of the first handle 1 ; the washer 33 is also set on the locking screw 31 and is located on the outer end surface of the second handle 2 . Wing nut 34 is sleeved on the end of locking screw rod 31, and meanwhile, it is pressed tightly on washer 33. The function of the washer 33 is to prevent the second handle 2 from being damaged by the wing nut 34 during the operation of the medical minimally invasive broken nail removal device.

参考图4,在本实施例中,锁紧螺杆31的断面为扁圆形。Referring to FIG. 4 , in this embodiment, the section of the locking screw 31 is oblate.

参考图2,图2为本发明中所说的医用微创断钉取出装置的开启状态图。第二通孔21的直径大于锁紧螺杆31的断面直径,这样设计的好处在于:锁紧装置3可以左右摇摆。也就是说,第二通孔21宽大的直径为锁紧装置3的左右活动提供了空间。当左右摆动锁紧螺杆31时,锁紧装置3带动第一手柄1以转轴4相对第二手柄2转动,从而实现医用微创断钉取出装置的夹紧和松开功能。Referring to Fig. 2, Fig. 2 is an open state diagram of the medical minimally invasive broken nail removal device mentioned in the present invention. The diameter of the second through hole 21 is larger than the cross-sectional diameter of the locking screw 31, and the advantage of this design is that the locking device 3 can swing left and right. That is to say, the large diameter of the second through hole 21 provides space for the left and right movement of the locking device 3 . When the locking screw 31 is swung left and right, the locking device 3 drives the first handle 1 to rotate relative to the second handle 2 with the rotating shaft 4, thereby realizing the clamping and loosening functions of the medical minimally invasive broken nail removal device.

参考图1和图3,第一手柄1和第二手柄2的前端部内侧均设置有若干防滑齿槽。第一手柄1和第二手柄2的前端部的横截面在整体上构成圆形形状。第一手柄1的前端部横截面构成上半圆形,第二手柄2的前端部的横截面构成下半圆形。第一手柄1和第二手柄2的前端部内侧对称设置有两排防滑齿槽,该两排防滑齿槽呈拱形分布。设置防滑齿槽的目的在于:由于被启拔的螺钉和防滑齿槽都是金属,摩擦系数较小,为了提高摩擦系数,防止在使用启拔螺钉时卡槽打滑,在卡槽上加工有防滑齿槽,改善启拔效果。Referring to FIG. 1 and FIG. 3 , the insides of the front ends of the first handle 1 and the second handle 2 are both provided with a number of anti-slip tooth grooves. The cross-sections of the front ends of the first handle 1 and the second handle 2 constitute a circular shape as a whole. The cross section of the front end of the first handle 1 forms an upper semicircle, and the cross section of the front end of the second handle 2 forms a lower semicircle. The inner sides of the front ends of the first handle 1 and the second handle 2 are symmetrically provided with two rows of anti-slip tooth grooves, and the two rows of anti-skid tooth grooves are arranged in an arched shape. The purpose of setting the anti-slip tooth groove is: since the screw to be pulled out and the anti-slip tooth groove are all metal, the friction coefficient is small. Alveolar, improving the effect of opening and pulling.

本发明能方便启拔出卡在骨头中的螺钉或者断钉,能把骨头中螺钉附近的骨质损伤减到最低程度,同时;该医用微创断钉取出装置具有锁紧功能,锁紧装置可以拆卸,实用性强。The invention can conveniently pull out the screw or broken nail stuck in the bone, and can minimize the bone damage near the screw in the bone. At the same time, the medical minimally invasive broken nail removal device has a locking function. It can be disassembled and has strong practicability.

以上所述仅为本发明的较佳实施例而已,并不用以限制本发明,凡在本发明的精神和原则之内所作的任何修改、等同替换和改进等,均应包在本发明范围内。The above descriptions are only preferred embodiments of the present invention, and are not intended to limit the present invention. Any modifications, equivalent replacements and improvements made within the spirit and principles of the present invention should be included within the scope of the present invention .

Claims (3)

1. a kind of medical minimally invasive broken nail withdrawing device it is characterised in that: include: first handle and second handle, It is flexibly connected by a rotating shaft in the middle part of described first handle and in the middle part of described second handle;Described first handle and It is movably set with locking device, other end tip inside is provided with some anti-between same one end of second handle Slip teeth groove, described anti-skidding teeth groove is in triangular shape;Same one end of described first handle and described second handle is respectively It is provided with first through hole and the second through hole;Described locking device is by described first through hole and described second through hole It is movably arranged between described first handle and described second handle;Described locking device includes: tie down screw, Nut, plain cushion and wing nut;Described tie down screw passes through described first through hole and described second through hole;Institute State nut to pass through described tie down screw and be arranged on the inner side end of described first handle;Described plain cushion is set in Described tie down screw and be arranged on second handle end face outside;Described wing nut is arranged on described tie down screw Outer end and be attached on described plain cushion;The section of described tie down screw is in oblate shape;Described second through hole Overall diameter with diameter greater than described tie down screw.
2. as claimed in claim 1 medical minimally invasive broken nail withdrawing device it is characterised in that: described first-hand The section of the end being provided with some anti-skidding teeth groove of handle and second handle is respectively the semicircle of two same specifications Shape;Described some anti-skidding teeth groove are arranged on described semicircular inner side.
3. as claimed in claim 2 medical minimally invasive broken nail withdrawing device it is characterised in that: described in each The domed distribution of some anti-skidding teeth groove of semicircular section.
CN201410084019.9A 2014-03-05 2014-03-05 Medical minimally-invasive broken screw taking-out device Expired - Fee Related CN103876822B (en)

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Application Number Priority Date Filing Date Title
CN201410084019.9A CN103876822B (en) 2014-03-05 2014-03-05 Medical minimally-invasive broken screw taking-out device

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Application Number Priority Date Filing Date Title
CN201410084019.9A CN103876822B (en) 2014-03-05 2014-03-05 Medical minimally-invasive broken screw taking-out device

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CN103876822B true CN103876822B (en) 2017-01-18

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Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110974379A (en) * 2019-12-24 2020-04-10 洪真 Device for assisting head delivery of fetus in cesarean section by obstetrician

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CN2513534Y (en) * 2001-12-01 2002-10-02 中国石化集团齐鲁石油化工公司 Medical nail taking-out forceps
CN2770587Y (en) * 2004-10-15 2006-04-12 王韬 Point-type reset forceps with lock
CN2796664Y (en) * 2005-03-22 2006-07-19 杨长山 Nipper pliers having lock groove
CN2928024Y (en) * 2006-07-21 2007-08-01 崔新成 Novel medical nail pull-out forceps
CN201394071Y (en) * 2009-03-13 2010-02-03 孙树领 Orthopaedics forceps for taking out broken nails
CN102836003A (en) * 2012-08-17 2012-12-26 苏州瑞华医院有限公司 Nail puller with sliding weight
CN203815570U (en) * 2014-03-05 2014-09-10 中国人民解放军第四军医大学 Medical minimally invasive broken screw removing device

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Publication number Priority date Publication date Assignee Title
CN101653370B (en) * 2009-09-14 2011-05-18 马秋红 Multipurpose forceps for closed reduction and internal fixation of fractures

Patent Citations (7)

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Publication number Priority date Publication date Assignee Title
CN2513534Y (en) * 2001-12-01 2002-10-02 中国石化集团齐鲁石油化工公司 Medical nail taking-out forceps
CN2770587Y (en) * 2004-10-15 2006-04-12 王韬 Point-type reset forceps with lock
CN2796664Y (en) * 2005-03-22 2006-07-19 杨长山 Nipper pliers having lock groove
CN2928024Y (en) * 2006-07-21 2007-08-01 崔新成 Novel medical nail pull-out forceps
CN201394071Y (en) * 2009-03-13 2010-02-03 孙树领 Orthopaedics forceps for taking out broken nails
CN102836003A (en) * 2012-08-17 2012-12-26 苏州瑞华医院有限公司 Nail puller with sliding weight
CN203815570U (en) * 2014-03-05 2014-09-10 中国人民解放军第四军医大学 Medical minimally invasive broken screw removing device

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