CN108938025A - A kind of toroid locker fixed for bone tendon - Google Patents
A kind of toroid locker fixed for bone tendon Download PDFInfo
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- CN108938025A CN108938025A CN201811013379.4A CN201811013379A CN108938025A CN 108938025 A CN108938025 A CN 108938025A CN 201811013379 A CN201811013379 A CN 201811013379A CN 108938025 A CN108938025 A CN 108938025A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0485—Devices or means, e.g. loops, for capturing the suture thread and threading it through an opening of a suturing instrument or needle eyelet
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Abstract
Description
技术领域technical field
本发明涉及医疗器械技术领域,尤其涉及一种用于骨与骨的肌腱,软组织的单束捆绑及软组织的双束捆绑的固定装置。The invention relates to the technical field of medical devices, in particular to a fixation device for bone and bone tendon, single-bundle binding of soft tissue and double-bundle binding of soft tissue.
背景技术Background technique
封闭的环形缝合线机构,通常应用于骨与骨的肌腱,软组织的单束捆绑及软组织的双束捆绑固定的外科手术,比如韧带重建手术,它是将骨肌腱移植物通过胫骨和股骨之间固定连接;目前应用较广泛的是使用一条缝合线预穿在锁扣板上,该缝合线为非封闭线,通过手术器械将锁扣板通过预先建立的骨骼隧道固定在预定的位置,利用缝合线牵拉肌腱后通过骨骼隧道将骨肌腱到至预定的位置,缝合线需要在锁扣板一侧打结固定并牵拉着骨肌腱植入物,其缺点在于手术打结过程复杂,不易操作,给医生带来麻烦,而且手术时间长,缝合线疲劳寿命短。Closed circular suture mechanism, usually used in bone-to-bone tendon, single-bundle soft tissue and double-bundle soft tissue fixation surgery, such as ligament reconstruction surgery, which is to pass the bone tendon graft between the tibia and femur Fixed connection; it is widely used at present to use a suture thread to pre-thread the lock plate. After the tendon is pulled by the suture, the tendon is brought to the predetermined position through the bone tunnel. The suture needs to be tied and fixed on the side of the lock plate to pull the tendon implant. The disadvantage is that the knotting process is complicated and difficult to operate. , Bring trouble to the doctor, and operation time is long, and suture thread fatigue life is short.
发明内容Contents of the invention
本发明所要解决的技术问题在于针对上述现有技术中的不足,公开了一种用于骨肌腱固定的环形线锁扣装置,解决了繁杂的手术打结问题,提高了手术效率。The technical problem to be solved by the present invention is to address the shortcomings of the above-mentioned prior art, and disclose a circular wire locking device for tendon fixation, which solves the complicated knotting problem and improves the operation efficiency.
本发明解决其技术问题所采用的技术方案是:一种用于骨肌腱固定的环形线锁扣装置,包含锁扣板;所述锁扣板上连接有环形线圈,所述环形线圈由一根密闭的编织线构成,该编织线上设置有管形内腔结构;The technical solution adopted by the present invention to solve the technical problem is: a circular wire lock device for bone tendon fixation, comprising a lock plate; a ring coil is connected to the lock plate, and the ring coil consists of a It is composed of a closed braided wire, and the braided wire is provided with a tubular lumen structure;
所述编织线包括截断端、中间线段以及尾线端三部分,在所述中间线段上设置有多个穿入点,该截断端与尾线端可分别通过对应的穿入点进入到管形内腔中;The braided wire includes three parts: a truncated end, a middle segment and a tail end, and a plurality of penetration points are set on the middle segment, and the truncated end and the tail end can respectively enter the tubular shape through the corresponding penetration points. in the lumen;
所述锁扣板上设置有四个穿线孔,该编织线的截断端通过穿线孔穿透连接在锁扣板上;The lock plate is provided with four threading holes, and the truncated end of the braided wire is penetrated and connected to the lock plate through the threading holes;
所述连接有锁扣板的编织线的截断端通过所述穿入点将截断端穿入至编织线的管形内腔中并从穿入点伸出,所述连接有锁扣板的编织线上的另一尾线端通过所述穿入点将尾线端穿入至编织线的管形内腔中并从穿入点伸出,形成环形线圈套住移动肌腱,该环形线圈连接在锁扣板上可根据实际预设的参数移动、调节线圈大小,使锁扣板通过骨隧道后固定在骨骼端的皮质骨,达到固定作用;The truncated end of the braided wire connected with the lock plate passes through the penetration point and penetrates the truncated end into the tubular inner cavity of the braided wire and protrudes from the penetration point. The other end of the tail on the line passes through the penetration point and the end of the tail is passed into the tubular inner cavity of the braided wire and protrudes from the insertion point to form a loop to enclose the mobile tendon, and the loop is connected to the The locking plate can move and adjust the size of the coil according to the actual preset parameters, so that the locking plate can be fixed on the cortical bone at the end of the bone after passing through the bone tunnel to achieve the fixation effect;
其中伸出在环形线圈外部的截断端以及尾线端可通过剪刀从穿入点部分剪断,并通过缝合针及缝合线将其与穿入点连接处进行缝合处理。Wherein the truncated end and the tail wire end protruding from the outside of the annular coil can be cut off from the penetration point by scissors, and the connection between the penetration point and the penetration point can be sewed by a suture needle and suture thread.
作为本发明的一种优选实施方式,所述锁扣板上连接环形线圈的穿线孔的内径大于环形线圈的外径,使其锁扣板可在环形线圈上自由移动。As a preferred embodiment of the present invention, the inner diameter of the threading hole for connecting the ring coil on the lock plate is larger than the outer diameter of the ring coil, so that the lock plate can move freely on the ring coil.
作为本发明的一种优选实施方式,所述穿线孔对称设置在锁扣板的对应两侧的尾端,可用于连接其它的编织线或者用于铰接其它的锁扣板。As a preferred embodiment of the present invention, the threading holes are arranged symmetrically at the tail ends of the corresponding two sides of the striker plate, and can be used to connect other braided wires or to hinge other striker plates.
作为本发明的一种优选实施方式,所述编织线采用高分子聚乙烯材料或者聚酯和高分子聚合物材料制成。As a preferred embodiment of the present invention, the braided wire is made of high-molecular polyethylene material or polyester and high-molecular polymer material.
作为本发明的一种优选实施方式,所述锁扣板可选用金属、钛合金或者塑料材料制成。As a preferred embodiment of the present invention, the locking plate can be made of metal, titanium alloy or plastic material.
作为本发明的一种优选实施方式,所述锁扣板上设置的穿线孔数量还可设置为2N个,其中1<N<5的自然数。As a preferred embodiment of the present invention, the number of threading holes provided on the lock plate can also be set to 2N, where 1<N<5 is a natural number.
作为本发明的一种优选实施方式,所述穿线孔的形状可为圆形、方形或者椭圆形。As a preferred embodiment of the present invention, the shape of the threading hole may be circular, square or elliptical.
本发明与现有技术相比具有以下优点:Compared with the prior art, the present invention has the following advantages:
本发明公开的一种用于骨肌腱固定的环形线锁扣装置,通过在锁扣板上连接的一根密闭编织线上设置的管形内腔结构以及穿入点,方便将编织线的截断端与尾线段通过穿入点穿入至管形内腔中,并根据预设的参数可任意调节环形线圈的内径大小,其操作方便,避免了繁杂的手术打结过程,提高了手术效率,同时降低了缝合线的疲劳寿命。The present invention discloses an annular wire locking device for osseous tendon fixation, through the tubular inner cavity structure and the penetration point provided on a closed braided wire connected to the locking board, it is convenient to cut off the braided wire The end and tail line segments penetrate into the tubular lumen through the penetration point, and the inner diameter of the ring coil can be adjusted arbitrarily according to the preset parameters. It is easy to operate, avoids complicated surgical knotting process, and improves surgical efficiency. At the same time, the fatigue life of the suture is reduced.
附图说明Description of drawings
图1为本发明的一种具体实施方式的整体结构示意图;Fig. 1 is the overall structure schematic diagram of a kind of embodiment of the present invention;
图2为本发明的一种具体实施方式的编织线上进/出管形内腔的穿入点部分示意图;Fig. 2 is a partial schematic view of the penetration point of the braided wire entering/exiting the tubular lumen according to a specific embodiment of the present invention;
图3为本发明的一种具体实施方式的穿线工具进入编织线的管形内腔中的操作示意图;Fig. 3 is a schematic diagram of the operation of the threading tool entering the tubular lumen of the braided wire according to a specific embodiment of the present invention;
图4,5为本发明的一种具体实施方式的截断端通过穿线工具进入管形内腔中的操作示意图;4 and 5 are schematic diagrams of the operation of the truncated end of a specific embodiment of the present invention entering the tubular lumen through a threading tool;
图6为本发明的一种具体实施方式的截断端从管形内腔中穿出的结构示意图;Fig. 6 is a structural schematic diagram of a truncated end passing through a tubular lumen according to a specific embodiment of the present invention;
图7为本发明的一种具体实施方式的锁扣板可在环形线圈上移动的示意图;Fig. 7 is a schematic diagram of a locking plate that can move on the ring coil according to a specific embodiment of the present invention;
图8,9为本发明的一种具体实施方式的尾线端通过穿线工具穿入并穿出管形内腔的操作示意图;8 and 9 are schematic diagrams of the operation of the end of the tail thread passing through the threading tool and passing out of the tubular lumen according to a specific embodiment of the present invention;
图10为本发明的一种具体实施方式的裁剪后的截断端头以及尾线端头与穿入点连接处的缝合处理的操作示意图。Fig. 10 is a schematic diagram of the operation of the cut-off ends and the suturing process at the connection between the end of the tail and the penetration point according to a specific embodiment of the present invention.
附图标记说明:Explanation of reference signs:
1-环形线圈,2-截断端,3-尾线端,4-锁扣板,5-穿入点,6-穿入点,7- 穿线工具,9-中间线段,10-钩子,15-穿入点,16-穿入点,缝合线-23,25-缝合针,30-穿线孔,31-穿线孔,32-穿线孔,33-穿线孔。1-loop coil, 2-truncated end, 3-tail wire end, 4-lock plate, 5-piercing point, 6-piercing point, 7-threading tool, 9-middle segment, 10-hook, 15- Piercing point, 16-threading point, suture-23, 25-suture needle, 30-threading hole, 31-threading hole, 32-threading hole, 33-threading hole.
具体实施方式Detailed ways
下面结合附图及实施例描述本发明具体实施方式:Describe the specific embodiment of the present invention below in conjunction with accompanying drawing and embodiment:
需要说明的是,本说明书所附图中示意的结构、比例、大小等,均仅用以配合说明书所揭示的内容,以供熟悉此技术的人士了解与阅读,并非用以限定本发明可实施的限定条件,任何结构的修饰、比例关系的改变或大小的调整,在不影响本发明所能产生的功效及所能达成的目的下,均应仍落在本发明所揭示的技术内容得能涵盖的范围内。It should be noted that the structures, proportions, sizes, etc. shown in the drawings attached to this specification are only used to match the content disclosed in the specification, for those who are familiar with this technology to understand and read, and are not used to limit the implementation of the present invention Any modification of the structure, change of the proportional relationship or adjustment of the size shall still fall within the scope of the technical content disclosed in the present invention without affecting the effect and the purpose of the present invention. within the scope covered.
如图1~10所示,其示出了本发明的具体实施方式;如图所示,本发明公开的一种用于骨肌腱固定的环形线锁扣装置,包含锁扣板4;其特征在于:所述锁扣板4上连接有环形线圈1,所述环形线圈1由一根密闭的编织线构成,该编织线上设置有管形内腔结构;As shown in Figures 1 to 10, it shows a specific embodiment of the present invention; as shown in the figure, a ring-shaped wire locking device for bone tendon fixation disclosed by the present invention includes a locking plate 4; its characteristics In that: the locking plate 4 is connected with a ring coil 1, and the ring coil 1 is composed of a closed braided wire, and the braided wire is provided with a tubular inner cavity structure;
如图所示,所述编织线包括截断端2、中间线段9以及尾线端3三部分,在所述中间线段9上设置有多个穿入点6,5,16,15,该截断端2与尾线端3可分别通过对应的穿入点6,5,16,15进入到管形内腔中;As shown in the figure, the braided wire includes three parts: a truncated end 2, a middle line segment 9 and a tail end 3. A plurality of penetration points 6, 5, 16, 15 are arranged on the middle line segment 9. The truncated end 2 and tail wire end 3 can respectively enter into the tubular inner cavity through the corresponding penetration points 6, 5, 16, 15;
如图所示,所述锁扣板4上设置有四个穿线孔30,31,32,33,该编织线的截断端2通过穿线孔30,31穿透连接在锁扣板4上;As shown in the figure, the lock plate 4 is provided with four threading holes 30, 31, 32, 33, and the truncated end 2 of the braided wire is connected to the lock plate 4 through the threading holes 30, 31;
如图所示,所述连接有锁扣板4的编织线的截断端2通过所述穿入点6,5 将截断端2穿入至编织线的管形内腔中并从穿入点5伸出,所述连接有锁扣板4 的编织线上的另一尾线端3通过所述穿入点16,15将尾线端3穿入至编织线的管形内腔中并从穿入点15伸出,形成环形线圈1套住移动肌腱,该环形线圈1 连接在锁扣板4上可根据实际预设的参数移动、调节线圈大小,使锁扣板4通过骨隧道后固定在骨骼端的皮质骨,达到固定作用;As shown in the figure, the truncated end 2 of the braided wire connected with the locking plate 4 passes through the penetration points 6 and 5, and the truncated end 2 is inserted into the tubular lumen of the braided wire and passes through the penetration point 5. Stretch out, another tail wire end 3 on the braided line that is connected with locking plate 4 passes through described penetration point 16,15 and tail wire end 3 is penetrated in the tubular inner chamber of braided wire and passes through The entry point 15 protrudes to form an annular coil 1 to cover the mobile tendon. The annular coil 1 is connected to the locking plate 4 and can move and adjust the size of the coil according to the actual preset parameters, so that the locking plate 4 is fixed in the bone tunnel after passing through the bone tunnel. Cortical bone at the end of the bone to achieve fixation;
其中伸出在环形线圈1外部的截断端2以及尾线端3可通过剪刀从穿入点部分剪断,并通过缝合针25及缝合线23将其与穿入点连接处进行缝合处理。Wherein the truncated end 2 and the tail end 3 protruding from the outside of the loop coil 1 can be cut off from the penetration point by scissors, and the connection between the penetration point and the penetration point can be sutured by a suture needle 25 and a suture thread 23 .
优选的,如图所示:所述锁扣板4上连接环形线圈1的穿线孔30,31的内径大于环形线圈1的外径,使其锁扣板4可在环形线圈1上自由移动。Preferably, as shown in the figure: the inner diameter of the threading holes 30 and 31 connecting the loop coil 1 on the lock plate 4 is larger than the outer diameter of the loop coil 1 , so that the lock plate 4 can move freely on the loop coil 1 .
优选的,如图所示:所述穿线孔32,33对称设置在锁扣板4的对应两侧的尾端,可用于连接其它的编织线或者用于铰接其它的锁扣板。Preferably, as shown in the figure: the threading holes 32 , 33 are symmetrically arranged at the rear ends of the corresponding two sides of the striker plate 4 , and can be used to connect other braided wires or to hinge other striker plates.
优选的,如图所示:所述编织线采用高分子聚乙烯材料或者聚酯和高分子聚合物材料制成。Preferably, as shown in the figure: the braided wire is made of high-molecular polyethylene material or polyester and high-molecular polymer material.
优选的,如图所示:所述锁扣板4可选用金属、钛合金或者塑料材料制成。Preferably, as shown in the figure: the locking plate 4 can be made of metal, titanium alloy or plastic material.
优选的,如图所示:所述锁扣板4上设置的穿线孔数量还可设置为2N个,其中1<N<5的自然数。Preferably, as shown in the figure: the number of threading holes provided on the locking plate 4 can also be set to 2N, where 1<N<5 is a natural number.
优选的,如图所示:所述穿线孔的形状可为圆形、方形或者椭圆形。Preferably, as shown in the figure: the shape of the threading hole may be circular, square or oval.
优选的,如图所示:所述的缝合线23选用高分子聚乙烯材料。Preferably, as shown in the figure: the suture 23 is made of high molecular polyethylene material.
本发明的一种实施例:在锁扣板4设置在距离尾线端3总长的1/3处设置穿入点5,穿入点6靠近尾线端3,且穿入点5与穿入点6设置在编织线的中间线段9部分。穿线工具7的一端设置操作手把,穿线工具7的长杆部分为一个圆形长直杆,其具有足够的细直,能够顺利穿过编织线的中间线段9,在该穿线工具7的头部设置有一个铰接的钩子,方便勾住需穿入的编织线的端头部分,并顺利的通过编织线的中间线段9的内腔中;当确定了相关线段的尺寸后,穿线工具7从穿入点5进入到管形内腔中,并从穿入点6穿出,通过穿线工具头部的钩子钩住截断端2的端头部分,操作者将穿线工具朝相反的方向拔出即可成功的将截断端2穿入到中间线段9中的内腔中并与其内腔壁重叠,从穿入点5 穿出,同样的操作方式可以将尾线端3从穿入点16穿入,并从穿入点15穿出,将伸出外部的截断端2以及尾线端3剪切掉,形成一个带有锁扣板4的环形线圈1,并采用手工或者机械的方式绷紧环形,优选的采用拉力计,能够精准的测量并确定环形内部直径;最后通过缝合针及缝合线将其与穿入点连接处进行缝合处理,如图10所示,第一处缝合固定段覆盖了截断端2的带孔穿入点6,第二处缝合固定点覆盖了截断端头2切除点及尾线端3,其中几个部位的位置分别位于编织线上的穿入点5,6,15和16。如图所示,位置无限制,最终取决于环形线圈的规格尺寸。An embodiment of the present invention: the locking plate 4 is set at 1/3 of the total length from the end of the tail 3 to set the penetration point 5, the penetration point 6 is close to the end of the tail 3, and the penetration point 5 and the penetration The point 6 is set on the middle segment 9 of the braided wire. One end of the threading tool 7 is provided with an operating handle, and the long rod part of the threading tool 7 is a circular long straight rod, which is thin and straight enough to pass through the middle section 9 of the braided line smoothly. A hinged hook is provided at the top, which is convenient for hooking the end part of the braided wire to be inserted, and smoothly passes through the inner cavity of the middle segment 9 of the braided wire; when the size of the relevant segment is determined, the threading tool 7 starts The threading point 5 enters the tubular lumen and passes out from the threading point 6. The hook on the head of the threading tool hooks the end part of the truncated end 2, and the operator pulls out the threading tool in the opposite direction. The truncated end 2 can be successfully inserted into the lumen of the middle line segment 9 and overlapped with the lumen wall, and passed out from the piercing point 5, and the tail wire end 3 can be pierced from the piercing point 16 in the same operation , and pass through the penetration point 15, cut off the truncated end 2 and the tail wire end 3 protruding from the outside to form an annular coil 1 with a locking plate 4, and tighten the annular coil manually or mechanically , it is preferable to use a tension meter, which can accurately measure and determine the inner diameter of the ring; finally, it is sutured at the joint with the penetration point through a suture needle and suture thread, as shown in Figure 10, the first suture fixed section covers the The holed penetration point 6 of the truncated end 2, the second suture fixing point covers the cut-off point of the truncated end 2 and the tail end 3, and the positions of several parts are respectively located at the penetration points 5, 6 on the braided line, 15 and 16. As shown, the position is unlimited and ultimately depends on the size of the toroid.
上面结合附图对本发明优选实施方式作了详细说明,但是本发明不限于上述实施方式,在本领域普通技术人员所具备的知识范围内,还可以在不脱离本发明宗旨的前提下做出各种变化。The preferred embodiments of the present invention have been described in detail above in conjunction with the accompanying drawings, but the present invention is not limited to the above embodiments, and can also be made within the scope of knowledge of those of ordinary skill in the art without departing from the gist of the present invention. kind of change.
不脱离本发明的构思和范围可以做出许多其他改变和改型。应当理解,本发明不限于特定的实施方式,本发明的范围由所附权利要求限定。Many other changes and modifications can be made without departing from the spirit and scope of the present invention. It should be understood that the invention is not limited to the particular embodiments, but that the scope of the invention is defined by the appended claims.
Claims (7)
Priority Applications (1)
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CN111938832A (en) * | 2020-08-17 | 2020-11-17 | 中国医学科学院肿瘤医院 | Marking buckle for marking clinical care position in operation process and fixing method thereof |
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