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CN115486912A - Quick Positioning Fixtures - Google Patents

Quick Positioning Fixtures Download PDF

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Publication number
CN115486912A
CN115486912A CN202110672419.1A CN202110672419A CN115486912A CN 115486912 A CN115486912 A CN 115486912A CN 202110672419 A CN202110672419 A CN 202110672419A CN 115486912 A CN115486912 A CN 115486912A
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China
Prior art keywords
locking
fixing
inner sleeve
sleeve
connecting rod
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Pending
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CN202110672419.1A
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Chinese (zh)
Inventor
胡建威
任国旺
彭烨
张里程
唐佩福
孙士昭
张庆杰
谢宏辉
刘绍清
沈曦
吕勇
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Tianjin Walkman Biomaterial Co ltd
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Tianjin Walkman Biomaterial Co ltd
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Priority to CN202110672419.1A priority Critical patent/CN115486912A/en
Publication of CN115486912A publication Critical patent/CN115486912A/en
Pending legal-status Critical Current

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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
    • A61B17/68Internal 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
    • A61B17/7083Tools for guidance or insertion of tethers, rod-to-anchor connectors, rod-to-rod connectors, or longitudinal elements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/16Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1757Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the spine
    • 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
    • A61B17/7091Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for applying, tightening or removing longitudinal element-to-bone anchor locking elements, e.g. caps, set screws, nuts or wedges
    • 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

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Neurology (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Surgical Instruments (AREA)

Abstract

本发明快速定位固定器械是一种应用于治疗人体骨骼损伤时桥接组合式内固定系统固定块手术的快速定位固定器械。便于医生在需要的位置进行手术操作,使手术切口小、缩短手术中固定块与连接棒的安装时间。改善医生操作性,降低手术移位及螺钉锁紧失效风险,解决桥接组合式内固定系统固定块产品小切口微创的手术器械,包括开关、销钉、扳机、弹簧片锁紧螺钉、齿条、齿条锁紧螺钉、弹簧片、手柄、链接螺栓、芯轴、连接杆、弹性内套、滑动锁紧套、锥度锁紧销。本发明快速定位固定器械为、连接杆、弹性内套、滑动锁紧套、锥度锁紧销组合的结构。弹性内套上有两个锥度锁紧销,通过图2的滑动锁紧套14向前滑动使其弹性内套13收缩带动两个锥度锁紧销15‑1、15‑2拉紧固定块,实现固定块与连接棒锁紧固定后进行手术操作。The rapid positioning and fixing device of the present invention is a rapid positioning and fixing device for bridging combined internal fixation system fixation blocks in the treatment of human bone injuries. It is convenient for the doctor to perform the operation at the required position, the operation incision is small, and the installation time of the fixing block and the connecting rod in the operation is shortened. Improve the doctor's operability, reduce the risk of surgical displacement and screw locking failure, and solve the problem of small incision and minimally invasive surgical instruments for bridging combined internal fixation system fixed block products, including switches, pins, triggers, spring leaf locking screws, racks, Rack locking screw, spring leaf, handle, link bolt, mandrel, connecting rod, elastic inner sleeve, sliding locking sleeve, taper locking pin. The fast positioning and fixing device of the present invention is a structure composed of a connecting rod, an elastic inner sleeve, a sliding locking sleeve and a tapered locking pin. There are two tapered locking pins on the elastic inner sleeve, and the sliding locking sleeve 14 in Fig. 2 slides forward to make the elastic inner sleeve 13 contract and drive the two tapered locking pins 15-1, 15-2 to tighten the fixed block, The surgical operation is performed after the fixed block and the connecting rod are locked and fixed.

Description

快速定位固定器械Quick Positioning Fixtures

技术领域technical field

本发明涉及一种骨科手术用医疗器具,具体涉及一种用于桥接组合式内固定系统手术的快速定位固定器械。实现手术中固定块与连接棒的锁紧及固定。缩短手术中固定块与连接棒的安装时间。改善医生操作性,降低手术移位及螺钉锁紧失效风险,解决桥接组合式内固定系统产品小切口微创的手术器械,便于医生在需要的位置进行手术操作。本产品属于医疗器械,包括开关、销钉、扳机、弹簧片锁紧螺钉、齿条、齿条锁紧螺钉、弹簧片、手柄、链接螺栓、芯轴、连接杆、弹性内套、滑动锁紧套、锥度锁紧销。The invention relates to a medical device for orthopedic surgery, in particular to a rapid positioning and fixing device for bridging combined internal fixation system operations. Realize the locking and fixing of the fixed block and the connecting rod during the operation. Shorten the installation time of the fixation block and connecting rod during the operation. Improve the doctor's operability, reduce the risk of surgical displacement and screw locking failure, and solve the small incision minimally invasive surgical instrument of the bridging combined internal fixation system product, which is convenient for the doctor to perform the operation at the required position. This product belongs to medical equipment, including switches, pins, triggers, spring leaf locking screws, racks, rack locking screws, leaf springs, handles, link bolts, mandrels, connecting rods, elastic inner sleeves, sliding locking sleeves , Taper locking pin.

背景技术Background technique

目前,市场上多数厂家只有脊柱手术复位器械,该类器械由手柄、芯轴、连接杆和推杆套组成,复位方式为拉动手柄通过芯轴传动推杆套前推复位。At present, most manufacturers on the market only have spinal surgery reset instruments, which are composed of a handle, a mandrel, a connecting rod, and a push rod sleeve. The reset method is to pull the handle and drive the push rod sleeve forward to reset.

在手术过程中由于桥接组合式内固定系统固定块取出锁定螺帽后固定块与连接棒为自然滑动状态,给固定块装导钻钻孔时很难找到导钻孔位置,容易造成导钻与固定块螺纹连接错位现象,导致手术中安装固定块的时间过长。During the operation, since the fixed block of the bridge combined internal fixation system is taken out of the locking nut, the fixed block and the connecting rod are in a state of natural sliding. The threaded connection of the fixation block is misplaced, which results in too long time for installing the fixation block during the operation.

在骨钻钻孔时因导钻属于开放空间,导钻手柄部分较小,医生手持导钻柄部无法控制方向,造成钻孔偏离骨骼中心,多次钻孔会使螺钉与骨骼把持力下降,术后容易造成螺钉拔出风险。When the bone drill is drilled, because the guide drill belongs to the open space, the handle of the guide drill is small, and the doctor cannot control the direction by holding the handle of the guide drill, causing the drill hole to deviate from the center of the bone. Repeated drilling will reduce the holding force between the screw and the bone. There is a risk of screw pullout after surgery.

在安装锁定螺钉时因固定块快与连接棒为自然滑动状态从而无法准确确定锁定螺钉的角度和位置的,造成螺钉与固定块锁紧失效。When installing the locking screw, because the fastening block and the connecting rod are in a natural sliding state, the angle and position of the locking screw cannot be accurately determined, resulting in failure to lock the screw and the fixing block.

锁定螺钉与固定块锁紧时,其他固定块与连接棒会在软组织里轴向发生移动,造成初始设定植入位置偏离。When the locking screw and the fixation block are locked, other fixation blocks and connecting rods will move axially in the soft tissue, resulting in a deviation from the initial set implantation position.

发明内容Contents of the invention

本发明快速定位固定器械成功的解决了现有技术中所存在的不足,弹性内套前端部分与固定块仿形配合,可以使弹性内套更容易插入固定块。在手术切口较小或微创的情况下进行手术操作,手柄为枪式设计结构手持更稳定,扳机与手柄使用链接螺栓为轴的连接方式通过拉动扳机传动芯轴来推动滑动锁紧套,使弹性内套收缩后弹性内套内部两个锥度锁紧销拉紧固定块,实现手术中固定块与连接棒的锁紧及固定。使其操作更方便。The rapid positioning and fixing device of the present invention successfully solves the deficiencies in the prior art. The front end part of the elastic inner sleeve is matched with the fixing block by profiling, so that the elastic inner sleeve can be inserted into the fixing block more easily. In the case of small surgical incisions or minimally invasive operations, the handle is designed with a gun-type structure for more stable handholding. The trigger and the handle use a link bolt as the shaft to push the sliding locking sleeve by pulling the trigger drive mandrel. After the elastic inner sleeve is shrunk, the two tapered locking pins inside the elastic inner sleeve tighten the fixing block, so as to realize the locking and fixing of the fixing block and the connecting rod during the operation. Make it easier to operate.

本发明快速定位固定器械是采取以下方案实施的:新型快速定位固定器械包括开关、销钉、扳机、弹簧片锁紧螺钉、齿条、齿条锁紧螺钉、弹簧片、手柄、链接螺栓、芯轴、连接杆、弹性内套、滑动锁紧套、锥度锁紧销的组合结构。快速定位固定器械前端弹性内套13与固定块仿形配合式设计,并同时采用滑动锁紧套14的滑动使其弹性内套13前端锥度收缩环抱固定块的锁紧方式。The fast positioning and fixing device of the present invention is implemented by adopting the following scheme: the new fast positioning and fixing device includes a switch, a pin, a trigger, a spring leaf locking screw, a rack, a rack locking screw, a spring leaf, a handle, a link bolt, and a mandrel , connecting rod, elastic inner sleeve, sliding locking sleeve, tapered locking pin combined structure. The elastic inner sleeve 13 at the front end of the fast positioning and fixing device is designed to fit with the fixed block, and the sliding of the sliding locking sleeve 14 is adopted to make the front end of the elastic inner sleeve 13 taper shrink to surround the fixed block.

本发明快速定位固定器械具体使用方法:The specific method of use of the rapid positioning and fixing device of the present invention:

1.手持手柄9与扳机3中间长圆孔位置,通过弹性内套13前端插入固定块,使两个锥度锁紧销15-1、15-2到达固定块里侧,拉动扳机3使其弹性内套13内侧收缩两个锥度锁紧销15-1、15-2拉紧固定块至齿条5有效区域内,实现固定块与连接棒锁紧固定。快速定位固定器械留于固定块上。1. Hold the position of the long hole in the middle of the handle 9 and the trigger 3, insert the front end of the elastic inner sleeve 13 into the fixed block, make the two tapered locking pins 15-1, 15-2 reach the inner side of the fixed block, pull the trigger 3 to make it elastic Two tapered locking pins 15-1, 15-2 shrink the inside of the sleeve 13 to tighten the fixing block to the effective area of the rack 5, so as to realize the locking and fixing of the fixing block and the connecting rod. The quick positioning fixation instrument remains on the fixation block.

2.通过弹性内套13中间通孔通道使用梅花改锥取出固定块上锁定螺钉。将导钻通过弹性内套13中间通孔通道拧入固定块。2. Use a Torx screwdriver to take out the locking screw on the fixing block through the through hole in the middle of the elastic inner sleeve 13. The guide drill is screwed into the fixed block through the through-hole channel in the middle of the elastic inner sleeve 13 .

3.调整快速定位固定器械角度至骨骼正中间平行位置后使用骨钻钻孔,完成钻孔后取出导钻。3. Adjust the angle of the rapid positioning and fixing instrument to the parallel position in the middle of the bone and use a bone drill to drill holes. After the drilling is completed, take out the guide drill.

4. 通过弹性内套13中间通孔通道的导向将螺钉拧入骨骼,直至螺钉与固定块、连接棒、骨骼锁定固定。4. Screw the screw into the bone through the guidance of the through-hole channel in the middle of the elastic inner sleeve 13 until the screw is locked and fixed with the fixation block, the connecting rod, and the bone.

5. 螺钉与固定块、连接棒、骨骼锁定固定手术完成后手指按动开关1,开关1尾部顶出齿条5与扳机3分离,左弹簧片7和右弹簧片8同时自动释放弹力,扳机3带动芯轴11、滑动锁紧套14复位。弹性内套13自动张开脱离固定块,取出快速定位固定器械。5. Screws and fixation blocks, connecting rods, and bone locking fixation. After the operation is completed, press the switch 1 with your fingers. The tail of the switch 1 pushes out the rack 5 and separates from the trigger 3. The left spring piece 7 and the right spring piece 8 automatically release the elastic force at the same time, and the trigger 3 Drive the mandrel 11 and the sliding locking sleeve 14 to reset. The elastic inner sleeve 13 automatically opens and breaks away from the fixing block, and the fast positioning and fixing device is taken out.

6. 通过以上1、2、3、4、5的操作步骤依次对其它的螺钉与固定块、连接棒、骨骼的锁定固定进行手术操。6. Through the operation steps of 1, 2, 3, 4, and 5 above, perform surgical operations on the locking and fixing of other screws and fixation blocks, connecting rods, and bones in sequence.

附图说明Description of drawings

以下是结合附图对本发明新型快速定位固定器械的进一步说明。The following is a further description of the novel rapid positioning and fixing device of the present invention in conjunction with the accompanying drawings.

图1是本发明快速定位固定器械的正视图和俯视图。Fig. 1 is a front view and a top view of the rapid positioning and fixing device of the present invention.

图2、图3是本发明快速定位固定器械与固定块工作位置的局部剖视图。Fig. 2 and Fig. 3 are partial cross-sectional views of the working positions of the rapid positioning and fixing device and the fixing block of the present invention.

具体实施方式detailed description

参照附图1、图2。With reference to accompanying drawing 1, Fig. 2.

1、开关,2-1、2-2、两个销钉,3、扳机,4-1、4-2、两个弹簧片锁紧螺钉,5、齿条,6、齿条锁紧螺钉,7、左弹簧片,8、右弹簧片,9、手柄,10、链接螺栓,11、芯轴,12、连接杆,13、弹性内套,14、滑动锁紧套,15、锥度锁紧销,15-1、15-2两个锥度锁紧销。1. Switch, 2-1, 2-2, two pins, 3. Trigger, 4-1, 4-2, two spring leaf locking screws, 5, rack, 6, rack locking screw, 7 , left spring piece, 8, right spring piece, 9, handle, 10, link bolt, 11, mandrel, 12, connecting rod, 13, elastic inner sleeve, 14, sliding locking sleeve, 15, taper locking pin, 15-1, 15-2 two taper locking pins.

一种快速定位固定器械:A fast positioning fixation device:

连接杆12中间有通孔,弹性内套13中间有通孔,滑动锁紧套14间有通孔。A through hole is arranged in the middle of the connecting rod 12, a through hole is arranged in the middle of the elastic inner sleeve 13, and a through hole is arranged in the middle of the sliding locking sleeve 14.

开关1通过销钉2-1与扳机3链接。Switch 1 is linked with trigger 3 via pin 2-1.

左弹簧片7通过弹簧片锁紧螺钉4-1与扳机3链接。Left spring leaf 7 is linked with trigger 3 by spring leaf locking screw 4-1.

齿条5通过齿条锁紧螺钉6与手柄9链接。The rack 5 is linked with the handle 9 through the rack locking screw 6 .

右弹簧片8通过弹簧片锁紧螺钉4-2与手柄9链接。Right leaf spring 8 is linked with handle 9 by spring leaf locking screw 4-2.

连接杆12通过焊接与手柄9链接。The connecting rod 12 is linked with the handle 9 by welding.

弹性内套13通过焊接与连接杆12链接。The elastic inner sleeve 13 is linked with the connecting rod 12 by welding.

滑动锁紧套14通过焊接与芯轴11链接。The sliding locking sleeve 14 is linked with the mandrel 11 by welding.

芯轴11与滑动锁紧套14同时装入连接杆12、弹性内套13滑动配合。The mandrel 11 and the sliding lock sleeve 14 are simultaneously loaded into the connecting rod 12 and the elastic inner sleeve 13 is slidably matched.

扳机3装入手柄9与芯轴11串联;扳机3通过链接螺栓10与手柄9链接。The trigger 3 is loaded into the handle 9 and connected in series with the mandrel 11 ; the trigger 3 is linked with the handle 9 through the link bolt 10 .

芯轴11通过销钉2-2与扳机3链接。The mandrel 11 is linked with the trigger 3 through the pin 2-2.

Claims (5)

1. A surgical instrument for quickly positioning and fixing a bridge-connection combined type internal fixing system comprises a switch, a pin, a trigger, a spring piece locking screw, a rack locking screw, a spring piece, a handle, a connecting bolt, a mandrel, a connecting rod, an elastic inner sleeve, a sliding locking sleeve and a taper locking pin. The fixing device is characterized in that the relative movement of the mandrel and the outer sleeve is realized by pulling a trigger, so that the outer part of the inner sleeve is contracted to drive the taper pin to tighten the fixing block, and the locking and fixing of the fixing block and the connecting rod in the operation are realized. The installation time of the fixing block and the connecting rod in the operation is shortened. Improve doctor's operability, reduce operation aversion and screw locking inefficacy risk. The operation incision is small, and the doctor can conveniently perform the operation at the required position.
2. The surgical instrument for rapid positioning and fixing as claimed in claim 1, wherein the fixing block is inserted into the hole of the front end of the elastic inner sleeve, and the trigger is pulled to make the core shaft of the link trigger push the sliding locking sleeve to contract the elastic inner sleeve and the inner sleeve taper pin to tighten the fixing block, thereby achieving the locking and fixing of the fixing block and the connecting rod.
3. The surgical instrument for rapid positioning and fixing according to claims 1 and 2, characterized in that the trigger is pulled into the effective area of the rack, so that the rack releases the hand in a stressed state, and the rapid positioning fixer is left on the fixing block in a self-locking design structure.
4. A surgical instrument for rapid positioning and fixation according to claims 1 and 3, characterized by the design of the rack away from the trigger after actuation of the switch.
5. The surgical instrument for fast positioning and fixing according to claim 4, wherein the spring plate pulls back the trigger under an automatic force to drive the core shaft of the link trigger and the sliding locking sleeve of the link core shaft, so that the elastic inner sleeve and the taper pin at the inner side of the elastic inner sleeve fast release the design structure of the fixing block.
CN202110672419.1A 2021-06-17 2021-06-17 Quick Positioning Fixtures Pending CN115486912A (en)

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Publication number Priority date Publication date Assignee Title
CN200945186Y (en) * 2006-09-08 2007-09-12 南京大学医学院附属鼓楼医院 A kind of gun type reset pliers
CN105125264A (en) * 2015-09-16 2015-12-09 常州市康辉医疗器械有限公司 Stable gun type replacer
CN204931822U (en) * 2015-05-18 2016-01-06 天津市威曼生物材料有限公司 Locking compress bridge joining composite internal fixation system
CN211325522U (en) * 2019-12-05 2020-08-25 安阳市圣杰科技有限公司 Gun type reduction forceps
CN217828030U (en) * 2021-06-17 2022-11-18 天津市威曼生物材料有限公司 Quick positioning and fixing instrument

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN200945186Y (en) * 2006-09-08 2007-09-12 南京大学医学院附属鼓楼医院 A kind of gun type reset pliers
CN204931822U (en) * 2015-05-18 2016-01-06 天津市威曼生物材料有限公司 Locking compress bridge joining composite internal fixation system
CN105125264A (en) * 2015-09-16 2015-12-09 常州市康辉医疗器械有限公司 Stable gun type replacer
CN211325522U (en) * 2019-12-05 2020-08-25 安阳市圣杰科技有限公司 Gun type reduction forceps
CN217828030U (en) * 2021-06-17 2022-11-18 天津市威曼生物材料有限公司 Quick positioning and fixing instrument

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Application publication date: 20221220