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CN115568921A - A spinal distraction device - Google Patents

A spinal distraction device Download PDF

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Publication number
CN115568921A
CN115568921A CN202211062555.XA CN202211062555A CN115568921A CN 115568921 A CN115568921 A CN 115568921A CN 202211062555 A CN202211062555 A CN 202211062555A CN 115568921 A CN115568921 A CN 115568921A
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Prior art keywords
guide rod
connector
fixing
hole
movable
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Granted
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CN202211062555.XA
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Chinese (zh)
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CN115568921B (en
Inventor
彭文
胡金旺
程才
玉培良
邓展文
谢胜芬
刘珍珍
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Guangdong Shitaibao Medical Technology Co ltd
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Guangdong Shitaibao Medical Technology Co ltd
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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
    • A61B17/60Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements for external osteosynthesis, e.g. distractors, contractors
    • A61B17/66Alignment, compression or distraction mechanisms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/02Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B17/0206Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors with antagonistic arms as supports for retractor elements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/02Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B17/025Joint distractors
    • 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
    • A61B17/60Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements for external osteosynthesis, e.g. distractors, contractors
    • A61B17/64Devices extending alongside the bones to be positioned
    • A61B17/6433Devices extending alongside the bones to be positioned specially adapted for use on body parts other than limbs, e.g. trunk or head
    • 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
    • A61B17/60Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements for external osteosynthesis, e.g. distractors, contractors
    • A61B17/64Devices extending alongside the bones to be positioned
    • A61B17/6466Devices extending alongside the bones to be positioned with pin-clamps movable along a solid connecting rod
    • A61B17/6475Devices extending alongside the bones to be positioned with pin-clamps movable along a solid connecting rod the connecting rod being threaded
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/02Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B17/025Joint distractors
    • A61B2017/0256Joint distractors for the spine

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

Abstract

The invention discloses a spine distraction device, which comprises: a guide rod; a fixed connector connected with the guide bar; the movable connector is provided with a movable hole, the guide rod penetrates through the movable hole, the movable connector can rotate around the guide rod and can move along the extending direction of the guide rod, and the movable connector and the fixed connector are respectively provided with a fixing mechanism for fixing the pedicle screw; and the locking mechanism is respectively movably connected with the movable connector and the guide rod so as to lock the relative positions of the movable connector and the guide rod. The spine distraction device provided by the invention can fix the pedicle screws, realizes distraction or compression of vertebral bodies, has a simple structure, is convenient to operate, has strong adaptability, and is suitable for being widely applied to reduction operations of fractured vertebral bodies.

Description

一种脊柱撑开装置A spinal distraction device

技术领域technical field

本发明涉及医疗器械技术领域,特别是一种脊柱撑开装置。The invention relates to the technical field of medical instruments, in particular to a spinal distraction device.

背景技术Background technique

目前,脊柱外科手术中对于脊柱椎体骨折进行矫形的方式主要有两种,一种是通过开放或微创手术,采用椎弓根钉棒系统对脊柱进行撑开、复位、矫形以及固定,该手术创伤大、费用高、术后恢复周期长,不适合针对年老体弱的老年病人,而另一种则是通过微创手术并采用外固定器固定,该手术创伤小、费用低、术后拆除外固定器后即可恢复正常生活,是目前治疗老年压缩性椎体骨折的良好方式,但是该手术主要通过撬拨复位的方式进行椎体形态的恢复,纵向撑开以及压缩的功能有限。At present, there are two main ways to correct spinal vertebral fractures in spinal surgery. One is through open or minimally invasive surgery, using pedicle screw rod system to distract, reduce, correct and fix the spine. Surgical trauma, high cost, and long postoperative recovery period are not suitable for elderly and frail elderly patients. The other is minimally invasive surgery and external fixator fixation, which has small trauma, low cost, and After removal of the external fixator, normal life can be resumed. It is currently a good way to treat senile compression vertebral fractures. However, this operation mainly restores the shape of the vertebral body through prying and reset, and the functions of longitudinal expansion and compression are limited. .

为进一步解决外固定器纵向撑开以及压缩功能缺失的问题,本技术研发团队自主研发了一种椎体成形手术用临时撑开固定装置(申请号为202011124251.2),但在实际的使用过程中发现,该装置结构复杂,而且,病人的实际情况复杂多样,由于椎体的限制,两条椎弓根钉可能会处于不同的平面上,而当两条椎弓根钉不在同一平面上时,该装置难以对椎弓根钉进行固定,不利于实际的临床使用。In order to further solve the problems of longitudinal distraction and loss of compression function of the external fixator, the technical research and development team independently developed a temporary distraction fixation device for vertebroplasty (application number 202011124251.2), but found in the actual use process , the structure of the device is complicated, and the actual situation of the patient is complex and diverse. Due to the limitation of the vertebral body, the two pedicle screws may be on different planes, and when the two pedicle screws are not on the same plane, the The device is difficult to fix the pedicle screw, which is unfavorable for actual clinical use.

发明内容Contents of the invention

本发明旨在至少解决现有技术中存在的技术问题之一。为此,本发明提出一种脊柱撑开装置。The present invention aims to solve at least one of the technical problems existing in the prior art. For this reason, the present invention proposes a kind of spinal distraction device.

本发明解决其技术问题的解决方案是:The solution that the present invention solves its technical problem is:

一种脊柱撑开装置,包括:A spinal distraction device comprising:

导向杆;guide rod;

固定连接器,所述固定连接器与所述导向杆连接;a fixed connector connected to the guide rod;

活动连接器,所述活动连接器设有活动孔,所述导向杆穿设于所述活动孔,所述活动连接器能绕所述导向杆转动,并能沿所述导向杆的延伸方向移动,所述活动连接器和所述固定连接器分别设有用于固定椎弓根钉的固定机构;A movable connector, the movable connector is provided with a movable hole, the guide rod is passed through the movable hole, the movable connector can rotate around the guide rod, and can move along the extending direction of the guide rod , the movable connector and the fixed connector are respectively provided with fixing mechanisms for fixing pedicle screws;

锁定机构,所述锁定机构分别与所述活动连接器和所述导向杆活动连接,以对所述活动连接器和所述固定连接器之间的距离进行锁定。A locking mechanism, the locking mechanism is respectively movably connected with the movable connector and the guide rod, so as to lock the distance between the movable connector and the fixed connector.

本发明至少具有如下的有益效果:活动连接器和固定连接器分别能够固定椎弓根钉,而活动连接器能沿导向杆的延伸方向移动,即能够改变活动连接器和固定连接器之间的距离,使得安装在活动连接器上的椎弓根钉与安装在固定连接器上的椎弓根钉相互靠近或远离,从而实现对椎体的压缩或撑开;锁定机构则能够对活动连接器的位置进行锁定,保证活动连接器与固定连接器之间的距离,保持椎体的压缩或撑开状态,避免在手术过程中,活动连接器发生移动而影响对椎体的压缩或撑开;另外,由于活动连接器能够绕导向杆转动,当椎体的限制使得两条椎弓根钉处于不同的平面上时,也能够对两条椎弓根钉进行固定,适应性强,有利于实际的临床使用。The present invention has at least the following beneficial effects: the movable connector and the fixed connector can respectively fix the pedicle screw, and the movable connector can move along the extending direction of the guide rod, that is, the distance between the movable connector and the fixed connector can be changed. The distance makes the pedicle screw installed on the movable connector and the pedicle screw installed on the fixed connector close to or far away from each other, so as to realize the compression or expansion of the vertebral body; the locking mechanism can lock the movable connector Lock the position of the movable connector to ensure the distance between the movable connector and the fixed connector, maintain the compression or expansion of the vertebral body, and avoid the compression or expansion of the vertebral body due to the movement of the movable connector during the operation; In addition, because the movable connector can rotate around the guide rod, when the restriction of the vertebral body makes the two pedicle screws on different planes, the two pedicle screws can also be fixed, which has strong adaptability and is beneficial to practical use. clinical use.

作为上述技术方案的进一步改进,所述固定连接器和所述活动连接器均设有安装孔和固定螺孔,所述安装孔用于供椎弓根钉穿设,所述安装孔与所述固定螺孔连通,所述固定连接器和所述活动连接器还设有固定螺栓,所述固定螺栓穿设于所述固定螺孔内,并与所述固定螺孔配合连接,所述固定螺栓的端面能伸入到所述安装孔内,所述安装孔、固定螺孔和固定螺栓组成所述固定机构。将椎弓根钉对应插入固定连接器或活动连接器的安装孔,将固定螺栓拧进固定螺孔,促使固定螺栓与安装孔的孔壁共同夹紧椎弓根钉,实现对椎弓根钉的固定,从而能够将两条椎弓根钉稳定地安装在脊柱撑开装置上,操作简单、方便。As a further improvement of the above technical solution, both the fixed connector and the movable connector are provided with mounting holes and fixing screw holes, the mounting holes are used for pedicle screws to pass through, and the mounting holes are connected to the The fixed screw holes communicate with each other. The fixed connector and the movable connector are also provided with fixed bolts. The fixed bolts are penetrated in the fixed screw holes and connected with the fixed screw holes. The end surface of the can extend into the installation hole, and the installation hole, fixing screw hole and fixing bolt form the fixing mechanism. Insert the pedicle screw into the mounting hole of the fixed connector or movable connector correspondingly, and screw the fixing bolt into the fixing screw hole, so that the fixing bolt and the wall of the mounting hole can clamp the pedicle screw together to realize the alignment of the pedicle screw. Therefore, the two pedicle screws can be stably installed on the spinal distraction device, and the operation is simple and convenient.

作为上述技术方案的进一步改进,所述固定机构还包括定位结构,所述定位结构与所述固定螺栓的端面活动连接,所述定位结构能伸入所述安装孔内,且所述定位机构设有用于与椎弓根钉的外周壁面抵接的接触面。定位结构能够根据椎弓根钉的角度进行改变,通过定位结构增加固定螺栓对椎弓根钉的外周壁面的接触面积,尤其是当固定螺栓用于固定椎弓根钉的端面与椎弓根钉之间具有夹角时,定位结构能够弥补该夹角,进一步地提高固定螺栓对椎弓根钉的紧固能力。As a further improvement of the above technical solution, the fixing mechanism further includes a positioning structure, the positioning structure is movably connected with the end surface of the fixing bolt, the positioning structure can extend into the installation hole, and the positioning mechanism is set There is a contact surface for abutting against the peripheral wall surface of the pedicle screw. The positioning structure can be changed according to the angle of the pedicle screw, and the contact area between the fixing bolt and the peripheral wall of the pedicle screw can be increased through the positioning structure, especially when the fixing bolt is used to fix the end surface of the pedicle screw and the pedicle screw. When there is an included angle between them, the positioning structure can compensate for the included angle, further improving the fastening ability of the fixing bolt to the pedicle screw.

作为上述技术方案的进一步改进,所述固定螺栓的端面设有凹槽,所述定位结构包括滚珠和抵接块,所述凹槽的槽壁与所述滚珠的外表面吻合,所述滚珠内嵌于所述凹槽并与所述凹槽的槽壁活动连接,所述抵接块与所述滚珠连接,并凸出于所述固定螺栓的端面,所述抵接块设有所述接触面。As a further improvement of the above technical solution, the end surface of the fixing bolt is provided with a groove, the positioning structure includes a ball and an abutment block, the groove wall of the groove coincides with the outer surface of the ball, and the inside of the ball Embedded in the groove and movably connected with the groove wall of the groove, the abutment block is connected with the ball and protrudes from the end surface of the fixing bolt, the abutment block is provided with the contact noodle.

由于滚珠能够在凹槽内转动,即能够改变抵接块的方向,当椎弓根钉倾斜安装在安装孔内时,抵接块也能够根据椎弓根钉的倾斜角度改变方向,以保持与椎弓根钉的外周壁面接触,从而保证对椎弓根钉的紧固作用。Because the ball can rotate in the groove, that is, the direction of the abutting block can be changed. When the pedicle screw is obliquely installed in the mounting hole, the abutting block can also change its direction according to the inclination angle of the pedicle screw, so as to maintain the same The peripheral wall of the pedicle screw is in contact, thereby ensuring the fastening effect on the pedicle screw.

作为上述技术方案的进一步改进,所述锁定机构为螺母,所述导向杆设有外螺纹结构,所述螺母套设于所述导向杆上,并与所述外螺纹结构配合连接,所述螺母与所述活动连接器转动连接。As a further improvement of the above technical solution, the locking mechanism is a nut, the guide rod is provided with an external thread structure, the nut is sleeved on the guide rod, and is connected with the external thread structure, the nut It is rotatably connected with the movable connector.

当旋动螺母时,螺母能够沿导向杆的延伸方向移动,即能够带动整个活动连接器沿导向杆的延伸方向移动,从而能够改变活动连接器与固定连接器之间的距离,进而改变两条椎弓根钉之间的距离,根据实际需求对椎体进行撑开或压缩;另外,导向杆上的外螺纹结构还起到刻度的作用,螺母的旋转圈数能够用于记录椎体撑开的距离。When the nut is turned, the nut can move along the extension direction of the guide rod, that is, it can drive the entire movable connector to move along the extension direction of the guide rod, thereby changing the distance between the movable connector and the fixed connector, and then changing the two The distance between the pedicle screws can be used to expand or compress the vertebral body according to actual needs; in addition, the external thread structure on the guide rod also serves as a scale, and the number of rotations of the nut can be used to record the vertebral body distraction distance.

作为上述技术方案的进一步改进,所述活动连接器设有安装槽,所述螺母的外周壁面设有安装圆环,所述安装圆环与所述安装槽的槽壁转动连接。由于安装槽和安装圆环的相互限制,螺母沿导向杆的延伸方向移动时,能驱使活动连接器沿导向杆的延伸方向移动。As a further improvement of the above technical solution, the movable connector is provided with a mounting groove, and the outer peripheral wall of the nut is provided with a mounting ring, and the mounting ring is rotatably connected to the groove wall of the mounting groove. Due to the mutual limitation of the installation groove and the installation ring, when the nut moves along the extension direction of the guide rod, it can drive the movable connector to move along the extension direction of the guide rod.

作为上述技术方案的进一步改进,所述安装圆环与所述安装槽可拆卸地连接。螺母的安装圆环能从安装槽内拆出,即能够使得螺母与活动连接器分离,更有利于零部件的更换和清洁。As a further improvement of the above technical solution, the installation ring is detachably connected to the installation groove. The installation ring of the nut can be dismantled from the installation groove, that is, the nut can be separated from the movable connector, which is more conducive to the replacement and cleaning of parts.

作为上述技术方案的进一步改进,所述固定连接器与所述导向杆可拆卸地连接。由于固定连接器能够从导向杆上拆卸下来,有利于脊柱撑开装置的包装、运输和存放。As a further improvement of the above technical solution, the fixed connector is detachably connected to the guide rod. Since the fixed connector can be detached from the guide rod, it is convenient for packaging, transportation and storage of the spinal distraction device.

作为上述技术方案的进一步改进,所述固定连接器设有第一连接孔,所述导向杆设有第二连接孔,所述第二连接孔的轴线与所述导向杆的轴线成夹角,所述脊柱撑开装置还包括固定销,所述固定销穿设于所述第一连接孔和所述第二连接孔。通过固定销的固定作用,固定连接器与导向杆之间无法相对转动或相对移动,结构简单、操作方便。As a further improvement of the above technical solution, the fixed connector is provided with a first connection hole, the guide rod is provided with a second connection hole, the axis of the second connection hole forms an included angle with the axis of the guide rod, The spinal distraction device further includes a fixing pin, and the fixing pin passes through the first connection hole and the second connection hole. Through the fixing effect of the fixing pin, the fixing connector and the guide bar cannot be rotated or moved relative to each other, and the structure is simple and the operation is convenient.

作为上述技术方案的进一步改进,所述导向杆设有定位块,所述定位块与所述固定连接器抵接。定位块能够对固定连接器的安装起到定位的作用,以使得第一连接孔和第二连接孔更容易地相互对准,加快固定连接器与导向杆之间的安装。As a further improvement of the above technical solution, the guide rod is provided with a positioning block, and the positioning block abuts against the fixed connector. The positioning block can play a role in positioning the installation of the fixed connector, so that the first connection hole and the second connection hole can be more easily aligned with each other, and the installation between the fixed connector and the guide rod can be accelerated.

附图说明Description of drawings

为了更清楚地说明本发明实施例中的技术方案,下面将对实施例描述中所需要使用的附图作简单说明。显然,所描述的附图只是本发明的一部分实施例,而不是全部实施例,本领域的技术人员在不付出创造性劳动的前提下,还可以根据这些附图获得其他设计方案和附图。In order to more clearly illustrate the technical solutions in the embodiments of the present invention, the following will briefly describe the drawings that need to be used in the description of the embodiments. Apparently, the described drawings are only some embodiments of the present invention, not all embodiments, and those skilled in the art can obtain other designs and drawings based on these drawings without creative work.

图1是本发明实施例的脊柱撑开装置的整体结构示意图;Fig. 1 is a schematic diagram of the overall structure of a spinal distraction device according to an embodiment of the present invention;

图2是本发明实施例的导向杆的结构示意图;Fig. 2 is the structural representation of the guide bar of the embodiment of the present invention;

图3是本发明实施例的固定连接器的结构示意图;3 is a schematic structural view of a fixed connector according to an embodiment of the present invention;

图4是本发明实施例的活动连接器的结构示意图;Fig. 4 is a schematic structural view of the movable connector of the embodiment of the present invention;

图5是本发明实施例的螺母的结构示意图;Fig. 5 is the structural representation of the nut of the embodiment of the present invention;

图6是本发明实施例的固定螺栓的结构示意图;Fig. 6 is a structural schematic diagram of a fixing bolt according to an embodiment of the present invention;

图7是本发明实施例的固定螺栓的主视图;Fig. 7 is the front view of the fixing bolt of the embodiment of the present invention;

图8是图7中A-A方向的剖视图;Fig. 8 is the sectional view of A-A direction in Fig. 7;

图9是本发明实施例的脊柱撑开装置的使用示意图。Fig. 9 is a schematic view of the use of the spinal distraction device according to the embodiment of the present invention.

附图标记:100、导向杆;110、定位块;120、第二连接孔;200、固定连接器;210、固定销;220、第一连接孔;300、活动连接器;310、安装槽;400、螺母;410、安装圆环;500、固定螺栓;510、抵接块;520、滚珠;530、安装孔;600、椎弓根钉;700、椎体。Reference signs: 100, guide rod; 110, positioning block; 120, second connection hole; 200, fixed connector; 210, fixed pin; 220, first connection hole; 300, movable connector; 310, installation groove; 400, nut; 410, installation ring; 500, fixing bolt; 510, contact block; 520, ball; 530, installation hole; 600, pedicle screw; 700, vertebral body.

具体实施方式detailed description

下面详细描述本发明的实施例,所述实施例的示例在附图中示出,其中自始至终相同或类似的标号表示相同或类似的元件或具有相同或类似功能的元件。下面将通过参考附图描述的实施例是示例性的,仅用于解释本发明,而不能理解为对本发明的限制。Embodiments of the present invention are described in detail below, examples of which are shown in the drawings, wherein the same or similar reference numerals designate the same or similar elements or elements having the same or similar functions throughout. The embodiments which will be described below by referring to the figures are exemplary only for explaining the present invention and should not be construed as limiting the present invention.

在本发明的描述中,若干的含义是一个或者多个,多个的含义是两个以上,大于、小于、超过等理解为不包括本数,以上、以下、以内等理解为包括本数。如果有描述到第一、第二只是用于区分技术特征为目的,而不能理解为指示或暗示相对重要性或者隐含指明所指示的技术特征的数量或者隐含指明所指示的技术特征的先后关系。In the description of the present invention, several means one or more, and multiple means two or more. Greater than, less than, exceeding, etc. are understood as not including the original number, and above, below, within, etc. are understood as including the original number. If the description of the first and second is only for the purpose of distinguishing the technical features, it cannot be understood as indicating or implying the relative importance or implicitly indicating the number of the indicated technical features or implicitly indicating the order of the indicated technical features relation.

本发明的描述中,除非另有明确的限定,设置、安装、连接等词语应做广义理解,所属技术领域技术人员可以结合技术方案的具体内容合理确定上述词语在本发明中的具体含义。In the description of the present invention, unless otherwise clearly defined, words such as setting, installation, and connection should be understood in a broad sense, and those skilled in the art can reasonably determine the specific meanings of the above words in the present invention in combination with the specific content of the technical solution.

显然,所描述的实施例只是本发明的一部分实施例,而不是全部实施例,基于本发明的实施例,本领域的技术人员在不付出创造性劳动的前提下所获得的其他实施例,均属于本发明保护的范围。本发明中的各个技术特征,在不互相矛盾冲突的前提下可以交互组合。Apparently, the described embodiments are only some of the embodiments of the present invention, rather than all of them. Based on the embodiments of the present invention, other embodiments obtained by those skilled in the art without creative efforts belong to The protection scope of the present invention. The various technical features in the present invention can be combined interactively on the premise of not conflicting with each other.

参照图1至图9,本发明实施例提出一种脊柱撑开装置,包括有导向杆100、固定连接器200和活动连接器300,能够与两条椎弓根钉600配合使用,椎弓根钉600与椎体700接触,能够实现椎体700压缩和撑开的功能,脊柱撑开装置则能够对椎弓根钉600进行位置的固定,以保持椎体700的压缩或撑开状态。1 to 9, the embodiment of the present invention proposes a spinal distraction device, including a guide rod 100, a fixed connector 200 and a movable connector 300, which can be used in conjunction with two pedicle screws 600. The screw 600 is in contact with the vertebral body 700 to realize the function of compressing and expanding the vertebral body 700 , and the spinal distraction device can fix the position of the pedicle screw 600 to keep the vertebral body 700 in a compressed or expanded state.

值得注意的是,当两条椎弓根钉600位于不同的平面上时,本发明实施例中的脊柱撑开装置也能够对两条椎弓根钉600进行固定。It should be noted that when the two pedicle screws 600 are located on different planes, the spinal distraction device in the embodiment of the present invention can also fix the two pedicle screws 600 .

具体地,导向杆100设有固定段和活动段,固定段与活动端的中轴线在同一直线上,固定段和活动段沿同一直线延伸设置。Specifically, the guide rod 100 is provided with a fixed section and a movable section, the central axis of the fixed section and the movable end are on the same straight line, and the fixed section and the movable section extend along the same straight line.

固定连接器200与导向杆100的固定段连接。在本实施例中,固定连接器200与导向杆100之间是可拆卸地连接的。固定连接器200设置有固定孔,固定孔套设于固定段上,固定连接器200还设置有固定件,固定件用于将固定连接器200固定在导向杆100的固定段上,使得固定连接器200与导向杆100安装后无法相对运动。The fixed connector 200 is connected to the fixed section of the guide rod 100 . In this embodiment, the fixed connector 200 is detachably connected to the guide rod 100 . The fixed connector 200 is provided with a fixed hole, and the fixed hole is sleeved on the fixed section, and the fixed connector 200 is also provided with a fixing piece, which is used to fix the fixed connector 200 on the fixed section of the guide rod 100, so that the fixed connection After the device 200 and the guide rod 100 are installed, they cannot move relative to each other.

本实施例中,固定连接器200还设置有第一连接孔220,而固定段上设置有第二连接孔120,第一连接孔220能够与第二连接孔120连通,固定件为固定销210,固定销210能够穿设于第一连接孔220和第二连接孔120,使得固定连接器200与导向杆100无法相对转动或相对移动。In this embodiment, the fixed connector 200 is also provided with a first connection hole 220, and the fixed section is provided with a second connection hole 120, the first connection hole 220 can communicate with the second connection hole 120, and the fixing member is a fixing pin 210 , the fixing pin 210 can pass through the first connecting hole 220 and the second connecting hole 120 , so that the fixing connector 200 and the guide rod 100 cannot rotate or move relative to each other.

在本实施例中,第一连接孔220的轴线与导向杆100的中轴线垂直设置,固定销210与导向杆100相互垂直。可以理解的是,第二连接孔120的轴线需要与导向杆100的轴线呈一定的夹角,以保证安装固定销210后,固定连接器200不会沿导向杆100的轴线方向移动。In this embodiment, the axis of the first connecting hole 220 is perpendicular to the central axis of the guide rod 100 , and the fixing pin 210 and the guide rod 100 are perpendicular to each other. It can be understood that the axis of the second connection hole 120 needs to form a certain angle with the axis of the guide rod 100 to ensure that the fixed connector 200 will not move along the axis of the guide rod 100 after the fixing pin 210 is installed.

在一些实施例中,导向杆100设置有定位块110,定位块110位于固定段和活动段之间,当固定连接器200套设于导向杆100上时,固定连接器200的端面能够与定位块110抵接,从而能够对固定连接器200进行定位,更快速地将第一连接孔220和第二连接孔120连通,无需再通过移动固定连接器200使得第一连接孔220与第二连接孔120对准,从而能够更快地对固定连接器200进行固定。In some embodiments, the guide rod 100 is provided with a positioning block 110, and the positioning block 110 is located between the fixed section and the movable section. When the fixed connector 200 is sleeved on the guide rod 100, the end surface of the fixed connector 200 can be aligned with the positioning block 110, so that the fixed connector 200 can be positioned, and the first connection hole 220 and the second connection hole 120 can be communicated more quickly, without moving the fixed connector 200 to make the first connection hole 220 connect with the second connection hole. The holes 120 are aligned so that the fixed connector 200 can be fixed more quickly.

在一些实施例中,定位块110上设有定位槽,而固定连接器200的端面对应设置有定位凸台,定位凸台与定位槽相互吻合,当固定连接器200套设于导向杆100上时,能够快速地将定位凸台与定位槽相互卡接,从而能够更快速地对固定连接器200进行限位,对固定连接器200的安装具有提示作用,无需再转动固定连接器200便能够使得第一连接孔220和第二连接孔120对准,更快速地对固定连接器200进行固定。In some embodiments, the positioning block 110 is provided with a positioning groove, and the end surface of the fixed connector 200 is correspondingly provided with a positioning boss, and the positioning boss and the positioning groove match each other. At this time, the positioning boss and the positioning groove can be quickly engaged with each other, so that the fixed connector 200 can be limited more quickly, and the installation of the fixed connector 200 has a prompt effect, and the fixed connector 200 can be rotated without turning the fixed connector 200 again. Aligning the first connection hole 220 with the second connection hole 120 can fix the fixed connector 200 more quickly.

在另一些实施例中,固定连接器200通过焊接、胶黏等方式与固定段连接,即固定连接器200无法与导向杆100拆卸,在实际的使用中,可以省去固定连接器200与导向杆100之间的安装工作,但不利于存放、运输。In other embodiments, the fixed connector 200 is connected to the fixed section by welding, gluing, etc., that is, the fixed connector 200 cannot be disassembled from the guide rod 100. In actual use, the fixed connector 200 and the guide rod 100 can be omitted. The installation between the rods 100 works, but it is not conducive to storage and transportation.

活动连接器300设置有活动孔,活动孔套设于活动段上,活动孔的孔壁与活动段活动连接,活动连接器300能够沿导向杆100的延伸方向移动,也能够绕导向杆100的中轴线转动。The movable connector 300 is provided with a movable hole, and the movable hole is sleeved on the movable section, and the hole wall of the movable hole is movably connected with the movable section. The movable connector 300 can move along the extension direction of the guide rod 100, and can also move around the Axis rotation.

脊柱撑开装置还包括有锁定机构,锁定机构与活动段活动连接,并且与活动连接器300活动连接,能够对活动连接器300与导向杆100的相对位置进行锁定,让活动连接器300能够保持在导向杆100上的合适位置上,一保持活动连接器300和固定连接器200之间的距离,避免活动连接器300在固定椎弓根钉600时发生移动而影响撑开或压缩椎体700的操作。The spinal distraction device also includes a locking mechanism, the locking mechanism is movably connected with the movable segment, and is movably connected with the movable connector 300, which can lock the relative position of the movable connector 300 and the guide rod 100, so that the movable connector 300 can maintain At a suitable position on the guide rod 100, the distance between the movable connector 300 and the fixed connector 200 is maintained, so as to prevent the movable connector 300 from moving when fixing the pedicle screw 600 and affecting the distraction or compression of the vertebral body 700 operation.

可以理解的是,固定连接器200和活动连接器300均设置有用于固定椎弓根钉600的固定机构,椎弓根钉600能够安装在固定连接器200和活动连接器300上,其中,安装在活动连接器300上的椎弓根钉600能够跟随活动连接器300的转动而转动,也能够跟随活动连接器300沿导向杆100的延伸方向移动。It can be understood that both the fixed connector 200 and the movable connector 300 are provided with a fixing mechanism for fixing the pedicle screw 600, and the pedicle screw 600 can be installed on the fixed connector 200 and the movable connector 300, wherein the installation The pedicle screw 600 on the movable connector 300 can rotate following the rotation of the movable connector 300 , and can also move along the extending direction of the guide rod 100 following the movable connector 300 .

可以理解的是,由于活动连接器300能够沿导向杆100的延伸方向移动,即活动连接器300能够靠近或远离固定连接器200,从而让安装在固定连接器200上的椎弓根钉600与安装在活动连接器300上的椎弓根钉600相互靠近或远离,实现对椎体700的压缩或撑开。It can be understood that since the movable connector 300 can move along the extending direction of the guide rod 100, that is, the movable connector 300 can approach or move away from the fixed connector 200, so that the pedicle screw 600 installed on the fixed connector 200 can be connected with the fixed connector 200. The pedicle screws 600 installed on the movable connector 300 approach or move away from each other to achieve compression or expansion of the vertebral body 700 .

由于活动连接器300能够绕导向杆100的转动而转动,在实际使用过程中,可以根据患者的脊柱情况改变两条椎弓根钉600相对夹角,即两条椎弓根钉600能够处于不同的平面上,而脊柱撑开装置也能够实现固定,适用于更多种脊柱情况。Since the movable connector 300 can rotate around the rotation of the guide rod 100, in actual use, the relative angle between the two pedicle screws 600 can be changed according to the patient's spinal condition, that is, the two pedicle screws 600 can be at different positions. On the same plane, and the spinal distraction device can also achieve fixation, which is suitable for more kinds of spinal conditions.

在一些实施例中,固定连接器200和活动连接器300均设置有安装孔530和固定螺孔,并且配置有固定螺栓500,固定螺栓500、安装孔530和固定螺孔共同组成固定机构,用于固定椎弓根钉600,以使椎弓根钉600安装位置和安装角度保持不变,从而保持对椎体700的撑开或压缩。In some embodiments, both the fixed connector 200 and the movable connector 300 are provided with a mounting hole 530 and a fixing screw hole, and are equipped with a fixing bolt 500. The fixing bolt 500, the mounting hole 530 and the fixing screw hole together form a fixing mechanism. It is used to fix the pedicle screw 600 so that the installation position and installation angle of the pedicle screw 600 remain unchanged, so as to maintain the expansion or compression of the vertebral body 700 .

可以理解的是,椎弓根钉600能够穿设于安装孔530内,椎弓根钉600的下端与椎体700接触并对椎体700起到撑开或压缩的作用,安装孔530是与固定螺孔连通的,固定螺栓500能够与固定螺孔配合连接。It can be understood that the pedicle screw 600 can be inserted into the installation hole 530, and the lower end of the pedicle screw 600 is in contact with the vertebral body 700 to stretch or compress the vertebral body 700. The installation hole 530 is in contact with the vertebral body 700 If the fixing screw holes are connected, the fixing bolts 500 can be matched and connected with the fixing screw holes.

当固定螺栓500穿设于固定螺孔时,固定螺栓500的端面能够与安装在安装孔530中的椎弓根钉600的外周壁面抵接,此处将固定螺栓500用于与椎弓根钉600抵接的端面设为固定面,而另一端面设为旋动面。通过固定面与安装孔530的孔壁相互夹紧,实现对椎弓根钉600的固定,从而能够将椎弓根钉600稳定地安装在脊柱撑开装置上。When the fixing bolt 500 is passed through the fixing screw hole, the end surface of the fixing bolt 500 can abut against the peripheral wall surface of the pedicle screw 600 installed in the mounting hole 530, where the fixing bolt 500 is used to connect with the pedicle screw. The abutting end surface of the 600 is set as a fixed surface, and the other end surface is set as a rotating surface. The fixation of the pedicle screw 600 is achieved by clamping the fixing surface and the wall of the installation hole 530 , so that the pedicle screw 600 can be stably installed on the spinal distraction device.

在本实施例中,固定螺孔沿导向杆100的延伸方向开设,位于固定连接器200上的固定螺栓500与位于活动连接器300上的固定螺栓500相向设置,即位于固定连接器200上的固定螺栓500的固定面朝向位于活动连接器300上的固定螺栓500的固定面。如此设置,由于固定螺栓500对椎弓根钉600的上部进行加压,可以使得两条椎弓根钉600的下端保持相互远离的状态,即保持张开的状态,能够进一步地实现骨折椎体700的撑开复位。In this embodiment, the fixing screw holes are opened along the extending direction of the guide rod 100, and the fixing bolts 500 on the fixed connector 200 are set opposite to the fixing bolts 500 on the movable connector 300, that is, the fixing bolts 500 on the fixed connector 200 The fixing surface of the fixing bolt 500 faces the fixing surface of the fixing bolt 500 on the movable connector 300 . With this arrangement, since the fixing bolts 500 pressurize the upper part of the pedicle screws 600, the lower ends of the two pedicle screws 600 can be kept away from each other, that is, they can be kept in an open state, which can further realize the fracture of the vertebral body. 700's stretch reset.

在另一些实施例中,固定螺孔也是沿导向杆100的延伸方向开设,位于固定连接器200上的固定螺栓500与位于活动连接器300上的固定螺栓500相背设置,即位于固定连接器200上的固定螺栓500的固定面背向位于活动连接器300上的固定螺栓500的固定面。如此设置,由于固定螺栓500对椎弓根钉600的上部进行加压,可以使得两条椎弓根钉600的下端保持相互靠近的状态,能够进一步地实现椎体700的压缩复位。In other embodiments, the fixing screw holes are also opened along the extending direction of the guide rod 100, and the fixing bolts 500 on the fixed connector 200 are set opposite to the fixing bolts 500 on the movable connector 300, that is, they are located on the fixed connector. The fixing surface of the fixing bolt 500 on the movable connector 200 faces away from the fixing surface of the fixing bolt 500 on the movable connector 300 . With this arrangement, since the fixing bolts 500 pressurize the upper parts of the pedicle screws 600, the lower ends of the two pedicle screws 600 can be kept close to each other, and the compression reduction of the vertebral body 700 can be further realized.

当然,固定连接器200和活动连接器300上也能够设置两个固定螺栓500和固定螺孔,固定螺孔均是沿导向杆100的延伸方向开设,固定连接器200上的两个固定螺栓500的固定面相向设置,而活动连接器300上的两个固定螺栓500的固定面也是相向设置,即固定连接器200上其中一个固定螺栓500的固定面朝向活动连接器300上其中一个固定螺栓500的固定面,而固定连接器200上另一个固定螺栓500的固定面背向活动连接器300上另一个固定螺栓500的固定面,能够实现上述两种实施例中的两种效果,操作者能够根据实际情况对椎弓根钉600的上部进行加压,既能够实现两条椎弓根钉600下端的远离,也能够实现两条椎弓根钉600下端的靠近,更具有适用性。Of course, two fixing bolts 500 and fixing screw holes can also be set on the fixed connector 200 and the movable connector 300. The fixing screw holes are all opened along the extending direction of the guide rod 100. The fixed surfaces of the two fixed bolts 500 on the movable connector 300 are also arranged opposite to each other, that is, the fixed surface of one of the fixed bolts 500 on the fixed connector 200 faces one of the fixed bolts 500 on the movable connector 300 The fixing surface of the other fixing bolt 500 on the fixed connector 200 faces away from the fixing surface of the other fixing bolt 500 on the movable connector 300, so that the two effects in the above two embodiments can be realized, and the operator can Pressurizing the upper part of the pedicle screw 600 according to the actual situation can not only realize the separation of the lower ends of the two pedicle screws 600, but also realize the approach of the lower ends of the two pedicle screws 600, which is more applicable.

在本实施例中,安装孔530为圆角矩形孔,安装孔530的内壁面设有支撑凸台,支撑凸台位于固定螺栓500的下方,能够对固定螺栓500起到支点的作用,以更好地实现固定效果。支撑凸台朝向安装孔530的中轴线凸出,且支撑凸台的内壁面也形成圆角矩形孔,支撑凸台的圆角矩形孔与安装孔530连通,椎弓根钉600能够穿插在安装孔530以及支撑凸台形成的圆角矩形孔内。In this embodiment, the mounting hole 530 is a rectangular hole with rounded corners, and the inner wall of the mounting hole 530 is provided with a supporting boss, which is located below the fixing bolt 500 and can serve as a fulcrum for the fixing bolt 500, so as to further Good for fixed effects. The support boss protrudes toward the central axis of the mounting hole 530, and the inner wall of the support boss also forms a rounded rectangular hole. The rounded rectangular hole of the support boss communicates with the mounting hole 530, and the pedicle screw 600 can be inserted into the mounting hole. The hole 530 and the rounded rectangular hole formed by the supporting boss.

在本实施例中,固定机构还包括有定位结构,定位结构与固定螺栓500的固定面活动连接,定位结构设置有接触面,当固定螺栓500安装在固定螺孔中时,定位结构能够伸入到安装孔530内,接触面能够与安装于安装孔530内的椎弓根钉600的外周壁面抵接。In this embodiment, the fixing mechanism also includes a positioning structure, which is movably connected with the fixing surface of the fixing bolt 500. The positioning structure is provided with a contact surface. When the fixing bolt 500 is installed in the fixing screw hole, the positioning structure can extend into When entering the installation hole 530 , the contact surface can abut against the outer peripheral wall surface of the pedicle screw 600 installed in the installation hole 530 .

可以理解的是,定位结构能够根据椎弓根钉600的角度进行改变,通过定位结构增加固定螺栓500对椎弓根钉600的外周壁面的接触面积,尤其是当固定螺栓500的固定面与椎弓根钉600之间具有夹角时,定位结构能够弥补该夹角,进一步地提高固定螺栓500对椎弓根钉600的紧固能力。It can be understood that the positioning structure can be changed according to the angle of the pedicle screw 600, and the contact area between the fixing bolt 500 and the peripheral wall of the pedicle screw 600 can be increased through the positioning structure, especially when the fixing surface of the fixing bolt 500 is in contact with the vertebral pedicle screw. When there is an included angle between the pedicle screws 600 , the positioning structure can compensate for the included angle, further improving the fastening ability of the fixing bolt 500 to the pedicle screws 600 .

在本实施例中,固定螺栓500的固定面设置有凹槽,定位结构包括有滚珠520和抵接块510,凹槽为圆弧槽,其槽壁与滚珠520的外表面吻合,滚珠520能够内嵌于凹槽内并与凹槽的槽壁活动连接,即滚珠520能够在凹槽内转动,抵接块510与滚珠520连接,并且凸出于固定面,定位结构的接触面设置在抵接块510上,抵接块510的接触面能够与安装在安装孔530内的椎弓根钉600的外周壁面抵接,从而实现对椎弓根钉600的固定。In this embodiment, the fixed surface of the fixing bolt 500 is provided with a groove, and the positioning structure includes a ball 520 and an abutment block 510. The groove is an arc groove, and its groove wall coincides with the outer surface of the ball 520. Embedded in the groove and movably connected with the groove wall of the groove, that is, the ball 520 can rotate in the groove, the abutment block 510 is connected with the ball 520, and protrudes from the fixed surface, and the contact surface of the positioning structure is set on the abutment On the connecting block 510 , the contact surface of the abutting block 510 can abut against the peripheral wall surface of the pedicle screw 600 installed in the installation hole 530 , so as to realize the fixation of the pedicle screw 600 .

可以理解的是,由于滚珠520能够在凹槽内转动,即能够改变抵接块510的方向,当椎弓根钉600倾斜安装在安装孔530内时,抵接块510也能够根据椎弓根钉600的倾斜角度改变方向,以保持接触面与椎弓根钉600的外周壁面接触,从而保证对椎弓根钉600的紧固作用。It can be understood that since the ball 520 can rotate in the groove, that is, the direction of the abutment block 510 can be changed, when the pedicle screw 600 is obliquely installed in the installation hole 530, the abutment block 510 can also be adjusted according to the direction of the pedicle. The inclination angle of the screw 600 changes direction to keep the contact surface in contact with the peripheral wall surface of the pedicle screw 600 , thereby ensuring the fastening effect on the pedicle screw 600 .

在本实施例中,固定螺栓500的旋动面设有旋动孔,旋动孔为六角孔,内六角扳手能够插入到旋动孔中,通过旋动内六角扳手便能够旋动固定螺栓500,十分方便。可以理解的是,旋动孔也可以为其他形状的孔,能够通过与旋动孔匹配的工具旋动固定螺栓500。当然,固定螺栓500的旋动面也可以为六角形的,通过外六角扳手能够转动固定螺栓500。In this embodiment, the rotating surface of the fixing bolt 500 is provided with a rotating hole, the rotating hole is a hexagonal hole, and the inner hexagonal wrench can be inserted into the rotating hole, and the fixing bolt 500 can be rotated by turning the inner hexagonal wrench. , very convenient. It can be understood that the rotation hole can also be a hole of other shapes, and the fixing bolt 500 can be rotated by a tool matching the rotation hole. Of course, the rotating surface of the fixing bolt 500 can also be hexagonal, and the fixing bolt 500 can be rotated by an external hexagonal wrench.

在本实施例中,导向杆100的活动段设置有外螺纹结构,锁定机构为螺母400,其具有带有内螺纹结构的螺孔,并能够套设在导向杆100的活动段上,活动段上的外螺纹结构与螺母400的内螺纹结构相互配合连接。In this embodiment, the movable section of the guide rod 100 is provided with an external thread structure, and the locking mechanism is a nut 400, which has a screw hole with an internal thread structure, and can be sleeved on the movable section of the guide rod 100, and the movable section The external thread structure on the nut 400 is mated with the internal thread structure of the nut 400 .

可以理解的是,当旋动螺母400时,螺母400能够沿活动段的延伸方向移动,即能够带动整个活动连接器300沿导向杆100的延伸方向移动,从而能够改变活动连接器300与固定连接器200之间的距离,进而改变两条椎弓根钉600之间的距离,根据实际需求对椎体700进行撑开或压缩。It can be understood that when the nut 400 is turned, the nut 400 can move along the extension direction of the movable section, that is, it can drive the entire movable connector 300 to move along the extension direction of the guide rod 100, so that the connection between the movable connector 300 and the fixed connection can be changed. The distance between the two pedicle screws 600 can be changed, and the distance between the two pedicle screws 600 can be changed to expand or compress the vertebral body 700 according to actual needs.

另外,导向杆100上的外螺纹结构还起到刻度的作用,螺母400的旋转圈数能够用于记录椎体700撑开的距离,有利于临床数据的记录和分析。In addition, the external thread structure on the guide rod 100 also functions as a scale, and the number of rotations of the nut 400 can be used to record the distraction distance of the vertebral body 700, which is beneficial to the recording and analysis of clinical data.

采用螺母400作为锁定机构,不但能够调节活动连接器300在导向杆100上的位置,而且,调节方式简单、方便,当不旋动螺母400时,活动连接器300无法沿导向杆100的延伸方向移动,从而实现活动连接器300的锁定,避免在椎弓根钉600撑开或压缩椎体700的过程中活动连接器300移动,而影响椎弓根钉600的撑开或压缩效果。Using the nut 400 as the locking mechanism not only can adjust the position of the movable connector 300 on the guide rod 100, but also the adjustment method is simple and convenient. Move, so as to realize the locking of the movable connector 300, and prevent the movable connector 300 from moving during the process of the pedicle screw 600 spreading or compressing the vertebral body 700, thereby affecting the spreading or compressing effect of the pedicle screw 600.

可以理解的是,螺母400与活动连接器300之间是转动连接的,螺母400的设置不会影响活动连接器300绕导向杆100中轴线的转动。在本实施例中,螺母400设置有安装圆环410,而活动连接器300设置有安装槽310,安装圆环410卡接在安装槽310内,安装圆环410能够与安装槽310的槽壁相对转动。由于安装槽310和安装圆环410的相互限制,螺母400沿导向杆100的延伸方向移动时,能驱使活动连接器300沿导向杆100的延伸方向移动。It can be understood that the nut 400 is rotationally connected to the movable connector 300 , and the arrangement of the nut 400 will not affect the rotation of the movable connector 300 around the central axis of the guide rod 100 . In this embodiment, the nut 400 is provided with a mounting ring 410, and the movable connector 300 is provided with a mounting groove 310, the mounting ring 410 is snapped into the mounting groove 310, and the mounting ring 410 can be connected to the groove wall of the mounting groove 310 relative rotation. Due to the mutual restriction of the installation groove 310 and the installation ring 410 , when the nut 400 moves along the extension direction of the guide rod 100 , it can drive the movable connector 300 to move along the extension direction of the guide rod 100 .

本实施例中的安装圆环410设置在螺母400的外周壁面上,即安装圆环410的环孔与螺母400的外周壁面连接,而安装圆环410的外周壁面与安装槽310的槽壁转动连接。The installation ring 410 in this embodiment is arranged on the peripheral wall of the nut 400, that is, the ring hole of the installation ring 410 is connected with the peripheral wall of the nut 400, and the outer peripheral wall of the installation ring 410 is rotated with the groove wall of the installation groove 310 connect.

可以理解的是,安装槽310可以为扇形槽,扇形槽的开口长度大于或等于安装圆环410的直径,能够实现螺母400与活动连接器300的拆装,当活动连接器300和螺母400从导向杆100上拆卸下来后,螺母400的安装圆环410能从安装槽310内拆出,即能够使得螺母400与活动连接器300分离,更有利于零部件的更换和清洁。It can be understood that the installation groove 310 can be a fan-shaped groove, and the opening length of the fan-shaped groove is greater than or equal to the diameter of the installation ring 410, so that the nut 400 can be disassembled from the movable connector 300. When the movable connector 300 and the nut 400 are removed from the After the guide rod 100 is disassembled, the installation ring 410 of the nut 400 can be removed from the installation groove 310, that is, the nut 400 can be separated from the movable connector 300, which is more conducive to the replacement and cleaning of parts.

在本实施例中的安装槽310为圆心角大于180°的扇形槽,能够增加安装槽310的槽壁与安装圆环410之间的受力面积,使螺母400能够更好地带动活动连接器300沿导向杆100的延伸方向移动。In this embodiment, the installation groove 310 is a fan-shaped groove with a central angle greater than 180°, which can increase the stress area between the groove wall of the installation groove 310 and the installation ring 410, so that the nut 400 can better drive the movable connector 300 moves along the extending direction of the guide rod 100 .

可以理解的是,也可以通过其他结构实现螺母400与活动连接器300之间的转动连接。例如,在螺母400的外周壁面设置圆环槽,而在活动连接器300设置活动块,活动块能卡接在圆环槽内,并能够沿圆环槽绕螺母400的外周壁面转动,利用活动块与圆环槽之间的限制作用,驱使活动连接器300随螺母400的移动而移动。It can be understood that the rotational connection between the nut 400 and the movable connector 300 can also be realized through other structures. For example, an annular groove is set on the outer peripheral wall of the nut 400, and a movable block is arranged on the movable connector 300. The movable block can be clamped in the annular groove, and can rotate around the outer peripheral wall of the nut 400 along the annular groove. The restriction between the block and the circular groove drives the movable connector 300 to move with the movement of the nut 400 .

在本实施例中,螺母400的外表面设置有花键,操作者能够使用花键钳转动螺母400,实现螺母400沿导向杆100的延伸方向移动,更为方便。In this embodiment, the outer surface of the nut 400 is provided with splines, and the operator can use the spline pliers to turn the nut 400 to realize the movement of the nut 400 along the extending direction of the guide rod 100 , which is more convenient.

在另一些实施例中,锁定机构为插销,导向杆100的活动段设置有多组调节孔,且每组中具有多个调节孔,一组中的多个调节孔环绕导向杆100的外周壁面设置,而多组调节孔沿活动段的延伸方向布置。活动连接器300上设置有用于安装插销的通孔结构,当活动连接器300绕导向杆100转动和移动时,通孔结构能够与其中的一个调节孔连通,将插销穿设于该调节孔和通孔结构后,便能够实现活动连接器300与导向杆100之间的锁定。In other embodiments, the locking mechanism is a latch, and the movable section of the guide rod 100 is provided with multiple sets of adjustment holes, and each group has a plurality of adjustment holes, and the plurality of adjustment holes in one group surrounds the outer peripheral wall of the guide rod 100 set, and multiple sets of adjustment holes are arranged along the extending direction of the movable section. The movable connector 300 is provided with a through-hole structure for installing the bolt. When the movable connector 300 rotates and moves around the guide rod 100, the through-hole structure can communicate with one of the adjustment holes, and the bolt is passed through the adjustment hole and After the through hole structure is formed, the locking between the movable connector 300 and the guide rod 100 can be realized.

可以理解的是,通过插销锁定连接器与导向杆100的方式相较于使用螺母400的方式步骤更为繁杂,容易造成插销的丢失,而且,适用性较小,活动连接器300只能够在通孔结构与调节孔连通的位置与导向杆100进行锁定。另外,调节孔的数量过多,也不利于对导向杆100的清洗和消毒。It can be understood that the method of locking the connector and the guide rod 100 through the bolt is more complicated than the method of using the nut 400, which is easy to cause the loss of the bolt. Moreover, the applicability is small, and the movable connector 300 can only be used in the normal way. The position where the hole structure communicates with the adjustment hole is locked with the guide rod 100 . In addition, too many adjustment holes are not conducive to the cleaning and disinfection of the guide rod 100 .

可以理解的是,虽然活动连接器300能够与螺母400发生相对转动,但是,当活动连接器300与椎弓根钉600安装后,固定机构保证了活动连接器300与椎弓根钉600之间不会发生相对活动,而椎弓根钉600的下端与椎体700抵接,在椎体700的限制作用下,椎弓根钉不会600发生转动,即活动连接器300不会绕导向杆100转动,保证了手术的可靠性。It can be understood that although the movable connector 300 can rotate relative to the nut 400, when the movable connector 300 and the pedicle screw 600 are installed, the fixing mechanism ensures that the movable connector 300 and the pedicle screw 600 There will be no relative movement, and the lower end of the pedicle screw 600 is in contact with the vertebral body 700. Under the restriction of the vertebral body 700, the pedicle screw 600 will not rotate, that is, the movable connector 300 will not go around the guide rod 100 rotations ensure the reliability of the operation.

在实际的使用过程中,先将固定连接器200套设在导向杆100的固定段上,使得固定连接器200的端面与定位块110抵接,转动固定连接孔使得第一连接孔220和第二连接孔120相互对准,并通过固定销210将固定连接器200与导向杆100固定。In the actual use process, the fixed connector 200 is first sleeved on the fixed section of the guide rod 100, so that the end surface of the fixed connector 200 abuts against the positioning block 110, and the fixed connection hole is rotated to make the first connection hole 220 and the second connection hole 220 The two connecting holes 120 are aligned with each other, and the fixing connector 200 and the guide rod 100 are fixed by the fixing pin 210 .

然后,将固定连接器200的固定螺栓500旋入到固定螺孔中,并将其中一条椎弓根钉600插入到固定连接器200的安装孔530中,使得该椎弓根钉600的下端与固定的椎体700抵接,再旋紧固定连接器200的固定螺栓500,使得固定连接器200的固定螺栓500的抵接块510与该椎弓根钉600的外周壁面抵接,以保证该椎弓根钉600不会与固定连接器200发生相对滑动。Then, the fixing bolt 500 of the fixing connector 200 is screwed into the fixing screw hole, and one of the pedicle screws 600 is inserted into the mounting hole 530 of the fixing connector 200, so that the lower end of the pedicle screw 600 is aligned with the fixing screw hole. The fixed vertebral body 700 is abutted, and then the fixing bolt 500 of the fixing connector 200 is tightened, so that the abutment block 510 of the fixing bolt 500 of the fixing connector 200 abuts against the outer peripheral wall of the pedicle screw 600, so as to ensure the The pedicle screw 600 will not slide relative to the fixed connector 200 .

将螺母400与活动连接器300提前装配,并将螺母400以及活动连接器300套设在导向杆100的活动段上,旋动螺母400,使得螺母400带动活动连接器300移动到活动段上合适的位置,将另一条椎弓根钉600插入到活动连接器300的安装孔530内,使得该椎弓根钉600的下端与滑脱的椎体700抵接,通过活动连接器300上的固定螺钉将该椎弓根钉600与活动连接器300固定。Assemble the nut 400 and the movable connector 300 in advance, set the nut 400 and the movable connector 300 on the movable section of the guide rod 100, and turn the nut 400 so that the nut 400 drives the movable connector 300 to move to the movable section. position, insert another pedicle screw 600 into the installation hole 530 of the movable connector 300, so that the lower end of the pedicle screw 600 abuts against the slipped vertebral body 700, and through the fixing screw on the movable connector 300 The pedicle screw 600 is fixed with the movable connector 300 .

最后,使用花键钳转动螺母400,使得螺母400带动活动连接器300沿活动段的延伸方向移动,以改变安装在活动连接器300上的椎弓根钉600的位置,从而使得两条椎弓根钉600相互远离或靠近。当两条椎弓根钉600相互远离时,能够对两个椎体700起到撑开作用;而当两条椎弓根钉600相互靠近时,能够对两个椎体700起到压缩作用。Finally, use the spline pliers to turn the nut 400, so that the nut 400 drives the movable connector 300 to move along the extension direction of the movable segment, so as to change the position of the pedicle screw 600 installed on the movable connector 300, so that the two vertebral arches The root nails 600 move away from each other or move closer together. When the two pedicle screws 600 are far away from each other, they can expand the two vertebral bodies 700 ; and when the two pedicle screws 600 are close to each other, they can compress the two vertebral bodies 700 .

综上所述,本发明实施例提出的脊柱撑开装置,结构简单,有利于加工和生产,而且,在术中使用过程中,脊柱撑开的动作更为可靠、操作方便、实用性强,适合广泛应用于骨折椎体700的复位手术中。To sum up, the spinal distraction device proposed by the embodiment of the present invention has a simple structure, which is beneficial to processing and production. Moreover, during the intraoperative use, the spinal distraction is more reliable, easy to operate, and strong in practicability. It is suitable for being widely used in the reduction operation of the fractured vertebral body 700 .

以上对本发明的较佳实施方式进行了具体说明,但本发明创造并不限于所述实施例,熟悉本领域的技术人员在不违背本发明精神的前提下还可作出种种的等同变型或替换,这些等同的变型或替换均包含在本申请权利要求所限定的范围内。The preferred embodiments of the present invention have been described in detail above, but the invention is not limited to the described embodiments, and those skilled in the art can also make various equivalent modifications or replacements without violating the spirit of the present invention. These equivalent modifications or replacements are all within the scope defined by the claims of the present application.

Claims (10)

1.一种脊柱撑开装置,其特征在于,包括:1. A spinal expansion device, characterized in that it comprises: 导向杆;guide rod; 固定连接器,所述固定连接器与所述导向杆连接;a fixed connector connected to the guide rod; 活动连接器,所述活动连接器设有活动孔,所述导向杆穿设于所述活动孔,所述活动连接器能绕所述导向杆转动,并能沿所述导向杆的延伸方向移动,所述活动连接器和所述固定连接器分别设有用于固定椎弓根钉的固定机构;A movable connector, the movable connector is provided with a movable hole, the guide rod is passed through the movable hole, the movable connector can rotate around the guide rod, and can move along the extending direction of the guide rod , the movable connector and the fixed connector are respectively provided with fixing mechanisms for fixing pedicle screws; 锁定机构,所述锁定机构分别与所述活动连接器和所述导向杆活动连接,以对所述活动连接器和所述固定连接器之间的距离进行锁定。A locking mechanism, the locking mechanism is respectively movably connected with the movable connector and the guide rod, so as to lock the distance between the movable connector and the fixed connector. 2.根据权利要求1所述的脊柱撑开装置,其特征在于,所述固定连接器和所述活动连接器均设有安装孔和固定螺孔,所述安装孔用于供椎弓根钉穿设,所述安装孔与所述固定螺孔连通,所述固定连接器和所述活动连接器还设有固定螺栓,所述固定螺栓穿设于所述固定螺孔内,并与所述固定螺孔配合连接,所述固定螺栓的端面能伸入到所述安装孔内,所述安装孔、固定螺孔和固定螺栓组成所述固定机构。2. The spinal distraction device according to claim 1, wherein the fixed connector and the movable connector are provided with mounting holes and fixing screw holes, and the mounting holes are used for pedicle screws through, the mounting hole communicates with the fixing screw hole, the fixed connector and the movable connector are also provided with fixing bolts, the fixing bolts are penetrated in the fixing screw hole, and are connected with the The fixing screw holes are matched and connected, and the end surface of the fixing bolt can extend into the installation hole, and the installation hole, the fixing screw hole and the fixing bolt form the fixing mechanism. 3.根据权利要求2所述的脊柱撑开装置,其特征在于,所述固定机构还包括定位结构,所述定位结构与所述固定螺栓的端面活动连接,所述定位结构能伸入所述安装孔内,且所述定位机构设有用于与椎弓根钉的外周壁面抵接的接触面。3. The spinal distraction device according to claim 2, wherein the fixing mechanism further comprises a positioning structure, the positioning structure is movably connected with the end surface of the fixing bolt, and the positioning structure can extend into the and the positioning mechanism is provided with a contact surface for abutting against the peripheral wall surface of the pedicle screw. 4.根据权利要求3所述的脊柱撑开装置,其特征在于,所述固定螺栓的端面设有凹槽,所述定位结构包括滚珠和抵接块,所述凹槽的槽壁与所述滚珠的外表面吻合,所述滚珠内嵌于所述凹槽并与所述凹槽的槽壁活动连接,所述抵接块与所述滚珠连接,并凸出于所述固定螺栓的端面,所述抵接块设有所述接触面。4. The spinal distraction device according to claim 3, wherein the end surface of the fixing bolt is provided with a groove, the positioning structure includes a ball and an abutment block, and the groove wall of the groove is in contact with the The outer surface of the ball coincides, the ball is embedded in the groove and is movably connected with the groove wall of the groove, the abutting block is connected with the ball and protrudes from the end surface of the fixing bolt, The abutting block is provided with the contact surface. 5.根据权利要求1所述的脊柱撑开装置,其特征在于,所述锁定机构为螺母,所述导向杆设有外螺纹结构,所述螺母套设于所述导向杆上,并与所述外螺纹结构配合连接,所述螺母与所述活动连接器转动连接。5. The spinal distraction device according to claim 1, wherein the locking mechanism is a nut, the guide rod is provided with an external thread structure, the nut is sleeved on the guide rod, and is connected with the guide rod. The external thread structure is matched and connected, and the nut is rotatably connected with the movable connector. 6.根据权利要求5所述的脊柱撑开装置,其特征在于,所述活动连接器设有安装槽,所述螺母的外周壁面设有安装圆环,所述安装圆环与所述安装槽的槽壁转动连接。6. The spinal distraction device according to claim 5, characterized in that, the movable connector is provided with a mounting groove, and the outer peripheral wall of the nut is provided with a mounting ring, and the mounting ring is connected to the mounting groove. The groove wall is connected by rotation. 7.根据权利要求6所述的脊柱撑开装置,其特征在于,所述安装圆环与所述安装槽可拆卸地连接。7. The spinal distraction device according to claim 6, wherein the installation ring is detachably connected to the installation groove. 8.根据权利要求1所述的脊柱撑开装置,其特征在于,所述固定连接器与所述导向杆可拆卸地连接。8. The spinal distraction device according to claim 1, wherein the fixed connector is detachably connected to the guide rod. 9.根据权利要求8所述的脊柱撑开装置,其特征在于,所述固定连接器设有第一连接孔,所述导向杆设有第二连接孔,所述第二连接孔的轴线与所述导向杆的轴线成夹角,所述脊柱撑开装置还包括固定销,所述固定销穿设于所述第一连接孔和所述第二连接孔。9. The spinal distraction device according to claim 8, wherein the fixed connector is provided with a first connection hole, the guide rod is provided with a second connection hole, and the axis of the second connection hole is in line with the The axes of the guide rods form an included angle, and the spinal distraction device further includes a fixing pin, and the fixing pin passes through the first connecting hole and the second connecting hole. 10.根据权利要求9所述的脊柱撑开装置,其特征在于,所述导向杆设有定位块,所述定位块与所述固定连接器抵接。10. The spinal distraction device according to claim 9, wherein the guide rod is provided with a positioning block, and the positioning block abuts against the fixed connector.
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CN2075949U (en) * 1990-09-03 1991-05-01 张家港市医疗器械厂 Internal fixator for radix arcus vertebrae spinal column
US5254118A (en) * 1991-12-04 1993-10-19 Srdjian Mirkovic Three dimensional spine fixation system
US5746741A (en) * 1996-05-06 1998-05-05 Tufts University External fixator system
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