CN204744365U - External fixation frame can multi -direction multi -angle adjusted anchor clamps of threading a needle - Google Patents
External fixation frame can multi -direction multi -angle adjusted anchor clamps of threading a needle Download PDFInfo
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- 230000001174 ascending effect Effects 0.000 abstract 1
- 208000010392 Bone Fractures Diseases 0.000 description 6
- 206010017076 Fracture Diseases 0.000 description 6
- 238000001356 surgical procedure Methods 0.000 description 5
- 210000000988 bone and bone Anatomy 0.000 description 4
- 238000010586 diagram Methods 0.000 description 4
- 238000000034 method Methods 0.000 description 4
- 208000006670 Multiple fractures Diseases 0.000 description 1
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- 230000000399 orthopedic effect Effects 0.000 description 1
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Abstract
Description
技术领域technical field
本实用新型涉及医疗器械领域,更具体的说,涉及用于骨外科矫正、骨折复位的一种可以多方向多角度调节的外固定架穿针夹具。The utility model relates to the field of medical equipment, more specifically, relates to a multi-direction and multi-angle adjustable needle-piercing jig for an external fixator used for orthopedic surgery correction and fracture reduction.
背景技术Background technique
在临床外科进行骨折治疗时,固定装置的使用必不可少,外固定主要是在人体外通过机械装置对断骨进行固定,可以进行微创治疗,常用的外固定装置主要为Ilizarov外固定器。Ilizarov技术采用多平面细克氏针贯穿肢体和骨组织,并连接环形固定器。泰勒医生改进ILizarov外固定系统,将六个可伸缩的延长杆倾斜地连接近端和远端环上,并在连接点处可以自由旋转,只要调节其中一根延长杆的长度,一个环就会相对另一个环改变位置。泰勒架是标准的Stewart平台的六自由度并联机构,具有刚度大、承载能力强、位置误差不累计,高稳定性、高精度等特点。手术过程中一般先将克氏针固定与人体适当的骨折位置,穿针夹具固定克氏针,Ilizarov外固定器和泰勒架均采用在上下固定环上的一定孔位上固定穿针夹具,来达到人体骨折与外固定架的上下环相互固定连接。但在实际手术操作中穿孔位置并非对称,穿孔的角度并非完全平行于相应固定环,在手术过程中后续打入人体的克氏针的角度或位置存在误差,对应外固定架上下固定环的位置不在相对应的孔位,由于外固定架的上下固定环上孔位位置是一定的,存在一定的盲区,很小的误差将会给患者带来很大的痛苦。对于用克氏针将外固定装置固定在骨头上时,由于医生手术技术水平的高低不同,固定针固定在骨头上同一侧的并非完全平行,不利于外固定装置的安装,给手术带来困难。When treating fractures in clinical surgery, the use of fixation devices is essential. External fixation is mainly to fix broken bones outside the human body through mechanical devices, which can be used for minimally invasive treatment. The commonly used external fixation devices are mainly Ilizarov external fixators. The Ilizarov technique uses multiplanar thin Kirschner wires to penetrate the limb and bone tissue and connect to a ring fixator. Dr. Taylor improved the Ilizarov external fixation system by connecting six telescopic extension rods obliquely to the proximal and distal rings, and they can rotate freely at the connection point. As long as the length of one of the extension rods is adjusted, one ring will Change position relative to another ring. The Taylor frame is a six-degree-of-freedom parallel mechanism of the standard Stewart platform, which has the characteristics of high rigidity, strong bearing capacity, no accumulation of position errors, high stability, and high precision. During the operation, the Kirschner wire is generally fixed to the appropriate fracture position of the human body, and the needle threading fixture is used to fix the Kirschner wire. The upper and lower rings of the human body fracture and the external fixator are fixedly connected to each other. However, in the actual operation, the position of the perforation is not symmetrical, and the angle of the perforation is not completely parallel to the corresponding fixing ring. During the operation, there is an error in the angle or position of the Kirschner wire inserted into the human body, which corresponds to the position of the upper and lower fixing rings of the external fixator. Not in the corresponding hole position, because the position of the hole position on the upper and lower fixing rings of the external fixator is fixed, there is a certain blind area, and a small error will bring great pain to the patient. When using Kirschner wires to fix the external fixation device on the bone, due to the different surgical skills of doctors, the fixation pins fixed on the same side of the bone are not completely parallel, which is not conducive to the installation of the external fixation device and brings difficulties to the operation. .
实用新型内容Utility model content
本实用新型的目的在于克服现有外固定架穿针夹具的不足,提供了一种能够提高手术安全线、降低手术难度的一种可以多方向多角度调节的外固定架穿针夹具,可以进行微调固定,克服孔位盲区和克氏针不平行问题,不仅可以提高临床骨折复位的准确性和安全性,而且减轻临床医生的手术强度,大大提升了手术的成功率。The purpose of the utility model is to overcome the deficiency of the existing needle-piercing jig for external fixation, and provide a needle-piercing jig for external fixation that can be adjusted in multiple directions and angles, which can improve the safety line of surgery and reduce the difficulty of surgery. Fine-tuning the fixation and overcoming the problem of blind holes and non-parallel Kirschner wires can not only improve the accuracy and safety of clinical fracture reduction, but also reduce the operation intensity of clinicians and greatly improve the success rate of operations.
本实用新型通过以下技术方案来实现上述目的:一种可以多方向多角度调节的外固定架穿针夹具,包括上下滑杆、上下滑块、左右滑杆和克氏针夹紧装置,所述上下滑杆为横截面为正方形的长方体滑杆,所述上下滑杆上设有垂直于横截面方向并贯穿上下滑杆的螺纹孔,所述上下滑杆底部通过上下滑杆调节锁紧螺栓固定在外固定架上,所述上下滑杆可以通过上下滑杆调节锁紧螺栓调节所述上下滑杆相对于外固定架的角度;所述上下滑块套装在所述上下滑杆上并能沿着上下滑杆上下滑动;所述上下滑块上设有水平风向上的两个相互正交的通孔,所述左右滑杆穿过其中一个通孔,所述另一个通孔的两端分别设有用于固定左右滑杆的左右滑杆调节固定螺栓和用于将上下滑块固定在上下滑杆上的上下滑块调节锁紧螺栓。The utility model achieves the above-mentioned purpose through the following technical solutions: a needle threading jig for an external fixator that can be adjusted in multiple directions and angles, including an up and down sliding bar, an up and down sliding block, a left and right sliding bar and a Kirschner wire clamping device. The upper and lower sliding rods are cuboid sliding rods with a square cross section. The upper and lower sliding rods are provided with threaded holes that are perpendicular to the direction of the cross section and run through the upper and lower sliding rods. The bottom of the upper and lower sliding rods is fixed by adjusting the locking bolts of the upper and lower sliding rods On the external fixation frame, the upper and lower sliding rods can adjust the angle of the upper and lower sliding rods relative to the external fixing frame through the upper and lower sliding rod adjustment locking bolts; The upper and lower sliders slide up and down; the upper and lower sliders are provided with two mutually orthogonal through holes in the horizontal wind direction, the left and right sliders pass through one of the through holes, and the two ends of the other through hole are respectively set There are left and right slider adjustment fixing bolts for fixing the left and right sliders and up and down slider adjustment locking bolts for fixing the up and down sliders on the up and down sliders.
进一步的,所述克氏针夹紧装置包括套筒和克氏针调节锁紧螺栓,套筒侧面连接左右滑杆的一端,克氏针穿过所述套筒并通过克氏针调节锁紧螺栓进行调节固定。Further, the Kirschner wire clamping device includes a sleeve and a Kirschner wire adjustment locking bolt, the side of the sleeve is connected to one end of the left and right slide bars, and the Kirschner wire passes through the sleeve and is adjusted and locked by the Kirschner wire. Screws are adjusted and fixed.
进一步的,所述克氏针夹紧装置包括V型夹紧槽装置和克氏针调节锁紧螺母,左右滑杆的一端设有与所述克氏针调节锁紧螺母相配合的外螺纹,左右滑杆穿过所述V型夹紧槽装置并通过克氏针调节锁紧螺母夹紧克氏针。Further, the Kirschner wire clamping device includes a V-shaped clamping groove device and a Kirschner wire adjustment lock nut, and one end of the left and right slide rods is provided with an external thread matched with the Kirschner wire adjustment lock nut, The left and right sliding rods pass through the V-shaped clamping groove device and clamp the Kirschner wire through the Kirschner wire adjusting lock nut.
本实用新型的有益效果在于:本实用新型具有无极位置和任意角度的调节,可以进行微调,成功克服外固定架中的上下固定化的孔位盲区,克服后续克氏针与上下固定环不平行的问题,可实现克氏针四自由度的调节固定,是克氏针能以任意角度和位置插入骨组织,提高临床骨折复位的准确性和安全性,而且减轻临床医生的手术强度,大大提升了手术的成功率。The beneficial effect of the utility model is that: the utility model has infinite position and arbitrary angle adjustment, can be fine-tuned, and successfully overcomes the blind spot of the upper and lower fixed holes in the external fixator, and overcomes that the subsequent Kirschner wires are not parallel to the upper and lower fixing rings It can realize the adjustment and fixation of four degrees of freedom of the Kirschner wire, so that the Kirschner wire can be inserted into the bone tissue at any angle and position, which improves the accuracy and safety of clinical fracture reduction, and reduces the operation intensity of clinicians, greatly improving the success rate of surgery.
附图说明Description of drawings
图1是本实用新型一种可以多方向多角度调节的外固定架穿针夹具实施例一的结构示意图。Fig. 1 is a structural schematic diagram of Embodiment 1 of an external fixator threading jig that can be adjusted in multiple directions and angles according to the present invention.
图2是本实用新型一种可以多方向多角度调节的外固定架穿针夹具实施例二的结构示意图。Fig. 2 is a structural schematic diagram of Embodiment 2 of an external fixator threading jig that can be adjusted in multiple directions and angles according to the present invention.
图3是现有技术中泰勒架装置及穿针夹具组成示意图。Fig. 3 is a schematic diagram of the composition of the Taylor frame device and the needle threading jig in the prior art.
图4是下固定环与实施例一、实施例二装配组成示意图。Fig. 4 is a schematic diagram of the assembly composition of the lower fixing ring with Embodiment 1 and Embodiment 2.
图中,1-传统穿针夹具、2-克氏针、3-连杆、4-下固定环、5-上固定环、6-上下滑杆、7-上下滑块、8-左右滑杆、9-上下滑块调节锁紧螺栓、10-左右滑杆调节固定螺栓、11-上下滑杆调节锁紧螺栓、12-套筒、13-克氏针调节锁紧螺栓、14-V型夹紧槽装置、15-克氏针调节锁紧螺母。In the figure, 1-traditional needle threading fixture, 2-Kirschner wire, 3-connecting rod, 4-lower fixing ring, 5-upper fixing ring, 6-up and down sliding rod, 7-up and down sliding slider, 8-left and right sliding rod , 9-up and down slider adjustment locking bolts, 10-left and right slider adjustment fixing bolts, 11-up and down slider adjustment locking bolts, 12-sleeve, 13-Kirschner wire adjustment locking bolts, 14-V-shaped clamp Tight groove device, 15-K-wire adjustment lock nut.
具体实施方式Detailed ways
下面结合附图对本实用新型作进一步说明:Below in conjunction with accompanying drawing, the utility model is further described:
如图3所示,现有技术中泰勒架装置及穿针夹具包括传统穿针夹具1、连杆3、下固定环4和上固定环5,下固定环4和上固定环5通过六根并联的连杆3连接,传统穿针夹具1固定在上固定环4和下固定环5上,克氏针2固定在传统穿针夹具1上。As shown in Figure 3, the Taylor frame device and the needle threading fixture in the prior art include a traditional needle threading fixture 1, a connecting rod 3, a lower fixing ring 4 and an upper fixing ring 5, and the lower fixing ring 4 and the upper fixing ring 5 are connected in parallel through six The connecting rod 3 is connected, the traditional needle threading fixture 1 is fixed on the upper fixing ring 4 and the lower fixing ring 5, and the Kirschner wire 2 is fixed on the traditional needle threading fixture 1.
实施例一:Embodiment one:
如图1所示,一种可以多方向多角度调节的外固定架穿针夹具,包括上下滑杆6、上下滑块7、左右滑杆8和克氏针夹紧装置,所述上下滑杆6为横截面为正方形的长方体滑杆,所述上下滑杆6上设有垂直于横截面方向并贯穿上下滑杆6的螺纹孔,所述上下滑杆6底部通过上下滑杆调节锁紧螺栓11固定在外固定架上,所述上下滑杆6可以通过上下滑杆调节锁紧螺栓11调节所述上下滑杆6相对于外固定架的角度;所述上下滑块7套装在所述上下滑杆6上并能沿着上下滑杆6上下滑动;所述上下滑块7上设有水平风向上的两个相互正交的通孔,所述左右滑杆8穿过其中一个通孔,所述另一个通孔的两端分别设有用于固定左右滑杆8的左右滑杆调节固定螺栓10和用于将上下滑块7固定在上下滑杆6上的上下滑块调节锁紧螺栓9。As shown in Figure 1, a needle threading jig for an external fixator that can be adjusted in multiple directions and angles includes an up and down slide bar 6, an up and down slide bar 7, a left and right slide bar 8 and a Kirschner wire clamping device, the up and down slide bar 6 is a rectangular parallelepiped slide bar with a square cross section. The upper and lower slide bar 6 is provided with a threaded hole perpendicular to the direction of the cross section and passing through the upper and lower slide bar 6. The bottom of the upper and lower slide bar 6 adjusts the locking bolt through the upper and lower slide bar. 11 is fixed on the external fixing frame, and the up and down sliding rod 6 can adjust the angle of the up and down sliding rod 6 relative to the external fixing frame by adjusting the locking bolt 11; the up and down sliding slider 7 is set on the up and down sliding on the rod 6 and can slide up and down along the upper and lower sliding rods 6; the upper and lower sliders 7 are provided with two mutually orthogonal through holes in the horizontal wind direction, and the left and right sliding rods 8 pass through one of the through holes, so The two ends of another through hole are respectively provided with the left and right slide bar adjustment fixing bolts 10 for fixing the left and right slide bars 8 and the up and down slide adjustment locking bolts 9 for fixing the up and down slide bars 7 on the up and down slide bars 6 .
所述克氏针夹紧装置包括套筒12和克氏针调节锁紧螺栓13,套筒12侧面连接左右滑杆8的一端,克氏针2穿过所述套筒12并通过克氏针调节锁紧螺栓13进行调节固定。The Kirschner wire clamping device includes a sleeve 12 and a Kirschner wire adjusting locking bolt 13, the side of the sleeve 12 is connected to one end of the left and right slide bars 8, and the Kirschner wire 2 passes through the sleeve 12 and passes through the Kirschner wire Adjust the locking bolt 13 to adjust and fix.
实施例二:Embodiment two:
如图2所述,一种可以多方向多角度调节的外固定架穿针夹具,包括上下滑杆6、上下滑块7、左右滑杆8和克氏针夹紧装置,所述上下滑杆6为横截面为正方形的长方体滑杆,所述上下滑杆6上设有垂直于横截面方向并贯穿上下滑杆6的螺纹孔,所述上下滑杆6底部通过上下滑杆调节锁紧螺栓11固定在外固定架上,所述上下滑杆6可以通过上下滑杆调节锁紧螺栓11调节所述上下滑杆6相对于外固定架的角度;所述上下滑块7套装在所述上下滑杆6上并能沿着上下滑杆6上下滑动;所述上下滑块7上设有水平风向上的两个相互正交的通孔,所述左右滑杆8穿过其中一个通孔,所述另一个通孔的两端分别设有用于固定左右滑杆8的左右滑杆调节固定螺栓10和用于将上下滑块7固定在上下滑杆6上的上下滑块调节锁紧螺栓9。As shown in Figure 2, a needle threading fixture for an external fixator that can be adjusted in multiple directions and angles includes an up and down slide bar 6, an up and down slide bar 7, a left and right slide bar 8 and a Kirschner wire clamping device, the up and down slide bar 6 is a rectangular parallelepiped slide bar with a square cross section. The upper and lower slide bar 6 is provided with a threaded hole perpendicular to the direction of the cross section and passing through the upper and lower slide bar 6. The bottom of the upper and lower slide bar 6 adjusts the locking bolt through the upper and lower slide bar. 11 is fixed on the external fixing frame, and the up and down sliding rod 6 can adjust the angle of the up and down sliding rod 6 relative to the external fixing frame by adjusting the locking bolt 11; the up and down sliding slider 7 is set on the up and down sliding on the rod 6 and can slide up and down along the upper and lower sliding rods 6; the upper and lower sliders 7 are provided with two mutually orthogonal through holes in the horizontal wind direction, and the left and right sliding rods 8 pass through one of the through holes, so The two ends of another through hole are respectively provided with the left and right slide bar adjustment fixing bolts 10 for fixing the left and right slide bars 8 and the up and down slide adjustment locking bolts 9 for fixing the up and down slide bars 7 on the up and down slide bars 6 .
所述克氏针夹紧装置包括V型夹紧槽装置14和克氏针调节锁紧螺母15,左右滑杆8的一端设有与所述克氏针调节锁紧螺母15相配合的外螺纹,左右滑杆8穿过所述V型夹紧槽装置14并通过克氏针调节锁紧螺母15夹紧克氏针2。The Kirschner wire clamping device includes a V-shaped clamping groove device 14 and a Kirschner wire adjustment lock nut 15, and one end of the left and right slide bars 8 is provided with an external thread matched with the Kirschner wire adjustment lock nut 15 , the left and right sliding rods 8 pass through the V-shaped clamping groove device 14 and clamp the Kirschner wire 2 through the Kirschner wire adjusting lock nut 15 .
在具体装夹的过程中,通过调节上下滑块调节锁紧螺栓9调整上下滑块7相对于上下滑杆的位置,使得克氏针2能够进行上下方向的移动;通过调节左右滑杆调节固定螺栓10调整左右滑块8相对于上下滑块的位置,使得克氏针2能够进行水平方向上的移动;通过调节上下滑杆调节锁紧螺栓11调整上下滑杆6相对于外固定架的位置,使得克氏针2能够进行水平方向上的转动;在调整的过程中,通过适当的调整能够进行相关元件的位置或角度的调节,实现克氏针位置的无极调节和任意角度的调节。During the specific clamping process, adjust the position of the upper and lower sliders 7 relative to the upper and lower sliders by adjusting the locking bolt 9, so that the Kirschner wire 2 can move in the up and down direction; The bolt 10 adjusts the position of the left and right sliders 8 relative to the upper and lower sliders, so that the Kirschner wire 2 can move in the horizontal direction; adjust the locking bolt 11 to adjust the position of the upper and lower sliders 6 relative to the external fixation frame by adjusting the upper and lower sliders , so that the Kirschner wire 2 can rotate in the horizontal direction; in the process of adjustment, the position or angle of related components can be adjusted through proper adjustment, and the infinite adjustment of the position of the Kirschner wire and the adjustment of any angle can be realized.
上述实施例只是本实用新型的较佳实施例,并不是对本实用新型技术方案的限制,只要是不经过创造性劳动即可在上述实施例的基础上实现的技术方案,均应视为落入本实用新型专利的权利保护范围内。The above-described embodiments are only preferred embodiments of the present utility model, and are not limitations to the technical solutions of the present utility model. As long as the technical solutions that can be realized on the basis of the above-mentioned embodiments without creative work, all should be regarded as falling into the scope of this invention. within the protection scope of utility model patents.
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CN104814779A (en) * | 2015-05-07 | 2015-08-05 | 浙江工业大学 | External fixation device needle threading fixture capable of being adjusted in multiple directions and at multiple angles |
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2015
- 2015-05-07 CN CN201520292107.8U patent/CN204744365U/en not_active Expired - Lifetime
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CN104814779A (en) * | 2015-05-07 | 2015-08-05 | 浙江工业大学 | External fixation device needle threading fixture capable of being adjusted in multiple directions and at multiple angles |
CN104814779B (en) * | 2015-05-07 | 2017-01-18 | 浙江工业大学 | External fixation device needle threading fixture capable of being adjusted in multiple directions and at multiple angles |
CN106037905A (en) * | 2016-06-27 | 2016-10-26 | 重庆富沃思医疗器械有限公司 | Skull fixing sleeve assembly for adjustable fixing brace |
CN109730730A (en) * | 2019-03-18 | 2019-05-10 | 谢红波 | A kind of novel children ophthalmic adjustable type eye speculum |
CN111956311A (en) * | 2020-08-14 | 2020-11-20 | 中国人民解放军联勤保障部队第九二0医院 | Bridge type external fixing system for fracture reduction |
CN111956311B (en) * | 2020-08-14 | 2022-06-28 | 中国人民解放军联勤保障部队第九二〇医院 | Bridge type external fixing system for fracture reduction |
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