CN206355129U - It is a kind of can be with the hollow screw screwdriver of fixation guide pin - Google Patents
It is a kind of can be with the hollow screw screwdriver of fixation guide pin Download PDFInfo
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Abstract
一种可以固定导针的空心螺钉改锥,属于骨科医疗器械技术领域,用于防止导针转动并随空心螺钉前移。其技术方案是:改锥柄为由手柄和底座组成的两体结构,底座位于手柄的后部,底座上端有套管,套管的下端与底座的导针孔相连接,手柄下端面有沿着导针孔轴线的套管孔,套管孔的内径与套管的外径相匹配,底座的套管沿着手柄下端的套管孔插入手柄中,套管的内径与底座和手柄的导针孔内径相匹配,在底座的侧面有顶紧螺孔,顶紧螺栓穿过顶紧螺孔与导针孔中的导针顶紧。本实用新型在空心螺钉旋进时,导针不会随之前进,避免了导针向前穿破股骨头并破坏关节面,甚至会穿入盆腔的事故发生。本实用新型结构简单、使用方便,保证了手术安全,提高了手术质量。
A hollow screw driver capable of fixing a guide pin belongs to the technical field of orthopedic medical devices and is used for preventing the guide pin from rotating and moving forward with the hollow screw. The technical solution is: the screwdriver handle is a two-body structure consisting of a handle and a base, the base is located at the rear of the handle, the upper end of the base has a sleeve, the lower end of the sleeve is connected with the guide pin hole of the base, and the lower end of the handle has a The bushing hole of the axis of the guide pin hole, the inner diameter of the bushing hole matches the outer diameter of the bushing, the bushing of the base is inserted into the handle along the bushing hole at the lower end of the handle, the inner diameter of the bushing matches the guide pins of the base and the handle The inner diameters of the holes are matched, and there are jacking screw holes on the side of the base, and the jacking bolts pass through the jacking screw holes and are tightened with the guide pins in the guide pin holes. In the utility model, when the hollow screw is screwed in, the guide pin will not advance accordingly, which avoids the accident that the guide pin penetrates the femoral head forward and destroys the articular surface, and even penetrates into the pelvic cavity. The utility model has the advantages of simple structure and convenient use, which ensures operation safety and improves operation quality.
Description
技术领域technical field
本实用新型涉及一种固定治疗股骨颈骨折的导针的空心螺钉改锥,属于骨科医疗器械技术领域。The utility model relates to a hollow screw screwdriver for fixing a guide pin for treating femoral neck fracture, which belongs to the technical field of orthopedic medical instruments.
背景技术Background technique
随着人口老龄化,罹患股骨颈骨折的病人不断增加,闭合复位空心螺钉治疗股骨颈骨折的手术方法有创伤小、避免关节置换等优点。在传统的治疗股骨颈骨折的手术操作方法中,先置入导针后置入空心螺钉,由于导针直径略小于空心钉内径,空心螺钉沿导针前进时导针应该不会移动。然而,实际手术过程中,由于骨组织的嵌入,使导针和空心螺钉之间的摩擦力大增,造成导针跟随空心螺钉和改锥一起向前移动的情况时有发生。由于空心螺钉要到达到的部位离股骨头关节面很近,这时处在空心螺钉前部且随空心螺钉一起前移的导针就会穿破股骨头并破坏关节面,甚至会穿入盆腔,造成手术事故和引起严重并发症。因此如何防止在置入空心螺钉时导针随之移动是治疗股骨颈骨折手术中需要解决的重要课题。With the aging of the population, the number of patients suffering from femoral neck fractures continues to increase. The surgical method of closed reduction and cannulated screws for the treatment of femoral neck fractures has the advantages of less trauma and avoiding joint replacement. In the traditional operation method for the treatment of femoral neck fracture, the guide pin is inserted first and then the hollow screw is inserted. Since the diameter of the guide pin is slightly smaller than the inner diameter of the hollow screw, the guide pin should not move when the hollow screw advances along the guide pin. However, in the actual operation process, due to the embedding of bone tissue, the friction between the guide pin and the hollow screw is greatly increased, causing the guide pin to move forward with the hollow screw and the screwdriver from time to time. Since the part to be reached by the cannulated screw is very close to the articular surface of the femoral head, the guide pin that is at the front of the cannulated screw and moves forward together with the cannulated screw will penetrate the femoral head and destroy the articular surface, and even penetrate into the pelvic cavity , causing surgical accidents and serious complications. Therefore, how to prevent the guide pin from moving when the hollow screw is placed is an important issue to be solved in the treatment of femoral neck fractures.
实用新型内容Utility model content
本实用新型所要解决的技术问题是提供一种可以固定导针的空心螺钉改锥这种空心螺钉改锥可以在不影响常规置入空心螺钉操作的基础上,固定导针末端,实现空心螺钉相对于导针持续的匀速前进,同时保持导针在股骨头内的相对静止。The technical problem to be solved by the utility model is to provide a hollow screw screwdriver that can fix the guide pin. This hollow screw screwdriver can fix the end of the guide pin without affecting the conventional operation of inserting the hollow screw, so that the hollow screw can be fixed relative to the guide pin. The needle continues to advance at a constant speed while keeping the guide wire relatively still within the femoral head.
解决上述技术问题的技术方案是:The technical scheme that solves the above-mentioned technical problem is:
一种可以固定导针的空心螺钉改锥,它包括改锥杆、改锥柄,改锥柄连接在改锥杆的后端,沿着改锥杆和改锥柄的中央轴线有导针通过的导针孔,其改进之处是,改锥柄为由手柄和底座组成的两体结构,底座位于手柄的后部,底座上端有套管,套管的下端与底座的导针孔相连接,手柄下端面有沿着导针孔轴线的套管孔,套管孔的内径与底座的套管的外径相匹配,底座的套管沿着手柄下端的套管孔插入手柄中,套管的内径与底座和手柄的导针孔内径相匹配,在底座的侧面有顶紧螺孔,顶紧螺孔与底座中的导针孔侧壁相连通,顶紧螺栓穿过顶紧螺孔与导针孔中的导针顶紧。A hollow screwdriver capable of fixing a guide pin, which includes a screwdriver shaft and a screwdriver handle, the screwdriver handle is connected to the rear end of the screwdriver rod, along the central axis of the screwdriver rod and the screwdriver handle, there is a guide pin hole through which the guide pin passes, and its improvement The difference is that the screwdriver handle is a two-body structure consisting of a handle and a base. The base is located at the rear of the handle. There is a sleeve at the upper end of the base. The lower end of the sleeve is connected with the guide pin hole of the base. The sleeve hole of the pinhole axis, the inner diameter of the sleeve hole matches the outer diameter of the sleeve of the base, the sleeve of the base is inserted into the handle along the sleeve hole at the lower end of the handle, the inner diameter of the sleeve matches the guide of the base and the handle The inner diameter of the pinhole matches, and there is a jacking screw hole on the side of the base. The jacking screw hole is connected with the side wall of the guide pin hole in the base. The jacking bolt passes through the jacking screw hole and the guide pin top tight.
上述可以固定导针的空心螺钉改锥,所述底座的套管外壁和手柄的套管孔内壁均为光滑的表面,底座的套管外壁与手柄的套管孔内壁与为滑动配合。The hollow screwdriver capable of fixing the guide pin, the outer wall of the sleeve of the base and the inner wall of the sleeve hole of the handle are both smooth surfaces, and the outer wall of the sleeve of the base and the inner wall of the sleeve hole of the handle are in sliding fit.
上述可以固定导针的空心螺钉改锥,所述底座的套管外壁和手柄的套管孔内壁上分别有螺纹,底座的套管外壁螺纹与手柄的套管孔内壁螺纹相配合。The above-mentioned hollow screw driver capable of fixing the guide pin has threads respectively on the outer wall of the casing of the base and the inner wall of the casing hole of the handle, and the threads of the outer wall of the casing of the base match the threads of the inner wall of the casing hole of the handle.
上述可以固定导针的空心螺钉改锥,所述底座的一侧有安装把手的连接孔,把手的一端插入到连接孔中,把手与连接孔为可拆卸连接。The above-mentioned hollow screwdriver capable of fixing a guide pin has a connection hole for installing a handle on one side of the base, and one end of the handle is inserted into the connection hole, and the handle and the connection hole are detachably connected.
上述可以固定导针的空心螺钉改锥,导针的下部圆柱体加工为两个相对的平行平面,导针下部的平面与底座的顶紧螺孔相对,顶紧螺栓穿过顶紧螺孔顶在导针下部的平面上。The above-mentioned hollow screw driver that can fix the guide pin, the lower cylinder of the guide pin is processed into two opposite parallel planes, the plane of the lower part of the guide pin is opposite to the tightening screw hole of the base, and the tightening bolt passes through the tightening screw hole and rests on the on the plane below the guide pin.
本实用新型的有益效果是:The beneficial effects of the utility model are:
本实用新型将改锥柄改为两体结构,改锥柄上部的手柄依旧可以空心螺钉进行置入操作,改锥柄下部的底座可以对导针进行固定,防止导针转动,这样在空心螺钉旋进时,导针就不会随之前进,避免了导针向前穿破股骨头并破坏关节面,甚至会穿入盆腔的事故发生。本实用新型结构简单、使用方便,可以在置入空心螺钉过程中防止导针随着前进,避免造成手术事故和引起并发症,解决了股骨颈骨折空心螺钉固定手术中这一项比较常见的现象,可以保证手术的安全,并为提高手术质量提供了可靠的保障。The utility model changes the screwdriver handle into a two-body structure, the handle at the upper part of the screwdriver handle can still be inserted into the hollow screw, and the base at the lower part of the screwdriver handle can fix the guide pin to prevent the guide pin from rotating, so that when the hollow screw is screwed in , the guide pin will not advance accordingly, avoiding the accident that the guide pin penetrates the femoral head forward and destroys the articular surface, and even penetrates into the pelvic cavity. The utility model has the advantages of simple structure and convenient use, which can prevent the guide needle from advancing along with the hollow screw, avoid operation accidents and complications, and solve the relatively common phenomenon in the hollow screw fixation operation of the femoral neck fracture. , can guarantee the safety of the operation, and provide a reliable guarantee for improving the quality of the operation.
附图说明Description of drawings
图1是本实用新型的结构示意图;Fig. 1 is a structural representation of the utility model;
图2是本实用新型的另一种结构示意图;Fig. 2 is another kind of structural representation of the utility model;
图3是本实用新型的使用状态示意图。Fig. 3 is a schematic diagram of the use state of the utility model.
图中标记如下:改锥杆1、导针孔2、手柄3、底座4、套管5、套管孔6、顶紧螺孔7、顶紧螺栓8、连接孔9、把手10、导针11、空心螺钉12。The markings in the figure are as follows: Screwdriver rod 1, Guide pin hole 2, Handle 3, Base 4, Sleeve 5, Sleeve hole 6, Jacking screw hole 7, Jacking bolt 8, Connection hole 9, Handle 10, Guide pin 11 , hollow screw 12.
具体实施方式detailed description
本实用新型包括改锥杆1和改锥柄,改锥柄连接在改锥杆1的后端,沿着改锥杆1和改锥柄的中央轴线有导针11通过的导针孔2,这种结构与现有技术无异。本实用新型的改进之处是将改锥柄改为两体结构,前部的手柄3依然完成向前置入空心螺钉12的操作,后部的底座4实现对导针11的固定,防止导针11发生转动。The utility model comprises a screwdriver rod 1 and a screwdriver handle, the screwdriver handle is connected to the rear end of the screwdriver rod 1, along the central axis of the screwdriver rod 1 and the screwdriver handle, there is a guide pin hole 2 through which a guide pin 11 passes. This structure is different from the existing Technology is no different. The improvement of the utility model is that the screwdriver handle is changed into a two-body structure, the handle 3 at the front still completes the operation of inserting the hollow screw 12 forward, and the base 4 at the rear realizes the fixing of the guide pin 11 to prevent the guide pin 11 turns.
图中显示,改锥柄为由手柄3和底座4组成的两体结构。底座4位于手柄3的后部,底座4上端有套管5,套管5的下端与底座4的导针孔2相连接。与此相对应的是,手柄3下端面有沿着导针孔2轴线的套管孔6,套管孔6的内径与套管5的外径相匹配,套管5沿着手柄3下端的套管孔6插入手柄3中,套管5可以在套管孔6中转动,套管5的内径与底座4和手柄3的导针孔2内径相匹配。As shown in the figure, the screwdriver handle is a two-body structure consisting of a handle 3 and a base 4 . The base 4 is located at the rear of the handle 3 , the upper end of the base 4 has a sleeve 5 , and the lower end of the sleeve 5 is connected with the guide pin hole 2 of the base 4 . Correspondingly, the lower end surface of the handle 3 has a sleeve hole 6 along the axis of the guide needle hole 2, the inner diameter of the sleeve hole 6 matches the outer diameter of the sleeve 5, and the sleeve 5 is along the lower end of the handle 3. The casing hole 6 is inserted into the handle 3 , the casing 5 can rotate in the casing hole 6 , and the inner diameter of the casing 5 matches the inner diameter of the guide pin hole 2 of the base 4 and the handle 3 .
图中显示,底座4的套管5和手柄3的套管孔6的一种配合结构是,套管5外壁和套管孔6内壁均为光滑的表面,套管5外壁与套管孔6内壁与为滑动配合。这种结构的手柄3在转动时无约束,操作者可以根据自己感觉对手柄3前端连接改锥杆1施加压力。As shown in the figure, a matching structure of the sleeve 5 of the base 4 and the sleeve hole 6 of the handle 3 is that the outer wall of the sleeve 5 and the inner wall of the sleeve hole 6 are smooth surfaces, and the outer wall of the sleeve 5 and the sleeve hole 6 are smooth. The inner wall is a sliding fit. The handle 3 of this structure has no restriction when rotating, and the operator can exert pressure on the front end of the handle 3 connected to the screwdriver rod 1 according to his own feeling.
图中显示,底座4的套管5和手柄3的套管孔6的另一种配合结构是,套管5外壁和套管孔6内壁上分别有螺纹,套管5外壁螺纹与套管孔6内壁螺纹相配合。这种结构的手柄3在转动时受到套管5和套管孔6的螺纹约束,被强制向前移动,得到更好地前进效果。As shown in the figure, another matching structure of the casing 5 of the base 4 and the casing hole 6 of the handle 3 is that the outer wall of the casing 5 and the inner wall of the casing hole 6 have threads respectively, and the threads of the outer wall of the casing 5 are connected with the casing hole. 6 inner wall threads match. The handle 3 of this structure is constrained by the threads of the sleeve 5 and the sleeve hole 6 when rotating, and is forced to move forward to obtain a better forward effect.
图中显示,为了实现底座4对导针11的固定,防止导针11发生转动,在底座4的侧面有顶紧螺孔7,顶紧螺孔7与底座4中的导针孔2侧壁相连通,顶紧螺栓8穿过顶紧螺孔7与导针孔2中的导针11顶紧。As shown in the figure, in order to realize the fixation of the base 4 to the guide pin 11 and prevent the guide pin 11 from rotating, there is a tightening screw hole 7 on the side of the base 4, and the tightening screw hole 7 is connected to the side wall of the guide pin hole 2 in the base 4 Connected, the tightening bolt 8 passes through the tightening screw hole 7 and tightens with the guide pin 11 in the guide pin hole 2 .
为了使顶紧螺栓8能牢固顶紧导针11,可以将导针11的下部圆柱体加工为两个相对的平行平面,导针11下部的平面与底座4的顶紧螺孔7相对,顶紧螺栓8穿过顶紧螺孔7顶在导针11下部的平面上。In order to make the tightening bolt 8 firmly tighten the guide pin 11, the lower cylinder of the guide pin 11 can be processed into two opposite parallel planes, the plane of the lower part of the guide pin 11 is opposite to the tightening screw hole 7 of the base 4, and The tightening bolt 8 passes through the tightening screw hole 7 and pushes against the plane of the guide pin 11 bottom.
图中显示,为了防止底座4与导针11一起转动,在底座4的一侧有安装把手10的连接孔9,把手10的一端插入到连接孔9中,把手10与连接孔9的可拆卸连接,可以是螺纹连接,也可以是把手10的杆体有锥度的插入连接,目的是防止把手10从连接孔9中滑出。使用时,操作者一只手转动手柄3,拧入空心螺钉12,另一只手握住把手10防止底座4随导针11转动,使空心螺钉12顺利前移,此时即使空心螺钉12和导针11间空隙被组织填塞,导针11也不会跟随前进。As shown in the figure, in order to prevent the base 4 from rotating together with the guide pin 11, there is a connecting hole 9 for installing the handle 10 on one side of the base 4, and one end of the handle 10 is inserted into the connecting hole 9, and the handle 10 and the connecting hole 9 are detachable The connection can be a threaded connection, or a tapered plug-in connection of the rod body of the handle 10 , so as to prevent the handle 10 from slipping out of the connecting hole 9 . During use, the operator rotates the handle 3 with one hand to screw in the hollow screw 12, and holds the handle 10 with the other hand to prevent the base 4 from rotating with the guide pin 11, so that the hollow screw 12 can move forward smoothly. The space between the guide pins 11 is filled by tissue, and the guide pins 11 will not follow and advance.
本实用新型在实际使用中不仅仅限于股骨颈骨折的治疗,也可以用于其它部位需要沿着导针11置入空心螺钉12的治疗操作,用于防止导针11转动和随着空心螺钉12一起前移。The utility model is not only limited to the treatment of femoral neck fractures in actual use, but also can be used in other parts that need to be inserted into the hollow screw 12 along the guide pin 11, so as to prevent the guide pin 11 from rotating and follow the hollow screw 12. Move forward together.
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Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN106264703A (en) * | 2016-09-08 | 2017-01-04 | 河北医科大学第三医院 | A kind of can be with the hollow screw screwdriver of fixation guide pin |
CN108784928A (en) * | 2018-07-06 | 2018-11-13 | 北京航空航天大学 | A kind of Novel ophthalmic microsurgical knife remote centre of motion mechanism |
CN113288389A (en) * | 2021-05-14 | 2021-08-24 | 山西医科大学第二医院 | Improved thighbone neck hollow nail screwdriver |
-
2016
- 2016-09-08 CN CN201621043811.0U patent/CN206355129U/en active Active
Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN106264703A (en) * | 2016-09-08 | 2017-01-04 | 河北医科大学第三医院 | A kind of can be with the hollow screw screwdriver of fixation guide pin |
CN108784928A (en) * | 2018-07-06 | 2018-11-13 | 北京航空航天大学 | A kind of Novel ophthalmic microsurgical knife remote centre of motion mechanism |
CN113288389A (en) * | 2021-05-14 | 2021-08-24 | 山西医科大学第二医院 | Improved thighbone neck hollow nail screwdriver |
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