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CN208693412U - The regulating device of active growing rod and active growing rod - Google Patents

The regulating device of active growing rod and active growing rod Download PDF

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Publication number
CN208693412U
CN208693412U CN201721522825.5U CN201721522825U CN208693412U CN 208693412 U CN208693412 U CN 208693412U CN 201721522825 U CN201721522825 U CN 201721522825U CN 208693412 U CN208693412 U CN 208693412U
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CN
China
Prior art keywords
press part
adjusting block
movable rod
active growing
rod
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Active
Application number
CN201721522825.5U
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Chinese (zh)
Inventor
朱晓东
沈建雄
邬春晖
刘吉明
高亚军
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Shandong Weigao Orthopedic Materials Co Ltd
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Shandong Weigao Orthopedic Materials Co Ltd
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Priority to CN201721522825.5U priority Critical patent/CN208693412U/en
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Publication of CN208693412U publication Critical patent/CN208693412U/en
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Abstract

The utility model discloses a kind of regulating device of active growing rod and active growing rods, the regulating device of the active growing rod, including adjusting block, adjustment gear and movable rod, one end of adjusting block and movable rod is slidably connected, keeps movable rod mobile relative to adjusting block, and adjustment gear is rotatably set on adjusting block;Adjusting block be equipped with can elastic reset press part, one end of movable rod is equipped with rack structure, and rack structure cooperates with press part limit and is meshed with adjustment gear;Wherein, when press part in the raw when, press part and rack structure limit cooperate, and move movable rod only along far from the direction of adjusting block;When press part is separated or is staggered with rack structure, movable rod can be moved back and forth relative to adjusting block.The regulating device of active growing rod and active growing rod, patient need to only carry out once mounting operation, and postoperative adjustment is convenient, reduces patient suffering.

Description

The regulating device of active growing rod and active growing rod
Technical field
The utility model relates to the field of medical instrument technology, a kind of regulating device more particularly to active growing rod and Active growing rod.
Background technique
For the patient of congenital scoliosis, need to carry out the crooked radian of backbone before bone growth and development is mature Control influences the development of thorax or even important internal organs otherwise it is possible that their lateral bending degree can become very serious, Even result in death.For lesser extent and conservative therapy can be implemented in the good patient of backbone flexibility method, branch is such as worn Tool etc., but to a big chunk patient, then it needs to carry out operation intervention, reduces or slow down the progress of lateral bending angle, make patient Scoliosis angle development complete before control in a certain range.
Currently used therapeutic method of surgery is to be mainly characterized by being used for there are two circular hole respectively up and down using growth valve Two pitmans up and down are accommodated, and its both ends is respectively provided with one or two plug screws, fixes two pitmans up and down respectively.Upper company The upper end taken over the baton is fixed to some or two centrums of backbone head end by one or more pedicle screw, and lower connection Stick then passes through another or one or two centrum of two pedicle screws fixed to backbone tail end, the fixed vertebra of tail end The selection of body will generally be determined according to the type of lateral bending and position.It, will be upper after growth valve is installed to the concave side of lateral bending radian Lower two pitmans can support spinal curvature segment directly along longitudinal strut.After first operation, due to the growth of patient Development, backbone is elongated, at regular intervals, such as or so half a year, needs re-operation, and the fixation plug screw of side is unclamped, and uses Strutting tool struts upper pitman or lower pitman along longitudinal direction, is then locked again with plug screw.Receive such operation mostly Patient is both less than 14 years old, thus at most need to receive ten several times strut operation, so high-frequency operation is not only to patient Great pain is brought, heavy financial burden is also brought to family numbers of patients.
Realize that distracted growing rod, growing rod are equipped with the motor of magnetic material manufacture by magnetic force there are also a kind of at present, Cardinal principle is that the motor of the application magnetic field excitation growing rod outside patient body rotates, and is converted rotary motion by screw thread For straight line distracting action.Although this kind of growing rod can not perform the operation and realize and strut in vivo, the size of its distracting force is by disease Human posture influences, and is easy to happen the phenomenon that can not strutting, intracorporal magnetic material causes patient that can not receive nuclear magnetic resonance image It checks, simultaneously because equipment is extremely complex and expensive, cannot achieve and be widely applied.
Summary of the invention
Based on this, it is necessary to provide a kind of active growing rod regulating device and active growing rod, be easily installed, after It is continuous when needing to strut growing rod, only growing rod need to can be made outside by the method or rotation adjustment gear that traction position stretches It opens, postoperative adjustment is convenient, reduces patient suffering.
Its technical solution is as follows:
A kind of regulating device of active growing rod, including adjusting block, adjustment gear and movable rod, the adjusting block and institute The one end for stating movable rod is slidably connected, keeps the movable rod mobile relative to the adjusting block, and the adjustment gear can be rotated It is set on the adjusting block;The adjusting block be equipped with can elastic reset press part, one end of the movable rod is equipped with rack gear Structure, the rack structure limit cooperation with the press part and are meshed with the adjustment gear;Wherein, it is compressed when described Part in the raw when, the press part and rack structure limit cooperate, and make the movable rod only along far from described The direction of adjusting block is mobile;When the press part is separated or is staggered with the rack structure, the movable rod can be relative to institute State adjusting block reciprocating movement.
When the regulating device of above-mentioned active growing rod is applied to congenital scoliosis disease treatment, by performing the operation vertebra Pedicle screw is fixed on the backbone of patient according to preset position, and first force makes press part separate or be staggered with rack structure, So that movable rod is contracted to extreme position or predeterminated position, cancel active force, so that press part is automatically reset, press part and rack structure Limit cooperation, moves movable rod only along the direction far from adjusting block, movable rod can be driven to move by rotation adjustment gear It is dynamic;Then adjusting block is fixed by hold-down bars, movable rod or other fixing pieces, at the same adjust movable rod collapsing length, And be fixed on corresponding pedicle of vertebral arch screw and nail on, complete the installation operation of active growing rod;At this point, press part is in nature shape State, press part cooperate with rack structure limit, move movable rod only along the direction far from adjusting block, i.e., can only lead along extending The direction of the length of dynamic formula growing rod stretches;Patient is subsequent when needing to strut active growing rod, only need to be by specifically drawing The method or rotate adjustment gear to drive movable rod mobile that position stretches, make the elongation of the length of active growing rod, with suitable Patient spine is answered to develop needs.When the regulating device of the active growing rod is applied to active growing rod, patient only needs to carry out Once mounting operation, it is subsequent when needing to strut active growing rod, it need to only pass through method that traction position stretches or rotation is adjusted Gear drives movable rod mobile, is flared out active growing rod, repeatedly struts operation without receiving, reduces patient and treat Pain and treatment burden;Simultaneously without using magnetic material, patient is not influenced and receives nuclear magnetic resonance image inspection.
Technical solution is illustrated further below:
The adjusting block is equipped with the first mounting hole in one of the embodiments, and the side wall of first mounting hole is equipped with Limiting slot, the movable rod are equipped with the slide mass being slidably matched with first mounting hole, and the slide mass is equipped with and the limit The guide protrusions that position slot is slidably matched.Adjusting block and movable rod are thus realized by the cooperation of the first mounting hole and slide mass It is slidably connected, while realizing that movable rod is moved along preset glide direction using the cooperation of limiting slot and guide protrusions, it is ensured that institute When stating press part in the raw, the press part and rack structure limit cooperate.
First mounting hole is through-hole, through the setting of the both ends of the adjusting block in one of the embodiments, described Limiting slot is arranged through the side wall of first mounting hole, and the guide protrusions are guide pin, and the slide mass is equipped with installation institute State the connecting hole of guide pin.One end of the guide pin may pass through that limiting slot is mounted on connecting hole, the other end can be limited with limiting slot Position guiding cooperation, moves movable rod in the same direction, avoids being flipped because of external force, press part or rack structure is made to be staggered, Lead to movable rod effect of contraction therapeutic effect.
The adjusting block is equipped with the mounting groove for installing the press part, the installation in one of the embodiments, The side of slot is equipped with the matching hole communicated with first mounting hole, and the slide mass is equipped with the rack structure, described to compress One end of part may pass through the matching hole and the rack structure compresses cooperation, and the adjustment gear passes through the matching hole and institute Rack structure is stated to be meshed.The installation for thus realizing press part and adjustment gear, passes through the limiting tooth of press part and rack structure Compress cooperation, move movable rod only along far from the direction of adjusting block, while utilizing the limit of adjustment gear and rack structure Position tooth is meshed to drive movable rod mobile;Only press part stress, when separating or be staggered with the limiting tooth, the movable rod is It can be moved back and forth relative to adjusting block;Press part is set in mounting groove simultaneously, active growing rod is can avoid and is installed on trouble When in person's body, because contraction of muscle or external force make press part separate or be staggered with limiting tooth, movable rod is caused to shrink and influence Therapeutic effect.
The adjusting block is additionally provided with the first tune of the one side wall setting through the mounting groove in one of the embodiments, Knothole, and first adjustment hole is set to the one side of adjusting block, the press part is equipped with opposite with first adjustment hole The force body answered.It is thus acted on force body convenient for being exerted a force by the first adjustment hole, such as rotates force body or pressing force Body makes press part separate or be staggered with the limiting tooth.
One end of the press part, which is equipped with, in one of the embodiments, compresses cooperation with the limiting tooth of the rack structure Compress tooth, the other end of the press part is equipped with the force body, the rotation centerline of the force body and the press part The extending direction for compressing tooth it is perpendicular.It thus can make press part rotation by rotating force body, be separated with the rack structure, Convenient for controlling force body rotation by the first adjustment hole, keep the structure of adjusting block more compact.
The press part is rotatably set in the mounting groove in one of the embodiments, and the press part with Between the side wall of the mounting groove be equipped with elastic component, the press part by the elastic component can elastic reset be set to the peace In tankage;The Impact direction of the elastic component compresses the reaction force direction that tooth compresses cooperation with limiting tooth and is staggered with described. The elastic component is installed when in mounting groove, can avoid active growing rod and be installed on patient's body, because contraction of muscle or it is external by Power makes elastic component deform, and press part is caused to separate with limiting tooth, and movable rod is made to shrink and influence therapeutic effect;In patient's body It is interior strut active growing rod during, which has a convergent force, makes to compress tooth and limiting tooth cooperation phase Compress, and the Impact direction of the elastic component with compress the reaction force direction that tooth compresses cooperation with limiting tooth and be staggered, can avoid Compressing the reaction force direction that tooth compresses cooperation with limiting tooth makes elastic component that flexible deformation occur and makes press part and limiting tooth point From influencing therapeutic effect.
The elastic component includes first compressing section, second compressing section and be set to described the in one of the embodiments, One compresses section and described second compresses stretch section between section, described first compress section and the side wall of the press part be mutually close to Pressure, described second compresses section is mutually close to compress with the side wall of the mounting groove.Elastic component is set to be reliably mounted at press part and peace Between tankage side wall, it is ensured that the elastic reset of press part is functional.
The technical program also provides a kind of active growing rod, the regulating device including above-mentioned active growing rod, institute Adjusting block is stated equipped with the second adjustment hole, the adjustment gear is equipped with force side corresponding with the adjustment hole, further includes fixing Stick, one end of the hold-down bars are fixedly connected with the adjusting block and match to form extension stem structure with movable rod.
The active growing rod be applied to congenital scoliosis disease treatment when, by operation by pedicle screw according to Preset position is fixed on the backbone of patient, first force make press part and limit part from or be staggered, be contracted to movable rod Extreme position or predeterminated position cancel active force, so that press part is automatically reset, the limit cooperation of press part and limiting section, make activity Stick is only moved along the direction far from adjusting block;Then hold-down bars is fixed on corresponding pedicle of vertebral arch screw to nail on, adjusts movable rod Collapsing length and be fixed on another corresponding pedicle of vertebral arch screw and nail on, complete the installation operation of active growing rod;At this point, In the raw, press part cooperates with limiting section limit, moves movable rod only along the direction far from adjusting block press part, I.e. rotation adjustment gear driving movable rod can only be stretched along the direction for the length for extending active growing rod at this time;The subsequent need of patient When strutting active growing rod, the method that specific traction position stretches is first passed through, the drawing of the length of active growing rod is made It is long, to adapt to patient spine development needs;Such as active growth can not be elongated by specifically drawing the method for position stretching When stick, only need to opening osculum in the drive axle position of adjustment gear, (operation wound is small, can reduce patients surgery cost and operation pain It is bitter), adjustment gear rotation driven to drive movable rod to extend outward by particular tool, become the length of active growing rod It is long, to adapt to patient spine development needs.When the active growing rod is applied to congenital scoliosis disease treatment, patient is only It need to carry out once mounting operation, it is subsequent when needing to strut active growing rod, by method that traction position stretches or it can pass through Opening operation osculum drives the mode of adjustment gear rotation, is flared out active growing rod, reduces patient and treats pain and control Treat burden;Simultaneously without using magnetic material, patient is not influenced and receives nuclear magnetic resonance image inspection.The technical program additionally provides A kind of active growing rod, the regulating device including above-mentioned active growing rod, the movable rod are two, two work Dynamic stick one end is slidably connected to form extension stem structure with the adjusting block both ends respectively;Described in a piece movable rod is one corresponding Press part and an adjustment gear, another movable rod correspond to another press part or/and an adjustment gear.
The active growing rod be applied to congenital scoliosis disease treatment when, by operation by pedicle screw according to Preset position is fixed on the backbone of patient, and first force makes press part separate or be staggered with rack structure, makes two movable rods It is contracted to extreme position or predeterminated position, cancels active force, so that press part is automatically reset, the limit of press part and rack structure is matched It closes, moves movable rod only along the direction far from adjusting block;Then a movable rod is first fixed on corresponding pedicle of vertebral arch screw It nails on, adjusts the collapsing length of the movable rod, so that adjusting block is in predeterminated position (making the more comfortable position of patient), then adjust It is another with movable rod and to be fixed on another corresponding pedicle of vertebral arch screw and nail on, complete the installation operation of active growing rod;This When, in the raw, press part and rack structure limit cooperation make movable rod only along the direction far from adjusting block to press part It is mobile, i.e., it can only be stretched along the direction for the length for extending active growing rod;Patient is subsequent when needing to strut active growing rod, The method that specific traction position stretches is first passed through, the elongation of the length of active growing rod is made, to adapt to patient spine development It needs;Such as can not be by drawing the method for position stretching specifically come when elongating active growing rod, it only need to be in adjustment gear Drive axle position opens osculum (operation wound is small, can reduce patients surgery cost and operation pain), is driven and adjusted by particular tool Gear rotation is saved to drive movable rod to extend outward, makes the length of active growing rod, is needed with adapting to patient spine development It wants.When the active growing rod is applied to congenital scoliosis disease treatment, patient need to only carry out once mounting operation, subsequent When needing to strut active growing rod, adjustment gear rotation can be driven by the method for traction position stretching or by opening operation osculum The mode turned, is flared out active growing rod, reduces patient and treats pain and treatment burden;Simultaneously without using magnetic material Material, does not influence patient and receives nuclear magnetic resonance image inspection.
Detailed description of the invention
Fig. 1 is the structural blast schematic diagram of the regulating device of the active growing rod of the utility model;
Fig. 2 is the assembling schematic diagram of the regulating device of the active growing rod of the utility model;
Fig. 3 is the structural schematic diagram of adjusting block described in the utility model;
Fig. 4 is the structural schematic diagram of movable rod described in the utility model;
Fig. 5 is that the assembly of press part described in the utility model and adjustment gear respectively with rack structure limit cooperation is illustrated Figure;
Fig. 6 is the assembling schematic diagram of press part described in the utility model and rack structure limit cooperation;
Fig. 7 is the structural blast schematic diagram of active growing rod described in the utility model;
Fig. 8 is the assembling schematic diagram of active growing rod described in the utility model.
Description of symbols:
100, adjusting block, the 110, first mounting hole, 120, limiting slot, 130, mounting groove, 132, matching hole, 140, first adjusts Knothole, 150, cover board, the 160, second mounting hole, 170, threaded hole, the 180, second adjustment hole, 200, movable rod, 210, rack gear knot Structure, 212, limiting tooth, 220, slide mass, 221, guide protrusions, 223, connecting hole, 300, press part, 310, force body, 320, support Knob, 400, elastic component, 410, first compresses section, and 420, second compresses section, 430, stretch section, 500, hold-down bars, 600, fixation Part, 700, adjustment gear, 710, force side.
Specific embodiment
It is below in conjunction with attached drawing and specifically real for the purpose of this utility model, technical solution and advantage is more clearly understood Mode is applied, the utility model is described in further detail.It should be understood that the specific embodiments described herein Only to explain the utility model, the protection scope of the utility model is not limited.
It should be noted that it can directly on the other element when element is referred to as " being fixed on " another element Or there may also be elements placed in the middle.When an element is considered as " connection " another element, it, which can be, is directly connected to To another element or it may be simultaneously present centering elements.Term as used herein " vertical ", " horizontal ", " left side ", " right side " and similar statement for illustrative purposes only, are not meant to be the only embodiment, and nisi position Relationship is set, allows to can solve corresponding problem i.e. there are certain error (unavoidably there are certain errors for manufacture and assembly) Can, as long as the design of its utility model belongs to the protection scope of the application as the application.
Unless otherwise defined, all technical and scientific terms used herein are led with the technology for belonging to the utility model The normally understood meaning of the technical staff in domain is identical.Terminology used in the description of the utility model herein only be The purpose of description specific embodiment, it is not intended that in limitation the utility model.Term " and or " used herein packet Include any and all combinations of one or more related listed items.
" first " described in the utility model, " second " do not represent specific quantity and sequence, are only used for title It distinguishes.
As shown in Figure 1, Figure 2, shown in Fig. 5 and Fig. 8, a kind of regulating device of active growing rod described in the utility model, packet Adjusting block 100, adjustment gear 700 and movable rod 200 are included, company is slided in one end of the adjusting block 100 and the movable rod 200 It connects, keep the movable rod 200 mobile relative to the adjusting block 100, the adjustment gear 700 is rotatably set to the tune In locking nub 100;The adjusting block 100 be equipped with can elastic reset press part 300, one end of the movable rod 200 is equipped with rack gear Structure 210, the rack structure 210 limit cooperation with the press part 300 and are meshed with the adjustment gear 700;Its In, when the press part 300 in the raw when, the press part 300 cooperates with the rack structure 210 limit, makes institute Movable rod 200 is stated only to move along the direction far from the adjusting block 100;When the press part 300 and the rack structure 210 separation or when being staggered, the movable rod 200 can be moved back and forth relative to the adjusting block 100.
Referring to shown in Fig. 1, Fig. 2, Fig. 5 and Fig. 8, the regulating device of above-mentioned active growing rod is applied to congenital backbone side When curved disease treatment, pedicle screw is fixed on the backbone of patient according to preset position by performing the operation, first force make to Casting die 300 is separated or is staggered with rack structure 210, and movable rod 200 is made to be contracted to extreme position or predeterminated position, revocation effect Power, so that press part 300 is automatically reset, press part 300 and rack structure 210 limit cooperate, make movable rod 200 only along separate The direction of adjusting block 100 is mobile, can drive movable rod 200 mobile by rotation adjustment gear 700;Then pass through hold-down bars 500, movable rod 200 or other fixing pieces 600 fix adjusting block 100, while adjusting the collapsing length, simultaneously of movable rod 200 It is fixed on corresponding pedicle of vertebral arch screw to nail on, completes the installation operation of active growing rod;At this point, press part 300 is in nature shape State, press part 300 cooperate with the limit of rack structure 210, move movable rod 200 only along the direction far from adjusting block 100, i.e., It can only be stretched along the direction for the length for extending active growing rod;Patient is subsequent when needing to strut active growing rod, need to only lead to Method or the rotation adjustment gear 700 that specific traction position stretches are crossed to drive movable rod 200 mobile, makes active growing rod Length elongation, with adapt to patient spine development needs.The regulating device of the active growing rod is applied to active growth When stick, patient need to only carry out once mounting operation, subsequent when needing to strut active growing rod, need to only pass through traction position and stretch Method or rotation adjustment gear 700 drive movable rod 200 mobile, be flared out active growing rod, it is without receiving more It is secondary to strut operation, it reduces patient and treats pain and treatment burden;Simultaneously without using magnetic material, patient is not influenced and receives nuclear-magnetism Resonate image check.
On the basis of the above embodiments, press part 300 and rack structure 210 compress the reaction force direction of cooperation and support The Impact direction of the elastic reset of casting die 300 is staggered.In patient's body during strutting active growing rod, the lateral bending Backbone has a convergent force, makes to compress tooth 320 and cooperates with rack structure 210 and is pressed against each other the direction for generating reaction force and supports with this The Impact direction of the elastic reset of casting die 300 is staggered, and can avoid compressing tooth 320 and limiting tooth 212 compresses the reaction of cooperation Power direction makes press part 300 separate or be staggered with limiting tooth 212, influences therapeutic effect.In addition, press part 300 and rack structure 210 compress there are many implementations of cooperation, match as one end of press part 300 is compressed with the limiting tooth 212 of the rack structure 210 It closes;Or rack structure 210 is equipped with multiple length directions along movable rod 200 and limiting groove, press part 300 and limiting groove is arranged Limit compresses cooperation.The force mechanism of the press part 300 can also there are many, such as pressing or drawing overturn it or mobile, or Rotation makes it be staggered with rack structure 210.
Referring to shown in Fig. 1, Fig. 3 and Fig. 8, it is shown on the basis of the above embodiments, adjusting block 100 is equipped with the first mounting hole 110, the side wall of the first mounting hole 110 is equipped with limiting slot 120, and movable rod 200 is equipped with the cunning being slidably matched with the first mounting hole 110 Kinetoplast 220, slide mass 220 are equipped with the guide protrusions 221 being slidably matched with limiting slot 120.Thus by the first mounting hole 110 with The cooperation of slide mass 220 realizes being slidably connected for adjusting block 100 and movable rod 200, while utilizing limiting slot 120 and guiding Protrusion 221 cooperation realize movable rod 200 moved along preset glide direction, it is ensured that press part 300 in the raw when, support Casting die 300 and the limit of rack structure 210 cooperate.Further, the first mounting hole 110 is through-hole, through the two of adjusting block 100 End setting, limiting slot 120 are arranged through the side wall of the first mounting hole 110, and guide protrusions 221 are guide pin, and slide mass 220 is equipped with The connecting hole 223 of guide pin is installed.One end of the guide pin may pass through limiting slot 120 be mounted on connecting hole 223, the other end Can cooperate with 120 limition orientation of limiting slot, move movable rod 200 in the same direction, avoid being flipped because of external force, make to Casting die 300 or rack structure 210 are staggered, and lead to 200 effect of contraction therapeutic effect of movable rod.Further, limiting slot 120 is Two and the two sidewalls of the first mounting hole 110 are respectively arranged at, guide pin is installed in connecting hole 223 and the both ends of guide pin Cooperate respectively with two 120 limition orientations of limiting slot, is further ensured that movable rod 200 will not be flipped.First mounting hole 110 cross section is in rectangular adapter, and the cross section of slide mass 220 is adapted with polygonal hole (such as quadrilateral hole, pentagon hole), Make movable rod 200 during mobile relative to adjusting block 100, is not flipped as far as possible, makes press part 300 will not be with tooth The separation of structure 210 is staggered.
Referring to shown in Fig. 1 to Fig. 8, in addition, adjusting block 100 is equipped with the mounting groove 130 for installing press part 300, install The side of slot 130 is equipped with the matching hole 132 communicated with the first mounting hole 110, and slide mass 220 is equipped with rack structure 210, rack gear The one side wall of structure 210 is equipped with the limiting tooth 212 being arranged towards matching hole 132, and limiting tooth 212 is along the length side of slide mass 220 To extension, one end of press part 300 may pass through matching hole 132 and limiting tooth 212 compresses cooperation;Thus by press part 300 with Limiting tooth 212 compresses cooperation, moves movable rod 200 only along the direction far from adjusting block 100;Only press part 300 by Power, when separating or be staggered with limiting tooth 212, which can just move back and forth relative to adjusting block 100;It will compress simultaneously Part 300 is set in mounting groove 130, when can avoid active growing rod and being installed on patient's body, because contraction of muscle or it is external by Power makes press part 300 separate or be staggered with limiting tooth 212, and movable rod 200 is caused to shrink and influence therapeutic effect;In addition the tune Locking nub 100 is additionally provided with the cover board 150 for closing mounting groove 130, convenient for installing press part 300, elastic component in mounting groove 130 400, then mounting groove 130 is closed with cover board 150, it move press part 300 and elastic component 400 will not arbitrarily, internal structure is more It is compact, while so that press part 300 is separated or is staggered with limiting tooth 212 prevented also from contraction of muscle or external force, lead to activity Stick 200 shrinks and influences therapeutic effect.Further, adjusting block 100 is additionally provided with the one side wall setting through mounting groove 130 First adjustment hole 140 (convenient for operation), and the first adjustment hole 140 is set to the one side of adjusting block 100, press part 300 is equipped with Force body 310 corresponding with the first adjustment hole 140.Thus pass through the first adjustment hole convenient for operating parts (such as spanner, handle) 140 act on force body 310 to exert a force, and such as rotate force body 310 or pressing force body 310, make press part 300 and limiting tooth 212 separation are staggered.Further, one end of press part 300, which is equipped with, compresses cooperation with the limiting tooth 212 of rack structure 210 Compress tooth 320, the other end of press part 300 is equipped with force body 310, the rotation centerline and press part 300 of force body 310 The extending direction for compressing tooth 320 it is perpendicular.Thus it can make the rotation of press part 300 and rack gear knot by rotating force body 310 Structure 210 separates, and convenient for controlling the force body 310 rotation by the first adjustment hole 140, steps up the structure of adjusting block 100 more It gathers.The force body 310 is equipped with quadrilateral structure, interior hexagonal structure, outer-hexagonal structure, the interior octagonal shapes such as structure or plum blossom structure Shape rotates convenient for controlling force body 310 by spanner.Similarly, the adjusting block 100 is equipped with the second adjustment hole 180, the tune It saves gear 700 and is equipped with force side 710 corresponding with the adjustment hole, can also drive adjustment gear 700 through the above way Rotation.The limiting tooth 212 with compress tooth 320 tooth form can there are many, such as polygonized structure, including angularly disposed rectangle Tooth, oblique rake tooth etc., or tiltedly " U " font tooth etc..When deserving press part 300 in the raw, limiting tooth 212 and tooth is compressed 320 compress state in engagement.That is, two rows of tooth forms can be arranged along its length in rack structure 210, a toothrow shape with compress The cooperation of part 300, another toothrow shape and adjustment gear 700 cooperate, and specific structure can be a variety of.
Moreover, press part 300 is rotatably set in mounting groove 130, and the side wall of press part 300 and mounting groove 130 it Between be equipped with elastic component 400, press part 300 by elastic component 400 can elastic reset be set in mounting groove 130;Elastic component 400 Impact direction is staggered with the reaction force direction that tooth 320 compresses cooperation with limiting tooth 212 is compressed.The elastic component 400 install in In mounting groove 130, when can avoid active growing rod and being installed on patient's body, because contraction of muscle or external force make elastic component 400 deform, and press part 300 is caused to separate with limiting tooth 212, and movable rod 200 is made to shrink and influence therapeutic effect;Suffering from Person is intracorporal strut active growing rod during, which has a convergent force, makes to compress tooth 320 and limiting tooth 212 cooperations are pressed against each other, and the Impact direction of the elastic component 400 and compress tooth 320 and limiting tooth 212 compresses the reaction force of cooperation Direction is staggered, and can avoid compressing tooth 320 and limiting tooth 212 compresses the reaction force direction of cooperation makes elastic component 400 that bullet occur Property deformation and separate press part 300 with limiting tooth 212, influence therapeutic effect.
The elastic component 400 can obtain in a smaller space the elastic element of larger elastic force for reset spring, plectrum etc..Into One step, shown in Figure 4, elastic component 400 includes first compressing section 410, second compressing section 420 and be set to first and compress Section 410 and second compress stretch section 430 between section 420, first compress section 410 and the side wall of press part 300 be mutually close to Pressure, second compresses section 420 is mutually close to compress with the side wall of mounting groove 130.Elastic component 400 is set to be reliably mounted at press part 300 Between 130 side wall of mounting groove, it is ensured that the elastic reset of press part 300 is functional.
As shown in Figures 7 and 8, the utility model additionally provides a kind of active growing rod, including above-mentioned active life The regulating device of long stick, the adjusting block 100 are equipped with the second adjustment hole 180, and the adjustment gear 700 is equipped with and the adjusting The corresponding force side 710 in hole, further includes hold-down bars 500, one end of the hold-down bars 500 and the fixed company of the adjusting block 100 It connects and matches to form extension stem structure with movable rod 200.
The active growing rod be applied to congenital scoliosis disease treatment when, by operation by pedicle screw according to Preset position is fixed on the backbone of patient, first force make press part 300 and limit part from or be staggered, make movable rod 200 It is contracted to extreme position or predeterminated position, cancels active force, so that press part 300 is automatically reset, press part 300 and limiting section limit Position cooperation, moves movable rod 200 only along the direction far from adjusting block 100;Then hold-down bars 500 is fixed on corresponding Pedicle of vertebral arch screw nails on, and adjusts the collapsing length of movable rod 200 and is fixed on another corresponding pedicle of vertebral arch screw and nails on, completes master The installation of dynamic formula growing rod is performed the operation;At this point, press part 300 is in the raw, press part 300 cooperates with limiting section limit, makes Movable rod 200 is only moved along the direction far from adjusting block 100, i.e., rotation adjustment gear 700 drives movable rod 200 can only at this time It is stretched along the direction for the length for extending active growing rod;Patient is subsequent when needing to strut active growing rod, first passes through specific Traction position stretch method, make the elongation of the length of active growing rod, with adapt to patient spine development needs;Such as can not It, only need to be in the driving axle position of adjustment gear 700 by drawing the method for position stretching specifically come when elongating active growing rod It sets out osculum (operation wound is small, can reduce patients surgery cost and operation pain), adjustment gear 700 is driven by particular tool It rotates to drive movable rod 200 to extend outward, makes the length of active growing rod, to adapt to patient spine development needs. When the active growing rod is applied to congenital scoliosis disease treatment, patient need to only carry out once mounting operation, subsequent need When strutting active growing rod, adjustment gear 700 can be driven by the method for traction position stretching or by opening operation osculum The mode of rotation is flared out active growing rod, reduces patient and treats pain and treatment burden;Simultaneously without using magnetic Material does not influence patient and receives nuclear magnetic resonance image inspection.
It should be noted that adjusting block 100 and hold-down bars 500 are fixedly connected with mode, non-removable fixation can be Connection type, such as welding, integrated molding are fixed, riveting;The fixed form that may be a detachable connection, such as socket, buckle Cooperation is fixed, is threadedly coupled etc..Specifically, as shown in Figures 5 and 6, adjusting block 100 is additionally provided with for installing hold-down bars 500 Second mounting hole 160, through the second mounting hole 160 side wall threaded hole 170 and consolidate with what threaded hole 170 was threadedly engaged Determine part 600, one end of fixing piece 600 may pass through threaded hole 170, offset with hold-down bars 500.And then realize adjusting block 100 with Hold-down bars 500 is detachably fixed connection, can install varying strength and size hold-down bars 500 as needed, each to adapt to Kind operation requires.Hold-down bars 500 can be rotated relative to adjusting block 100, be fixed again.Further, the knot cylindrical of hold-down bars 500 Structure, the second mounting hole 160 are cylindrical hole.Thus it is convenient for when installing hold-down bars 500, because of hold-down bars 500 and the second mounting hole 160 rotatable cooperations, enable the still angle rotatable after hold-down bars 500 is fixed on pedicle screw tail cap of adjusting block 100, make Adjusting block 100 and movable rod 200 are preferably mounted on patient.The fixing piece 600 be bolt, screw or screw of autotomying, It is preferred that using autotomy screw or hexagon socket head cap screw.
The utility model additionally provides a kind of active growing rod, the regulating device including above-mentioned active growing rod, The movable rod 200 is two, and two described 200 one end of movable rod are slidably connected to be formed with 100 both ends of adjusting block respectively Extension stem structure;A piece corresponding press part 300 of the movable rod 200 and an adjustment gear 700, it is another Another corresponding press part 300 of movable rod 200 described in root or/and an adjustment gear 700.
The active growing rod be applied to congenital scoliosis disease treatment when, by operation by pedicle screw according to Preset position is fixed on the backbone of patient, and first force makes press part 300 separate or be staggered with rack structure 210, makes two Movable rod 200 is contracted to extreme position or predeterminated position, cancels active force, so that press part 300 is automatically reset, press part 300 with The limit cooperation of rack structure 210, moves movable rod 200 only along the direction far from adjusting block 100;Then first by an activity Stick 200 is fixed on corresponding pedicle of vertebral arch screw and nails on, and adjusts the collapsing length of the movable rod 200, and adjusting block 100 is made to be in default position It sets and (makes the more comfortable position of patient), then adjust and another with movable rod 200 and be fixed on another corresponding pedicle screw On, complete the installation operation of active growing rod;At this point, press part 300 is in the raw, press part 300 and rack structure 210 limit cooperations move movable rod 200 only along the direction far from adjusting block 100, i.e., can only be along the active growing rod of extension Length direction stretch;Patient is subsequent when needing to strut active growing rod, first passes through the side that specific traction position stretches Method makes the elongation of the length of active growing rod, to adapt to patient spine development needs;It such as can not be by specifically drawing position The method of stretching only need to open osculum (operation wound in the drive axle position of adjustment gear 700 come when elongating active growing rod It is small, can reduce patients surgery cost and operation pain), drive the rotation of adjustment gear 700 to drive movable rod by particular tool 200 extend outward, make the length of active growing rod, to adapt to patient spine development needs.The active growing rod is answered When for congenital scoliosis disease treatment, patient need to only carry out once mounting operation, subsequent to need to strut active growth When stick, it can make actively the method for traction position stretching or in such a way that opening operation osculum drives 700 rotation of adjustment gear Formula growing rod is flared out, and is reduced patient and is treated pain and treatment burden;Simultaneously without using magnetic material, patient is not influenced and is connect It is checked by nuclear magnetic resonance image.
Each technical characteristic of embodiment described above can be combined arbitrarily, for simplicity of description, not to above-mentioned reality It applies all possible combination of each technical characteristic in example to be all described, as long as however, the combination of these technical characteristics is not deposited In contradiction, all should be considered as described in this specification.
Above-described embodiments merely represent several embodiments of the utility model, the description thereof is more specific and detailed, But it cannot be understood as the limitations to utility model patent range.It should be pointed out that for the common skill of this field For art personnel, without departing from the concept of the premise utility, various modifications and improvements can be made, these are belonged to The protection scope of the utility model.Therefore, the scope of protection shall be subject to the appended claims for the utility model patent.

Claims (10)

1. a kind of regulating device of active growing rod, which is characterized in that described including adjusting block, adjustment gear and movable rod One end of adjusting block and the movable rod is slidably connected, keeps the movable rod mobile relative to the adjusting block, the adjusting Gear is rotatably set on the adjusting block;The adjusting block be equipped with can elastic reset press part, the one of the movable rod End is equipped with rack structure, and the rack structure limits cooperation with the press part and is meshed with the adjustment gear;
Wherein, when the press part in the raw when, the press part and the rack structure limit cooperate, make the work Dynamic stick is only moved along the direction far from the adjusting block;
When the press part is separated or is staggered with the rack structure, the movable rod can back and forth be moved relative to the adjusting block It is dynamic.
2. the regulating device of active growing rod according to claim 1, which is characterized in that the adjusting block is equipped with first Mounting hole, the side wall of first mounting hole are equipped with limiting slot, and the movable rod is equipped with and is slidably matched with first mounting hole Slide mass, the slide mass is equipped with the guide protrusions that are slidably matched with the limiting slot.
3. the regulating device of active growing rod according to claim 2, which is characterized in that first mounting hole is logical Hole is arranged through the both ends of the adjusting block, and the limiting slot is arranged through the side wall of first mounting hole, and the guiding is convex Rising is guide pin, and the slide mass is equipped with the connecting hole for installing the guide pin.
4. the regulating device of active growing rod according to claim 2 or 3, which is characterized in that the adjusting block is equipped with For installing the mounting groove of the press part and the adjustment gear, the side of the mounting groove is equipped with and first mounting hole The matching hole communicated, the slide mass are equipped with the rack structure, and one end of the press part may pass through the matching hole and institute It states rack structure and compresses cooperation, the adjustment gear is meshed by the matching hole with the rack structure.
5. the regulating device of active growing rod according to claim 4, which is characterized in that the adjusting block, which is additionally provided with, to be passed through The first adjustment hole of the one side wall setting of the mounting groove is worn, and first adjustment hole is set to the one side of adjusting block, institute Press part is stated equipped with force body corresponding with first adjustment hole.
6. the regulating device of active growing rod according to claim 5, which is characterized in that one end of the press part is set There is the tooth that compresses that cooperation is compressed with the limiting tooth of the rack structure, the other end of the press part is equipped with the force body, institute The extending direction for compressing tooth of the rotation centerline for stating force body and the press part is perpendicular.
7. the regulating device of active growing rod according to claim 6, which is characterized in that the press part is rotatably set It is placed in the mounting groove, and is equipped with elastic component between the press part and the side wall of the mounting groove, the press part passes through The elastic component can elastic reset be set in the mounting groove;The Impact direction of the elastic component compresses tooth and limit with described The reaction force direction that tooth compresses cooperation is staggered.
8. the regulating device of active growing rod according to claim 7, which is characterized in that the elastic component includes first Section is compressed, second section is compressed and is set to described first and compress section and described second compress stretch section between section, described first Section is compressed mutually to be close to compress with the side wall of the press part, described second compress section and the side wall of the mounting groove be mutually close to Pressure.
9. a kind of active growing rod, which is characterized in that including active growing rod as claimed in any one of claims 1 to 8 Regulating device, the adjusting block be equipped with the second adjustment hole, the adjustment gear be equipped with force corresponding with the adjustment hole End further include:
Hold-down bars, one end of the hold-down bars are fixedly connected with the adjusting block and match to form extension stem knot with movable rod Structure.
10. a kind of active growing rod, which is characterized in that including active growing rod as claimed in any one of claims 1 to 8 Regulating device, the movable rod is two, and two described movable rod one end are slidably connected with the adjusting block both ends shape respectively At extension stem structure;A piece corresponding press part of the movable rod and an adjustment gear, another work Dynamic stick corresponds to another press part or/and an adjustment gear.
CN201721522825.5U 2017-11-15 2017-11-15 The regulating device of active growing rod and active growing rod Active CN208693412U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107822700A (en) * 2017-11-15 2018-03-23 山东威高骨科材料股份有限公司 Adjusting means, passive type growing rod and the active growing rod of growing rod
CN113116487A (en) * 2019-12-31 2021-07-16 上海微创医疗器械(集团)有限公司 Spinal orthopedic non-invasive growth rod

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107822700A (en) * 2017-11-15 2018-03-23 山东威高骨科材料股份有限公司 Adjusting means, passive type growing rod and the active growing rod of growing rod
CN113116487A (en) * 2019-12-31 2021-07-16 上海微创医疗器械(集团)有限公司 Spinal orthopedic non-invasive growth rod

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