JP5642878B2 - Real-time knee balancer - Google Patents

Description

  The present invention relates to an apparatus capable of measuring the distance and balance between a femur and a tibia in knee replacement, and in particular, easily and in real time measuring the distance and balance under a load. It is related with the apparatus which can do.

  During the operation of replacing the artificial knee joint, it is sometimes necessary to measure the distance between the femur and the tibia and the degree of balance, and various devices related thereto have been proposed.

  Patent Document 1 has a ratchet type screw jack composed of a jack base and a jack movable part, and a locking plate extending from the jack base is fastened with a nail to the tibia, while swinging similarly extended from the jack movable part An apparatus is disclosed in which a possible support plate is positioned below the femur and the lower surface of the femur is pushed up using a torque wrench to raise the support plate with a jack function.

  According to the device disclosed in Patent Document 1, the jack is opened using a torque wrench until a preset torque value is reached, and the support plate (and hence the lower surface of the femur) is raised to a certain height position. The degree of balance between the femur and the tibia can be grasped by reading the amount of arm deflection drawn from the support plate to the jack side from the angle index provided on the jack side.

  Patent Document 2 includes a lower member, a swingable upper member, a coil spring inserted between them, and an eccentric shaft that locks the upper and lower members in a mutually approaching position, and includes an interval index and an angle index. A device is also disclosed in which a scale that also serves as a scale is provided on the lower member, and an indicator that indicates the scale is provided on the upper member.

  According to the device disclosed in Patent Document 2, the upper and lower members locked in the mutually approaching position are set between the femur and the tibia, and the upper and lower members are expanded vertically by unlocking, By reading the scale (lower member) indicated by the indicator (upper member), the balance of the ligament can be adjusted and confirmed.

Patent registration No. 4095919 (US Pat. No. 7,156,853) JP 2008-183083 A

The apparatus disclosed in Japanese Patent Laid-Open No. 2004-228561 is different from the measurement of the interval and reading the angle at that time rather than measuring the interval because of the structure using the jack, and the required application or function is different. Since it is asymmetrical, it is necessary to prepare the left and right separately, so there is a concern about the cost burden. Moreover, due to the structure in which the scale is read on the remote jack side from the measurement location, accurate measurement is difficult. Furthermore, there is a concern about the burden on the operator (surgeon, etc.) and the patient (patient) due to the structure that is difficult to reduce in size and light in weight.
In actual measurement, the knee joint may be continuously measured at an arbitrary bending angle from the flexion position to the extension position. In that case, the cycle of opening the jack every measurement and returning the jack must be repeated. There is a problem that complicated work is required.

  The apparatus disclosed in Patent Document 2 requires considerable skill to accurately measure (read) both in a timely manner because of the structure in which the scale serves as the interval index and the angle index. Moreover, since the degree of freedom of movement of the upper member is large, the reproducibility of the numerical value of the scale is poor. In addition, there is no particular mechanism or consideration for delaying the rapid expansion (separation) of the upper and lower members at the time of unlocking, and there is a problem that accidental damage to the femur and tibia is concerned.

  In addition, the affiliated company (DePuy) of the applicant of the present application provided a ligament tenser (CAS Ligment Tensor (product number: 129901080)) to the market for the development and improvement of artificial knee joint replacement, and gained popularity. ing. The ligament tensor can be used in common with the present invention in that it is inserted between the femur and tibia and separated from each other, but does not have a measurement function and is used in combination with a navigation system. It can be said that the present invention is a creation of a very original idea that is an extension of this technology.

  This invention makes it the subject to provide the apparatus which can measure the space | interval and balance degree between a femur and a tibia accurately in real time, without using a navigation system in view of the said situation.

The first aspect of the present invention is:
A balancer that can be inserted between the femur and tibia,
A base plate having a spacing scale;
A slider having an interval pointer and an angle scale and capable of translational up and down relative to the base plate;
A top plate having an angle pointer, swingable with respect to the slider, and movable up and down with the slider;
An elastic member for urging the top plate upward with respect to the base plate;
Including
When the base plate is engaged with the tibia and the top plate is engaged with the femur by the urging force of the elastic member, the vertical position of the top plate relative to the base plate is adjusted by the cooperation of the interval scale of the base plate and the interval pointer of the slider. At the same time, the inclination of the top plate with respect to the base plate is displayed by the cooperation of the angle scale of the slider and the angle pointer of the top plate.

According to a second aspect of the present invention, in the first aspect, the top plate is connected to the slider via the shaft, and can swing around the shaft.
According to a third aspect of the present invention, in the first aspect, the elastic member is disposed between the base plate and the top plate.

The fourth aspect of the present invention is:
A balancer that can be inserted between the femur and tibia,
A base plate having an interval scale on each of the left and right sides;
A slider having an interval pointer and an angle scale on each of the left and right sides, and capable of translational up and down relative to the base plate;
A top plate having an angle pointer on each of the left and right sides, swingable with respect to the slider, and movable up and down with the slider;
An elastic member disposed on each side of the balancer and biasing the top plate upward with respect to the base plate;
Including
When the base plate is engaged with the tibia and the top plate is engaged with the femur by the urging force of the elastic member, the vertical position of the top plate relative to the base plate is adjusted by the cooperation of the interval scale of the base plate and the interval pointer of the slider. At the same time, the inclination of the top plate with respect to the base plate is displayed by the cooperation of the angle scale of the slider and the angle pointer of the top plate.

According to a fifth aspect of the present invention, in the fourth aspect, the top plate is connected to the slider via the shaft, and can swing around the shaft.
According to a sixth aspect of the present invention, in the fourth aspect, the elastic member is disposed between the base plate and the top plate.

A seventh aspect of the present invention is a handle for sandwiching any one of the balancers according to any one of the first to sixth aspects in a vertical direction, and includes a pair of bar members, and one of the bar members has a top plate from the upper side. It has the 1st front-end | tip part for pressing, and the other bar member has the 2nd front-end | tip part which penetrates into the hole formed in the baseplate, It is characterized by the above-mentioned.
According to an eighth aspect of the present invention, in the seventh aspect, the first tip portion has a bifurcated shape, a contact portion with the top plate is formed in a round shape, and the second tip portion is complementary to the cross section of the hole. It is characterized by being formed in a straight flat plate shape having a cross section.

A ninth aspect of the present invention is a shim added to any one of the balancers according to the first to sixth aspects, and has a predetermined thickness.
According to a tenth aspect of the present invention, in the ninth aspect, the upper surface of the shim is attached to the lower surface of the base plate via a male / female fitting portion.
An eleventh aspect of the present invention is characterized in that, in the ninth aspect, the upper surface of the tilt plate is attached to the lower surface of the shim via a male / female fitting portion.
The twelfth aspect of the present invention is characterized in that, in the ninth aspect, the upper surface of the shim is provided with a protrusion for preventing the shim from falling off.

A thirteenth aspect of the present invention is a tilt plate that is added to any one of the balancers according to the first to sixth aspects, and has a predetermined tilt angle that is thin on one side and thick on the other side.
A fourteenth aspect of the present invention is characterized in that, in the thirteenth aspect, a male and female fitting portion for attaching to the lower surface of the base plate and / or shim is provided on the upper surface of the tilt plate.

  The conventional inconvenience can be solved brilliantly. That is, according to the present invention, it is possible to easily and accurately measure the interval and balance between the femur and the tibia in real time without using a navigation system.

  The above and other objects, features, and advantages of the present invention will become apparent to those skilled in the art from the description of the embodiments of the present invention and the appended claims as illustrated in the accompanying drawings.

It is the disassembled perspective view seen from the right diagonal front side of the balancer which concerns on one Embodiment of this invention. It is the disassembled perspective view seen from the left diagonal back side of the balancer of this embodiment. It is a top view of a base plate. It is a front view of a base plate. It is a side view of a base plate. It is the perspective view seen from the diagonally right front side of the base plate. It is a perspective view of the base plate turned over. It is a top view of a top plate. It is a front view of a top plate. It is sectional drawing of the top plate seen from the arrow direction along the XX line of FIG. It is a back view of a top plate. It is the perspective view seen from the diagonally right front side of the top plate. It is a perspective view of the top plate turned over. It is a front view of a slider. It is sectional drawing of the slider seen from the arrow direction along the XV-XV line | wire of FIG. It is a perspective view of a handle. It is a perspective view of one bar member which constitutes a handle. It is a perspective view of the other bar member which constitutes a handle. It is a front view of a shim. It is a side view of a shim. It is the perspective view seen from the diagonally right front side of the shim. It is a perspective view of the shim turned upside down. It is the exploded view seen from the front side of the assembly of a balancer, a shim, and a tilt plate. It is the exploded view seen from the side of the assembly of a balancer, a shim, and a tilt plate. It is the disassembled perspective view seen from the diagonally right front side of the assembly of a balancer, shim, and a tilt plate. It is the disassembled perspective view seen from the left diagonal back side of the assembly of a balancer, shim, and a tilt plate. It is the figure which looked at the balancer set between the femur and the tibia from the front side.

  FIG. 1 is an exploded perspective view of a balancer 1 according to an embodiment of the present invention as viewed from the right diagonal front side, and FIG. 2 is an exploded perspective view of the balancer 1 of the present embodiment as viewed from the diagonally left rear side. is there.

  The arrow X in FIG. 1 indicates the balancer width direction (left-right direction), the arrow Y indicates the balancer depth direction (front-rear direction), and the arrow Z indicates the balancer height direction (thickness direction).

  The balancer 1 of the present embodiment is a measuring device that is inserted between the femur and the tibia, for example, during a total knee replacement operation, and basically includes a base plate 3 disposed on the tibia side. The top plate 5 disposed on the femur side, the slider 7 coupled to the top plate 5, and a pair of coil springs disposed between the base plate 3 and the top plate 5 and biasing them away from each other ( Elastic member) 9.

  The balancer 1 of the present embodiment is adapted to accommodate the size of the space between the handle 11 (FIG. 16) for securely grasping the balancer 1 for the insertion and the femur and the tibia. A shim 13 (FIG. 19) and a tilt plate 15 (FIG. 23) for supporting the inclination of the interval in the front-rear direction are incidentally included.

  These elements can be composed of, for example, an appropriately heat-treated precipitation hardening stainless steel (specifically, for example, SUS630) having an excellent balance between hardness and corrosion resistance.

(1) Base plate
3 to 7, the base plate 3 has a substantially kidney shape or a broad-bean shape when viewed from above, and is approximately the same size as the proximal end surface of the tibia. It is desirable that

A columnar raised portion 21 for holding the coil spring 9 is provided at substantially the center on the left and right sides of the upper surface of the base plate 3.
On the front side of the upper surface of the base plate 3, a pair of upright portions 23 (23a, 23b) are erected symmetrically at a predetermined interval in the left-right direction.

The opposing vertical surfaces of the two upright portions 23a and 23b are slidably engaged with corresponding surfaces of the slider 7, which will be described later, to guide the translational movement of the slider 7 in the vertical direction (front and rear in the Z direction).
On the front surface of each upright portion 23, interval scales 25 (25 a, 25 b) (in the figure, scale lines or notches at intervals of 1 mm) and scale numbers (in the figure, 8, 10, 12) along the outer ridge line extending vertically. ) Is provided.

A substantially rectangular parallelepiped-shaped guide post 29 for guiding the translation of the top plate 5 in the Z direction is erected substantially at the center of the upper surface of the base plate 3.
In the front surface of the guide post 29, a vertically long hole 31 that penetrates the guide post 29 in the Y direction is formed.

  When the shaft 47 (described later) of the top plate 5 is fitted into the vertically elongated hole 31 and the top plate 5 is translated in the vertical direction (Z direction, longitudinally), the shaft 47 is moved to the vertical inner end of the vertically elongated hole 31. The movement in the up-down direction (Z direction) is constrained to a fixed distance by contact. That is, the maximum stroke length of the translational movement (Z direction) of the top plate 5 is determined by the length of the vertically long hole 31.

  Further, on the front surface of the guide post 29, a laterally long hole 33 that penetrates the guide post 29 in the Y direction in the same manner is formed below the vertically elongated hole 31. In order to hold the balancer 1, one of both ends of the handle 11 to be described later enters the horizontally elongated hole 33.

  Further, the wall surface 26 of the guide post 29 and the wall surface 44 of the top plate 5 are engaged to guide the translational movement, and at the same time, the wall surface 27 of the guide post 29 and the wall surface 45 of the top plate 5 are engaged to guide the translational movement. By doing so, rotation of the top plate 5 in the YZ plane is suppressed. As a result, stable measurement is possible.

  On the bottom surface (lower surface) of the base plate 3, a plurality of projections 35 (four in the illustrated embodiment) for positioning and connecting a shim 13 and a tilt plate 15 described later are provided. These projections are inserted into the end surface of the tibia to obtain base plate fixation.

(2) Top Plate Referring to FIGS. 8 to 13, the top plate 5 has a substantially kidney shape or a substantially bean shape when viewed from above, like the base plate 3.

  A slant-cut columnar raised portion 41 for holding the coil spring 9 is provided at substantially the center on the left and right sides of the lower surface (back surface) of the top plate 5.

  A rectangular hole 43 that penetrates the top plate 5 in the Z direction (vertical direction) is provided at the approximate center of the top surface of the top plate 5. In this rectangular hole 43, the guide post 29 of the base plate 3 is fitted.

  A holding hole that receives and holds the rear end of the shaft 47 extending in the Y direction is provided in the center of the inner surface of the rectangular hole 43 on the rear side in the Y direction, and the corresponding inner surface on the front side in the Y direction has a holding hole. A through hole for holding the front side is provided.

  The shaft 47 is fixedly supported by the top plate 5 through these two holes, and the shaft end portion located on the front side protrudes forward from the front end surface of the top plate 5 by a predetermined length. A slider 7 is attached to the protruding shaft portion.

  Specifically, the shaft 47 sets the coil spring 9 on the base plate 3, passes the guide post 29 through the rectangular hole 43, closes the top plate 5 to the base plate 3 against the urging force of the coil spring 9, and from the front side. When the through hole on the front side and the holding hole on the rear side of the top plate 5 are aligned with the vertically long hole 31 (and the center hole 57 of the slider 7) of the guide post 29, the top plate 5 is mounted.

  On the left and right sides of the front surface of the top plate 5, one instruction line or notch 51 (51a, 51b) (hereinafter referred to as an angle pointer) for indicating an angle scale (described later) of the slider 7 is provided.

(3) Slider Referring to FIGS. 14 and 15, the slider 7 includes a rectangular thick plate portion 59 having a central hole 57 penetrating in the front-rear direction (Y direction), and left and right sides of the thick plate portion 59. And thin plate portions 61 on both the left and right sides having a ridge line (outer shape) formed of an arc centering on the center hole 57.

  As described above, the shaft 43 protruding from the front end surface of the top plate 5 is fitted in the center hole 57 of the slider 7 so as to be relatively rotatable.

  The thick plate portion 59 has vertical surfaces facing both sides in the left-right direction, and each vertical surface is slidingly engaged with the corresponding vertical surfaces of the upright portions 23a and 23b of the base plate 3 as described above.

  On the front surface of each thin plate portion 61, an angular scale 65 (scale lines or notches at intervals of 1 deg in the figure) and scale numbers (+5, -5 in the figure) are provided along the outer ridge line.

  Of the angle scales 65a and 65b on the left and right sides, the scale line 65n at the center of the top and bottom (horizontal position) is formed thicker and longer than the others. The scale line 65n constitutes an interval pointer (65n) for pointing to the interval scale 25 of the upright portion 23 of the base plate 3.

(4) Coil spring In this embodiment, the coil spring 9 is used. However, as long as the base plate 3 and the top plate 5 can be biased so as to be relatively separated (separated), other forms of springs, rubber, and the like can be used.

(5) Handle Referring to FIGS. 16 to 18, the handle 11 is a tool for grasping the balancer 1 and inserting it between the femur and the tibia, and the base plate resists the biasing force of the coil spring 9. 3 and the top plate 5 are sandwiched to make the whole thin and facilitate insertion.

  The handle 11 has a structure in which two substantially S-shaped bar members 71 and 73 are crossed and the crossing portions are connected by pins 75.

  One bar member 71 has a bifurcated shape so that the top surface of the top plate 5 can be pressed in a balanced manner when the upper surface of the top plate 5 is pushed down, and generates as much unnecessary component force as possible. The tip 71a (pressurized portion or contact portion) is formed in a round shape so as to prevent point contact or line contact.

  A straight flat plate having a complementary / similar cross section is provided at the front end side of the other bar member 73 so that it can be easily inserted into and removed from a laterally long hole 33 formed in the front surface of the guide post 29 of the base plate 3. A portion 73a is provided.

(6) Shim Referring to FIGS. 19 to 22, when the balancer 1 is inserted between the femur and the tibia, the shim 13 has an overall balancer thickness corresponding to the interval when it is larger than usual. Is tentatively formed.

  The illustrated shim 13 has a thickness of 2.5 mm. Of course, alternatively or in addition, other thicknesses are provided, for example, 5.0 mm, 7.5 mm.

  On the upper surface of the shim 13, four fitting holes 81 for receiving the four protrusions 35 provided on the lower surface of the base plate 3 are provided for attaching the shim 13 to the base plate 3.

  Three protrusions 85 are provided on the lower surface of the shim 13 for attaching the tilt plate 15.

  A C-shaped protrusion 89 is provided on the upper surface of the shim 13. When the shim 13 is attached to the lower surface of the base plate 3, the projecting portion 89 enters the base plate through an opening 37 (FIG. 7) formed on the lower surface of the base plate so as to communicate with the horizontal elongated hole 33. It is configured to be aligned in a substantially straight line.

  Moreover, when the flat plate portion 73a at the tip of the handle 11 enters the horizontally long hole 33 of the base plate 3, the protruding portion 89 is caught on the flat plate portion 73a, and the shim 13 can be reliably prevented from being detached (dropped off). .

(7) Tilt Plate Referring to FIGS. 23 to 26, the illustrated tilt plate 15 has an upper surface constituting a mounting surface with the base plate 3 or shim 13 (the shim shown in the figure has a thickness of 5 mm), and the front side is thin. The rear side is thick and has a 5 degree slope. Of course, instead of this, it is possible to have other inclination angles (for example, 10 degrees, 15 degrees, etc.) as required.

  The upper surface (mounting surface) of the tilt plate is provided with four fitting holes 91 into which four protrusions 35 projecting from the lower surface of the base plate can be fitted for connection with the base plate 3, and for connection with the shim 13. Therefore, three fitting holes 93 into which the three protrusions 85 protruding from the lower surface of the shim can be fitted are provided. These seven protrusions 35 and 85 have the same outer diameter from the viewpoint of standardization, and similarly, the seven fitting holes 91 and 93 can have the same inner diameter.

  A method of using the balancer 1 (and / or shim or tilt plate) of the present embodiment having the above configuration will be briefly described below.

  Prior to inserting the balancer 1 between the femur and tibia, first, the flat plate portion 73a of the handle 11 is inserted into the laterally long hole 33 of the guide post 29 of the base plate 3, and the top of the other tip 71a of the handle 11 is topped. By pressing the upper surface of the plate 5, the thickness of the entire balancer is minimized. That is, the base plate 3 and the top plate 5 are positioned so as to be closest to each other.

  Due to the structure in which the balancer 1 can be thinly gripped in this way, the balancer 1 can be inserted very easily into the space between the femur and the tibia.

  In addition, when the said space | interval is larger than expected and / or when it inclines, it is desirable to attach the shim 13 and / or the tilt plate 15 beforehand.

  When the shim 13 is attached, as described above, the detachment of the shim 13 is surely prevented due to the novel interconnection structure by the protrusion 89 of the shim 13, the horizontally long hole 33 of the base plate 3, and the flat plate portion 73 a of the handle 11. it can.

  In addition, regardless of the presence or absence of the shim 13, the balancer 1 can be gripped with the usual opening angle of the handle 11, so that work efficiency and efficiency can be significantly improved.

  Now, by gradually releasing the gripping force of the handle 11 on the balancer 1 inserted between the femur and the tibia, the distance between the base plate 3 and the top plate 5 is increased by the biasing force of the coil spring 9. The base plate 3 abuts on the tibia side, and the top plate 5 abuts on the femur side.

  At this time, as described above, the slider 7 and the shaft 47 move upward in translation with respect to the base plate 3, while the top plate 5 swings around the shaft 47 while moving upward together with the slider 7 and the shaft. It is possible to move.

  The interval (size or distance) between the tibia and the femur is easily visually recognized (measured) from the interval scale 25 (25a, 25b) of the base plate 3 (upright portion 23) and the interval pointer 65n of the slider 7 pointing to this. can do.

  On the other hand, the inclination or balance of the femur with respect to the tibia is easily visually recognized from the angle scale 65 (65a, 65b) of the slider 7 and the angle pointer (indication line) 51 (51a, 51b) of the top plate 5 pointing to this ( Measurement).

  Thus, at the moment when the balancer 1 is set at the interval between the femur and the tibia, two visual recognition (measurement) operations are possible.

  As described above, according to the balancer of the present embodiment, it is possible to immediately make the device configuration according to the state of opening and tilting between the tibia and the femur, and the balancer between the tibia and the femur. Can be set very simply and easily, and the dimension and inclination (balance) between both bones can be measured in real time at the moment of setting.

  In addition, since the entire balancer can be configured to be very compact and lightweight, the operability is remarkably improved and the damage to the operator can be minimized.

  In this embodiment, since the balancer is composed of a symmetrical structure, when it is set between the femur and the tibia, there is an obstacle on one side and the combination of the scale and pointer on that side is Even when it cannot be visually recognized, it can be measured from the combination of the scale on the other side and the pointer. That is, a suitable measurement work can be realized. As a result, measurement can be performed with the patella returned to the original position, and a state closer to an actual knee joint can be reproduced.

  Here, FIG. 27 shows the balancer 1 of this embodiment actually set between the femur F and the tibia T. In the figure, a femur F and a tibia T are in an extended state, and a patella (not shown) is in an original position (non-rotating position).

  As can be well understood from FIG. 27, according to the balancer 1 of the present embodiment, it is possible to appropriately and quickly apply to a knee (femur and tibia) in an original functional state / physiological state without patella rotation. Measurement is possible. Of course, the same measurement is possible for the knees (femur and tibia) in a bent state.

  However, the present invention itself is not limited to the balancer having a symmetrical structure. For example, the balancer can be configured from a left-right asymmetric structure. In short, the necessary measurement is possible as long as the combination of the scale and pointer on either the left or right side of the balancer is provided.

  The above embodiments are representative of embodiments of the present invention and are provided for purposes of illustration and are not intended to limit the scope of the present invention. The components, materials, and various means illustrated and described in the present specification are not limited, and modifications and variations can be considered within the scope of the present invention, and are limited only by the description of the appended claims.

DESCRIPTION OF SYMBOLS 1 Balancer 3 Base plate 5 Top plate 7 Slider 9 Coil spring 11 Handle 13 Shim 15 Tilt plate 21, 41 Raised part 23, 23a, 23b Upright part 25, 25a, 25b Space | interval scale 26, 27 Wall surface 29 Guide post 31 Longitudinal hole 33 Horizontal hole 35 Projection 37 Opening 43 Rectangular hole 44, 45 Wall surface 47 Shaft 51 Angle pointer (indication line)
57 Center hole 59 Thick plate portion 61 Thin plate portion 65, 65a, 65b Angle scale 65n Spacer pointer (scale line)
71, 73 Bar member 71a Tip 73a Flat plate 75 Pin 81, 91 Fitting hole 85 Projection 89 Projection

Claims (11)

A balancer (1) that can be inserted between the femur and tibia,
A base plate (3) having a spacing scale (25a, 25b) on each side;
A slider (7) having interval pointers (65n, 65n) and angle scales (65a, 65b) on each of the left and right sides, and capable of translational up and down relative to the base plate (3);
A top plate (5) having angle pointers (51a, 51b) on each of the left and right sides, swingable with respect to the slider (7) and vertically movable together with the slider (7);
An elastic member (9) disposed on each of the left and right sides of the balancer (1) and biasing the top plate (5) upward with respect to the base plate (3);
Including
When the base plate (3) is engaged with the tibia and the top plate (5) is engaged with the femur by the urging force of the elastic member, the interval scale (25a, 25b) of the base plate (3) is engaged. And the distance pointer (65n, 65n) of the slider (7), the vertical position of the top plate (5) with respect to the base plate (3) is displayed, and at the same time, the slider (7) By the cooperation of the angle scale (65a, 65b) and the angle pointer (51a, 51b) of the top plate (5), the inclination of the top plate (5) with respect to the base plate (3) is displayed. Balancer (1) characterized by that. The balancer (1) according to claim 1 ,
The balancer (1), wherein the top plate (5) is connected to the slider (7) via a shaft (47) and is swingable about the shaft (47). The balancer (1) according to claim 1 ,
The balancer (1), wherein the elastic member (9) is disposed between the base plate (3) and the top plate (5). A handle (11) for sandwiching the balancer (1) according to any one of claims 1 to 3 in a vertical direction,
A pair of bar members (71, 73) is included, and one of the bar members (71) has a first tip portion (71a) for pressing the top plate (5) from above, and the other bar The member (73) has a second tip (73a) that enters a hole (33) formed in the base plate (3). Handle (11) according to claim 4 ,
The first tip portion (71a, 71a) has a bifurcated shape, and a contact portion with the top plate (5) is rounded,
The handle (11), wherein the second tip (73a) is formed in a straight flat plate shape having a cross section complementary to the cross section of the hole (33). In the balancer (1) according to any one of claims 1 to 3,
Further comprising a shim (13) added to said balancer,
The balancer (1), wherein the shim has a predetermined thickness. The balancer (1) according to claim 6 ,
The balancer (1), wherein the upper surface of the shim (13) is attached to the lower surface of the base plate (3) via a male / female fitting portion (81 ) . The balancer (1) according to claim 6 ,
The balancer (1), wherein the upper surface of the tilt plate (15) is attached to the lower surface of the shim (13) via a male / female fitting portion (85 ) . The balancer (1) according to claim 6 ,
The balancer (1), wherein a protrusion (89) for preventing the shim from falling off is provided on the upper surface of the shim (13 ) . In the balancer (1) according to any one of claims 1 to 3,
Further comprising a tilt plate (15) added to said balancer,
The balancer (1) according to claim 1, wherein the tilt plate (15) has a predetermined inclination angle that is thin on one side and thick on the other side. The balancer (1) according to claim 10 ,
The tilt plate on the upper surface (15), said male and female fitting portions for attaches to the underside of the base plate (3) (91, 93), characterized in that is provided a balancer (1).

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