201136565 六、發明說明： 【發明所屬之技術領域】 ，發明係_-種手術裝置，尤指—種可避免神經、★管等軟 組織受傷以及縮短手術時間之韌帶手術輔助裝置。 【先前技術】 按’十字姆的魏是防止脛骨向前移動以及鋪膝關節的 旋轉活動’而十字㈣受傷是十分常見的運_傷之―，特別是 從事足球、籃球、滑雪等運動的人員，其十物帶大部份的 都是因為卿、轉動、突然急停或與其他球員踫撞崎生的。所 有的十字㈣損傷均可通過鑽孔重新固定來復原，或通過自體或 人工動帶經由手術方式來恢復其膝_縣之活動度及功能。 *第1 ’第2圖為-般十字姆手術之示細，如圖所示： ^患者十字¢7帶受傷時，其手術步驟大部分是以對位銷體2〇經由 定位機構(®未和紐塌骨1G紐f n並相航柯及角度 後’再利用適當尺寸之中空_ 3G延著對位銷體2G將脛骨10 = 股骨11鑽出適合放入勃帶且不會鬆脫的孔洞40，而孔洞4〇的數 目則依病患條件或需求而定。也因為鑽孔時需要以對位麵2〇作 為指引’所以常會發生對位舰2()隨著鑽頭3G的移動而產生歪 斜或位移的現象’可能造成患麵關祕方之主要神經、血管等 軟組織讀。另-方面，目前市售之綱3()賴在管壁上有刻印 鑽孔深度尺規，但在手術過程+常因為視贼是手術燈造成不易 辨識深度，使鄕i㈣則、心翼翼避免傷及後方_，不只拉長 手術時間’更增加手術風險。故此類之十字㈣手術 稱實用。 因此’如何讓勃帶手術方式能減少病患傷口的大小、避免神 201136565 =j血=等，組織受傷以及縮短術後癒合的時間，實為一具有意 【發明内容】 置，可 達到卩在於祕—飾料術-裝置，可 • 為達上述目的，本發明之技術實現如下： 一_帶手術輔助裝置，係包含：一對 穿入該骨頭之深度;-第-套筒，其中二: 位配置有至少—定位結構，以固定與該骨頭 間的相對位置，一第二套筒，係可對應 二配置有一限位通道，以提供該對位銷體於其 1 ==入該細道内，且其中央配置有一二套 • ^骨頭之深度’且該鐵孔元件之直徑較該對位銷體 對位置。 微调該第一套筒與該對位銷體間之相 Μ在本發Ζ之—實施例中，上述之第—套筒外表面具有一長度 ^己，以配5指示該對位銷體與該鑽孔元件鑽入該骨頭之深度。 201136565 【實施方式】 一鑽孔助糾三錢…齡銷體以及 而不會改變鑽孔的方j術進行時’會因絲筒提供定位的關係 與深度’確實制骨賴祕合的目的。 示：本發明之置之構造分解圖，如圖所 成，第三套筒54以及—鑽孔元件55所構 可根櫨卩為—般㈣手術相之克氏針(KksehnerPin)， 可根據韌帶的位置而對應穿 X p ; 配置有刻度511或特殊的H月頭(通吊為腔骨10)内’其上係 第一套汽„由的顏色，以指示穿入骨頭之深度或長度。 定位'=用：二，521 ’且其-端部配置有至少- 表面m“用固與該月頭間的相對位置。第—套筒52外 典瓸d a又^己’以配合指示對位銷體51與鑽孔元件55鑽入 二：骨⑼之深度。舉例來說，若第一套筒52長度為5公:， 得知装霞Γ t長為公分’依其表面之刻度511或特殊的顏色 _於—套筒52夕卜之長度若為3公分，則可得知鑽入骨 中深度為2公分。第二套筒53可對應穿人第—套筒52 中央之貫穿通道521 β，且其内配置有-限位通道S31，以提供對 麵令_4亦可_人第,Μ中 ^之貫穿通道521内，且其中央配置有一定位通道54卜此外，為 求能將穿入第-套筒52中央貫穿通道切内之第二套筒53或第 二套筒54快速取出’可於第二套筒53與第三套筒％表面分別配 ，螺孔532、542(取出結構），並配合一表面具有螺紋之工具(如 ，8圖所示之螺紋桿體58)穿入螺孔532、542内，得以將第丄套 筒53或第三套筒54自第一套筒52中央貫穿通道521内快速取 出。再者，第二套筒53或第三套筒54亦可為具有磁吸性之材質， 201136565 =配合-賴將第二套筒53或第三贿54自第—料&中 内快速吸出。鑽孔元件55乃經由第三套筒％之定位 通f 541而鑽入該骨頭内，其上係配置有刻度551 深度。由於對位銷體51乃配合X光機使用來 2出最適合手術鑽孔的位置，故其直徑較小，通 ==5乃真正進行鑽孔作業的工具,故其直徑較大，通常 為6毫未以上，可依不同的需求來選擇。 j 4 ®到第12 _為本發_帶手術獅裝置之操作示竟 】丰=所示··當欲使用本發爾手術輔助裝置5〇進行； m首先’1療人1必須先確認骨頭(脛骨⑼鑽孔處之位 w 虚此步驟可透過x光機來確認、，並利用對位銷體 L可將第二套筒53之限位通道531套於對位銷體 51上’再將第一套筒52之貫穿通道521套於第 = ΐ用二結二冓二广套筒52與骨頭㈣ι〇)間的相對位置固 而被‘舉例^ ―與第二套筒53將會__51的位置 =疋位舉例來說，定位結構522包含至少一定 2 το件523(®找），至少—目枝可麵 一㈣52與骨頭(腔骨10)釘固為一體。 疋^片將第 元件$與it套^52的位置無法進行複數定位片、複數定位 斜時，則釘固時’如某做位片過於凸出或歪 201136565 複數微調通道亦可微調對位銷體51在鑽孔定位時的些許 將第-套筒52與骨頭(脛骨1〇)間的相 位 ^於骨頭㈣丨㈣嫩朝下，則第：純二== …地〜引力的關係而自第一套筒52之貫穿通道521内 免此現象發生，可於第-套筒52之貫穿通道521 螺紋，並使-中空螺帽56對應該螺紋而與第一套冑&結合 體，以將第一套筒52之貫穿通道521阻擋，避免第二套:/53·、自 第一套筒52之貫穿通道521内滑出。中空螺帽％乃 因此不會與對位銷體51有任何的接觸。 Τ二狀 待利用複數固定釘透過複數定位片將第一套筒52 月丄〇)釘固為一體後，即可進行將對骨頭(脛骨1〇)鑽 貝( 二口^乃沿對位銷體對脛骨進行鑽孔，對位銷體會因為鑽頭』 的關係而移位，導致脛骨附近的軟骨鱗轉軟辑受損。 本發明中，於第-套筒52與骨頭(脛骨1〇)釘固為一體後，即可將 ，位銷體51以及第二套筒53自第一套筒52之貫穿通道％ 出’再將第三套筒54置入第-套筒52之貫穿通道521，以使鑽孔 =件55通過第三套筒54巾央之^位通道541而對腔骨 在對位銷體51與骨頭(脛㈣)分離前，由於其表面配） 有刻度511或特殊的顏色，故醫療人員得以從其凸出於第一套 釦2部分的刻度511或特殊的顏色而清楚得知其位於第一 内以及骨頭(脛骨10)内的總長度，舉例來說， ^ ^ 55 551 第一套筒52的長度是固定的，因 =孔元件55鑽人倾脛骨1G)_深度會與對位_ 月碩値骨_的深度相同。由於鑽孔元件55的鑽 201136565 套筒54之粒通道541所驗，度則為 下。，將’故在鑽孔方向與深度均與對位綱51相同的情況 孔的時間。及腔月10附近的軟骨或神經等軟組織，且可降低鑽 1 a i，於醫療人貞錢行槪時’其深度控彻依照鑽孔 在表面的刻度551或特殊的顏色來決定，因此對於視力較差 '、人貝來說，視力的問題可鮮致鑽孔的深度出現誤差。因 此，本發明之姆手鋪助裝置5〇更包含若預第—套筒52串 ，之^套筒57 ’以限制鑽孔元件55鐵人骨頭(脛骨⑼内的深 度。舉例來說，若鑽孔元件55 *度為20公分，若欲將鑽孔元件 自第一套筒52内鑽入10公分(第一套筒52長度加上骨頭(脛骨 1〇)的鑽孔深度)的距離，則鐵孔元件55紐想的就是鑽到尚餘5 ，分曝露在第-套筒52外。此時，可取—長度為5公分的限位套 筒57與第-套筒η _接，再將鑽孔元件％自限位套筒57内鑽 入，直到剛好沒入限位套筒57為止，即可鑽出與對位元件Sl深 度相同的細。而驗套筒57可由減不同長度的錢所組成， 以配合各種長度的使用。201136565 VI. Description of the invention: [Technical field to which the invention pertains], the invention is a surgical device, in particular, a ligament surgical aid that avoids injury to soft tissues such as nerves, catheters, and shortened operation time. [Prior Art] According to 'the cross, the Wei is to prevent the tibia from moving forward and the rotation of the knee joint' and the cross (four) injury is a very common injury _ injury - especially for people engaged in sports such as football, basketball, skiing, etc. Most of the ten things are due to the Qing, the rotation, the sudden emergency stop or the collision with other players. All cross (four) injuries can be restored by re-fixing the holes, or by autologous or artificial kinetics to restore their knee-county activity and function. * The first '2' is the outline of the general-like surgery, as shown in the figure: ^ When the patient's crossbow is injured, the surgical procedure is mostly based on the alignment pin 2〇 via the positioning mechanism (® not And the New Collapse 1G New Zealand fn and the relative angle of the air and then 'reuse the appropriate size of the hollow _ 3G with the opposite pin body 2G will sacral 10 = femur 11 drilled into the hole that will fit into the belt and will not loosen 40, and the number of holes 4〇 depends on the patient's condition or needs. Also because the drilling surface needs to be guided by the alignment surface 2〇, it is often the case that the contra-ship 2 () will occur as the drill 3G moves. The phenomenon of skew or displacement 'may cause the soft tissue of the main nerves, blood vessels and other tissues of the affected side to be secreted. On the other hand, the currently marketed 3 () is based on the engraved drilling depth ruler on the wall, but during the operation + Often because the thief is a surgical light, it is difficult to identify the depth, so that 鄕i (four), the heart wing to avoid injury and the rear _, not only lengthen the operation time 'more increase the risk of surgery. So this kind of cross (four) surgery is practical. So how to Belt surgery can reduce the size of patients' wounds and avoid God 2011365 65 = j blood = equal, tissue injury and shorten the time of postoperative healing, it is an intention [invention content] can be achieved in the secret - decoration - device, can achieve the above purpose, the present invention The technical realization is as follows: a _ with surgical aid, comprising: a pair of depths penetrated into the bone; - a first sleeve, two of which: the position is configured with at least a positioning structure to fix the relative position with the bone, a second sleeve is configured to have a limiting passage corresponding to the second portion to provide the alignment pin body in the 1 == into the thin lane, and a central set of two sets of holes. The diameter of the hole member is opposite to the position of the alignment pin body. Finely adjusting the relationship between the first sleeve and the alignment pin body. In the embodiment, the outer surface of the first sleeve has a length ^, the depth of the alignment pin and the drilling element is drilled into the bone by means of a 5: 201136565 [Embodiment] A hole helps to correct three money...the body of the body and does not change the side of the hole When the operation is carried out, 'the relationship and depth of the positioning will be provided by the silk tube' The purpose of the secret. Show: the structural exploded view of the present invention, as shown in the figure, the third sleeve 54 and the drilling element 55 can be constructed as a general (four) surgical phase of the K-wire (KksehnerPin ), according to the position of the ligament, corresponding to X p; configured with a scale 511 or a special H month head (passing into the cavity 10), the color of the first set of steam is used to indicate the penetration into the bone Depth or length. Position '= with: two, 521 ' and its end is configured with at least - surface m "fixed relative position between the head and the head. - sleeve - 52 outside the code da The matching index pin body 51 and the drilling element 55 are drilled into the depth of the bone: (9). For example, if the length of the first sleeve 52 is 5 mm: If the scale 511 or the special color _--the sleeve 52 is 3 cm in length, it can be known that the depth of the drilled bone is 2 cm. The second sleeve 53 can correspond to the through passage 521 β of the center of the first sleeve 52, and is provided with a -limit passage S31 to provide an opposite passage _4. 521, and a central positioning portion 54 is disposed in the center, in addition, in order to be able to quickly penetrate the second sleeve 53 or the second sleeve 54 penetrating into the center of the first sleeve 52 through the passage can be in the second set The cylinder 53 and the third sleeve % surface are respectively provided with screw holes 532, 542 (removing structure), and are threaded into the screw holes 532, 542 by a tool having a thread on the surface (for example, the threaded rod body 58 shown in FIG. 8). Inside, the second sleeve 53 or the third sleeve 54 can be quickly taken out from the center of the first sleeve 52 through the passage 521. Furthermore, the second sleeve 53 or the third sleeve 54 may also be made of a magnetic material, 201136565=Complementary-Like, the second sleeve 53 or the third bribe 54 is quickly sucked out from the first material & . The drilling element 55 is drilled into the bone via the positioning of the third sleeve %, and is provided with a scale 551 depth. Since the alignment pin body 51 is used in conjunction with the X-ray machine to produce the most suitable position for surgical drilling, the diameter is small, and the pass==5 is a tool for actually performing the drilling operation, so the diameter is large, usually 6 or more, can be selected according to different needs. j 4 ® to the 12th _ the original _ with the operation of the lion equipment show 】 Feng = shown · when you want to use the Benjamin surgical aid 5 ;; m first '1 treatment 1 must first confirm the bones (The position of the tibia (9) at the borehole is imaginary. This step can be confirmed by the x-ray machine, and the limit passage 531 of the second sleeve 53 can be sleeved on the counter pin body 51 by the counter pin body L. The through-channel 521 of the first sleeve 52 is placed on the relative position between the second sleeve and the second sleeve 52 and the bone (four) ι), and is exemplified by the second sleeve 53. Position of _51 = 举例 Position, for example, the positioning structure 522 contains at least 2 τ 523 (® looking), at least - the head can be one (four) 52 and the bone (cavity 10) is nailed together.疋^ The position of the first component $ and the set of ^52 cannot be used for the positioning of the plurality of positioning pieces, and the plurality of positioning is inclined. When the nailing is fixed, if a certain piece is too convex or 歪201136565, the fine-tuning channel can also fine-tune the alignment pin. When the body 51 is positioned in the borehole, the phase between the first sleeve 52 and the bone (the tibia) is ^2 (4) 嫩 (4) tender downward, then the: pure two == ... the ground ~ gravitational relationship This phenomenon occurs in the through passage 521 of a sleeve 52, which can be threaded through the through passage 521 of the first sleeve 52, and the hollow nut 56 is correspondingly threaded to be combined with the first sleeve & The through passage 521 of the first sleeve 52 is blocked to prevent the second sleeve from slipping out of the through passage 521 of the first sleeve 52. The hollow nut % therefore does not have any contact with the alignment pin body 51. After the first set of 52 screws is fixed by a plurality of fixing nails through a plurality of positioning nails, the bones can be drilled on the bones (two bones). The body drills the tibia, and the alignment pin body is displaced due to the relationship of the drill bit, resulting in damage to the cartilage scale near the tibia. In the present invention, the first sleeve 52 and the bone (bone 〇 1) nail After being integrated, the pin body 51 and the second sleeve 53 can be inserted from the through passage of the first sleeve 52 and then the third sleeve 54 can be placed into the through passage 521 of the first sleeve 52. So that the borehole member 55 passes through the third passage 54 of the towel channel 541 to the cavity bone before the alignment pin body 51 and the bone (胫 (4)) are separated, due to the surface thereof, there is a scale 511 or a special Color, so the medical staff can clearly know the total length in the first and the bone (the tibia 10) from the scale 511 or the special color of the first buckle 2 part, for example, ^ ^ 55 551 The length of the first sleeve 52 is fixed, because the hole element 55 drills the human bone 1G) _ the depth will be the same as the depth of the alignment _ month 値 bone _Since the drilling element 55 is drilled by the grain passage 541 of the sleeve 201136565, the degree is below. , the time of the hole in which the direction and depth of the drilling are the same as those of the alignment 51. And the soft tissue such as cartilage or nerve near the cavity 10, and can reduce the drill 1 ai, when the medical person saves money, the depth control is determined according to the scale 551 of the drill hole or a special color, so for vision Poor', people, the problem of vision can lead to errors in the depth of the hole. Therefore, the hand lay-up device 5 of the present invention further comprises a sleeve 57' of the pre-sleeve 52 sleeve to limit the depth of the bone member (the depth of the tibia (9) of the drilling member 55. For example, if drilling The hole member 55* is 20 cm, and if the drilling element is to be drilled into the first sleeve 52 by a distance of 10 cm (the length of the first sleeve 52 plus the depth of the hole of the bone (1 〇)), then The iron hole component 55 is intended to be drilled to the remaining 5, and is exposed to the outside of the first sleeve 52. At this time, it is preferable that the limit sleeve 57 having a length of 5 cm is connected to the first sleeve η _, and then The drilling element % is drilled from the limit sleeve 57 until it is just immersed in the limit sleeve 57, and the same depth as the alignment element S1 can be drilled. The inspection sleeve 57 can be reduced by different lengths of money. It is composed to match the use of various lengths.
—另’由於鑽孔元件55係透過一旋轉工具(圖未示)的帶動而進 行旋轉鑽健’因此當航树％整體沒人限位套筒57内 的同時’旋轉玉具也會與驗套筒57的邊雜_無法繼續下 鑽。故醫療人員於鑽孔時，僅需要確認第一套筒51與鑽孔深度的 距離、鐵孔7L件55的長度後，再配合將適當長度的限位套筒57 與第一套筒51後，即可直接將鑽孔元件55自限位套筒57内鑽入， 直到無法繼續下鑽為止，對於視力較差的醫療人員來說，也 方便省時。 w 此外，為避免第三套筒54會因為地心引力的關係而自第一套 201136565 筒52之貫穿通道521内滑出，可於第一套筒η之貫穿通道S21 内壁面配置有-螺紋’並使中空螺帽56對應麟紋而與第一套筒 52:结合為一體，以將第一套筒52之貫穿通道521阻擋，避免第三 套筒54自第一套筒52之貫穿通道521内滑出。中空螺帽％乃呈 現中空狀，因此不會與鑽孔元件55有任何的接觸。 ^由於對位銷體51係暫時性的鑽入骨頭(脛骨10)内，因此其直 徑較鐵孔讀55小’而直徑餘的鑽孔元件％則可根據對位銷 體Μ而對骨頭(脛骨10)進行較大孔徑的鑽孔，以利後續韌帶手術 的進行。為使鑽孔距離更加明確，如同第一套筒52具有外表面具 有長度標記，纽位錢57之外表面亦具有長度標記，以利長^ 的確認。 雖然本發明已以較佳實施例揭露如上，然其並非用以限定本 發月任何熟習此技藝者，在不脫離本發明之精神和範圍内，當 I作些許之更動與潤飾，因此本發明之保護範圍#視後 二 專利範圍所界定者為準。 °月 201136565 【圖式簡單說明】 第1圖為一般十字韌帶手術之示意圖。 第2圖為一般十字韌帶手術之示意圖。 第3圖為本發明韌帶手術輔助裝置之構造分解圖。 第4圖為本發明韌帶手術辅助裝置之操作示意圖。 第5圖為本發明韌帶手術輔助裝置之操作示意圖。 第6圖為本發明韌帶手術輔助裝置之操作示意圖。 第7圖為本發明韌帶手術輔助裝置之操作示意圖。 第8圖為本發明韌帶手術輔助裝置之操作示意圖。 第9圖為本發明韌帶手術輔助裝置之操作示意圖。 第10圖為本發明韌帶手術輔助裝置之操作示意圖。 第11圖為本發明韌帶手術輔助裝置之操作示意圖。 第12圖為本發明韌帶手術輔助裝置之操作示意圖。- Another 'Because the drilling element 55 is rotated by a rotating tool (not shown), so when the navigation tree is 100% overall, there is no need to rotate the jade in the sleeve 57. The side of the sleeve 57 is _ unable to continue drilling. Therefore, when the medical personnel drills, it is only necessary to confirm the distance between the first sleeve 51 and the depth of the drill hole, and the length of the iron hole 7L member 55, and then match the limit sleeve 57 of the appropriate length with the first sleeve 51. The drilling element 55 can be directly drilled from the limiting sleeve 57 until it is impossible to continue drilling, which is convenient for medical personnel with poor vision. In addition, in order to prevent the third sleeve 54 from slipping out from the through passage 521 of the first set 201136565 cylinder 52 due to the gravitational relationship, the inner wall of the through passage S21 of the first sleeve η may be provided with a thread. 'The hollow nut 56 is integrated with the first sleeve 52: corresponding to the rib to prevent the through passage 521 of the first sleeve 52 from blocking the passage of the third sleeve 54 from the first sleeve 52. Slide out in 521. The hollow nut % is hollow and therefore does not have any contact with the drilling element 55. ^ Since the alignment pin body 51 is temporarily drilled into the bone (the tibia 10), its diameter is smaller than the iron hole reading 55, and the remaining diameter of the drilling element is % according to the alignment pin body (the bone) The tibia 10) drills a larger aperture to facilitate subsequent ligament surgery. In order to make the drilling distance more clear, as the first sleeve 52 has an outer surface with a length mark, the outer surface of the button 57 has a length mark to confirm the length. Although the present invention has been disclosed in the above preferred embodiments, it is not intended to limit the skill of the present invention, and the present invention may be modified and retouched without departing from the spirit and scope of the present invention. The scope of protection # is subject to the definition of the second patent scope. °月201136565 [Simple description of the diagram] Figure 1 is a schematic diagram of general cruciate ligament surgery. Figure 2 is a schematic view of general cruciate ligament surgery. Fig. 3 is a structural exploded view of the ligament surgical aid of the present invention. Figure 4 is a schematic view showing the operation of the ligament surgical aid of the present invention. Fig. 5 is a schematic view showing the operation of the ligament surgical aid of the present invention. Figure 6 is a schematic view showing the operation of the ligament surgical aid of the present invention. Figure 7 is a schematic view showing the operation of the ligament surgical aid of the present invention. Figure 8 is a schematic view showing the operation of the ligament surgical aid of the present invention. Figure 9 is a schematic view showing the operation of the ligament surgical aid of the present invention. Figure 10 is a schematic view showing the operation of the ligament surgical aid of the present invention. Figure 11 is a schematic view showing the operation of the ligament surgical aid of the present invention. Figure 12 is a schematic view showing the operation of the ligament surgical aid of the present invention.
11 201136565 【主要元件符號說明】 10 :脛骨 11 :股骨 20 :對位銷體 30 :鑽頭 40 :孔洞 50:韌帶手術輔助裝置 51 :對位銷體 511:刻度 52:第一套筒 521 :貫穿通道 522 :定位結構 523 :定位元件 53 :第二套筒 531 :限位通道 532 :螺孔 54:第三套筒 541 :定位通道 542:螺孔 55 :鑽孔元件 551 :刻度 56:中空螺帽 57 :限位套筒 58 :螺紋桿體11 201136565 [Description of main components] 10: Tibia 11: Femur 20: Counter pin 30: Drill 40: Hole 50: Ligament surgical aid 51: Counter pin 511: Scale 52: First sleeve 521: Through Channel 522: positioning structure 523: positioning member 53: second sleeve 531: limiting passage 532: screw hole 54: third sleeve 541: positioning passage 542: screw hole 55: drilling member 551: scale 56: hollow screw Cap 57: Limit sleeve 58: threaded rod body