CN102783995A - Funnel chest orthotic device - Google Patents

Funnel chest orthotic device Download PDF

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Publication number
CN102783995A
CN102783995A CN2012102884436A CN201210288443A CN102783995A CN 102783995 A CN102783995 A CN 102783995A CN 2012102884436 A CN2012102884436 A CN 2012102884436A CN 201210288443 A CN201210288443 A CN 201210288443A CN 102783995 A CN102783995 A CN 102783995A
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CN
China
Prior art keywords
steel plate
funnel breast
funnel
breast orthopaedic
girder
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Pending
Application number
CN2012102884436A
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Chinese (zh)
Inventor
王成
缪祥文
李腾达
达国祖
范昕
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Xiamei Marmem Co Ltd Lanzhou
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Xiamei Marmem Co Ltd Lanzhou
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Priority to CN2012102884436A priority Critical patent/CN102783995A/en
Publication of CN102783995A publication Critical patent/CN102783995A/en
Pending legal-status Critical Current

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Abstract

The invention relates to an internal-embedding fixation instrument for treating a funnel chest or a flail chest in chest surgery. The invention provides a funnel chest orthotic device, which is formed by a funnel chest orthotic steel plate made of shape memory alloy materials, and a funnel chest orthotic steel plate fixator made of shape memory alloy materials, wherein the funnel chest orthotic steel plate is formed by a straight-plate shaped steel plate main body and fixed piece parts respectively arranged on two ends of the steel plate main body and provided with tooth-shaped fixed grooves; the funnel chest orthotic steel plate fixator is formed by a main beam and side beams rigidly and fixedly arranged on the main beam; a steel plate encircling arm is rigidly arranged on an external end of each side beam; and rib encircling arms are respectively arranged on two external ends of the main beam rigidly.

Description

The funnel breast orthopaedic device
Technical field
The present invention relates to a kind of orthopedic medical device, particularly a kind of thoracic surgery is used to treat the fixed apparatus that is implanted into of funnel chest or flail chest.
In the funnel chest therapeutic scheme; At present; The novel operation method of more and more being accepted by doctor and patient is that funnel chest is treated in NUSS ruling by law, and in this operation process, the operation doctor is in the funnel chest operation time; Use traditional NUSS steel plate and NUSS steel plate fixing head at the patient's two fix N USS of frame timber place steel plates, to prop up the breastbone that subsides.At first need be in operation with traditional NUSS steel plate through moulding pincers or lever with the bending of traditional NUSS steel plate, be that the holddown groove reuse operation suture thread that earlier orthopedic NUSS steel plate is inserted fixing head is sewn to fixing head on patient's the periosteum when fix N USS steel plate.Or directly orthopedic NUSS steel plate binding is fixed on patient's rib through steel wire.Effect in this operation directly receives doctor's proficiency level's influence, because the doctor's of different actual enforcement operations technological disparity property will cause the NUSS steel plate shape of bending in the concrete operation uneven, directly the orthopedic effect of influence; Existing fixed plate or steel wire bundle complicated operation are time-consuming simultaneously, and fixing not firm, make risk increase in the operation process, avoid internal organs as taking every caution against error with the steel wire bundle reshaping plate.On the other hand, adopt existing apparatus in operation, to require great effort during doctor's operating cost, all these have directly influenced safety, the effectiveness of NUSS steel plate fixation stability property, reliability and operation.
Summary of the invention
The present invention provides a kind of insufficient funnel breast orthopaedic device of prior art that overcomes.
Funnel breast orthopaedic device of the present invention is that the funnel breast orthopaedic steel plate holder that the funnel breast orthopaedic steel plate processed with shape memory alloy material and shape memory alloy material are processed is formed, the funnel breast orthopaedic steel plate by straight tabular steel plate main body and the two ends that are divided into the steel plate main body, have on it and can partly form with the fixture that the steel plate on the funnel breast orthopaedic steel plate holder is encircled the profile of tooth holddown groove that arm cooperates; Funnel breast orthopaedic steel plate holder is made up of girder, the curb girder that is rigidly secured on the girder, and: rigidity is provided with steel plate and encircles arm in the outer end of each curb girder, and rigidity is provided with rib and encircles arm respectively in girder two outer ends.
In a kind of funnel breast orthopaedic device of the present invention, quadrature arrangement between the curb girder of its funnel breast orthopaedic steel plate holder and girder promptly is similar criss-cross layout between its girder and curb girder; Be in tilted layout between the curb girder of another kind of funnel breast orthopaedic steel plate holder of the present invention and girder.
In a kind of funnel breast orthopaedic device of the present invention, the straight plate structure of the same axis that the fixture part at the steel plate main body in its stage casing of funnel breast orthopaedic steel plate and steel plate main body two ends is in the same plane, and the profile of tooth of fixture part serrate slot is a rectangular teeth; And in the another kind of funnel breast orthopaedic device of the present invention, fixture its axis of part and the steel plate body axis that are positioned at steel plate main body two ends tilt, and the profile of tooth of fixture part serrate slot is a rectangular teeth.
The adoptable marmem of funnel breast orthopaedic device of the present invention is a Ti-Ni marmem.
Funnel breast orthopaedic device of the present invention can be prepared multiple model according to the rib angle, to be applicable to different patients' needs.
Funnel breast orthopaedic device of the present invention in use; Between its orthopedic steel plate and rib and holder fixedly is directly to encircle arm or rib through steel plate set on the holder to encircle arm and realize; Therefore device of the present invention does not need for another example that the prior art that kind need be sutured in it on periosteum with surgical thread in concrete operation process; With fixation with steel wire reshaping plate and holder; Not only can simplify operation process, can make fixing between funnel breast orthopaedic steel plate and funnel breast orthopaedic steel plate holder, but also can reduce the risk of operation greatly than more reliable in the prior art, firm with steel wire bundle.
Biggest advantage of the present invention is to have adopted marmem to prepare funnel breast orthopaedic steel plate of the present invention and holder thereof.Because memorial alloy; Particularly has the intensity height like ti-ni shape memory alloy used in the present invention; But quality is little, have the characteristics of reminiscence original-shape; Therefore its volume of device of the present invention that manufactures than prior art littler, intensity is higher, and in operation, use can be convenient, light and handy, and can shorten operating time greatly.
Because device of the present invention has adopted the shape memory manufacturing; Therefore can prepare the most suitable funnel breast orthopaedic device of shape according to patient's concrete condition in advance; The shape that can be in advance in operation under cooling condition, it be deformed to the most suitable operation; After being fixed, suitably heating to make it return to initial shape again, imposes external force again and can realize and this recovery process need not surgical staff.Therefore device of the present invention can effectively reduce doctor's operation easier and operation complexity in can the corresponding disease of efficacious therapy, alleviates the patient suffering greatly.
Description of drawings
Accompanying drawing 1 is its girder of the present invention and the orthogonal funnel breast orthopaedic steel plate of curb girder holder sketch map with accompanying drawing 2, and wherein accompanying drawing 2 is the vertical view of accompanying drawing 1.Among Fig. 1 and Fig. 2,1 encircles arm for steel plate, and 2 is curb girder, and 3 is girder, and 4 encircle arm for-rib.Visible by figure, be crosswise between its girder and curb girder and arrange.
Accompanying drawing 3 and the funnel breast orthopaedic steel plate holder sketch map of accompanying drawing 4 for being in tilted layout between curb girder of the present invention and girder, wherein accompanying drawing 4 is the vertical view of accompanying drawing 3.Among Fig. 3 and Fig. 4,5 encircle arm for steel plate, and 6 is curb girder, and 7 is girder, and 8 encircle arm for rib.
Accompanying drawing 5 and accompanying drawing 6 are the sketch map of funnel breast orthopaedic steel plate of the straight plate structure of the fixture part at steel plate main body and steel plate main body two ends in its stage casing of the present invention same axis in the same plane; Wherein: 9 for having the fixture part of rectangular channel, and 10 is the steel plate main body.
The sketch map of the funnel breast orthopaedic steel plate that accompanying drawing 7 and accompanying drawing 8 tilt for its axis of fixture part at the two ends that are positioned at the steel plate main body and steel plate body axis, wherein: 11 is the fixture part that has rectangular channel, and 12 is the steel plate main body.Visible by Fig. 7, the axis of its fixture part 11 (axis of symmetry) is in tilted layout with the axis (axis of symmetry) of steel plate main body 12 at grade.
Accompanying drawing 9 is funnel breast orthopaedic steel plate sketch map after moulding in surgical application, and this figure is a side view, is equivalent to Fig. 6 or Fig. 8 crooked situation after moulding when surgical application.
Accompanying drawing 10 is funnel breast orthopaedic steel plate orthosis of the present invention sketch maps of (situation after promptly with holder the reshaping plate after moulding being fixed) in working order with accompanying drawing 11, and wherein accompanying drawing 11 is vertical views of Figure 10.
Accompanying drawing 12 for will its girder of the present invention in operation and the arm of encircling of the funnel breast orthopaedic steel plate orthosis holder of the next quadrature arrangement of curb girder open moulding sketch map; Dotted portion wherein is to encircle the position that arm is opened; Solid line is partly for encircling the arm home position, and this position also is the position when encircling the arm actual fixed.
Accompanying drawing 13 be in operation with funnel breast orthopaedic steel plate bending of the present invention sketch map after moulding; Figure 13 is the side view of funnel breast orthopaedic steel plate; It is the crooked sketch map after moulding of Fig. 6 or Fig. 8; Wherein level is not crooked moulding, all the other two situation that state is different moulding positions.
The specific embodiment
Below in conjunction with accompanying drawing and embodiment the present invention is carried out details:
Funnel breast orthopaedic steel plate and memorial alloy funnel breast orthopaedic steel plate holder by memorial alloy preparation of the present invention is respectively referring to shown in accompanying drawing 1 to the accompanying drawing 8.
Each funnel breast orthopaedic device of the present invention is made up of funnel breast orthopaedic steel plate and funnel breast orthopaedic steel plate holder.Visible by accompanying drawing 5 to accompanying drawing 8; Funnel breast orthopaedic steel plate of the present invention is partly to be made up of the fixture of steel plate main body with the band holddown groove, and funnel breast orthopaedic steel plate wherein is divided into two kinds: a kind of is the straight plate structure of the fixture part 9 at steel plate main body 10 and steel plate main body two ends in its stage casing shown in accompanying drawing 5 and 6 same axis in the same plane; Another kind is like the fixture part 11 of accompanying drawing 7 with the two ends that are positioned at the steel plate main body 12 on the same plane shown in the accompanying drawing 8, and the axial symmetry line of the axial symmetry line of fixture part 11 and steel plate main body 12 tilts structures arranged.Fixedly profile of tooth by on the also visible fixture part in the present invention of figure is a rectangular teeth.Funnel breast orthopaedic steel plate holder of the present invention by girder, be arranged at the rib that girder is and encircle arm, be arranged at the curb girder on the girder and be arranged at steel plate on the curb girder and encircle arm and form.Funnel breast orthopaedic steel plate holder of the present invention also is divided into two kinds: a kind of is its curb girder 2 and the structure of 3 quadrature arrangement of girder shown in accompanying drawing 1 and accompanying drawing 2; Be provided with orthopedic steel plate in the outer end of curb girder 2 and encircle arm 1, be respectively arranged with rib in two outer ends of girder 3 and encircle arm 4; Another kind is curb girder 6 and 7 structures that are in tilted layout of girder shown in accompanying drawing 3 and accompanying drawing 4, and being provided with orthopedic steel plate in the outer end of curb girder 6 encircles arm 5 equally, is respectively arranged with rib in two outer ends of girder 7 and encircles arm 8.From accompanying drawing 1 to 4 also visible rib encircle arm 4 or 8 another be to have utilized the window portion of being opened in the girder to make, this structure can further alleviate weight of the present invention on the one hand.
Used marmem is a Ti-Ni marmem in the practical embodiments of the present invention.
Holder of structure shown in the accompanying drawing 1 and 2 and accompanying drawing 7, the orthopedic steel plate shown in 8 are used in general, and structure holder shown in accompanying drawing 3 and 4 and accompanying drawing 5, the orthopedic steel plate shown in 6 are used.
Device of the present invention is when operation technique; To carry out disinfection with high pressure steam by the memorial alloy funnel breast orthopaedic steel plate of patient's condition molding at first in advance; Place 0 ~ 5 ℃ sterilization brine ice 3 ~ 5 minutes again; After making it fully cooling, can be easy to the moulding arbitrary shape that makes things convenient for operation technique that becomes with hands.Select the memorial alloy funnel breast orthopaedic steel plate holder of respective model then according to the shape size of patient's rib etc.Memorial alloy funnel breast orthopaedic steel plate holder is carried out disinfection with high pressure steam to be handled; Place 0 ~ 5 ℃ sterilization brine ice 3 ~ 5 minutes then; Make it fully the cooling back respectively encircles arm with strutting to clamp to strut in brine ice; Make rib encircle the arm opening and be slightly larger than trouble bone diameter, orthopedic steel plate is encircled the arm opening and is slightly larger than memorial alloy funnel breast orthopaedic steel plate width.Cut the otch that is about 2-5cm length in patient's two frame timber mark, moulding good memorial alloy steel plate is implanted.Use memorial alloy funnel breast orthopaedic steel plate holder rib to encircle arm and embrace and need locate adjacent two rib bones in the fixed position, orthopedic steel plate is encircled the memorial alloy funnel breast orthopaedic steel plate fixed teeth that arm is embraced correct position.The gauze hot compress memorial alloy funnel breast orthopaedic steel plate holder that soaks with sterilization hot salt brine about 45 ° of C afterwards; Memorial alloy funnel breast orthopaedic steel plate holder generation SME; Encircle arm and reset, block rib and memorial alloy funnel breast orthopaedic steel plate securely.SME promptly takes place in memorial alloy funnel breast orthopaedic steel plate under body temperature, revert to be the shape of patient's customization when dispatching from the factory, and the thoracic wall that will subside supports to normal profile.Sew up the incision, operation is promptly accomplished.

Claims (6)

1. funnel breast orthopaedic device; It is characterized in that the funnel breast orthopaedic steel plate holder that device is processed by funnel breast orthopaedic steel plate of processing with shape memory alloy material and shape memory alloy material forms, the funnel breast orthopaedic steel plate by straight tabular steel plate main body and the two ends that are divided into the steel plate main body, have on it and can partly form with the fixture that the steel plate on the funnel breast orthopaedic steel plate holder is encircled the profile of tooth holddown groove that arm cooperates; Funnel breast orthopaedic steel plate holder is made up of girder, the curb girder that is rigidly secured on the girder, and: rigidity is provided with orthopedic steel plate and encircles arm in the outer end of each curb girder, and rigidity is provided with rib and encircles arm respectively in girder two outer ends.
2. funnel breast orthopaedic device according to claim 1 is characterized in that quadrature arrangement between curb girder and the girder of funnel breast orthopaedic steel plate holder.
3. funnel breast orthopaedic device according to claim 1 is characterized in that being in tilted layout between curb girder and the girder of funnel breast orthopaedic steel plate holder.
4. funnel breast orthopaedic device according to claim 1; It is characterized in that the fixture at steel plate main body and the steel plate main body two ends in its stage casing of funnel breast orthopaedic steel plate partly is in the straight plate structure of same axis in the same plane, and the profile of tooth of fixture part serrate slot is a rectangular teeth.
5. funnel breast orthopaedic device according to claim 1 is characterized in that in the funnel breast orthopaedic steel plate, and fixture its axis of part and the steel plate body axis that are positioned at the two ends of steel plate main body tilt, and the profile of tooth of fixture part serrate slot is a rectangular teeth.
6. according to the described arbitrary funnel breast orthopaedic device of claim 1 to 5, it is characterized in that the marmem that is adopted is a Ti-Ni marmem.
CN2012102884436A 2012-08-14 2012-08-14 Funnel chest orthotic device Pending CN102783995A (en)

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Application Number Priority Date Filing Date Title
CN2012102884436A CN102783995A (en) 2012-08-14 2012-08-14 Funnel chest orthotic device

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Application Number Priority Date Filing Date Title
CN2012102884436A CN102783995A (en) 2012-08-14 2012-08-14 Funnel chest orthotic device

Publications (1)

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CN102783995A true CN102783995A (en) 2012-11-21

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201055418Y (en) * 2007-07-13 2008-05-07 沈刚 Memory alloy spinal column orthopedic internal fixing system
US20100100142A1 (en) * 2007-03-19 2010-04-22 Hyung Joo Park Introducer with dissection function for pectus excavatum repair operation
US20110172576A1 (en) * 2010-01-08 2011-07-14 Alejandro Castro Method and apparatus for nonsurgical correction of chest wall deformities
CN202218906U (en) * 2011-08-05 2012-05-16 江齐昌 Funnel chest correcting metal plate fixing device
CN202859265U (en) * 2012-08-14 2013-04-10 兰州西脉记忆合金股份有限公司 Funnel chest shape righting device

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20100100142A1 (en) * 2007-03-19 2010-04-22 Hyung Joo Park Introducer with dissection function for pectus excavatum repair operation
CN201055418Y (en) * 2007-07-13 2008-05-07 沈刚 Memory alloy spinal column orthopedic internal fixing system
US20110172576A1 (en) * 2010-01-08 2011-07-14 Alejandro Castro Method and apparatus for nonsurgical correction of chest wall deformities
CN202218906U (en) * 2011-08-05 2012-05-16 江齐昌 Funnel chest correcting metal plate fixing device
CN202859265U (en) * 2012-08-14 2013-04-10 兰州西脉记忆合金股份有限公司 Funnel chest shape righting device

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Application publication date: 20121121