CN104116544B - Device for forming cavity in centrum - Google Patents

Abstract

A device for forming a cavity in a centrum comprises a cutting part and a control device, wherein the cutting part is used for cutting the centrum and the control device is used for controlling the cutting part to cut the centrum. The control device comprises a bearing part used for bearing the cutting part, and the end, adjacent to the cutting part, of the bearing part is provided with a bendable portion. The bearing part comprises a direction limiting part used for controlling the bending direction of the bearing part and a limiting part used for controlling the bending angle of the bearing part. The bearing part can further comprise a protective part. The control device further comprises a manipulation assembly used for controlling the bearing part to bend. The device can effectively avoid dangers caused by bilateral puncture in the prior art, the shape of the cavity is controllable, meanwhile, damage to bone tissue is reduced, and bone cement can permeate between bone trabeculae more effectively.

Description

For forming the equipment of cavity in vertebral body

Technical field

The present invention relates to medical instruments field, more particularly, to a kind of equipment for forming cavity in vertebral body.The present invention The equipment being provided be mainly used in treating the compression fracture of vertabral body leading to because of osteoporosises and with intractable pain micro- In wound surgical operation.

Background technology

At present, the micro-wound surgical operation method for the treatment of compression fracture of vertabral body mainly has percutaneous vertbroplasty and percutaneous vertebra Convex plasty after body.

Wherein, percutaneous vertbroplasty (Percutaneous Vertebroplasty, PVP) refers to via skin, then leads to Crossing injection bone cement in pedicle of vertebral arch or pedicle of vertebral arch extroversion vertebral body increases vertebral body strength and stability to reach, and prevents from subsiding, alleviates A kind of minimally invasive spinal surgery technology for the purpose of pain, or even part recovery vertebral height.The committed step of percutaneous vertbroplasty Be first with piercing method, set up one via skin, pedicle of vertebral arch (or outside pedicle of vertebral arch), one of vertebral body Passage, then pass through this passage, inject bone cement into vertebral body.Vertebral body intensity and stability can be strengthened after bone cement hardening, alleviate Pain.In terms of vertebral tumor, injection bone cement after, its mechanism can make regional flow interrupt, its chemical toxicity effect and Heat of polymerization also can make the teleneuron necrosis of tumor tissues and its surrounding tissue reach the effect of pain relieving, and it is thin to inactivate tumor Born of the same parents.But, the application with percutaneous vertbroplasty is gradually promoted, except vertebral hemangioma, myeloma, ostelytic metastases tumor Outward, more still it is applied to the patient with intractable pain for the Osteoporotic Vertebral Compression Fractures.

And Percutaneous kyplasty (Percutaneous Kyphoplasty, PKP) is percutaneous vertbroplasty Improvement and development, also with piercing method, via skin, then by pedicle of vertebral arch set up one extend in vertebra body lead to Road；It is built into inflatable sacculus from this passage；Sacculus forms internal cavities after expanding, and vertebral height obtains certain journey Degree recovers；After sacculus is withdrawn from, the filling bone cement toward in cavity, after bone cement hardening, reinforcement effect is formed to vertebral body.This side Formula compared with percutaneous vertbroplasty, bio-mechanical property indistinction, clinical practice shows that it not only can release or alleviating pain Symptom, can also substantially recover to be increased rigidity and the intensity of vertebral body by the height of compressed vertebral, so that the physiological camber of spinal column is obtained Recover, and the volume of splanchnocoel can be increased and improve organ function, improve the quality of life of patient.Therefore, convex after percutaneous vertebral body , relative to percutaneous vertbroplasty, in terms for the treatment of osteoporotic compression fracture, application is more extensive for plasty.

And two methods something in common is, percutaneous vertbroplasty and Percutaneous kyplasty are required in vertebral body Internal passage and/or the cavity percutaneous vertbroplasty of creating forms passage by puncturing, and bone cement is injected into by passage In vertebral body, infiltration, expansion between vertebral body internal bone trabecula, and polymerizing curable；Percutaneous kyplasty is in puncture channel On the basis of, go out a cavity using balloon dilatation, bone cement injects cavity, polymerizing curable in the range of this cavity.

But, using conventional puncture described above or recycle balloon dilatation to go out cavity on the basis of conventional puncture There is following defect：

1) due to the relation of puncture angle, the operating theater instruments of conventional percutaneous vertbroplasty/Percutaneous kyplasty Cross vertebral body center line to be difficult to, puncture angle requirement is harsh, the symmetry ensureing recovered vertebral height can only be punctured by bilateral.But It is so not only to make patient trauma puncture minimum greatly one times than unilateral, also can make medical worker's high labor intensive, patient and medical matters It is long that personnel accept radiated time, and certainly, bilateral punctures needs and uses more operating theater instruments, and medical treatment cost also can be higher.

2) when being punctured although Percutaneous kyplasty recover vertebral height in terms of really than percutaneous vertebral body Plasty effect substantially, but cavity shape uncontrollable.

3) in Percutaneous kyplasty, there is process of expansion in sacculus, and in this process of expansion, can destroy more Many intact osseous tissues, such as bone trabecula.

4) simultaneously, objectively there is the effect of compacting spongy bone in sacculus in process of expansion, leads to bone cement in expansion shape Permeate between peripherad bone trabecula in the cavity becoming and be obstructed.

Therefore, those skilled in the art is devoted to developing a kind of new equipment for forming cavity in vertebral body, with Overcome the problems referred to above of present technology.

Content of the invention

In view of the drawbacks described above of prior art, the technical problem to be solved is to provide a kind of being used in vertebral body The middle equipment forming cavity, operates, freely creates cavity according to practical situation to realize one side in the operation using this equipment Shape, reduce the destruction to intact osseous tissue to greatest extent and bone cement is more effectively permeated between bone trabecula.

For achieving the above object, the equipment for forming cavity in vertebral body provided by the present invention is included for cutting vertebra Body cut part and for controlling this to cut the control device that part cuts this vertebral body, this control device comprises to cut for carrying Cut the load bearing component of part, this load bearing component cuts part one end adjacent to this and has bendable portion, this load bearing component include for The limit controlling this load bearing component bending direction to part and is used for controlling the limiting component of this load bearing component angle of bend.

Preferably, this limit cuts part with this to part with this limiting component is simultaneously fixedly connected.It is highly preferred that this limit to It is welding that part and this limiting component cut, with this, the connected mode that part is fixedly connected simultaneously.

Preferably, this limit is configured to cut part one end to curving in neighbouring this to part.It is highly preferred that should Limit, to part, side is provided with some otch.

Preferably, this limiting component is configured to the outside to part for this limit, and can neighbouring this cut part one end to Curving.It is highly preferred that this limiting component is provided with some otch in side.

Preferably, this limit is tubulose to part and this limiting component.

Preferably, this limit is medical stainless steel to the material of part and this limiting component.

Preferably, this load bearing component also includes guard block.It is highly preferred that this guard block and this limit are to part and this limit Position part cuts part with this simultaneously and is fixedly connected.It is highly preferred that this guard block, this limit are to part and this limiting component simultaneously Cutting, with this, the connected mode that part is fixedly connected is welding.

Preferably, this guard block be configured to neighbouring this cut one end of part to this limit to component flexes side Identical curving.It is highly preferred that this guard block is provided with some otch in side.

Preferably, this guard block is tubulose.

Preferably, this cuts part is the point of a knife with sword.

Preferably, this control device is also included for manipulating the manipulation component that this load bearing component bends.It is highly preferred that This manipulation component is configured to manipulate this load bearing component by the active force producing along this load bearing component axial direction and bends.

The present invention adopt multilamellar load bearing component design, in conjunction with multilamellar load bearing component simultaneously with cut part be fixedly connected and Otch setting on multilamellar load bearing component, and manipulate this load bearing component using the active force by producing along load bearing component axial direction The manipulation component bending, is avoided that the harm that bilateral puncture of the prior art brings, controlled to cavity shape, meanwhile, The destruction to osseous tissue can also be reduced, and so that bone cement is more effectively infiltrated between bone trabecula.Specifically, because multilamellar is held Carry part to be simultaneously connected with cutting part, when manipulation component so that when limiting to part due to some otch to curving, In this limit to the limiting component of part outer layer because its cut-out direction is contrary with the cut-out direction limiting to part, therefore control carrying The angle of component flexes.In order to prevent from cutting in operation process part occur unexpected come off, also can add in the outer layer of limiting component Plus guard block, prevent from cutting part and drop in the patient.It should also be noted that the present invention forms the principle of cavity with now Have entirely different in technology, the present invention is to cut formation cavity inside vertebral body using bending metals part, must compared to sacculus The destruction of intact osseous tissue that the raw process of expansion of beard and hair can lead to and the infiltration of bone cement are obstructed, and bring very big improvement, In addition it is thus also avoided that bilateral punctures, thus mitigating patient trauma, the labor intensity shortening operating time, reducing medical worker, subtract Few patient and the amount of radiation of medical worker's acceptance, certainly, operation cost also can be relatively low.Therefore, the present invention in vertebra Formed in body cavity equipment achieve unilateral operation, freely created according to practical situation cavity shape, reduce to greatest extent right The destruction of intact osseous tissue and bone cement is more effectively permeated between bone trabecula.

Brief description

Fig. 1 is the structure of the equipment for forming cavity in vertebral body in a kind of preferred embodiment of the present invention Schematic diagram.

Fig. 2 is the profile of the A-A along the line of the equipment for forming cavity in vertebral body of Fig. 1.

Fig. 3 is the detail view of Fig. 2 local.

Fig. 4 is the detail view of another local of Fig. 2.

Fig. 5 is the schematic diagram of a preferred embodiment of the equipment for forming cavity in vertebral body of the present invention Partial, detailed view, eliminates part rotary knob member, shows position in handle portion for the bulb alignment pin.

Fig. 6 is the knob in a preferred embodiment of the equipment for forming cavity in vertebral body of the present invention The recessed position of part.

Fig. 7 is the structure chart of the bulb alignment pin in Fig. 5, and in figure includes spring.

Fig. 8-13 is the schematic diagram of the operating procedure of the equipment for forming cavity in vertebral body utilizing the present invention.

Figure 14 is the cavity schematic diagram utilizing the equipment for forming cavity in vertebral body of the present invention to be formed.

Specific embodiment

Annotation：" front " in present patent application refers to the equipment for forming cavity in vertebral body of the neighbouring present invention Cut the direction of part, " tail " refers to away from the present invention for forming the side cutting part of the equipment of cavity in vertebral body To." cutting " refers to the means specifically making to form cavity in vertebral body.

Prior art utilizes expanding plasty in vertebral body, is to utilize piercing method, via skin, then is set up by pedicle of vertebral arch One passage extending in vertebra body；It is built into inflatable sacculus from this passage；Sacculus forms an internal sky after expanding Chamber, and vertebral height obtains and recovers to a certain extent；After sacculus is withdrawn from, the filling bone cement toward in cavity, after bone cement hardening, right Vertebral body forms reinforcement effect.

Fig. 1 to Fig. 7 shows that a kind of of the equipment for forming cavity in vertebral body provided by the present invention preferably has Body embodiment.

As shown in figure 1, in this preferred embodiment, for forming the equipment 1 of cavity in vertebral body by cutting Part 10 and control device 20 form.Most preferably visible in Fig. 1, cut part 10 in the equipment 1 for forming cavity in vertebral body Foremost.Also visible in FIG, load bearing component 210 is tubulose, and in this preferred embodiment, has outermost layer Guard block, and there is structure thereon that enable its leading portion to bend to side.As it was noted above, what guard block existed Main purpose is to prevent from cutting part to occur unexpected coming off to drop in the patient in operation process.The tail end of guard block is remote Not as good as manipulation component 220, it is simply that being enclosed within the part of limiting component outer layer from figure.In addition, shown in Fig. 1, guard block Enable its leading portion to be some otch to the structure that side bends, and inside it, limiting component makes it certainly with limiting to part The structure that body bends also is some otch, specifically visible in fig. 2 it is noted that can be by changing otch Width, depth, spacing equidimension value and shape, realize different maximum bend angle and different size of bending leading portion.Can In alternative embodiment, it would however also be possible to employ others make the structure that load bearing component leading portion bends to side.Acceptable in FIG Observe the rotary knob member 2201 in control device and upper lid 2202, have below and be discussed further.

Referring back to Fig. 2, Fig. 2 is the profile of the A-A along the line of the equipment for forming cavity in vertebral body of Fig. 1, more clearly Depict to Chu the internal structure of the equipment for forming cavity in vertebral body.First, in this preferred embodiment, Load bearing component 210 is tubulose, includes limiting to part 2101, limiting component 2102 and guard block 2103, as it was noted above, can In the embodiment replaced, only there is limit to part 2101 and limiting component 2102 it is also possible to realize the function of the present invention.Should note Meaning, fixation connects simultaneously with cutting part for the front end of design multilayer tubular load bearing component of multilayer tubular load bearing component Connect, safety can be improved, the fracture of any layer pipe will not result in front end and comes off in vertebral body.In addition, tubulose limits to portion in Fig. 2 Part 2101, tubulose limiting component 2102 and tubulose guard block 2103 can be by welding with being fixedly connected of cutting part 10 Mode, can also be fixed together by way of plastics, pottery injection.In fig. 2 it will be appreciated also that ground is seen, innermost layer Tubulose limits and is connected in a structure in manipulation component 220 to the tail end of part 2101, the details of this structure in figure 3, It is discussed further below.The tail end limiting the tubulose limiting component 2102 of the outer layer to part 2101 positioned at tubulose is connected to manipulation component On obstruction part in 220, in this embodiment, this obstruction part is fixed in position determining in manipulation component 220 Position set 2203.In alternative embodiments, as long as enabling to make not occur between limiting component and manipulation component axially opposite Motion, other structures are also allowed.In addition, in this specific embodiment, tubulose limits in tail end and Fig. 3 to part 2101 The connected mode of the structure that will be described is welding, and the tail end of tubulose limiting component 2102 with the connected mode of positioning sleeve 2203 is also Welding, in alternative embodiments, it would however also be possible to employ other connected modes realize these functions.In fig. 2, can also be noted that Arrive, the guard block of load bearing component 210, that is, the tubulose guard block 2103 in this specific embodiment is only that front end is welded on Cut on part 10, and the position of tail end limits to part 2101 compared to tubulose limiting component 2102 and tubulose, distance cuts portion The position of part 10 closer to, and comparatively, tubulose limits that to cut part 10 to the end-position distance of part 2101 farthest, but this It is the preferred arrangement of this three-layer pipe shape member trailing end position, cut to outermost guard block distance to part from the limit of innermost layer Whether the distance cutting part must be increasingly nearer relation, and the effect of the present invention can't be produced with the impact of essence.

Referring now to Fig. 3, Fig. 3 details one of Fig. 2 partial structurtes, and this partial structurtes is limited with the tubulose of innermost layer Tail end to part 2101 links together.The Main Function of this partial structurtes is to make limit, to part, manipulation component relatively occur Motion in 220 axial direction.In this embodiment, limit this structure linking together to part 2101 tail end with tubulose 2204 are mainly made up of following part, and these parts include space washer 22041, space washer 22042, U-shaped alignment pin 22043rd, cutting ferrule 22044, wherein cutting ferrule 22044 are provided with square hole.In this embodiment, tubulose limits to part 2101 Tail end is connected with welding manner with space washer 22041, space washer 22042；Cutting ferrule 22044 is inserted in manipulation component 220 rear end Partial cylinder, U-shaped alignment pin 22043 pass through cutting ferrule 22044 on square hole and be stuck in two space washers 22041 and 22042 Between.In this embodiment, the material of space washer 22041,22042 and U-shaped alignment pin 22043 is rustless steel.Existing Understanding, in this embodiment, rotary knob member 2201 is enclosed within cutting ferrule 22044, and knob in conjunction with Fig. 3 and Fig. 1 There is matching thread between part 2201 and cutting ferrule 22044.Upper lid 2202 is fixed by welding in manipulation component 220, wherein knob The material of part 2201 and upper lid 2202 is ABS plastic.So far, limit the structure 204 being connected to part 2101 tail end with tubulose Tubulose can be made to limit occur and the axially opposite motion of manipulation component 220 to part 2101.Specifically, rotary knob part When 2201, because rotary knob member 2201 is coordinated with cutting ferrule 22044, U-shaped alignment pin 22043 is again through the square hole on cutting ferrule 22044 And be stuck between two space washers 22041 and 22042, tubulose limits tail end and space washer 22041, positioning to part 2101 Packing ring 22042 is fixedly connected, so rotary knob part 2201, limit will be made to be moved axially forwards to part 2101.Should note Meaning, the equipment for formation cavity in vertebral body of the present invention in this embodiment, uses turning knob Part, makes tubulose limit to part axially forward by the screw thread cooperation of rotary knob member and cutting ferrule, but in alternative embodiments, Can also convert rotational motion to move along a straight line by " wheel and rack " and " lever " mode.

Fig. 4 is the detail view of another local of Fig. 2, shows empty for being formed in vertebral body in this specific embodiment The detail view of the arrangement of the structure bending to side of the load bearing component of the equipment in chamber.In the diagram, this specific embodiment In the tubulose of equipment for forming cavity in vertebral body limit to part 2101, tubulose limiting component 2102 and tubulose protection portion Part 2103, has the otch for making its leading portion bend to side, and welds with cutting part 10 in this three-layer pipe shape part When adjacent tubes cut-out direction contrary, in Fig. 4, tubulose limits cutout to part 2101 and tubulose guard block 2103 upper Side (top of drawing), can make tubulose limit and bend downward to part 2101 and tubulose guard block 2103, and tubulose is spacing The cutout of part 2102, in lower section (lower section of drawing), can make tubulose limiting component 2102 bend upward.Above also Through mentioning, the function to be realized for realizing the present invention, drops because the Main Function of guard block is to prevent to cut part In the patient, so being not necessarily required to possess outermost tubulose guard block, but, if possessing outermost layer pipe In the case of shape guard block, then the cut-out direction of its design preferably limits the otch designed by part with the tubulose of innermost layer Direction is identical, meets the bending direction that limit is limited to part, and reason is, the cut-out direction phase each other of adjacent tubular parts Instead, the mechanical property that this specific embodiment cuts spongy bone can be strengthened, the front end being additionally, since three-layer pipe shape part is welded on Together, tubulose limiting component 2102 can be driven so tubulose limits to bend to part 2101, and in this BENDING PROCESS, tubulose limits The bending direction of position part 2102 is the equidirectional of otch, so after tubulose limiting component 2102 bending, its otch is compressed, After the otch of final tubulose limiting component 2102 is compressed into the limit, tubulose limiting component 2102 just cannot bend again, and this just determines Determine the maximum bend angle of the equipment for forming cavity in vertebral body in this specific embodiment.Tubulose limits to part 2101st, tubulose limiting component 2102 and to cut the preferred material of part 10 be medical stainless steel, but in alternative embodiments, also Can be selected for as preferable in Nitinol toughness, biocompatibility preferably metal material.

Presently in connection with Fig. 2 to Fig. 4, to the present invention for forming the load bearing component 210 of the equipment of cavity in vertebral body The process of raw bending illustrates.As it was previously stated, when needing load bearing component 210 to bend, in turn manipulation component 220 Rotary knob member 2201, because rotary knob member 2201 is coordinated with cutting ferrule 22044, U-shaped alignment pin 22043 is again through on cutting ferrule 22044 Square hole and be stuck between two space washers 22041 and 22042, tubulose limits tail end and space washer to part 2101 22041st, space washer 22042 is fixedly connected, so rotary knob part 2201, will make limit to part 2101 manipulation group relatively There is motion axially forward in part 220, have a process being transformed into linear motion from rotary motion.Meanwhile, due to limit To part 2101 and limiting component 2102 simultaneously with cut part 10 and be fixedly connected, limit, to part 2101, axially-movable occur forward Trend limiting component 2102 can be driven to have proal trend, certainly, if having guard block 2103, then protection portion Part 2103 also has proal trend.But, because limiting component 2102 and position are fixed on determining in manipulation component 220 Position set 2203 is fixedly connected, and this allows for limiting and is obstructed to the axially-movable of part 2101, now, limits and is subject to its portion to part 2101 On part, set notch features are affected, and start another lateral bend towards setting notch features, are equally because limit is to portion Part 2101 and limiting component 2102 simultaneously with cut part 10 and be fixedly connected, limit the bending meeting occurring to part 2101 towards side Limiting component 2102 is also bent, if at this moment not making any structure design, simply simply on limiting component 2102 Bend to part 2101 with limit, then limit and be not limited to the bending of part 2101 and limiting component 2102, or even can To develop into 180 ° of folding, this degree of crook not only it is not necessary that it is also quite conceivable to produce bad effect, so Limiting component 2102 can be arranged and make limiting component 2102 to the knot bending to part 2101 bending direction rightabout with limit Structure, thus it is possible to otch is also provided with limiting component 2102, and the cut-out direction of this limiting component 2102 after assembling and group Cut-out direction from this limit after dress to part 2101 contrary so that limiting limited by the bending causing to part 2101, also just play The spacing effect of limiting component 2102.As for guard block 2103, then it is passively to followed by limit to part 2101 and limiting section Part 2102 is curved.Finally whole load bearing component 210 bends, cut part 10 to start to cut work.

Fig. 5 is the schematic diagram of a preferred embodiment of the equipment for forming cavity in vertebral body of the present invention Partial, detailed view, eliminates part rotary knob member to illustrate the projecting part in positioning component.As shown in figure 5, here is specifically real Apply in mode, projecting part is bulb alignment pin 2205, bulb alignment pin 2205 is arranged in manipulation component, rotary knob member is rotation Button part 2201, on the surface of rotary knob member 2201, is provided with the position with bulb alignment pin 2205 and prominent shape phase The depression joined, and in figure is visible, the surface of bulb alignment pin 2205 includes shape phase with the surface of depression on rotary knob member 2201 The cambered surface of coupling, is carried out hereinafter in conjunction with Fig. 6 to illustrating of recessed position.

Fig. 6 shows the position in a preferred embodiment of the equipment for forming cavity in vertebral body of the present invention The position of the depression on rotary knob member.Fig. 6 be illustrated that rotary knob member 2201 be provided with depression 22011,22012, 22013rd, 22014,22015 surface.

Fig. 7 is the structure chart of the bulb alignment pin in Fig. 5, and in figure includes spring 2206.

Now Fig. 5 to Fig. 7 is combined and see, in order to more clearly enter to the positioning component in this specific embodiment Row description.Shown in Fig. 5 is the bulb alignment pin 2205 as projecting part and the rotary knob member 2201 as rotary knob member Certain depression cooperation, and be to make bulb alignment pin 2205 and rotary knob member 2201 carry out good cooperation, this positioning component Also include the spring 2206 as elastomeric element, as shown in Figure 7.Bulb alignment pin 2205 passes through the elastic acting force of spring 2206 With the depression cooperation on rotary knob member 2201.Referring now to the depression on the rotary knob member in this specific embodiment, rotary knob member Depression 22011,22012,22013,22014,22015 on 2201, as shown in fig. 6, can make rotary knob member 2201 clockwise In rotary course, the depression cooperation of bulb alignment pin 2205 and rotary knob member formed in 180 ° about 45 ° of four gears, 90 °, 135 ° and 180 °.With regard to 90 ° and 180 ° of two gears, the present invention below for forming cavity in vertebral body Application obscure portions in operation for the equipment have further instruction, and are located at 180 ° of concave design also primarily to preventing Exceed the operation torque of maximum, as another two gear, that is, in figure is similar to two of 45 ° and 135 ° and is recessed, and makes for actual Used time, there may come a time when not need to rotate 90 ° of so much situations, many two gears can also play convenient regulation and prompting handss Sense, in order to avoid the excessive effect of rotation.Certainly, in alternative embodiments it is also possible to only three depression, that is, be located at 0 °, 90 ° and 180°.So, by the cooperation of the depression on projecting part and rotary knob member in positioning component, so that the present invention is using During, protected by extra.

For preferably illustrating the application in operation for the equipment for forming cavity in vertebral body of the present invention, with reference to Fig. 8 to Figure 14 is described further.Fig. 8 to Figure 14 be utilize this specific embodiment in vertebral body formed cavity Operating procedure in operation for the equipment and the cavity situation eventually forming.

Referring initially to six operating procedures, i.e. Fig. 8 to Figure 13.

First operating procedure is shown in Fig. 8, as routine techniquess, penetrates vertebra with puncture needle by pedicle of vertebral arch.

Second step, extracts nook closing member, and service aisle 1301 stays (through pedicle of vertebral arch about 10mm) at vertebral body way of escape direction 1/3, See Fig. 9.

3rd step, bone drill insertion service aisle is polished to front road 1/3, is seen Figure 10.

After preparation terminates, from the 4th step, this specific embodiment for forming cavity in vertebral body Equipment starts to come on stage.4th step is, extracts bone drill and inserts equipment for forming cavity in vertebral body, for being formed in vertebral body The front end of the equipment of cavity is concordant with service aisle, sees Figure 11.

5th step, continues to push ahead the equipment 10mm for forming cavity in vertebral body of this specific embodiment, turns 90 ° of dynamic rotary knob member.Visible in Figure 12, cut part and stretch out service aisle, and in this step, as it was noted above, turning Dynamic rotary knob member can make the limit in load bearing component relative to manipulation component, the axially motion to " front " occur to part, but due to The front end of multilayer tubular load bearing component is fixedly connected with cutting part, and is located at this limit in load bearing component to part outer layer Limiting component is due to hindering part to make limit retard motion to part axially forward, so creating traction force to limit to part. In figure referring to situation about limiting in load bearing component to part, but cannot understand, limit should have to part contrary with its cut-out direction Bending trend.As for the angle rotating, above also it has been noted that in this specific embodiment, being mounted with positioning component, During turning clockwise, bulb alignment pin passes through spring and forms several shelves in 180 ° with the depression cooperation on rotary knob member Position, this is 90 ° that gear.

6th step, continues to push ahead former about 10mm, continues propulsion 10mm after 90 ° of turning knob part.In Figure 13 It can be seen that, by this step, the equipment for forming cavity in vertebral body of this specific embodiment extremely works already bent into shape State.And in order to realize bending, in fact, for having gone through in load bearing component in the equipment of formation cavity in vertebral body Limit and bend to part, drive limiting component bending, afterwards because the direction of limiting component bending is identical with the direction of otch, Otch compression also determines the maximum bend angle of bending, finally, guard block side contrary with its cut-out direction again when terminating To bending.Meanwhile, this is also 180 ° mentioned above that gear.

Finally see that Figure 14, Figure 14 are to utilize the cavity that the equipment for forming cavity in vertebral body of the present invention is formed to show again It is intended to.The cavity being formed for the equipment forming cavity in vertebral body using the present invention in vertebral body central area 1801, that is, no Bilateral is needed to puncture, it is ensured that the symmetry of recovered vertebral height；Meanwhile, be also described above, the present invention for The equipment forming cavity in vertebral body can also push formation shape by the control to angle of bend, former advance distance Controlled cavity；In addition, referring to six steps before, the equipment for forming cavity in vertebral body of the present invention can also be maximum Limit reduces to the destruction of intact osseous tissue and makes bone cement more effectively to permeating between bone trabecula.If in addition, by this The bright equipment for forming cavity in vertebral body is combined with percutaneous vertbroplasty (PVP), then bone cement can excessively unilateral puncture In the expansion of vertebral body center line, cement diffusion is uniformly, symmetrically；If the present invention is used for being formed the equipment of cavity and percutaneous in vertebral body Balloon kyphoplasty (PKP) combines, then in unilateral puncture, sacculus can be placed on vertebral body central authorities, and balloon expandable is symmetrical.

The preferred embodiment of the present invention described in detail above.It should be appreciated that those of ordinary skill in the art is no Need creative work just can make many modifications and variations according to the design of the present invention.Therefore, the technology of all the art It is available that personnel pass through logical analysis, reasoning, or a limited experiment under this invention's idea on the basis of existing technology Technical scheme, all should be in the protection domain being defined in the patent claims.

Claims (37)

1. a kind of in vertebral body formed cavity equipment, described equipment include for cut described vertebral body cut part and For cutting the control device that part cuts described vertebral body described in controlling, described control device comprises for cutting portion described in carrying The load bearing component of part, described load bearing component has bendable portion adjacent to described part one end of cutting, and described load bearing component includes many Layer part, the innermost layer part of described load bearing component is for controlling the limit of described load bearing component bending direction to part, described Limit and may be axially movable to part, the relatively outer component of next-door neighbour's innermost layer member outside of described load bearing component is for controlling State the limiting component of load bearing component angle of bend, position keeps being relatively fixed in the axial direction for described limiting component and described equipment.

2. equipment as claimed in claim 1, wherein, described limit cuts part with described to part and described limiting component simultaneously It is fixedly connected.

3. equipment as claimed in claim 2, wherein, described limit cuts part with described to part and described limiting component simultaneously The connected mode being fixedly connected is welding.

4. equipment as claimed in claim 1, wherein, described limit is configured to cutting part one end adjacent to described to part To curving.

5. equipment as claimed in claim 4, wherein, described limit is provided with some otch to part in side.

6. equipment as claimed in claim 1, wherein, described limiting component is configured to the described outside limiting to part, and energy In neighbouring described part one end of cutting to curving.

7. equipment as claimed in claim 6, wherein, described limiting component is provided with some otch in side.

8. equipment as claimed in claim 1, wherein, described limit to part and described limiting component is tubulose.

9. equipment as claimed in claim 1, wherein, described limit to the material of part and described limiting component is medical stainless Steel.

10. equipment as claimed in claim 1, wherein, described load bearing component also includes guard block.

11. equipment as claimed in claim 10, wherein, described guard block with described limit to part and described limiting component with When be fixedly connected with the described part that cuts.

12. equipment as claimed in claim 11, wherein, described guard block, described limit are same to part and described limiting component When with described to cut the connected mode that part is fixedly connected be welding.

13. equipment as claimed in claim 10, wherein, described guard block is configured in the neighbouring described part that cuts One end is to curving.

14. equipment as claimed in claim 13, wherein, described guard block is provided with some otch in side.

15. equipment as claimed in claim 10, wherein, described guard block is tubulose.

16. equipment as claimed in claim 1, wherein, the described part that cuts is the point of a knife with sword.

17. equipment as claimed in claim 1, wherein, described control device also includes occurring for manipulating described load bearing component The manipulation component of bending.

18. equipment as claimed in claim 17, wherein, described manipulation component is configured to by producing along described supporting part The active force of part axial direction bends manipulating described load bearing component.

A kind of 19. equipment for forming cavity in vertebral body, described equipment includes cutting part for cut described vertebral body With for cutting the control device that part cuts described vertebral body described in controlling, described control device comprises for cutting described in carrying The load bearing component of part and the manipulation component for manipulating described load bearing component, described load bearing component includes multi-layer part, described The innermost layer part of load bearing component is being connected so that described supporting part away from described part one end of cutting with the structure of manipulation component The relatively described manipulation component of innermost layer part of part can occur axially-movable, next-door neighbour's innermost layer member outside of described load bearing component Relatively outer component be connected so that described load bearing component with another structure of manipulation component away from described part one end of cutting Compared with outer component and described manipulation component in the axial direction position keep being relatively fixed it is characterised in that described load bearing component at least Including two-layer part.

20. equipment as claimed in claim 19, wherein, described load bearing component only includes described innermost layer part and described relatively outer Layer part.

21. equipment as claimed in claim 19, wherein, described load bearing component includes described innermost layer part, described relatively outer layer Part and the outermost layer part outside described relatively outer component.

22. equipment as described in claim 20 or 21, wherein, described innermost layer part is configured to cutting adjacent to described Part one end is to curving.

23. equipment as described in claim 20 or 21, wherein, described are configured to described cutting neighbouring compared with outer component Part one end is to curving.

24. equipment as claimed in claim 21, wherein, described outermost layer part is configured to cutting part adjacent to described One end is to curving.

25. equipment as claimed in claim 22, wherein, described innermost layer part is provided with some otch in side.

26. equipment as claimed in claim 23, wherein, described are provided with some otch compared with outer component in side.

27. equipment as claimed in claim 24, wherein, described outermost layer part is provided with some otch in side.

28. equipment as claimed in claim 19, wherein, described innermost layer part and the described material compared with outer component are medical Rustless steel.

29. equipment as claimed in claim 19, wherein, described innermost layer part away from described cut part one end with described The connected mode of the structure of manipulation component is welding.

30. equipment as claimed in claim 19, wherein, described compared with outer component away from described cut part one end with described The connected mode of the structure of manipulation component is welding.

31. equipment as claimed in claim 20, wherein, described innermost layer part and described simultaneously cut with described compared with outer component Cut part to be fixedly connected.

32. equipment as claimed in claim 31, wherein, described innermost layer part and described simultaneously cut with described compared with outer component Cutting the connected mode that part is fixedly connected is welding.

33. equipment as claimed in claim 21, wherein, described innermost layer part, described compared with outer component with described outermost layer Part is fixedly connected with the described part that cuts simultaneously.

34. equipment as claimed in claim 33, wherein, described innermost layer part, described compared with outer component with described outermost layer Part is simultaneously with described to cut the connected mode that part is fixedly connected be welding.

35. equipment as claimed in claim 19, wherein, described load bearing component is tubulose.

36. equipment as claimed in claim 19, wherein, the described part that cuts is the point of a knife with sword.

37. equipment as claimed in claim 35, wherein, described manipulation component is configured to by producing along described supporting part The active force of part axial direction bends manipulating described load bearing component.