CN104138293B - A kind of lumbosacral spine percutaneous cervical arc root screw inserts localizer - Google Patents
A kind of lumbosacral spine percutaneous cervical arc root screw inserts localizer Download PDFInfo
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- CN104138293B CN104138293B CN201310187271.8A CN201310187271A CN104138293B CN 104138293 B CN104138293 B CN 104138293B CN 201310187271 A CN201310187271 A CN 201310187271A CN 104138293 B CN104138293 B CN 104138293B
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- gathering sill
- guide groove
- arc guide
- low
- arc
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/90—Guides therefor
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- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
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Abstract
The invention discloses a kind of lumbosacral spine percutaneous cervical arc root screw and insert localizer, for determining vertebral pedicle puncture point, three-dimensional regulation puncture path according to patient's imaging data, it is achieved multiple pedicle of vertebral arch one-time positioning.Including the rectangular frame being formed by connecting by two strips and two billets with gathering sill, each strip or billet can translate by the gathering sill along its adjacent two billets or strip, adjusting lever with gathering sill is arranged in described strip and can gathering sill transverse shifting in this strip, it also is able to the gathering sill along self vertically move, connect in the end of this adjusting lever and have the big angle scale of band arc guide groove, this arc guide groove is provided with slide block in order to connect the low-angle dish of band arc guide groove, this low-angle dish can rotate along the arc guide groove of big angle scale, the arc guide groove of this low-angle dish is provided with slide block in order to connect guide pipe, this guide pipe can rotate along the arc guide groove of low-angle dish, this guide pipe imports for puncturing screw.
Description
Technical field
The present invention relates to a kind of medical apparatus and instruments, particularly relate to a kind of lumbosacral spine percutaneous cervical arc root screw and insert location
Device.
Background technology
Percutaneous cervical arc root External technique starts from 1977, Spondylitis ankylosing device (external spinal
Skeletal fixation, ESSF) it is applied to spinal fracture patient and achieves good clinical efficacy.Closely
Nian Lai, especially with the development of Minimally invasive procedure, percutaneous cervical arc root screw technology has become minimally invasive spine
The basic fundamental means of surgery (MMISS, minimally invasive spine surgery), by gradually
It is applied to spinal fracture, lumbar spondylolisthesis, osteoporosis, percutaneous vertebral body strengthening and rear convex shaping, waist
Vertebra shakiness disease, the diagnosis of discogenic disease or treatment.But traditional percutaneous puncture, insert pedicle of vertebral arch screw
There is more limitation and drawback, such as in tack operation operation: generally requires repeated multiple times C-arm perspective during operation
Guide or correct and just can smoothly complete, when which increasing the x line exposed amount of patient and patient and extend operation
Between, operation accuracy is also difficult to ensure that.Have at present by means of computer assisted virtual x-ray airmanship,
The navigation of CT scan, ultrasonic scanning navigation, all can make inserting of percutaneous cervical arc root screw be accomplished smoothly,
Puncture degree of accuracy higher, but equipment needed thereby is expensive, cost is at a relatively high, be difficult to popularization and application clinically.
Current Chinese scholars develops multiple percutaneous cervical arc root location auxiliary with regard to percutaneous radix arcus vertebraetube nail implantation location and sets
Standby, but deposit structure complexity, trivial operations more, deviations is big, invasive is high and the shortcoming such as expensive,
The most ideal location equipment is not the most reported at present.
Summary of the invention
For solving the deficiencies in the prior art, the invention provides a kind of lumbosacral spine percutaneous cervical arc root screw and insert calmly
Position device, for determining vertebral pedicle puncture point according to patient's preoperative imaging data related data, three-dimensional regulation is worn
Thorn path, it is achieved multiple pedicle of vertebral arch one-time positioning.
For solving above-mentioned technical problem, the technical scheme is that a kind of lumbosacral spine percutaneous cervical arc root screw
Insert localizer, including the rectangular frame being formed by connecting by two strips and two billets with gathering sill,
Each strip or billet can translate, at described rectangle by the gathering sill along its adjacent two billets or strip
Device for installing and adjusting on framework, this adjusting means includes the adjusting lever of band gathering sill, and this adjusting lever is arranged on institute
State in strip and can gathering sill transverse shifting in its strip installed, it is also possible to along the gathering sill of self
Vertically moving, connecting in the end of this adjusting lever has the big angle scale of band arc guide groove, this arc guide groove
Being provided with slide block in order to connect the low-angle dish of band arc guide groove, this low-angle dish can be along big angle scale
Arc guide groove rotates, and the arc guide groove of this low-angle dish is provided with slide block in order to connect guide pipe, this guiding
Pipe can rotate along the arc guide groove of low-angle dish, and this guide pipe imports for puncturing screw.
Preferably, said two strip and the gathering sill of two billets, the gathering sill of adjusting lever, big angle scale
Arc guide groove, low-angle dish arc guide groove on be equipped with graduation mark, be used for adjusting translation or rotate
Distance or angle.
Preferably, each strip is installed 2 described adjusting meanss.
The invention has the beneficial effects as follows, the three-dimensional regulation of puncture path can be realized, including same vertebral body both sides vertebral arch
Root distance from regulation, adjacent vertebral bodies pedicle of vertebral arch distance regulation, pedicle of vertebral arch axis (puncture screw) and body
Sagittal plane and the regulation of horizontal plane angle, it is possible to realize individuation and put nail, have registration, use flexibly
Feature, the design of multiple guide pipes, it is possible to make multiple pedicle of vertebral arch one-time positioning, when reducing location, C-arm is saturating
Depending on number of times, effectively shorten doctor and patient's x-ray open-assembly time, shorten operating time；Lumbosacral segment vertebral body percutaneous
Pedicle of vertebral arch puts that nail difficulty is relatively big, and the localizer for sacral there is no at present to be specialized in, this apparatus mainly for
Design is inserted in lumbosacral segment pedicle of vertebral arch；Small and exquisite design, beneficially convenient sterilizing, carry and in art at patient's waist
Back disposes；The design of positioner frame posture, is conducive to that places in operation to stablize；Percutaneous is made to insert vertebral arch
Root screw internal fixing system treatment spinal disease realizes Wicresoft.
Accompanying drawing explanation
Fig. 1 is the structure chart that lumbosacral spine percutaneous cervical arc root screw inserts localizer；Fig. 2 is to regulate in localizer
The structure chart of device.
In figure: 1-rectangular frame；2-strip；3-gathering sill I；4-adjusting lever；5-big angle scale；
6-low-angle dish；7-guide pipe；8-handle；9-gathering sill II；10-arc guide groove I；11-
Arc guide groove II；12-slide block I；13-slide block II.
Detailed description of the invention
Fig. 1 is the structure chart that lumbosacral spine percutaneous cervical arc root screw inserts localizer, and two with gathering sill long
Bar and two billets connect composition rectangular frame 1 by groove screw bolt and nut, and each strip installs 2 regulations
Device (only draws one of them) in figure, each strip (billet) can be along its adjacent two billets (strip)
On gathering sill translation, the gathering sill of two strips and two billets is equipped with graduation mark, be used for adjust tune
The distance of the longitudinal translation of regulating device.
Fig. 2 is the structure chart of adjusting means in localizer.Adjusting means includes adjusting lever 4, big angle scale 5 and
Low-angle dish 6, the adjusting lever 4 of band gathering sill II9 is arranged on the gathering sill I3 of strip 2 by screw,
Gathering sill II9 is provided with graduation mark, and this adjusting lever 4 can be along gathering sill I3 transverse shifting, it is also possible to along leading
Vertically move to groove II9, be used for adjusting the distance of the horizontal and vertical translation of adjusting means, determine that pedicle of vertebral arch is worn
Thorn point that is the position of puncture screw point of puncture.Big angle scale 5 is arranged on the end of adjusting lever 4, its arc
Gathering sill I10 is provided with slide block I12 in order to connect low-angle dish 6, and this low-angle dish 6 can be along wide-angle
The arc guide groove I10 of dish 5 rotates, and arc guide groove I10 is provided with graduation mark, is used for adjusting pedicle of vertebral arch
Axis (puncture screw) and horizontal plane angle.The arc guide groove II11 of low-angle dish 6 is provided with slide block II
13 in order to connect guide pipe 7, and guide pipe 7 can rotate along the arc guide groove II11 of low-angle dish 6, arc
Shape gathering sill II11 is provided with graduation mark, is used for adjusting pedicle of vertebral arch axis (puncture screw) and body sagittal
The angle in face, this guide pipe 7 imports for puncturing screw.
Claims (3)
1. lumbosacral spine percutaneous cervical arc root screw inserts a localizer, including by two strips and two with gathering sill
The rectangular frame that individual billet is formed by connecting, each strip or billet can be along its adjacent two billets or strips
On gathering sill translation, it is characterised in that device for installing and adjusting on described rectangular frame, this adjusting means
Including the adjusting lever of band gathering sill, this adjusting lever is arranged in described strip and can be in its strip installed
Gathering sill transverse shifting, it is also possible to the gathering sill along self vertically moves, the end of this adjusting lever connect
Having the big angle scale of band arc guide groove, this arc guide groove is provided with slide block in order to connect band arc guide groove
Low-angle dish, this low-angle dish can along big angle scale arc guide groove rotate, the arc of this low-angle dish
Shape gathering sill is provided with slide block in order to connect guide pipe, and this guide pipe can turn along the arc guide groove of low-angle dish
Dynamic, this guide pipe imports for puncturing screw.
Lumbosacral spine percutaneous cervical arc root screw the most according to claim 1 inserts localizer, it is characterised in that institute
State two strips and the gathering sill of two billets, the gathering sill of adjusting lever, the arc guide groove of big angle scale,
It is equipped with graduation mark, for adjusting translation or the distance rotated or angle on the arc guide groove of low-angle dish.
Lumbosacral spine percutaneous cervical arc root screw the most according to claim 1 inserts localizer, it is characterised in that every
2 described adjusting meanss are installed in individual strip.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201310187271.8A CN104138293B (en) | 2013-05-08 | 2013-05-08 | A kind of lumbosacral spine percutaneous cervical arc root screw inserts localizer |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201310187271.8A CN104138293B (en) | 2013-05-08 | 2013-05-08 | A kind of lumbosacral spine percutaneous cervical arc root screw inserts localizer |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN104138293A CN104138293A (en) | 2014-11-12 |
| CN104138293B true CN104138293B (en) | 2016-09-21 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201310187271.8A Expired - Fee Related CN104138293B (en) | 2013-05-08 | 2013-05-08 | A kind of lumbosacral spine percutaneous cervical arc root screw inserts localizer |
Country Status (1)
| Country | Link |
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| CN (1) | CN104138293B (en) |
Families Citing this family (16)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106264702B (en) * | 2015-05-19 | 2019-03-08 | 首都医科大学宣武医院 | Vertebral column minimally invasive positioning system and its application in vertebral column minimally invasive positioning |
| CN104905817A (en) * | 2015-06-10 | 2015-09-16 | 中国人民解放军第二军医大学 | Ultrasonic positioning system for intramedullary nail fixation |
| CN104983454B (en) * | 2015-07-23 | 2017-05-24 | 柳州铁道职业技术学院 | Extracorporeal measuring and controlling device for closed reduction in human femur fracture operation |
| CN106955151A (en) * | 2016-01-11 | 2017-07-18 | 薛绍刚 | Fixed index in vertebra |
| CN105411654B (en) * | 2016-01-21 | 2017-10-20 | 王洪伟 | A kind of vertebral pedicle puncture track guider |
| CN105581837B (en) * | 2016-02-18 | 2018-03-13 | 杨波 | A kind of percutaneous puncturing spine micro-invasive operation locator |
| CN106175909B (en) * | 2016-06-30 | 2019-01-29 | 陈春美 | Pedicle nail locating guide device |
| CN106691573A (en) * | 2017-01-11 | 2017-05-24 | 王玉山 | Multifunctional percutaneous vertebral pedicle positioning apparatus |
| CN107411811A (en) * | 2017-07-12 | 2017-12-01 | 中南大学湘雅医院 | A kind of sacral puts nail multifunctional guide device |
| CN108870045B (en) * | 2018-09-04 | 2020-08-14 | 安徽伟迈信息技术有限公司 | Cross adjusting seat |
| CN109965951B (en) * | 2019-05-13 | 2020-03-03 | 遵义医学院附属医院 | Three-dimensional positioning device for percutaneous accurate targeted puncture of spine |
| CN110664465B (en) * | 2019-08-30 | 2022-02-11 | 重庆医科大学附属永川医院 | Unilateral percutaneous puncture centrum guider |
| CN110664466B (en) * | 2019-08-30 | 2022-01-28 | 重庆医科大学附属永川医院 | Double-side percutaneous puncture vertebral body guider |
| CN111281523A (en) * | 2020-03-05 | 2020-06-16 | 丁培东 | Adjustable guider for implanting pedicle screw |
| CN113116493B (en) * | 2021-04-16 | 2023-12-26 | 中国人民解放军北部战区总医院 | Anterior cervical pedicle screw trajectory determining device |
| CN113952007B (en) * | 2021-12-22 | 2022-03-22 | 真实维度科技控股(珠海)有限公司 | Accurate space positioning puncture equipment |
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Also Published As
| Publication number | Publication date |
|---|---|
| CN104138293A (en) | 2014-11-12 |
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Granted publication date: 20160921 Termination date: 20200508 |