CN104367356B - A kind of for takeing on tunnel sighting device and the method for sight that sleeve is repaired - Google Patents
A kind of for takeing on tunnel sighting device and the method for sight that sleeve is repaired Download PDFInfo
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- CN104367356B CN104367356B CN201410717572.1A CN201410717572A CN104367356B CN 104367356 B CN104367356 B CN 104367356B CN 201410717572 A CN201410717572 A CN 201410717572A CN 104367356 B CN104367356 B CN 104367356B
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- tunnel
- block
- diopter
- body frame
- sleeve
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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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0482—Needle or suture guides
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The present invention relates to is a kind of for takeing on the tunnel sighting device that sleeve is repaired, its feature exists: include diopter (11), and K-wire (01) matching used with diopter, drilling rod (02), fairlead (03), locating bar (04), described diopter (10) contains body frame (2), body frame handle (1), and adjustable aiming block (4), described body frame (2) be respectively arranged at the two ends with a covered joint seat (5) supporting with adjustable aiming block, the root of described body frame is provided with gram formula hole (6) supporting with K-wire, the Tunnel-hole (7) of a through block it is respectively provided with on described adjustable aiming block.
Description
Technical field
The present invention relates to a kind of medical surgical instrument, a kind of tunnel repaired for takeing on sleeve aims at
System and device.
Background technology
In conventional surgical clinical shoulder sleeve prosthesis, surgeon is often through at people's et al. Ke
Band line holdfast is operated, completes affected part stitching.Due to the complexity of shoulder joint structure,
Carrying out needing surgeon to have skilled gimmick during such operation technique, the study of this skill is until ripe
Practice the grasp cycle longer.If band line holdfast fixed position slightly deviation, it will exist holdfast come off and
Traction force deficiency equivalent risk, easily causes secondary damage to patient affected part.Rotator cuff tear prosthesis
Goldstandard is not at people's et al. Ke band line holdfast, but makes suture tunnel in bone under arthroscope
Road completes the stitching binding of tear place.Therefore, if can there be a set of operation tool can be with guide slit zygonema
Quickly and accurately by bone inner tunnel, assisted surgery doctor completes affected part and sews up, and not only can significantly save
Save operating time and operation cost, and more preferably postoperative effect can be obtained.In view of domestic market
Upper not for the dedicated tunnel sighting system needed for rotator cuff tear stitching；So, using tradition
The surgical treatment tear special circumstances such as width is larger or smaller time, operative process all the time can
Face bigger difficulty and challenge.
It is thus desirable to seek a kind of applicable apparatus and method, doctor is helped to set up by special instrument
Rationally, tunnel structure accurately, complete suture and cross the operations such as line.And can be according to position, affected part
Associated mechanical mechanism is utilized quickly to adjust tunnel location with tear width when operation；Assist surgeon
Complete rotator cuff tear reparation to sew up, thus obtain optimal surgical effect, have become as Clinical Surgery's neck
The problem that territory expectation solves.
Summary of the invention
The purpose of the present invention is intended to: proposes a kind of surgeon and selects in rotator cuff tear prosthesis
The method of good tunnel structure, thus improve efficiency and the precision of such operation.
This for takeing on the tunnel sighting device that sleeve is repaired, including diopter 10 and join with diopter
The K-wire 01 of set use, drilling rod 02, fairlead 03, locating bar 04, described diopter 10 contains
There are two groups of adjustable aiming blocks 4 of one section of arc body frame 2, body frame handle 1 and two group, institute
The arc body frame 2 stated be respectively arranged at the two ends with one with aim at the supporting covered joint seat 5 of block 4, described arc master
The root of frame 2 is provided with gram formula hole 6 supporting with K-wire, described aiming block 4 is respectively provided with one through
The Tunnel-hole 7 of block.
Described aiming block 4 two one group is arranged in covered joint seat 5, and by a two-way adjusting screw rod 3
And be arranged on the concatenation hole aimed on block 4 and go here and there together and be enclosed within covered joint seat 5, composition can be to same socket
What the spacing of two Tunnel-holes 7 on two adjacent aiming blocks 4 arranged in Zuo was adjusted fine tuning structure.
Described adjustable aiming block 4 is provided with the block of convex bank for side, inserts socket by zyklopisch
In T-slot 11 in seat 5, constitute slot type and aim at block 4 displacement structure, the side of described covered joint seat 5
While be provided with clamp lever 9, this clamp lever 9 penetrates covered joint seat 5, structure by a fishbolt from side
Become to aim at the location structure of block 4.
Described covered joint seat 5 is provided with spring catch 13.
This for takeing on the tunnel sighting device that sleeve is repaired, its using method is as follows:
In surgical procedure, surgeon holds with a firm grip the handle of diopter, and diopter is placed in correct position,
Squeezed in humerus by the K-wire jack 6 on diopter 10 first with 01 K-wire and be fixed；
Secondly, the Tunnel-hole 7 utilizing drilling rod 01 to aim on block 4 along diopter two is holed on humerus；
After first hole drilling completes, locating bar 04 is inserted in the hole being drilled by diopter Tunnel-hole；
Then, recycling drilling rod 01 exists along another Tunnel-hole 7 aimed on block 4 of diopter homonymy
Second hole is bored on humerus；Another root locating bar 04 is inserted in second Tunnel-hole 7, so far, complete
Become the boring of diopter 10 one end, positioning action；
Finally, utilize conduit 03 guide slit zygonema through the tunnel being drilled, assist surgeon to complete
Affected part is sewed up.
This tunnel sighting device for takeing on sleeve reparation proposed according to above technical scheme, not only ties
Structure is simple and convenient to operate, and for improving the accuracy rate in shoulder sleeve prosthesis in Clinical practice
Can significantly be improved, therefore can shorten the operating time of corresponding operation, also can alleviate patient's
Ailing.
Accompanying drawing explanation
Fig. 1 is the overall structure schematic diagram of apparatus of the present invention；
Fig. 2 is the component explosive view of apparatus of the present invention；
Fig. 3 is the fine tuning structure schematic diagram that arc body frame is constituted with adjustable aiming block；
Fig. 4 is the structural representation of matching used annex；
Fig. 5 is the structural representation of the diopter of T-slot structure；
Fig. 6 is the component explosive view of the diopter of T-slot structure；
Fig. 7 is the aiming clamping structure schematic diagram of integral type structure；
Fig. 8 is the using method demonstration schematic diagram of apparatus of the present invention.
In figure: 01-K-wire 01-drilling rod 03-goes between 04-locating bar 1-body frame handle
2-arc body frame 3-bidirectional modulation screw rod 4-aims at block 5-covered joint seat 6-K-wire jack
7-Tunnel-hole 8-wedge groove 9-clamp lever 10-diopter 11-T type groove 12-bolt
13-spring catch.
Detailed description of the invention
The present invention is expanded on further below in conjunction with Figure of description, and provides embodiments of the invention.
The most this for takeing on the tunnel sighting device that sleeve is repaired, including diopter 11 and
K-wire 01 matching used with diopter, drilling rod 02, fairlead 03, locating bar 04, described
Containing one section of arc body frame 2, body frame handle 1 and two one group two groups of diopter 10 are adjustable
Aim at block 4, described arc body frame 2 be respectively arranged at the two ends with one with the aiming supporting covered joint seat 5 of block 4,
The root of described arc body frame 2 is provided with the K-wire jack 6 supporting with K-wire, described aiming block
The Tunnel-hole 7 of a through block it is respectively provided with on 4.
Described aiming block 4 two one group is arranged in covered joint seat 5, and by a two-way adjusting screw rod 3
And be arranged on the concatenation hole aimed on block 4 and go here and there together and be enclosed within covered joint seat 5, composition can be to same socket
What the spacing of two Tunnel-holes 7 on two adjacent aiming blocks 4 arranged in Zuo was adjusted fine tuning structure.
Described adjustable aiming block 4 is provided with the block of convex bank for side, inserts socket by zyklopisch
In T-slot 11 in seat 5, constitute slot type and aim at block 4 displacement structure, the side of described covered joint seat 5
While be provided with clamp lever 9, this clamp lever 9 penetrates covered joint seat 5, structure by a fishbolt from side
Become to aim at the location structure of block 4.
Described covered joint seat 5 is provided with spring catch 13, and joint portion can be helped to realize quickly location.
This for takeing on the tunnel sighting device that sleeve is repaired, its using method is as follows:
In surgical procedure, surgeon holds with a firm grip the handle of diopter, and diopter is placed in correct position,
Squeezed in humerus by the K-wire jack 5 on diopter 10 first with 01 K-wire and be fixed；
Secondly, the Tunnel-hole 7 utilizing drilling rod 01 to aim on block 4 along diopter two is holed on humerus；
After first hole drilling completes, locating bar 04 is inserted in the hole being drilled by diopter Tunnel-hole；
Then, recycling drilling rod 01 exists along another Tunnel-hole 7 aimed on block 4 of diopter homonymy
Second hole is bored on humerus；Another root locating bar 04 is inserted in second Tunnel-hole 7, so far, complete
Become the boring of diopter 10 one end, positioning action；
Finally, utilize conduit 03 guide slit zygonema through the tunnel being drilled, assist surgeon to complete
Affected part is sewed up.
In technique scheme, what Fig. 1-3 was given is a kind of can be to two aimings on homonymy diopter
The diopter (embodiment 1) that the central moment of the Tunnel-hole on block is finely adjusted, described diopter 10
Containing two groups of adjustable aiming blocks 4 of one section of arc body frame 2, body frame handle 1 and two group,
Described arc body frame 2 be respectively arranged at the two ends with one with aim at the supporting covered joint seat 5 of block 4, described arc
The root of body frame is provided with gram formula jack 6 supporting with K-wire, described aiming block 4 is respectively provided with consistent
The Tunnel-hole 7 of logical block.Described aiming block 4 two one group is arranged in covered joint seat 5, and by rotation
Turning bidirectional modulation screw rod 3, the spacing that two-phase neighbour can be made to aim at two Tunnel-holes 7 on block 4 carries out appropriateness
Fine adjustment.
What Fig. 5-6 was given is another embodiment of the present invention (embodiment 2), this technical side
In case, the bottom (being equivalent to the covered joint seat position in previous technical scheme) of diopter 10 main body adds
Work goes out T-slot 11 the center position installation spring catch 13 in T-slot one side, can be by difference
The block that aims at of heart square is designed to the convex bank that side has and insertion T-slot matches, and will aim at block 4
Center processes spherical pit, and after being inserted into diopter main body, it is real that spring catch bulb embeds pit
Now position.Diopter main body T-slot upper end processes bar hole, and bar hole upper part is processed into logical
Hole, end portion processes screwed hole, fishbolt；Fishbolt head is processed into hexagonal axis, side
Just fast quick-detach clamping regulation handle 9, utilizes clamping regulation that 9 hand-screws are moved fishbolt 12, makes to take aim at
Quasi-block position in diopter 10 main body is fixed, and prevents from occurring loosening phenomenon when operation.Press subsequently
Carry out utilizing 01 K-wire by the K-wire jack 6 on diopter 10 according to aforementioned same operating procedure
Squeeze in humerus and be fixed；Secondly, drilling rod 01 is utilized to aim at the Tunnel-hole on block 4 along diopter two
7 hole (see in accompanying drawing 8) on humerus；After first hole drilling completes, locating bar 04 is passed through
Diopter Tunnel-hole inserts in the hole being drilled (see in accompanying drawing 8)；Recycling drilling rod 01 is same along diopter
Another Tunnel-hole 7 aimed on block 4 of side bores second hole (see in accompanying drawing 8) on humerus；
Another root locating bar 04 is inserted in second Tunnel-hole 7 and so far, complete to take aim at (see E in accompanying drawing 8)
The boring of quasi-frame 10 one end, positioning action.
Followed by drilling rod 01, diopter 10 opposite side two is aimed at the Tunnel-hole on block 4 and carry out same
Sample location, drilling operation；To ensure that both sides are aimed at axially bored line corresponding on block 4 and intersected and be mutually communicated；
Finally recycling conduit 03 guide slit zygonema or artificial ligament pass the tunnel being drilled (see attached
F in Fig. 8), and utilize holdfast to be fixed.
What Fig. 7 was given is a kind of integral type diopter (embodiment 3), and it is that one can not carry out tunnel
The fixing diopter that pitch of holes adjusts.
Below it is only the limited embodiments that is given with reference to the technical program of applicant, any according to the present invention
Main body conceives any improvement close with main body intention of the present invention made, and is regarded as and this technical side
Case is similar or inconsistent.
Claims (6)
1. for take on sleeve repair a tunnel sighting device, its feature exists: include diopter and
K-wire matching used with diopter (01), drilling rod (02), fairlead (03), locating bar
(04), described diopter contains body frame (2), body frame handle (1) and adjustable aiming
Block (4), described body frame (2) be respectively arranged at the two ends with a covered joint seat supporting with adjustable aiming block
(5) Tunnel-hole (7) of a through block it is respectively provided with on, described adjustable aiming block.
A kind of for takeing on the tunnel sighting device that sleeve is repaired, its feature exists
In: described adjustable aiming block (4) two group is arranged in covered joint seat (5), and by one
Bidirectional modulation screw rod (3) and the concatenation hole being arranged in aiming block (4) are gone here and there together and are enclosed within covered joint seat (5)
In, constituting can be to two Tunnel-hole (7) on the two adjacent aiming blocks (4) arranged in same set of joint chair
The fine tuning structure that is adjusted of spacing.
A kind of for takeing on the tunnel sighting device that sleeve is repaired, its feature exists
In: described adjustable aiming block (4) is the block that side is provided with convex bank, by being arranged on covered joint seat
(5) T-slot (11) in constitutes slot type and aims at block (4) displacement structure, described covered joint seat (5)
Side be provided with clamp lever (9), this clamp lever (9) is penetrated from side by a fishbolt
Covered joint seat (5), constitutes the location structure aiming at block (4).
A kind of for takeing on the tunnel sighting device that sleeve is repaired, its feature exists
In: described diopter is integral type diopter, being respectively arranged at two ends with and fixing connect of this body frame
Aiming block (4), described aiming block (4) is provided with two Tunnel-holes (7) and a K-wire
Jack (6).
A kind of for takeing on the tunnel sighting device that sleeve is repaired, its feature exists
In: described body frame (2) is arc body frame, and body frame root is provided with gram formula jack supporting with K-wire
(6)。
A kind of for takeing on the tunnel sighting device that sleeve is repaired, its feature exists
In: described covered joint seat (5) is provided with spring catch (13).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410717572.1A CN104367356B (en) | 2014-12-01 | 2014-12-01 | A kind of for takeing on tunnel sighting device and the method for sight that sleeve is repaired |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410717572.1A CN104367356B (en) | 2014-12-01 | 2014-12-01 | A kind of for takeing on tunnel sighting device and the method for sight that sleeve is repaired |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN104367356A CN104367356A (en) | 2015-02-25 |
| CN104367356B true CN104367356B (en) | 2016-08-17 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201410717572.1A Active CN104367356B (en) | 2014-12-01 | 2014-12-01 | A kind of for takeing on tunnel sighting device and the method for sight that sleeve is repaired |
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| CN (1) | CN104367356B (en) |
Families Citing this family (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105997231B (en) * | 2016-06-29 | 2020-03-10 | 华中科技大学同济医学院附属协和医院 | Articular cartilage net fixing system |
| CN107041768B (en) * | 2017-02-09 | 2023-05-30 | 中山市中医院（广州中医药大学附属中山中医院） | Rotator cuff repair operation device, hollow limiting drill bit and operation method |
| US10639159B2 (en) | 2017-08-09 | 2020-05-05 | Union Hospital, Tongji Medical College, Huazhong University Of Science And Technology | Reticular fixation system for articular cartilage |
Family Cites Families (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO1995022288A1 (en) * | 1994-02-17 | 1995-08-24 | Arthrex, Inc. | Method and device for the arthroscopic reattachment of torn tissues, in particular of torn rotator sheaths |
| CN2378011Y (en) * | 1999-04-02 | 2000-05-17 | 戚建勇 | Distal aiming combined femur intra-medullary nailing device |
| RU2412665C2 (en) * | 2009-03-05 | 2011-02-27 | Федеральное государственное учреждение "Российский научный центр "Восстановительная травматология и ортопедия" имени академика Г.А. Илизарова Федерального агентства по высокотехнологичной медицинской помощи" | Method of treating decompensated forms of habitual shoulder dislocation and apparatus for implementation thereof |
| US8523903B2 (en) * | 2009-10-30 | 2013-09-03 | Depuy Mitek, Llc | Partial thickness rotator cuff repair system and method |
| US20110106013A1 (en) * | 2009-10-30 | 2011-05-05 | DePuy Mikek, Inc. | Dual cannula system and method for partial thickness rotator cuff repair |
| CN201912219U (en) * | 2010-12-29 | 2011-08-03 | 陈亿民 | Sighting device for processus coracoideus scapulae screw |
| CN204246179U (en) * | 2014-12-01 | 2015-04-08 | 上海凯利泰医疗科技股份有限公司 | A kind of for takeing on the tunnel sighting device that sleeve is repaired |
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2014
- 2014-12-01 CN CN201410717572.1A patent/CN104367356B/en active Active
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| CN104367356A (en) | 2015-02-25 |
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