CN105596073A - Intervertebral securing device and intervertebral securing system - Google Patents
Intervertebral securing device and intervertebral securing system Download PDFInfo
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- CN105596073A CN105596073A CN201610069918.0A CN201610069918A CN105596073A CN 105596073 A CN105596073 A CN 105596073A CN 201610069918 A CN201610069918 A CN 201610069918A CN 105596073 A CN105596073 A CN 105596073A
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- fixed head
- intervertebral
- oblique
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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
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8061—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
-
- 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
- A61B17/7059—Cortical plates
-
- 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
- A61B17/7062—Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
- A61B17/7064—Devices acting on, attached to, or simulating the effect of, vertebral facets; Tools therefor
-
- 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
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/808—Instruments for holding or positioning bone plates, or for adjusting screw-to-plate locking mechanisms
-
- 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
- A61B2017/564—Methods for bone or joint treatment
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Neurology (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)
- Prostheses (AREA)
Abstract
The invention discloses an intervertebral securing device and an intervertebral securing system. The intervertebral securing device comprises a securing plate, wherein the securing plate is provided with a first end and a second end, a first through hole is formed in each of the first end and the second end, a straight pedicle screw penetrates through each first through hole, a second through hole is formed in at least one of the first end and the second end, and an oblique vertebral screw penetrates through each second through hole. According to the intervertebral securing device and an intervertebral securing system disclosed by the invention, two neighboring vertebral joints can be effectively connected and secured, the connection is reliable, and the structure is simple.
Description
Technical field
The invention belongs to medical instruments field, be specifically related to a kind of intervertebral fixation device and intervertebral fixed system.
Background technology
In existing operation on vertebra process, often two vertebra joints need to be carried out to tension band principle and be connected and fixed,Or need to place fusion device at intervertebral, or both merge utilization. Existing connected mode is unreliable, noCan become entirety, easily cause occurring between connected two vertebras joint loosening or displacement, shakiness, affect handArt effect.
Summary of the invention
The object of the invention is to overcome the defect of prior art, provide a kind of intervertebral fixation device and intervertebral solidFixed system. The present invention can effectively be connected and fixed adjacent two vertebras joint, connects reliably structure letterSingle.
Its technical scheme is as follows:
Intervertebral fixation device, comprises fixed head, and fixed head has first end and the second end, first end andTwo ends are equipped with for the first through hole directly passing to pedicle nail, first end or the second end at least one of themBe provided with the second through hole passing for oblique centrum staple.
The further technical scheme of the present invention is:
The first through hole is vertical with respect to described fixed head, and the second through hole tilts with respect to described fixed head.
Described the second through hole is two, and two the second through holes are located at respectively the first end and second of described fixed headEnd; The front end of described second through hole of first end and the second end all inclines to the centre direction of described fixed headTiltedly.
The extended line of two described the second through hole front ends staggers mutually.
The extended line of two described the second through hole front ends lays respectively at two of centre of described fixed headOpposition side.
Described the first through hole is four, and wherein two the first through holes are located at the first end, another two of fixed headOne through hole is located at the second end of fixed head; One of them second through hole is located at two first of fixed head first endBetween through hole, another second through hole is located between two the first through holes of fixed head the second end.
Described fixed head comprises plate body and two oblique auricles, of the connection side of two oblique auricles and described plate bodyOne end and the second end are affixed, the outside of two oblique auricles all tilts to described plate body centre direction; DescribedThe first through hole is located on plate body, and described the second through hole is located on oblique auricle.
Intervertebral fixed system, comprises fusion device and intervertebral fixation device, in the first through hole, is equipped with directly to vertebral archRoot nail, is equipped with oblique centrum staple in the second through hole; Fusion device is provided with oblique resigning hole, mergesDevice is connected with fixed head.
Between the first end of described fixed head and the second end, position has fixed part, wherein one of described fusion deviceEnd is connected with this fixed part.
Described fixed part is perforation, and described fusion device comprises main body, connects neck and rotatable collar, connects neckPortion and rotatable collar are through after boring a hole, and rotatable collar rotation is also connected described fusion device with fixed head.
On fusion device, oblique resigning hole is two, and two resigning holes are with respect to the Central Symmetry of described fusion device.
Below advantage of the present invention or principle are described:
1, the fixed head first end of this intervertebral fixation device, the second end are provided with the first through hole, the second through hole,In the time performing the operation, can be by directly passing the first through hole, the second through hole to pedicle of vertebral arch pin, to realize adjacentTwo vertebra joints are fixed connection; For further increasing the intensity and the reliability that connect, on fixed head, also establishHave the second through hole, oblique centrum staple, through after the second through hole, is fixed connection by adjacent two vertebras joint,Like this, adjacent two vertebras joint not only can be connected and fixed in front side, can also connect at rear side solidFixed, fixing reliability is significantly improved.
2, for convenience of the directly installation to pedicle nail, the first through hole is vertical with respect to described fixed head; For sideJust the installation of oblique centrum staple, the second through hole tilts with respect to described fixed head.
3, described the second through hole is two, two the second through holes be located at respectively described fixed head first end andThe second end; The front end of described second through hole of first end and the second end is all to the centre side of described fixed headTo inclination. In when operation, oblique centrum staple is all set in two the second through holes, due to its front end all toFixed head is centroclinal, and first oblique centrum staple is from the front side rear side of vertebra joint downwards of top vertebra jointExtend, second oblique centrum staple extends from the front side rear side that vertebra saves upward of below vertebra joint; Like this,Between adjacent two vertebras joint, carry out firm syndeton by two oblique centrum staples.
4, the extended line of two described the second through hole front ends staggers mutually. Avoid two oblique centrum staplesChiasma interference, also avoids the bone tissue of vertebra joint to cause damage, preferred, two oblique centrum staplesBeeline is controlled at 30mm to 50mm, to avoid two oblique centrum staples to interfere with each other and ensureReliable installation.
5, the extended line of two described the second through hole front ends lay respectively at described fixed head centre twoIndividual opposition side. That is to say, two the second through holes are not merely to roll backward tiltedly, also separately to the left or rightRoll tiltedly (one of them tilts to the left, and another just tilts to the right); Two oblique centrum staplesPack into after the second through hole, two oblique centrum staples are respectively to both sides deflection, during for convenience of processing and operationInstallation, the angle of inclination of two the second through holes equates.
6, described the first through hole is four, and wherein two the first through holes are located at the first end, another two of fixed headIndividual the first through hole is located at the second end of fixed head; One of them second through hole is located at two of fixed head first endBetween the first through hole, another second through hole is located between two the first through holes of fixed head the second end. Pass throughThe position of four the first through holes and two the second through holes is set and arranges, directly solid to pedicle nail and oblique centrumFixed nail forms tower structure, can make the connection of adjacent two vertebras joint more reliable.
7, described fixed head comprises plate body and two oblique auricles, and this is simple in structure, easy to process.
8,, while fusion device being set between two vertebra joints, on fusion device, oblique resigning hole facilitates oblique centrum solidFixed nail through, for convenience of carrying out contraposition between fusion device and oblique resigning hole, fusion device and fixed head carry outConnect.
9, the connection neck of fusion device and rotatable collar through perforation after, rotatable collar rotate and incite somebody to action described in meltClosing device is connected with fixed head. Preferential, the middle part of fixed head is located in the perforation of fixed head.
10, on fusion device, two oblique resigning holes are symmetrical arranged, and are that two oblique centrum staples reserve skyBetween, avoid interfering.
Brief description of the drawings
Fig. 1 is the side view of intervertebral fixation device described in the embodiment of the present invention;
Fig. 2 is the front view of intervertebral fixation device described in the embodiment of the present invention;
Fig. 3 is the side view of fusion device;
Fig. 4 is the front view of fusion device;
Fig. 5 is intervertebral fixation device and fusion device and adjacent two vertebras joint syndeton described in the embodiment of the present inventionFigure;
Fig. 6 is the side view of Fig. 5;
Fig. 7 is the A-A cutaway view of Fig. 5;
Fig. 8 is the top view of Fig. 7;
Description of reference numerals:
10, fixed head, 11, plate body, 111, perforation, 12, oblique auricle, 121, the second through hole, 13,First end, 14, the second end, 15, the first through hole, 20, directly to pedicle nail, 30, oblique centrum fixesNail, 40, fusion device, 41, main body, 42, connect neck, 43, rotatable collar, 44, resigning hole, 50,Vertebra joint.
Detailed description of the invention
Below embodiments of the invention are elaborated.
As shown in Figure 1 and Figure 2, be intervertebral fixation device, fixture is for front road neck described in the present embodimentFixing of vertebra, it comprises fixed head 10, fixed head 10 has first end 13 and the second end 14, firstEnd 13 and the second end 14 are equipped with the first through hole 15 passing to pedicle nail 20 for directly, at first end 13Or second end 14 at least one of them is provided with the second through hole 121 passing for oblique centrum staple 30.
The connection side that described fixed head 10 comprises plate body 11 and 12, two oblique auricles 12 of two oblique auricles withThe first end 13 of described plate body 11 and the second end 14 are affixed, the outside of two oblique auricles 12 is all to described plateBody 11 centre directions tilt; Described the first through hole 15 is located on plate body 11, described the second through hole 121Be located on oblique auricle 12. And then make the first through hole 15 vertical with respect to described fixed head 10, second is logicalHole 121 tilts with respect to described fixed head 10.
Described the second through hole 121 is two, and two the second through holes 121 are located at respectively described fixed head 10First end 13 and the second end 14; The front end of described second through hole 121 of first end 13 and the second end 14 is equalCentre direction to described fixed head 10 tilts. The extended line of two described the second through hole 121 front endsMutually stagger, and the extended line of two described the second through hole 121 front ends lays respectively at described fixed head 10Two opposition sides in centre. Described the first through hole 15 is four, and wherein two the first through holes 15 are located atThe first end 13 of fixed head 10, another two the first through holes 15 are located at the second end 14 of fixed head 10; WhereinSecond through hole 121 is located between two the first through holes 15 of fixed head 10 first ends 13, anotherThe second through hole 121 is located between two the first through holes 15 of fixed head 10 second ends 14.
Intervertebral fixed system, comprises fusion device 40 and intervertebral fixation device, is equipped with straight in the first through hole 15In pedicle nail 20, the second through holes 121, be equipped with oblique centrum staple 30; The structure of fusion device 40See shown in Fig. 3, Fig. 4, which is provided with oblique resigning hole 44, fusion device 40 is connected with fixed head 10.Resigning hole 44 oblique on fusion device 40 is two, and two resigning holes 44 are with respect to described fusion device 40Central Symmetry. Particularly, between the first end 13 of described fixed head 10 and the second end 14, position hasFixed part, wherein one end of described fusion device 40 is connected with this fixed part. Described fixed part is perforation 111,Described fusion device 40 comprises main body 41, connects neck 42 and rotatable collar 43, connects neck 42 and rotationBlock piece 43 passes after perforation 111, and rotatable collar 43 rotates and described main body 41 is connected with fixed head 10.
Mounting structure while carrying out intervertebral operation is shown in shown in Fig. 5 to Fig. 8.
1, fixed head 10 first ends 13, second end 14 of this intervertebral fixation device be provided with the first through hole 15,The second through hole 121, in the time performing the operation, can by directly to pedicle of vertebral arch pin through the first through hole 15, second logicalHole 121, is fixed connection to realize by adjacent two vertebras joint 50; For further increase the intensity that connects andReliability is also provided with the second through hole 121 on fixed head 10, and oblique centrum staple 30 is logical through secondBehind hole 121, adjacent two vertebras joint 50 is fixed to connection, like this, adjacent two vertebras joint 50 not only canTo be connected and fixed in front side, can also be connected and fixed at rear side, make fixing reliability significantlyImprove.
2,, for convenience of the directly installation to pedicle nail 20, the first through hole 15 hangs down with respect to described fixed head 10Directly; For convenience of the installation of oblique centrum staple 30, the second through hole 121 inclines with respect to described fixed head 10Tiltedly.
3, described the second through hole 121 is two, and two the second through holes 121 are located at respectively described fixed head 10First end 13 and the second end 14; The front end of described second through hole 121 of first end 13 and the second end 14All tilt to the centre direction of described fixed head 10. In the time of operation, two the second through holes 121 are interior allOblique centrum staple 30 is set, because its front end is all centroclinal to fixed head 10, first oblique vertebraBody staple 30 is from the front side rear side extension of vertebra joint 50 downwards of top vertebra joint 50, second oblique vertebraBody staple 30 is from the front side rear side extension of vertebra joint 50 upward of below vertebra joint 50; Like this, adjacent twoBetween individual vertebra joint 50, carry out firm syndeton by two oblique centrum staples 30.
4, the extended line of two described the second through hole 121 front ends staggers mutually. Avoid two oblique centrums solidSurely follow closely 30 chiasma interferences, also avoid the bone tissue of vertebra joint 50 to cause damage, more preferably, two obliqueCentrum staple 30 beelines are controlled at 30mm to 50mm, to avoid two oblique centrum staples 30Interfere with each other and ensure reliable installation. In addition, from projection shown in Fig. 3, resigning hole 44 is with respect to connectingThe scope of the angle [alpha] of neck-connecting part 42 axial lines is 20 degree to 40 degree, from projection shown in Fig. 4, steps downThe hole 44 with respect to the horizontal plane scope of the angle beta of (base plane of fusion device 40 in other words) is 10Degree is to 30 degree.
5, the extended line of two described the second through hole 121 front ends lays respectively at the central part of described fixed head 10Two opposition sides of position. That is to say, two the second through holes 121 are not merely to roll backward tiltedly, also separatelyTo the left or right side tilt (one of them tilts to the left, and another just tilts to the right); Two obliqueCentrum staple 30 packs into after the second through hole 121, and two oblique centrum staples 30 are respectively to both sides deflection,Reliable installation during for convenience of processing and operation, the angle of inclination of two the second through holes 121 equates.
6, described the first through hole 15 is four, and wherein two the first through holes 15 are located at first of fixed head 10End 13, another two the first through holes 15 are located at the second end 14 of fixed head 10; One of them second through hole 121Be located between two the first through holes 15 of fixed head 10 first ends 13, another second through hole 121 is located atBetween two the first through holes 15 of fixed head 10 second ends 14. By four the first through holes 15 and two are setThe position of individual the second through hole 121 and arranging, directly forms frame to pedicle nail 20 and oblique centrum staple 30Rack and panel construction, can make the connection of adjacent two vertebras joint 50 more reliable.
7, described fixed head 10 comprises plate body 11 and two oblique auricles 12, and this is simple in structure, easy to process.
8, while fusion device 40 being set between two vertebra joints 50, oblique resigning hole 44 sides on fusion device 40Just oblique centrum staple 30 passes, right for convenience of carrying out between fusion device 40 and oblique resigning hole 44Position, fusion device 40 is connected with fixed head 10.
9, the connection neck 42 of fusion device 40 and rotatable collar 43 pass after perforation 111, rotatable collar 43Rotation is also connected described fusion device 40 with fixed head 10. Preferential, the perforation 111 of fixed head 10 is establishedIn the middle part of fixed head 10.
10, on fusion device 40, two oblique resigning holes 44 are symmetrical arranged, and are two oblique centrum staples30 slot millings, avoid interfering.
These are only specific embodiments of the invention, do not limit protection scope of the present invention with this; Do not disobeyingAny replacement and the improvement on the basis of anti-the present invention's design, done, all belong to protection scope of the present invention.
Claims (10)
1. intervertebral fixation device, is characterized in that, comprises fixed head, and fixed head has first end and secondEnd, is equipped with the first through hole passing to pedicle nail for directly at first end and the second end, first end or theAt least one of them is provided with the second through hole passing for oblique centrum staple to two ends.
2. intervertebral fixation device as claimed in claim 1, is characterized in that, the first through hole is with respect to describedFixed head is vertical, and the second through hole tilts with respect to described fixed head.
3. intervertebral fixation device as claimed in claim 2, is characterized in that, described the second through hole is two,Two the second through holes are located at respectively first end and second end of described fixed head; Described in first end and the second endThe front end of the second through hole all tilts to the centre direction of described fixed head.
4. intervertebral fixation device as claimed in claim 3, is characterized in that, before two described the second through holesThe extended line of end staggers mutually.
5. intervertebral fixation device as claimed in claim 3, is characterized in that, before two described the second through holesThe extended line of end lays respectively at two opposition sides in the centre of described fixed head.
6. intervertebral fixation device as claimed in claim 3, is characterized in that, described the first through hole is four,Wherein two the first through holes are located at the first end of fixed head, another two the first through holes are located at second of fixed headEnd; One of them second through hole is located between two the first through holes of fixed head first end, and another is second logicalHole is located between two the first through holes of fixed head the second end.
7. intervertebral fixation device as claimed in claim 3, is characterized in that, described fixed head comprises plate bodyAnd two oblique auricles, the connection side of two oblique auricles and the first end of described plate body and the second end is affixed, twoTiltedly the outside of auricle all tilts to described plate body centre direction; Described the first through hole is located on plate body, instituteStating the second through hole is located on oblique auricle.
8. intervertebral fixed system, is characterized in that, comprises described in fusion device and aforementioned arbitrary claimIntervertebral fixation device, is equipped with in the first through hole directly to pedicle nail, is equipped with oblique centrum in the second through holeStaple; Fusion device is provided with oblique resigning hole, and fusion device is connected with fixed head.
9. intervertebral fixed system as claimed in claim 8, is characterized in that the first end of described fixed headAnd position has fixed part between the second end, wherein one end of described fusion device is connected with this fixed part.
10. intervertebral fixed system as claimed in claim 9, is characterized in that, described fixed part is perforation,Described fusion device comprises main body, connects neck and rotatable collar, connects neck and rotatable collar through after boring a hole,Rotatable collar rotation is also connected described fusion device with fixed head.
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CN201610069918.0A CN105596073B (en) | 2016-02-01 | 2016-02-01 | Intervertebral fixation device and intervertebral fixed system |
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CN201610069918.0A CN105596073B (en) | 2016-02-01 | 2016-02-01 | Intervertebral fixation device and intervertebral fixed system |
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EP1266642A1 (en) * | 2001-06-13 | 2002-12-18 | Chih-I Lin | Intervertebral retrieval device |
CN101610741A (en) * | 2006-11-29 | 2009-12-23 | 外科技术有限公司 | Orthopaedic implants and prosthese |
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US20140148859A1 (en) * | 2012-11-27 | 2014-05-29 | Solana Surgical, Llc | Orthopedic fusion plate and compression screw |
US20150223851A1 (en) * | 2014-02-12 | 2015-08-13 | Centric Medical, LLC | Foot Bone Plate Providing Fixation and Compression |
CN105232133A (en) * | 2015-09-07 | 2016-01-13 | 徐兆万 | Anterior cervical pedicle screw plate fixing system |
CN205493982U (en) * | 2016-02-01 | 2016-08-24 | 郑明辉 | intervertebral fixing device and intervertebral fixing system |
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Address after: 511300 316, building D, chuangyue incubator, No. 10, Financial Avenue, Yongning Street, Zengcheng District, Guangzhou, Guangdong Patentee after: Zheng Minghui Address before: 510665 Room 904, 66 Tangde East Second Street, Tianhe District, Guangzhou City, Guangdong Province Patentee before: Zheng Minghui |