CN108158644A - A kind of hollow intramedullary nail - Google Patents

A kind of hollow intramedullary nail Download PDF

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Publication number
CN108158644A
CN108158644A CN201711485868.5A CN201711485868A CN108158644A CN 108158644 A CN108158644 A CN 108158644A CN 201711485868 A CN201711485868 A CN 201711485868A CN 108158644 A CN108158644 A CN 108158644A
Authority
CN
China
Prior art keywords
hole
rivet nut
nail
intramedullary nail
locking nail
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201711485868.5A
Other languages
Chinese (zh)
Inventor
于圣泰
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Chuan Hui Medical Apparatus And Instruments Jiangsu Co
Original Assignee
Chuan Hui Medical Apparatus And Instruments Jiangsu Co
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Chuan Hui Medical Apparatus And Instruments Jiangsu Co filed Critical Chuan Hui Medical Apparatus And Instruments Jiangsu Co
Priority to CN201711485868.5A priority Critical patent/CN108158644A/en
Publication of CN108158644A publication Critical patent/CN108158644A/en
Pending legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/72Intramedullary pins, nails or other devices
    • A61B17/7233Intramedullary pins, nails or other devices with special means of locking the nail to the bone
    • A61B17/725Intramedullary pins, nails or other devices with special means of locking the nail to the bone with locking pins or screws of special form
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • A61B17/864Pins or screws or threaded wires; nuts therefor hollow, e.g. with socket or cannulated
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8897Guide wires or guide pins
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/90Guides therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/564Methods for bone or joint treatment
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • A61B2017/8655Pins or screws or threaded wires; nuts therefor with special features for locking in the bone

Landscapes

  • Health & Medical Sciences (AREA)
  • 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)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Neurology (AREA)
  • Surgical Instruments (AREA)

Abstract

The present invention relates to the field of medical instrument technology, and in particular to a kind of hollow intramedullary nail.A kind of hollow intramedullary nail including rivet nut, is provided with through-hole in the rivet nut, the proximal end of the rivet nut is provided with the first locking nail hole, and the through-hole is extended to the distal end of rivet nut by the proximal end of the rivet nut, and the through-hole is biased relative to first locking nail hole and set.The through-hole for solving intramedullary nail in the prior art is blocked, and is unfavorable for the problem of distal end is aimed at.

Description

A kind of hollow intramedullary nail
Technical field
The present invention relates to the field of medical instrument technology, and in particular to a kind of hollow intramedullary nail.
Background technology
In fracture cures surgical operation, a good biocompatibility, strong is built into the pulp cavity proximally and distally of knochenbruch Spend high inner matter --- intramedullary nail.The connection of fracture end and fixed purpose can not only be reached, but also patient can exempt Outer fixed hardship can carry out functional training, therefore intramedullary nail is widely used in clinical practice in medical early stage.
Now commonly used intramedullary nail as shown in Figs. 1-2, including rivet nut 1 ', through-hole 11 ' is provided in rivet nut 1 ', described Through-hole 11 ' extends along the central axis of rivet nut 1 ', and the proximal end of the rivet nut 1 ' is provided with the first locking nail hole 12 ', the rivet nut 1 ' Distal end be provided with the second locking nail hole 13 ', first locking nail hole 12 ' and the second locking nail hole 13 ' are identical with through-hole 11 '.
The intramedullary nail of above structure, although being conveniently first implanted into thin long guide pin before intramedullary nail implantation (compares intramedullary nail, carefully Long guide pin more easily pass breaking part, penetrate through entire pulp cavity), then intramedullary nail fills in bone by through-hole along this long guide pin It is interior.But intramedullary nail implantation after, especially intramedullary nail for treat neck of femur, tibial plateau either humerus head rupture, Fragmentation needs first to stamp pinning in the first locking nail hole 12 ' of intramedullary nail proximal end when symptoms, so, the through-hole of perforation 11 ' proximal end is blocked by pinning, carries the length of illuminator with magnetic long guide pin or head if you need to be placed in intramedullary nail Guide pin carrys out accessory external tool and carries out distal end aiming, can not just realize.
Invention content
It is unfavorable for distally aiming in order to which the through-hole for solving the problem of intramedullary nail in the prior art is blocked, this hair It is bright to propose a kind of hollow intramedullary needle, solve above-mentioned technical problem.Technical scheme is as follows:
A kind of hollow intramedullary nail including rivet nut, is provided with through-hole in the rivet nut, the proximal end of the rivet nut is provided with first Locking nail hole, the through-hole are extended to the distal end of rivet nut by the proximal end of the rivet nut, and the through-hole is relative to first locking nail hole Biasing setting.
Further, the through-hole includes the offset segment, linkage section and the extended segment that are sequentially communicated along rivet nut proximal end to distal end, The offset segment is biased relative to first locking nail hole and is set.
Further, axis of first locking nail hole Jing Guo the rivet nut, the offset segment is is opened in the rivet nut U-type groove on outer circumference surface.
Further, the offset segment is extended to from rivet nut proximal tips at the 1/3 of rivet nut length, first locking nail hole Positioned at rivet nut position corresponding with offset segment.
Further, the extended segment is set along the axis direction of rivet nut, and the linkage section connects the offset segment and institute State extended segment.
Further, the distal end of the rivet nut is provided with the second locking nail hole.
Further, axis of second locking nail hole Jing Guo the rivet nut.
Further, first locking nail hole and second locking nail hole equal at least two.
Based on above-mentioned technical proposal, the technique effect achieved by the present invention is:The hollow intramedullary nail structure letter of the present invention It is single, it can not only realize before intramedullary nail implantation, first be implanted into thin long guide pin, then intramedullary nail is filled in by through-hole along long guide pin In bone, and after intramedullary nail implantation and in the case that pinning is stamped in proximal end, remain able to place with magnetic in through-hole Property long guide pin or head carry illuminator long guide pin, accessory external tool carry out distal end aiming.In addition, the sky of the present invention The extended segment of heart intramedullary nail still extends along the central axis of rivet nut, and after such guide pin is inserted into, the direction of end does not have deviation, It is convenient accurately and efficiently to carry out distal end aiming.
Description of the drawings
Fig. 1 is the structure diagram of intramedullary nail of the prior art;
Fig. 2 is the F-F sectional views of Fig. 1;
Fig. 3 is the structure diagram of the hollow intramedullary nail of the present invention;
Fig. 4 is the D-D sectional views of Fig. 3;
Fig. 5 is the E-E sectional views of Fig. 3;
In figure:1- rivet nuts;11- through-holes;The first locking nail holes of 12-;The second locking nail holes of 13-;A- offset segments;B- linkage sections;C- Extended segment;1 '-rivet nut;11 '-through-hole;12 '-the first locking nail holes;13 '-the second locking nail holes.
Specific embodiment
Present disclosure is further described with reference to the accompanying drawings of the specification.
As in Figure 3-5, present embodiment discloses a kind of hollow intramedullary nails, including rivet nut 1, are provided in the rivet nut 1 Through-hole 11, the proximal end of the rivet nut 1 are provided with the first locking nail hole 12, and the distal end of the rivet nut 1 is provided with the second locking nail hole 13.
First locking nail hole 12 and second locking nail hole 13 pass through the axis of the needle body 1, first pinning Hole 12 and second locking nail hole 13 equal at least two, preferably 2-5.First locking nail hole 12 and second pinning Hole 13 is used to place pinning, plays fixed function.
The through-hole 11 is penetrated through by the proximal end of rivet nut 1 to the distal end of rivet nut 1, in order to avoid the first pinning of 1 proximal end of rivet nut Pinning in hole 12 blocks the through-hole 11, and the through-hole 11 is biased relative to first locking nail hole 12 and set.Specifically, institute It states through-hole to include along 1 proximal end of rivet nut to the offset segment A, linkage section B and extended segment C being distally sequentially communicated, the offset segment A is opposite It biases and sets in first locking nail hole 12.The axis of extended segment C along the rivet nut 1 extends to the distal end of rivet nut 1, the connection Section B connections offset segment A and extended segment C.
Preferably, the offset segment A is the U-type groove being opened on the rivet nut outer circumference surface, and the offset segment A and institute It states and is not communicated between the first locking nail hole 12.
Preferably, the proximal tips of offset segment A from the rivet nut 1 are extended at the 1/3 of 1 length of rivet nut, first lock Nail hole 12 is located at the position corresponding with offset segment A of rivet nut 1.
Using the intramedullary nail treatment neck of femur of the application, tibial plateau either humerus head rupture, fragmentation when symptoms, marrow Before interior nail implantation, thin long guide pin is first implanted into, then intramedullary nail is filled in along this long guide pin in bone by through-hole 11;Intramedullary nail After implantation, first the first locking nail hole 12 in the proximal end of rivet nut 1 is built into pinning, if you need to carry out intra medullary nail far-end using external tool It aims at, then the long guide pin that illuminator is carried with magnetic long guide pin or head, the through-hole of perforation can be placed in through-hole 11 11 will not be blocked by the pinning in the first locking nail hole 12.
A kind of hollow intramedullary nail of the present invention is simple in structure, highly effective, convenient for multi-functional operation.
Embodiments of the present invention are explained in detail above in conjunction with attached drawing, but the present invention is not limited to above-mentioned implementations Mode, within the knowledge of a person skilled in the art, can also be in the premise for not departing from spirit of the invention Under make a variety of changes.

Claims (8)

1. a kind of hollow intramedullary nail, including rivet nut (1), be provided with through-hole (11) in the rivet nut (1), the rivet nut (1) it is near End is provided with the first locking nail hole (12), which is characterized in that the through-hole (11) extends to rivet nut by the proximal end of the rivet nut (1) (1) distal end, the through-hole (11) bias relative to first locking nail hole (12) and set.
2. a kind of hollow intramedullary nail as described in claim 1, which is characterized in that the through-hole (11) is including near along rivet nut (1) The offset segment (A) being distally sequentially communicated, linkage section (B) and extended segment (C) are held, the offset segment (A) is relative to described first Locking nail hole (12) biasing setting.
3. a kind of hollow intramedullary nail as claimed in claim 2, which is characterized in that first locking nail hole (12) passes through the nail The axis of body (1), the offset segment (A) are the U-type groove being opened on the rivet nut (1) outer circumference surface.
4. a kind of hollow intramedullary nail as claimed in claim 2 or claim 3, which is characterized in that the offset segment (A) is near from rivet nut (1) End end is extended at the 1/3 of rivet nut (1) length, and first locking nail hole (12) is corresponding to offset segment (A) positioned at rivet nut (1) Position.
5. a kind of hollow intramedullary nail as claimed in claim 2 or claim 3, which is characterized in that the extended segment (C) is along rivet nut (1) Axis direction is set, and the linkage section (B) connects the offset segment (A) and the extended segment (C).
6. a kind of hollow intramedullary nail as described in claim 1, which is characterized in that the distal end of the rivet nut (1) is provided with second Locking nail hole (13).
7. a kind of hollow intramedullary nail as claimed in claim 6, which is characterized in that second locking nail hole (13) passes through the nail The axis of body (1).
A kind of 8. hollow intramedullary nail as claimed in claims 6 or 7, which is characterized in that first locking nail hole (12) and described Second locking nail hole (13) equal at least two.
CN201711485868.5A 2017-12-29 2017-12-29 A kind of hollow intramedullary nail Pending CN108158644A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201711485868.5A CN108158644A (en) 2017-12-29 2017-12-29 A kind of hollow intramedullary nail

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201711485868.5A CN108158644A (en) 2017-12-29 2017-12-29 A kind of hollow intramedullary nail

Publications (1)

Publication Number Publication Date
CN108158644A true CN108158644A (en) 2018-06-15

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CN201711485868.5A Pending CN108158644A (en) 2017-12-29 2017-12-29 A kind of hollow intramedullary nail

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Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1998041161A2 (en) * 1997-03-19 1998-09-24 Osteo Ag Modular intramedullary nail
US20040172026A1 (en) * 2002-08-28 2004-09-02 Carl Ekholm Humeral nail
DE202004018748U1 (en) * 2004-12-03 2005-02-10 Merete Medical Gmbh Intramedullary nail in particular to be used in femur, comprising various differently shaped openings and grooves for adding more nails or screws
US20110137312A1 (en) * 2008-06-13 2011-06-09 Orthofix S.R.L. Intermarrow nail to be inserted into a fractured long bone
JP2012165976A (en) * 2011-02-16 2012-09-06 Olympus Terumo Biomaterials Corp Bone plate and bone plate system
US20140296854A1 (en) * 2013-03-28 2014-10-02 Dietmar Wolter Osteosynthesis system for the multidirectional, angular-stable treatment of fractures of tubular bones comprising an intramedullary nail and bone screws
JP2015217263A (en) * 2014-05-21 2015-12-07 ディトマール・ヴォルター Osteosynthesis system for multidirectional, angular-stable treatment of fracture of tubular bone comprising intramedullary nail and bone screw
US20150351809A1 (en) * 2014-06-04 2015-12-10 Roger P. Jackson Polyaxial bone anchor with insert guides
CN105640639A (en) * 2014-11-13 2016-06-08 无锡市闻泰百得医疗器械有限公司 Cannulated compression screw structure
US20170333088A1 (en) * 2016-05-18 2017-11-23 Medos International Sarl Implant connectors and related methods
CN208677543U (en) * 2017-12-29 2019-04-02 创辉医疗器械江苏有限公司 A kind of hollow intramedullary nail

Patent Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1998041161A2 (en) * 1997-03-19 1998-09-24 Osteo Ag Modular intramedullary nail
US20040172026A1 (en) * 2002-08-28 2004-09-02 Carl Ekholm Humeral nail
DE202004018748U1 (en) * 2004-12-03 2005-02-10 Merete Medical Gmbh Intramedullary nail in particular to be used in femur, comprising various differently shaped openings and grooves for adding more nails or screws
US20110137312A1 (en) * 2008-06-13 2011-06-09 Orthofix S.R.L. Intermarrow nail to be inserted into a fractured long bone
JP2012165976A (en) * 2011-02-16 2012-09-06 Olympus Terumo Biomaterials Corp Bone plate and bone plate system
US20140296854A1 (en) * 2013-03-28 2014-10-02 Dietmar Wolter Osteosynthesis system for the multidirectional, angular-stable treatment of fractures of tubular bones comprising an intramedullary nail and bone screws
JP2015217263A (en) * 2014-05-21 2015-12-07 ディトマール・ヴォルター Osteosynthesis system for multidirectional, angular-stable treatment of fracture of tubular bone comprising intramedullary nail and bone screw
US20150351809A1 (en) * 2014-06-04 2015-12-10 Roger P. Jackson Polyaxial bone anchor with insert guides
CN105640639A (en) * 2014-11-13 2016-06-08 无锡市闻泰百得医疗器械有限公司 Cannulated compression screw structure
US20170333088A1 (en) * 2016-05-18 2017-11-23 Medos International Sarl Implant connectors and related methods
CN208677543U (en) * 2017-12-29 2019-04-02 创辉医疗器械江苏有限公司 A kind of hollow intramedullary nail

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