CN205307075U - Medical miniature device of shoring - Google Patents

Medical miniature device of shoring Download PDF

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Publication number
CN205307075U
CN205307075U CN201620006122.6U CN201620006122U CN205307075U CN 205307075 U CN205307075 U CN 205307075U CN 201620006122 U CN201620006122 U CN 201620006122U CN 205307075 U CN205307075 U CN 205307075U
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propelling movement
implanting portion
handle
style
calligraphy
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CN201620006122.6U
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Chinese (zh)
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张兰发
张翔之
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Individual
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Abstract

The utility model discloses a medical miniature device of shoring, it includes implantation portion, passageway sleeve pipe and propelling movement working assembly, implantation portion is made by niTi shape memory alloy, implantation portion constitutes by being V style of calligraphy roof of arranging and the super resilient spring who is V style of calligraphy or alternately V style of calligraphy setting, the V style of calligraphy or alternately the super resilient spring's of V style of calligraphy both ends fix at last roof under and on the roof respectively, the afterbody of roof is opened has an opening, propelling movement working assembly includes the propelling movement guide arm, propelling movement guide arm tail end is equipped with the propelling movement handle, its front end is equipped with T style of calligraphy connector, the passageway sleeve pipe is by the deflector, control the handle peace treaty beam set nest of tubes, the deflector articulates is controlling the one end of handle, and be equipped with the spout on the deflector. The utility model discloses the structure is small and exquisite, installation easy operation, and continuous pressurization is insisted on in release produced the shoring in back to with the centrum compression force that the sinks acting of confronting with each other, the sink physiological defect of centrum of developments restoration, it is compensatory to have eliminated the affected part tissue, has improved the tolerance of bone.

Description

Medical miniature supporting device
Technical field
This utility model relates to a kind of medical miniature supporting device, belongs to technical field of medical instruments.
Background technology
It is a kind of common Osteoporotic vertebral fracture that spinal vertebral subsides, and this vertebral fracture mostly occurs in the old group of long campaigns blue-collar rural area and women is in the majority. this type of fracture initial stage generally only has local pain and slight rear convex deformity, without obvious neural complication, therefore do not cause enough attention, so that the long-term physical work bent over and osteoporotic accumulation, the vertebral body that promotes to subside worsens further and compromises hypocentrum, cause many collapse of vertebra, convex after making Thoracolumbar disk increase the weight of, cause the persistence lumbago and backache, limitation of activity, anorexia and the cardio-pulmonary function that are difficult to alleviate weak, and with lower limb nerve dysfunction etc., badly influence the quality of life of patient and shorten life expectancy. traditional Therapeutic Method is the body constitution of degree and patient of subsiding according to cone, it is determined that be expectant treatment or row surgery internal fixation. adopt bed to rest generally for slightly subsiding more, padded back, calcareous supplement and functional exercise, to alleviate its disease and to reduce pain, the vertebral fracture that makes to subside is repaired. but due to the restriction of rural condition and environment, being difficult to accomplish to rest, the state of an illness is often moved towards to worsen. traditional surgical operation mainly for collapse of vertebra degree more serious and be accumulated to upper hypocentrum, have influence on action and the patient taken care of oneself, fixed by the placement of anterior plate, spine portion is made to return to original physiological camber, but such operation strength is big, risk is high, costly, and the final abandoning cure of many rural patients. along with development and the popularization and application of intervention apparatus, cone this difficult and complicated illness of subsiding has had a good Therapeutic Method, and wounds is little, pain light, it is fast to recover, the features such as risk is low and be subject to the consistent favorable comment of doctor and patient. as: Balloon Angioplasty, connecting rod lifting plasty, this type of forming technique is under local anesthesia, sacculus or mechanical linkage elevating mechanism are sent to collapse of vertebra portion (note: same vertebral body is generally through symmetrically placed two supporting devices of both sides pedicle of vertebral arch) by pedicle approach, then expand to sacculus or rotation and lifting joystick promotes to implant Intrapyramidal sacculus or machinery supporting device lifting by being externally injected iohexol injection, make pyramidal support recovery extremely original physiological structure shape of subsiding, after extracting unilateral sacculus or miniature connecting rod top bracing mechanism out, inject bone cement until solidifying, closed channel, symmetrical side operation successively, namely operation has accused.The equipment often structure that Balloon Angioplasty, connecting rod lifting plasty use is more complicated, and structure immobilizes, and belongs to the orthotics of a kind of static state.
Utility model content
Technical problem to be solved in the utility model is: overcome the deficiencies in the prior art, it is provided that a kind of medical miniature supporting device, its compact structure, installs simple to operate, and dynamic reparation is subsided the physiological defect of vertebral body.
In order to solve above-mentioned technical problem, the technical solution of the utility model is: a kind of medical miniature supporting device, it includes implanting portion, access sheath and propelling movement work package, implanting portion is made up of NiTi marmem, described implanting portion clamped by the top board arranged in V-shape and Qi Nei in V-shape or intersect V-shape arrange superelastic spring form, top board has upper plate and lower roof plate, the two ends of V-shape or intersection V-shape superelastic spring are separately fixed on upper plate and lower roof plate, the afterbody of top board has a gap, described propelling movement work package includes pushing guide rod, push guide rod tail end and be provided with propelling movement hands handle, its front end is provided with for the T font union joint hinged with implanting portion afterbody gap, described access sheath is by guide plate, hold handle and confinement sleeve composition, guide plate is hinged on the one end holding handle, and guide plate is provided with chute, confinement sleeve is fixed on the other end holding handle, confinement sleeve has the tube chamber for housing implanting portion.
Further for positioning the place that subsides better, the described work package that pushes also includes the location probe for positioning implantation position, and the head end of location probe is tip-like, and its tail end is provided with holds ring.
Further for being easy to pressure injection bone cement, described propelling movement work package also includes bone cement tamping bar, and bone cement tamping bar includes stem and holds ring, holds ring and is fixed on one end of stem.
Further for being easy to location positioning better, the surface of access sheath, location probe and bone cement tamping bar is equipped with laser-marking graduation mark.
Further, described access sheath is made up of medical stainless steel.
After have employed technique scheme, implanting portion of the present utility model is made up of NiTi marmem, there is shape memory function, in Low-temperature Ice normal saline, metallographic structure enters martensitic state, the constraint state of pole shape can be shaped as by external force, under the impact of ambient temperature, shape energy Quick-return is to original-shape, when implanting portion is in intermediateness, when namely shoring state, producing recovery of shape power thus reaching the effect of support, vertebral body of subsiding can be done work by the power of shoring produced by this phase transformation, so as to lifting recovers to original physiological structure shape; This utility model compact structure, installs simple to operate, shores power persistent pressure produced by after release, and confronts with each other acting with Vertebral Compression power of subsiding, and dynamic restoring subsides the physiological defect of vertebral body, eliminates affected tissue compensatory, improves the toleration of bone.
Accompanying drawing explanation
Fig. 1 is the structural representation of the first embodiment of implanting portion of the present utility model;
Fig. 2 is the structural representation of the second embodiment of implanting portion of the present utility model;
Fig. 3 is the schematic diagram of the original form of implanting portion of the present utility model;
Fig. 4 is the schematic diagram that implanting portion of the present utility model is in restrained condition;
Fig. 5 is the schematic diagram that implanting portion of the present utility model is in the state of shoring;
Fig. 6 is the structural representation of access sheath of the present utility model;
Fig. 7 is the structural representation of propelling movement guide rod of the present utility model;
Fig. 8 is the schematic diagram of location of the present utility model probe;
Fig. 9 is the schematic diagram of bone cement of the present utility model tamping bar;
In figure, 1, implanting portion, 1-1, top board, 1-2, superelastic spring, 1-3, gap, 2, access sheath, 2-1, confinement sleeve, 2-2, hold handle, 2-3, guide plate, 3, push guide rod, 3-1, push handle, 3-2, T font union joint, 4, location probe, 5, bone cement tamping bar.
Detailed description of the invention
In order to make content of the present utility model be easier to be clearly understood, below according to specific embodiment and in conjunction with accompanying drawing, this utility model is described in further detail.
Embodiment one:
Such as Fig. 1, shown in 3~7, a kind of medical miniature supporting device, it includes implanting portion 1, access sheath 2 and propelling movement work package, implanting portion 1 is made up of NiTi marmem, the implanting portion 1 superelastic spring 1-2 arranged in V-shape clamped by top board 1-1 and the Qi Nei arranged in V-shape forms, can also be double, two V-shapes or multiple V-shape superelastic spring 1-2, top board 1-1 has upper plate and lower roof plate, the two ends of V-shape superelastic spring 1-2 are separately fixed on upper plate and lower roof plate, the afterbody of top board 1-1 has a gap 1-3, push work package to include pushing guide rod 3, the tail end pushing guide rod 3 is provided with propelling movement handle 3-1, its front end is provided with for the T font union joint 3-2 hinged with implanting portion afterbody gap 1-3, access sheath 2 is by guide plate 2-3, hold handle 2-2 and confinement sleeve 2-1 composition, guide plate 2-3 is hinged on the one end holding handle 2-2, and guide plate 2-3 is provided with chute, confinement sleeve 2-1 is fixed on the other end holding handle 2-2, confinement sleeve 2-1 has the tube chamber for housing implanting portion 1.
The effect of propelling movement guide rod 3 is dependent on its distal tip T font union joint 3-2 and implanting portion 1 afterbody gap 1-3 and cooperatively forms hinge joint, so that fixing and push implanting portion 1 to enter collapse of vertebra position, in propelling movement process, handle is limited in the chute of guide plate 2-3 and slides, and can not rotate.
As shown in Figure 8, pushing work package and also include the location probe 4 for positioning implantation position, the head end of location probe 4 is tip-like, and its tail end is provided with holds ring.
As it is shown in figure 9, push work package also include bone cement tamping bar 5, bone cement tamping bar 5 includes stem and holds ring, holds ring and is fixed on one end of stem.
The surface of access sheath 2, location probe 4 and bone cement tamping bar 5 is equipped with laser-marking graduation mark.
Access sheath 2 is made up of medical stainless steel.
Embodiment two:
As shown in Fig. 2~7, a kind of medical miniature supporting device, it includes implanting portion 1, access sheath 2 and propelling movement work package, implanting portion 1 is made up of NiTi marmem, the implanting portion 1 superelastic spring 1-2 arranged in intersection V-shape clamped by top board 1-1 and the Qi Nei arranged in V-shape forms, top board 1-1 has upper plate and lower roof plate, the two ends of intersection V-shape superelastic spring 1-2 are separately fixed on upper plate and lower roof plate, the afterbody of top board 1-1 has a gap 1-3, push work package to include pushing guide rod 3, the tail end pushing guide rod 3 is provided with propelling movement handle 3-1, its front end is provided with for the T font union joint 3-2 hinged with implanting portion afterbody gap 1-3, access sheath 2 is by guide plate 2-3, hold handle 2-2 and confinement sleeve 2-1 composition, guide plate 2-3 is hinged on the one end holding handle 2-2, and guide plate 2-3 is provided with chute, confinement sleeve 2-1 is fixed on the other end holding handle 2-2, confinement sleeve 2-1 has the tube chamber for housing implanting portion 1.
As shown in Figure 8, pushing work package and also include the location probe 4 for positioning implantation position, the head end of location probe 4 is tip-like, and its tail end is provided with holds ring.
As it is shown in figure 9, push work package also include bone cement tamping bar 5, bone cement tamping bar 5 includes stem and holds ring, holds ring and is fixed on one end of stem.
This utility model realizes its function mainly following step: one is set up service aisle, and two is that equipped implanting portion 1 enters access sheath 2, and three is lay implanting portion 1 to arrive cone process section, and four is release implanting portion 1, and five is enhancing perfusion and pathway closure art.
One, service aisle is set up
Nut location is bored vertebral body according to location probe 4, and determine angle and carry out labelling, then drill bushing is guided to place, lower drill bit after extracting location probe 4, it is drilled into collapse of vertebra portion, inserting, with location probe 4, the portion of subsiding again and repair the degree of depth and circumference that expand the hole, portion that subsides, the service aisle that access sheath 2 is set up is inserted in examination subsequently with checking, if can guarantee that implanting portion 1 arrives off-position.
Two, equipped implanting portion enters access sheath
When aseptic ice normal saline, clamping implanting portion 1 with pliers makes it be constraint state, with pushing guide rod 3 traverse access sheath 2, propelling movement handle 3-1 is made to slide in the chute of guide plate 2-3, expose the T font union joint 3-2 pushing guide rod 3 head, again T font union joint 3-2 is inserted in the gap 1-3 of implanting portion 1 afterbody, by implanting portion 1 90-degree rotation, propelling movement guide rod 3 is made to form hinge joint with implanting portion 1, then pull and push guide rod 3 and make implanting portion 1 enter in the tube chamber of access sheath 2 and concordant with the mouth of pipe, now, the holding handle 2-2 pushing handle 3-1 and access sheath 2 is 90 degree, to show assembling state.
Three, lay implanting portion and arrive cone process section
Being inserted in the access opening that has built up and to bottom by the assembly assembled, its degree of depth is consistent with former insertion depth, and adjustment angle makes the V-type expanding unit of implanting portion 1 and collapse of vertebra direction in the same direction.
Four, release implanting portion
The propelling movement handle 3-1 pushing guide rod 3 that holds with a firm grip is motionless, and the chute along guide plate 2-3 is slowly extracted access sheath 2 to implanting portion 1 and departed from the constraint of access sheath 2, is in release conditions. Restriction because of guide plate 2-3, make propelling movement handle 3-1 be adjacent to holding handle 2-2 and relative angle is motionless, turned-out after about 2 minutes convince by patient analysis to plate 2-3, fine motion pushes handle 3-1, sensation implanting portion 1 whether movable (operation can be observed under the guiding of C type X-ray machine by hospital with good conditionsi), with determine implanting portion 1 discharge whether reach expection, then guide rod 3~5 millimeters is inwardly pushed again, handle 3-1 90-degree rotation will be pushed, making T font union joint 3-2 extract gently after deviating from hinge joint state and being in a parallel surface with gap 1-3, namely release accused.
Five, enhancing perfusion and pathway closure art
After implanting portion 1 release produces a desired effect, clinic needs to implant the broken bone of spongiosa or with in bone cement perfusion to access sheath 2, consolidating bar 5 pressure injection bone cement to the gap strutting vertebral body with bone cement, repeatedly pressure injection is to guarantee that filling bone cement fills whole vertebral body space; Finally extract access sheath 2, close drilled tunnel with bone cement. Bore nut at the symmetrical side of vertebral body of subsiding again according to said process to be carried out, after terminating, sew up wound surface successively.
The size visual vertebral body position of implanting portion 1 is different from pedicle channel place width, can have different specifications to adapt to the use of each section of collapse of vertebra case;Implanting portion 1 big I of the produced power of shoring when shoring state, by the diameter control of silk material, can adopt dual-gripper or cross support to meet the vertebral body requirement to the power of shoring of subsiding.
Implanting portion 1 of the present utility model is made up of NiTi marmem, there is shape memory function, in Low-temperature Ice normal saline, metallographic structure enters martensitic state, the constraint state of pole shape can be shaped as by external force, under the impact of ambient temperature, shape energy Quick-return is to original-shape, when implanting portion 1 is in intermediateness, when namely shoring state, produce recovery of shape power thus reaching the effect shored, vertebral body of subsiding can be done work by the power of shoring produced by this phase transformation, so as to lifting recovers to original physiological structure shape; This utility model compact structure, installs simple to operate, shores power persistent pressure produced by after release, and confronts with each other acting with Vertebral Compression power of subsiding, and dynamic restoring subsides the physiological defect of vertebral body, eliminates affected tissue compensatory, improves the toleration of bone.
Particular embodiments described above; this utility model is solved the technical problem that, technical scheme and beneficial effect have further described; it is it should be understood that; the foregoing is only specific embodiment of the utility model; it is not limited to this utility model; all within spirit of the present utility model and principle, any amendment of making, equivalent replacement, improvement etc., should be included within protection domain of the present utility model.

Claims (5)

1. a medical miniature supporting device, it is characterized in that: it includes implanting portion (1), access sheath (2) and propelling movement work package, implanting portion (1) is made up of NiTi marmem, described implanting portion (1) is by clamped in V-shape or intersect the superelastic spring (1-2) that V-shape arranges and form in the top board (1-1) arranged in V-shape and its, top board (1-1) has upper plate and lower roof plate, the two ends of V-shape or intersection V-shape superelastic spring (1-2) are separately fixed on upper plate and lower roof plate, the afterbody of top board has a gap (1-3), described propelling movement work package includes pushing guide rod (3), push guide rod (3) tail end and be provided with propelling movement handle (3-1), its front end is provided with for T font union joint (3-2) hinged with implanting portion afterbody gap (1-3), described access sheath (2) is by guide plate (2-3), hold handle (2-2) and confinement sleeve (2-1) composition, guide plate (2-3) is hinged on the one end holding handle (2-2), and guide plate (2-3) is provided with chute, confinement sleeve (2-1) is fixed on the other end holding handle (2-2), confinement sleeve (2-1) has the tube chamber for housing implanting portion (1).
2. medical miniature supporting device according to claim 1, it is characterized in that: the described work package that pushes also includes the location probe (4) for positioning implantation position, the head end of location probe (4) is tip-like, and its tail end is provided with holds ring.
3. medical miniature supporting device according to claim 2, it is characterised in that: described propelling movement work package also includes bone cement tamping bar (5), and bone cement tamping bar includes stem and holds ring, holds ring and is fixed on one end of stem.
4. medical miniature supporting device according to claim 3, it is characterised in that: the surface of access sheath (2), location probe (4) and bone cement tamping bar (5) is equipped with laser-marking graduation mark.
5. the medical miniature supporting device according to any one of Claims 1-4, it is characterised in that: described access sheath (2) is made up of medical stainless steel.
CN201620006122.6U 2016-01-04 2016-01-04 Medical miniature device of shoring Active CN205307075U (en)

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Application Number Priority Date Filing Date Title
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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105496535A (en) * 2016-01-04 2016-04-20 张兰发 Medical miniature back shore device
CN111134901A (en) * 2020-02-27 2020-05-12 孟会琴 Traceless implanting device for nasal bone prosthesis and using method of traceless implanting device

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105496535A (en) * 2016-01-04 2016-04-20 张兰发 Medical miniature back shore device
CN111134901A (en) * 2020-02-27 2020-05-12 孟会琴 Traceless implanting device for nasal bone prosthesis and using method of traceless implanting device

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