CN207755366U - A kind of backbone sets nail guide plate - Google Patents
A kind of backbone sets nail guide plate Download PDFInfo
- Publication number
- CN207755366U CN207755366U CN201720316647.4U CN201720316647U CN207755366U CN 207755366 U CN207755366 U CN 207755366U CN 201720316647 U CN201720316647 U CN 201720316647U CN 207755366 U CN207755366 U CN 207755366U
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- CN
- China
- Prior art keywords
- nail
- setting
- guide plate
- sleeve
- backbone
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- 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.)
- Expired - Fee Related
Links
- 238000000465 moulding Methods 0.000 claims description 11
- 239000007769 metal material Substances 0.000 claims description 9
- 239000000463 material Substances 0.000 claims description 6
- 229910001220 stainless steel Inorganic materials 0.000 claims description 6
- 239000010935 stainless steel Substances 0.000 claims description 6
- 238000010146 3D printing Methods 0.000 claims description 3
- 239000011120 plywood Substances 0.000 claims description 2
- 238000006243 chemical reaction Methods 0.000 claims 1
- 239000000126 substance Substances 0.000 claims 1
- 238000001356 surgical procedure Methods 0.000 description 25
- 238000004519 manufacturing process Methods 0.000 description 7
- 238000005516 engineering process Methods 0.000 description 5
- 238000000034 method Methods 0.000 description 5
- 238000010586 diagram Methods 0.000 description 4
- 238000007639 printing Methods 0.000 description 3
- BVPWJMCABCPUQY-UHFFFAOYSA-N 4-amino-5-chloro-2-methoxy-N-[1-(phenylmethyl)-4-piperidinyl]benzamide Chemical compound COC1=CC(N)=C(Cl)C=C1C(=O)NC1CCN(CC=2C=CC=CC=2)CC1 BVPWJMCABCPUQY-UHFFFAOYSA-N 0.000 description 2
- 210000004204 blood vessel Anatomy 0.000 description 2
- 238000002591 computed tomography Methods 0.000 description 2
- 230000017525 heat dissipation Effects 0.000 description 2
- 238000009434 installation Methods 0.000 description 2
- 241001269238 Data Species 0.000 description 1
- 238000002224 dissection Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000000977 initiatory effect Effects 0.000 description 1
- 230000014759 maintenance of location Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
- 230000035807 sensation Effects 0.000 description 1
- 238000004904 shortening Methods 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 210000000278 spinal cord Anatomy 0.000 description 1
Landscapes
- Surgical Instruments (AREA)
Abstract
This application discloses a kind of backbones to set nail guide plate.Backbone sets nail guide plate and includes jointing plate and set nail sleeve, and jointing plate includes fitting screens portion and guide part.The vertebra outer surface that nail region is set in fitting screens portion with patient spine is bonded screens；Guide part is the column pilot hole being arranged at left and right sides of jointing plate, determines the position for setting nail channel and the angle of screw merging patient's vertebra.Nail sleeve is set to be fixedly connected with the pilot hole of jointing plate both sides respectively, it is axial axially consistent with pilot hole, it sets inside nail sleeve bottom end merging pilot hole, top is higher by pilot hole certain altitude.It in setting tack operation, is axially pierced inside patient's vertebra using passage-opening awl along nail sleeve is set, nail channel is set in foundation, and screw is set nail channel along this is placed in patient's vertebra, you can tack operation is set in completion.Using backbone set nail guide plate set nail position precisely, safety, can effectively reduce operation risk, shorten operating time, the guide plate is easy to utilize, has significant application value.
Description
Technical field
The utility model is related to field of medical technology, and in particular to a kind of backbone sets nail guide plate and production method.
Background technology：
What vertebral column canal accommodated is spinal cord, and important nerve and blood vessel are walked in column foramen transversarium and intervertebral foramen.In backbone
In surgical operation, due to exposure, it is often only a plane rather than three-dimensional structure seen in doctor, for identification
Dissection mark is limited, during setting nail channel using passage-opening awl foundation, it is necessary to accomplish precisely.Once passage-opening awl pierces or spiral shell
It follows closely placing direction or the depth is improper, blood vessel and neuromechanism will be injured, cause tragic consequence.
In traditional spinal surgery, generally use sets nail by hand.Doctor is by observing CT (Computed
Tomography, computed tomography), MR (Magnetic Resonance, magnetic resonance), the image datas such as x-ray, by facing
Bed experience is established using passage-opening awl and sets nail channel juxtaposition nail by hand；The computer assisted navigation system developed in recent years so that
Backbone is set in the surgical procedure of nail, and solid space location technology dynamic realtime positioning operation instrument and differences in patient can be used
Corresponding position, doctor the merging path of screw and depth from each orientation by the display screen of high-res are led
Boat sets nail.
Set nail by hand and excessively rely on doctor's clinical experience and subjective sensation, lack the control of objective indicator, operation risk compared with
Greatly；Computer assisted navigation sets nail and operates sufficiently complex, real-time navigation system equipment price costliness in art, it is difficult to which being widely popularized makes
With.
In field of spinal surgery, provide a kind of accurate positioning, it is safe and efficient, convenient for popularization for assisting backbone to set
The guide plate of nail has significant application value.
Utility model content
The utility model provides a kind of accurate positioning, backbone safe and efficient, easy to utilize sets nail guide plate and its system
Method is made, relies on that doctor's experience sets nail by hand and computer assisted navigation sets the backbone of nail and sets nail skill in the prior art to replace
Art scheme.
In order to achieve the above object, the utility model, which provides a kind of backbone, sets nail guide plate, including jointing plate and nail sleeve is set, pasted
Plywood includes fitting screens portion and guide part, and the vertebra outer surface that nail region is set in fitting screens portion with patient spine is bonded screens,
Guide part is the column pilot hole being arranged at left and right sides of jointing plate, determines position and the angle for setting nail channel, sets nail sleeve point
It is not fixedly connected with the pilot hole of jointing plate both sides, it is axial axially consistent with pilot hole, it sets in nail sleeve bottom end merging pilot hole
Portion, top are higher by pilot hole certain altitude.Passage-opening awl pierces patient's vertebra along nail sleeve is set, and nail channel is set in foundation.
Alternatively, the height of nail sleeve is set according to surgery planning personalized designs, is led to for controlling to set to follow closely
The depth in road, including：According to surgery planning, the depth for setting nail channel is L1, passage-opening awl edge is set nail sleeve top and can be pierced most
Big depth is Lmax, personalized designs set the height of nail sleeve, make to set nail sleeve top to guide part and patient's vertebra contact position
Distance L2=Lmax-L1。
Alternatively, the aperture of nail sleeve is set according to surgery planning personalized designs, is led to for controlling to set to follow closely
The aperture in road makes the aperture for setting nail channel be matched with the screw diameter for being placed in patient's vertebra is needed.
Alternatively, the moulding material for setting nail sleeve is metal material, including stainless steel.
Alternatively, fitting screens depression in the surface form sets the vertebra outer surface in nail region with patient spine
Raised form individualized fit.
Alternatively, jointing plate passes through 3 D-printing integrated molding.
Alternatively, the side of the outer surface of jointing plate also carries telltale mark.
A kind of backbone provided by the utility model sets nail guide plate production method, includes the following steps：
Three-dimensional reconstruction is carried out to corrective surgery region and centrum by CT data, obtains patient's art area spine model；
According to art area spine model, design is bonded screens portion with the jointing plate of spine model individualized fit；
According to surgery planning, determines position and the angle for setting nail channel, design the guide part of jointing plate；
Jointing plate comprising fitting screens portion and guide part is passed through into three-dimensional printing technology integrated molding；
According to surgery planning, determines depth and the aperture for setting nail channel, design and make and set nail sleeve；
The guide part followed closely sleeve installation and be fixed to jointing plate will be set, obtains full spine and set nail guide plate.
Alternatively, the height of nail sleeve is set according to surgery planning personalized designs, is led to for controlling to set to follow closely
The depth in road, including：According to surgery planning, the depth for setting nail channel is L1, passage-opening awl edge is set nail sleeve top and can be pierced most
Big depth is Lmax, personalized designs set the height of nail sleeve, make to set nail sleeve top to guide part and patient's vertebra contact position
Distance L2=Lmax-L1。
Alternatively, the aperture of nail sleeve is set according to surgery planning personalized designs, is led to for controlling to set to follow closely
The aperture in road makes the aperture for setting nail channel be matched with the screw diameter for being placed in patient's vertebra is needed.
Alternatively, the moulding material for setting nail sleeve is metal material, including stainless steel.
The utility model has the advantage of：Three-dimensional reconstruction is carried out to patient spine by CT data, personalized designs are simultaneously made
Set nail guide plate, nail channel is set in foundation, and auxiliary backbone sets tack operation, be remarkably improved backbone set nail precision, it is safe and efficient, be convenient for
Promote and apply, solve set by hand in the prior art nail depend on doctor's experience unduly and navigation to set nail process complex device expensive
The drawbacks of；It is designed according to surgery planning, personalized designs set position, angle, height and the aperture of nail sleeve, can effectively control
System sets position, angle, depth and the aperture of nail channel, and precisely nail is set to help to realize, nail risk is set in the reduction of high degree,
Accelerate screw and be placed in speed, shortens operating time；The moulding material for setting nail sleeve is metal material, including stainless steel, Du
The clast that passage-opening awl generates during piercing patient spine absolutely, in addition, the rigidity of metal material and heat dissipation performance be more preferably,
Frictional heat initiation sets nail guide plate and generates deformation when avoidable passage-opening awl pierces.
Description of the drawings
Fig. 1 is that a kind of backbone that the utility model embodiment provides sets nail guide plate front schematic view；
Fig. 2 is that a kind of backbone that the utility model embodiment provides sets nail guide plate top schematic diagram；
Fig. 3 is that a kind of backbone that the utility model embodiment provides sets nail guide plate application schematic diagram；
Fig. 4 is that a kind of backbone that the utility model embodiment provides sets nail guide plate production method schematic diagram.
Specific implementation mode
With reference to the accompanying drawings and in conjunction with specific embodiments, the utility model is described in further detail.
As depicted in figs. 1 and 2, it is that a kind of backbone that the utility model embodiment provides sets nail guide plate, including 1 He of jointing plate
Nail sleeve 2 is set, jointing plate 1 includes fitting screens portion 11 and guide part 12, and nail region is set with patient spine by fitting screens portion 11
Backbone outer surface is bonded screens；Guide part 12 is the column pilot hole being arranged at left and right sides of jointing plate, and nail channel is set in determination
Position and angle are set nail sleeve 2 and are fixedly connected respectively with the pilot hole of 1 both sides of jointing plate, axial axially consistent with pilot hole,
It sets inside 2 bottom end of nail sleeve merging pilot hole, top is higher by pilot hole certain altitude.Passage-opening awl pierces patient along nail sleeve 2 is set
Nail channel is set in vertebra, foundation.
A kind of backbone that the utility model embodiment provides sets nail guide plate, and fitting is fixed on patient and belongs to vertebral surfaces, and
It is combined by pilot hole and sets position and angle that nail sleeve mark passage-opening awl pierces patient's vertebra, after nail channel is set in foundation, then will
Screw is remarkably improved backbone and sets the precision that screw is placed in tack operation, set nail process peace along nail channel merging patient's vertebra is set
It is complete quick, it is easy to utilize, it efficiently solves manual nail of setting in the prior art and depends on doctor's experience unduly, or nail is set in navigation
The drawback of process complex device costliness.
Optionally, set nail sleeve 2 height according to surgery planning personalized designs, for controlling the depth for setting nail channel,
Including：According to surgery planning, the depth for setting nail channel is L1, passage-opening awl edge sets the depth capacity that 2 top of nail sleeve can pierce and is
Lmax, personalized designs set the height of nail sleeve 2, make to set nail 2 top of sleeve to guide part 12 and patient's vertebra contact position away from
From L2=Lmax-L1。
According to surgery planning, the height of nail sleeve 2 is set by personalized designs, the depth of opposed nail channel is controlled,
The control of patient's vertebra depth is placed in screw, that realizes truly accurate sets nail.It is the utility model as described in Figure 3
A kind of backbone that embodiment provides sets nail guide plate application schematic diagram, and fitting screens portion 11 is set with patient spine outside the vertebra in nail region
Surface is bonded screens, and left side, which is set nail sleeve 2L and right side and set, follows closely column pilot holes of the sleeve 2R respectively with 1 both sides of jointing plate and fix
Connection, sets nail sleeve 2L and right side along left side respectively using passage-opening awl and sets the top of nail sleeve 2R and pierce inside patient's vertebra, builds
Vertically-arranged nail channel.In adult human spinal column's surgical operation, usually using the depth capacity L that can be piercedmaxThe passage-opening awl of=60mm is established
Nail channel is set, i.e., there is limiting device at passage-opening awl top to its 60mm, passage-opening awl is from the maximum set nail sleeve top and can be placed in
Depth is 60mm.Nail channel depth is set according to the accurate planning and designing of tack operation are set, nail channel depth L is set in left side1L=24.84mm,
The depth that i.e. left screw needs to be placed in patient spine is 24.84mm, and nail channel depth L is set on right side1R=25.66mm, i.e. right side
The depth that screw needs to be placed in patient spine is 25.66mm, according to data above, sets nail sleeve 2L and right side to left side respectively
The height for setting nail sleeve 2R is designed, left side set the nail tops sleeve 2L to left side guide part and patient's vertebra contact position away from
From L2LThe nail tops sleeve 2R are set to right side guide part and patient's vertebra contact position in=(60-24.84) mm=35.16mm, right side
Distance L2R=(60-25.66) mm=34.34mm；By above-mentioned surgery planning, personalized designs set the height of nail sleeve, can
Effectively to accurately control the depth for setting nail channel, to control the depth that screw is placed in patient spine, the reduction of high degree
The excessive risk caused by patient of screw placed-depth, meanwhile, nail channel is accurately set because being established deeply using passage-opening awl control,
It can accelerate screw merging speed, the tack operation time is set in shortening.
Optionally, set nail sleeve 2 aperture according to surgery planning personalized designs, for controlling the aperture for setting nail channel,
The aperture for setting nail channel is set to be matched with the screw diameter for being placed in patient spine is needed.
In spinal surgery, due to the difference of patient age and individual, the screw diameter for being placed in patient's vertebra is needed
There is also certain difference, the backbone provided by using the utility model embodiment sets nail guide plate, you can is set by personalization
Meter sets the aperture of nail sleeve, and the aperture of nail channel is set in control, makes to set nail channel aperture and the screw diameter for being placed in patient spine
Match.The diameter for being not necessarily referring to the two is matched with the screw diameter for being placed in patient spine it should be noted that setting nail channel aperture herein
It is identical, in actual application, typically on the basis of the screw diameter of required merging patient spine, increase certain number
Value sets the size of nail channel to determine, to ensure screw during merging, reach screw only walked in setting nail channel and
The good result of its hetero-organization inside patient spine is not touched.It is increased relative to screw diameter institute to set nail channel aperture
Value then needs to be designed control in specifically operation case.
Optionally, the moulding material for setting nail sleeve is metal material, including stainless steel.
Nail sleeve is set by using metal material making, has prevented to set during nail because caused by the piercing of passage-opening awl
Clast, while the rigidity of metal material and heat dissipation performance are more preferably, frictional heat causes backbone and sets when avoidable passage-opening awl pierces
Follow closely the deformation of guide plate.
Optionally, fitting screens portion's depression in the surface form sets the vertebra convex outer surfaces form in nail region with patient spine
Individualized fit.
The matched design of this personalization is achieved based on current computer aided technique, and surface undulation is passed through
The individualized fit of form, can make entire backbone set nail guide plate fitting screens it is difficult to slide when on patient's vertebra, ensure that
Good guide plate is bonded retention effect.
Optionally, jointing plate passes through 3 D-printing integrated molding.
By aforementioned it is found that jointing plate includes fitting screens portion and guide part, this two parts passes through Design of digital respectively
Afterwards, by 3 D-printing integrated molding, it ensure that jointing plate and backbone set the stability of nail guide plate.
Optionally, the side of the outer surface of jointing plate also carries telltale mark.
As shown in Fig. 2, also carrying telltale mark 13, the positioning in the side of the outer surface for the jointing plate 11 for setting nail guide plate 1
Label can be used for helping the doctor for executing operation quickly to judge that this is set nail guide plate and should fit in that section vertebra table of patient
Face carries out auxiliary and sets nail, especially in needing to carry out repeatedly setting the operation of nail to patient spine, by setting the outer of nail guide plate
Surface increases corresponding label, avoids the use of obscuring for setting nail guide plate, meanwhile, which, which generally may be disposed at, sets nail guide plate appearance
The side in face is used to help the left and right directions that doctor quickly judges the guide plate, equally avoids using the direction set when following closely guide plate
Property is obscured.
A kind of backbone provided by the utility model is set nail guide plate production method and is included the following steps as described in Figure 4：
Step 401, three-dimensional reconstruction is carried out to corrective surgery region and centrum by CT data, obtains patient's art area backbone mould
Type；
Step 402, according to art area spine model, design is bonded screens with the jointing plate of spine model individualized fit
Portion；
Step 403, according to surgery planning, position and the angle for setting nail channel is determined, the guide part of jointing plate is designed；
Step 404, the jointing plate comprising fitting screens portion and guide part is passed through into three-dimensional printing technology integrated molding；
Step 405, according to surgery planning, depth and the aperture for setting nail channel is determined, designs and makes and set nail sleeve；
Step 406, the guide part followed closely sleeve installation and be fixed to jointing plate will be set, obtains full spine and sets nail guide plate.
Herein it should be noted that in actual backbone sets nail guide plate manufacturing process, guide plate difference portion can be followed closely according to setting
The priority production order of position carries out adjustment sequentially to above step, such as, it is clear that can first make after setting nail sleeve again into
The making of row jointing plate, and in the manufacturing process of jointing plate, the design sequence for being bonded screens portion and guide part nor affects on this
The substantial technological scheme that utility model embodiment is provided.
Optionally, the height for setting nail sleeve is wrapped according to surgery planning personalized designs for controlling the depth for setting nail channel
It includes：According to surgery planning, the depth for setting nail channel is L1, passage-opening awl is L along the depth capacity that nail sleeve top can pierce is setmax,
Personalized designs set the height of nail sleeve, make to set nail sleeve top to guide part and patient's vertebra contact position distance L2=
Lmax-L1。
Optionally, setting the aperture of nail sleeve makes according to surgery planning personalized designs for controlling the aperture for setting nail channel
The aperture for setting nail channel is matched with the screw diameter for being placed in patient's vertebra is needed.
Optionally, the moulding material for setting nail sleeve is metal material, including stainless steel.
The above-mentioned technical proposal and attached drawing that the utility model embodiment provides, for the further explanation to the utility model
And it is unrestricted, in addition it should be noted that those of ordinary skill in the art are it is to be understood that can still remember previous embodiment
The technical solution of load is modified, either to which part or all technical features carry out equivalent replacement and these modifications or
It replaces, the range for technical solutions of the utility model that it does not separate the essence of the corresponding technical solution.
Claims (7)
1. a kind of backbone sets nail guide plate, which is characterized in that the backbone sets nail guide plate and includes jointing plate and set nail sleeve, the patch
Plywood includes fitting screens portion and guide part, and the vertebra outer surface that nail region is set in the fitting screens portion with patient spine is bonded card
Position, the guide part is the column pilot hole being arranged at left and right sides of the jointing plate, for determine set nail channel position and
Angle is set nail sleeve and is fixedly connected respectively with the pilot hole of the jointing plate both sides, the axial and pilot hole axial one
It causes, the nail sleeve bottom end of setting is placed in inside the pilot hole, and top is higher by the pilot hole certain altitude, and it is to open to set nail channel
Road cone sets the channel that nail sleeve pierces patient's vertebra described in.
2. backbone according to claim 1 sets nail guide plate, which is characterized in that the height for setting nail sleeve is for controlling institute
The depth for setting nail channel is stated, the depth for setting nail channel is L1, the passage-opening awl is set described in follows closely what sleeve top can pierce
Depth capacity is Lmax, the nail sleeve top of setting is to the guide part and patient's vertebra contact position distance L2=Lmax-L1。
3. backbone according to claim 2 sets nail guide plate, which is characterized in that the aperture for setting nail sleeve is for controlling institute
The aperture for setting nail channel is stated, the aperture for setting nail channel is matched with the screw diameter for being placed in patient's vertebra is needed.
4. setting nail guide plate according to any backbone in claims 1 to 3, which is characterized in that the molding for setting nail sleeve
Material is metal material, including stainless steel.
5. setting nail guide plate according to any backbone in claims 1 to 3, which is characterized in that the fitting screens surface
The vertebra convex outer surfaces form that sink shape sets nail region with patient spine matches.
6. setting nail guide plate according to any backbone in claims 1 to 3, which is characterized in that the jointing plate passes through three-dimensional
Printing integrated chemical conversion type.
7. setting nail guide plate according to any backbone in claims 1 to 3, which is characterized in that the outer surface of the jointing plate
Also carry telltale mark.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201720316647.4U CN207755366U (en) | 2017-03-29 | 2017-03-29 | A kind of backbone sets nail guide plate |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201720316647.4U CN207755366U (en) | 2017-03-29 | 2017-03-29 | A kind of backbone sets nail guide plate |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN207755366U true CN207755366U (en) | 2018-08-24 |
Family
ID=63178429
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201720316647.4U Expired - Fee Related CN207755366U (en) | 2017-03-29 | 2017-03-29 | A kind of backbone sets nail guide plate |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN207755366U (en) |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108652731A (en) * | 2017-03-29 | 2018-10-16 | 深圳市普天阳医疗科技股份有限公司 | A kind of backbone sets nail guide plate and production method |
| CN111281515A (en) * | 2020-02-25 | 2020-06-16 | 自贡市第四人民医院(自贡市急救中心) | Fracture fixing auxiliary tool |
| WO2021217714A1 (en) * | 2020-04-26 | 2021-11-04 | 深圳市鑫君特智能医疗器械有限公司 | Surgical guide plate, three-dimensional model and manufacturing and construction method, computer, and storage medium |
-
2017
- 2017-03-29 CN CN201720316647.4U patent/CN207755366U/en not_active Expired - Fee Related
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108652731A (en) * | 2017-03-29 | 2018-10-16 | 深圳市普天阳医疗科技股份有限公司 | A kind of backbone sets nail guide plate and production method |
| CN111281515A (en) * | 2020-02-25 | 2020-06-16 | 自贡市第四人民医院(自贡市急救中心) | Fracture fixing auxiliary tool |
| WO2021217714A1 (en) * | 2020-04-26 | 2021-11-04 | 深圳市鑫君特智能医疗器械有限公司 | Surgical guide plate, three-dimensional model and manufacturing and construction method, computer, and storage medium |
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