CN208808574U - A kind of preceding road hollow screw operation auxiliary Path Setup device of upper cervical spine - Google Patents

A kind of preceding road hollow screw operation auxiliary Path Setup device of upper cervical spine Download PDF

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Publication number
CN208808574U
CN208808574U CN201820574422.3U CN201820574422U CN208808574U CN 208808574 U CN208808574 U CN 208808574U CN 201820574422 U CN201820574422 U CN 201820574422U CN 208808574 U CN208808574 U CN 208808574U
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China
Prior art keywords
expanded casing
hollow
needle
service aisle
access sheath
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Expired - Fee Related
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CN201820574422.3U
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Chinese (zh)
Inventor
陆文忠
苏燕清
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Individual
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Individual
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Anticipated expiration legal-status Critical

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Abstract

A kind of preceding road hollow screw operation auxiliary Path Setup device of upper cervical spine, including access sheath and sting device, sting device and access sheath nested encryptions, access sheath includes service aisle pipe, first order expanded casing, second level expanded casing, third pole expanded casing and quadrupole expanded casing, the top side of service aisle pipe is equipped with hand-held part, the outer diameter of service aisle pipe is 1cm, internal diameter is 0.8cm, length is 10.5cm, the puncture inclination angle of inclined plane of service aisle pipe is 25 °, the outer diameter of first order expanded casing is 0.8cm and is decremented to fourth stage expanded casing with the differential of 0.2cm, sting device includes hollow puncture needle and needle core, hollow puncture needle and needle core nested encryptions.The device can reduce surgical wound and reduce operating time, more efficient, safely establish hollow screw accessory channel, improve the recovery efficiency of patient.

Description

A kind of preceding road hollow screw operation auxiliary Path Setup device of upper cervical spine
Technical field
The utility model relates to medical instruments fields, and in particular to a kind of preceding road hollow screw operation accessory channel of upper cervical spine Establish device.
Background technique
Odontoid fracture clinic is relatively conventional, accounts for about the 9%-15% of acute cervical spine fracture, and dealing with improperly will be difficult to heal. Anterior cervical vertebrae hollow screw internal fixation treatment dentate fracture has many advantages, such as that operation wound is small, it is fast to restore, and avoids way of escape C1-2Melt It closes and thus caused cervical vertebra moving is limited, curative effect affirmative.
However the hollow nail of existing anterior cervical vertebrae hollow screw internal fixation is placed in channel in establishment process due to dress Set the differential collocation that unreasonable and existing hollow nail is set and is placed in each device during channel of not comprehensive and access sheath Using extremely unreasonable, cause operative incision excessive, surgical procedure is cumbersome and then leads to that operating time is long, hollow screw accessory channel Establish low efficiency, soft tissue protection is ineffective in turn result in patient's recovery time it is long the problems such as.
Utility model content
The utility model to solve the above-mentioned problems, devises a kind of preceding road hollow screw operation accessory channel of upper cervical spine and builds Vertical device, the texture gradient of the access sheath of the device is more reasonable, uses more flexible, collocation use with each mate After can effectively reduce operative incision, the device establish hollow nail accessory channel more efficiently and the being completely embedded property with hollow screw More preferably.
In order to achieve the above technical purposes, reach above-mentioned technical effect, the utility model is real by the following technical programs Existing:
A kind of preceding road hollow screw operation auxiliary Path Setup device of upper cervical spine, it is characterised in that: including access sheath and Sting device, sting device and access sheath nested encryptions, access sheath includes the service aisle for the inner hollow being inserted in step by step Pipe, first order expanded casing, second level expanded casing, third pole expanded casing and quadrupole expanded casing, service aisle pipe Top side is equipped with hand-held part, and the outer diameter of service aisle pipe is 1cm, internal diameter 0.8cm, length 10.5cm, service aisle pipe Puncture inclination angle of inclined plane be 25 °, the outer diameter of first order expanded casing is 0.8cm and is expanded with the differential fourth stage that is decremented to of 0.2cm Casing, sting device include hollow puncture needle and needle core, hollow puncture needle and needle core nested encryptions.
Preferably, the hollow boring bit front end is equipped with and pierces screw thread.
Preferably, the needle body of the hollow puncture needle is equipped with inserting needle scale.
The beneficial effects of the utility model are: the texture gradient of the access sheath of the device is more reasonable and its foundation logical Road is more stable, with each mate using more flexible, can effectively reduce operative incision after use of arranging in pairs or groups, while this can subtract Find the time of substitution articles in few surgical procedure, the device establish hollow nail accessory channel more efficiently, stablize and with it is hollow The being completely embedded property of screw is more preferable.
Detailed description of the invention
In order to illustrate more clearly of the technical solution of the utility model embodiment, make required for being described below to embodiment Attached drawing is briefly described, it should be apparent that, the drawings in the following description are merely some embodiments of the present invention, For those of ordinary skill in the art, without creative efforts, it can also be obtained according to these attached drawings Other attached drawings.
Fig. 1 is the structural schematic diagram of access sheath as described in the examples;
Fig. 2 is the structural schematic diagram of each component of access sheath as described in the examples;
Fig. 3 is the structural schematic diagram of sting device as described in the examples;
Fig. 4 is the structural schematic diagram as described in the examples with trepan puncturing lever;
Fig. 5 is the partial structurtes enlarged drawing as described in the examples with trepan puncturing lever;
Fig. 6 is the structural schematic diagram of hollow screw tap as described in the examples;
Fig. 7 is the structural schematic diagram of guiding device as described in the examples;
Fig. 8 is the structural schematic diagram of hollow interior hexagonal bottle opener as described in the examples.
In attached drawing, parts list represented by the reference numerals are as follows:
1- access sheath, 2- sting device, 3- band trepan puncturing lever, the hollow screw tap of 4-, 5- guiding device, 6- hollow interior six Angle bottle opener, 11- service aisle pipe, 12- first order expanded casing, the second level 13- expanded casing, 14- third pole expanded casing, 15- fourth stage expanded casing, the hollow puncture needle of 21-, 22- needle core, the hollow loop bar of 31-, 32- trepan puncturing lever, 41- handle, 42- Screw tap bar, 51- hollow boring bit, 52- guide pin, the hollow interior hexagonal bottle opener of 6-, the hand-held part 111-, 321- sawtooth.
Specific embodiment
The following will be combined with the drawings in the embodiments of the present invention, carries out the technical scheme in the embodiment of the utility model Clearly and completely describe, it is clear that the described embodiments are only a part of the embodiments of the utility model, rather than whole Embodiment.Based on the embodiments of the present invention, those of ordinary skill in the art are without creative efforts All other embodiment obtained, fall within the protection scope of the utility model.
Refering to fig. 1 shown in -8, a kind of preceding road hollow screw operation auxiliary Path Setup device of upper cervical spine, including access sheath 1 and sting device 2, access sheath 1 include the service aisle pipe 11 of the inner hollow being inserted in step by step, first order expanded casing 12, Second level expanded casing 13, third pole expanded casing 14 and quadrupole expanded casing 15, the top side of service aisle pipe 11 are set There is hand-held part 111, the outer diameter of service aisle pipe 11 is 1cm, internal diameter 0.8cm, length 10.5cm, and service aisle pipe 11 is worn Piercing inclination angle of inclined plane is 25 °, and the outer diameter of first order expanded casing 12 is 0.8cm and is decremented to fourth stage expansion with the differential of 0.2cm Casing 15, sting device 2 include hollow puncture needle 21 and needle core 22, hollow puncture needle 21 and 22 nested encryptions of needle core, band trepan Puncturing lever 3 include hollow loop bar 31 and trepan puncturing lever 32, trepan puncturing lever 32 passed through from the cavity of hollow loop bar 31 and with Hollow loop bar 31 is threadedly coupled, and hollow screw tap 4 is made of handle 41 and screw tap bar 42, and the front end of screw tap bar 42 is equipped with tapping spiral shell Line, guiding device 5 include hollow boring bit 51 and guide pin 52, and 51 front end of hollow boring bit, which is equipped with, pierces screw thread, and guide pin 52 passes through hollow The cavity of drill bit 51 is connect with 51 fitting of hollow boring bit, and the guide pin 52 of the guiding device can be with the hollow puncture of sting device Needle 21, the fourth stage expanded casing 15 of access sheath, band trepan puncturing lever 3,4 nested encryptions of hollow screw tap.
Specific use process is as follows for the present apparatus: the first step, has an X-rayed the lower reduction of the fracture.In thyroid cartilage right border longitudinal incision 0.5 centimetre of skin incision, index finger presses on notch upper and lower respectively in left hand, and vagina vasorum and esophageal intubation are pushed away and separated simultaneously by finger tip It is promoted toward cervical vertebra.It passes through deep fascia through skin incision using sting device 2 and swings up and down and reach cervical vertebra anterior median line, C Arm lateral view is examined determine that it is located at centrum forward position after, swing and separate cervical vertebra/esophagus gap and be sent under dentata centrum upwards 1/3, it is retracted into dentata centrum lower edge, the adjustment of positive side position observes hollow puncture needle 21 and is located at cdontoid process axis, takes out needle core 22, thoroughly Guide pin 52, which is pierced, through hollow puncture needle 21 depending under and adjusts guide pin 52 enters dentata lower lip position, angle direction and be sent to cdontoid process Tip.Retain guide pin 52, extracts hollow puncture needle 21.
Step 2: expanded casing is expanded deep fascia and deep gap along guide pin 52 and is organized step by step, namely from minimum outer diameter Fourth stage expanded casing 15 is gradually pierced into first order expanded casing 12, since the outer diameter of fourth stage expanded casing 15 increases step by step To first order expanded casing 12, during expanding step by step can more docile, prevent the channel of expansion from deviation problem occur;So The service aisle pipe 11 for placing 25 ° of inclined-planes afterwards rides to keep steady during security protection service aisle pipe 11 in front of 2/3 interverbebral disc of neck Hand-held part 111 prevents hollow screw accessory channel to be biased to, and guarantees smoothly completing for channel;Finally take out first order expansion Casing 12 is to fourth stage expanded casing 15.
Step 3: band trepan puncturing lever 3 along 52 tapping bone road of guide pin and retains guide pin under the protection of service aisle pipe 11 52, using hollow screw tap 4 along 52 tapping of guide pin (inner threaded surface to match with hollow screw external screw thread is drilled out on bone face), It immerses oneself in, the accessory channel of hollow screw, which is established, at this time completes.
Step 4: selecting 3.5 millimeters of hollow screws of matched diameter after measurement bone road length and using hollow interior hexagonal bottle opener 6 Clamping hollow screw is screwed into along guide pin 52, has an X-rayed lower pressure bone folding face;Hollow interior hexagonal bottle opener 6, guide pin 52 are exited, work is pulled out Tube channel 11, skin incision suture, hollow screw internal fixation are completed.
In the description of this specification, the description of reference term " one embodiment ", " example ", " specific example " etc. means Particular features, structures, materials, or characteristics described in conjunction with this embodiment or example are contained at least one of the utility model In embodiment or example.In the present specification, schematic expression of the above terms be not necessarily referring to identical embodiment or Example.Moreover, particular features, structures, materials, or characteristics described can be in any one or more embodiment or examples In can be combined in any suitable manner.
The preferred embodiment in the utility model disclosed above is only intended to help to illustrate the utility model.Preferred embodiment is simultaneously There is no the details that detailed descriptionthe is all, also not limiting the utility model is only the specific embodiment.Obviously, according to this theory The content of bright book can make many modifications and variations.These embodiments are chosen and specifically described to this specification, is in order to preferably The principles of the present invention and practical application are explained, so that skilled artisan be enable to better understand and utilize this Utility model.The utility model is limited only by the claims and their full scope and equivalents.

Claims (2)

1. a kind of preceding road hollow screw operation auxiliary Path Setup device of upper cervical spine, it is characterised in that: including access sheath and wear Thorn device, sting device and access sheath nested encryptions, the access sheath includes the work for the inner hollow being inserted in step by step Tube channel, first order expanded casing, second level expanded casing, third pole expanded casing and quadrupole expanded casing, service aisle The top side of pipe is equipped with hand-held part, and the outer diameter of service aisle pipe is 1cm, internal diameter 0.8cm, length 10.5cm, and work is logical The puncture inclination angle of inclined plane of deferent is 25 °, and the outer diameter of first order expanded casing is 0.8cm and is decremented to the 4th with the differential of 0.2cm Grade expanded casing, the sting device includes hollow puncture needle and needle core, hollow puncture needle and needle core nested encryptions.
2. the preceding road hollow screw operation auxiliary Path Setup device of a kind of upper cervical spine according to claim 1, feature exist In: the needle body of the hollow puncture needle is equipped with inserting needle scale.
CN201820574422.3U 2018-04-17 2018-04-17 A kind of preceding road hollow screw operation auxiliary Path Setup device of upper cervical spine Expired - Fee Related CN208808574U (en)

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CN201820574422.3U CN208808574U (en) 2018-04-17 2018-04-17 A kind of preceding road hollow screw operation auxiliary Path Setup device of upper cervical spine

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Application Number Priority Date Filing Date Title
CN201820574422.3U CN208808574U (en) 2018-04-17 2018-04-17 A kind of preceding road hollow screw operation auxiliary Path Setup device of upper cervical spine

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112587177A (en) * 2020-12-09 2021-04-02 北京世通瑞泰医疗器械有限公司 Temporomandibular arthroscope instrument matched with temporomandibular arthroscope for use

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112587177A (en) * 2020-12-09 2021-04-02 北京世通瑞泰医疗器械有限公司 Temporomandibular arthroscope instrument matched with temporomandibular arthroscope for use

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Granted publication date: 20190503