CN104323852A - Visualized pedicle screw implanting auxiliary system - Google Patents
Visualized pedicle screw implanting auxiliary system Download PDFInfo
- Publication number
- CN104323852A CN104323852A CN201410625463.7A CN201410625463A CN104323852A CN 104323852 A CN104323852 A CN 104323852A CN 201410625463 A CN201410625463 A CN 201410625463A CN 104323852 A CN104323852 A CN 104323852A
- Authority
- CN
- China
- Prior art keywords
- cone
- pedicle screw
- endoscope
- visual
- aid system
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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.)
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Classifications
-
- 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
-
- 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
-
- 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/90—Guides therefor
Abstract
The invention discloses a visualized pedicle screw implanting auxiliary system, and relates to the technical field of pedicle screw implanting. The visualized pedicle screw implanting auxiliary system comprises an open cone and a display device, wherein the open cone comprises a cone body, the tail part of the cone body is provided with a handle for a medical person to hold, the cone body is of a hollow structure, an endoscope is arranged in the cone body, the front end of the cone body is provided with a cone blade which is made of rigid transparent material, the endoscope is arranged near the cone blade, and the display device is connected with the endoscope, and is movably arranged at the end part of the handle. The visualized pedicle screw implanting auxiliary system has the advantages that the visualizing of the pedicle screw opening process is realized, the breakthrough rate of the pedicle and the unacceptable rate of screw positions are reduced, the injury to surrounding important tissues because of breakthrough of bones is avoided, and the success rate of pedicle screw implanting operations is greatly improved.
Description
Technical field
The present invention relates to pedicle screw fixation field, visual pedicle screw implants aid system specifically.
Background technology
At present, rebuild for spinal stability, the application of pedicle screw becomes standard treatment regimen.Three posts that cervical arc root screw internal fixing system effectively can complete spinal column are fixed, and meet the biomechanics requirement that spinal column is fixing, substantially increase the therapeutic effect of spinal disease.
Although pedicle screw is the treatment of spinal column War injury bring change, still there is higher risk in its implantation process.Because vertebral arch pedicle of vertebral column limited diameter, and adjoin a lot of vital tissue around it, as spinal cord adjacent in pedicle for cervical vertebra arch, outer adjacent vertebral artery, upper and lower all has nerve root to cross over, and thoracic vertebral pedicle then adjoins the vital tissues such as spinal cord, nerve root, blood vessel and cardiopulmonary.Therefore the screw placement of perfect condition should be that pedicle screw is completely in pedicle wall.But in actual operation operation, after choosing suitable entry point, rule of thumb judge pedicle of vertebral arch roughly direction of travel primarily of surgical doctor, use by means of feel that passage-opening awl is exploratory pierces, thus set up pedicle screw duct.In this process, passage-opening awl very easily passes pedicle of vertebral arch cortex, and set up mistake nail road, misplace screw causes damaging surrounding tissue.Especially cervical vertebra and Upper thoracic pedicle diameter less, only have 5-9mm, some complicated illness such as deformity of spine, pedicle of vertebral arch or Minor articulus fracture etc. may cause pedicle of vertebral arch anatomical position to make a variation.These factors all add pedicle nail and implant difficulty.Cone worn out by screw misplace such as screw, may damage front trunk or internal organs; Wear out pedicle of vertebral arch, Spinal Cord, nerve root cause corresponding dysfunction.
Summary of the invention
Technical problem to be solved by this invention is: provide a kind of visual pedicle screw can monitoring passage-opening awl open circuit process in real time to implant aid system, this pedicle screw is implanted aid system and can be ensured when opening up pedicle screw trajectory, if nail road trains off, can Timeliness coverage, thus ensure that pedicle screw implantation position is accurate, can not surrounding tissue be accidentally injured.
For solving the problems of the technologies described above, technical scheme of the present invention is:
A kind of visual pedicle screw implants aid system, comprise passage-opening awl, described passage-opening awl comprises cone, the afterbody of described cone is provided with the handle gripped for medical personnel, described cone is hollow structure, the inside of described cone is provided with endoscope, and the front end of described cone is provided with the cone sword be made up of rigid light transmissible material, and described endoscope is arranged near described cone sword; Described aid system also comprises and is connected with display with described endoscope, and described display is movably arranged on the end of described handle.
Improve as one, the medial wall being positioned at described cone postmedian is provided with draw-in groove, and the position of the corresponding described draw-in groove of described endoscope is provided with the card convex suitable with described draw-in groove.
Improve as one, described cone sword is made up of diamond or crystalline ceramics.
Improve as one, the external diameter of described cone sword is 3mm, and length is 3 ~ 5mm.
Improve as one, described endoscope diameter is 2 ~ 3mm, and described endoscope is positioned at the junction of described cone and described cone sword.
Improve as one, the external diameter of the described cone of described cone and described cone sword junction is 4 ~ 4.5mm.
As one improve, described display and described handle ball hinged.
Improve as one, described cone is made up of high strength cochrome material.
Owing to adopting said structure, the invention has the beneficial effects as follows:
Due to the design of passage-opening awl cone inner hollow, be provided with endoscope in cone, cone front end is provided with the cone sword made by rigid light transmissive material, and endoscope is arranged near cone sword, and endoscope is connected with display.When carrying out passage-opening awl and opening up pedicle nail nail road, medical personnel can see the situation of passage-opening awl front end from display, when discovery nail road trains off, namely sword is bored close to the direction that can change passage-opening awl advance during sclerotin edge in time, thus ensure that nail road can not train off, be in pedicle of vertebral arch sclerotin always, and then effectively ensure that and can not accidentally injure tissue around pedicle of vertebral arch when implanting pedicle screw, greatly reduce the risk of pedicle screw implant surgery, improve the success rate of pedicle screw implant surgery greatly, for vast pedicle of vertebral arch patient brings Gospel.
Owing to being provided with draw-in groove on the inwall of the postmedian of cone, endoscope is provided with card convex, can endoscope be fixed in cone, effectively can ensure that it can not change position when opening a way, make the image stabilization that medical personnel watch, clear, thus further ensure the success rate of carrying out smoothly and performing the operation of operation.
In sum, the present invention's visual pedicle screw implantation aid system solves existing pedicle screw implant surgery nail road and opens up process entirely with the experience of medical personnel, the technical problem that accidental injury rate is high, the present invention can realize the visual of pedicle screw open circuit process, reduce pedicle of vertebral arch and wear out rate and the unacceptable rate of screw position, avoid wearing out sclerotin, damage is vital tissue around, substantially increases the success rate of pedicle screw implant surgery.
Accompanying drawing explanation
Below in conjunction with drawings and Examples, the present invention is further described.
Fig. 1 is the structural representation that the visual pedicle screw of the present invention implants aid system;
Fig. 2 is the sectional view of the passage-opening awl front end of Fig. 1;
Fig. 3 is A portion cutaway view Amplified image in Fig. 1;
In figure: 1-passage-opening awl; 11-cone; 12-bores sword; 13-hands handle; 2-display; 3-endoscope; 4-button-head hinge structure; 5-draw-in groove; 6-card convex.
Detailed description of the invention
Below by embodiment and accompanying drawing, the invention will be further described.
As depicted in figs. 1 and 2, visual pedicle screw implants aid system, comprise passage-opening awl 1, passage-opening awl 1 comprises cone 11, the front end of cone 11 is fixedly connected with cone sword 12, cone 11 inner hollow, and its inside is provided with endoscope 3, endoscope 3 is arranged on the position near cone sword 12, and cone sword 12 is made up of rigid light transmissible material.For convenience of medical worker's operation, the afterbody of cone 11 is provided with the handle 13 for medical worker's operation, and endoscope 3 is connected with display 2, and display 2 is movably arranged on the end of handle 13.
For the image can watching passage-opening awl 1 front end clearly in service life and medical personnel ensureing cone sword 12, cone sword 12 selects wear-resisting, hardness comparatively large and the diamond that light transmission is good or crystalline ceramics, the preferred diamond of rigid light transmissible material in present embodiment, consider that pedicle of vertebral arch size is less simultaneously, pedicle diameter as cervical vertebra and Upper thoracic only has 5 ~ 9mm, design cone sword 12 external diameter is 3mm, and length 3 ~ 5mm is 4 ~ 4.5mm mm with the external diameter of the cone 11 of cone sword 12 junction.
Endoscope 3 is apart from passage-opening awl 1 top 3 ~ 5mm, namely endoscope 3 is arranged on the joining place of cone 11 and cone sword 12, and endoscope 3 is arranged on and can ensures that sharpness that imaging clearly can be avoided again endoscope 3 opening part to be placed in bringing on passage-opening awl 1 top declines and camera lens weares and teares herein.The diameter of endoscope 3 is 2 ~ 3mm, and object lens adopt wide-angle lens design, to ensure the open of the visual field.
Because cone 11 is hollow design, in order to ensure the intensity of cone 11, cone 11 material preferred high strength cochrome material in embodiment.Cone sword 12 selects other modes in brazing, silver soldering or soldering to be connected with the connection of cone 11.
As shown in Figure 3, cone 11 medial wall of passage-opening awl 1 is processed with draw-in groove 5, is placed in for preventing draw-in groove 5 problem that passage-opening awl 1 insufficient strength is caused on passage-opening awl 1 top, therefore draw-in groove 5 is placed in the postmedian of cone 11; Endoscope 3 corresponding draw-in groove 5 position is provided with the card convex 6 of mating with draw-in groove 5, the projection of card convex 6 is stuck in draw-in groove 5, can stable for endoscope 3 be fixed in cone 11, effectively can ensure that it can not change position when opening a way, make the image stabilization that medical personnel watch, clear, thus further ensure the success rate of carrying out smoothly and performing the operation of operation.
As shown in Figure 1, display 2 is arranged on the end of handle 13 by button-head hinge structure 4, and when medical personnel perform the operation, display 2 can carry out the rotation of 360 °, and medical personnel can adjust arbitrarily the angle of display 2 as required.
When using the present invention to carry out pedicle nail implant surgery, medical personnel can see the situation of passage-opening awl 1 front end from display 2, when discovery nail road trains off, namely sword 12 is bored close to the direction that can change passage-opening awl 1 advance during bone edge in time, thus ensure that nail road can not train off, be in pedicle of vertebral arch sclerotin always, and then effectively ensure that and can not accidentally injure tissue around pedicle of vertebral arch when implanting pedicle screw, greatly reduce the risk of pedicle screw implant surgery, improve the success rate of pedicle screw implant surgery greatly, for vast pedicle of vertebral arch patient brings Gospel.
Above-described embodiment is for explaining the present invention, and not should be understood to be limitation of the present invention.All many variations made based on design of the present invention, all will fall within protection scope of the present invention.
Claims (8)
1. visual pedicle screw implants aid system, comprise passage-opening awl (1), described passage-opening awl (1) comprises cone (11), the afterbody of described cone (11) is provided with the handle (13) gripped for medical personnel, it is characterized in that: described cone (11) is hollow structure, the inside of described cone (11) is provided with endoscope (3), the front end of described cone (11) is provided with the cone sword (12) be made up of rigid light transmissible material, and described endoscope (3) is arranged near described cone sword (12); Described aid system also comprises and is connected with display (2) with described endoscope, and described display (2) is movably arranged on the end of described handle (13).
2. visual pedicle screw as claimed in claim 1 implants aid system, it is characterized in that: the medial wall being positioned at described cone (11) postmedian is provided with draw-in groove (5), the position of the corresponding described draw-in groove of described endoscope (3) (5) is provided with the card convex (6) suitable with described draw-in groove (5).
3. visual pedicle screw as claimed in claim 2 implants aid system, it is characterized in that: described cone sword (12) is made up of diamond or crystalline ceramics.
4. visual pedicle screw as claimed in claim 3 implants aid system, it is characterized in that: the external diameter of described cone sword (12) is 3mm, and length is 3 ~ 5mm.
5. visual pedicle screw as claimed in claim 3 implants aid system, it is characterized in that: described endoscope (3) diameter is 2 ~ 3mm, described endoscope (3) is positioned at the junction of described cone (11) and described cone sword (12).
6. visual pedicle screw as claimed in claim 3 implants aid system, it is characterized in that: described cone (11) is 4 ~ 4.5mm with the external diameter of the described cone (11) of described cone sword (12) junction.
7. the visual pedicle screw as described in claim as arbitrary in claim 1 to 6 implants aid system, it is characterized in that: described display (2) and described handle (13) bulb hinged.
8. visual pedicle screw as claimed in claim 1 implants aid system, it is characterized in that: described cone (11) is made up of high strength cochrome material.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410625463.7A CN104323852A (en) | 2014-11-07 | 2014-11-07 | Visualized pedicle screw implanting auxiliary system |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410625463.7A CN104323852A (en) | 2014-11-07 | 2014-11-07 | Visualized pedicle screw implanting auxiliary system |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN104323852A true CN104323852A (en) | 2015-02-04 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201410625463.7A Pending CN104323852A (en) | 2014-11-07 | 2014-11-07 | Visualized pedicle screw implanting auxiliary system |
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| CN (1) | CN104323852A (en) |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109480996A (en) * | 2018-12-28 | 2019-03-19 | 苏州市康力骨科器械有限公司 | Spike devices on a kind of anticreep backbone |
| CN111821096A (en) * | 2020-07-30 | 2020-10-27 | 吉林省中医药科学院（吉林省中医药科学院第一临床医院） | Ophthalmic surgery circular cutting device with force sensing and reading functions |
| CN113331931A (en) * | 2021-05-25 | 2021-09-03 | 长沙年轮骨科医院有限公司 | Fracture intramedullary fixation device and method |
Citations (7)
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| US5800398A (en) * | 1995-04-28 | 1998-09-01 | Richard Wolf Gmbh | Method and apparatus for positioning operating tubes |
| US5980549A (en) * | 1995-07-13 | 1999-11-09 | Origin Medsystems, Inc. | Tissue separation cannula with dissection probe and method |
| CN101069633A (en) * | 2006-05-08 | 2007-11-14 | 伊西康内外科公司 | Endoscopic translumenal surgical systems |
| CN201175363Y (en) * | 2008-04-14 | 2009-01-07 | 上海凯得精密模具有限公司 | Visible puncture stabber for medical purpose |
| CN101526166A (en) * | 2009-03-20 | 2009-09-09 | 江宝民 | Mounting rack of screen and keyboard |
| WO2013172869A1 (en) * | 2012-05-16 | 2013-11-21 | Jackson Avery M Iii | Illuminated endoscopic pedicle probe with replaceable tip |
| CN204181704U (en) * | 2014-11-07 | 2015-03-04 | 易红蕾 | Visual pedicle screw implants aid system |
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2014
- 2014-11-07 CN CN201410625463.7A patent/CN104323852A/en active Pending
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5800398A (en) * | 1995-04-28 | 1998-09-01 | Richard Wolf Gmbh | Method and apparatus for positioning operating tubes |
| US5980549A (en) * | 1995-07-13 | 1999-11-09 | Origin Medsystems, Inc. | Tissue separation cannula with dissection probe and method |
| CN101069633A (en) * | 2006-05-08 | 2007-11-14 | 伊西康内外科公司 | Endoscopic translumenal surgical systems |
| CN201175363Y (en) * | 2008-04-14 | 2009-01-07 | 上海凯得精密模具有限公司 | Visible puncture stabber for medical purpose |
| CN101526166A (en) * | 2009-03-20 | 2009-09-09 | 江宝民 | Mounting rack of screen and keyboard |
| WO2013172869A1 (en) * | 2012-05-16 | 2013-11-21 | Jackson Avery M Iii | Illuminated endoscopic pedicle probe with replaceable tip |
| CN204181704U (en) * | 2014-11-07 | 2015-03-04 | 易红蕾 | Visual pedicle screw implants aid system |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109480996A (en) * | 2018-12-28 | 2019-03-19 | 苏州市康力骨科器械有限公司 | Spike devices on a kind of anticreep backbone |
| CN109480996B (en) * | 2018-12-28 | 2024-03-22 | 苏州市康力骨科器械有限公司 | Anticreep backbone goes up nailing device |
| CN111821096A (en) * | 2020-07-30 | 2020-10-27 | 吉林省中医药科学院（吉林省中医药科学院第一临床医院） | Ophthalmic surgery circular cutting device with force sensing and reading functions |
| CN113331931A (en) * | 2021-05-25 | 2021-09-03 | 长沙年轮骨科医院有限公司 | Fracture intramedullary fixation device and method |
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Application publication date: 20150204 |
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| RJ01 | Rejection of invention patent application after publication |