CN102370501A - Spine single-side opener - Google Patents

Spine single-side opener Download PDF

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Publication number
CN102370501A
CN102370501A CN2010102614739A CN201010261473A CN102370501A CN 102370501 A CN102370501 A CN 102370501A CN 2010102614739 A CN2010102614739 A CN 2010102614739A CN 201010261473 A CN201010261473 A CN 201010261473A CN 102370501 A CN102370501 A CN 102370501A
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China
Prior art keywords
parts
arm
slot
nut
dilator
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CN2010102614739A
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CN102370501B (en
Inventor
涂意辉
薛华明
蔡珉巍
刘晓东
杨安礼
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Shanghai Yangpu Central Hospital
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Shanghai Yangpu Central Hospital
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Priority to CN201010261473.9A priority Critical patent/CN102370501B/en
Publication of CN102370501A publication Critical patent/CN102370501A/en
Application granted granted Critical
Publication of CN102370501B publication Critical patent/CN102370501B/en
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Abstract

The invention relates to a spine single-side opener. The first, second, fourth and fifth parts of the spine single-side opener are in the same plane; the first part is detachably and fixed connected with the second part and the fourth part in a manner that the relative positions are adjustable, the fourth part is detachably and fixed connected with the fifth part in a manner that the relative positions are adjustable, the third part is arranged on the first part and is vertical to the plane, and a sixth part is arranged on the fourth part and is vertical to the plane; preferably, the third and sixth parts are provided with a first regulating nut and a second regulating nut respectively; the first part which can be released and move is inserted into the fourth and second parts; the fourth part which can be released and move is inserted into the fifth part; and the second, fifth, second and sixth parts are uniformly provided with convex hooks. In the invention, the design is novel and smart; the opener is suitable for single-side operation; the width as well as the depth and length of the opener can be adjusted; required operational areas can be exposed more flexibly, the pain in patients can be reduced and the structure is simple; and the opener is suitable for large-scale promotion and use.

Description

The monolateral dilator of spinal column
Technical field
The present invention relates to technical field of medical instruments, particularly spinal column dilator technical field specifically is the monolateral dilator of a kind of spinal column, is the monolateral dilator device that is used for the lumbar vertebral posterior operation.
Background technology
During the lumbar vertebral posterior operation, need to use dilator that patient's paraspinal muscle is peeled off.But mostly the dilator that uses clinically at present is to be made up of two stripping fork shape blades and slide bar, and volume ratio is huger, for traditional way of escape open surgery, often needs the patient to carry out widely the bilateral paraspinal muscle and peels off, and soft tissue injury is big, and is hemorrhage many.If the patient only is a side symptom, need carry out operation in that spinal column is monolateral, when the asymptomatic side of offside need not to handle, this dilator but often can not meet the demands.And rely on S shape drag hook merely, and need special messenger's tractive to fix, waste time and energy, especially when committed step was hemorrhage like loosen nerve root or processing venous plexus, the unstable rule of drag hook was prone to produce dangerous.In addition, traditional dilator only can be regulated width, but still can't regulate for the degree of depth and the length of patient's lower back.
Therefore, expect a kind of spinal column dilator, it is applicable to monolateral operation, and not only can regulate width, can also regulate the degree of depth and length.
Summary of the invention
The objective of the invention is to have overcome above-mentioned shortcoming of the prior art, provide a kind of spinal column monolateral dilator, the monolateral dilator modern design of this spinal column is ingenious; Be applicable to monolateral operation, and not only can regulate width, can also regulate the degree of depth and length; Can appear needed operative region more neatly; Reduce less patient suffering, and simple in structure, be suitable for large-scale promotion application.
To achieve these goals, the monolateral dilator of spinal column of the present invention has adopted following technical scheme:
The monolateral dilator of this spinal column; Be characterized in; Comprise first parts, second parts, the 3rd parts, the 4th parts, the 5th parts and the 6th parts; Said first parts, said second parts, said the 4th parts and said the 5th parts are positioned at same plane, and said first parts adjustablely detachably are fixedly connected with said the 4th parts relative position with said second parts respectively, and said the 4th parts adjustablely detachably are fixedly connected with said the 5th parts relative position; Said the 3rd parts are installed on said first parts and perpendicular to said plane, and said the 6th parts are installed on said the 4th parts and perpendicular to said plane.
In the present invention, so-called " the detachable fixed connection in ground that relative position is adjustable " refers to both and detachably is fixedly connected, and detachably is fixedly connected both relative position scalable of dismounting back, and both can be fixing once more on new fixed position after the adjusting.
Preferably, said the 3rd parts are provided with first and regulate nut, and said the 6th parts are provided with second and regulate nut, and the said first adjusting nut and said second is regulated nut and is oppositely arranged.
Preferably, said second parts and said the 5th parts laterally arrange, and with vertical setting of said the 4th parts; Said the 3rd parts are [shape arm, said the 6th parts are] shape arm, and said the 3rd parts and said the 6th parts are oppositely arranged.
Preferably, said the 3rd parts are plugged in said first parts, and said the 6th parts are plugged in said the 4th parts.
More preferably, said the 3rd parts have the 4th and insert arm, and said first parts have the 4th slot, and the said the 4th inserts arm is plugged in said the 4th slot; Said the 6th parts have the 5th and insert arm, and said the 4th parts have the 5th slot, and the said the 5th inserts arm is plugged in said the 5th slot;
Preferably, said first parts can discharge to move and be plugged in said the 4th parts.After so-called " can discharge mobile " refers to detachable fixed connection dismounting, the former along away from or removable near latter's direction, to correct position, both can fix once more.
More preferably, said the 4th parts are provided with first slot, and said first parts are provided with first and insert arm, and said first inserts arm is plugged in said first slot, and said first slot is equipped with first nut and said first nut holds out against the said first slotting arm.
Preferably, said first parts can discharge to move and be plugged in said second parts.
More preferably, said second parts are provided with second slot, and said first parts are provided with second and insert arm, and said second inserts arm is plugged in said second slot, and said second slot is equipped with second nut and said second nut holds out against the said second slotting arm.
Preferably, said the 4th parts can discharge to move and be plugged in said the 5th parts.
More preferably, said the 5th parts are provided with the 3rd slot, and said the 4th parts are provided with the 3rd and insert arm, and the said the 3rd inserts arm is plugged in said the 3rd slot, and said the 3rd slot is equipped with the 3rd nut and said the 3rd nut holds out against the said the 3rd slotting arm.
Preferably, said second parts are provided with the first protruding hook, and the said first protruding hook is away from said first parts; Said the 5th parts are provided with the second protruding hook, and the said second protruding hook is away from said the 4th parts.
Preferably, said the 3rd parts are provided with the 3rd protruding hook, and the said the 3rd protruding hook is away from said first parts; Said the 6th parts are provided with the 4th protruding hook, and the said the 4th protruding hook is away from said the 4th parts.
Beneficial effect of the present invention is specific as follows:
1, first parts of the present invention, second parts, the 4th parts and the 5th parts are positioned at same plane; First parts adjustablely detachably are fixedly connected with the 4th parts relative position with second parts respectively, and the 4th parts adjustablely detachably are fixedly connected with the 5th parts relative position, and the 3rd parts are installed on first parts and perpendicular to the plane; The 6th parts are installed on the 4th parts and perpendicular to the plane; Thereby realize length adjustment through first parts and the 4th parts, through first parts and second parts or the 4th parts and the 5th parts realization depth adjustment, novel in design ingenious; Be applicable to monolateral operation; Can regulate the degree of depth and length, and simple in structure, be suitable for large-scale promotion application.
2, the 3rd parts of the present invention are provided with first and regulate nut; The 6th parts are provided with second and regulate nut, and the first adjusting nut and second is regulated nut and is oppositely arranged, and regulate nut realization width adjusting thereby regulate nut and second through first; Thereby realize the comprehensive adjusting of length, the degree of depth and width; Can appear needed operative region more neatly, reduce less patient suffering, be suitable for large-scale promotion application.
3, second parts of the present invention are provided with the first protruding hook, and the 5th parts are provided with the second protruding hook, can be more firm be fixed on the zygapophysial joints lateral border; The 3rd parts are provided with the 3rd protruding hook; The 6th parts are provided with the 4th protruding hook, the lateral margin that is fixed on spinous process that can be more firm, and can not slide up and down; Stability maintenance is good, is suitable for large-scale promotion application.
Description of drawings
Fig. 1 is that the master of a specific embodiment of the present invention looks sketch map.
Fig. 2 is the schematic top plan view of specific embodiment shown in Figure 1.
Fig. 3 a is that the master of first parts of specific embodiment shown in Figure 1 looks sketch map.
Fig. 3 b is that the master of second parts of specific embodiment shown in Figure 1 looks sketch map.
Fig. 3 c is that the master of the 3rd parts of specific embodiment shown in Figure 1 looks sketch map.
Fig. 3 d is that the master of the 4th parts of specific embodiment shown in Figure 1 looks sketch map.
Fig. 3 e is that the master of the 5th parts of specific embodiment shown in Figure 1 looks sketch map.
Fig. 3 f is that the master of the 6th parts of specific embodiment shown in Figure 1 looks sketch map.
The specific embodiment
In order more to be expressly understood technology contents of the present invention, the special following examples of lifting specify, and its purpose only is better to understand content of the present invention and unrestricted protection scope of the present invention.
See also shown in Fig. 1-3f; The monolateral dilator of spinal column of the present invention comprises first parts 1, second parts 2, the 3rd parts 3, the 4th parts 4, the 5th parts 5 and the 6th parts 6; Said first parts 1, said second parts 2, said the 4th parts 4 and said the 5th parts 5 are positioned at same plane; Said first parts 1 adjustablely detachably are fixedly connected with said the 4th parts 4 relative positions with said second parts 2 respectively; Said the 4th parts 4 adjustablely detachably are fixedly connected with said the 5th parts 5 relative positions; Said the 3rd parts 3 are installed on said first parts 1 and perpendicular to said plane, and said the 6th parts 6 are installed on said the 4th parts 4 and perpendicular to said plane.
In the present invention, so-called " the detachable fixed connection in ground that relative position is adjustable " refers to both and detachably is fixedly connected, and detachably is fixedly connected both relative position scalable of dismounting back, and both can be fixing once more on new fixed position after the adjusting.Such as having a plurality of fixed positions, both can fix any therein fixed position.
See also shown in Fig. 1, Fig. 2, Fig. 3 c and Fig. 3 f, in specific embodiment of the present invention, said second parts 2 laterally arrange with said the 5th parts 5, and with the 4 vertical settings of said the 4th parts; Said the 3rd parts 3 are [shape arm, said the 6th parts 6 are] shape arm, and said the 3rd parts 3 are oppositely arranged with said the 6th parts 6.
See also shown in Fig. 2, Fig. 3 c and Fig. 3 f; In specific embodiment of the present invention; Said the 3rd parts 3 are provided with first and regulate nut 31, and said the 6th parts 6 are provided with second and regulate nut 61, and said first regulates nut 31 is oppositely arranged with the said second adjusting nut 61.Regulate nut 31 or second through first and regulate the length that nut 61 can be adjusted [shape arm or] shape arm, adapt to the different in width of different patient's lower back.
Preferably, said the 3rd parts 3 are plugged in said first parts 1, and said the 6th parts 6 are plugged in said the 4th parts 4.See also shown in Fig. 1, Fig. 2, Fig. 3 c and Fig. 3 f, in specific embodiment of the present invention, said the 3rd parts 3 have the 4th and insert arm 32, and said first parts 1 have the 4th slot 11, and the said the 4th inserts arm 32 is plugged in said the 4th slot 11; Said the 6th parts 6 have the 5th and insert arm 62, and said the 4th parts 4 have the 5th slot 41, and the said the 5th inserts arm 62 is plugged in said the 5th slot 41.
Preferably, said first parts 1 can discharge to move and be plugged in said the 4th parts 4.After so-called " can discharge mobile " refers to detachable fixed connection dismounting, the former along away from or removable near latter's direction, to correct position, both can fix once more.See also shown in Fig. 1, Fig. 3 a and Fig. 3 d; In specific embodiment of the present invention; Said the 4th parts 4 are provided with first slot 42; Said first parts 1 are provided with first and insert arm 12, and said first inserts arm 12 is plugged in said first slot 42, and said first slot 42 is equipped with first nut 43 and said first nut 43 holds out against the said first slotting arm 12.Thereby tightening and lax realize that first inserts fixing and unclamping of the arm 12 and first slot 42 through first nut 43; Can insert arm 12 with first after unclamping and move,, again first nut 43 tightened to correct position along first slot, 42 length directions; The first slotting arm 12 and first slot 42 is fixing; Realize the distance adjustment between first parts 1 and the 4th parts 4, thus the length that can regulate dilator, the needs of adaptation single-unit section or binodal section lesions treatment.
Preferably, said first parts 1 can discharge to move and be plugged in said second parts 2.See also shown in Fig. 1, Fig. 3 a and Fig. 3 b; In specific embodiment of the present invention; Said second parts 2 are provided with second slot 21; Said first parts 1 are provided with second and insert arm 13, and said second inserts arm 13 is plugged in said second slot 21, and said second slot 21 is equipped with second nut 22 and said second nut 22 holds out against the said second slotting arm 13.Thereby tightening and lax realize that second inserts fixing and unclamping of the arm 13 and second slot 21 through second nut 22; Can insert arm 13 with second after unclamping and move,, again second nut 22 tightened to correct position along second slot, 21 length directions; The second slotting arm 13 and second slot 21 is fixing; Realize the distance adjustment between first parts 1 and second parts 2, thereby can regulate the height of dilator, adapt to the different depth of different patient's lower back.
Preferably, said the 4th parts 4 can discharge to move and be plugged in said the 5th parts 5.See also shown in Fig. 1, Fig. 3 d and Fig. 3 e; In specific embodiment of the present invention; Said the 5th parts 5 are provided with the 3rd slot 51; Said the 4th parts 4 are provided with the 3rd and insert arm 44, and the said the 3rd inserts arm 44 is plugged in said the 3rd slot 51, and said the 3rd slot 51 is equipped with the 3rd nut 52 and said the 3rd nut 52 holds out against the said the 3rd slotting arm 44.Thereby tightening and lax realize that the 3rd inserts fixing and unclamping of arm 44 and the 3rd slot 51 through the 3rd nut 52; Can insert arm 44 with the 3rd after unclamping and move,, again the 3rd nut 52 tightened to correct position along the 3rd slot 51 length directions; The 3rd slotting arm 44 and the 3rd slot 51 is fixing; Realize the distance adjustment between the 4th parts 4 and the 5th parts 5, thereby can regulate the height of dilator, adapt to the different depth of different patient's lower back.
See also shown in Fig. 1, Fig. 3 b and Fig. 3 e, in specific embodiment of the present invention, said second parts 2 are provided with the first protruding hook 23, and the said first protruding hook 23 is away from said first parts 1; Said the 5th parts 5 are provided with the second protruding hook 53, and the said second protruding hook 53 is away from said the 4th parts 4, can make its more firm zygapophysial joints lateral border that is fixed on.
See also shown in Fig. 1, Fig. 3 c and Fig. 3 f, in specific embodiment of the present invention, said the 3rd parts 3 are provided with the 3rd protruding hook 33, and the said the 3rd protruding hook 33 is away from said first parts 1; Said the 6th parts 6 are provided with the 4th protruding hook 63, and the said the 4th protruding hook 63 can make its more firm lateral margin that is fixed on spinous process, and can not slide up and down away from said the 4th parts 4.
Use before the present invention, insert arm 12 to first parts 1 through first earlier and insert in first slot 42 of the 4th parts 4, by means of the secured adjusted length of first nut 43.First parts 1 are inserted arm 13 through second and are inserted in second slot 21 of second parts 2, and the 4th parts 4 are inserted arm 44 through the 3rd and inserted in the 3rd slot 51 of the 5th parts 5, by means of the degree of depth of the secured adjusted dilator of second nut 22 and the 3rd nut 52.The first protruding hook 23 and the second protruding hook 53 through second parts 2 and the 5th parts 5 tail ends can make dilator be fixed on the zygapophysial joints lateral border.Then by means of [the upper lateral jag of shape arm (i.e. the 3rd parts 3) (promptly the 4th inserting arm 32) inserts the 4th slot 11 of first parts 1; ] upper lateral jag (promptly the 5th inserting arm 62) on the shape arm (i.e. the 6th parts 6) inserts the 5th slot 41 on the 4th parts 4; The 4th protruding hook 63 of the lower, transverse jag of [the 3rd protruding hook 33 of the lower, transverse jag of shape arm reaches] shape arm can be fixed on the lateral margin of spinous process securely, and width can be regulated nut 31 and second through first and regulate nut 61 adjustings.Like this, by means of the monolateral dilator of spinal column of the present invention, needed operative region promptly can obtain satisfied appearing.
To sum up, the monolateral dilator modern design of spinal column of the present invention is ingenious, is applicable to monolateral operation; And not only can regulate width, can also regulate the degree of depth and length, can appear needed operative region more neatly; Reduce less patient suffering, and simple in structure, be suitable for large-scale promotion application.
In this description, the present invention is described with reference to its certain embodiments.But, still can make various modifications and conversion obviously and not deviate from the spirit and scope of the present invention.Therefore, description and accompanying drawing are regarded in an illustrative, rather than a restrictive.

Claims (12)

1. monolateral dilator of spinal column; It is characterized in that; Comprise first parts, second parts, the 3rd parts, the 4th parts, the 5th parts and the 6th parts; Said first parts, said second parts, said the 4th parts and said the 5th parts are positioned at same plane, and said first parts adjustablely detachably are fixedly connected with said the 4th parts relative position with said second parts respectively, and said the 4th parts adjustablely detachably are fixedly connected with said the 5th parts relative position; Said the 3rd parts are installed on said first parts and perpendicular to said plane, and said the 6th parts are installed on said the 4th parts and perpendicular to said plane.
2. the monolateral dilator of spinal column according to claim 1 is characterized in that, said the 3rd parts are provided with first and regulate nut, and said the 6th parts are provided with second and regulate nut, and the said first adjusting nut and said second is regulated nut and is oppositely arranged.
3. the monolateral dilator of spinal column according to claim 1 is characterized in that, said second parts and said the 5th parts laterally arrange, and with vertical setting of said the 4th parts; Said the 3rd parts are [shape arm, said the 6th parts are] shape arm, and said the 3rd parts and said the 6th parts are oppositely arranged.
4. the monolateral dilator of spinal column according to claim 1 is characterized in that, said the 3rd parts are plugged in said first parts, and said the 6th parts are plugged in said the 4th parts.
5. the monolateral dilator of spinal column according to claim 1 is characterized in that, said first parts can discharge to move and be plugged in said the 4th parts.
6. the monolateral dilator of spinal column according to claim 5; It is characterized in that; Said the 4th parts are provided with first slot; Said first parts are provided with first and insert arm, and said first inserts arm is plugged in said first slot, and said first slot is equipped with first nut and said first nut holds out against the said first slotting arm.
7. the monolateral dilator of spinal column according to claim 1 is characterized in that, said first parts can discharge to move and be plugged in said second parts.
8. the monolateral dilator of spinal column according to claim 7; It is characterized in that; Said second parts are provided with second slot; Said first parts are provided with second and insert arm, and said second inserts arm is plugged in said second slot, and said second slot is equipped with second nut and said second nut holds out against the said second slotting arm.
9. the monolateral dilator of spinal column according to claim 1 is characterized in that, said the 4th parts can discharge to move and be plugged in said the 5th parts.
10. the monolateral dilator of spinal column according to claim 9; It is characterized in that; Said the 5th parts are provided with the 3rd slot; Said the 4th parts are provided with the 3rd and insert arm, and the said the 3rd inserts arm is plugged in said the 3rd slot, and said the 3rd slot is equipped with the 3rd nut and said the 3rd nut holds out against the said the 3rd slotting arm.
11. the monolateral dilator of spinal column according to claim 1 is characterized in that, said second parts are provided with the first protruding hook, and the said first protruding hook is away from said first parts; Said the 5th parts are provided with the second protruding hook, and the said second protruding hook is away from said the 4th parts.
12. the monolateral dilator of spinal column according to claim 1 is characterized in that, said the 3rd parts are provided with the 3rd protruding hook, and the said the 3rd protruding hook is away from said first parts; Said the 6th parts are provided with the 4th protruding hook, and the said the 4th protruding hook is away from said the 4th parts.
CN201010261473.9A 2010-08-24 2010-08-24 Spine single-side opener Active CN102370501B (en)

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CN201010261473.9A CN102370501B (en) 2010-08-24 2010-08-24 Spine single-side opener

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CN102370501A true CN102370501A (en) 2012-03-14
CN102370501B CN102370501B (en) 2015-02-18

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110215244A (en) * 2019-07-18 2019-09-10 孙悦 A kind of spreading mechanism for orthopedic spinal surgery tissue

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5928139A (en) * 1998-04-24 1999-07-27 Koros; Tibor B. Retractor with adjustable length blades and light pipe guides
WO1999039665A1 (en) * 1998-02-06 1999-08-12 Biedermann Motech Gmbh Spacer with adjustable axial length
US6616605B2 (en) * 2001-02-15 2003-09-09 Genesee Biomedical, Inc. Quadretractor and method of use
US20060247645A1 (en) * 2005-04-29 2006-11-02 Wilcox Bryan S Orthopedic instrument
CN201208269Y (en) * 2008-06-27 2009-03-18 常州奥斯迈医疗器械有限公司 Lumbar vertebra posterior micro-wound approach strutting system
CN201879744U (en) * 2010-08-24 2011-06-29 上海市杨浦区中心医院 Unilateral spreader for spina

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1999039665A1 (en) * 1998-02-06 1999-08-12 Biedermann Motech Gmbh Spacer with adjustable axial length
US5928139A (en) * 1998-04-24 1999-07-27 Koros; Tibor B. Retractor with adjustable length blades and light pipe guides
US6616605B2 (en) * 2001-02-15 2003-09-09 Genesee Biomedical, Inc. Quadretractor and method of use
US20060247645A1 (en) * 2005-04-29 2006-11-02 Wilcox Bryan S Orthopedic instrument
CN201208269Y (en) * 2008-06-27 2009-03-18 常州奥斯迈医疗器械有限公司 Lumbar vertebra posterior micro-wound approach strutting system
CN201879744U (en) * 2010-08-24 2011-06-29 上海市杨浦区中心医院 Unilateral spreader for spina

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110215244A (en) * 2019-07-18 2019-09-10 孙悦 A kind of spreading mechanism for orthopedic spinal surgery tissue

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SE01 Entry into force of request for substantive examination
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EE01 Entry into force of recordation of patent licensing contract

Application publication date: 20120314

Assignee: Shanghai Luxi Medical Devices Co., Ltd.

Assignor: Shanghai Yangpu Central Hospital

Contract record no.: 2019310000051

Denomination of invention: Spine single-side opener

Granted publication date: 20150218

License type: Exclusive License

Record date: 20190722

EE01 Entry into force of recordation of patent licensing contract