CN105534564A - Device for taking bone cement out of marrow cavities - Google Patents
Device for taking bone cement out of marrow cavities Download PDFInfo
- Publication number
- CN105534564A CN105534564A CN201610103678.1A CN201610103678A CN105534564A CN 105534564 A CN105534564 A CN 105534564A CN 201610103678 A CN201610103678 A CN 201610103678A CN 105534564 A CN105534564 A CN 105534564A
- Authority
- CN
- China
- Prior art keywords
- bone cement
- drill bit
- fragment
- memotron
- pulp cavity
- Prior art date
- 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
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1664—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the hip
- A61B17/1668—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the hip for the upper femur
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1613—Component parts
- A61B17/1615—Drill bits, i.e. rotating tools extending from a handpiece to contact the worked material
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1613—Component parts
- A61B17/1622—Drill handpieces
- A61B17/1624—Drive mechanisms therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/164—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans intramedullary
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
- A61F2/4607—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of hip femoral endoprostheses
-
- 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
- A61B2017/564—Methods for bone or joint treatment
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
- A61F2002/4619—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof for extraction
Abstract
The invention discloses a device for taking bone cement out of marrow cavities. The device comprises a tubular drill bit and a driving device, the driving device is connected with the drill bit and drives the drill bit to rotate around the axis of the drill bit, and multiple protruding excavation teeth are arranged at the top of the pipe wall of the front end of the drill bit, wherein the excavation teeth surround the pipe wall. The device has the technical advantages that a transmission rod is connected and can change the direction at will to be adapted to different types of marrow cavities. A head of a tubular saw blade is inclined to the inner side, so that the head of the tubular saw blade can avoid bone cortex, only the bone cement is cut in the advancing and cutting processes, and the bone cortex cannot be damaged. The bone cement which is cut down is moved upward, squeezed and stored in a tubular storage tube. When the bone cement is taken out completely or stored to be full, the storage tube is provided with a squeezing device, and aggregated bone cement fragments can be squeezed out one time.
Description
Technical field
The present invention relates to medical instruments field, refer more particularly to the pulp cavity bone cement extractor of the femur used in the middle of hip revision operation.
Background technology
Hip revision is performed the operation: hip revision operation is the common surgical of joint surgery, and after being mainly used in hip replacement, Prosthesis related infections loosens or the patient of aseptic loosening.Along with the arrival of Chinese aging society and the development of joint surgery, the patient needing row hip revision to perform the operation increases year by year.Revision procedure difficulty is large, if the type femoral bone end prosthesis that previous operation uses is bone cement prosthese, in overhaul technology, in femoral bone cavitas medullaris, the cleaning of original bone cement and taking-up are a major challenge.
In overhaul technology, the necessary thoroughly cleaning of bone cement that femoral bone cavitas medullaris is residual, existing bone cement removal equipment comprises: pulp cavity round bur, pulp cavity directly bore, curet, pulp cavity osteotome, pulp cavity finger pin, splitting cutter, nucleus pulposus clamp etc.There is Railway Project in existing apparatus, and the first, drill bit is solid round bur or directly bores, can only cement in crush and grind pulp cavity, causes pulp cavity local pressure excessive, femoral cortex perforation or fracture easily occur.The second, connecting rod is rectangular stiff rod, is unfavorable for turning to, and cause easily grinding during drill bit burr in the femoral shaft cortex of local, the good guider of neither one can regulate burr direction, causes femoral cortex to be bored a hole or fracture.In addition, existing apparatus, while destruction pulp cavity bone cement, can not take out easily, needs to change apparatus and again takes out, and cement block may be caused to move to femoral bone cavitas medullaris far-end.
Because femoral bone cavitas medullaris is deep narrow, the hard and locked engagement of part bone cement, in femoral cortex, is easy to cause the destruction of femoral cortex by during existing apparatus cleaning in art, even fracture of shaft of femur of boring a hole.Once there is femoral cortex perforation or fracture, greatly can increase operating time, increase operative hemorrhage and cause the fixing difficulty of jointing repair prosthesis, affect surgical effect.Therefore, how safer sooner the original bone cement in cleaning femoral bone cavitas medullaris be difficult point and the key of hip revision operation.
Summary of the invention
In view of the defect of existing apparatus and technology, the object of this invention is to provide that a kind of structure is simple, easy to operate, reliability is high and integrate the pulp cavity bone cement extractor of cutting and cleaning bone cement.
In order to achieve the above object, the present invention is achieved through the following technical solutions:
A kind of pulp cavity bone cement extractor, comprise drill bit and the driving device of tubulose, described driving device connects drill bit and drives drill bit around own axes rotation, and described drill bit is provided with the tooth of multiple projection around tube wall top, front end.
Described a kind of pulp cavity bone cement extractor, described tooth tilts to the axis of drill bit.
Described a kind of pulp cavity bone cement extractor, described driving device comprises power source and drive link, and described power source is by worm drive connection for transmission bar and drive drive link around own axes rotation, and described drive link connects drill bit and also drives drill bit rotation.
Described a kind of pulp cavity bone cement extractor, described drive link is flexible metal hose.
Described a kind of pulp cavity bone cement extractor, described drill bit is also connected to syringe pipe and suction catheter, described syringe pipe one end connects external water source, the other end passes drive link hollow space from power source and extends to the hollow space of drill bit, described suction catheter one end connects outside negative pressure source, and the other end passes drive link hollow space from power source and extends to the hollow space of drill bit.
Described a kind of pulp cavity bone cement extractor, bone cement fragment memotron is connected with between described drill bit and drive link, be provided with the fragment identical with memotron internal diameter size in described bone cement fragment memotron and discharge block, the outer wall of memotron is provided with fragment and discharges block moving member, and fragment is discharged block moving member and connected fragment discharge block and drive fragment discharge block to move.
Described a kind of pulp cavity bone cement extractor, described fragment is discharged block moving member and is comprised slide key, sliding tray and through slot, described sliding tray is arranged on the outer wall of bone cement fragment memotron, through slot to be arranged in sliding tray and the outer wall of through bone cement fragment memotron, slide key to be located in sliding tray and to be connected fragment through through slot and discharges block moving member, the surface of slide key with not higher than outer surface of tube wall and diameter is less than the width of sliding tray.
Described a kind of pulp cavity bone cement extractor, also comprise slide handle, described slide handle comprises handle and sleeve, and one end of described sleeve is fixed on handle, and the internal diameter of the other end of sleeve and the diameter of slide key match to be sleeved on slide key and move slide key.
Described a kind of pulp cavity bone cement extractor, described drill bit is also connected to syringe pipe and suction catheter, described syringe pipe one end connects external water source, the other end passes drive link hollow space from power source and extends to the hollow space of bone cement fragment memotron, described suction catheter one end connects outside negative pressure source, and the other end passes drive link hollow space from power source and extends to the hollow space of bone cement fragment memotron
Technique effect of the present invention is, connection for transmission bar can change direction arbitrarily, adapts to dissimilar pulp cavity.The head deflection inner side of tubulose saw blade, can avoid cortical bone, only cut bone cement, can not cause damage to cortical bone in the process advancing and cut.The bone cement of cutting will through on move, extrude, be stored in tubulose memotron.Bone cement taking-up is complete or when storing completely, memotron has pressurizing unit, disposablely can extrude assembled bone cement fragment.
Accompanying drawing explanation
Fig. 1 is structural representation of the present invention;
Fig. 2 is the schematic diagram 1 of tooth of the present invention;
Fig. 3 is the schematic diagram 2 of tooth of the present invention;
Fig. 4 is the schematic diagram 3 of tooth of the present invention;
Fig. 5 is bone cement fragment memotron structural representation of the present invention;
Fig. 6 is slide handle structural representation of the present invention;
Wherein 1 is bone cement fragment memotron, 2 be fragment discharge block, 3 be sliding tray, 4 for through slot, 5 for slide key, 6 for handle, 7 for sleeve, 8 for drill bit, 9 for power source, 10 for tooth, 11 for syringe pipe, 12 for suction catheter, 13 for bone cement fragment memotron, 14 be drive link.
Detailed description of the invention
See Fig. 1, the present invention includes drill bit and the driving device of tubulose, driving device connects drill bit and drives drill bit around own axes rotation, and drill bit is provided with the tooth of multiple projection around tube wall top, front end.
In order to avoid producing damage when pulverizing bone cement to cortical bone, tooth tilts to the axis of drill bit.
See Fig. 2, Fig. 3, Fig. 4, tilt to the axis of drill bit to realize tooth, present invention employs different implementations, this three width schematic diagram only extracts a conduct signal in all tooth, namely carries out observing seen tooth shape from the side of tooth.
Wherein in Fig. 2, tooth is to the axis inclination 3-10 ° of drill bit from root, and tooth entirety does not have radian;
In Fig. 3, tooth is also tilt to the axis of drill bit from root, and the line of crown and root and the axis of drill bit are the angle of 3-10 °, and tooth is overall with radian simultaneously;
In Fig. 4, tooth is the axis parallel with drill bit from root, and tip portions tilts to the axis of drill bit, and the line of crown and root and the axis of drill bit are also the angles in 3-10 °, and crown sloping portion is with radian simultaneously;
Above-mentioned Fig. 2-Fig. 4 gives corresponding different embodiment form, but is not limited to above way of realization, and the equivalent oblique form that those skilled in the art are envisioned that also should be considered as protection scope of the present invention.
The driving device that the present embodiment adopts comprises power source and drive link, and power source is by worm drive connection for transmission bar and drive drive link around own axes rotation, and drive link connects drill bit and also drives drill bit rotation, to realize the excavation to bone cement in pulp cavity.
In order to make drill bit can change excavation direction with pulp cavity change, the drive link of the present embodiment is flexible metal hose, and metal hose has preferably intensity in the axial direction, can promote drill bit deeply inner to pulp cavity.
In order to rinse pulp cavity, drill bit is also connected to syringe pipe and suction catheter, syringe pipe one end connects external water source, the other end passes drive link hollow space from power source and extends to the hollow space of drill bit, suction catheter one end connects outside negative pressure source, and the other end passes drive link hollow space from power source and extends to the hollow space of drill bit, and syringe pipe rinses the blood and slime in pulp cavity and residue etc., flushing water siphons away by suction catheter, so that operation technique.
Take out and emptying in pulp cavity smoothly in order to bone cement fragment can be allowed, bone cement fragment memotron is connected with between drill bit and drive link, be provided with the fragment identical with memotron internal diameter size in bone cement fragment memotron and discharge block, the outer wall of memotron is provided with fragment and discharges block moving member, and fragment is discharged block moving member and connected fragment discharge block and drive fragment discharge block to move.
Further, fragment is discharged block moving member and is comprised slide key, sliding tray and through slot, described sliding tray is arranged on the outer wall of bone cement fragment memotron, through slot to be arranged in sliding tray and the outer wall of through bone cement fragment memotron, slide key is located in sliding tray and is also connected fragment discharge block moving member through through slot, the surface of slide key with not higher than outer surface of tube wall and diameter is less than the width of sliding tray, can ensure drill bit when rotated like this, slide key can not clash into pulp cavity wall.
For the ease of promoting slide key, the present embodiment is also provided with slide handle, described slide handle comprises handle and sleeve, one end of described sleeve is fixed on handle, the internal diameter of the other end of sleeve and the diameter of slide key match to be sleeved on slide key and move slide key, after the removing completing bone cement, drill bit is taken out in pulp cavity, and slide handle is sleeved on slide key, thus be convenient to mobile slide key to remove the bone cement in bone cement fragment memotron, reset after removing slide key, takes off slide handle.
According to the embodiment of bone cement fragment memotron, then the outlet of syringe pipe and suction catheter is arranged on bone cement fragment memotron place, in order to avoid affect bit operation.
Claims (9)
1. a pulp cavity bone cement extractor, is characterized in that, comprises drill bit and the driving device of tubulose, and described driving device connects drill bit and drives drill bit around own axes rotation, and described drill bit is provided with the tooth of multiple projection around tube wall top, front end.
2. a kind of pulp cavity bone cement extractor according to claim 1, it is characterized in that, described tooth tilts to the axis of drill bit.
3. a kind of pulp cavity bone cement extractor according to claim 1, it is characterized in that, described driving device comprises power source and drive link, described power source is by worm drive connection for transmission bar and drive drive link around own axes rotation, and described drive link connects drill bit and also drives drill bit rotation.
4. a kind of pulp cavity bone cement extractor according to claim 1, it is characterized in that, described drive link is flexible metal hose.
5. a kind of pulp cavity bone cement extractor according to claim 1, it is characterized in that, described drill bit is also connected to syringe pipe and suction catheter, described syringe pipe one end connects external water source, the other end passes drive link hollow space from power source and extends to the hollow space of drill bit, described suction catheter one end connects outside negative pressure source, and the other end passes drive link hollow space from power source and extends to the hollow space of drill bit.
6. a kind of pulp cavity bone cement extractor according to claim 1, it is characterized in that, bone cement fragment memotron is connected with between described drill bit and drive link, be provided with the fragment identical with memotron internal diameter size in described bone cement fragment memotron and discharge block, the outer wall of memotron is provided with fragment and discharges block moving member, and fragment is discharged block moving member and connected fragment discharge block and drive fragment discharge block to move.
7. a kind of pulp cavity bone cement extractor according to claim 6, it is characterized in that, described fragment is discharged block moving member and is comprised slide key, sliding tray and through slot, described sliding tray is arranged on the outer wall of bone cement fragment memotron, through slot to be arranged in sliding tray and the outer wall of through bone cement fragment memotron, slide key to be located in sliding tray and to be connected fragment through through slot and discharges block moving member, the surface of slide key with not higher than outer surface of tube wall and diameter is less than the width of sliding tray.
8. a kind of pulp cavity bone cement extractor according to claim 7, it is characterized in that, also comprise slide handle, described slide handle comprises handle and sleeve, one end of described sleeve is fixed on handle, and the internal diameter of the other end of sleeve and the diameter of slide key match to be sleeved on slide key and move slide key.
9. a kind of pulp cavity bone cement extractor according to claim 6, it is characterized in that, described drill bit is also connected to syringe pipe and suction catheter, described syringe pipe one end connects external water source, the other end passes drive link hollow space from power source and extends to the hollow space of bone cement fragment memotron, described suction catheter one end connects outside negative pressure source, and the other end passes drive link hollow space from power source and extends to the hollow space of bone cement fragment memotron.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201610103678.1A CN105534564B (en) | 2016-02-24 | 2016-02-24 | A kind of pulp cavity bone cement extractor |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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CN201610103678.1A CN105534564B (en) | 2016-02-24 | 2016-02-24 | A kind of pulp cavity bone cement extractor |
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CN105534564A true CN105534564A (en) | 2016-05-04 |
CN105534564B CN105534564B (en) | 2018-08-14 |
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CN201610103678.1A Expired - Fee Related CN105534564B (en) | 2016-02-24 | 2016-02-24 | A kind of pulp cavity bone cement extractor |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN106963447A (en) * | 2017-02-27 | 2017-07-21 | 北京爱康宜诚医疗器材有限公司 | Pulp cavity middle-device |
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CN2229795Y (en) * | 1995-06-06 | 1996-06-26 | 贵阳市第四人民医院 | Pulpiform nucleus trepan cutting and removing implement |
US5720749A (en) * | 1996-03-18 | 1998-02-24 | Snap-On Technologies, Inc. | Integral reamer apparatus with guide counterbores in female press-fitted parts |
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CN201115676Y (en) * | 2007-11-23 | 2008-09-17 | 张力 | Medical bone taking out device |
CN201701257U (en) * | 2010-05-29 | 2011-01-12 | 张永强 | Chip cleaning bone drill for bone surgery |
CN203291020U (en) * | 2013-06-06 | 2013-11-20 | 苏加向 | Broken nail taking-out machine |
CN104125806A (en) * | 2011-12-21 | 2014-10-29 | 巴奥米特生物制品有限公司 | Bone marrow aspiration needle |
CN205814379U (en) * | 2016-02-24 | 2016-12-21 | 中南大学湘雅医院 | A kind of pulp cavity bone cement extractor |
-
2016
- 2016-02-24 CN CN201610103678.1A patent/CN105534564B/en not_active Expired - Fee Related
Patent Citations (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN2229795Y (en) * | 1995-06-06 | 1996-06-26 | 贵阳市第四人民医院 | Pulpiform nucleus trepan cutting and removing implement |
US5720749A (en) * | 1996-03-18 | 1998-02-24 | Snap-On Technologies, Inc. | Integral reamer apparatus with guide counterbores in female press-fitted parts |
US20020007190A1 (en) * | 2000-04-05 | 2002-01-17 | Wulfman Edward I. | Intralumenal material removal systems and methods |
CN1585623A (en) * | 2001-11-21 | 2005-02-23 | 库尔斯恩蒂斯股份公司 | Attachable/detachable reamer head for surgical reamer |
CN201115676Y (en) * | 2007-11-23 | 2008-09-17 | 张力 | Medical bone taking out device |
CN201701257U (en) * | 2010-05-29 | 2011-01-12 | 张永强 | Chip cleaning bone drill for bone surgery |
CN104125806A (en) * | 2011-12-21 | 2014-10-29 | 巴奥米特生物制品有限公司 | Bone marrow aspiration needle |
CN203291020U (en) * | 2013-06-06 | 2013-11-20 | 苏加向 | Broken nail taking-out machine |
CN205814379U (en) * | 2016-02-24 | 2016-12-21 | 中南大学湘雅医院 | A kind of pulp cavity bone cement extractor |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN106963447A (en) * | 2017-02-27 | 2017-07-21 | 北京爱康宜诚医疗器材有限公司 | Pulp cavity middle-device |
CN106963447B (en) * | 2017-02-27 | 2023-12-19 | 北京爱康宜诚医疗器材有限公司 | Intramedullary canal central device |
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