CN105534590B - The connection of one seed coat outside fix plate and notch graft hone lamella and clamping and conveying device - Google Patents

The connection of one seed coat outside fix plate and notch graft hone lamella and clamping and conveying device Download PDF

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Publication number
CN105534590B
CN105534590B CN201510886876.5A CN201510886876A CN105534590B CN 105534590 B CN105534590 B CN 105534590B CN 201510886876 A CN201510886876 A CN 201510886876A CN 105534590 B CN105534590 B CN 105534590B
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Prior art keywords
hone lamella
outside fix
notch graft
fix plate
skin outside
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CN105534590A (en
Inventor
陈伟
冯琛
刘勃
陈霄
张飞
常恒瑞
张英泽
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Priority to PCT/CN2016/076873 priority patent/WO2017096730A1/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/92Impactors or extractors, e.g. for removing intramedullary devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/808Instruments for holding or positioning bone plates, or for adjusting screw-to-plate locking mechanisms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/564Methods for bone or joint treatment

Abstract

The connection of one seed coat outside fix plate and notch graft hone lamella and the device pinched, belong to orthopedic medical device technical field, in Minimally Invasive Surgery, blade plate inserted location.Its technical scheme is: the skin outside fix plate of the present invention connects by connecting rod is corresponding with notch graft hone lamella, connecting rod can be threaded connection or the connection of regular polygon hole makes skin outside fix plate and notch graft hone lamella accurate contraposition, the front end pinching handle is clamped on skin outside fix plate or notch graft hone lamella, and promotion pinches handle can be placed to synthetism position by skin outside fix plate and notch graft hone lamella.Present configuration is simple and convenient to operate, highly effective, by skin outside fix plate, notch graft hone lamella is accurately implanted fixing screw and is fixed.The present invention is the innovation of skin outside fix plate and notch graft hone lamella implantation mode, solves skin outside fix plate and notch graft hone lamella para-position inaccurate and insert an inconvenient difficult problem, decreases operating time, improve the efficiency of Minimally Invasive Surgery.

Description

The connection of one seed coat outside fix plate and notch graft hone lamella and clamping and conveying device
Technical field
The present invention relates to blade plate is inserted by a kind of Minimally Invasive Surgery the device of location, belong to orthopedic medical device technical field.
Background technology
In the operation of orthopaedics therapy fracture, Interal fixation is common Fracture internal fixaiion method, and Interal fixation includes reconstruction plate, dissection armor plate, hook plate etc., wherein most commonly seen with dissection armor plate.Now widely used blade plate is steel plate or the titanium lath of arced terminus, it is arranged with multiple implantation and follows closely fixing hole.In use finding, after blade plate is inserted the subcutaneous wound of patient, positioning and fixing blade plate and deviation often occur, not only surgical effect is affected, and also add the misery of patient.For normal bone plate and the limitation of implanted prosthetics, healthcare givers and scientific research personnel have carried out substantial amounts of research and improvement to blade plate, achieve good effect, China Patent No. 200920103620.2, 201020223842.0 individually disclose a kind of self-align micro wound coaptation plate and a kind of stress dispersion bone plate, use above-mentioned blade plate when subcutaneous storing blade plate minimally-invasive treatment long bone shaft fracture, skin is outer to be connected with the two ends of notch graft hone lamella by the trench structure at two ends with identical blade plate, for interim locating pin hole site and put nail direction, the blade plate of subcutaneous storing during operation technique can be avoided to slide or mobile simultaneously.The blade plate of both structures is applied to clinic and achieves good effect, but yet suffer from deficiency, the blade plate that major problem is that notch graft hone lamella and play skin outside fix effect be connected only rely on Kirschner wire location while carry out, connect insecure, be easy to misplace, the phenomenon such as displacement, the operation of the fixing screw for continuing causes the biggest difficulty, even cannot be carried out, not only delay operating time, it is also possible to produce the unstable serious consequence of plate fixation.In order to make notch graft hone lamella and the blade plate playing skin outside fix effect in Minimally Invasive Surgery be connected firmly, to reach the effect of accurate positioning, it is quite necessary to develop new device and the technical barrier of technology solution existence.
Summary of the invention
The technical problem to be solved is to provide a seed coat outside fix plate and the connection of notch graft hone lamella and the device pinched, notch graft hone lamella and skin outside fix plate can be linked together by this connection and clamping and conveying device, notch graft hone lamella can quickly insert hypodermic tunnel, utilize the screw that skin outside fix plate screw is quick, be accurately positioned notch graft hone lamella, insert the fixing fracture of screw.
The technical scheme solving above-mentioned technical problem is:
The connection of one seed coat outside fix plate and notch graft hone lamella and the device pinched, it includes connecting rod and pinches handle, the plate face of notch graft hone lamella and skin outside fix plate there is connecting hole respectively, two connecting holes are identical and the most relative with the position on the plate face of skin outside fix plate at notch graft hone lamella, the two ends of connecting rod are connected with two connecting holes respectively, notch graft hone lamella and the centrage of the length direction of skin outside fix plate after connecting hole connects are parallel in same vertical plane, the front end pinching handle is clamped on skin outside fix plate or notch graft hone lamella, there is promotion handle the rear end pinching handle.
The connection of above-mentioned skin outside fix plate and notch graft hone lamella and the device pinched, connecting hole on the plate face of described notch graft hone lamella and skin outside fix plate is respectively screw, there is screw thread at the two ends of connecting rod, the screw thread of the screw thread at connecting rod two ends and two connecting holes matches, the two ends of connecting rod are spun in two connecting holes respectively, and the upper end of connecting rod is fastened by nut after the connecting hole on the plate face of skin outside fix plate.
The connection of above-mentioned skin outside fix plate and notch graft hone lamella and the device pinched, the cross section of the connecting hole on the plate face of described notch graft hone lamella and skin outside fix plate is respectively the regular polygon of rule, connecting rod two ends are the polygon body of rod, the cross section of the polygon body of rod matches with the regular polygon in the cross section of connecting hole, the polygon body of rod at connecting rod two ends is respectively inserted in the connecting hole on the plate face of notch graft hone lamella and skin outside fix plate, the polygon body of rod at connecting rod two ends with connecting hole for be slidably matched closely.
The connection of above-mentioned skin outside fix plate and notch graft hone lamella and the device pinched, the described handle that pinches is made up of two parallel straight-bars and a cross bar, the front end of two straight-bars has multiple horizontal bayonet lock respectively, the rear end of two straight-bars is connected with cross bar two ends, multiple bayonet locks are arranged in parallel along the length direction of straight-bar, and the both sides of the edge of skin outside fix plate are respectively embedded in the gap of adjacent two bayonet locks.
The connection of above-mentioned skin outside fix plate and notch graft hone lamella and the device pinched, the described handle that pinches is made up of two parallel straight-bars and a cross bar, the front end of two straight-bars has horizontal latch respectively, the rear end of two straight-bars is connected with cross bar two ends, multiple horizontal jack is had on the two sides of notch graft hone lamella, multiple jacks arrange along the length direction of notch graft hone lamella, and the latch of two straight-bar front ends is inserted respectively in the jack of notch graft hone lamella both sides.
The connection of above-mentioned skin outside fix plate and notch graft hone lamella and the device pinched, described in pinch handle two parallel straight-bars rear portion between connect and have the two ends of extension spring or elastic draw bar, extension spring or elastic draw bar to be connected with two straight-bars respectively.
The invention has the beneficial effects as follows:
The skin outside fix plate of the present invention connects by connecting rod is corresponding with notch graft hone lamella, connecting rod can be threaded connection or the connection of regular polygon hole makes skin outside fix plate and notch graft hone lamella accurate contraposition, the front end pinching handle is clamped on skin outside fix plate or notch graft hone lamella, and promotion pinches handle can be placed to synthetism position by skin outside fix plate and notch graft hone lamella.
Present configuration is simple and convenient to operate, highly effective, connecting rod can make skin outside fix plate and notch graft hone lamella accurate contraposition, pinch handle and skin outside fix plate and notch graft hone lamella entirety can be placed to notch graft hone lamella precalculated position, and by skin outside fix plate, notch graft hone lamella is accurately implanted fixing screw and be fixed.
The present invention is the innovation of skin outside fix plate and notch graft hone lamella implantation mode, solves skin outside fix plate and notch graft hone lamella para-position inaccurate and insert an inconvenient difficult problem, decreases operating time, improve the efficiency of Minimally Invasive Surgery.
Accompanying drawing explanation
Fig. 1 is the structural representation of the present invention;
Fig. 2 is the another kind of structural representation of the present invention.
In figure, labelling is as follows: clamping handle 1, connecting rod 2, connecting hole 3, nut 4, straight-bar 5, cross bar 6, bayonet lock 7, latch 8, jack 9, extension spring 10, elastic draw bar 11, skin outside fix plate 12, notch graft hone lamella 13, skin outside fix board slot 14, notch graft hone lamella groove 15, fixing threaded hole 16.
Detailed description of the invention
Skin outside fix plate 12 or notch graft hone lamella 13 are pushed into synthetism position along the length direction of long bone by clamping handle 1 by the present invention, after arriving synthetism position, are accurately positioned fixing notch graft hone lamella 13 by skin outside fix plate 12.
Figure shows, skin outside fix plate 12 and notch graft hone lamella 13 that the present invention uses are elongated plates face, the skin outside fix board slot 14 along plate face length direction and notch graft hone lamella groove 15 is had at the two ends in plate face, have fixing threaded hole 16, fixing threaded hole 16 to be used for fixing screw on plate face between skin outside fix board slot 14 and notch graft hone lamella groove 15 long bone is fixed.Skin outside fix plate 12 is identical with notch graft hone lamella 13 shape, and skin outside fix board slot 14, notch graft hone lamella groove 15 are identical with the position of fixing threaded hole 16, in order to can accurately fix notch graft hone lamella 13 by skin outside fix plate 12 after inserting notch graft hone lamella 13.
Figure shows, the plate face of notch graft hone lamella 13 and skin outside fix plate 12 there is connecting hole 3 respectively, two connecting holes 3 are identical and the most relative with the position on the plate face of skin outside fix plate 12 at notch graft hone lamella 13, the two ends of connecting rod 2 are connected with two connecting holes 3 respectively, notch graft hone lamella 13 and the centrage of the length direction of skin outside fix plate 12 after connecting hole 3 connects are parallel in same vertical plane so that the fixing threaded hole 16 of skin outside fix plate 12 and notch graft hone lamella 13 can be the most relative.
Showing in figure, in order to reach notch graft hone lamella 13 and skin outside fix plate 12 accurate contraposition, connecting rod 2 and connecting hole 3 use following two structure:
The first structure is, connecting hole 3 on the plate face of notch graft hone lamella 13 and skin outside fix plate 12 is respectively screw, there is screw thread at the two ends of connecting rod 2, the lower end of connecting rod 2 is tightened in the connecting hole 3 of notch graft hone lamella 13, the screw of the upper end then connecting hole 3 on the plate face of skin outside fix plate 12 being enclosed within connecting rod 2 rotates, after to the upper end of connecting rod 2 through the plate face of skin outside fix plate 12, adjust skin outside fix plate 12 the most relative with notch graft hone lamella 13, by the screw threads for fastening of nut 4 with connecting rod 2 upper end.
The second structure is, the cross section of the connecting hole 3 on the plate face of notch graft hone lamella 13 and skin outside fix plate 12 is respectively the regular polygon of rule, connecting rod 2 two ends are the polygon body of rod, the cross section of the polygon body of rod matches with the regular polygon in the cross section of connecting hole 3, the polygon body of rod at connecting rod 2 two ends is respectively inserted in the connecting hole 3 on the plate face of notch graft hone lamella 13 and skin outside fix plate 12, and the polygon body of rod at connecting rod 2 two ends and connecting hole 3 are for be slidably matched closely.Notch graft hone lamella 13 and skin outside fix plate 12 are carried out accurate contraposition by the connecting hole 3 of regular polygon with connecting rod 2 by this structure, and regular polygon can be triangle, tetragon, pentagon or hexagon.
Figure shows, the clamping handle 1 of the present invention is made up of two parallel straight-bars 5 and a cross bar 6, the rear end of two straight-bars 5 is connected with cross bar 6 two ends, the front end of two straight-bars 5 has two kinds of clamp structures respectively, and skin outside fix plate 12 or notch graft hone lamella 13 are pushed into synthetism position along the length direction of long bone by two kinds of clamp structures.
A kind of structure is that the front end of two straight-bars 5 has multiple horizontal bayonet lock 7 respectively, and multiple bayonet locks 7 are arranged in parallel along the length direction of straight-bar 5, and the both sides of the edge of skin outside fix plate 12 are respectively embedded in the gap of adjacent two bayonet locks 7.
Another kind of structure is, the front end of two straight-bars 5 has horizontal latch 8 respectively, multiple horizontal jack 9 is had on the two sides of notch graft hone lamella 13, multiple jacks 9 arrange along the length direction of notch graft hone lamella 13, and the latch 8 of two straight-bar 5 front ends is inserted respectively in the jack 9 of notch graft hone lamella 13 both sides.
Showing in figure, in order to clamp convenient and prevent from disengaging, connecting between the rear portion of the parallel straight-bar 5 of pinch handle 1 two has extension spring 10 or elastic draw bar 11, and the two ends of extension spring 10 or elastic draw bar 11 are connected with two straight-bars 5 respectively.Extension spring 10 relies on the elastic force of self to strain two straight-bars 5 to centre, and elastic draw bar 11 can only be held cross bar 6 by operator one, and finger upwards strains elastic draw bar 11 simultaneously, makes two straight-bars 5 draw close to centre, clamping skin outside fix plate 12 or notch graft hone lamella 13.
The use process of the present invention is as follows:
The two ends of connecting rod 2 are connected with the connecting hole 3 on the plate face of notch graft hone lamella 13 and skin outside fix plate 12 respectively, use threaded or regular polygon hole connection, notch graft hone lamella 13 after connection and the centrage of the length direction of skin outside fix plate 12 are parallel in same vertical plane so that the fixing threaded hole 15 of skin outside fix plate 12 and notch graft hone lamella 13 can be the most relative.
Skin outside fix plate 12 or notch graft hone lamella 13 is clamped by the bayonet lock 7 or latch 8 pinching handle 1 front end, hold and pinch handle 1 notch graft hone lamella 13 is pushed into synthetism position along the length direction of long bone, after arriving synthetism position, implanted downwards fixing screw by the skin outside fix board slot 14 of skin outside fix plate 12, be accurately positioned fixing notch graft hone lamella 13.

Claims (7)

1. the connection of a seed coat outside fix plate and notch graft hone lamella and the device that pinches, it is characterized in that: it includes connecting rod (2) and pinches handle (1), the plate face of notch graft hone lamella (13) and skin outside fix plate (12) has connecting hole (3) respectively, two connecting holes (3) are identical and the most relative with the position on the plate face of skin outside fix plate (12) at notch graft hone lamella (13), the two ends of connecting rod (2) are connected with two connecting holes (3) respectively, notch graft hone lamella (13) and the centrage of the length direction of skin outside fix plate (12) after connecting rod (2) connects are parallel in same vertical plane, the front end pinching handle (1) is clamped on skin outside fix plate (12) or notch graft hone lamella (13), there is promotion handle the rear end pinching handle (1).
The connection of skin outside fix plate the most according to claim 1 and notch graft hone lamella and the device pinched, it is characterized in that: the connecting hole (3) on the plate face of described notch graft hone lamella (13) and skin outside fix plate (12) is respectively screw, there is screw thread at the two ends of connecting rod (2), the screw thread at connecting rod (2) two ends and the screw thread of two connecting holes (3) match, the two ends of connecting rod (2) are spun in two connecting holes (3) respectively, and the upper end of connecting rod (2) is fastened by nut (4) after the connecting hole (3) on the plate face of skin outside fix plate (12).
The connection of skin outside fix plate the most according to claim 1 and notch graft hone lamella and the device pinched, it is characterized in that: the cross section of the connecting hole (3) on the plate face of described notch graft hone lamella (13) and skin outside fix plate (12) is respectively the regular polygon of rule, connecting rod (2) two ends are the polygon body of rod, the cross section of the polygon body of rod matches with the regular polygon in the cross section of connecting hole (3), the polygon body of rod at connecting rod (2) two ends is respectively inserted in the connecting hole (3) on the plate face of notch graft hone lamella (13) and skin outside fix plate (12), the polygon body of rod at connecting rod (2) two ends and connecting hole (3) are for be slidably matched closely.
4. according to the skin outside fix plate described in Claims 2 or 3 and the connection of notch graft hone lamella and the device pinched, it is characterized in that: described in pinch handle (1) and be made up of two parallel straight-bars (5) and a cross bar (6), the front end of two straight-bars (5) has multiple horizontal bayonet lock (7) respectively, the rear end of two straight-bars (5) is connected with cross bar (6) two ends, multiple bayonet locks (7) are arranged in parallel along the length direction of straight-bar (5), and the both sides of the edge of skin outside fix plate (12) are respectively embedded in the gap of adjacent two bayonet locks (7).
5. according to the skin outside fix plate described in Claims 2 or 3 and the connection of notch graft hone lamella and the device pinched, it is characterized in that: described in pinch handle (1) and be made up of two parallel straight-bars (5) and a cross bar (6), the front end of two straight-bars (5) has horizontal latch (8) respectively, the rear end of two straight-bars (5) is connected with cross bar (6) two ends, multiple horizontal jack (9) is had on the two sides of notch graft hone lamella (13), multiple jacks (9) arrange along the length direction of notch graft hone lamella (13), the latch (8) of two straight-bar (5) front ends is inserted respectively in the jack (9) of notch graft hone lamella (13) both sides.
The connection of skin outside fix plate the most according to claim 4 and notch graft hone lamella and the device pinched, it is characterized in that: described in pinch handle (1) two parallel straight-bars (5) rear portion between connect have extension spring (10) or elastic draw bar (11), the two ends of extension spring (10) or elastic draw bar (11) are connected with two straight-bars (5) respectively.
The connection of skin outside fix plate the most according to claim 5 and notch graft hone lamella and the device pinched, it is characterized in that: described in pinch handle (1) two parallel straight-bars (5) rear portion between connect have extension spring (10) or elastic draw bar (11), the two ends of extension spring (10) or elastic draw bar (11) are connected with two straight-bars (5) respectively.
CN201510886876.5A 2015-12-07 2015-12-07 The connection of one seed coat outside fix plate and notch graft hone lamella and clamping and conveying device Active CN105534590B (en)

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CN201510886876.5A CN105534590B (en) 2015-12-07 2015-12-07 The connection of one seed coat outside fix plate and notch graft hone lamella and clamping and conveying device
PCT/CN2016/076873 WO2017096730A1 (en) 2015-12-07 2016-03-21 Bone plate assembly for minimally invasive surgery in orthopedics

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CN106236237B (en) * 2016-08-30 2021-04-30 李岩 Retrograde minimally invasive steel plate screw fixing system for bone fracture
CN108056808A (en) * 2018-02-08 2018-05-22 重庆医科大学附属永川医院 A kind of long bone fracture Minimally Invasive Surgery bone-knitting device and its application method
CN109646105A (en) * 2019-01-25 2019-04-19 大连医科大学附属第医院 Remote interface fracture Minimally Invasive Surgery utensil in humerus

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