[go: up one dir, main page]

CN109692037A - 骨愈合确认装置 - Google Patents

骨愈合确认装置 Download PDF

Info

Publication number
CN109692037A
CN109692037A CN201811234534.5A CN201811234534A CN109692037A CN 109692037 A CN109692037 A CN 109692037A CN 201811234534 A CN201811234534 A CN 201811234534A CN 109692037 A CN109692037 A CN 109692037A
Authority
CN
China
Prior art keywords
sensor
knitting
bone
osteotomy
fixed plate
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.)
Pending
Application number
CN201811234534.5A
Other languages
English (en)
Inventor
白惠善
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of CN109692037A publication Critical patent/CN109692037A/zh
Pending legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8095—Wedge osteotomy devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8061—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0048—Detecting, measuring or recording by applying mechanical forces or stimuli
    • A61B5/0053—Detecting, measuring or recording by applying mechanical forces or stimuli by applying pressure, e.g. compression, indentation, palpation, grasping, gauging
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/45—For evaluating or diagnosing the musculoskeletal system or teeth
    • A61B5/4504—Bones
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6867—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive specially adapted to be attached or implanted in a specific body part
    • A61B5/6878—Bone
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00106—Sensing or detecting at the treatment site ultrasonic
    • A61B2017/0011—Sensing or detecting at the treatment site ultrasonic piezoelectric
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2560/00—Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
    • A61B2560/02—Operational features
    • A61B2560/0204—Operational features of power management
    • A61B2560/0214—Operational features of power management of power generation or supply
    • A61B2560/0219—Operational features of power management of power generation or supply of externally powered implanted units
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02—Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0247—Pressure sensors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08—Clinical applications
    • A61B8/0875—Clinical applications for diagnosis of bone

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Neurology (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Rheumatology (AREA)
  • Surgical Instruments (AREA)

Abstract

根据本发明的实施例的骨愈合确认装置，包括：固定板，用于连接被断裂的骨头；传感器，设置于所述固定板的一面；以及驱动装置，截骨术结束后驱动所述传感器，设置于所述固定板的所述传感器以位于截骨部位的方式结合于骨头，在所述传感器驱动时通过与填入于截骨部位的骨头接触而能够感应所述截骨部位的骨愈合情况。

Description

骨愈合确认装置
技术领域
本发明涉及一种截骨术后能够确认骨愈合情况的骨愈合确认装置。
背景技术
通常，退行性关节炎是膝盖内侧关节软骨被磨损的程度变得严重而导致腿弯曲、疼痛。退行性关节炎是在站立或走路时体重集中于一侧导致关节炎更加严重，并且疼痛也越来越厉害。作为这种内侧变形腿的手术方法有胫骨近端截骨术。胫骨近端截骨术是一种通过矫正下肢非正常轴，将施加于膝关节的负荷移动到健康的关节表面，改善应力分布和关节对齐来缓解疼痛的治疗方法。胫骨近端截骨术是截除膝盖下面的粗骨来矫正被弯曲的腿的手术，该手术利用手术器械在靠近膝盖的位置截除腓骨，在内侧扩开骨所需角度之后进行骨移植，然后利用螺丝固定由金属板而制成的固定器具(参照韩国授权专利公报第10-1740905号“用于开放型胫骨近端截骨术的固定器具”)。截骨术后需确认骨愈合情况。若骨愈合没有完成，则需要执行骨移植术。但是，目前，作为胫骨近端截骨术之后确认骨愈合的方法除了X射线或CT(computed tomography，计算机断层扫描)之外，还没有别的办法。这种X射线或CT拍摄不仅麻烦，而且，对患者带来费用负担。此外，虽然X射线和CT是最常用的影像设备，但存在拍摄时反复被辐射暴露的风险。
因此，迫切需要开发一种能够简单地确认骨愈合情况的装置。
发明内容
为了解决所述问题，本发明的实施例提供一种通过设置在固定板的传感器能够简单地确认截骨部位的骨愈合情况的骨愈合确认装置。
为了达成所述目的，根据本发明的实施例的骨愈合确认装置，包括：固定板，用于连接被断裂的骨头；以及传感器，设置于所述固定板的一面，所述固定板以使所述传感器位于截骨部位的方式结合于骨头，所述传感器驱动时，通过与填充于截骨部位的骨头接触能够感应所述截骨部位是否被愈合。
而且，所述传感器可为压电传感器。
而且，所述传感器可为无电源传感器。
而且，进一步包括驱动装置，所述驱动装置为导体，所述导体在截骨术后在患者的皮肤外产生电场或磁场来驱动所述传感器，在截骨部位填充骨头的同时对所述传感器施加压力，通过所述传感器感应的压力信息能够判断骨愈合情况。
根据本发明的实施例的骨愈合确认装置，通过设置在固定板的传感器能够简单地确认截骨部位的骨愈合情况。
而且，能够减小用X射线或CT拍摄时的麻烦及费用负担。
而且，能够摆脱因X射线或CT拍摄而被辐射暴露的风险。
附图说明
图1是根据本发明的优选一实施例的具备传感器的固定板的胫骨的结合状态的示意图。
图2是通过根据本发明的优选一实施例的驱动装置驱动传感器的过程的示意图。
图中：
10：固定板，20：传感器，30：驱动装置，40：胫骨，41：上胫骨，42：下胫骨，43：截骨部位，50：螺钉。
具体实施方式
下面参照附图详细说明本发明的优选实施例。首先，应注意对各图的构成要素标注参照符号时，即便表示在不同的图面上，对相同的构成要素也要尽量标注相同的符号。下面说明本发明的优选实施例，但是，本发明的技术思想并不限定或局限于此，可由本领域的技术人员多样地变形实施。
首先，说明根据本发明的骨愈合确认装置的结构。
如图1及2所述，根据本发明的实施例的骨愈合确认装置，包括:固定板10；传感器20，附着于固定板10的一面；以及驱动装置30，用于驱动传感器20。
在胫骨40通过截骨术形成截骨部位43。胫骨40以截骨部位43为中心分为上胫骨41及下胫骨42。固定板10连接上胫骨41和下胫骨42。固定板10可为金属板。固定板10利用螺钉50结合上胫骨41及下胫骨42。
传感器20可为无电源压电传感器。传感器20设置于固定板10的一面。传感器20位于胫骨40方向。进行截骨术时，传感器20位于截骨部位43。在截骨部位43填充骨头时传感器20与骨头接触，同时感应骨头按压的压力。
例如，传感器20还可设计为具有电源的有线传感器，但此时，与传感器20所要动作的时期无关，不必要的电源会供应至传感器20，与传感器20连接的电线露出至皮肤外部等存在诸多不便。因此，传感器20应设计为无电源传感器来解消缝合后的不便。
周知(株)CORECHIPS(http://nano_korea.blog.me/80137472507)是无电源无线压力传感器开发企业，无电源传感器技术是已被广泛周知的技术，在此，省略详细结构的说明。
驱动装置30在皮肤外驱动传感器20。驱动装置30可为导体。驱动装置30产生电场或磁场来驱动传感器20。驱动装置30的结构及形态不受限制。驱动装置30只要是能产生电场或磁场来驱动传感器20的装置皆可。例如，驱动装置30可为医疗用超声波检查装置的手持多普勒(hand-held Doppler)、双扫描(duplex scan)等。产生电场或磁场驱动传感器20的驱动装置30为通常的装置，因此，省略结构的详细说明。
接着，说明根据本发明的实施例的骨愈合确认装置的骨愈合判断过程。
如图2所示，通过开放型胫骨近端截骨术切开胫骨40来形成截骨部位43。以截骨部位43为中心胫骨40分为上胫骨41和下胫骨42。
矫正弯曲的上胫骨41和下胫骨42之后，传感器20位于截骨部位43，使固定板10的上部接触于上胫骨41及下胫骨42，从而，将螺钉50通过固定板10的螺钉孔耦合于上胫骨41和下胫骨42。
固定板10直到完成上胫骨41和下胫骨42的骨愈合为止支撑施加于胫骨40的负重。胫骨近端截骨术之后必须确认骨愈合情况。这是因为若骨未愈合，则需要执行骨移植手术。
开放型胫骨近端截骨术后检查骨愈合情况。具体而言，在患者的被缝合的皮肤外面利用驱动装置30产生电场或磁场来驱动传感器20。传感器20仅通过驱动装置30驱动，因此，可以防止传感器20的不必要的驱动。通过驱动装置30驱动的传感器20与填入于截骨部位43的骨头接触而感应被骨头按压的压力。通过由传感器20感应的压力信息可以判断骨愈合情况。例如，当由传感器20感应的压力值为设定值以上时，可以判断为骨愈合。
如上所述，根据本发明的实施例的骨愈合确认装置，由于可通过设置于固定板的传感器简单地确认截骨部位的骨愈合情况，因此，可以彻底解决现有的通过X射线或CT拍摄判断骨愈合情况时的麻烦、费用负担以及被辐射暴露等问题。
以上说明是举例说明本发明的技术思想而已，只要是本发明所属领域的技术人员在不脱离本发明的本质特性的范围内可以进行各种修改、变更及取代。因此，本发明所公开的实施例及附图是用来说明本发明的技术思想的，并不限定本发明的技术思想。本发明的保护范围应由权利要求范围而解释，应解释为在与其同等范围内的所有技术思想均包含于本发明的权利范围。

Claims (4)

1.一种骨愈合确认装置，其特征在于，包括：
固定板，用于连接被断裂的骨头；以及
传感器，设置于所述固定板的一面，
所述固定板以使所述传感器位于截骨部位的方式结合于骨头，所述传感器驱动时通过与填充于截骨部位的骨头接触感应所述截骨部位的骨愈合情况。
2.根据权利要求1所述的骨愈合确认装置，其特征在于，所述传感器为压电传感器。
3.根据权利要求1所述的骨愈合确认装置，其特征在于，所述传感器为无电源传感器。
4.根据权利要求1所述的骨愈合确认装置，其特征在于，进一步包括驱动装置，所述驱动装置为导体，
所述导体在截骨术后在患者的皮肤外产生电场或磁场来驱动所述传感器，在截骨部位填充骨头的同时对所述传感器施加压力，通过所述传感器感应的压力信息来判断骨愈合情况。
CN201811234534.5A 2017-10-24 2018-10-22 骨愈合确认装置 Pending CN109692037A (zh)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
KR20170138615 2017-10-24
KR10-2017-0138615 2017-10-24

Publications (1)

Publication Number Publication Date
CN109692037A true CN109692037A (zh) 2019-04-30

Family

ID=63921511

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201811234534.5A Pending CN109692037A (zh) 2017-10-24 2018-10-22 骨愈合确认装置

Country Status (4)

Country Link
US (1) US20190117285A1 (zh)
EP (1) EP3476341A1 (zh)
JP (1) JP2019076726A (zh)
CN (1) CN109692037A (zh)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
IT202100019172A1 (it) * 2021-07-20 2023-01-20 Tsq Global S R L Dispositivo per osteosintesi

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102005045739A1 (de) * 2005-09-23 2007-04-19 Universitätsklinikum Freiburg Osteosynthesehilfsmittel
CN101060815A (zh) * 2004-06-07 2007-10-24 芯赛斯公司 具有传感器的整形外科用植入物
CN104887235A (zh) * 2005-03-29 2015-09-09 马丁·罗切 身体参数检测传感器和用于检测身体参数的方法
WO2016065205A1 (en) * 2014-10-23 2016-04-28 Ellipse Technologies, Inc. Remotely adjustable interactive bone reshaping implant
US20160374561A1 (en) * 2015-06-26 2016-12-29 Stryker European Holdings I, Llc Bone healing probe
WO2017030900A1 (en) * 2015-08-14 2017-02-23 The Regents Of The University Of California Quantitative tool using impedance spectroscopy to monitor fracture healing
US20170196508A1 (en) * 2014-06-25 2017-07-13 Canary Medical Inc. Devices, systems and methods for using and monitoring spinal implants

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1311191B1 (en) * 2000-08-25 2012-03-07 The Cleveland Clinic Foundation Implantable apparatus for assessing loads on adjacent pair of vertebrae
DE102004006501A1 (de) * 2004-02-10 2005-09-01 Charité-Universitätsmedizin Berlin Bauteil und Verfahren zum Zusammenbau einer Implantatanordnung
EP1819278A4 (en) * 2004-11-15 2009-04-08 Izex Technologies Inc INSTRUMENTAL ORTHOPEDIC IMPLANTS AND OTHER MEDICAL IMPLANTS
JP2012507340A (ja) * 2008-10-31 2012-03-29 ミルックス・ホールディング・エスエイ エネルギーの無線伝送を使用して骨調節を操作するためのデバイスおよび方法
KR101740905B1 (ko) 2014-04-18 2017-05-29 백혜선 개방형 근위 경골 절골술을 위한 고정 기구

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101060815A (zh) * 2004-06-07 2007-10-24 芯赛斯公司 具有传感器的整形外科用植入物
CN104887235A (zh) * 2005-03-29 2015-09-09 马丁·罗切 身体参数检测传感器和用于检测身体参数的方法
DE102005045739A1 (de) * 2005-09-23 2007-04-19 Universitätsklinikum Freiburg Osteosynthesehilfsmittel
US20170196508A1 (en) * 2014-06-25 2017-07-13 Canary Medical Inc. Devices, systems and methods for using and monitoring spinal implants
WO2016065205A1 (en) * 2014-10-23 2016-04-28 Ellipse Technologies, Inc. Remotely adjustable interactive bone reshaping implant
US20160374561A1 (en) * 2015-06-26 2016-12-29 Stryker European Holdings I, Llc Bone healing probe
WO2017030900A1 (en) * 2015-08-14 2017-02-23 The Regents Of The University Of California Quantitative tool using impedance spectroscopy to monitor fracture healing

Also Published As

Publication number Publication date
EP3476341A1 (en) 2019-05-01
US20190117285A1 (en) 2019-04-25
JP2019076726A (ja) 2019-05-23

Similar Documents

Publication Publication Date Title
JP7090662B2 (ja) 遠隔調整可能なインタラクティブ骨再形成インプラント
CN109998687B (zh) 骨折复位手术机器人系统及方法
US8870798B2 (en) Systems and methods for treating human joints
JP6964067B2 (ja) 整形外科用インプラント及びリハビリテーションを監視するシステム
EP2114247B1 (en) Processing sensed accelerometer data for determination of bone healing
JP2022500211A (ja) グローイングロッド調整システム及び方法
JP2022535448A (ja) インテリジェント人工関節
Johnson et al. Implantable transducer for two-degree of freedom joint angle sensing
CN103637840A (zh) 遥测矫形植入物
CN103735313A (zh) 一种手术机器人及其状态监测方法
JP2013511357A (ja) 関節治療のための座標マッピングシステム
CN109481095B (zh) 膝关节假体
Nash et al. Implantable biosensors for musculoskeletal health
CN109481096B (zh) 膝关节假体
Bhadra et al. Implementation of an implantable joint-angle transducer.
CN111437021B (zh) 一种智能化骨科外支架系统
CN109692037A (zh) 骨愈合确认装置
KR101445232B1 (ko) 정형외과용 뼈 플레이트
Troyk et al. Design and implementation of an implantable goniometer
CN111437024A (zh) 一种智能化髓内钉系统
CN206138195U (zh) 一种胫骨内侧平台弧形排钉固定装置
CN109009473B (zh) 脊椎创伤定位系统及其定位方法
Magill et al. Automating skeletal expansion: An implant for distraction osteogenesis of the mandible
CN213249598U (zh) 一种智能化骨科外支架系统
CN212521974U (zh) 一种智能化骨科钉棒内固定系统

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination
WD01 Invention patent application deemed withdrawn after publication
WD01 Invention patent application deemed withdrawn after publication

Application publication date: 20190430