CN116035649A - Minimally invasive acetabular rasps for hip replacement - Google Patents
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/1604—Chisels; Rongeurs; Punches; Stamps
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/1659—Surgical rasps, files, planes, or scrapers
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/1662—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1664—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body for the hip
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B2017/1602—Mills
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Abstract
本发明公开了髋关节置换用微创髋臼锉,包括锉头、连接部和手动柄,连接部的上部连接手动柄,连接部的下部连接锉头,连接部包括上连接头、连接杆和下连接头,连接杆为90°弯折杆结构,连接杆的上部连接上连接头,连接杆的下部连接下连接头,上连接头的上部设有上转杆,下连接头的下部设有下转杆,上转杆和下转杆同时转动。本发明的有益效果有:通过90°弯折杆设计,只需要切开两个小的手术创口即可进行锉和锤击的操作,实现了微创手术,大大减小了对患者的损伤;结构简单,操作便捷程度与现有技术相当。
The invention discloses a minimally invasive acetabular file for hip joint replacement, which includes a file head, a connecting part and a manual handle, the upper part of the connecting part is connected with the manual handle, and the lower part of the connecting part is connected with the file head, and the connecting part includes an upper connecting head, a connecting rod and a The lower connecting head, the connecting rod is a 90° bending rod structure, the upper part of the connecting rod is connected to the upper connecting head, the lower part of the connecting rod is connected to the lower connecting head, the upper part of the upper connecting head is provided with an upper turning rod, and the lower part of the lower connecting head is provided with The lower rotating rod, the upper rotating rod and the lower rotating rod rotate simultaneously. The beneficial effects of the present invention are as follows: through the design of the 90° bending rod, only two small surgical wounds need to be cut to carry out the operations of filing and hammering, which realizes minimally invasive surgery and greatly reduces the damage to patients; The structure is simple, and the operation convenience is equivalent to that of the prior art.
Description
技术领域technical field
本发明涉及髋关节置换用微创髋臼锉,属于医疗器械技术领域。The invention relates to a minimally invasive acetabular rasp for hip joint replacement, belonging to the technical field of medical instruments.
背景技术Background technique
髋关节置换是指用生物相容性和机械性能良好的金属材料制成的一种类似人体骨关节的假体,利用手术方法将人工关节置换被疾病或损伤所破坏的关节面,其目的是切除病灶,清除疼痛,恢复关节的活动与原有的功能,重建患者髋关节的正常功能,是一种较成熟、可靠的治疗手段。Hip joint replacement refers to a prosthesis similar to human bone joints made of metal materials with good biocompatibility and mechanical properties. The artificial joint is used to replace the articular surface destroyed by disease or injury by surgical methods. The purpose is to It is a relatively mature and reliable treatment method to resect the lesion, remove the pain, restore the activity and original function of the joint, and rebuild the normal function of the patient's hip joint.
髋关节置换手术时先需要使用髋臼锉在损伤处锉掉损坏的组织,再进行更换假体。股骨关节面占头面积的2/3,嵌入髋臼内,臼的月状面围绕髋臼窝,窝内充填脂肪,在进行置换前需要将髋臼窝打磨,以便于人工假体的接入。现有技术中,在使用髋臼锉进行锉掉损坏组织如图1所示,为了便于进行髋臼锉的操作,需要切开一个很大的手术创口A。大的手术创口对患者来说,切开时易破坏健康的其他组织,损伤大,感染的风险更大,同时恢复起来时间也更长。Hip replacement surgery requires the use of an acetabular rasp to file away damaged tissue at the site of the injury before replacing the prosthesis. The femoral articular surface occupies 2/3 of the head area and is embedded in the acetabulum. The lunate surface of the socket surrounds the acetabular fossa, and the fossa is filled with fat. Before the replacement, the acetabular fossa needs to be polished to facilitate the insertion of the artificial prosthesis . In the prior art, when using an acetabular reamer to file out damaged tissue, as shown in FIG. 1 , in order to facilitate the operation of the acetabular reamer, a large surgical wound A needs to be cut. For patients with large surgical wounds, it is easy to damage other healthy tissues during incision, resulting in greater damage, greater risk of infection, and longer recovery time.
发明内容Contents of the invention
本发明要解决的技术问题,在于提供髋关节置换用微创髋臼锉,该微创髋臼锉通过90°弯折杆设计,只需要切开两个小的手术创口即可进行锉和锤击的操作,实现了微创手术,大大减小了对患者的损伤。The technical problem to be solved by the present invention is to provide a minimally invasive acetabular file for hip joint replacement. The minimally invasive acetabular file is designed with a 90° bending rod, and only needs to cut two small surgical wounds to perform file and hammer. The single-shot operation realizes minimally invasive surgery and greatly reduces the damage to the patient.
本发明通过下述方案实现:髋关节置换用微创髋臼锉,包括锉头、连接部和手动柄,所述连接部的上部连接所述手动柄,所述连接部的下部连接锉头,所述连接部包括上连接头、连接杆和下连接头,所述连接杆为90°弯折杆结构,所述连接杆的上部连接所述上连接头,所述连接杆的下部连接所述下连接头,所述上连接头的上部设有上转杆,所述下连接头的下部设有下转杆,所述上转杆和所述下转杆同时转动。The present invention is realized through the following scheme: a minimally invasive acetabular file for hip joint replacement, including a file head, a connecting part and a manual handle, the upper part of the connecting part is connected to the manual handle, and the lower part of the connecting part is connected to the file head, The connecting part includes an upper connecting head, a connecting rod and a lower connecting head, the connecting rod is a 90° bent rod structure, the upper part of the connecting rod is connected to the upper connecting head, and the lower part of the connecting rod is connected to the The lower connecting head, the upper part of the upper connecting head is provided with an upper rotating rod, the lower part of the lower connecting head is provided with a lower rotating rod, and the upper rotating rod and the lower rotating rod rotate simultaneously.
所述上连接头和所述下连接头之间设有可拆卸的支撑杆。A detachable support rod is provided between the upper connector and the lower connector.
所述连接杆的竖直部分与手动柄的夹角为40°。The angle between the vertical part of the connecting rod and the manual handle is 40°.
所述连接杆内部为空心结构,所述连接杆内部设有传动连接机构,所述上转杆通过所述连接杆内部的所述传动连接机构与所述下转杆连接。The inside of the connecting rod is a hollow structure, and the inside of the connecting rod is provided with a transmission connection mechanism, and the upper rotation rod is connected with the lower rotation rod through the transmission connection mechanism inside the connection rod.
所述上转杆穿过所述上连接头与所述传动连接机构连接,所述下转杆穿过所述下连接头与所述传动连接机构连接。The upper rotating rod is connected to the transmission connection mechanism through the upper connection head, and the lower rotation rod is connected to the transmission connection mechanism through the lower connection head.
所述上转杆插入到所述手动柄内,所述下转杆插入到所述锉头内。The upper rotating rod is inserted into the manual handle, and the lower rotating rod is inserted into the file head.
所述上转杆上部为螺纹结构,通过螺纹连接到所述手动柄内。The upper part of the upper turning rod is a threaded structure, which is threaded into the manual handle.
所述下转杆下部为螺纹结构,通过螺纹连接到所述锉头内。The lower part of the lower turning rod is a threaded structure, which is connected into the file head through threads.
所述支撑杆中上部设有长度调节机构,所述上连接头的下端和所述下连接头的上端均开有凹槽,所述支撑杆两端分别插入到对应的所述凹槽内。The upper part of the support rod is provided with a length adjustment mechanism, the lower end of the upper connector and the upper end of the lower connector are both provided with grooves, and the two ends of the support rod are respectively inserted into the corresponding grooves.
本发明的有益效果为:The beneficial effects of the present invention are:
1、本发明髋关节置换用微创髋臼锉通过90°弯折杆设计,只需要切开两个小的手术创口即可进行锉和锤击的操作,实现了微创手术,大大减小了对患者的损伤;1. The minimally invasive acetabular file for hip joint replacement of the present invention is designed with a 90° bending rod, and only needs to cut two small surgical wounds to perform file and hammering operations, realizing minimally invasive surgery and greatly reducing damage to the patient;
2、本发明髋关节置换用微创髋臼锉结构简单,操作便捷程度与现有技术相当。2. The minimally invasive acetabular reamer for hip joint replacement of the present invention has a simple structure, and its operation convenience is equivalent to that of the prior art.
附图说明Description of drawings
图1为本发明髋关节置换用微创髋臼锉的现有技术示意图。Fig. 1 is a schematic diagram of the prior art of a minimally invasive acetabular reamer for hip joint replacement according to the present invention.
图2为本发明髋关节置换用微创髋臼锉的正视爆炸结构示意图。Fig. 2 is a front view exploded schematic diagram of the minimally invasive acetabular reamer for hip joint replacement of the present invention.
图3为本发明髋关节置换用微创髋臼锉的正视结构示意图。Fig. 3 is a front view schematic diagram of the minimally invasive acetabular rasp for hip joint replacement of the present invention.
图4为本发明髋关节置换用微创髋臼锉的实施例一的使用状态示意图。Fig. 4 is a schematic diagram of the use state of
图5为本发明髋关节置换用微创髋臼锉的实施例二的正式结构示意图。Fig. 5 is a formal structural schematic diagram of
图6为本发明髋关节置换用微创髋臼锉的实施例二的使用状态示意图。Fig. 6 is a schematic diagram of the use state of
图7为本发明髋关节置换用微创髋臼锉的实施例三的爆炸结构示意图。Fig. 7 is a schematic exploded structure diagram of
图中:1为锉头,2为连接部,3为手动柄,4为上转杆,5为下转杆,6为支撑杆,7为长度调节机构,8为凹槽,9为手术创口A,10为手术创口B,11为手术创口C,21为上连接头,22为连接杆,23为下连接头。In the figure: 1 is the file head, 2 is the connecting part, 3 is the manual handle, 4 is the up-rotating rod, 5 is the down-rotating rod, 6 is the support rod, 7 is the length adjustment mechanism, 8 is the groove, and 9 is the surgical wound A, 10 is the surgical wound B, 11 is the surgical wound C, 21 is the upper connector, 22 is the connecting rod, and 23 is the lower connector.
实施方式Implementation
下面结合图1对本发明进一步说明,但本发明保护范围不局限所述内容。The present invention will be further described below in conjunction with FIG. 1 , but the protection scope of the present invention is not limited to the content.
其中相同的零部件用相同的附图标记表示。需要说明的是,下面描述中使用的词语“前”、“后”、“左”、“右”、“上”和“下”指的是附图中的方向,词语“内”和“外”分别指的是朝向或远离特定部件几何中心的方向,且附图均采用非常简化的形式且均使用非精准的比率,仅用以方便、明晰地辅助说明本发明实施例的目的。Wherein the same components are denoted by the same reference numerals. It should be noted that the words "front", "rear", "left", "right", "upper" and "lower" used in the following description refer to the directions in the drawings, and the words "inner" and "outer "respectively refer to directions toward or away from the geometric center of a specific component, and the drawings are all in a very simplified form and use inaccurate ratios, which are only used to facilitate and clearly assist the purpose of illustrating the embodiments of the present invention.
为了清楚,不描述实际实施例的全部特征,在下列描述中,不详细描述公知的功能和结构,因为它们会使本发明由于不必要的细节而混乱,应当认为在任何实际实施例的开发中,必须做出大量实施细节以实现开发者的特定目标,例如按照有关系统或有关商业的限制,由一个实施例改变为另一个实施例,另外,应当认为这种开发工作可能是复杂和耗费时间的,但是对于本领域技术人员来说仅仅是常规工作。For the sake of clarity, not all features of an actual embodiment are described. In the following description, well-known functions and constructions are not described in detail since they would obscure the invention with unnecessary detail and should be considered in the development of any actual embodiment. , a great deal of implementation detail must be worked out to achieve the developer's specific goals, such as changing from one embodiment to another in accordance with system-related or business-related constraints, and it should also be recognized that such development work may be complex and time-consuming Yes, but just routine work for those skilled in the art.
实施例一:如图2和图3所示,髋关节置换用微创髋臼锉,包括锉头1、连接部2和手动柄3,连接部2的上部连接手动柄3,连接部2的下部连接锉头1,连接部2包括上连接头21、连接杆22和下连接头23,连接杆22为90°弯折杆结构,连接杆22的上部连接上连接头21,连接杆22的下部连接下连接头23,上连接头21的上部设有上转杆4,下连接头23的下部设有下转杆5,上连接头21和下连接头23之间设有可拆卸的支撑杆6,支撑杆6卡在上连接头21和下连接头23之间,连接杆22的竖直部分与手动柄3的夹角为40°。Embodiment 1: As shown in Figure 2 and Figure 3, the minimally invasive acetabular file for hip joint replacement includes a
上转杆4插入到手动柄3内,下转杆5插入到锉头1内,插入固定的方式为螺纹连接,上转杆4上部为螺纹结构,通过螺纹连接到手动柄3内,下转杆5下部为螺纹结构,通过螺纹连接到锉头1内。The upper rotating
连接杆22内部为空心结构,连接杆22内部设有传动连接机构,上转杆4通过连接杆22内部的传动连接机构与下转杆5连接,上转杆4穿过上连接头21与传动连接机构连接,下转杆5穿过下连接头23与传动连接机构连接,这使得上转杆4和下转杆5可同时转动。The inside of the connecting
进行敲击操作时使用状态如图4,切口手术创口B10和手术创口C,将锉头1伸入手术创口B10到髋臼处,然后将支撑杆6伸入手术创口C中,置于上连接头21和下连接头23之间,这样整个支撑部2形成了一个稳定的三角形,在敲击时不会因为连接杆22的弯曲结构而导致敲击出现偏移。The state of use during the percussion operation is shown in Figure 4, the surgical wound B10 and the surgical wound C are cut, the
实施例二:如图5所述,髋关节置换用微创髋臼锉,包括锉头1、连接部2和手动柄3,连接部2的上部连接手动柄3,连接部2的下部连接锉头1,连接部2包括上连接头21、连接杆22和下连接头23,连接杆22为90°弯折杆结构,连接杆22的上部连接上连接头21,连接杆22的下部连接下连接头23,上连接头21的上部设有上转杆4,下连接头23的下部设有下转杆5,连接杆22的竖直部分与手动柄3的夹角为40°。Embodiment 2: As shown in Figure 5, the minimally invasive acetabular file for hip joint replacement includes a
上转杆4插入到手动柄3内,下转杆5插入到锉头1内,插入固定的方式为螺纹连接,上转杆4上部为螺纹结构,通过螺纹连接到手动柄3内,下转杆5下部为螺纹结构,通过螺纹连接到锉头1内。The upper rotating
连接杆22内部为空心结构,连接杆22内部设有传动连接机构,上转杆4通过连接杆22内部的传动连接机构与下转杆5连接,上转杆4穿过上连接头21与传动连接机构连接,下转杆5穿过下连接头23与传动连接机构连接,这使得上转杆4和下转杆5可同时转动。The inside of the connecting
进行锉操作时,使用状态如图6,切口手术创口B,将锉头1伸入到髋臼处,医生可通过旋转手动柄3依次通过上转杆4、传动连接机构连接、下转杆5的传动作用使得锉头1转动,即可实现微创装下进行了手术操作。When performing file operation, the use state is shown in Figure 6, the incision is surgical wound B, and the
实施例三:如图7所示,支撑杆6中上部设有长度调节机构7,上连接头21的下端和下连接头23的上端均开有凹槽8,支撑杆6两端分别插入到对应的凹槽8内。Embodiment 3: As shown in Figure 7, a
在使用时,切口手术创口B10和手术创口C,将锉头1伸入手术创口B10到髋臼处,然后将支撑杆6伸入手术创口C中并插入到下连接头23的凹槽8内,然后调节长度调节机构7,使得支撑杆6的上端插入到上连接头21的凹槽8内,这样支撑杆就固定在上连接头21和下连接头23之间,这样整个支撑部2形成了一个稳定的三角形,在敲击时不会因为连接杆22的弯曲结构而导致敲击出现偏移。When in use, cut the surgical wound B10 and surgical wound C, extend the
尽管已经对本发明的技术方案做了较为详细的阐述和列举,应当理解,对于本领域技术人员来说,对上述实施例做出修改或者采用等同的替代方案,这对本领域的技术人员而言是显而易见,在不偏离本发明精神的基础上所做的这些修改或改进,均属于本发明要求保护的范围。Although the technical solutions of the present invention have been elaborated and listed in detail, it should be understood that for those skilled in the art, it is necessary for those skilled in the art to make modifications to the above-mentioned embodiments or adopt equivalent alternatives. Obviously, the modifications or improvements made on the basis of not departing from the spirit of the present invention all belong to the protection scope of the present invention.
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
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| US20220133504A1 (en) * | 2019-02-27 | 2022-05-05 | Zimmer, Inc. | Tool for reaming a carpal bone |
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| CN210673646U (en) * | 2019-06-05 | 2020-06-05 | 江阴市人民医院 | Auxiliary leg fixing device for lateral lying after hip replacement |
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| CN103230297A (en) * | 2013-05-09 | 2013-08-07 | 陆声 | Acetabulum file |
| CN106551736A (en) * | 2015-09-30 | 2017-04-05 | 北京纳通科技集团有限公司 | Hold handle and hit handle device |
| CN206080624U (en) * | 2016-07-01 | 2017-04-12 | 胡军 | Take acetabular bone file of angle suitable for full hip joint replacement of wicresoft |
| CN209253477U (en) * | 2018-09-30 | 2019-08-16 | 广州中医药大学第一附属医院 | Non-sterile hip replacement surgery platform |
| CN210673646U (en) * | 2019-06-05 | 2020-06-05 | 江阴市人民医院 | Auxiliary leg fixing device for lateral lying after hip replacement |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20220133504A1 (en) * | 2019-02-27 | 2022-05-05 | Zimmer, Inc. | Tool for reaming a carpal bone |
| US12232979B2 (en) * | 2019-02-27 | 2025-02-25 | Zimmer, Inc. | Tool for reaming a carpal bone |
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