CN116509500A - Bendable structure and vertebral plate forming abrasive drill thereof - Google Patents
Bendable structure and vertebral plate forming abrasive drill thereof Download PDFInfo
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- 238000003475 lamination Methods 0.000 claims abstract description 76
- 230000001681 protective effect Effects 0.000 claims description 7
- 238000013461 design Methods 0.000 claims description 2
- 238000003384 imaging method Methods 0.000 claims description 2
- 229910017052 cobalt Inorganic materials 0.000 claims 1
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- GUTLYIVDDKVIGB-UHFFFAOYSA-N cobalt atom Chemical compound [Co] GUTLYIVDDKVIGB-UHFFFAOYSA-N 0.000 claims 1
- 238000005452 bending Methods 0.000 abstract description 12
- 230000006870 function Effects 0.000 abstract description 5
- 239000000463 material Substances 0.000 description 9
- 238000010586 diagram Methods 0.000 description 8
- 230000006837 decompression Effects 0.000 description 6
- 238000007493 shaping process Methods 0.000 description 6
- 238000001356 surgical procedure Methods 0.000 description 6
- 208000005198 spinal stenosis Diseases 0.000 description 5
- 229910052751 metal Inorganic materials 0.000 description 4
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- 230000002390 hyperplastic effect Effects 0.000 description 1
- 238000002684 laminectomy Methods 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
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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
- A61B17/1671—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body for the spine
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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
- A61B17/1613—Component parts
- A61B17/1631—Special drive shafts, e.g. flexible shafts
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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
- A61B2017/1602—Mills
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Abstract
Description
技术领域technical field
本公开涉及医疗技术设备领域,特别涉及一种可弯曲结构及其椎板成型磨钻。The disclosure relates to the field of medical technology equipment, in particular to a bendable structure and a lamina forming burr.
背景技术Background technique
椎管狭窄症是各种原因引起的椎体及软组织发生组织形态结构变化,导致椎管、椎间孔及侧隐窝狭窄,使神经受到压迫,引起的一系列临床症状的疾病。椎管狭窄症的传统手术治疗方法为椎板切除术,以达到椎管充分减压,但该手术方式对脊柱后部结构的破坏大,减压的潜在风险是易造成脊柱稳定性的破坏。经皮内窥镜下椎管减压手术是今后椎管狭窄症外科治疗的发展方向,其优点是能减少出血、减少对椎旁肌肉的剥离及损伤以及减少术后在硬膜外及神经根附近瘢痕组织的形成,能早期恢复功能锻炼,减少患者的住院时间。Spinal stenosis is a series of clinical symptoms caused by changes in the structure of the vertebral body and soft tissues due to various reasons, resulting in narrowing of the spinal canal, intervertebral foramen and lateral recesses, compression of the nerves, and a series of clinical symptoms. The traditional surgical treatment method for spinal stenosis is laminectomy to achieve full decompression of the spinal canal, but this surgical method has great damage to the posterior structure of the spine, and the potential risk of decompression is that it is easy to cause damage to the stability of the spine. Percutaneous endoscopic decompression of the spinal canal is the development direction of the surgical treatment of spinal stenosis in the future. Its advantages are that it can reduce bleeding, reduce the stripping and damage of paravertebral muscles, and reduce postoperative epidural and nerve root damage. The formation of nearby scar tissue can restore functional exercise early and reduce the hospitalization time of patients.
但该手术高度依赖于医疗人员的操作精度,医护人员接受专业培训后可以配合机器人进行手术,可以缩短医护人员的学习时间,提高操作的精准性和稳定性。但术中CT定位增加了患者所接受的辐射剂量,且长时间应用导航系统实施定位可能发生体位变化,出现“漂移”现象,缺少实时影像监控,从而产生误差。现有的成型磨钻也没办法根据术点进行弯曲清除椎板,不能有效精准减压,增加了手术后遗症风险。因此,临床上迫切需要可以在椎管狭窄症外科治疗根据临床需要弯曲至术点并实施有效精准减压的磨钻。However, this operation is highly dependent on the operation accuracy of medical personnel. After receiving professional training, medical personnel can cooperate with robots to perform surgery, which can shorten the learning time of medical personnel and improve the accuracy and stability of operation. However, intraoperative CT positioning increases the radiation dose received by the patient, and long-term positioning using the navigation system may cause body position changes, "drift" phenomenon, and lack of real-time image monitoring, resulting in errors. The existing forming burr can't bend and remove the lamina according to the operation point, and can't effectively and accurately decompress, which increases the risk of surgical sequelae. Therefore, there is an urgent clinical need for a burr that can be bent to the operative point according to clinical needs and implement effective and precise decompression in the surgical treatment of spinal stenosis.
发明内容Contents of the invention
本公开的目的是提供一种可根据临床需要进行弯曲的可弯曲结构及包含所述可弯曲结构的椎板成型磨钻,通过可弯曲结构实现侧弯,屈曲和伸长等操作,将磨钻的磨头移至目标靶点附近,并根据使用需要调整磨头的角度,在椎管狭窄症外科治疗中实现精准清楚碎骨,有效减压,减少手术创伤。The purpose of the present disclosure is to provide a bendable structure that can be bent according to clinical needs and a lamina forming burr containing the bendable structure, through which operations such as side bending, buckling and elongation can be realized, and the burr's The grinding head moves to the vicinity of the target point, and the angle of the grinding head is adjusted according to the needs of use, so as to achieve precise clearing of bone fragments, effective decompression and reduction of surgical trauma in the surgical treatment of spinal stenosis.
为了实现上述目的,本公开提供了一种可弯曲结构,包括:In order to achieve the above purpose, the present disclosure provides a bendable structure, including:
第一壳体;所述第一壳体的一端设有角度控制件;所述角度控制件设有第一通孔;A first housing; one end of the first housing is provided with an angle control member; the angle control member is provided with a first through hole;
中心轴,所述中心轴的一端固定至到所述第一壳体的内部,所述中心轴的另一端穿过第一通孔并从所述第一壳体伸出;a central shaft, one end of the central shaft is fixed to the inside of the first housing, and the other end of the central shaft passes through the first through hole and protrudes from the first housing;
多个环形叠片,所述环形叠片的中心设有第二通孔,所述环形叠片的外缘沿圆周方向设有多个第三通孔,每个环形叠片沿着中心轴的轴向方向间隔距离L设置,所述中心轴依次通过各个环形叠片的第二通孔将各个环形叠片串联连接且所述第二通孔的直径和所述中心轴的直径尺寸相当;A plurality of annular laminations, the center of the annular laminations is provided with a second through hole, and the outer edge of the annular laminations is provided with a plurality of third through holes along the circumferential direction, each annular lamination along the center axis The axial direction is set at a distance L, and the central shaft sequentially passes through the second through holes of each annular lamination to connect each annular lamination in series, and the diameter of the second through hole is equivalent to the diameter of the central shaft;
多根牵引绳,每根牵引绳的一端分别固定至第一个环形叠片,每根牵引绳依次穿过每个环形叠片的一个对应的第三通孔,每根牵引绳的另一端分别固定至所述角度控制件。A plurality of traction ropes, one end of each traction rope is respectively fixed to the first annular lamination, each traction rope passes through a corresponding third through hole of each annular lamination in turn, and the other end of each traction rope is respectively Secured to the angle control.
在某些实施例中,每个环形叠片的每个第三通孔到环形叠片的中心的径向距离相等,每个环形叠片上每两个第三通孔的圆周间距相等。In some embodiments, the radial distances from each third through hole of each annular lamination to the center of the annular lamination are equal, and the circumferential distances between every two third through holes on each annular lamination are equal.
在某些实施例中,每个环形叠片上第三通孔数量至少为4个。In some embodiments, there are at least four third through holes on each annular lamination.
在某些实施例中,所述角度控制件包括多个角度控制旋钮,所述角度控制旋钮的数量和所述牵引绳的数量一致。In some embodiments, the angle control member includes a plurality of angle control knobs, and the number of the angle control knobs is the same as the number of the pull ropes.
在某些实施例中,所述第一壳体为中空设计并形成第一内腔,第一壳体和第一内腔间设有第一盲孔,所述第一盲孔挨近角度控制件的一侧设有第一开口,所述第一盲孔内设有第一驱动装置,所述中心轴的一端通过第一开口固定至所述第一驱动装置。In some embodiments, the first housing is hollow and forms a first inner cavity, a first blind hole is provided between the first housing and the first inner cavity, and the first blind hole is close to the angle control member A first opening is provided on one side of the first blind hole, a first driving device is provided in the first blind hole, and one end of the central shaft is fixed to the first driving device through the first opening.
在某些实施例中,还包括中空导套,丝杆,丝杆螺母;所述丝杆螺母套接于所述丝杆,所述第一盲孔内设有第一轴承,所述丝杆连接至所述第一轴承的一侧,所述第一轴承的另一侧连接至所述第一驱动装置,所述中空导套套设于中心轴,所述中空导套固定安装至丝杆螺母。In some embodiments, it also includes a hollow guide sleeve, a screw rod, and a screw nut; the screw nut is sleeved on the screw rod, a first bearing is arranged in the first blind hole, and the screw rod One side of the first bearing is connected, the other side of the first bearing is connected to the first driving device, the hollow guide sleeve is sleeved on the central shaft, and the hollow guide sleeve is fixedly installed on the screw nut .
本公开还提供了一种椎板成型磨钻,包括上述任一种可弯曲结构,还包括:第二壳体,所述第二壳体为中空设计并形成第二内腔,第二壳体和第二内腔间设有第二盲孔,所述中心轴从第一壳体伸出的一端连接至所述第二盲孔的一侧,所述第二盲孔中相对应的另一侧设有第二开口,所述第二开口与中心轴在同一水平面上;所述第二盲孔中一侧设有第二驱动装置,所述第二盲孔中相对应的另一侧设有第二轴承;The present disclosure also provides a lamina forming burr, which includes any of the above-mentioned bendable structures, and also includes: a second shell, the second shell is hollow and forms a second inner cavity, the second shell A second blind hole is provided between the second inner cavity, and one end of the central shaft protruding from the first housing is connected to one side of the second blind hole, and the corresponding other of the second blind hole A second opening is provided on the side, and the second opening is on the same level as the central axis; a second driving device is provided on one side of the second blind hole, and a second drive device is provided on the corresponding other side of the second blind hole. with a second bearing;
钻头,所述钻头包括杆部和磨头,所述杆部的一端经过第二开口通过第二轴承连接至所述第二驱动装置,所述杆部的另一端与磨头连接。A drill bit, the drill bit includes a rod and a grinding head, one end of the rod is connected to the second driving device through a second bearing through the second opening, and the other end of the rod is connected to the grinding head.
连接件,所述连接件为中空设计并将第二壳体连接至所述第一壳体。A connecting piece, the connecting piece is hollow and connects the second shell to the first shell.
在某些实施例中,所述连接件为弹性伸缩软管。In some embodiments, the connector is an elastic flexible hose.
在某些实施例中,所述第二容腔内挨近磨头的第二壳体侧面设有光源及摄像装置。In some embodiments, a light source and an imaging device are provided in the second cavity near the side of the second housing of the grinding head.
在某些实施例中,所述第二壳体挨近磨头的一侧外部套设有保护套。In some embodiments, a protective sleeve is sheathed on the side of the second housing close to the grinding head.
有益效果Beneficial effect
本公开的可弯曲结构及其椎板成型磨钻,针对经腰椎侧路椎间孔实行椎管减压,将可弯曲的磨钻通过靶节段下方椎孔伸入椎管内,可弯曲的椎板成型磨钻可以根据临床情况实现侧弯,屈伸和伸缩活动使得,磨钻可以精准抵达目标靶点并精准磨除增生的内侧椎板,以期减少手术创伤,在不破坏椎板完整性的情况下达到精准有效的减压效果,适用于脊柱外科手术中对骨性狭窄的高效刨削与精准磨削,大大提高手术效率和手术安全性。The bendable structure and the lamina forming burr of the present disclosure are used to decompress the intervertebral foramen through the lumbar lateral approach, and the bendable burr is inserted into the spinal canal through the vertebral hole below the target segment, and the bendable The lamina shaping drill can realize lateral bending, flexion and extension and telescopic activities according to the clinical situation, so that the drill can accurately reach the target point and accurately grind away the hyperplastic medial lamina, so as to reduce surgical trauma without destroying the integrity of the lamina Accurate and effective decompression effect can be achieved under certain circumstances, and it is suitable for efficient planing and precise grinding of bony stenosis in spinal surgery, which greatly improves surgical efficiency and surgical safety.
附图说明Description of drawings
图1是本公开优选实施例的椎板成型磨钻的纵切面剖视图;Fig. 1 is a longitudinal sectional view of a lamina forming burr according to a preferred embodiment of the present disclosure;
图2是本公开优选实施例的椎板成型磨钻的立体结构示意图;Fig. 2 is a schematic diagram of the three-dimensional structure of the lamina forming burr in a preferred embodiment of the present disclosure;
图3是本公开优选实施例的椎板成型磨钻处于伸长状态的示意图Fig. 3 is a schematic diagram of the lamina shaping burr in an extended state according to a preferred embodiment of the present disclosure
图4是本公开优选实施例的椎板成型磨钻处于屈曲状态的示意图;Fig. 4 is a schematic diagram of a lamina forming burr in a buckled state according to a preferred embodiment of the present disclosure;
图5是本公开优选实施例的椎板成型磨钻处于侧弯状态的示意图;Fig. 5 is a schematic diagram of a lamina forming burr in a lateral bending state according to a preferred embodiment of the present disclosure;
图6是本公开优选实施例的椎板成型磨钻抵达目标靶点的示意图;Fig. 6 is a schematic diagram of the lamina forming burr reaching the target point according to a preferred embodiment of the present disclosure;
图7是本公开优选实施例的椎板成型磨钻磨除椎板的示意图;Fig. 7 is a schematic diagram of removing the lamina by the lamina forming mill of the preferred embodiment of the present disclosure;
图8是本公开优选实施例的椎板成型磨钻移除椎板的示意图。Fig. 8 is a schematic diagram of a lamina shaping burr removing a lamina according to a preferred embodiment of the present disclosure.
其中11、第一壳体;111、第一内腔;112、第一盲孔;1121、第一开口;21、角度控制件;211、第一通孔;31、中心轴;41、环形叠片;411、第二通孔;412、第三通孔;51、牵引绳;61、第一驱动装置;71、中空导套;81、丝杆;91、丝杆螺母;101、第一轴承;11a、第二壳体;111a、第二内腔;112a、第二盲孔;1121a、第二开口;61a、第二驱动装置;101a、第二轴承;20、钻头;201、杆部;202、磨头;30、连接件;40、光源及摄像装置;50、保护套;11, the first shell; 111, the first inner cavity; 112, the first blind hole; 1121, the first opening; 21, the angle control member; 211, the first through hole; 31, the central axis; 41, the ring stack 411, second through hole; 412, third through hole; 51, traction rope; 61, first driving device; 71, hollow guide sleeve; 81, screw rod; 91, screw nut; 101, first bearing ; 11a, the second shell; 111a, the second inner cavity; 112a, the second blind hole; 1121a, the second opening; 61a, the second driving device; 101a, the second bearing; 20, the drill bit; 201, the rod; 202. Grinding head; 30. Connector; 40. Light source and camera device; 50. Protective cover;
L、每两个环形叠片沿着中心轴的轴向间隔距离。L, the axial distance between every two annular laminations along the central axis.
具体实施方式Detailed ways
下面结合附图和实施例,对本公开的具体实施方式作进一步详细描述。以下实施例用于说明本公开,但不用来限制本公开的范围。The specific implementation manners of the present disclosure will be further described in detail below with reference to the drawings and embodiments. The following examples are used to illustrate the present disclosure, but not to limit the scope of the present disclosure.
图1是本公开优选实施例的椎板成型磨钻的纵切面剖视图。如图1所示,可弯曲结构包括第一壳体11;第一壳体11的一端设有角度控制件21;角度控制件21设有第一通孔211;中心轴31的一端固定至到第一壳体11的内部,中心轴31的另一端穿过第一通孔211并从第一壳体11伸出;多个环形叠片41的中心设有第二通孔411,环形叠片41的外缘沿圆周方向设有多个第三通孔412,每个环形叠片41沿着中心轴31的轴向方向间隔距离L设置,中心轴31依次通过各个环形叠片41的第二通孔412将各个环形叠片41串联连接;多牵引绳51,且中心轴31的直径和第三通孔412的直径尺寸相当,其中每根牵引绳51的一端分别固定至第一个环形叠片41,每根牵引绳51依次穿过每个环形叠片41的一个对应的第三通孔412,每根牵引绳51的另一端分别固定至角度控制件21。在本实施例中,每根牵引绳51依次穿过每个环形叠片41的一个对应的第三通孔412指的是,在每个环形叠片41都依次串联起来后,每个环形叠片41上的第二通孔411和第三通孔412的数量和位置排列已一一对应,每个牵引绳51的起点都固定至距离角度控制件21最远的环形叠片41,然后每个牵引绳51会依次通过每个环形叠片41的一个且仅一个第三通孔412,最优的方案是每个牵引绳51穿过每个环形叠片41已经对应的一个第三通孔412,第三通孔412的直径和中心轴31的直径尺寸相当。在本申请中,尺寸相当是指第三通孔412的直径和中心轴31的直径相等,或者第三通孔412的直径略微大于中心轴31的直径,使得当环形叠片41套设于中心轴31时,环形叠片41可以沿着中心轴31轻微移动,当环形叠片41由垂直于中心轴31的方向发生倾斜时,环形叠片41在中心轴31的位置不会发生偏移而是会带动中心轴31进行弯曲。当某根牵引绳51受到牵拉时,就会使得本申请的弯曲结构朝向受到牵拉的牵引绳51对应的方向弯曲。Fig. 1 is a longitudinal sectional view of a lamina shaping burr according to a preferred embodiment of the present disclosure. As shown in Figure 1, the bendable structure includes a first shell 11; one end of the first shell 11 is provided with an angle control member 21; the angle control member 21 is provided with a first through hole 211; one end of the central shaft 31 is fixed to the Inside the first housing 11, the other end of the central shaft 31 passes through the first through hole 211 and stretches out from the first housing 11; the center of a plurality of annular laminations 41 is provided with a second through hole 411, and the annular laminations The outer edge of 41 is provided with a plurality of third through holes 412 along the circumferential direction, and each annular lamination 41 is arranged at a distance L along the axial direction of the central axis 31, and the central axis 31 passes through the second of each annular lamination 41 in turn. The through hole 412 connects each annular stack 41 in series; there are multiple traction ropes 51, and the diameter of the central shaft 31 is equivalent to the diameter of the third through hole 412, wherein one end of each traction rope 51 is fixed to the first annular stack respectively. Each traction rope 51 passes through a corresponding third through hole 412 of each annular lamination 41 in turn, and the other end of each traction rope 51 is respectively fixed to the angle control member 21 . In this embodiment, each traction rope 51 sequentially passes through a corresponding third through hole 412 of each annular stack 41, which means that after each annular stack 41 is connected in series, each annular stack The number and position of the second through hole 411 and the third through hole 412 on the sheet 41 have been arranged in one-to-one correspondence, and the starting point of each traction rope 51 is fixed to the annular lamination 41 farthest from the angle control member 21, and then every Each traction rope 51 will pass through one and only one third through hole 412 of each annular lamination 41 in turn, and the optimal solution is that each traction rope 51 passes through a corresponding third through hole of each annular lamination 41 412 , the diameter of the third through hole 412 is equivalent to the diameter of the central axis 31 . In this application, equivalent size means that the diameter of the third through hole 412 is equal to the diameter of the central axis 31, or that the diameter of the third through hole 412 is slightly larger than the diameter of the central axis 31, so that when the annular lamination 41 is sleeved in the center axis 31, the annular laminations 41 can move slightly along the central axis 31, and when the annular laminations 41 are tilted from the direction perpendicular to the central axis 31, the position of the annular laminations 41 on the central axis 31 will not deviate. It will drive the central axis 31 to bend. When a certain traction rope 51 is pulled, the bending structure of the present application will bend toward the direction corresponding to the pulled traction rope 51 .
在本实施例中,第一个环形叠片41至角度控制件21为本申请的可弯曲结构进行伸长和屈曲的长度,其范围在5-25mm,本申请的环形叠片41的半径R为1.5-3mm。金属叠片采用4-8个为佳,每两个环形叠片41沿中心轴31的方向的间隔L为,L的值不宜过小,即环形叠片41的排列不宜过密,会影响本申请的可弯曲结构进行弯曲的灵活度。In this embodiment, the first annular lamination 41 to the angle control member 21 is the length of elongation and buckling of the bendable structure of the present application, and its range is 5-25mm. The radius R of the annular lamination 41 of the present application 1.5-3mm. It is better to adopt 4-8 metal laminations, and the interval L between every two annular laminations 41 along the direction of the central axis 31 is , and the value of L should not be too small, that is, the arrangement of the annular laminations 41 should not be too dense, which will affect the The bendable structure of the application performs bending flexibility.
本公开所述的“中心轴”由兼具刚性和回弹性材料,其可以满足当磨钻处于未工作状态时,中心轴31的硬度可以支撑其处于类似于直线的状态,在牵引绳51受到牵拉时,其柔软性可以向收到牵拉的牵引绳51方向弯曲,在受到牵拉的牵引绳51由被牵拉状态回归至自然状态时,中心轴31由弯曲状态逐步回归至直线的状态。在本实施例中,中心轴的材料可以选为钛合金,PLA材料等。The “central shaft” described in this disclosure is made of a material with both rigidity and resilience, which can satisfy the hardness of the central shaft 31 to support it in a state similar to a straight line when the drill is in a non-working state. When pulling, its softness can be bent toward the pulled rope 51. When the pulled rope 51 returns to the natural state from the pulled state, the central axis 31 gradually returns to the straight line from the bent state. state. In this embodiment, the material of the central shaft can be selected from titanium alloy, PLA material and the like.
在本实施例中,环形叠片41由硬质的材料支撑,例如金属,使得环形叠片41的任一第三通孔412收到牵引绳51的幸拉时,环形叠片41不产生变形,并可以随着牵引绳51的拉扯而进行倾斜,并带动中心轴31进行弯曲。在本实施例中,环形叠片41的材质为金属,所述环形金属叠片大小一致,中心轴31经过所述环金属叠片经过第二通孔411串联连接后,相当于多个环形金属叠片依次套设在所述中心轴31上。在本实施例中,角度控制件21为角度控制旋钮。,角度控制旋钮的数量和牵引绳51的数量一致,每根牵引绳51分别连接至与其对应的角度控制旋钮,每个角度控制旋钮可以控制与其对应的牵引绳51的拉紧或者放松,从而实现向拉紧的牵引绳51方向弯曲或自被牵拉的牵引绳51的方向归位至自然状态。In this embodiment, the annular lamination 41 is supported by a hard material, such as metal, so that when any third through hole 412 of the annular lamination 41 is pulled by the traction rope 51, the annular lamination 41 does not deform , and can tilt along with the pull of the traction rope 51, and drive the central axis 31 to bend. In this embodiment, the material of the ring-shaped laminations 41 is metal, and the sizes of the ring-shaped metal laminations are the same. The laminations are sheathed on the central shaft 31 in turn. In this embodiment, the angle control member 21 is an angle control knob. , the number of angle control knobs is consistent with the number of traction ropes 51, and each traction rope 51 is connected to its corresponding angle control knob, and each angle control knob can control the tension or relaxation of its corresponding traction rope 51, thereby realizing Bending toward the tensioned pull rope 51 or returning to the natural state from the pulled pull rope 51 direction.
在本实施例中,每个环形叠片41上第三通孔数量为4个,每个环形叠片41的每个第三通孔412到环形叠片41的中心的径向距离相等,每个环形叠片41上每两个第三通孔412的圆周间距相等,使得本申请的可弯曲结构尽可能向各个方向侧弯,实现全方位的弯曲。需要说明的是,每个环形叠片41的第三通孔412的数量越多,牵引绳51的数量越多,其转弯的角度控制越精确,相应的配件越多,控制越复杂,成本越高,在实际应用中,每个环形叠片41上的第三通孔的数量可以设置为6个,8个等也可能实现各个角度可以实现精确的侧弯,也更方便控制。In this embodiment, the number of third through holes on each annular lamination 41 is four, and the radial distance from each third through hole 412 of each annular lamination 41 to the center of the annular lamination 41 is equal, each The circumferential distances between every two third through holes 412 on each annular lamination 41 are equal, so that the bendable structure of the present application can be bent sideways in all directions as much as possible to realize omni-directional bending. It should be noted that, the more the number of third through holes 412 of each annular lamination 41 is, the more the number of traction ropes 51 is, the more precise the angle control of its turning is, the more corresponding accessories are, the more complicated the control is, and the higher the cost is. High, in practical applications, the number of third through holes on each annular lamination 41 can be set to 6, 8, etc. It is also possible to achieve accurate side bending at various angles, and it is more convenient to control.
如图1所示,第一壳体11为中空设计并形成第一内腔111,第一壳体11和第一内腔111间设有第一盲孔112,第一盲孔112挨近角度控制件21的一侧设有第一开口1121,第一盲孔112内设有第一驱动装置61,中心轴31的一端通过第一开口1121固定至第一驱动装置61。第一开口1121和中心轴31在一个水平面上。As shown in Figure 1, the first housing 11 is hollow and forms a first inner cavity 111, and a first blind hole 112 is provided between the first housing 11 and the first inner cavity 111, and the first blind hole 112 is close to the angle control One side of the component 21 is provided with a first opening 1121 , and the first blind hole 112 is provided with the first driving device 61 , and one end of the central shaft 31 is fixed to the first driving device 61 through the first opening 1121 . The first opening 1121 and the central axis 31 are on a horizontal plane.
如图1所示,本申请的可弯曲结构还包括中空导套71,丝杆81和丝杆螺母91;丝杆螺母91套接于丝杆81,第一盲孔112内设有第一轴承101,丝杆81连接至第一轴承101的一侧,第一轴承101的另一侧连接至第一驱动装置61,中空导套71套设于中心轴31且中空导套71固定安装至丝杆螺母91,在本实施例中,第一驱动装置61为驱动电机,中空导套71焊接至丝杆螺母91。丝杆81连接于第一盲孔112内部的第一轴承101,第一轴承101另一侧与第一驱动装置61相互连接,用于控制丝杆81转动。As shown in Figure 1, the flexible structure of the present application also includes a hollow guide sleeve 71, a screw 81 and a screw nut 91; the screw nut 91 is sleeved on the screw 81, and the first blind hole 112 is provided with a first bearing 101, the screw rod 81 is connected to one side of the first bearing 101, the other side of the first bearing 101 is connected to the first driving device 61, the hollow guide sleeve 71 is sleeved on the central shaft 31 and the hollow guide sleeve 71 is fixedly installed on the wire The rod nut 91 , in this embodiment, the first driving device 61 is a driving motor, and the hollow guide sleeve 71 is welded to the screw nut 91 . The screw rod 81 is connected to the first bearing 101 inside the first blind hole 112 , and the other side of the first bearing 101 is connected to the first driving device 61 for controlling the rotation of the screw rod 81 .
在本实施例中,第一驱动装置61驱动丝杆81绕中心轴31转动,丝杆81转动使丝杆螺母91沿着中心轴往复运动,从而带动中空导套71做往复运动,可弯曲结构可以实现伸缩的功能。中空导套71安装在丝杆螺母91上,相当于套住丝杆81,第一驱动装置61驱动右转,丝杆螺母91向前推送,从而中空导套71也随着丝杆螺母91向前推,可弯曲结构实现伸长的功能;第一驱动装置61反转,丝杆螺母91往回缩,中空导套71也随之回缩,从而可弯曲结构实现自由伸缩的功能。In this embodiment, the first driving device 61 drives the screw rod 81 to rotate around the central axis 31, and the rotation of the screw rod 81 causes the screw nut 91 to reciprocate along the central axis, thereby driving the hollow guide sleeve 71 to reciprocate, and the structure can be bent The function of stretching can be realized. The hollow guide sleeve 71 is installed on the screw nut 91, which is equivalent to trapping the screw mandrel 81. The first driving device 61 drives the right turn, and the screw nut 91 is pushed forward, so that the hollow guide sleeve 71 also moves along with the screw nut 91. Pushing forward, the bendable structure realizes the function of elongation; the first driving device 61 reverses, the screw nut 91 retracts, and the hollow guide sleeve 71 also retracts accordingly, so that the bendable structure realizes the function of free expansion and contraction.
如图1所述,本申请的椎板成型磨钻,包括第一壳体11;第一壳体11的一端设有角度控制件21;角度控制件21设有第一通孔211;中心轴31的一端固定至到第一壳体11的内部,中心轴31的另一端穿过第一通孔211并从第一壳体11伸出;多个环形叠片41的中心设有第二通孔411,环形叠片41的外缘沿圆周方向设有4个第三通孔412,每个环形叠片41沿着中心轴31的轴向方向间隔距离L设置,且每个环形叠片41的每个第三通孔412到环形叠片41的中心的径向距离相等,每个环形叠片41上每两个第三通孔412的圆周间距相等,中心轴31依次通过各个环形叠片41的第二通孔412将各个环形叠片41串联连接;多根牵引绳51,其中每根牵引绳51的一端分别固定至第一个环形叠片41,每根牵引绳51依次穿过每个环形叠片41的一个对应的第三通孔412,每根牵引绳51的另一端分别固定至角度控制件21,第一壳体11和第一内腔111间设有第一盲孔112,第一盲孔112挨近角度控制件21的一侧设有第一开口1121,第一盲孔112内设有第一驱动装置61,中心轴31的一端通过第一开口1121固定至第一驱动装置61,还包括第二壳体11a,第二壳体11a为中空设计并形成第二内腔111a,第二壳体11a和第二内腔111a间设有第二盲孔112a,中心轴31从第一壳体11伸出的一端连接至第二盲孔112a的一侧,第二盲孔112a中相对应的另一侧设有第二开口1121a,第二开口1121a与中心轴31在同一水平面上;第二盲孔112a中一侧设有第二驱动装置61a,第二盲孔112a中相对应的另一侧设有第二轴承101a;钻头20包括杆部201和磨头202,杆部201的一端经过第二开口1121a通过第二轴承101a连接至第二驱动装置61a,杆部201的另一端与磨头202连接,连接件30为中空设计并将第二壳体11a连接至第一壳体11。连接件30为弹性伸缩软管,在本实施例中,连接件为褶皱软管,其材质优选为橡胶材料,且连接件30套设在中心轴31外,即中心轴31设在连接件30的中空设计形成的容腔内,所述褶皱软管可以在可弯曲结构实现侧弯,褶皱软管在屈曲和伸长时褶皱跟着压缩或者拉长,在椎板成型磨钻未工作时由于弹性回收至正常状态。As shown in Figure 1, the lamina forming mill drill of the present application includes a first housing 11; one end of the first housing 11 is provided with an angle control member 21; the angle control member 21 is provided with a first through hole 211; 31 is fixed to the inside of the first housing 11, and the other end of the central shaft 31 passes through the first through hole 211 and protrudes from the first housing 11; the center of a plurality of annular laminations 41 is provided with a second through hole Holes 411, four third through holes 412 are provided on the outer edge of the annular lamination 41 along the circumferential direction, each annular lamination 41 is arranged at a distance L along the axial direction of the central axis 31, and each annular lamination 41 The radial distances from each third through hole 412 to the center of the annular lamination 41 are equal, and the circumferential distances of every two third through holes 412 on each annular lamination 41 are equal, and the central axis 31 passes through each annular lamination in turn. The second through hole 412 of 41 connects each annular lamination 41 in series; a plurality of traction ropes 51, wherein one end of each traction rope 51 is respectively fixed to the first annular lamination 41, and each traction rope 51 passes through each A corresponding third through hole 412 of each annular lamination 41, the other end of each traction rope 51 is respectively fixed to the angle control member 21, and a first blind hole 112 is provided between the first housing 11 and the first inner cavity 111. , the first blind hole 112 is provided with a first opening 1121 on the side close to the angle control member 21, and the first driving device 61 is arranged in the first blind hole 112, and one end of the central shaft 31 is fixed to the first driving device through the first opening 1121. The device 61 also includes a second housing 11a, the second housing 11a is hollow and forms a second inner chamber 111a, a second blind hole 112a is provided between the second housing 11a and the second inner chamber 111a, and the central axis 31 One end protruding from the first housing 11 is connected to one side of the second blind hole 112a, and the other side corresponding to the second blind hole 112a is provided with a second opening 1121a, and the second opening 1121a is on the same side as the central axis 31. On the horizontal plane; one side in the second blind hole 112a is provided with a second driving device 61a, and the corresponding other side in the second blind hole 112a is provided with a second bearing 101a; the drill bit 20 includes a rod portion 201 and a grinding head 202, and the rod One end of the part 201 is connected to the second driving device 61a through the second bearing 101a through the second opening 1121a, the other end of the rod part 201 is connected to the grinding head 202, and the connecting part 30 is hollow and connects the second housing 11a to the first A shell 11. The connecting piece 30 is an elastic flexible hose. In this embodiment, the connecting piece is a corrugated hose, and its material is preferably rubber material, and the connecting piece 30 is set outside the central axis 31, that is, the central axis 31 is set on the connecting piece 30 In the cavity formed by the hollow design, the folded hose can realize side bending in the bendable structure, and the folds of the folded hose are compressed or elongated when they are flexed and stretched, and are recovered due to elasticity when the lamina shaping drill is not working to normal state.
图2是本公开优选实施例的椎板成型磨钻的立体结构示意图,如图1和图2所示,钻头20包括头部202和杆部201,头部202为椭球体,头部202用于切割的表面设有有粗糙的磨纹颗粒,远离切割的表面与杆部201连接,杆部201为光滑圆柱体,杆部201的一端经过第二开口1121a通过第二轴承101a连接至第二驱动装置61a。第二盲孔112a焊接于第二壳体11a的第二容腔111a内部,第二盲孔112a中相对应的另一侧设有第二开口1121a,杆部201穿过第二开口1121a通过第二轴承101a连接至第二驱动装置61a,第二驱动装置61a和第二轴承101a用于控制磨钻的转速。Fig. 2 is a three-dimensional structural schematic diagram of a lamina forming mill drill in a preferred embodiment of the present disclosure. As shown in Fig. 1 and Fig. 2 , the drill bit 20 includes a head 202 and a rod 201, the head 202 is an ellipsoid, and the head 202 is used for The cut surface is provided with rough abrasive particles, and the surface away from the cut is connected to the rod 201, which is a smooth cylinder, and one end of the rod 201 passes through the second opening 1121a and is connected to the second bearing 101a. Drive device 61a. The second blind hole 112a is welded inside the second cavity 111a of the second housing 11a, and a second opening 1121a is provided on the other side corresponding to the second blind hole 112a, and the rod 201 passes through the second opening 1121a and passes through the second blind hole 112a. The second bearing 101a is connected to the second driving device 61a, and the second driving device 61a and the second bearing 101a are used to control the rotation speed of the drill.
如图1和图2所示,第二壳体11a挨近磨头202的一侧外部套设有保护套50,保护套50为一体成型,其对应磨头202的部分为光滑弧形设计,对应于椭圆球形的磨头202。第二容腔111a内挨近磨头202的第二壳体11a侧面设有光源及摄像装置40,光源及摄像装置40套设有透明保护罩,在本实施中,透明保护罩为半圆形玻璃罩。在使用时,光源及摄像装置既可以照亮目标靶点,同时可以将术野的结构转达至其它显示装置,使得医护人员可以充分观察目标靶点和磨钻是否抵达目标靶点,及磨钻运作时对椎骨的磨除的实时状况。As shown in Figures 1 and 2, a protective cover 50 is provided on the outside of the second housing 11a close to the grinding head 202. The protective cover 50 is integrally formed, and the part corresponding to the grinding head 202 is designed in a smooth arc shape, corresponding to On the grinding head 202 of ellipsoid. The side of the second casing 11a close to the grinding head 202 in the second cavity 111a is provided with a light source and a camera 40, and the light source and the camera 40 are provided with a transparent protective cover. In this implementation, the transparent protective cover is a semicircular glass cover. When in use, the light source and the camera device can not only illuminate the target point, but also convey the structure of the surgical field to other display devices, so that the medical staff can fully observe the target point and whether the drill reaches the target point, and the grinding drill The real-time status of vertebrae abrasion during operation.
如图2所示,当本申请的椎板成型磨钻处于未使用状态时,椎板成型磨钻的可弯曲结构处于自然状态,连接件30在本实施例中为具有弹性收缩的褶皱软管。参照图3-图6,工作时,将本申请的椎板成型磨钻伸入椎管内,当需要拉伸时,第一驱动装置61工作,通过第一轴承101带动丝杆81正转,丝杆81上的丝杆螺母91沿着中心轴31的方向往前移,带动中空导套71沿着中心轴31的方向往前移,实现椎板成型磨钻的伸长功能,如图3所示。在此实施例中,本申请的椎板成型磨钻中包括4根牵引绳51,角度控制装置21包括4个角度控制按钮,每个角度控制按钮、4根牵引绳51,每个环形叠片41上的第三通孔412分别一一对应设置,通过角度控制按钮拉紧对应的牵引绳51,牵引绳51通过对应的第三通孔412使得对应的环形叠片41进行倾斜,每个环形叠片41均被牵拉倾斜,使得相应的中心轴31向受牵拉的牵引绳51方向弯曲,套设在中心轴31外同时将第一壳体11和第二壳体11a连接起来的连接件30也跟着向受牵拉的牵引绳51方向弯曲。当全部牵引绳51都受牵拉时,第一环形叠片41的所有第三通孔412同步向角度控制件21的方向移动,其它环形叠片41亦如此,相当于弯曲的部分在长度上进行压缩,实现屈曲,达到如图4所述的屈曲状态。通过控制任意一个牵引绳51松紧的快慢和程度,即可实现屈曲的目的。在实际应用中,通过角度控制件21拉紧或松开几根牵引绳51,拉紧或松开牵引绳51的速度与丝杆螺母91沿着中心轴31的方向往前移或者往后移的速度保持一致,直至磨头202抵达目标靶点附近。调整第一驱动装置61,第一轴承101带动丝杆81正转/反转,丝杆81上的丝杆螺母91沿着中心轴31的方向往前/后移,带动中空导套71沿着中心轴31的方向往前/后移,使得磨钻达到所需的长度。在长度伸缩调整完成后再调整磨钻的弯曲角度,钻头20需要往哪个方向弯曲便旋转相应方向的旋钮使牵引绳51往受牵拉的牵引绳51的方向弯曲,直到达到需要的弯曲角度,即磨头202对准目标靶点且磨头202切割方向与要磨除的椎板一致,如图5所示。当全部调整完成后,第二驱动装置61a工作,带动钻头20转动,磨除目标椎板,如图6-图8所示。As shown in Figure 2, when the lamina forming burr of the present application is in an unused state, the bendable structure of the lamina forming burr is in a natural state, and the connector 30 in this embodiment is a folded hose with elastic contraction . Referring to Fig. 3-Fig. 6, when working, insert the lamina forming mill drill of the present application into the spinal canal, when stretching is required, the first driving device 61 works, and the screw rod 81 is driven to rotate forward through the first bearing 101, The screw nut 91 on the screw mandrel 81 moves forward along the direction of the central axis 31, and drives the hollow guide sleeve 71 to move forward along the direction of the central axis 31 to realize the elongation function of the lamina forming drill, as shown in Figure 3 shown. In this embodiment, the lamina shaping drill of the present application includes 4 traction ropes 51, and the angle control device 21 includes 4 angle control buttons, each angle control button, 4 traction ropes 51, and each annular lamination The third through-holes 412 on the 41 are arranged in one-to-one correspondence, and the corresponding traction rope 51 is tightened by the angle control button, and the traction rope 51 makes the corresponding annular laminations 41 tilt through the corresponding third through-holes 412, and each annular The laminations 41 are all pulled and tilted so that the corresponding central axis 31 is bent toward the direction of the pulled traction rope 51 , and the connection between the first shell 11 and the second shell 11 a is sleeved outside the central axis 31 and simultaneously connected. Part 30 also bends towards the pulled rope 51. When all the traction ropes 51 are pulled, all the third through holes 412 of the first annular laminations 41 move synchronously toward the direction of the angle control member 21, and the same is true for the other annular laminations 41. Compression is performed to achieve buckling, reaching the buckled state as shown in Figure 4. The purpose of buckling can be realized by controlling the speed and degree of tightness of any one of the traction ropes 51 . In practical application, several traction ropes 51 are tightened or loosened by the angle control member 21, and the speed of tightening or loosening the traction ropes 51 is related to the movement of the screw nut 91 forward or backward along the direction of the central axis 31. The speed remains the same until the grinding head 202 reaches the vicinity of the target point. Adjust the first driving device 61, the first bearing 101 drives the screw mandrel 81 to rotate forward/reversely, the screw nut 91 on the screw mandrel 81 moves forward/backward along the direction of the central axis 31, and drives the hollow guide sleeve 71 along the The direction of the central axis 31 moves forward/backward, so that the grinding drill reaches the required length. After the length adjustment is completed, adjust the bending angle of the grinding drill. In which direction the drill bit 20 needs to be bent, turn the knob in the corresponding direction to make the traction rope 51 bend in the direction of the pulled traction rope 51 until the required bending angle is reached. That is, the grinding head 202 is aimed at the target point and the cutting direction of the grinding head 202 is consistent with the lamina to be ground, as shown in FIG. 5 . After all the adjustments are completed, the second driving device 61a works to drive the drill bit 20 to rotate and grind away the target lamina, as shown in FIGS. 6-8 .
在本说明书的描述中,参考术语“一个实施例”、“某些实施例”、“示例”、“具体示例”,“前”,“后”,等的描述意指结合该实施例或示例描述的具体特征、结构、材料或者特点包含于本公开的至少一个实施例或示例中。在本说明书中,对上述术语的示意性表述不一定指的是相同的实施例或示例。而且,描述的具体特征、结构、材料或者特点可以在任何的一个或多个实施例或示例中以合适的方式结合。In the description of this specification, descriptions referring to the terms "one embodiment", "certain embodiments", "example", "specific example", "before", "rear", etc. A particular feature, structure, material, or characteristic described is included in at least one embodiment or example of the present disclosure. In this specification, schematic representations of the above terms do not necessarily refer to the same embodiment or example. Furthermore, the specific features, structures, materials or characteristics described may be combined in any suitable manner in any one or more embodiments or examples.
以上公开的本公开优选实施例只是用于帮助阐述本公开。优选实施例并没有详尽叙述所有的细节,也不限制该公开仅为所述的具体实施方式。显然,根据本说明书的内容,可作很多的修改和变化。本说明书选取并具体描述这些实施例,是为了更好地解释本公开的原理和实际应用,从而使所属技术领域技术人员能很好地理解和利用本公开。应当指出,对于本技术领域的普通技术人员来说,在不脱离本公开技术原理的前提下,还可以做出若干改进和替换,这些改进和替换也应视为本公开的保护范围。The preferred embodiments of the present disclosure disclosed above are only used to help explain the present disclosure. The preferred embodiments are not exhaustive in all detail, nor is the disclosure limited to specific implementations described. Obviously, many modifications and variations can be made based on the contents of this specification. This description selects and specifically describes these embodiments in order to better explain the principles and practical applications of the present disclosure, so that those skilled in the art can well understand and use the present disclosure. It should be pointed out that those skilled in the art can make several improvements and substitutions without departing from the technical principle of the present disclosure, and these improvements and substitutions should also be regarded as the protection scope of the present disclosure.
Claims (10)
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