CN110960309B - Spine cuts bone resetting guider - Google Patents
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- 210000000988 bone and bone Anatomy 0.000 title description 2
- 239000002184 metal Substances 0.000 claims abstract description 43
- 238000001125 extrusion Methods 0.000 claims abstract description 19
- 230000009467 reduction Effects 0.000 claims abstract description 18
- 210000000115 thoracic cavity Anatomy 0.000 claims description 15
- 238000005452 bending Methods 0.000 claims description 4
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- 210000001519 tissue Anatomy 0.000 description 4
- 230000009286 beneficial effect Effects 0.000 description 2
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- 230000037237 body shape Effects 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000005484 gravity Effects 0.000 description 1
- 206010039722 scoliosis Diseases 0.000 description 1
- 230000035939 shock Effects 0.000 description 1
- 210000000278 spinal cord Anatomy 0.000 description 1
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Abstract
本发明公开了一种脊柱截骨复位导向装置,包括俯卧床板,所述俯卧床板的内部左右两侧设置有第一电阻和第二电阻,俯卧床板的内部设置有第三电阻,俯卧床板的上端连接有移动架,间隔的移动架的下端左右两侧分别设置有第一金属球和第二金属球,移动架的上部左右两侧均连接有驱动装置,驱动装置的上部和移动架之间设置有压力传感器,驱动装置的下端转动连接有螺纹杆,螺纹杆的下部外侧螺纹连接有挤压杆,挤压杆的下侧连接有按压垫。通过设置的多组驱动装置、压力传感器、螺纹杆、挤压杆和按压垫,可以对脊柱进行多级的调节,从而避免了脊柱与人体组织拉扯力过大,进一步引起患者疼痛的问题。
The invention discloses a spinal osteotomy reduction guide device, comprising a prone bed board, a first resistor and a second resistor are arranged on the left and right sides of the inside of the prone bed board, a third resistor is arranged inside the prone bed board, and the upper end of the prone bed board is provided with a third resistor. A moving frame is connected, the left and right sides of the lower end of the spaced moving frame are respectively provided with a first metal ball and a second metal ball, the upper left and right sides of the moving frame are connected with a driving device, and the upper part of the driving device and the moving frame are arranged between There is a pressure sensor, the lower end of the driving device is rotatably connected with a threaded rod, the lower outer side of the threaded rod is threadedly connected with an extrusion rod, and the lower side of the extrusion rod is connected with a pressing pad. Multiple sets of drive devices, pressure sensors, threaded rods, extrusion rods and pressure pads can be provided to adjust the spine in multiple levels, thereby avoiding the problem of excessive pulling force between the spine and human tissue, which further causes patient pain.
Description
技术领域technical field
本发明涉及医疗器械技术领域,特别涉及一种脊柱截骨复位导向装置。The invention relates to the technical field of medical devices, in particular to a spinal osteotomy reduction guide device.
背景技术Background technique
脊椎骨是椎骨的通称,脊椎骨由椎体、椎弓、髓棘、椎体横突、前关节突和后关节突等各部构成,脊椎,就是人体的脊柱。是由24块椎骨,1块骶骨和1块尾骨相连而形成的,是人体上半身支撑和活动的主要的骨组织结构。最上是颈椎与头颅相连接,最下端为尾椎。在人体后侧正中线上可以触摸到脊椎骨后方的棘突。脊椎的功能是支持躯干和保护脊髓,从正面看脊柱是笔直的,如果发生弯曲就会诊断为脊柱侧弯;从侧面看脊椎并非是笔直的,有颈、胸、腰、骶四个生理弯曲,脊柱的生理弯曲增大了脊柱的弹性,对维持人体的重心稳定和减轻震荡有重要意义。The vertebra is a general term for vertebrae. The vertebra is composed of the vertebral body, the vertebral arch, the spinal spine, the transverse process of the vertebral body, the anterior articular process and the posterior articular process. The spine is the spine of the human body. It is formed by connecting 24 vertebrae, 1 sacrum and 1 coccyx. It is the main bone structure for the support and activities of the upper body of the human body. The uppermost part is the cervical vertebra that connects with the head, and the lowermost part is the coccyx. The spinous processes behind the vertebrae can be palpated on the posterior midline of the human body. The function of the spine is to support the trunk and protect the spinal cord. When viewed from the front, the spine is straight. If it is curved, it will be diagnosed as scoliosis. When viewed from the side, the spine is not straight. There are four physiological curvatures of the neck, thoracic, lumbar and sacrum , The physiological curvature of the spine increases the elasticity of the spine, which is of great significance to maintain the stability of the body's center of gravity and reduce shocks.
脊椎骨出现断裂或者弯曲变形,在治疗时需要对患者的脊柱损坏和变形位置进行截断,然后通过脊柱椎弓根钉重新固定连接在一起,在用脊柱椎弓根钉固定前需要对截断的两根脊柱进行挤压靠近,且需要额外的导向装置对其进行导向,以保证脊柱的连接的精确性,但是现有的脊柱导向装置导向不精准,不能更具患者的体型进行精确的调整,而且在对脊柱进行挤压时,不能控制受力的大小,从而导致对患者的脊柱造成二次损伤,挤压脊柱的位置在截面的两端,易导致两端脊柱人体组织的牵扯,进一步加大患者的疼痛,为了解决这一问题我们提出了一种脊柱截骨复位导向装置。When the vertebrae are broken or bent and deformed, the damaged and deformed position of the patient's spine needs to be truncated during treatment, and then re-fixed and connected together with spinal pedicle screws. The spine is squeezed and approached, and an additional guide device is required to guide it to ensure the accuracy of the connection of the spine. However, the existing spine guide device is not accurate and cannot be accurately adjusted according to the patient's body shape. When squeezing the spine, the magnitude of the force cannot be controlled, which will cause secondary damage to the patient's spine. The position of squeezing the spine is at both ends of the cross-section, which will easily lead to the involvement of the human tissues of the spine at both ends, which will further increase the patient's pain. In order to solve this problem, we propose a spinal osteotomy reduction guide device.
发明内容SUMMARY OF THE INVENTION
(一)解决的技术问题(1) Technical problems solved
针对现有技术的不足,本发明提供了一种脊柱截骨复位导向装置,具备脊柱导向精确、降低患者牵扯疼痛和按压力可控制调节的优点,解决了现有脊柱导向装置导向不精确、患者易受牵扯疼痛和按压力不可控制调节的问题。Aiming at the deficiencies of the prior art, the present invention provides a spinal osteotomy reduction guide device, which has the advantages of accurate spinal guidance, reduced patient traction pain, and controllable adjustment of the pressing force, and solves the problem of the inaccurate guidance of the existing spinal guide device, the patient Susceptible to problems involving pain and uncontrollable adjustment of pressure.
(二)技术方案(2) Technical solutions
为实现上述具备脊柱导向精确、降低患者牵扯疼痛和按压力可控制调节的目的,本发明提供如下技术方案:一种脊柱截骨复位导向装置,包括俯卧床板,所述俯卧床板的两侧均开设有滑槽,俯卧床板的内部左右两侧且在滑槽内分别设置有第一电阻和第二电阻,俯卧床板的内部且在右滑槽的右侧设置有第三电阻,俯卧床板的上端且在滑槽内滑动连接有移动架,间隔的移动架的下端左右两侧分别设置有第一金属球和第二金属球,移动架的上部左右两侧均固定连接有驱动装置,驱动装置的上部和移动架之间设置有压力传感器,驱动装置的下端转动连接有螺纹杆,螺纹杆的下部外侧螺纹连接有挤压杆,挤压杆的下侧固定连接有按压垫,俯卧床板的右侧且在第三电阻上滑动连接有移动柱,移动柱的下端设置有第三金属球,移动柱的上端左侧固定连接有投影装置;In order to achieve the above-mentioned purpose of having accurate spinal guidance, reducing the patient's pain, and controllable adjustment of the pressing force, the present invention provides the following technical solutions: a spinal osteotomy reduction guide device, comprising a prone bed board, and both sides of the prone bed board are provided with There is a chute, the inner left and right sides of the prone bed board are respectively provided with a first resistance and a second resistance in the chute, a third resistance is arranged inside the prone bed board and on the right side of the right chute, and the upper end of the prone bed board and A moving frame is slidably connected in the chute, the left and right sides of the lower end of the spaced moving frame are respectively provided with a first metal ball and a second metal ball, the upper left and right sides of the moving frame are fixedly connected with a driving device, and the upper part of the driving device A pressure sensor is arranged between the mobile frame and the moving frame, a threaded rod is rotatably connected to the lower end of the driving device, an extrusion rod is threadedly connected to the lower outer side of the threaded rod, and a pressing pad is fixedly connected to the lower side of the extrusion rod. A moving column is slidably connected to the third resistor, a third metal ball is arranged at the lower end of the moving column, and a projection device is fixedly connected to the left side of the upper end of the moving column;
优选的,所述第一电阻与第一金属球相对应,第二电阻与第二金属球相对应,且其之间的电路相互独立;Preferably, the first resistor corresponds to the first metal ball, the second resistor corresponds to the second metal ball, and the circuits between them are independent of each other;
优选的,所述移动架为弧形,且移动架的表面设置有暗光颜色,从而保证投影装置投射的影像能够清楚的在移动架的表面显示;Preferably, the moving frame is arc-shaped, and the surface of the moving frame is provided with a dark color, so as to ensure that the image projected by the projection device can be clearly displayed on the surface of the moving frame;
优选的,所述每组驱动装置、压力传感器、螺纹杆和挤压杆在移动架上对称,从而保证脊柱受力均匀,而对于弯曲的脊柱可以通过调节驱动装置输送和挤压杆与按压垫之间的角度来达到平衡;Preferably, each group of driving devices, pressure sensors, threaded rods and pressing rods are symmetrical on the moving frame, so as to ensure uniform force on the spine, and for the curved spine, the driving device can be adjusted to convey and squeeze the rod and the pressing pad. the angle between them to achieve a balance;
优选的,所述挤压杆和按压垫之间的角度可调节;Preferably, the angle between the pressing rod and the pressing pad is adjustable;
优选的,所述第三电阻与第三金属球相对应;Preferably, the third resistor corresponds to a third metal ball;
优选的,所述俯卧床板上开设有与移动柱相对应的滑槽,从而保证移动柱的移动,进一步使得投影装置投射的影像在移动架上。Preferably, a chute corresponding to the moving column is provided on the prone bed plate, so as to ensure the movement of the moving column, and further make the image projected by the projection device on the moving frame.
(三)有益效果(3) Beneficial effects
与现有技术相比,本发明提供了一种脊柱截骨复位导向装置,具备以下有益效果:Compared with the prior art, the present invention provides a spinal osteotomy reduction guide device, which has the following beneficial effects:
1、该脊柱截骨复位导向装置,通过移动最外侧的移动架,使其分别到达患者的第一胸椎和第一腰椎的位置,然后打开投影装,通过移动移动柱使投影装置上的投影上的第一胸椎和第一腰椎与患者的重合,通过移动柱下部的第三金属球在第三电阻上移动,从而改变三金属球在第三电阻上的电流,通过电流的变化可以得出患者的第一胸椎与第一腰椎之间的长度,通过移动移动架到患者需要按压的部位,移动架上设置的第一金属球与第二金属球分别在第一电阻与第二电阻移动,第一金属球和第一电阻之间的电路电流发生变化,同理:第二金属球与第二电阻电流也发生变化,根据电路中电流的变化可以得出移动架在俯卧床板的位置,且通过第三金属球在第三电阻已知第一胸椎与第一腰椎之间的长度,根据人体正常的脊柱弯曲角度可以显示出移动架在不同的位置脊柱的倾斜角度,提供医护人员调节挤压杆和按压垫之间的角度,从而解决了现有脊柱导向装置推动角度不精确的问题。1. The spinal osteotomy reduction guide device moves the outermost mobile frame to make it reach the position of the first thoracic vertebra and the first lumbar vertebra of the patient, then open the projection device, and move the moving column to make the projection on the projection device go up. The first thoracic vertebra and the first lumbar vertebra are coincident with the patient. By moving the third metal ball at the lower part of the column to move on the third resistance, the current of the three metal balls on the third resistance is changed. The length between the first thoracic vertebra and the first lumbar vertebra is determined by moving the mobile frame to the part where the patient needs to be pressed. The circuit current between a metal ball and the first resistor changes, and the same is true: the current between the second metal ball and the second resistor also changes. The length of the third metal ball between the first thoracic vertebra and the first lumbar vertebra is known in the third resistance. According to the normal bending angle of the human spine, the inclination angle of the spine at different positions of the mobile frame can be displayed, providing medical staff to adjust the extrusion rod. And the angle between the pressing pad, so as to solve the problem of inaccurate pushing angle of the existing spinal guide device.
2、该脊柱截骨复位导向装置,通过在驱动装置的上侧设置有压力传感器,通过力的作用是相互的,可以得出按压垫上的压力大小,医护人员可以通过调节驱动装置输送和挤压杆与按压垫之间的角度来达到平衡,从而保证人体弯曲变形脊柱导向的稳定性。2. The spinal osteotomy reduction guide device is provided with a pressure sensor on the upper side of the driving device, and the force is mutual, and the pressure on the pressing pad can be obtained. The medical staff can adjust the driving device to deliver and squeeze The angle between the rod and the pressing pad can be balanced, so as to ensure the stability of the spine guidance in the bending deformation of the human body.
3、该脊柱截骨复位导向装置,通过在移动架上设置对称的驱动装置、压力传感器、螺纹杆、挤压杆和按压垫,由于脊柱受到的合力向下,从而保证了脊柱进行移动时不会发生偏移,进一步保证了脊柱导向的精确性。3. The spinal osteotomy reduction guide device is provided with a symmetrical driving device, a pressure sensor, a threaded rod, an extrusion rod and a pressing pad on the moving frame, and the resultant force on the spine is downward, thus ensuring that the spine does not move when moving. Offset occurs, further ensuring the accuracy of spinal guidance.
4、该脊柱截骨复位导向装置,通过设置的多组驱动装置、压力传感器、螺纹杆、挤压杆和按压垫,可以对脊柱进行多级的调节,从而避免了脊柱与人体组织拉扯力过大,进一步引起患者疼痛的问题。4. The spinal osteotomy reduction guide device can adjust the spine in multiple levels by setting multiple sets of driving devices, pressure sensors, threaded rods, extrusion rods and pressing pads, thereby avoiding excessive pulling force between the spine and human tissue. large, further causing the problem of pain in the patient.
附图说明Description of drawings
图1为本发明脊柱截面后的示意图;Fig. 1 is the schematic diagram after the spinal column section of the present invention;
图2为本发明现有装置导向前后的结构对比图;FIG. 2 is a structural comparison diagram before and after the guide of the existing device of the present invention;
图3为本发明整体正面结构剖视图;3 is a cross-sectional view of the overall front structure of the present invention;
图4为本发明整体俯视的结构示意图;Fig. 4 is the structural schematic diagram of the overall top view of the present invention;
图5为本发明整体左侧部分结构剖视图;5 is a sectional view of the overall left side part of the present invention;
图6为本发明整体右侧部分结构剖视图;6 is a sectional view of the structure of the overall right side part of the present invention;
图7为本发明本装置导向前后的结构对比图。FIG. 7 is a structural comparison diagram of the device of the present invention before and after guiding.
图中:1俯卧床板、101滑槽、102第一电阻、103第二电阻、104第三电阻、2移动架、201第一金属球、202第二金属球、3驱动装置、4压力传感器、5螺纹杆、6挤压杆、7按压垫、8移动柱、801第三金属球、9投影装置、10腰部、11脊柱、1101第一胸椎、1102第一腰椎、1103原闭合脊椎、1104现闭合脊椎、12椎弓钉。In the figure: 1 prone bed board, 101 chute, 102 first resistor, 103 second resistor, 104 third resistor, 2 moving frame, 201 first metal ball, 202 second metal ball, 3 driving device, 4 pressure sensor, 5 threaded rod, 6 extrusion rod, 7 pressing pad, 8 moving column, 801 third metal ball, 9 projection device, 10 waist, 11 spine, 1101 first thoracic vertebra, 1102 first lumbar vertebra, 1103 original closed spine, 1104 present Closed spine, 12 vertebral arch screws.
具体实施方式Detailed ways
下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only a part of the embodiments of the present invention, but not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative efforts shall fall within the protection scope of the present invention.
请参阅图1至图7所示,一种脊柱截骨复位导向装置,包括俯卧床板1,俯卧床板1的两侧均开设有滑槽101,俯卧床板1的内部左右两侧且在滑槽101内分别设置有第一电阻102和第二电阻103,俯卧床板1的内部且在右滑槽101的右侧设置有第三电阻104,俯卧床板1的上端且在滑槽101内滑动连接有移动架2,间隔的移动架2的下端左右两侧分别设置有第一金属球201和第二金属球202,第一电阻102与第一金属球201相对应,第二电阻103与第二金属球202相对应,且其之间的电路相互独立。移动架2的上部左右两侧均固定连接有驱动装置3,驱动装置3的上部和移动架2之间设置有压力传感器4,驱动装置3的下端转动连接有螺纹杆5,螺纹杆5的下部外侧螺纹连接有挤压杆6,挤压杆6和按压垫7之间的角度可调节,挤压杆6的下侧固定连接有按压垫7,每组驱动装置3、压力传感器4、螺纹杆5和挤压杆6在移动架2上对称,从而保证脊柱受力均匀,而对于弯曲的脊柱可以通过调节驱动装置3输送和挤压杆6与按压垫7之间的角度来达到平衡;Please refer to FIG. 1 to FIG. 7 , a spinal osteotomy reduction guide device includes a
俯卧床板1的右侧且在第三电阻104上滑动连接有移动柱8,移动柱8的下端设置有第三金属球801,第三电阻104与第三金属球801相对应。移动柱8的上端左侧固定连接有投影装置9,移动架2为弧形,且移动架2的表面设置有暗光颜色,从而保证投影装置9投射的影像能够清楚的在移动架2的表面显示,俯卧床板1上开设有与移动柱8相对应的滑槽,从而保证移动柱8的移动,进一步使得投影装置9投射的影像在移动架2上;A moving
如图3所示:按压垫7按压在人体的腰部10上,如图1所示:腰部10的内部为脊柱11,如图6所示:将脊柱11的凹区分为第一胸椎1101和第一腰椎1102,如图2所示:原有装置脊柱推动导向后,脊柱11通过椎弓钉12固定,脊柱11的原开合脊椎1103和现闭合脊椎1104的对比图,很明显现有的现闭合脊椎1104之间有缝隙,如图7所示:本设计脊柱推动导向后脊柱11的原开合脊椎1103和现闭合脊椎1104的对比图,图中很明显现闭合脊椎1104之间契合较好,图中单箭头均表示脊柱11的受力方向,图中单箭头均表示脊柱11与人体组织的拉扯力,且箭头距离越大代表之间的拉扯力越大。As shown in FIG. 3: the
本发明的工作原理和过程:The working principle and process of the present invention:
在使用时,首先移动最外侧的移动架2,使其分别到达患者的第一胸椎1101和第一腰椎1102的位置,然后打开投影装置9,通过移动移动柱8使投影装置9投影上的第一胸椎1101和第一腰椎1102与患者的位置重合,通过移动柱8下部的第三金属球801在第三电阻104上移动,从而改变三金属球801在第三电阻104上的电流,通过电流的变化可以得出患者的第一胸椎1101与第一腰椎1102之间的长度,通过移动移动架2到患者需要按压的部位,移动架2上设置的第一金属球201与第二金属球202分别在第一电阻102与第二电阻103移动,第一金属球201和第一电阻102之间的电路电流发生变化,同理:第二金属球202与第二电阻103电流也发生变化,根据电路中电流的变化可以得出移动架2在俯卧床板1的位置,且通过第三金属球801在第三电阻104已知第一胸椎1101与第一腰椎1102之间的长度,根据人体正常的脊柱弯曲角度可以显示出移动架2在不同的位置脊柱的倾斜角度,为医护人员提供调节挤压杆6和按压垫7之间的角度,从而解决了现有脊柱导向装置推动角度不精确的问题。当患者的脊柱11存在弯曲变形时,通过在驱动装置3的上侧设置有压力传感器4,通过力的作用是相互的,可以得出按压垫7上的压力大小,医护人员可以通过调节驱动装置3输送和挤压杆6与按压垫7之间的角度来达到平衡,从而保证人体脊柱导向的稳定性。通过在移动架2上设置对称的驱动装置3、压力传感器4、螺纹杆5、挤压杆6和按压垫7,由于脊柱11受到的合力向下,从而保证了脊柱11进行移动时不会发生偏移,进一步保证了脊柱导向的精确性。通过设置的多组驱动装置3、压力传感器4、螺纹杆5、挤压杆6和按压垫7,可以对脊柱11进行多级的调节,从而避免了如图2所示脊柱11与人体组织拉扯力过大,进一步引起患者疼痛的问题。When in use, first move the outermost
尽管已经示出和描述了本发明的实施例,对于本领域的普通技术人员而言,可以理解在不脱离本发明的原理和精神的情况下可以对这些实施例进行多种变化、修改、替换和变型,本发明的范围由所附权利要求及其等同物限定。Although embodiments of the present invention have been shown and described, it will be understood by those skilled in the art that various changes, modifications, and substitutions can be made in these embodiments without departing from the principle and spirit of the invention and modifications, the scope of the invention is defined by the appended claims and their equivalents.
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