Disclosure of Invention
The invention provides a fine adjustment device of a lumbar vertebra fixer, which is used for reducing the aim of gradually adjusting a spine in the scoliosis operation process and the recovery period, realizing the aim of correcting the spine within a certain time and reducing the damage to internal organs caused by directly straightening the spine in the scoliosis operation.
The invention provides a fine adjustment device of a lumbar vertebra fixator, which comprises: the left correcting device and the right correcting device are connected into a whole through a first connecting rod, the left correcting device is installed on the left side of a spine bone, and the right correcting device is installed on the right side of the spine bone.
Preferably, the left corrective device and the right corrective device are symmetrically installed on both sides of the vertebra.
Preferably, the left orthotic device comprises: the correcting rod comprises two correcting rods, a plurality of adjusting rods and a plurality of fixing columns, wherein the two correcting rods are connected into a whole through the plurality of adjusting rods, and the correcting rods are used for installing the fixing columns at intervals.
Preferably, the straightening rods are formed by hinging a plurality of second connecting rods, and an angle adjusting device is arranged between every two adjacent second connecting rods; one end of the angle adjusting device is arranged on the outer sides of the two second connecting rods, and the other end of the angle adjusting device is connected with the adjusting rod.
Preferably, the first connecting rod is of a telescopic structure and comprises a first telescopic rod and a second telescopic rod, a screw hole is formed in the first telescopic rod, a screw rod is arranged on the second telescopic rod, and the screw rod and the screw hole are arranged in a matched mode; the end, far away from the screw, of the first telescopic rod is fixed on the adjusting rod of the left correcting device, and the end, far away from the screw, of the second telescopic rod is connected to the adjusting rod of the right correcting device in a rotating mode.
Preferably, one side of the straightening rod is provided with an angle adjusting device, and the angle adjusting device comprises: the adjusting block and the third rotating shaft are fixed into a whole; two ends of a second connecting rod are sequentially hinged through a second connecting shaft, the middle of the second connecting rod is hinged with a first connecting shaft, the first connecting shaft is connected with the adjusting rod, and one end, far away from the adjusting block, of the third rotating shaft is connected with a rotating device; one side that the second connecting rod is close to the regulating block is provided with first activity groove, first activity groove is used for the regulating block makes a round trip to move about and adjusts the angle of two adjacent second connecting rods.
Preferably, the one end of second connecting rod is established to the arc terminal surface, and the other end is equipped with the U type groove of U type structure, U type groove is used for articulated adjacent second connecting rod, be equipped with the second stopper in the notch in U type groove, the arc terminal surface is equipped with first stopper, first stopper with the second stopper is used for restricting adjacent two the rotation angle of second connecting rod.
Preferably, the rotating means includes: the device comprises a first turntable, a second turntable, a third turntable and a linkage mechanism, wherein a fourth connecting rod is arranged above the third turntable, a handle is arranged at one end of the fourth connecting rod, which is far away from the third turntable, a plurality of protruding columns are arranged below the third turntable, equipment is arranged among the protruding columns, and a second movable groove is formed; the two protruding columns form a group of shifting blocks, the shifting blocks are arranged below the third rotary table in an equally-divided mode along the axial center line of the third rotary table, an arc surface is arranged between every two adjacent shifting blocks, and meshing teeth are arranged on the arc surface; the second rotary disc and the first rotary disc are arranged on two sides of the third rotary disc at intervals, a first sector rotary disc and a second sector rotary disc are arranged on the circumferential outer wall of the second rotary disc at intervals respectively, the radiuses of the first sector rotary disc and the second sector rotary disc are consistent, meshing teeth are arranged on the circumferential outer walls of the first sector rotary disc and the second sector rotary disc, and the meshing teeth of the first sector rotary disc and the second sector rotary disc are meshed with the meshing teeth arranged on the cambered surface of the shifting block; a fourth connecting shaft is arranged below the second rotary table, a third connecting rod is arranged on the outer wall of the axis of the fourth connecting shaft, and the third connecting rod is positioned between the first sector rotary table and the second sector rotary table; a first limiting column is arranged at one end, far away from the fourth connecting shaft, of the third connecting rod, the first limiting column is located on the upper surface of the third connecting rod, and the first limiting column is used for being clamped or separated from the second movable groove in a matched mode; one end, far away from the third connecting rod, of the fourth connecting shaft is connected with one end of a linkage mechanism, and the other end of the linkage mechanism is connected with the third connecting shaft; one end, far away from the linkage mechanism, of the third connecting shaft is connected with a first rotary table, a fifth connecting rod is arranged on the circumferential outer wall of the first rotary table, and a second limiting column is arranged on the upper surface of one end, far away from the first rotary table, of the fifth connecting rod; the second limiting column is used for being clamped or separated from the second movable groove in a matched mode; the fourth connecting shaft and the third connecting shaft are respectively connected with two adjacent third rotating shafts.
Preferably, the linkage mechanism includes: the first gear, the second gear, the third gear and the fourth gear are respectively arranged at two ends of a fifth connecting shaft, the first gear is meshed with the second gear, and the second gear is arranged on the circumferential outer wall of the fourth connecting shaft; the third gear is meshed with a fourth gear, and the fourth gear is arranged on the circumferential outer wall of the third connecting shaft; a connecting turntable is further arranged on the fifth connecting shaft, a bearing is arranged in the center of the connecting turntable, and the bearing is used for enabling the fifth connecting shaft to be rotatably connected with the connecting turntable; the bottom surface of the connecting turntable is connected with a sixth connecting rod, and two ends of the sixth connecting rod are respectively connected with the straightening rods above the left straightening device and the right straightening device.
Preferably, a first spring is connected to a circumferential outer wall between two adjacent second connecting rods.
The invention has the beneficial effects that:
when in use, the left correcting device is arranged on the left side of the spine bone in the back direction of a human body; the right correction device is arranged on the right side of the spine bone in the back direction of the human body, and the first connecting rod capable of being adjusted in a telescopic mode is used for finely adjusting the curve parts of the left correction device and the right correction device, so that the aim of restoring the spine bone is fulfilled; in the adjusting process, the left correcting device and the right correcting device are arranged at one end of a spinal bone and fixed under the skin of a human body, the other end of the spinal bone is arranged outside the human body, and the left correcting device, the right correcting device and the first connecting rod are adjusted to carry out gradual fine adjustment correction and reduction on the deformed spine of the human body, so that the condition that internal organs cannot be quickly adapted due to one-time reduction in the operation is reduced; further improve the overall recovery condition of the patient after the operation and reduce the damage condition to the internal organs caused by direct restoration.
Additional features and advantages of the invention will be set forth in the description which follows, and in part will be obvious from the description, or may be learned by practice of the invention. The objectives and other advantages of the invention will be realized and attained by the structure particularly pointed out in the written description and drawings.
The technical solution of the present invention is further described in detail by the accompanying drawings and embodiments.
Drawings
The accompanying drawings, which are included to provide a further understanding of the invention and are incorporated in and constitute a part of this specification, illustrate embodiments of the invention and together with the description serve to explain the principles of the invention and not to limit the invention.
In the drawings:
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a schematic view of an angle adjustment apparatus according to the present invention;
FIG. 3 is a schematic structural diagram of another embodiment of the angle adjustment apparatus of the present invention;
FIG. 4 is a perspective view of the rotary device of the present invention;
FIG. 5 is a schematic top view of the rotary device of the present invention;
FIG. 6 is a schematic view of the connection structure of the connection turntable according to the present invention;
wherein, 1-left correction device, 2-right correction device, 3-first connecting rod, 4-adjusting rod, 5-fixed column, 6-correction rod, 7-second connecting rod, 8-first connecting shaft, 9-second connecting shaft, 10-adjusting block, 11-first movable groove, 12-third rotating shaft, 13-first spring, 14-U-shaped groove, 15-first limiting block, 16-second limiting block, 17-third connecting shaft, 18-fourth connecting shaft, 19-first gear, 20-second gear, 21-third gear, 22-fourth gear, 23-first rotating disc, 24-convex column, 25-second movable groove, 26-fifth connecting shaft, 27-connecting rotating disc, 28-first limiting column, 29-a third connecting rod, 30-a second rotating disk, 31-a first sector rotating disk, 32-a third rotating disk, 33-a fourth connecting rod, 34-a handle, 35-a fifth connecting rod, 36-a second limiting column, 37-a second sector rotating disk, 38-a sixth connecting rod, 39-a first telescopic rod, 40-a second telescopic rod, 41-a screw rod and 42-a screw hole.
Detailed Description
The preferred embodiments of the present invention will be described in conjunction with the accompanying drawings, and it will be understood that they are described herein for the purpose of illustration and explanation and not limitation.
According to the embodiments of the present invention shown in fig. 1 to 6, there is provided a fine adjustment device of a lumbar vertebra fixator, including: the left correcting device 1 and the right correcting device 2 are connected into a whole through a first connecting rod 3, the left correcting device 1 is installed on the left side of a spinal bone, and the right correcting device 2 is installed on the right side of the spinal bone.
When in use, the left correcting device is arranged on the left side of the spine bone in the back direction of a human body; the right correction device is arranged on the right side of the spine bone in the back direction of the human body, and the first connecting rod capable of being adjusted in a telescopic mode is used for finely adjusting the curve parts of the left correction device and the right correction device, so that the aim of restoring the spine bone is fulfilled; in the adjusting process, the left correcting device and the right correcting device are arranged at one end of a spinal bone and fixed under the skin of a human body, the other end of the spinal bone is arranged outside the human body, and the left correcting device, the right correcting device and the first connecting rod are adjusted to carry out gradual fine adjustment correction and reduction on the deformed spine of the human body, so that the condition that internal organs cannot be quickly adapted due to one-time reduction in the operation is reduced; further improve the overall recovery condition of the patient after the operation and reduce the damage condition to the internal organs caused by direct restoration.
According to fig. 1-3, the left corrective device 1 and the right corrective device 2 are symmetrically mounted on both sides of the vertebra. The left correction device and the right correction device are of completely identical structures and are fixed on the spine bone through the fixing columns, so that the purposes of fixing and correcting two sides of the deformed spine bone together are achieved, and the purpose of correcting and resetting the deformed part can be achieved firmly.
According to fig. 1-6, the left orthotic device 1 comprises: the correcting rod 6, the adjusting rod 4 and the fixing columns 5 are arranged, the correcting rod 6 is divided into two parts, the two correcting rods 6 are connected into a whole through the adjusting rods 4, and a plurality of fixing columns 5 are arranged at intervals at one ends, used for mounting spines, of the correcting rods 6. The end, far away from the spine bone, of the adjusting rod penetrates through the correcting rod, the other end of the adjusting rod is detachably mounted on the correcting rod fixed on the spine bone, and therefore after the correction and the restoration of the spine bone are completed, the correcting rod and the correcting rod which is leaked outside the skin of a human body can be detached, the correcting rod arranged inside the spine bone of the human body is left, the correction for the long time is carried out, the situation that the postoperative scoliosis recurs is reduced, and the operation effect is guaranteed.
According to the figures 1-3, the straightening rods 6 are formed by hinging a plurality of second connecting rods 7, and an angle adjusting device is arranged between every two adjacent second connecting rods 7; one end of the angle adjusting device is arranged at the outer sides of the two second connecting rods 7, and the other end of the angle adjusting device is connected with the adjusting rod 4. A first spring 13 is connected to the circumferential outer wall between two adjacent second connecting rods 7.
The angle adjusting device can adjust the angles of two adjacent second connecting rods hinged to each other, so that the two second connecting rods can gradually adjust the angles according to the self condition of a patient, the correcting rod can be gradually adjusted, and the patient can effectively finely adjust and reset scoliosis in a body and viscera bearing range.
The first spring is used for expanding the angle of two adjacent second connecting rods, so that the second connecting rods can be corrected by the force of the first spring in the correcting process.
As shown in fig. 1-6, the first connecting rod 3 is a telescopic structure, the first connecting rod 3 comprises a first telescopic rod and a second telescopic rod, the first telescopic rod is provided with a screw hole, the second telescopic rod is provided with a screw rod, and the screw rod and the screw hole are matched with each other; one end, far away from the screw hole, of the first telescopic rod is fixed on the adjusting rod 4 of the left correcting device 1, and one end, far away from the screw rod, of the second telescopic rod is rotatably connected to the adjusting rod 4 of the right correcting device 2.
The first connecting rod is of a telescopic structure, so that the first connecting rod can be adjusted along with the correction rod in the adjustment process of the correction rod and adapts to the adjustment curve of the correction rod, and the correction rod and the first connecting rod jointly achieve the purposes of adjusting and resetting the scoliosis.
According to fig. 1 to 6, one of the sides of the rod 6 is provided with an angle adjustment device comprising: the adjusting device comprises an adjusting block 10 and a third rotating shaft 12, wherein the adjusting block 10 and the third rotating shaft 12 are fixed into a whole; two ends of a second connecting rod 7 are sequentially hinged through second connecting shafts 9, the middle of the second connecting rod 7 is hinged with a first connecting shaft 8, the first connecting shaft 8 is connected with the adjusting rod 4, and one end, far away from the adjusting block 10, of a third rotating shaft 12 is connected with a rotating device; one side of the second connecting rod 7 close to the adjusting block 10 is provided with a first movable groove 11, and the first movable groove 11 is used for the adjusting block 10 to move back and forth and adjusting the angles of the two adjacent second connecting rods 7.
During the use, rotate the regulation pole and make the regulating block rotates thereupon, the regulating block is established to the lug structure, the both ends of lug are the arc structure, and the arc structure of one side wherein fixes in the third pivot, the third pivot just can drive after adjusting the pole rotation the regulating block rotates, makes from this the regulating block is kept away from the one end of third pivot is the activity of making a round trip on first movable groove, and makes the regulating block carries out the purpose of adjusting the angle between two adjacent second connecting rods, makes from this the second connecting rod carries out the purpose of correcting scoliosis position.
According to the drawings 1-6, one end of each second connecting rod 7 is an arc-shaped end face, a U-shaped groove 14 of a U-shaped structure is formed in the other end of each second connecting rod 7, each U-shaped groove 14 is used for hinging the adjacent second connecting rods 7, a second limiting block 16 is arranged in a notch of each U-shaped groove 14, a first limiting block 15 is arranged on each arc-shaped end face, and the first limiting blocks 15 and the second limiting blocks 16 are used for limiting the rotation angles of the adjacent second connecting rods 7.
The first limiting block and the second limiting block enable two adjacent hinged second connecting rods to be limited to angle adjustment within 180 degrees, for example, when the lateral bulge is a right lateral bend, the hinging range and the lateral bend direction of the second connecting rods are consistent, the radian of the right lateral bend is enabled to gradually reset towards the left side through the adjustment of the second connecting rods and the adjusting block, and the situation of oversetting when the right lateral bend resets towards the left side is avoided in the resetting process.
According to fig. 1-6, the rotating means comprises: the device comprises a first turntable 23, a second turntable 30, a third turntable 32 and a linkage mechanism, wherein a fourth connecting rod 33 is arranged above the third turntable 32, a handle 34 is arranged at one end of the fourth connecting rod 33, which is far away from the third turntable 32, a plurality of protruding columns 24 are arranged below the third turntable 32, equipment is spaced among the protruding columns 24, and a second movable groove 25 is formed; the two protruding columns 24 form a group of shifting blocks, the shifting blocks are equally arranged below the third rotating disc 32 along the axial center line of the third rotating disc 32, an arc surface is arranged between every two adjacent shifting blocks, and meshing teeth are arranged on the arc surface; the second rotary table 30 and the first rotary table 23 are arranged at two sides of the third rotary table 32 at intervals, the circumferential outer wall of the second rotary table 30 is respectively provided with a first sector rotary table 31 and a second sector rotary table 37 at intervals, the radiuses of the first sector rotary table 31 and the second sector rotary table 37 are consistent, the circumferential outer walls of the first sector rotary table 31 and the second sector rotary table 37 are both provided with meshing teeth, and the meshing teeth of the first sector rotary table 31 and the second sector rotary table 37 and the meshing teeth arranged on the arc surface of the shifting block are meshed with each other; a fourth connecting shaft 18 is arranged below the second rotary disc 30, a third connecting rod 29 is arranged on the outer wall of the axis of the fourth connecting shaft 18, and the third connecting rod 29 is positioned between the first sector rotary disc 31 and the second sector rotary disc 37; a first limiting column 28 is arranged at one end of the third connecting rod 29 far away from the fourth connecting shaft 18, the first limiting column 28 is located on the upper surface of the third connecting rod 29, and the first limiting column 28 is used for being matched with the second movable groove 25 to be clamped or separated; one end of the fourth connecting shaft 18, which is far away from the third connecting rod 29, is connected with one end of a linkage mechanism, and the other end of the linkage mechanism is connected with the third connecting shaft 17; one end, far away from the linkage mechanism, of the third connecting shaft 17 is connected with a first rotating disc 23, a fifth connecting rod 35 is arranged on the circumferential outer wall of the first rotating disc 23, and a second limiting column 36 is arranged on the upper surface of one end, far away from the first rotating disc 23, of the fifth connecting rod 35; the second limiting column 36 is used for being clamped or pulled out of the second movable groove 25 in a matched manner; the fourth connecting shaft 18 and the third connecting shaft 17 are respectively connected with two adjacent third rotating shafts 12.
The rotating device can be directly connected with the third rotating shaft 12 through the fourth connecting shaft 18 and the third connecting shaft 17 respectively, and can also be connected with the third rotating shaft through an adjusting rod.
Through rotary device can make two adjacent third pivots rotate, rotates the back when the third pivot, will drive the regulating block motion, after the regulating block motion, will support the second connecting rod for the angle of two adjacent second connecting rods realizes changing, just so can carry out the purpose of adjusting to the backbone angle of lateral curvature, reduces to cause too big burden to the internal organ because of once only restoring to the throne in the art, and makes the internal organ damage or produce the condition of adverse effect to the patient.
When the rotary table specifically works, the handle is rotated, the handle can enable the fourth connecting rod to rotate, the fourth connecting rod drives the third rotary table to rotate when rotating, after the third rotary table rotates, the protruding column arranged below the third rotary table also rotates along with the third rotary table, the protruding column can enable the meshing teeth arranged on the cambered surface of the protruding column to rotate after rotating, and after the meshing teeth arranged on the cambered surface of the protruding column rotate, the meshing teeth arranged on the circumferential outer wall of the second rotary table positioned on the left side of the third rotary table and the circumferential outer wall of the first fan-shaped rotary table and the second fan-shaped rotary table are meshed with the meshing teeth arranged on the cambered surface of the protruding column, so that the second rotary table can rotate; after the second turntable rotates, a third connecting rod and the first limiting column which are arranged below the second turntable rotate together, and the third connecting rod rotates along with the third turntable to transfer the first limiting column into the second movable groove in the rotating process, so that the second turntable can rotate along with the rotation of the first turntable;
when the second rotary table rotates, the linkage mechanism can be driven to work together, the third connecting shaft connected with the other end can be driven to rotate after the linkage mechanism works, the first rotary table can be driven to rotate after the third connecting shaft rotates, the fifth connecting rod can be driven to rotate after the first rotary table rotates, the fifth connecting rod can be driven to rotate after the fifth connecting rod rotates, the second limiting column can enter a second movable groove formed in the adjacent third rotary table in the rotating process, and the third rotary table can also be stirred to the first rotary table through the second limiting column when rotating. Because two gaps are formed between the first sector-shaped turntable and the second sector-shaped turntable, a third connecting rod is arranged between the first gaps, the third connecting rod, the first sector-shaped turntable and the second sector-shaped turntable jointly realize the rotation of the three areas, but a gap on the other side is formed between the first sector-shaped turntable and the second sector-shaped turntable, and the gap on the other side cannot ensure the meshing linkage between the second turntable and the third turntable; the situation that the second turntable cannot rotate due to the gap on the other side between the first fan-shaped turntable and the second fan-shaped turntable can be compensated through the fifth connecting rod and the second limiting column arranged on the first turntable, so that the third connecting shaft connected below the first turntable and the fourth connecting shaft connected below the second turntable can rotate together in the rotating process of the fourth connecting rod, the adjusting rod or the third rotating shaft connected with the third connecting shaft and the fourth connecting shaft can rotate together, and the adjusting block is driven to correct the correcting rod.
According to fig. 1-6, the linkage comprises: the first gear 19, the second gear 20, the third gear 21 and the fourth gear 22 are respectively arranged at two ends of a fifth connecting shaft 26, the first gear 19 is meshed with the second gear 20, and the second gear 20 is arranged on the circumferential outer wall of the fourth connecting shaft 18; the third gear 21 is meshed with a fourth gear 22, and the fourth gear 22 is arranged on the circumferential outer wall of the third connecting shaft 17; a connecting turntable 27 is further arranged on the fifth connecting shaft 26, a bearing is arranged at the center of the connecting turntable 27, and the bearing is used for the fifth connecting shaft 26 to be rotatably connected with the connecting turntable 27; the bottom surface of the connecting turntable 27 is connected with a sixth connecting rod 38, and two ends of the sixth connecting rod 38 are respectively connected with the straightening rods 6 above the left straightening device 1 and the right straightening device 2.
The linkage mechanism can enable the rotating device to drive the first rotating disc and the second rotating disc to rotate by utilizing the rotation of the third rotating disc when the rotating device works, so that the adjusting rod or the third rotating shaft connected with the third connecting shaft and the fourth connecting shaft can rotate, and the adjusting block is driven to correct the correcting rod.
When the automatic transmission device works, the second gear rotates along with the rotation of the fourth connecting shaft, the second gear rotates and then drives the first gear to rotate, the first gear rotates and then drives the fifth connecting shaft to rotate, the fifth connecting shaft rotates and then drives the third gear to rotate, the third gear rotates and then drives the fourth gear to rotate, the fourth gear rotates and then drives the third connecting shaft to rotate, and the third connecting shaft rotates and then drives the first turntable and the fifth connecting rod to rotate.
The first gear, the second gear, the third gear and the fourth gear are all set as bevel gears, the first gear and the second gear are bevel gear sets which are meshed with each other, and the third gear and the fourth gear are another bevel gear set which are meshed with each other.
In order to facilitate the disassembly after the operation, the correcting rods can be arranged into three groups, wherein the first group is arranged on the spine bone through the fixing column, the second group is sleeved at the other end of the adjusting rod, and the third group is arranged between the two groups; the first group of correcting rods arranged on the spine bones can realize the purpose of fine adjustment and reduction of the deformed spine by adjusting the second group and the third group and combining the adjusting rods and the first connecting rods; after the adjustment is finished, the first group of correction rods can be placed on the spine bone for a long time and the spine bone can be corrected for a long time by detaching the adjustment rods; the selection of timely taking out or not taking out the first group of correction rods can be judged according to the recovery condition of the patient; the second group of correcting rods and the third group of correcting rods are disassembled after the first-stage correction after the operation is finished, the adjusting rods are in threaded connection with the first group of correcting rods, and the adjusting rods, the second connecting rod, the second group of correcting rods and the third group of correcting rods can be disassembled through threaded disassembly; if the patient has the situation of lateral protrusion again in the later period, the adjusting rod, the second connecting rod, the second group of correcting rods and the third group of correcting rods can be connected to the first group of correcting rods again to correct the first group of correcting rods again, so that the situation that the correcting rods are replaced again in the second operation is reduced.
It will be apparent to those skilled in the art that various changes and modifications may be made in the present invention without departing from the spirit and scope of the invention. Thus, if such modifications and variations of the present invention fall within the scope of the claims of the present invention and their equivalents, the present invention is also intended to include such modifications and variations.