CN111658167A - Integrated pedicle screw path detection device - Google Patents
Integrated pedicle screw path detection device Download PDFInfo
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- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
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Abstract
本发明提供了一种一体化椎弓根钉道检测装置,包括:神经根探子,设置有通孔;可折断克氏针,可插入所述通孔,以及可通过所述神经根探子折断。本发明实现在椎弓根螺钉植入前,能够通过克氏针在透视时标记钉道位置,从而方便后续椎弓根螺钉置入钉道。
The invention provides an integrated pedicle screw channel detection device, comprising: a nerve root probe provided with a through hole; a breakable K-wire, which can be inserted into the through hole, and can be broken through the nerve root probe. The invention realizes that before the pedicle screw is implanted, the position of the screw channel can be marked by the Kirschner wire during fluoroscopy, thereby facilitating the subsequent pedicle screw placement in the screw channel.
Description
技术领域technical field
本发明涉及医疗器械技术领域,特别涉及一种一体化椎弓根钉道检测装置。The invention relates to the technical field of medical devices, in particular to an integrated pedicle screw channel detection device.
背景技术Background technique
人类作为脊椎动物,脊椎对人体的作用和意义非常重要,正常人体的脊椎位于背部正中,上端接颅骨,下端达尾骨尖,它是人体的中轴骨骼,是身体的支柱,具有负重、减震、保护和运动等功能。此外,脊椎还保护着内部的脊髓,脊髓是许多简单反射的中枢,因此,可以说,脊椎是人体最重要的骨骼结构之一。As a vertebrate, the function and significance of the spine to the human body is very important. The spine of a normal human body is located in the middle of the back, the upper end is connected to the skull, and the lower end reaches the tip of the coccyx. It is the axial skeleton of the human body. , protection and movement functions. In addition, the spine also protects the spinal cord inside, which is the center of many simple reflexes, so it can be said that the spine is one of the most important bone structures in the human body.
在脊柱外科中已知的是,将椎弓根螺钉植入椎骨体用于稳定和/或加强椎骨体,以治疗例如由肿瘤、老化过程、遗传原因、创伤或者退行性疾病引起的脊柱病症。在理想情况下,椎弓根螺钉这样定位,使得螺钉完全容纳在椎骨体的关节突的根部中。螺钉不应从根部突出,尤其不能伸到椎孔或者脊髓的区域内。错误的定位可能导致被治疗的椎骨体不稳定并且在最差情况下可能出现神经损伤并且由此例如导致严重瘫痪。因此锥弓根螺钉的定位十分重要。It is known in spine surgery to implant pedicle screws into the vertebral body for stabilization and/or strengthening of the vertebral body to treat spinal disorders such as those caused by tumors, aging processes, genetic causes, trauma or degenerative diseases. Ideally, the pedicle screw is positioned such that the screw is fully received in the root of the articular process of the vertebral body. The screw should not protrude from the root, especially in the area of the vertebral foramen or spinal cord. Incorrect positioning can lead to instability of the vertebral body being treated and in the worst case possible neurological damage and thus, for example, severe paralysis. Therefore, the positioning of the pedicle screw is very important.
目前,在椎弓根螺钉植入手术中,在椎弓根螺钉植入前,无用于手术中透视时标记钉道位置的检测装置,不方便椎弓根螺钉置入钉道。At present, in the pedicle screw implantation operation, before the pedicle screw is implanted, there is no detection device for marking the position of the screw track during intraoperative fluoroscopy, which is inconvenient for the pedicle screw to be placed in the screw track.
发明内容SUMMARY OF THE INVENTION
本发明提供一体化椎弓根钉道检测装置,用以解决上述技术问题。The present invention provides an integrated pedicle screw track detection device to solve the above technical problems.
一体化椎弓根钉道检测装置,包括:Integrated pedicle screw track detection device, including:
神经根探子,设置有通孔;The nerve root probe is provided with a through hole;
可折断克氏针,可插入所述通孔,以及可通过所述神经根探子折断。A K-wire can be broken, inserted into the through hole, and broken through the nerve root probe.
优选的,所述神经根探子尾端设置球头。Preferably, the tail end of the nerve root probe is provided with a ball head.
优选的,椎弓根螺钉设置中空通道,用于套在所述可折断克氏针外。Preferably, the pedicle screw is provided with a hollow channel for sheathing the frangible Kirschner wire.
优选的,所述通孔直径为1.7mm,所述可折断可式针直径为1.5mm,椎弓根螺钉的中空通道内径为1.7mm。Preferably, the diameter of the through hole is 1.7 mm, the diameter of the breakable needle is 1.5 mm, and the inner diameter of the hollow channel of the pedicle screw is 1.7 mm.
优选的,所述通孔贯穿神经根探子长度方向两端;Preferably, the through hole runs through both ends of the nerve root probe in the length direction;
所述神经根探子长度为18cm;The length of the nerve root probe is 18cm;
所述可折断克氏针的长度为23cm,且所述可折断克氏针的折断段长度为10cm。The length of the breakable K-wire is 23 cm, and the length of the broken section of the breakable K-wire is 10 cm.
优选的,椎弓根螺钉长度为40、45、50、55、60、65、70、75、80mm中任一个,所述椎弓根的螺纹部直径为5mm、6mm、7mm、8mm、9mm中任一个;Preferably, the length of the pedicle screw is any one of 40, 45, 50, 55, 60, 65, 70, 75, and 80 mm, and the diameter of the threaded portion of the pedicle is between 5 mm, 6 mm, 7 mm, 8 mm, and 9 mm. either;
所述椎弓根螺钉的螺纹段的螺距为3mm。The pitch of the thread segment of the pedicle screw is 3 mm.
优选的,椎弓根螺钉包括:Preferably, the pedicle screw comprises:
螺钉本体和连接在螺钉本体头部的U形帽;The screw body and the U-shaped cap connected to the head of the screw body;
所述U形帽下端固定连接有第一柱体;The lower end of the U-shaped cap is fixedly connected with a first cylinder;
所述螺钉本体包括:The screw body includes:
螺纹段;thread segment;
球形凸块,固定连接在所述螺纹段头端;a spherical projection fixedly connected to the head end of the thread segment;
锁紧件;locking piece;
中空连接块,所述锁紧件、球形凸块均位于所述中空连接块内,所述中空连接块内设有与所述球形凸块下端形状匹配的限位卡槽;a hollow connecting block, the locking member and the spherical projection are all located in the hollow connecting block, and the hollow connecting block is provided with a limit slot that matches the shape of the lower end of the spherical projection;
所述锁紧件包括:The locking element includes:
第二柱体;the second cylinder;
连接体,一端与所述第二柱体一端固定连接,所述连接体另一端设置半球形凹槽,所述半球形凹槽与所述球形凸块上端匹配,所述第二柱体另一端与所述第一柱体远离U形帽的一端连接;a connecting body, one end of which is fixedly connected to one end of the second cylinder, the other end of the connecting body is provided with a hemispherical groove, the hemispherical groove matches the upper end of the spherical projection, and the other end of the second cylinder connected with the end of the first cylinder away from the U-shaped cap;
第三柱体,一端固定连接在所述半球形凹槽内中部,所述球形凸块靠近锁紧件的一端设有用于所述第三柱体另一端插入的插槽;a third cylinder, one end of which is fixedly connected to the inner middle of the hemispherical groove, and one end of the spherical projection close to the locking member is provided with a slot for inserting the other end of the third cylinder;
所述中空连接块侧壁和第一柱体侧壁通过螺纹连接或通过螺丝固定。The side wall of the hollow connecting block and the side wall of the first cylinder are connected or fixed by screws.
优选的,椎弓根螺钉包括:Preferably, the pedicle screw comprises:
螺钉本体和连接在螺钉本体头部的U形帽;The screw body and the U-shaped cap connected to the head of the screw body;
所述U形帽连接有脊柱固定棒连接组件;The U-shaped cap is connected with a spinal column fixing rod connecting component;
所述脊柱固定棒连接组件包括:The spinal column fixation rod connecting assembly includes:
所述U形帽内侧壁设置的螺纹槽;a threaded groove provided on the inner side wall of the U-shaped cap;
十字形卡槽,设置在所述U形帽内底壁;a cross-shaped card slot, arranged on the inner bottom wall of the U-shaped cap;
十字形卡块,固定连接在所述脊柱固定棒下端,所述十字形卡块与所述十字形卡槽匹配;a cross-shaped clamping block, which is fixedly connected to the lower end of the spinal column fixing rod, and the cross-shaped clamping block is matched with the cross-shaped clamping groove;
锁紧螺栓,与所述螺纹槽匹配;locking bolts, matching the thread grooves;
压块,所述压块设有与脊柱固定棒侧面形状匹配的凹槽,用于压紧在脊柱固定棒外壁,所述压块位于锁紧螺栓下方;a pressure block, the pressure block is provided with a groove that matches the shape of the lateral surface of the spinal column fixing rod, and is used to be pressed against the outer wall of the spinal column fixing rod, and the pressure block is located below the locking bolt;
所述锁紧螺栓和U形帽侧壁对应设置螺纹孔,所述螺纹孔内可连接锁紧螺丝。The locking bolt and the side wall of the U-shaped cap are correspondingly provided with threaded holes, and the threaded holes can be connected with locking screws.
优选的,还包括透视设备,所述透视设备通过信号调理电路连接控制主机,所述信号调理电路包括:Preferably, it also includes a see-through device, the see-through device is connected to the control host through a signal conditioning circuit, and the signal conditioning circuit includes:
放大单元、偏置单元、电压调理单元、基准单元;Amplification unit, bias unit, voltage conditioning unit, reference unit;
所述电压调理单元包括:The voltage conditioning unit includes:
第二三极管,发射极连接透视设备信号输出端;The second triode, the emitter is connected to the signal output end of the perspective device;
第三二极管,负极连接第二三极管集电极;The third diode, the negative electrode is connected to the collector of the second triode;
第一二极管,负极连接第三二极管正极;the first diode, the negative electrode is connected to the positive electrode of the third diode;
第二二极管,正极连接第一二极管正极;The second diode, the anode is connected to the anode of the first diode;
第四电阻,第一端连接第二三极管基极;the fourth resistor, the first end is connected to the base of the second triode;
第七电阻,第一端连接第四电阻第二端及第二三极管基极;a seventh resistor, the first end of which is connected to the second end of the fourth resistor and the base of the second triode;
第一三极管,集电极接地,发射极连接第七电阻第二端;the first triode, the collector is grounded, and the emitter is connected to the second end of the seventh resistor;
第五三极管,发射极连接第一三极管发射极及第七电阻第二端,所述第五三极管集电极连接第四电源,基极连接第一三极管基极;the fifth triode, the emitter is connected to the emitter of the first triode and the second end of the seventh resistor, the collector of the fifth triode is connected to the fourth power supply, and the base is connected to the base of the first triode;
第十电阻,一端连接第二二极管正极,另一端连接第三二极管正极;The tenth resistor, one end is connected to the anode of the second diode, and the other end is connected to the anode of the third diode;
电容,一端连接第二二极管正极,另一端连接第三三极管正极;Capacitor, one end is connected to the anode of the second diode, and the other end is connected to the anode of the third triode;
所述基准单元包括:The reference unit includes:
第二电阻,一端连接第三电源,另一端连接第五电阻第一端,所述第五电阻第二端连接第一三极管基极以及通过第六电阻接地;a second resistor, one end is connected to the third power supply, the other end is connected to the first end of the fifth resistor, the second end of the fifth resistor is connected to the base of the first triode and is grounded through the sixth resistor;
所述偏置单元包括:The bias unit includes:
第四三极管,基极连接第五电阻第二端,集电极接地;the fourth triode, the base is connected to the second end of the fifth resistor, and the collector is grounded;
第一运算放大器,正输入端连接第四三极管基极;the first operational amplifier, the positive input terminal is connected to the base of the fourth triode;
第三三极管,基极连接第四三极管发射极,第三三极管集电极连接第一电源;The third triode, the base is connected to the emitter of the fourth triode, and the collector of the third triode is connected to the first power supply;
第一稳流源,一端连接第四三极管发射极及第三三极管基极,另一端连接第二电源;the first constant current source, one end is connected to the emitter of the fourth triode and the base of the third triode, and the other end is connected to the second power supply;
第二稳流源,一端连接第三三极管发射极以及通过第一电阻连接第一运算放大器负输入端,另一端接地;The second constant current source, one end is connected to the emitter of the third triode and the negative input end of the first operational amplifier through the first resistor, and the other end is grounded;
第三电阻,一端连接第一运算放大器负输入端,另一端连接第一运算放大器输出端;the third resistor, one end is connected to the negative input end of the first operational amplifier, and the other end is connected to the output end of the first operational amplifier;
所述放大单元包括:The amplifying unit includes:
第二运算放大器,负输入端通过第八电阻连接第一运算放大器输出端,所述第二运算放大器正输入端连接第二三极管发射极,所述第二运算放大器输出端连接控制主机;the second operational amplifier, the negative input terminal is connected to the output terminal of the first operational amplifier through the eighth resistor, the positive input terminal of the second operational amplifier is connected to the emitter of the second triode, and the output terminal of the second operational amplifier is connected to the control host;
第九电阻,一端连接第二运算放大器负输入端,另一端连接第二运算放大器输出端。The ninth resistor, one end is connected to the negative input end of the second operational amplifier, and the other end is connected to the output end of the second operational amplifier.
下面通过附图和实施例,对本发明的技术方案做进一步的详细描述。The technical solutions of the present invention will be further described in detail below through the accompanying drawings and embodiments.
附图说明Description of drawings
附图用来提供对本发明的进一步理解,并且构成说明书的一部分,与本发明的实施例一起用于解释本发明,并不构成对本发明的限制。在附图中:The accompanying drawings are used to provide a further understanding of the present invention, and constitute a part of the specification, and are used to explain the present invention together with the embodiments of the present invention, and do not constitute a limitation to the present invention. In the attached image:
图1为神经根探子与可折断克氏针连接完成后的结构示意图。Fig. 1 is a schematic diagram of the structure after the connection between the nerve root probe and the breakable Kirschner wire is completed.
图2为图1中神经根探子的结构示意图。FIG. 2 is a schematic structural diagram of the nerve root probe in FIG. 1 .
图3为图1中可折断克氏针的结构示意图。FIG. 3 is a schematic structural diagram of the breakable Kirschner wire in FIG. 1 .
图4为神经根探子与可折断克氏针连接状态转换示意图。FIG. 4 is a schematic diagram of the connection state transition between the nerve root probe and the breakable Kirschner wire.
图5为椎弓根螺钉的一种实施例的外部结构示意图。FIG. 5 is a schematic diagram of the external structure of an embodiment of a pedicle screw.
图6为图5中椎弓根螺钉的剖视图。FIG. 6 is a cross-sectional view of the pedicle screw of FIG. 5 .
图7为神经根探子连接在椎体的示意图。Figure 7 is a schematic diagram of the nerve root probe connected to the vertebral body.
图8为椎弓根螺钉的另一种实施例的结构示意图;8 is a schematic structural diagram of another embodiment of a pedicle screw;
图9为图8中锁紧件的结构示意图。FIG. 9 is a schematic structural diagram of the locking member in FIG. 8 .
图10为本发明信号调理电路的电路图。FIG. 10 is a circuit diagram of the signal conditioning circuit of the present invention.
图中:1、神经根探子;11、球头;12、通孔;13、神经根探子尾端;14、神经根探子头端;2、可折断克氏针;21、可折断处;22、折断段;3、椎体;4、棘突;5、横突;6、椎管;7、椎弓根螺钉;71、螺纹段;72、中空通道;73、U形帽;731、螺纹槽;732、十字形卡槽;733、十字形卡块;734、锁紧螺栓;735、压块;74、螺钉本体;741、球形凸块;742、中空连接块;7421、限位卡槽;743、锁紧件;7431、第二柱体;7432、连接体;7433、第三柱体;7434、半球形凹槽;75、第一柱体;8、脊柱固定棒;R1、第一电阻;R2、第二电阻;R3、第三电阻;R4、第四电阻;R5、第五电阻;R6、第六电阻;R7、第七电阻;R8、第八电阻;R9、第九电阻;R10、第十电阻;C1、电容;U1、第一运算放大器;U2、第二运算放大器;U3、第一稳流源;U4、第二稳流源;Q1、第一三极管;Q2、第二三极管;Q3、第三三极管;Q4、第四三极管;Q5、第五三极管;V1、第一电源;V2、第二电源;V3、第三电源;V4、第四电源;D1、第一二极管;D2、第二二极管;D3、第三二极管。In the figure: 1. Nerve root probe; 11. Ball head; 12. Through hole; 13. Nerve root probe tail; 14. Nerve root probe head; 2. Broken Kirschner wire; 21. Breakable part; 22 , broken segment; 3, vertebral body; 4, spinous process; 5, transverse process; 6, spinal canal; 7, pedicle screw; 71, thread segment; 72, hollow channel; 73, U-shaped cap; 731, thread Slot; 732, cross-shaped card slot; 733, cross-shaped card block; 734, locking bolt; 735, pressure block; 74, screw body; 741, spherical bump; 742, hollow connection block; 7421, limit card 743, locking member; 7431, second cylinder; 7432, connecting body; 7433, third cylinder; 7434, hemispherical groove; 75, first cylinder; 8, spinal fixation rod; R1, first Resistor; R2, the second resistor; R3, the third resistor; R4, the fourth resistor; R5, the fifth resistor; R6, the sixth resistor; R7, the seventh resistor; R8, the eighth resistor; R9, the ninth resistor; R10, the tenth resistor; C1, capacitor; U1, the first operational amplifier; U2, the second operational amplifier; U3, the first steady current source; U4, the second steady current source; Q1, the first transistor; Q2, The second transistor; Q3, the third transistor; Q4, the fourth transistor; Q5, the fifth transistor; V1, the first power supply; V2, the second power supply; V3, the third power supply; V4, The fourth power supply; D1, the first diode; D2, the second diode; D3, the third diode.
具体实施方式Detailed ways
以下结合附图对本发明的优选实施例进行说明,应当理解,此处所描述的优选实施例仅用于说明和解释本发明,并不用于限定本发明。The preferred embodiments of the present invention will be described below with reference to the accompanying drawings. It should be understood that the preferred embodiments described herein are only used to illustrate and explain the present invention, but not to limit the present invention.
另外,在本发明中如涉及“第一”、“第二”等的描述仅用于描述目的,并非特别指称次序或顺位的意思,亦非用以限定本发明,其仅仅是为了区别以相同技术用语描述的组件或操作而已,而不能理解为指示或暗示其相对重要性或者隐含指明所指示的技术特征的数量。由此,限定有“第一”、“第二”的特征可以明示或者隐含地包括至少一个该特征。另外,各个实施例之间的技术方案以及技术特征可以相互结合,但是必须是以本领域普通技术人员能够实现为基础,当技术方案的结合出现相互矛盾或无法实现时应当认为这种技术方案的结合不存在,也不在本发明要求的保护范围之内。In addition, descriptions such as “first”, “second”, etc. in the present invention are only for the purpose of description, and do not refer to the meaning of order or sequence, nor are they used to limit the present invention. The components or operations are described by the same technical terms, and should not be construed as indicating or implying their relative importance or implying the quantity of the indicated technical features. Thus, a feature delimited with "first", "second" may expressly or implicitly include at least one of that feature. In addition, the technical solutions and technical features between the various embodiments can be combined with each other, but must be based on the realization by those of ordinary skill in the art. When the combination of technical solutions is contradictory or cannot be realized, it should be considered that this technical solution The combination does not exist and is not within the scope of protection claimed by the present invention.
本发明实施例提供了一体化椎弓根钉道检测装置,如图1-7,包括:The embodiment of the present invention provides an integrated pedicle screw track detection device, as shown in Figures 1-7, including:
神经根探子1,设置有通孔12;The
可折断克氏针2,可插入所述通孔12,以及可通过所述神经根探子1折断。The K-
优选的,所述神经根探子尾端13设置球头11,便于折断可折断克氏针的可折断处。Preferably, the
优选的,所述可折断可式针长度大于神经根探子长度,便于可折断克氏针插入神经根探子的通孔后,使得可折断段克氏针的折断段穿出神经根探子尾端,便于后续可折断克氏针折断后折断段留在椎体内,而其他部分可随神经根探子从椎体取出。Preferably, the length of the breakable needle is greater than the length of the nerve root probe, so that after the breakable K-wire is inserted into the through hole of the nerve root probe, the broken segment of the breakable K-wire can pass through the tail end of the nerve root probe, It is convenient for the subsequent breakable Kirschner wire to remain in the vertebral body after being broken, and other parts can be taken out from the vertebral body with the nerve root probe.
图7为神经根探子插入在椎体的示意图,图中:椎骨包括:椎体3、棘突4、横突5、椎管6,椎骨结构为现有技术,在此不再赘述;Fig. 7 is the schematic diagram that the nerve root probe is inserted in the vertebral body, in the figure: the vertebral bone comprises: the
上述技术方案的工作原理和有益效果为:The working principle and beneficial effects of the above technical solutions are:
手术时,初步制作钉道后,将神经根探子沿钉道插入(如图7),再将可折断克氏针从神经根探子头端14插入通孔12中,然后将神经根探子头端提起至神经探子尾端13位于可折断克氏针的可折断处21,通过神经探子尾端13将可折断克氏针沿可折断处21折断,将可折断克氏针的折断段留在伤口内,用于透视时标记钉道位置,可折断克氏针的其他部分随神经根探子从椎体取出。During the operation, after the initial preparation of the screw track, insert the nerve root probe along the screw track (as shown in Figure 7), and then insert the breakable K-wire from the nerve
上述技术方案实现在椎弓根螺钉植入前,能够通过克氏针在透视时标记钉道位置,从而方便后续椎弓根螺钉置入钉道。The above technical solution realizes that before the pedicle screw is implanted, the position of the screw channel can be marked by the Kirschner wire during fluoroscopy, so as to facilitate the subsequent placement of the pedicle screw into the screw channel.
在一个实施例中,如图6所示,椎弓根螺钉7设置中空通道72,用于套在所述可折断克氏针2外。In one embodiment, as shown in FIG. 6 , the
上述技术方案的工作原理和有益效果为:椎弓根螺钉可沿可折断段克氏针的折断段22套入,避免置钉过程中由于没有克氏针导引而出现改道的情况,尤其对于骨质疏松情况而言。The working principle and beneficial effects of the above technical solutions are as follows: the pedicle screw can be inserted along the
在一个实施例中,所述通孔直径为1.7mm,所述可折断可式针直径为1.5mm,椎弓根螺钉7的中空通道内径为1.7mm。In one embodiment, the diameter of the through hole is 1.7 mm, the diameter of the breakable needle is 1.5 mm, and the inner diameter of the hollow channel of the
上述技术方案工作原理和有益效果为:上述尺寸便于可折断克氏针插入通孔,以及便于椎弓根螺钉套入可折断克氏针,以及便于可折断克氏针留在椎体钉道。The working principle and beneficial effects of the above technical solution are as follows: the above dimensions are convenient for inserting the breakable Kirschner wire into the through hole, for inserting the breakable Kirschner wire into the pedicle screw, and for leaving the breakable Kirschner wire in the vertebral body screw road.
在一个实施例中,所述通孔贯穿神经根探子长度方向两端;In one embodiment, the through hole runs through both ends of the nerve root probe in the length direction;
所述神经根探子1长度为18cm;The length of the
所述可折断克氏针2的长度为23cm,且所述可折断克氏针2的折断段长度为10cm。The length of the breakable K-
上述技术方案的工作原理和有益效果为:上述便于可折断克氏针插入神经根探子的通孔后,使得可折断段克氏针的折断段穿出神经根探子尾端,便于后续可折断克氏针折断后折断段留在椎体内,而其他部分可随神经根探子从椎体取出;以及合适的折断段长度便于后续透视以及导引椎弓根螺钉进入钉道、The working principle and beneficial effects of the above technical solution are as follows: after the above-mentioned through-hole for inserting the breakable Kirschner wire into the nerve root probe, the broken segment of the breakable segment Kirschner wire is made to pass through the tail end of the nerve root probe, which is convenient for subsequent breakable K-wires. After the needle is broken, the broken segment remains in the vertebral body, while other parts can be taken out from the vertebral body with the nerve root probe; and the appropriate length of the broken segment facilitates subsequent fluoroscopy and guides the pedicle screw into the screw track,
在一个实施例中,椎弓根螺钉7长度为40、45、50、55、60、65、70、75、80mm中任一个,所述椎弓根的螺纹部直径为5mm、6mm、7mm、8mm、9mm中任一个;In one embodiment, the length of the
所述椎弓根螺钉7的螺纹段71的螺距为3mm。The pitch of the
上述技术方案的工作原理和有益效果为:设置合适尺寸的椎弓根螺钉,便于其在椎体内起到固定作用。The working principle and beneficial effects of the above-mentioned technical solutions are as follows: a pedicle screw of a suitable size is arranged to facilitate its fixation in the vertebral body.
在一个实施例中,如图8-9所示,In one embodiment, as shown in Figures 8-9,
椎弓根螺钉7包括:Pedicle screws 7 include:
螺钉本体74和连接在螺钉本体74头部的U形帽73;The
所述U形帽73下端固定连接有第一柱体75;A
所述螺钉本体74包括:The
螺纹段71;Threaded
球形凸块741,固定连接在所述螺纹段71头端;The
锁紧件743;优选的,锁紧件由弹性耐磨橡胶材质制成;locking
中空连接块742,所述锁紧件743、球形凸块741均位于所述中空连接块742内,所述中空连接块742内设有与所述球形凸块741下端形状匹配的限位卡槽7421;The hollow connecting
所述锁紧件743包括:The locking
第二柱体7431;the
连接体7432,一端与所述第二柱体7431一端固定连接,所述连接体7432另一端设置半球形凹槽7434,所述半球形凹槽与所述球形凸块741上端匹配,所述第二柱体7431另一端与所述第一柱体远离U形帽73的一端连接;One end of the connecting
第三柱体7433,一端固定连接在所述半球形凹槽内中部,所述球形凸块741靠近锁紧件743的一端设有用于所述第三柱体7433另一端插入的插槽;One end of the
所述中空连接块742侧壁和第一柱体侧壁通过螺纹连接或通过螺丝固定。The side wall of the
上述技术方案的工作原理和有益效果为:The working principle and beneficial effects of the above technical solutions are:
设置球形凸块用于调整螺纹段的角度,当调整完毕后,拧紧第一柱体,通过第一柱体传递压力到锁紧件实现将球形凸块锁紧;上述锁紧结构简单,锁紧方便;A spherical projection is provided to adjust the angle of the thread segment. After the adjustment is completed, the first cylinder is tightened, and the pressure is transmitted to the locking member through the first cylinder to lock the spherical projection; the above-mentioned locking structure is simple, and the locking convenient;
设置限位卡槽用于限位球形凸块,保证连接结构的可靠性,设置第三柱体和插槽保证定位可靠。A limit card slot is arranged to limit the spherical bump to ensure the reliability of the connection structure, and a third cylinder and a slot are arranged to ensure reliable positioning.
在一个实施例中,如图8-9所示,In one embodiment, as shown in Figures 8-9,
椎弓根螺钉7包括:Pedicle screws 7 include:
螺钉本体74和连接在螺钉本体74头部的U形帽73;The
所述U形帽73连接有脊柱固定棒8连接组件;The
所述脊柱固定棒8连接组件包括:The spinal
所述U形帽73内侧壁设置的螺纹槽731;a threaded
十字形卡槽732,设置在所述U形帽73内底壁;The
十字形卡块733,固定连接在所述脊柱固定棒下端,所述十字形卡块733与所述十字形卡槽732匹配;A
锁紧螺栓734,与所述螺纹槽731匹配;The
压块735,所述压块735设有与脊柱固定棒8侧面形状匹配的凹槽,用于压紧在脊柱固定棒8外壁,所述压块735位于锁紧螺栓734下方;A
所述锁紧螺栓734和U形帽73侧壁对应设置螺纹孔,所述螺纹孔内可连接锁紧螺丝。The locking
上述技术方案的工作原理和有益效果为:安装脊柱固定棒(牵引棒)时,将脊柱固定棒放置U形帽,使得脊柱固定棒的十字形卡块与U形帽内壁的十字形卡槽定位,然后将压块放置脊柱固定棒上端,所述压块735的凹槽压紧在脊柱固定棒8外壁,然后将锁紧螺栓连接在所述螺纹槽内,转动锁紧螺栓压紧压块,实现将脊柱固定棒固定;The working principle and beneficial effects of the above technical solutions are as follows: when installing the spinal column fixation rod (traction rod), place the spinal column fixation rod with a U-shaped cap, so that the cross-shaped block of the spinal column fixation rod is positioned with the cross-shaped groove of the inner wall of the U-shaped cap. , and then place the pressure block on the upper end of the spinal fixation rod, the groove of the
十字形卡块与U形帽内壁的十字形卡槽定位用于放置脊柱固定棒转动,压块及其凹槽和锁紧螺栓的设置便于可靠压紧脊柱固定棒;The cross-shaped clamping block and the cross-shaped clamping groove on the inner wall of the U-shaped cap are positioned for placing the spinal fixation rod for rotation.
所述锁紧螺栓734和U形帽73侧壁对应设置螺纹孔,所述螺纹孔内可连接锁紧螺丝,用于进一步固定锁紧螺栓,防止锁紧螺栓因为磨损导致松动。The locking
在一个实施例值,还包括透视设备,所述透视设备通过信号调理电路连接控制主机,所述信号调理电路包括:In one embodiment, it also includes a fluoroscopy device, the fluoroscopy device is connected to a control host through a signal conditioning circuit, and the signal conditioning circuit includes:
放大单元、偏置单元、电压调理单元、基准单元;Amplification unit, bias unit, voltage conditioning unit, reference unit;
如图9所示,所述电压调理单元包括:As shown in Figure 9, the voltage conditioning unit includes:
第二三极管Q2,发射极连接透视设备信号输出端;The second transistor Q2, the emitter is connected to the signal output end of the perspective device;
第三二极管D3,负极连接第二三极管Q2集电极;The third diode D3, the negative electrode is connected to the collector of the second transistor Q2;
第一二极管D1,负极连接第三二极管D3正极;The cathode of the first diode D1 is connected to the anode of the third diode D3;
第二二极管D2,正极连接第一二极管D1正极;The anode of the second diode D2 is connected to the anode of the first diode D1;
第四电阻R4,第一端连接第二三极管Q2基极;The fourth resistor R4, the first end of which is connected to the base of the second transistor Q2;
第七电阻R7,第一端连接第四电阻R4第二端及第二三极管Q2基极;The seventh resistor R7, the first end is connected to the second end of the fourth resistor R4 and the base of the second transistor Q2;
第一三极管Q1,集电极接地,发射极连接第七电阻R7第二端;The first transistor Q1, the collector is grounded, and the emitter is connected to the second end of the seventh resistor R7;
第五三极管Q5,发射极连接第一三极管Q1发射极及第七电阻R7第二端,所述第五三极管Q5集电极连接第四电源V4,基极连接第一三极管Q1基极;The fifth transistor Q5, the emitter is connected to the emitter of the first transistor Q1 and the second end of the seventh resistor R7, the collector of the fifth transistor Q5 is connected to the fourth power supply V4, and the base is connected to the first transistor Tube Q1 base;
第十电阻R10,一端连接第二二极管D2正极,另一端连接第三二极管D3正极;The tenth resistor R10, one end is connected to the anode of the second diode D2, and the other end is connected to the anode of the third diode D3;
电容C1,一端连接第二二极管D2正极,另一端连接第三三极管Q3正极;One end of the capacitor C1 is connected to the anode of the second diode D2, and the other end is connected to the anode of the third transistor Q3;
所述基准单元包括:The reference unit includes:
第二电阻R2,一端连接第三电源V3,另一端连接第五电阻R5第一端,所述第五电阻R5第二端连接第一三极管Q1基极以及通过第六电阻R6接地;The second resistor R2, one end is connected to the third power supply V3, the other end is connected to the first end of the fifth resistor R5, the second end of the fifth resistor R5 is connected to the base of the first transistor Q1 and is grounded through the sixth resistor R6;
所述偏置单元包括:The bias unit includes:
第四三极管Q4,基极连接第五电阻R5第二端,集电极接地;The fourth transistor Q4, the base is connected to the second end of the fifth resistor R5, and the collector is grounded;
第一运算放大器U1,正输入端连接第四三极管Q4基极;The first operational amplifier U1, the positive input terminal is connected to the base of the fourth transistor Q4;
第三三极管Q3,基极连接第四三极管Q4发射极,第三三极管Q3集电极连接第一电源V1;The third transistor Q3, the base is connected to the emitter of the fourth transistor Q4, and the collector of the third transistor Q3 is connected to the first power supply V1;
第一稳流源U3,一端连接第四三极管Q4发射极及第三三极管Q3基极,另一端连接第二电源V2;The first constant current source U3 has one end connected to the emitter of the fourth transistor Q4 and the base of the third transistor Q3, and the other end connected to the second power supply V2;
第二稳流源U4,一端连接第三三极管Q3发射极以及通过第一电阻R1连接第一运算放大器U1负输入端,另一端接地;The second constant current source U4, one end is connected to the emitter of the third transistor Q3 and the negative input end of the first operational amplifier U1 through the first resistor R1, and the other end is grounded;
第三电阻R3,一端连接第一运算放大器U1负输入端,另一端连接第一运算放大器U1输出端;The third resistor R3 has one end connected to the negative input end of the first operational amplifier U1, and the other end connected to the output end of the first operational amplifier U1;
所述放大单元包括:The amplifying unit includes:
第二运算放大器U2,负输入端通过第八电阻R8连接第一运算放大器U1输出端,所述第二运算放大器U2正输入端连接第二三极管Q2发射极,所述第二运算放大器U2输出端连接控制主机;The second operational amplifier U2, the negative input terminal is connected to the output terminal of the first operational amplifier U1 through the eighth resistor R8, the positive input terminal of the second operational amplifier U2 is connected to the emitter of the second transistor Q2, and the second operational amplifier U2 The output terminal is connected to the control host;
第九电阻R9,一端连接第二运算放大器U2负输入端,另一端连接第二运算放大器U2输出端。One end of the ninth resistor R9 is connected to the negative input end of the second operational amplifier U2, and the other end is connected to the output end of the second operational amplifier U2.
D1、D3为瞬态电压抑制二极管。D1 and D3 are transient voltage suppression diodes.
上述技术方案的工作原理和有益效果为:通过放大单元中U2对信号进行放大,通过电压调理单元保证电压恒定,防止偏移,以及起到过压保护的作用,通过基准单元,生成第一电压基准提供给电压调理单元,以及生成第二电压基准给通过偏置单元,通过偏置单元进行电压偏置后反馈给电压调理单元,通过偏置单元去除干扰;通过Q3、Q4防止输入至U1电压出现偏移,能够降低V3对输入至U1的电压基准的影响;通过D1实现动态电压抑制,D1、D3、C、R10实现静态电压抑制,R4用于限流保护D1、D3。The working principle and beneficial effects of the above technical solutions are as follows: the signal is amplified by U2 in the amplifying unit, the voltage is kept constant by the voltage conditioning unit, the offset is prevented, and the function of overvoltage protection is played, and the first voltage is generated by the reference unit. The reference is provided to the voltage conditioning unit, and a second voltage reference is generated to the biasing unit, and the biasing unit performs voltage bias and then feeds it back to the voltage conditioning unit, and the biasing unit removes interference; prevents the voltage input to U1 through Q3 and Q4 If there is an offset, the influence of V3 on the voltage reference input to U1 can be reduced; D1 is used to achieve dynamic voltage suppression, D1, D3, C, and R10 are used to achieve static voltage suppression, and R4 is used for current limiting protection D1 and D3.
综上,本申请保证信号可靠传输,从而保证可靠透视检测克氏针。In conclusion, the present application ensures reliable transmission of signals, thereby ensuring reliable fluoroscopic detection of K-wires.
显然,本领域的技术人员可以对本发明进行各种改动和变型而不脱离本发明的精神和范围。这样,倘若本发明的这些修改和变型属于本发明权利要求及其等同技术的范围之内,则本发明也意图包含这些改动和变型在内。It will be apparent to those skilled in the art that various modifications and variations can be made in the present invention without departing from the spirit and scope of the invention. Thus, provided that these 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 these modifications and variations.
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Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101669840A (en) * | 2009-09-27 | 2010-03-17 | 郑明辉 | Vertebral pedicle screw |
| CN201469398U (en) * | 2009-07-15 | 2010-05-19 | 黄举豪 | Fixing steel needle and matching tool for bone fracture |
| US20100312103A1 (en) * | 2007-10-24 | 2010-12-09 | Josef Gorek | Surgical Trajectory Monitoring System and Related Methods |
| CN201684013U (en) * | 2010-03-23 | 2010-12-29 | 上海微创骨科医疗科技有限公司 | Nail path detector |
| CN204618373U (en) * | 2015-05-18 | 2015-09-09 | 浙江科惠医疗器械股份有限公司 | The broken formula Kirschner wire of a kind of band pressurization |
| CN104905869A (en) * | 2015-05-22 | 2015-09-16 | 南方医科大学 | Navigation template for vertebral pedicle locating and real-time screw path monitoring and manufacturing method thereof |
| CN206261673U (en) * | 2016-08-30 | 2017-06-20 | 上海脊光医疗科技有限公司 | A kind of screw way with column structure sets up real-time monitoring device |
| CN206355125U (en) * | 2016-08-30 | 2017-07-28 | 上海脊光医疗科技有限公司 | A kind of screw way with real time monitoring function sets up device |
-
2020
- 2020-07-08 CN CN202010650837.6A patent/CN111658167B/en active Active
Patent Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20100312103A1 (en) * | 2007-10-24 | 2010-12-09 | Josef Gorek | Surgical Trajectory Monitoring System and Related Methods |
| CN201469398U (en) * | 2009-07-15 | 2010-05-19 | 黄举豪 | Fixing steel needle and matching tool for bone fracture |
| CN101669840A (en) * | 2009-09-27 | 2010-03-17 | 郑明辉 | Vertebral pedicle screw |
| CN201684013U (en) * | 2010-03-23 | 2010-12-29 | 上海微创骨科医疗科技有限公司 | Nail path detector |
| CN204618373U (en) * | 2015-05-18 | 2015-09-09 | 浙江科惠医疗器械股份有限公司 | The broken formula Kirschner wire of a kind of band pressurization |
| CN104905869A (en) * | 2015-05-22 | 2015-09-16 | 南方医科大学 | Navigation template for vertebral pedicle locating and real-time screw path monitoring and manufacturing method thereof |
| CN206261673U (en) * | 2016-08-30 | 2017-06-20 | 上海脊光医疗科技有限公司 | A kind of screw way with column structure sets up real-time monitoring device |
| CN206355125U (en) * | 2016-08-30 | 2017-07-28 | 上海脊光医疗科技有限公司 | A kind of screw way with real time monitoring function sets up device |
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