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CN108577911A - A kind of riveting device for fixing high intensity suture - Google Patents

A kind of riveting device for fixing high intensity suture Download PDF

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Publication number
CN108577911A
CN108577911A CN201810492964.0A CN201810492964A CN108577911A CN 108577911 A CN108577911 A CN 108577911A CN 201810492964 A CN201810492964 A CN 201810492964A CN 108577911 A CN108577911 A CN 108577911A
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hole
rivet nut
locking
riveting device
suture
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黄建明
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/04Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/04Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0408Rivets

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Rheumatology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

本发明涉及一种用于固定高强度缝线的铆钉装置,包括一主钉和两枚锁定钉,所述主钉包括一柱状的主钉体,主钉体的顶面相对的两端上都具有一倾斜设置的锁定通孔,两枚锁定钉分别穿过对应的锁定通孔后呈“八”字型设置,所述主钉体的下部具有一缝线通孔,所述主钉体的顶面的中部上还安装有一压紧螺栓,该压紧螺栓的底部延伸至缝线通孔内,以解决现有铆钉固定强度不足,容易拔出失效的问题。

The invention relates to a rivet device for fixing high-strength sutures, comprising a main nail and two locking nails, the main nail includes a columnar main nail body, and two There is a locking through hole arranged obliquely, and two locking nails are arranged in the shape of "eight" after passing through the corresponding locking through holes respectively. The lower part of the main nail body has a suture through hole. A compression bolt is also installed on the middle part of the top surface, and the bottom of the compression bolt extends into the suture through hole, so as to solve the problem that the existing rivet has insufficient fixing strength and is easy to pull out and become invalid.

Description

一种用于固定高强度缝线的铆钉装置A rivet device for fixing high-strength sutures

技术领域technical field

本发明涉及医疗器械领域,具体是涉及一种用于固定高强度缝线的铆钉装置。The invention relates to the field of medical instruments, in particular to a rivet device for fixing high-strength sutures.

背景技术Background technique

在运动医学领域,铆钉是重要的内固定装置之一,目前临床应用主要为进口产品,除了价格昂贵外,各种产品尚有诸多缺点,亟待改进。目前进口的同类产品主要的问题为:1、固定缝线的数量较少,一般仅可固定4股的2号fiberwire(纤维丝)缝线或者2股的5号爱惜邦缝线;2、由PEEK材料制成的铆钉在安装过程中易出现铆钉折断现象;3、对于骨质疏松病人,尚存在铆钉固定强度不足,容易拔出失效;4、同类的进口铆钉一般仅局限于肩袖修补中的应用。In the field of sports medicine, rivets are one of the important internal fixation devices. At present, the clinical applications are mainly imported products. In addition to being expensive, various products still have many shortcomings and need to be improved urgently. The main problems of similar products imported at present are: 1. The number of fixed sutures is small, and generally only 4 strands of No. 2 fiberwire (fiber silk) sutures or 2 strands of No. 5 Axibang sutures can be fixed; 2. Rivets made of PEEK material are prone to rivet breakage during installation; 3. For osteoporosis patients, there are still insufficient rivet fixation strengths, which are easy to pull out and fail; 4. Similar imported rivets are generally limited to rotator cuff repair Applications.

发明内容Contents of the invention

本发明旨在提供一种用于固定高强度缝线的铆钉装置,以解决上述的问题。The present invention aims to provide a rivet device for fixing high-strength sutures to solve the above-mentioned problems.

具体方案如下:The specific plan is as follows:

一种用于固定高强度缝线的铆钉装置,包括一主钉和两枚锁定钉,所述主钉包括一柱状的主钉体,主钉体的顶面相对的两端上都具有一倾斜设置的锁定通孔,两枚锁定钉分别穿过对应的锁定通孔后呈“八”字型设置,所述主钉体的下部具有一缝线通孔,所述主钉体的顶面的中部还安装有一压紧螺栓,该压紧螺栓的底部延伸至缝线通孔内。A rivet device for fixing high-strength sutures, comprising a main nail and two locking nails, the main nail includes a columnar main nail body, and the opposite ends of the top surface of the main nail body have an inclined The locking through holes provided, two locking nails pass through the corresponding locking through holes respectively and are arranged in the shape of "eight", the lower part of the main nail body has a suture through hole, and the top surface of the main nail body A compression bolt is installed in the middle part, and the bottom of the compression bolt extends into the suture through hole.

进一步的,所述主钉体的下部为圆锥形状,所述主钉体上部的外侧壁上设置有多个倒齿结构。Further, the lower part of the main nail body is in the shape of a cone, and a plurality of inverted tooth structures are arranged on the outer wall of the upper part of the main nail body.

进一步的,所述主钉体的外侧壁包括两个相对的第一外侧壁以及将两个第一外侧壁过渡连接的第二外侧壁,所述缝线通孔的两个开口分别位于第一外侧壁上,所述第二外侧壁都设置有倒齿结构。Further, the outer sidewall of the main nail body includes two opposite first outer sidewalls and a second outer sidewall transitionally connecting the two first outer sidewalls, and the two openings of the suture through hole are respectively located at the first On the outer wall, the second outer wall is provided with a barbed tooth structure.

进一步的,所述第一外侧壁为光滑面。Further, the first outer wall is a smooth surface.

进一步的,所述第一外侧壁为平面,所述第二外侧壁为外凸的圆弧曲面。Further, the first outer side wall is a plane, and the second outer side wall is a convex arc surface.

进一步的,两枚锁定钉分别从主钉体的顶面延伸至两个第二外侧壁外。Further, the two locking nails respectively extend from the top surface of the main nail body to the outside of the two second outer side walls.

进一步的,两枚锁定钉的轴线之间的夹角为60°。Further, the angle between the axes of the two locking nails is 60°.

进一步的,所述锁定钉所述锁定钉、主钉体和压紧螺栓均由钛合金材料制成。Further, the locking nail, the main nail body and the compression bolt are all made of titanium alloy.

进一步的,所述主钉体的顶面为圆弧曲面形状,主钉体的顶面上的两个锁定通孔分别设置于圆弧曲面相对的两端上。Further, the top surface of the main nail body is in the shape of an arc surface, and the two locking through holes on the top surface of the main nail body are respectively arranged at opposite ends of the arc surface.

进一步的,所述缝线通孔为椭圆形通孔,该椭圆形通孔的长半轴沿主钉体的长度方向延伸。Further, the suture through hole is an oval through hole, and the semi-major axis of the oval through hole extends along the length direction of the main nail body.

本发明提供的一种用于固定高强度缝线的铆钉装置与现有技术相比较具有以下优点:Compared with the prior art, a rivet device for fixing high-strength sutures provided by the present invention has the following advantages:

1.铆钉装置由主钉和两枚交叉锁定钉组成,具有更强的抗拔出能力,对于严重骨质疏松病人,交叉锁定钉可固定到对侧骨皮质,外侧壁上的倒齿结构可以有效防止铆钉拔出失效;而且适用范围更广泛,可用于肩袖修补中的外排固定,也可用于交叉韧带重建中胫骨端的加强固定。1. The rivet device consists of the main nail and two cross-locking nails, which have stronger pull-out resistance. For patients with severe osteoporosis, the cross-locking nail can be fixed to the opposite side of the cortex, and the inverted tooth structure on the lateral wall can It can effectively prevent the rivets from being pulled out and fail; and it has a wider range of applications. It can be used for external fixation in rotator cuff repair, and can also be used for reinforcement and fixation of the tibial end in cruciate ligament reconstruction.

2.增加铆钉尖端的椭圆形缝线通孔的容积,可容纳8股以上的2号fiberwire缝线。2. Increase the volume of the oval suture hole at the tip of the rivet to accommodate more than 8 No. 2 fiberwire sutures.

附图说明Description of drawings

图1示出了铆钉装置的示意图。Figure 1 shows a schematic diagram of a riveting device.

图2示出了主钉的主视图。Figure 2 shows a front view of the main nail.

图3示出了主钉的侧视图。Figure 3 shows a side view of the main nail.

图4示出了主钉的仰视图。Figure 4 shows a bottom view of the main nail.

图5示出了锁定钉的示意图。Figure 5 shows a schematic view of a locking nail.

图6示出了压紧螺栓的示意图。Fig. 6 shows a schematic diagram of a compression bolt.

具体实施方式Detailed ways

为进一步说明各实施例,本发明提供有附图。这些附图为本发明揭露内容的一部分,其主要用以说明实施例,并可配合说明书的相关描述来解释实施例的运作原理。配合参考这些内容,本领域普通技术人员应能理解其他可能的实施方式以及本发明的优点。图中的组件并未按比例绘制,而类似的组件符号通常用来表示类似的组件。To further illustrate the various embodiments, the present invention is provided with accompanying drawings. These drawings are a part of the disclosure of the present invention, which are mainly used to illustrate the embodiments, and can be combined with related descriptions in the specification to explain the operating principles of the embodiments. With reference to these contents, those skilled in the art should understand other possible implementations and advantages of the present invention. Components in the figures are not drawn to scale, and similar component symbols are generally used to denote similar components.

现结合附图和具体实施方式对本发明进一步说明。The present invention will be further described in conjunction with the accompanying drawings and specific embodiments.

如图1-图3所示,本发明提供了一种用于固定高强度缝线的铆钉装置,该铆钉装置包括一主钉1和两枚锁定钉2,其中主钉1包括一柱状的主钉体10,主钉体10的顶面相对的两端上都具有一倾斜设置的锁定通孔100,使得两枚锁定钉分别穿过对应的锁定通孔100后呈“八”字型设置,所述主钉体10的下部具有一缝线通孔102,所述主钉体10的顶面的中部上还安装有一压紧螺栓3,该压紧螺栓3的底部延伸至缝线通孔102内。其中缝线通孔102沿垂直主钉体10的轴线方向设置,压紧螺栓3从主钉体10的顶面沿主钉体10轴线方向延伸至缝线通孔内(在主钉体10的顶面开设一个与缝线通孔102连通的螺孔,压紧螺栓3则螺接在该螺孔上,根据缝线通孔102内缝线的多少,可以旋转压紧螺栓3来调节压紧螺栓3对缝线挤压的松紧度),穿过缝线通孔102的高强度缝线被压紧螺栓3的底面压住从而固定在主钉体上。该铆钉装置由主钉1和两枚交叉设置的锁定钉2组成,其具有更强的抗拔出能力,特别是对于严重骨质疏松病人,交叉设置的锁定钉2可固定到对侧骨皮质内,可有效防止铆钉装置拔出而失效。As shown in Figures 1-3, the present invention provides a rivet device for fixing high-strength sutures, the rivet device includes a main nail 1 and two locking nails 2, wherein the main nail 1 includes a columnar main nail The nail body 10 has a locking through hole 100 arranged obliquely on the opposite ends of the top surface of the main nail body 10, so that the two locking nails pass through the corresponding locking through holes 100 and are arranged in a "eight" shape. The lower part of the main nail body 10 has a suture through hole 102, and a compression bolt 3 is also installed on the middle part of the top surface of the main nail body 10, and the bottom of the compression bolt 3 extends to the suture through hole 102. Inside. Wherein the suture through hole 102 is arranged along the axial direction of the main nail body 10 vertically, and the compression bolt 3 extends into the suture through hole from the top surface of the main nail body 10 along the axis direction of the main nail body 10 (in the main nail body 10 The top surface is provided with a screw hole communicating with the suture through hole 102, and the compression bolt 3 is screwed on the screw hole. According to the number of sutures in the suture through hole 102, the compression bolt 3 can be rotated to adjust the compression. The tightness that the bolt 3 squeezes the suture), the high-strength suture passing through the suture through hole 102 is pressed by the bottom surface of the compression bolt 3 so as to be fixed on the main nail body. The rivet device consists of a main nail 1 and two cross-set locking nails 2, which have stronger pull-out resistance, especially for patients with severe osteoporosis, the cross-set locking nails 2 can be fixed to the contralateral cortex Inside, it can effectively prevent the rivet device from being pulled out and failing.

在本实施例中,上述的主钉1、两枚锁定钉2和压紧螺栓3都优选采用医用钛合金材料制成(例如Ti-6Al-4V),使其强度优于由现有由PEEK材料制成的铆钉,在保证强度符合要求的前提下,缝线通孔102的尺寸也可以更大,使其能够穿过更多的缝合线,如在本实施例中,缝线通孔102为椭圆形通孔,该椭圆形通孔的长半轴沿主钉体10的长度方向延伸,短半轴则垂直与长板轴。在主钉体的最大直径为5mm,而椭圆形的缝线通孔102的长轴和短轴尺寸可以达到3mm和1.5mm,能够容纳8股以上的2号fiberwire缝线。In this embodiment, the above-mentioned main nail 1, the two locking nails 2 and the compression bolt 3 are all preferably made of medical titanium alloy material (such as Ti-6Al-4V), so that its strength is better than that of the existing PEEK For rivets made of different materials, under the premise of ensuring that the strength meets the requirements, the size of the suture through hole 102 can also be larger, so that it can pass through more sutures. For example, in this embodiment, the suture through hole 102 It is an elliptical through hole, the semi-major axis of the ellipse-shaped through hole extends along the length direction of the main nail body 10, and the semi-minor axis is perpendicular to the axis of the long plate. The maximum diameter of the main nail body is 5mm, and the major axis and minor axis of the oval suture through hole 102 can reach 3mm and 1.5mm, which can accommodate more than 8 No. 2 fiberwire sutures.

参考图1-图3,在本实施例中,所述主钉体10的下部为圆锥形状,所述主钉体10上部的外侧壁上设置有多个倒齿结构104,其中圆锥形状的主钉体下部是为了便于在术中主钉体10的插入,而倒齿结构104则是防止主钉体10具备抗拔出的功能,倒齿结构104可以通过机械加工的方式直接在主钉体10上形成,以使该主钉体10固定至骨骼上后更加的稳固。Referring to Fig. 1-Fig. 3, in the present embodiment, the lower part of the main nail body 10 is conical, and a plurality of inverted tooth structures 104 are arranged on the outer wall of the upper part of the main nail body 10, wherein the main conical shape The lower part of the nail body is to facilitate the insertion of the main nail body 10 during the operation, while the inverted tooth structure 104 is to prevent the main nail body 10 from having the function of anti-extraction. The inverted tooth structure 104 can be directly attached to the main nail body by machining. 10, so that the main nail body 10 is more stable after being fixed on the bone.

参考图4,所述主钉体10的横截面为类似直边椭圆形状,主钉体10的外侧壁包括两个相对的第一外侧壁10a以及将两个第一外侧壁过渡连接的两个第二外侧壁10b,即两个第一外侧壁10a和两个第二外侧壁10b为其围成类似直边椭圆形状的4个侧面,其中所述缝线通孔102的两个开口分别位于两个第一外侧壁10a上,而倒齿结构104则设置在第二外侧壁上。其中优选的,所述第一外侧壁10a为光滑面,以防止缝线损伤。Referring to Fig. 4, the cross-section of the main nail body 10 is similar to a straight-sided elliptical shape, and the outer sidewall of the main nail body 10 includes two opposite first outer sidewalls 10a and two transitionally connected two first outer sidewalls. The second outer sidewall 10b, that is, the two first outer sidewalls 10a and the two second outer sidewalls 10b encircle four sides similar to a straight-sided oval shape, wherein the two openings of the suture through hole 102 are respectively located The two first outer sidewalls 10a, while the inverted tooth structure 104 is arranged on the second outer sidewall. Among them, preferably, the first outer side wall 10a is a smooth surface, so as to prevent suture damage.

而进一步优选的,所述第一外侧壁10a为平面,所述第二外侧壁10b为外凸的圆弧曲面,以便于该主钉体10在术中的插入。参考图3和图4,其中每个第二外侧壁两侧端上都具有自上而下间隔设置的多个倒齿结构104,倒齿结构的外周缘为与第二外侧壁10b外凸弧度相同的弧形形状,因此该倒齿结构104具有更好的抗拔出性能。Further preferably, the first outer sidewall 10a is a plane, and the second outer sidewall 10b is a convex arc surface, so as to facilitate the insertion of the main nail body 10 during the operation. Referring to Fig. 3 and Fig. 4, there are a plurality of inverted tooth structures 104 arranged at intervals from top to bottom on both sides of each second outer side wall, and the outer peripheral edge of the inverted tooth structure is in a convex arc with the second outer side wall 10b With the same arc shape, the inverted tooth structure 104 has better pull-out resistance.

参考图1-图4,在本实施例中,两枚锁定钉2分别从主钉体10的顶面延伸至两个第二外侧壁外10b,以使锁定钉2不会对缝线造成干扰。而两枚锁定钉2的轴线之间的夹角优选为60°,使其具备更广的适用性,如可用于肩袖修补中的外排固定,也可用于交叉韧带重建中胫骨端的加强固定。Referring to Figures 1-4, in this embodiment, two locking nails 2 extend from the top surface of the main nail body 10 to the outer sides 10b of the two second outer walls, so that the locking nails 2 will not interfere with the sutures . The angle between the axes of the two locking nails 2 is preferably 60°, so that it has wider applicability, for example, it can be used for external fixation in rotator cuff repair, and can also be used for strengthening fixation of the tibial end in cruciate ligament reconstruction. .

参考图1和图2,所述主钉体10的顶面为圆弧曲面形状,主钉体10的顶面上的两个锁定通孔100分别位于临近圆弧的两端上,使得锁定钉2穿过锁定通孔100后,锁定钉2的顶帽不高出主钉体的最高点,即不高出圆弧曲面,能够降低对软组织的激惹。Referring to Fig. 1 and Fig. 2, the top surface of the main nail body 10 is in the shape of a circular arc surface, and the two locking through holes 100 on the top surface of the main nail body 10 are located on the two ends of the adjacent arc respectively, so that the locking nails 2 After passing through the locking through hole 100, the top cap of the locking nail 2 does not exceed the highest point of the main nail body, that is, does not exceed the arc surface, which can reduce irritation to soft tissues.

参考图5,其中锁定钉2为自攻螺钉,其整个杆身上都具有螺纹,锁定钉2的钉头则采用内梅花形或者内六角螺帽设计。Referring to FIG. 5 , the locking nail 2 is a self-tapping screw with threads on its entire body, and the nail head of the locking nail 2 is designed with an inner torx or an inner hexagonal nut.

尽管结合优选实施方案具体展示和介绍了本发明,但所属领域的技术人员应该明白,在不脱离所附权利要求书所限定的本发明的精神和范围内,在形式上和细节上可以对本发明做出各种变化,均为本发明的保护范围。Although the present invention has been particularly shown and described in conjunction with preferred embodiments, it will be understood by those skilled in the art that changes in form and details may be made to the present invention without departing from the spirit and scope of the invention as defined by the appended claims. Making various changes is within the protection scope of the present invention.

Claims (10)

1. a kind of riveting device for fixing high intensity suture, it is characterised in that:It is described including a main nail and two pieces of locking nails Main nail includes a columnar main rivet nut, all with a locking through-hole being obliquely installed on the opposite both ends in the top surface of main rivet nut, two Piece locking nail is in " eight " set up of character patt ern after being each passed through corresponding locking through-hole, and there is a suture to lead to for the lower part of the main rivet nut Hole is also equipped with a hold-down bolt on the middle part of the top surface of the main rivet nut, and the bottom of the hold-down bolt extends to suture through-hole It is interior.
2. riveting device according to claim 1, it is characterised in that:The lower part of the main rivet nut is cone shape, described Multiple pawl structures are provided on the lateral wall on main rivet nut top.
3. riveting device according to claim 2, it is characterised in that:The lateral wall of the main rivet nut includes two opposite First lateral wall and two the second lateral walls for connecting two the first lateral wall transition, two openings of the suture through-hole It is located on two the first lateral walls, second lateral wall is both provided with pawl structure.
4. riveting device according to claim 3, it is characterised in that:First lateral wall is shiny surface.
5. riveting device according to claim 3, it is characterised in that:First lateral wall is plane, outside described second Side wall is the circular arc camber of evagination.
6. riveting device according to claim 3, it is characterised in that:Two pieces of locking nails extend from the top surface of main rivet nut respectively To outside two the second lateral walls.
7. riveting device according to claim 6, it is characterised in that:Angle between the axis of two pieces of locking nails is 60 °.
8. riveting device according to claim 1, it is characterised in that:The locking nail, main rivet nut and hold-down bolt by Titanium alloy material is made.
9. riveting device according to claim 1, it is characterised in that:The top surface of the main rivet nut is circular arc camber shape, Two locking through-holes on the top surface of main rivet nut are respectively arranged on the opposite both ends of circular arc camber.
10. riveting device according to claim 1, it is characterised in that:The suture through-hole is ellipse hole, the ellipse The major semiaxis of shape through-hole extends along the length direction of main rivet nut.
CN201810492964.0A 2018-05-22 2018-05-22 A kind of riveting device for fixing high intensity suture Pending CN108577911A (en)

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CN114305636A (en) * 2022-01-10 2022-04-12 航天中心医院 Patella fracture nail cable locking device

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WO2016186854A1 (en) * 2015-05-21 2016-11-24 Smith & Nephew, Inc. Suture anchor system with slotted suture anchor
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CN208725788U (en) * 2018-05-22 2019-04-12 黄建明 A kind of riveting device for fixed high-intensitive suture

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US20030078668A1 (en) * 1999-05-05 2003-04-24 Michelson Gary K. Interbody spinal fusion implants with single-lock for locking opposed screws
US20100087925A1 (en) * 2008-10-08 2010-04-08 K2M, Inc. Spinal interbody spacer
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114305636A (en) * 2022-01-10 2022-04-12 航天中心医院 Patella fracture nail cable locking device

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