CN111759549A - Femoral prosthesis reduction device in artificial hip arthroplasty - Google Patents
Femoral prosthesis reduction device in artificial hip arthroplasty Download PDFInfo
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- CN111759549A CN111759549A CN202010519869.2A CN202010519869A CN111759549A CN 111759549 A CN111759549 A CN 111759549A CN 202010519869 A CN202010519869 A CN 202010519869A CN 111759549 A CN111759549 A CN 111759549A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools for implanting artificial joints
- A61F2/4603—Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof
- A61F2/4607—Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof of hip femoral endoprostheses
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools for implanting artificial joints
- A61F2/4675—Special tools for implanting artificial joints for cleaning or coating bones, e.g. bone cavities, prior to endoprosthesis implantation or bone cement introduction
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools for implanting artificial joints
- A61F2002/4688—Special tools for implanting artificial joints having operating or control means
- A61F2002/469—Special tools for implanting artificial joints having operating or control means electrical
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Abstract
Description
技术领域technical field
本发明涉及医疗器械技术领域,具体涉及人工髋关节置换术中股骨假体复位装置。The invention relates to the technical field of medical devices, in particular to a femoral prosthesis reduction device in artificial hip joint replacement.
背景技术Background technique
医疗器械是指直接或者间接用于人体的仪器、设备、器具、体外诊断试剂及校准物、材料以及其他类似或者相关的物品,包括所需要的计算机软件,效用主要通过物理等方式获得,不是通过药理学、免疫学或者代谢的方式获得,或者虽然有这些方式参与但是只起辅助作用,目的是疾病的诊断、预防、监护、治疗或者缓解;损伤的诊断、监护、治疗、缓解或者功能补偿;生理结构或者生理过程的检验、替代、调节或者支持;生命的支持或者维持;妊娠控制;通过对来自人体的样本进行检查,为医疗或者诊断目的提供信息,国家对医疗器械按照风险程度实行分类管理,第一类是风险程度低,实行常规管理可以保证其安全、有效的医疗器械;第二类是具有中度风险,需要严格控制管理以保证其安全、有效的医疗器械;第三类是具有较高风险,需要采取特别措施严格控制管理以保证其安全、有效的医疗器械。Medical devices refer to instruments, equipment, appliances, in vitro diagnostic reagents and calibrators, materials, and other similar or related items that are directly or indirectly used in the human body, including required computer software. The utility is mainly obtained through physical methods, not through Obtained by pharmacological, immunological or metabolic methods, or although these methods are involved but only play an auxiliary role, the purpose is the diagnosis, prevention, monitoring, treatment or alleviation of diseases; the diagnosis, monitoring, treatment, alleviation or functional compensation of damage; Inspection, replacement, adjustment or support of physiological structure or physiological process; life support or maintenance; pregnancy control; by examining samples from the human body to provide information for medical or diagnostic purposes, the state implements classified management of medical devices according to the degree of risk , the first category is a low-risk medical device, and routine management can ensure its safety and effectiveness; the second category is a medium-risk medical device that requires strict control and management to ensure its safety and effectiveness; the third category is a medical device with Higher risk requires special measures to be strictly controlled and managed to ensure safe and effective medical devices.
人工髋关节置换术是目前治疗髋关节终末期疾病如股骨头缺血性坏死、类风湿性关节炎、骨关节炎等疾病的最佳手段,但在手术当中股骨假体安放完成后,如何更便捷有效地将股骨假体复位至人工髋臼内或者解剖髋臼内,术者时常面临困难,其原因归结为髋关节周围软组织由于长期处于异常力学环境内,或多次手术形成瘢痕,大量的骨质增生或软组织挛缩、延展性差、瘢痕增生等众多原因,导致人工全髋关节置换术中股骨假体复位困难,尤其是在中重度先天性髋关节发育不良患者,如何将股骨假体复位更是一大难题。Artificial hip replacement is currently the best way to treat end-stage diseases of the hip joint such as avascular necrosis of the femoral head, rheumatoid arthritis, osteoarthritis and other diseases. It is often difficult for the operator to easily and effectively reduce the femoral prosthesis into the artificial acetabulum or into the dissected acetabulum. Bone hyperplasia or soft tissue contracture, poor ductility, scar hyperplasia and many other reasons make it difficult to reduce the femoral prosthesis in total hip arthroplasty, especially in patients with moderate and severe congenital dysplasia of the hip, how to reset the femoral prosthesis better? is a big problem.
术中为了将股骨假体复位,在对术者体力造成大量消耗的同时,不得不更广泛的进行软组织松解、剥离、切断,影响了术后康复进程,增加了并发症发生风险,现市场上尚无能够借助动力源,使人工髋关节置换术中术者更加省力、便捷、有效地进行股骨假体复位的仪器装置出现。In order to reset the femoral prosthesis during the operation, while causing a lot of physical consumption of the operator, it is necessary to perform more extensive soft tissue release, stripping, and cutting, which affects the postoperative rehabilitation process and increases the risk of complications. There is no instrument and device that can make the reduction of the femoral prosthesis more labor-saving, convenient and effective for the operator in the artificial hip arthroplasty with the help of the power source.
发明内容SUMMARY OF THE INVENTION
本发明的目的是为了克服现有技术存在的为了将股骨假体复位,对术者体力消耗大,对患者进行软组织松解、剥离、切断,影响术后康复进程,增加了并发症发生风险的问题,提供人工髋关节置换术中股骨假体复位装置,该人工髋关节置换术中股骨假体复位装置具有节省术者体力,无需对患者髋关节的软组织进行广泛剥离即可完成手术的效果。The purpose of the present invention is to overcome the existing problems in the prior art that in order to reset the femoral prosthesis, the operator is physically exhausted, and the soft tissue is released, stripped, and cut off on the patient, which affects the postoperative rehabilitation process and increases the risk of complications. The problem is to provide a femoral prosthesis reduction device in artificial hip arthroplasty. The femoral prosthesis reduction device in artificial hip arthroplasty can save the operator's physical strength and can complete the operation without extensive stripping of the soft tissue of the patient's hip joint.
为实现上述目的,本发明提供如下技术方案:人工髋关节置换术中股骨假体复位装置,包括外壳,所述外壳的一端设置有可移动推手,所述可移动推手的两端均设置有夹体,所述夹体和可移动推手的外端均包裹有橡胶,所述外壳远离可移动推手的一端设置有充电口,所述夹体靠近外壳的一端均固定焊接有支架,所述支架远离夹体的一端固定连接有把手,所述把手的内侧面设置有防滑柄,所述外壳的周侧面内嵌有顺时针按钮和逆时针按钮,所述可移动推手靠近外壳的一侧固定焊接有固定底座,所述固定底座一侧中心固定插接有连接杆,所述连接杆远离固定底座的一端固定套接有连接底座,所述连接底座的一侧上端固定设置有长形锯齿,所述外壳靠近充电口一端的内部设置有电池仓,所述电池仓内部活动固定有电池,所述长形锯齿下端锯齿与齿轮的锯齿啮合,所述齿轮通过转轴与马达连接。In order to achieve the above purpose, the present invention provides the following technical solution: a femoral prosthesis repositioning device in artificial hip joint replacement, including a casing, one end of the casing is provided with a movable pusher, and both ends of the movable pusher are provided with clips. The outer ends of the clip body and the movable pusher are both wrapped with rubber, the end of the shell away from the movable pusher is provided with a charging port, and the end of the clip body close to the shell is fixedly welded with a bracket, and the bracket is far away from the movable pusher. One end of the clip body is fixedly connected with a handle, the inner side of the handle is provided with a non-slip handle, the peripheral side of the outer casing is embedded with a clockwise button and a counterclockwise button, and the side of the movable pusher close to the outer casing is fixedly welded with a fixed base, a connecting rod is fixedly inserted into the center of one side of the fixed base, a connecting base is fixedly sleeved at one end of the connecting rod away from the fixed base, and an upper end of one side of the connecting base is fixedly provided with long serrations, the A battery compartment is arranged inside one end of the casing close to the charging port, a battery is movably fixed inside the battery compartment, and the teeth at the lower ends of the long serrations mesh with the serrations of the gear, and the gear is connected to the motor through the rotating shaft.
优选的,所述夹体与可移动推手组合正视图形状为C型,所述夹体的材质为金属材质,所述夹体俯视图形状为弧边三角形,所述夹体远离外壳一端的角为钝圆角。Preferably, the shape of the front view of the combination of the clip body and the movable pusher is C-shaped, the material of the clip body is metal material, the top view of the clip body is an arc-edge triangle, and the angle of the end of the clip body away from the casing is Obtuse rounded corners.
优选的,所述夹体与可移动推手两侧均包裹有橡胶,所述橡胶的形状与夹体和可移动推手的形状相匹配。Preferably, both sides of the clip body and the movable pusher are wrapped with rubber, and the shape of the rubber matches the shape of the clip body and the movable pusher.
优选的,所述夹体两端的支架通过铆钉交叉连接,所述支架贯穿外壳的周侧面,所述外壳与支架贯穿连接的位置贯穿设置有活动孔。Preferably, the brackets at both ends of the clip body are cross-connected by rivets, the brackets pass through the peripheral side surface of the casing, and a movable hole is provided through the position where the casing and the brackets penetrate through.
优选的,所述电池为可充电电池,所述电池与充电口通过导线连接,所述电池与马达通过导线连接,所述顺时针按钮与逆时针按钮均通过导线与马达连接。Preferably, the battery is a rechargeable battery, the battery is connected to the charging port by a wire, the battery is connected to the motor by a wire, and the clockwise button and the counterclockwise button are both connected to the motor by a wire.
优选的,所述固定底座、连接杆、连接底座、长形锯齿均为金属材质,所述固定底座、连接杆为长方体,所述连接杆为圆柱形态,所述固定底座、连接杆、连接底座的连接形态为工字型。Preferably, the fixed base, the connecting rod, the connecting base and the long sawtooth are all made of metal, the fixed base and the connecting rod are cuboid, the connecting rod is in a cylindrical shape, and the fixed base, the connecting rod and the connecting base The connection form is I-shaped.
与现有技术相比,本发明提供了一种人工髋关节置换术中股骨假体复位装置,具备以下有益效果:Compared with the prior art, the present invention provides a femoral prosthesis reduction device in artificial hip replacement, which has the following beneficial effects:
1、本发明通过控制把手带动支架活动,通过铆钉的杠杆原理带动夹体的扩张,从而将髋臼内的软组织进行压制,且夹体上包裹的医用橡胶不会对软组织有所损伤,不需要剥离软组织就能复位假体,且夹体不会对股骨假体造成划痕,夹体呈现弧边三角形状,且远离外壳一端的角为钝圆角,方便夹体更好的深入髋臼内部;1. The present invention drives the movement of the bracket by controlling the handle, and drives the expansion of the clip body through the lever principle of the rivet, thereby suppressing the soft tissue in the acetabulum, and the medical rubber wrapped on the clip body will not damage the soft tissue, and does not require The prosthesis can be reset by stripping the soft tissue, and the clip body will not cause scratches to the femoral prosthesis. The clip body presents an arc-triangular shape, and the corner away from the shell is an obtuse fillet, which facilitates the clip body to penetrate into the acetabulum better. ;
2、本发明通过可移动推手固定连接外壳内部的动力源,通过顺时针按钮和逆时针按钮的按下控制马达输出端的转轴带动齿轮旋转,从而带动可移动推手的前推和后退,使在假体复位过程中利用电力马达将股骨假体推入髋臼,节省术者体力,节约手术时间;2. In the present invention, the power source inside the casing is fixedly connected by the movable pusher, and the rotating shaft of the output end of the control motor is driven by pressing the clockwise button and the counterclockwise button to drive the gear to rotate, thereby driving the movable pusher to push forward and backward, so that in the false In the process of body reduction, the electric motor is used to push the femoral prosthesis into the acetabulum, which saves the operator's physical strength and operation time;
该装置中未涉及部分均与现有技术相同或可采用现有技术加以实现,本发明结构科学合理,使用安全方便,为人们提供了很大的帮助。The parts not involved in the device are the same as the existing technology or can be realized by using the existing technology. The present invention has a scientific and reasonable structure, is safe and convenient to use, and provides great help to people.
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. Together with the embodiments of the present invention, they are used to explain the present invention, but not to limit the present invention. In the accompanying drawings:
图1是人工髋关节置换术中股骨假体复位装置提出的正面结构示意图;Figure 1 is a schematic diagram of the frontal structure proposed by the femoral prosthesis reduction device in artificial hip arthroplasty;
图2是人工髋关节置换术中股骨假体复位装置提出的正面剖视结构示意图;Figure 2 is a schematic frontal cross-sectional structure diagram of a femoral prosthesis reduction device in artificial hip arthroplasty;
图3人工髋关节置换术中股骨假体复位装置提出的俯视的结构示意图;Figure 3 is a schematic top view of the proposed structure of the femoral prosthesis reduction device in artificial hip replacement;
图4人工髋关节置换术中股骨假体复位装置提出的动力源细节结构示意图;Figure 4 Schematic diagram of the detailed structure of the power source proposed by the femoral prosthesis reduction device in artificial hip replacement;
图中:1、夹体;2、橡胶;3、支架;4、把手;5、防滑柄;6、顺时针按钮;7、逆时针按钮;8、外壳;9、可移动推手;10、连接杆;11、连接底座;12、长形锯齿;13、电池仓;14、电池;15、充电口;16、固定底座;17、活动孔;18、齿轮;19、马达。In the picture: 1. Clip body; 2. Rubber; 3. Bracket; 4. Handle; 5. Anti-skid handle; 6. Clockwise button; 7. Counterclockwise button; 8. Housing; 9. Removable push handle; 10. Connection Rod; 11, connection base; 12, long sawtooth; 13, battery compartment; 14, battery; 15, charging port; 16, fixed base; 17, movable hole; 18, gear; 19, motor.
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1-4,本发明提供一种技术方案:人工髋关节置换术中股骨假体复位装置,包括外壳8,外壳8的一端设置有可移动推手9,可移动推手9的两端均设置有夹体1,夹体1和可移动推手9的外端均包裹有橡胶2,外壳8远离可移动推手9的一端设置有充电口15,夹体1靠近外壳8的一端均固定焊接有支架3,支架3远离夹体1的一端固定连接有把手4,把手4的内侧面设置有防滑柄5,外壳8的周侧面内嵌有顺时针按钮6和逆时针按钮7,可移动推手9靠近外壳8的一侧固定焊接有固定底座16,固定底座16一侧中心固定插接有连接杆10,连接杆10远离固定底座16的一端固定套接有连接底座11,连接底座11的一侧上端固定设置有长形锯齿12,外壳8靠近充电口15一端的内部设置有电池仓13,电池仓13内部活动固定有电池14,长形锯齿12下端锯齿与齿轮18的锯齿啮合,齿轮18通过转轴与马达19连接,通过控制把手4带动支架3活动,通过铆钉的杠杆原理带动夹体1的扩张,从而将髋臼内的软组织进行压制,且夹体1上包裹的医用橡胶2不会对软组织有所损伤,不需要剥离软组织就能复位假体,且夹体不会对股骨假体造成划痕,夹体1呈现弧边三角形状,且远离外壳一端的角为钝圆角,方便夹体更好的深入髋臼内部。1-4, the present invention provides a technical solution: a femoral prosthesis repositioning device in artificial hip replacement, including a
本发明中,优选的,夹体1与可移动推手9组合正视图形状为C型,夹体1的材质为金属材质,夹体1俯视图形状为弧边三角形,夹体1远离外壳8一端的角为钝圆角,夹体1金属材质的设置使夹体1在扩张过程中更有扩张力。In the present invention, preferably, the front view shape of the
本发明中,优选的,夹体1与可移动推手9两侧均包裹有橡胶2,橡胶2的形状与夹体1和可移动推手9的形状相匹配,橡胶2的设置避免因为夹体1坚硬对股骨假体或者髋臼内造成损伤,影响后续恢复。In the present invention, preferably, both sides of the
本发明中,优选的,其特征在于,夹体1两端的支架3通过铆钉交叉连接,支架3贯穿外壳8的周侧面,外壳8与支架3贯穿连接的位置贯穿设置有活动孔17,活动孔17的设置便于支架3在带动夹体1扩张过程中的移动。In the present invention, it is preferably characterized in that the
本发明中,优选的,外壳8为圆柱型,外壳8材质为医用塑料,橡胶2材质为医用橡胶,外壳8圆柱型的设置便于术中对器械进行手持,且塑料材质较为轻便,便于手术过程中节省体力。In the present invention, preferably, the
本发明中,优选的,其特征在于,电池14为可充电电池,电池14与充电口15通过导线连接,电池14与马达19通过导线连接,顺时针按钮6与逆时针按钮7均通过导线与马达19连接,通过电池14的可充电设置,使器械在使用过程中循环充电,有利于器械的循环利用。In the present invention, it is preferably characterized in that the
本发明中,优选的,固定底座16、连接杆10、连接底座11、长形锯齿12均为金属材质,固定底座16、连接杆10为长方体,连接杆10为圆柱形态,固定底座16、连接杆10、连接底座11的连接形态为工字型,连接部件为金属材质,使连接更加坚固,便于动力源稳固推动可移动推手9,再将股骨假体推入髋臼。In the present invention, preferably, the fixed
本发明的工作原理及使用流程:使用时,先通过充电口15为电池14充满电力以备使用,股骨假体复位开始时,通过将夹体1放入患者髋臼内部,向内捏动把手4,把手4带动由铆钉活动固定的支架3进行移动,支架3靠近把手4一侧向内,远离把手4一侧向外,把手4带动夹体1外扩,将髋臼内的软组织进行压制,扩大髋臼空间,将股骨假体放置于髋臼入口,且假体需移动至推手9下端,放置到合适位置,通过逆时针按钮7按动带动齿轮18逆时针旋转,从而带动长形锯齿12向夹体1方向推送,从而推动可移动推手9使推手将股骨假体准确快捷的向髋臼内推送,完成后将夹体1取出,通过按压顺时针按钮6将可移动推手9复位,再对器械进行消毒以便下一次手术使用。The working principle and use process of the present invention: when in use, first charge the
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 present invention is defined by the appended claims and their equivalents.
Claims (7)
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