Summary of the invention
The object of the embodiment of the present invention is to provide the horizontal sacculus of a kind of percutaneous puncture to strut surgical equipment of kyphoplasty, be intended to the bilateral puncture solving traditional surgical approaches existence, strut complex operation, length consuming time, it is many that patient contacts quantity of X-rays X, puncture is large, easily be strayed into the risk of canalis spinalis injured nerve, or the one-sided puncture of row, the not near center line of sacculus is placed, need row offside remedial puncture again, extend the problem of operating time, solve traditional diagonal to strut, vertebral body front compression fracture part struts unbalance stress, anterior margin of vertebral body height and kyphosis deformity correct undesirable problem.
The embodiment of the present invention realizes like this, the horizontal sacculus of a kind of percutaneous puncture struts surgical equipment of kyphoplasty, and the horizontal sacculus of this percutaneous puncture struts surgical equipment of kyphoplasty and comprises working column, solid puncture needle core, guiding inner core sleeve pipe, pre-bending elasticity guide pin, hollow soft drill, through hollow sacculus compression system; Solid puncture needle core is placed in the inside of working column, after taking out solid puncture needle core, guiding inner core sleeve pipe can be placed in working column inside, pre-bending elasticity guide pin is placed in the inside of guiding inner core sleeve pipe, pre-bending elasticity guide pin can be through at central hollow place and be positioned in working column together with pre-bending elasticity guide pin by hollow soft drill, and pre-bending elasticity guide pin can be through at central hollow place and be positioned in working column together with pre-bending elasticity guide pin by through hollow sacculus compression system.
Further, working column, solid puncture needle core and guiding inner core sleeve pipe adopt Stainless Steel material, and sacculus is high-strength polyethylene material.
Further, pre-bending elasticity guide pin adopts elastic steel-needle; Hollow soft drill adopts stainless steel spring handle and hard steel material drill bit.
Further, the head end of guiding inner core sleeve pipe is 90 ° of cambered structures.
Further, pre-bending elasticity guide pin is arc pre-bending, and tool elastic nature.
Further, hollow soft drill is through hollow design.
Further, through hollow sacculus compression system, sacculus and sacculus bar portion are through hollow design.
The horizontal sacculus of percutaneous puncture provided by the invention struts surgical equipment of kyphoplasty, and the sacculus that struts traditional diagonal bias placed is improved to center of walking crosswise and places, and realizes by one-sided puncture, reaches the object of abundant filling in the middle part of bone cement vertebral body.Shorten operating time, reduce transmitted ray amount in art; Sacculus is placed more traditional diagonal in vertebral body front cross and is placed, and more easily recovers the leading edge height of compressed vertebral when strutting, and reduces spinal anterior approach; Head end is the guiding inner core sleeve pipe of 90 ° of radians, and the elasticity guide pin that pre-bending can be made moulding turns to smoothly to be become laterally; Pre-bending elasticity guide pin, can realize soft brill and turn to smoothly, gets out horizontal bone road, and realizes sacculus and turn to placement smoothly; The use of the soft brill of hollow elasticity, can smoothly by the working column of inclination 30-40 °, and realization turns to and reaches the horizontal bone roads of overall 90 ° of tappings; The through hollow design of sacculus head end opening, makes its overall energy slide along the elasticity guide pin that pre-bending is moulding.
Detailed description of the invention
In order to make object of the present invention, technical scheme and advantage clearly understand, below in conjunction with embodiment, the present invention is further elaborated.Should be appreciated that specific embodiment described herein only in order to explain the present invention, be not intended to limit the present invention.
Below in conjunction with drawings and the specific embodiments, application principle of the present invention is further described.
As shown in Figure 1, the horizontal sacculus of the percutaneous puncture of the embodiment of the present invention struts surgical equipment of kyphoplasty and comprises working column 1, solid puncture needle core 2, guiding inner core sleeve pipe 3, pre-bending elasticity guide pin 4, hollow soft drill 5, through hollow sacculus compression system 6; Solid puncture needle core 2 is placed in the inside of working column 1, after taking out solid puncture needle core 2, guiding inner core sleeve pipe 3 can be placed in working column 1 inside, pre-bending elasticity guide pin 4 is placed in the inside of guiding inner core sleeve pipe 3, pre-bending elasticity guide pin 4 can be through at central hollow place and be positioned in working column 1 together with pre-bending elasticity guide pin 4 by hollow soft drill 5, and pre-bending elasticity guide pin 4 can be through at central hollow place and be positioned in working column 1 together with pre-bending elasticity guide pin 4 by through hollow sacculus compression system 6.Working column 1, solid puncture needle core 2 and guiding inner core sleeve pipe 3 adopt Stainless Steel material, and sacculus is high-strength polyethylene material, and pre-bending elasticity guide pin 4 adopts elastic steel-needle; Hollow soft drill 5 adopts stainless steel spring handle and hard steel material drill bit, the head end of guiding inner core sleeve pipe 3 is 90 ° of cambered structures, pre-bending elasticity guide pin 4 is arc pre-bending, and tool elastic nature, hollow soft drill 5 is through hollow design, through hollow sacculus compression system, sacculus and sacculus bar portion are through hollow design.
As shown in Figure 3, during use, concrete job order is:
1, solid puncture needle core 2 to be positioned in working column 1, and both integrally realize puncture.
2, take out solid puncture needle core 2, retain working column 1.
3, guiding inner core sleeve pipe 3 is put into working column 1, head end radian is towards vertebral body center line.
4, pre-bending elasticity guide pin 4 is put into the guiding inner core sleeve pipe 3 being enclosed within working column 1, and impact penetrates in loose sclerotin.
5, take out guiding inner core sleeve pipe 3, retain pre-bending elasticity guide pin 4 in working column 1.
6, hollow soft drill 5 is enclosed within the pre-bending elasticity guide pin 4 in working column 1, along pre-bending elasticity guide pin 4, hollow soft drill 5 is enclosed within working column 1, rotates hollow soft drill 5 along pre-bending elasticity guide pin 4 clockwise, along the horizontal bone road of guide pin direction tapping.
7, take out hollow soft drill 5, retain pre-bending elasticity guide pin 4 in working column 1.
8, through hollow sacculus compression system 6 is enclosed within the guide pin in working column 1, sacculus is positioned in the bone road of hollow soft drill 5 tapping along pre-bending elasticity guide pin 4 direction.
9, pressurizing and propping sacculus, the sclerotin of compression struts by the sacculus strutted.
10, take out the pre-bending elasticity guide pin 4 of sacculus and central authorities, retain working column 1.
11, the push rod that bone cement is housed is positioned in working column 1, injects the cavity that bone cement is strutted by sacculus in compression sclerotin.
Working column 1, solid puncture needle core 2, guiding inner core sleeve pipe 3 adopt Stainless Steel material; Pre-bending elasticity guide pin 4 adopts elastic steel-needle; Soft drilling stainless steel spring handle, hard steel material drill bit; The head end of prior art hollow sacculus compression system guiding inner core sleeve pipe is 90 ° of cambered structures.
Hollow soft drill 5 is the soft brill of hollow elasticity, bores as fine and closely woven spring, bores body and can keep certain pliability and rigidity when rotating clockwise; Sacculus head end opening, can put into sleeve pipe, bone road through opening part along pre-bending elasticity guide pin 4; After guiding inner core sleeve pipe 3 takes out solid puncture needle core 2, be inserted in puncture casing, end direction turns to vertebral body center line, guides and helps pre-bending elasticity guide pin 4 end laterally to turn to; Pre-bending elasticity guide pin 4 can be positioned in vertebral body along sleeve pipe due to flexible, and realizes turning to by guiding inner core sleeve pipe 3 and elasticity own, for walk crosswise bone road drill through and the transverse direction of sacculus is placed and is provided guiding.
As Fig. 1,2, when the present invention works, solid puncture needle core 2 is placed in working column 1, and the one-sided puncture procedure of row, takes out solid puncture core 2.Put into guiding inner core sleeve pipe 3, by inner core cover tube head end angle towards vertebral body center line direction, elasticity guide pin moulding for pre-bending is put into along guiding inner core sleeve pipe 3, and impact makes it penetrate in loose sclerotin, take out guiding inner core sleeve pipe 3, along pre-bending elasticity guide pin 4, the drill bit of hollow soft drill 5 is put into working column 1, and tapping bone road in vertebral body, direction of suitable pre-bending elasticity guide pin 4, take out hollow soft drill 5 and retain pre-bending elasticity guide pin 4, sacculus is put into along in guide pin bone road, sacculus pressurizing and propping, exits sacculus, pushes bone cement.
Solid puncture needle core 2 is taken off after one-sided puncture, guiding inner core sleeve pipe 3 is enclosed within working column 1, vertebral body center line is pointed in the elbow direction of guiding inner core sleeve pipe 3, pre-bending elasticity guide pin 4 is put into vertebral body along guiding inner core cover pipe box, realizing guide pin head end by bend design and elasticity itself and turn to (diagonal transfer to walk crosswise), making it penetrate in loose sclerotin by impacting guide pin.Take off guiding inner core cover pipe box, retain pre-bending elasticity guide pin 4 and working column 1.Hollow soft drill 5 is put into working column 1 along pre-bending elasticity guide pin 4, and under the guiding of pre-bending elasticity guide pin 4, gets out bone road in vertebral body front cross.Take out hollow soft drill 5, retain pre-bending elasticity guide pin 4 and working column 1, the sacculus of end opening and sacculus bar are put into working column 1 along pre-bending elasticity guide pin 4, and walk crosswise under the guiding of pre-bending elasticity guide pin 4 and be positioned in bone road, row struts operation.Take out sacculus and guide pin, by cement push rod, bone cement is pushed in vertebral body.
The cecum of balloon tip is got through by sacculus compression system of the present invention, does not place ordinary steel wire inner core, but balloon tip opening part is inserted in the elasticity guide pin in puncture casing, and gradually sacculus and bar portion is put into sleeve pipe to compressed vertebral along guide pin.Sacculus bar 6-2 is concentric double-layer structure, and developer solution is injected by liquid injection port 6-1, arrives sacculus 6-3, strutted by sacculus 6-3 through sacculus bar 6-2 skin.Pre-bending elasticity guide pin 4 can pass through the internal layer hollow-core construction of sacculus bar 6-2, realizes sacculus 6-3 laterally place Intrapyramidal by elasticity guide pin.Sacculus position 6-3, in vertebral body front dead center, by pressurizing and propping, realizes the recovery of anterior margin of vertebral body height, after injecting bone cement, can ensure that bone cement is positioned in the middle part of vertebral body, and unorthodox method, cement is positioned at eccentric position, for realize be uniformly distributed and take bilateral puncture cement grouting.The method one-sided puncture can complete operation, and traditional method is bilateral puncture, can save operating time, reduces x radiation x.Traditional method also strengthens puncture angle, makes one-sided puncture sacculus be delivered to the nearly point midway of vertebral body.But the method risk is comparatively large, has the possibility penetrating canalis spinalis injured nerve.As puncture angle is large not, sacculus 6-3 cannot be put to nearly central part, also will puncture by row opposite side, extend operating time.
The foregoing is only preferred embodiment of the present invention, not in order to limit the present invention, all any amendments done within the spirit and principles in the present invention, equivalent replacement and improvement etc., all should be included within protection scope of the present invention.