CN116327455A - A fusion device holding instrument - Google Patents

Abstract

Translated fromChinese

本申请涉及医疗器械领域，特别是涉及一种融合器把持器械，包括邻接的芯轴和第一驱动组件；第一驱动组件可驱动芯轴沿其轴向方向转动；芯轴包括第一柔性部；还包括依次邻接的夹持组件、第二柔性部和内杆；内杆套设于芯轴；还包括依次邻接的夹持头、第三柔性部、外杆和第二驱动组件；夹持组件设于夹持头内；外杆套设于内杆；第一柔性部、第二柔性部和第三柔性部相配合；还包括第三驱动组件。本发明通过螺纹连接实现融合器把持器与融合器的固定，并通过夹持组件夹持防止术中螺纹滑丝、连接松动；通过第三驱动组件控制第一柔性部、第二柔性部、第三柔性部的弯曲，实现融合器的角度可调。

The present application relates to the field of medical devices, in particular to a fusion device holding device, including an adjacent mandrel and a first drive assembly; the first drive assembly can drive the mandrel to rotate along its axial direction; the mandrel includes a first flexible part ; Also includes a sequentially adjacent clamping assembly, a second flexible portion and an inner rod; the inner rod is sleeved on the mandrel; also includes sequentially adjacent clamping heads, a third flexible portion, an outer rod and a second drive assembly; clamping The component is arranged in the clamping head; the outer rod is sleeved on the inner rod; the first flexible part, the second flexible part and the third flexible part cooperate; and a third driving component is also included. The present invention realizes the fixation of the fusion device holder and the fusion device through threaded connection, and prevents thread slipping and connection loosening during the operation by clamping the clamping component; the first flexible part, the second flexible part, the second flexible part, and the The bending of the three flexible parts realizes the adjustable angle of the cage.

Description

Translated fromChinese

一种融合器把持器械A fusion device holding instrument

技术领域technical field

本申请涉及医疗器械领域，特别是涉及一种融合器把持器械。The present application relates to the field of medical devices, in particular to a fusion device holding device.

背景技术Background technique

TLIF(Transforaminal Lumbar Interbody Fusion)是指经椎间孔入路腰椎体间融合术。由于是从患者背部椎管更侧面的中线切口进入，这一术式大大降低了手术中的肌肉剥离数量，而且TLIF可以提供前柱的支撑和稳定，重建相应节段的正常解剖曲度，从而维持或恢复腰椎整体的生理曲度。TLIF (Transforaminal Lumbar Interbody Fusion) refers to transforaminal lumbar interbody fusion. Since it is entered from the midline incision on the side of the spinal canal on the back of the patient, this surgical method greatly reduces the amount of muscle stripping during the operation, and TLIF can provide support and stability of the anterior column and reconstruct the normal anatomical curvature of the corresponding segment, thereby Maintain or restore the overall physiological curvature of the lumbar spine.

而目前用于TLIF手术的融合器及其把持器不能使融合器实现植入角度可调，导致最终的支撑位置不贴合终板，稳定性差。有的医生术中通过往复摆动把持器，或敲击融合器末端，以便使融合器到达理想的植入位置。把持器的往复摆动或敲击融合器末端易对神经根及硬膜囊造成伤害，而且使得TLIF手术变得更加复杂。另外，由于锥体终板为凹面，两终板中心间隙大，外缘间隙小，对于高度大于宽度的融合器，以宽度方向通过终板外缘的间隙，更易植入融合器，然而融合器置入椎间后需要旋转90°放正，此时可能造成融合器相对融合器把持器械的转动，造成把持松动，滑丝。However, the fusion device and its holder currently used in TLIF surgery cannot allow the fusion device to achieve an adjustable implantation angle, resulting in that the final support position does not fit the endplate and the stability is poor. Some doctors swing the handle back and forth during the operation, or tap the end of the fusion device so that the fusion device can reach the ideal implantation position. The back-and-forth swing of the gripper or knocking on the end of the fusion device can easily cause damage to the nerve root and dural sac, and make the TLIF operation more complicated. In addition, because the endplates of the cone are concave, the center gap between the two endplates is large and the gap between the outer edges is small. For a cage whose height is greater than its width, it is easier to insert the cage through the gap between the outer edges of the endplates in the width direction. After being inserted into the intervertebral space, it needs to be rotated 90° to put it right. At this time, the fusion cage may rotate relative to the fusion cage holding device, resulting in loosening of the grip and slipping of the wire.

有鉴于此，如何提供一种针对在经椎间孔入路腰椎体间融合术中，实现融合器植入角度可调，且把持稳定的把持器械，即为本发明待解决的技术问题。In view of this, how to provide a holding instrument with adjustable implantation angle and stable holding for transforaminal lumbar interbody fusion is the technical problem to be solved in the present invention.

发明内容Contents of the invention

鉴于以上所述现有技术的缺点，本申请的目的在于提供一种融合器把持器械及植入器械组件，用于解决现有手术中的问题。In view of the above-mentioned shortcomings of the prior art, the purpose of the present application is to provide a fusion device holding instrument and implantation instrument assembly, which is used to solve the problems in the existing operation.

为实现上述目的及其他相关目的，本申请一方面提供一种融合器把持器械，包括邻接的芯轴和第一驱动组件；所述第一驱动组件可驱动芯轴沿其轴向方向转动；所述芯轴包括第一柔性部；还包括依次邻接的夹持组件、第二柔性部和内杆；所述内杆套设于所述芯轴；还包括依次邻接的夹持头、第三柔性部、外杆和第二驱动组件；所述夹持组件设于夹持头内；所述外杆套设于所述内杆；所述第二驱动组件可驱动外杆相对于内杆的延伸方向往复运动，以使所述夹持组件突出或缩进所述夹持头，所述夹持组件被设置为适于在突出夹持头的状态下张开，在缩进夹持头的状态下合拢；所述第一柔性部、第二柔性部和第三柔性部相配合；还包括用于驱动第三柔性部并带动第一柔性部和第二柔性部弯曲的第三驱动组件。In order to achieve the above purpose and other related purposes, the present application provides, on the one hand, a cage holding instrument, comprising an adjacent mandrel and a first drive assembly; the first drive assembly can drive the mandrel to rotate along its axial direction; the The mandrel includes a first flexible part; it also includes a sequentially adjacent clamping assembly, a second flexible part and an inner rod; the inner rod is sheathed on the mandrel; it also includes sequentially adjacent clamping heads, a third flexible part, an outer rod and a second driving assembly; the clamping assembly is set in the clamping head; the outer rod is sleeved on the inner rod; the second driving assembly can drive the extension of the outer rod relative to the inner rod Direction reciprocating movement, so that the clamping assembly protrudes or retracts the clamping head, and the clamping assembly is set to be suitable for opening under the state of protruding the clamping head, and retracting the state of the clamping head The bottom is closed; the first flexible part, the second flexible part and the third flexible part cooperate; and a third driving assembly for driving the third flexible part and driving the first flexible part and the second flexible part to bend.

在本发明的一些实施方式中，所述芯轴远离第一驱动组件的一端设有第一螺纹段。In some embodiments of the present invention, the end of the mandrel away from the first driving assembly is provided with a first thread segment.

在本发明的一些实施方式中，所述夹持组件包括两个相对设置的夹持臂；各所述夹持臂分别包括邻接的过渡臂和抓臂，各所述过渡臂分别与所述第二柔性部连接。In some embodiments of the present invention, the clamping assembly includes two opposite clamping arms; each of the clamping arms includes an adjacent transition arm and a gripping arm, and each of the transition arms is respectively connected to the first The two flexible parts are connected.

在本发明的一些实施方式中，还包括与内杆连接的手持部；所述手持部上设有芯轴通过孔。In some embodiments of the present invention, it also includes a handle part connected to the inner rod; the handle part is provided with a mandrel passing hole.

在本发明的一些实施方式中，所述第二驱动组件包括套设于内杆的第二驱动部，所述第二驱动部与所述外杆连接。In some embodiments of the present invention, the second driving assembly includes a second driving part sheathed on the inner rod, and the second driving part is connected to the outer rod.

在本发明的一些实施方式中，所述内杆上设有第二螺纹段；所述第二驱动部上设有与第二螺纹段相配合的第一螺纹孔。In some embodiments of the present invention, the inner rod is provided with a second threaded segment; the second driving part is provided with a first threaded hole matched with the second threaded segment.

在本发明的一些实施方式中，所述第二驱动部的内径小于所述外杆的外径。In some embodiments of the present invention, the inner diameter of the second driving part is smaller than the outer diameter of the outer rod.

在本发明的一些实施方式中，所述外杆的内径与内杆的外径相配合；所述内杆的内径与芯轴的外径相配合。In some embodiments of the present invention, the inner diameter of the outer rod matches the outer diameter of the inner rod; the inner diameter of the inner rod matches the outer diameter of the mandrel.

在本发明的一些实施方式中，还包括沿外杆轴向对称分布的第一传动部和第二传动部，所述第三柔性部和第三驱动组件经第一传动部和第二传动部连接。In some embodiments of the present invention, it further includes a first transmission part and a second transmission part symmetrically distributed along the axis of the outer rod, and the third flexible part and the third drive assembly pass through the first transmission part and the second transmission part. connect.

在本发明的一些实施方式中，所述第三驱动组件包括圆盘和与圆盘中心铰接的第三驱动部，所述圆盘上分别设有相对圆盘中心中心对称的第一滑槽和第二滑槽，所述第三驱动部上设有可沿第一滑槽滑动的第一滑块以及可沿第二滑槽滑动的第二滑块；所述第一滑块与所述第一传动部连接；所述第二滑块与所述第二传动部连接。In some embodiments of the present invention, the third drive assembly includes a disc and a third drive part hinged to the center of the disc, and the disc is respectively provided with a first chute and a first chute symmetrical to the center of the disc. The second chute, the third driving part is provided with a first slider that can slide along the first chute and a second slider that can slide along the second chute; the first slider and the second chute A transmission part is connected; the second slider is connected with the second transmission part.

在本发明的一些实施方式中，所述第一滑块上设有第一卡接孔，所述第一卡接孔内设有第一传动固位件，所述第一传动部与第一传动固位件连接、且通过第一卡接孔卡接；所述圆盘上还设有第三滑槽；所述第一传动部可随第一传动固位件沿第三滑槽滑动。In some embodiments of the present invention, the first sliding block is provided with a first clamping hole, and a first transmission retainer is provided in the first clamping hole, and the first transmission part and the first The transmission retainer is connected and clamped through the first clamping hole; the disc is also provided with a third chute; the first transmission part can slide along the third chute along with the first transmission retainer.

在本发明的一些实施方式中，所述第二滑块上设有第二卡接孔，所述第二卡接孔内设有第二传动固位件，所述第二传动部与第二传动固位件连接、且通过第二卡接孔卡接；所述圆盘上还设有第四滑槽，所述第二传动部可随第二传动固位件沿第四滑槽滑动。In some embodiments of the present invention, the second sliding block is provided with a second locking hole, and a second transmission retainer is provided in the second locking hole, and the second transmission part and the second The transmission retainer is connected and clamped through the second clamping hole; the disc is also provided with a fourth chute, and the second transmission part can slide along the fourth chute along with the second transmission retainer.

在本发明的一些实施方式中，所述圆盘上设有角度刻度标识。In some embodiments of the present invention, the disc is provided with an angle scale mark.

在本发明的一些实施方式中，第三柔性部和/或外杆上分别设有第一传动部穿过孔和第二传动部穿过孔。In some embodiments of the present invention, the third flexible part and/or the outer rod are respectively provided with a first transmission part through hole and a second transmission part through hole.

本发明另一方面提供一种植入器械组件，包括如本发明前述的融合器把持器械和与所述融合器把持器械相配合的融合器，所述融合器包括融合器本体，所述融合器本体上设有与夹持组件配合的卡接槽以及与芯轴配合的第二螺纹孔。Another aspect of the present invention provides an implant instrument assembly, including the aforementioned fusion device holding device and a fusion device matched with the fusion device holding device, the fusion device includes a fusion device body, and the fusion device body There are snap-in slots for matching with the clamping assembly and second threaded holes for matching with the mandrel.

与现有技术相比，本申请的有益效果为：Compared with the prior art, the beneficial effects of the present application are:

本发明的实施例所提供的融合器把持器械，通过体外第三驱动组件调整椎间融合器角度，可使得融合器达到理想植入位置，融合器与锥体匹配更好，增加融合器的撑开效果，提高患者生理弯曲恢复效果。通过夹持和螺纹连接两种方式固定放置融合器，无需过度拧紧螺纹造成滑丝的风险，同时防止使用时螺纹松动，减少融合器植入椎间后无法摆正的风险，尤其对一些宽度小于高度的融合器，由于锥体终板为凹面，两终板中间间隙大，外缘间隙小，医生通过竖向置入融合器于椎间后，再旋转90°放横的情况，单独螺纹连接，由于椎间无视野，无法有效确定融合器在椎间的旋转状态，且旋转90°可能发生螺纹的滑丝及松动，本发明的实施例抓臂限制了融合器相对融合器把持器的轴向转动，可明确融合器在椎间的状态，并且能有效防止滑丝或松动，具有把持稳定，安全有效等优点。The fusion device holding instrument provided by the embodiment of the present invention can adjust the angle of the intervertebral fusion device through the third driving assembly outside the body, so that the fusion device can reach the ideal implantation position, the fusion device and the cone can be better matched, and the support of the fusion device can be increased. Opening effect, improve the patient's physiological bending recovery effect. Clamping and threaded connection are used to fix and place the fusion cage, without over-tightening the thread to cause the risk of slippage, and at the same time prevent the thread from loosening during use, reducing the risk of the fusion cage being unable to be straightened after being implanted in the intervertebral space, especially for some with a width smaller than Due to the concave surface of the cone endplate, the middle gap between the two endplates is large and the outer edge gap is small. The doctor puts the fusion cage vertically in the intervertebral space, and then rotates it 90° to place it horizontally. , because there is no field of view between the vertebrae, the rotation state of the fusion device in the intervertebral area cannot be effectively determined, and thread slippage and loosening may occur when the rotation is 90°. The grasping arm of the embodiment of the present invention limits the axis of the fusion device relative to the fusion device holder Rotating in the opposite direction can clarify the state of the fusion cage in the intervertebral space, and can effectively prevent slippage or loosening of the fusion cage. It has the advantages of stable holding, safety and effectiveness.

附图说明Description of drawings

图1是本申请融合器把持器械的剖面结构示意图。Fig. 1 is a schematic cross-sectional structure diagram of a fusion device holding instrument of the present application.

图2是图1的A部放大图。Fig. 2 is an enlarged view of part A of Fig. 1 .

图3是本申请融合器把持器械的一个角度立体结构示意图。Fig. 3 is a schematic diagram of a three-dimensional structure of a fusion device holding instrument of the present application.

图4是图3的B部放大图。FIG. 4 is an enlarged view of part B of FIG. 3 .

图5是本申请融合器把持器械的另一个角度立体结构示意图。Fig. 5 is a schematic perspective view of another perspective structure of the fusion device holding instrument of the present application.

图6是本申请融合器把持器械的主视结构示意图。Fig. 6 is a front structural schematic diagram of the fusion device holding instrument of the present application.

图7是本申请夹持头和第三柔性部的立体结构示意图。Fig. 7 is a schematic perspective view of the three-dimensional structure of the clamping head and the third flexible part of the present application.

图8是本申请融合器把持器械的内部结构示意图。Fig. 8 is a schematic diagram of the internal structure of the fusion device holding instrument of the present application.

图9是本申请的植入器械组件的分体结构示意图。Fig. 9 is a schematic diagram of the split structure of the implant device assembly of the present application.

元件标号说明Component designation description

1 融合器把持器械1 fusion cage holding instrument

11 芯轴11 mandrel

111 第一柔性部111 First flexible part

112 第一螺纹段112 First thread segment

12 第一驱动组件12 First drive assembly

131 夹持组件131 clamping assembly

1311 过渡臂1311 transition arm

1312 抓臂1312 grab arm

132 第二柔性部132 Second flexible part

133 内杆133 inner rod

141 夹持头141 Gripper head

142 第三柔性部142 The third flexible part

143 外杆143 outer pole

15 第二驱动组件15 Second drive assembly

151 第二驱动部151 Second drive unit

1511 第一螺纹孔1511 First threaded hole

152 第二螺纹段152 Second thread segment

16 第三驱动组件16 Third drive assembly

161 圆盘161 discs

162 第三驱动部162 The third driving unit

1631 第一滑槽1631 first chute

1632 第二滑槽1632 Second chute

1641 第一滑块1641 First slider

1642 第二滑块1642 Second slider

1651 第一卡接孔1651 The first snap-in hole

1652 第二卡接孔1652 Second snap-in hole

1661 第一传动固位件1661 First Drive Retainer

1662 第二传动固位件1662 Second transmission retainer

1671 第三滑槽1671 third chute

1672 第四滑槽1672 Fourth chute

168 角度刻度标识168 Angle scale marks

17 手持部17 Handpiece

171 芯轴通过孔171 mandrel through hole

181 第一传动部181 First Transmission Unit

182 第二传动部182 The second transmission part

191 第一传动部穿过孔191 The first transmission part passes through the hole

192 第二传动部穿过孔192 The second transmission part passes through the hole

2 融合器2 fusers

21 融合器本体21 fuser body

22 卡接槽22 snap slot

23 第二螺纹孔23 Second threaded hole

具体实施方式Detailed ways

在本申请的描述中，需要说明的是，本说明书所附图式所绘示的装置、比例、大小等，均仅用以配合说明书所揭示的内容，以供熟悉此技术的人士了解与阅读，并非用以限定本申请可实施的限定条件，故不具技术上的实质意义，任何装置的修饰、比例关系的改变或大小的调整，在不影响本申请所能产生的功效及所能达成的目的下，均应仍落在本申请所揭示的技术内容得能涵盖的范围内。同时术语“中心”、“纵向”、“横向”、“上”、“下”、“前”、“后”、“左”、“右”、“竖直”、“水平”、“顶”、“底”、“内”、“外”等指示的方位或位置关系为基于附图所示的方位或位置关系，仅是为了便于描述本申请和简化描述，而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作，因此不能理解为对本申请的限制。此外，术语“第一”、“第二”仅用于描述目的，而不能理解为指示或暗示相对重要性。In the description of this application, it should be noted that the devices, proportions, sizes, etc. shown in the drawings attached to this specification are only used to match the content disclosed in the specification, so that people familiar with this technology can understand and read , is not used to limit the restrictive conditions that the application can implement, so it has no technical significance. Any modification of the device, change of the proportional relationship or adjustment of the size will not affect the effect that the application can produce and the achievement that can be achieved. Under the objective, all should still fall within the scope covered by the technical content disclosed in this application. Also the terms "center", "longitudinal", "transverse", "top", "bottom", "front", "rear", "left", "right", "vertical", "horizontal", "top" , "bottom", "inner", "outer" and other indicated orientations or positional relationships are based on the orientations or positional relationships shown in the drawings, and are only for the convenience of describing the application and simplifying the description, rather than indicating or implying No device or element must have a particular orientation, be constructed, and operate in a particular orientation, and thus should not be construed as limiting the application. In addition, the terms "first" and "second" are used for descriptive purposes only, and should not be understood as indicating or implying relative importance.

在本申请的描述中，需要说明的是，除非另有明确的规定和限定，术语“安装”、“相连”、“连接”应做广义理解，例如，可以是固定连接，也可以是可拆卸连接，或一体地连接；可以是机械连接，也可以是电连接；可以是直接相连，也可以通过中间媒介间接相连，可以是两个元件内部的连通。对于本领域的普通技术人员而言，可以根据具体情况理解上述术语在本申请中的具体含义。In the description of this application, it should be noted that unless otherwise specified and limited, the terms "installation", "connection", and "connection" should be understood in a broad sense, for example, it can be a fixed connection or a detachable connection. Connected, or integrally connected; it may be mechanically connected or electrically connected; it may be directly connected or indirectly connected through an intermediary, and it may be the internal communication of two components. Those of ordinary skill in the art can understand the specific meanings of the above terms in this application according to specific situations.

此外，在本申请的描述中，除非另有说明，“多个”的含义是两个或两个以上。In addition, in the description of the present application, unless otherwise specified, "plurality" means two or more.

如图1～8所示，本申请的实施例一方面提供一种融合器把持器械1，包括邻接的芯轴11和第一驱动组件12；所述第一驱动组件12可驱动芯轴11沿其轴向方向转动；所述芯轴11包括第一柔性部111；还包括依次邻接的夹持组件131、第二柔性部132和内杆133；所述内杆133套设于所述芯轴11；还包括依次邻接的夹持头141、第三柔性部142、外杆143和第二驱动组件15；所述夹持组件131设于夹持头141内；所述外杆143套设于所述内杆133；所述第二驱动组件15适于驱动外杆143相对于内杆133的延伸方向往复运动，以使所述夹持组件131突出或缩进所述夹持头141，所述夹持组件131被设置为适于在突出夹持头141的状态下张开，在缩进夹持头141的状态下合拢；所述第一柔性部111、第二柔性部132和第三柔性部142相配合；还包括用于驱动第三柔性部142并带动第一柔性部111和第二柔性部132弯曲的第三驱动组件16。其中，内杆133、外杆143均为中空的结构，且分别沿轴向贯通。内杆133和夹持组件131在轴向方向连接，从而可以配合夹持头141对夹持组件131的挤压实现夹持。所述第一柔性部111、第二柔性部132和第三柔性部142相配合具体是指所述的第二柔性部132轴向跨过所述的第一柔性部111，所述的第三柔性部142轴向跨过所述的第二柔性部132，从而使得通过第三驱动组件16，带动第一柔性部111、第二柔性部132随着第三柔性部142一同弯曲。本发明针对TLIF手术，用于椎间融合术中把持及放置融合器，本发明通过螺纹连接实现融合器把持器与融合器的固定，并通过夹持组件131夹持防止术中螺纹滑丝、连接松动；通过第三驱动组件16控制第一柔性部111、第二柔性部132、第三柔性部142的弯曲，实现融合器的角度可调。As shown in FIGS. 1 to 8 , on the one hand, the embodiment of the present application provides a cage holding instrument 1 , including an adjacent mandrel 11 and a first drive assembly 12; the first drive assembly 12 can drive the mandrel 11 along the It rotates in the axial direction; the mandrel 11 includes a first flexible part 111; it also includes a sequentially adjacent clamping assembly 131, a second flexible part 132 and an inner rod 133; the inner rod 133 is sheathed on the mandrel 11; also includes the clamping head 141, the third flexible part 142, the outer rod 143 and the second driving assembly 15 which are adjacent in sequence; the clamping assembly 131 is arranged in the clamping head 141; the outer rod 143 is sleeved on the The inner rod 133; the second drive assembly 15 is adapted to drive the outer rod 143 to reciprocate relative to the extension direction of the inner rod 133, so that the clamping component 131 protrudes or retracts from the clamping head 141, so The clamping assembly 131 is set to be suitable for opening under the state of protruding the clamping head 141, and closing under the state of retracting the clamping head 141; the first flexible part 111, the second flexible part 132 and the third flexible part 111 The flexible part 142 cooperates; it also includes a third driving assembly 16 for driving the third flexible part 142 and driving the first flexible part 111 and the second flexible part 132 to bend. Wherein, both theinner rod 133 and theouter rod 143 are hollow structures, and respectively pass through in the axial direction. Theinner rod 133 is connected to theclamping component 131 in the axial direction, so that the clamping can be achieved by cooperating with the squeezing of the clampinghead 141 to theclamping component 131 . The cooperation of the firstflexible part 111, the secondflexible part 132 and the thirdflexible part 142 specifically means that the secondflexible part 132 axially straddles the firstflexible part 111, and the thirdflexible part 142 Theflexible part 142 axially straddles the secondflexible part 132 , so that thethird driving assembly 16 drives the firstflexible part 111 and the secondflexible part 132 to bend together with the thirdflexible part 142 . The present invention is aimed at TLIF surgery, and is used for holding and placing the fusion device in intervertebral fusion. The present invention realizes the fixation of the fusion device holder and the fusion device through threaded connection, and prevents the thread from slipping during the operation by clamping theclamping component 131. The connection is loose; the bending of the firstflexible part 111 , the secondflexible part 132 and the thirdflexible part 142 is controlled by thethird drive assembly 16 to realize the adjustable angle of the fusion cage.

本申请所提供的融合器把持器械中，如图1，所述芯轴11上远离第一驱动组件12的一端设有第一螺纹段112。第一螺纹段112与是融合器上的第二螺纹孔23相配合，从而实现融合器把持器械1和融合器的连接。第一螺纹段112的长度例如可以是5mm～15mm、5mm～10mm、或10mm～15mm等。In the cage holding instrument provided in the present application, as shown in FIG. 1 , the end of themandrel 11 away from the first drivingassembly 12 is provided with afirst thread segment 112 . The first threadedsegment 112 is matched with the second threadedhole 23 on the fusion device, so as to realize the connection between the fusiondevice holding instrument 1 and the fusion device. The length of thefirst thread segment 112 may be, for example, 5mm-15mm, 5mm-10mm, or 10mm-15mm.

本申请所提供的融合器把持器械中，如图1，所述第一驱动组件12包括第一驱动部。优选的，所述第一驱动部例如可以为旋转螺帽。In the cage holding instrument provided in the present application, as shown in FIG. 1 , the first drivingassembly 12 includes a first driving part. Preferably, the first driving part may be, for example, a rotating nut.

本申请所提供的融合器把持器械中，如图1，所述夹持组件131包括两个相对设置的夹持臂。各所述夹持臂分别包括连接的过渡臂1311和抓臂1312，各所述过渡臂1311分别与所述第二柔性部132连接。过渡臂1311与夹持头141的挤压面相配合，挤压面可以挤压过渡臂1311。抓臂1312与融合器的卡接槽22相配合。两个过渡臂1311之间的夹角例如可以为30°～120°、30°～60°、60°～90°、或90°～120°等。所述夹持头141的夹角为25°～110°、25°～55°、55°～85°、85°～110°等。In the cage holding instrument provided in the present application, as shown in FIG. 1 , the clampingassembly 131 includes two oppositely disposed clamping arms. Each of the clamping arms respectively includes aconnected transition arm 1311 and agrasping arm 1312 , and each of thetransition arms 1311 is connected to the secondflexible portion 132 respectively. Thetransition arm 1311 cooperates with the extruding surface of the clampinghead 141 , and the extruding surface can extrude thetransition arm 1311 . Thegrasping arm 1312 is matched with the lockinggroove 22 of the cage. The included angle between the twotransition arms 1311 may be, for example, 30°-120°, 30°-60°, 60°-90°, or 90°-120°. The included angle of the clampinghead 141 is 25°-110°, 25°-55°, 55°-85°, 85°-110° and so on.

本申请所提供的融合器把持器械中，如图1，还包括与内杆133连接的手持部17。在一些实施例中，手持部17设于内杆133远离夹持组件131的一端。手持部17的延伸方向通常可以与内杆133的延伸方向呈一定角度，例如可以是手持部17的延伸方向与内杆133的延伸方向相垂直。手持部17方便握持。The cage holding instrument provided in the present application, as shown in FIG. 1 , further includes ahandle 17 connected to theinner rod 133 . In some embodiments, thehandle portion 17 is disposed at an end of theinner rod 133 away from the clampingassembly 131 . The extension direction of thehandle part 17 may generally form a certain angle with the extension direction of theinner rod 133 , for example, the extension direction of thehandle part 17 may be perpendicular to the extension direction of theinner rod 133 . Thehandle portion 17 is convenient to hold.

本申请所提供的融合器把持器械中，如图1，所述手持部17上设有芯轴通过孔171。芯轴通过孔171与内杆133中空的腔体连通。芯轴通过孔171方便芯轴11通过。In the cage holding instrument provided in the present application, as shown in FIG. 1 , thehandle part 17 is provided with amandrel passing hole 171 . The mandrel communicates with the hollow cavity of theinner rod 133 through thehole 171 . The mandrel passes through thehole 171 to facilitate the passage of themandrel 11 .

本申请所提供的融合器把持器械中，如图1，所述第二驱动组件15包括第二驱动部151，所述第二驱动部151套设在内杆133外，所述第二驱动部151与所述外杆143连接。应用时，第二驱动部151驱动外杆143整体相对于内杆133朝向夹持组件131的方向运动，夹持头141运动过程中会挤压夹持组件131，带动夹持组件131的夹角逐渐变小，从而控制所述夹持组件131的闭合。而第二驱动部151驱动外杆143组件整体相对于内杆133朝远离夹持组件131的方向运动，可以使得夹持头141和夹持组件131复位。In the cage holding instrument provided by the present application, as shown in FIG. 1 , thesecond driving assembly 15 includes a second driving part 151, and the second driving part 151 is sleeved outside theinner rod 133. The second driving part 151 is connected with theouter rod 143 . In application, the second driving part 151 drives theouter rod 143 to move toward the clampingassembly 131 as a whole relative to theinner rod 133. During the movement of the clampinghead 141, the clampingassembly 131 will be squeezed, and the included angle of the clampingassembly 131 will be driven. gradually becomes smaller, so as to control the closing of the clampingassembly 131 . The second driving part 151 drives theouter rod 143 assembly to move in a direction away from theclamping component 131 relative to theinner rod 133 , so that the clampinghead 141 and theclamping component 131 can be reset.

本申请所提供的融合器把持器械中，如图1，所述内杆133上设有第二螺纹段152；所述驱动部上设有与第二螺纹段152相配合的第一螺纹孔1511。通过第一螺纹孔1511和第二螺纹段152的配合，旋转第二驱动部151，可以使得第二驱动部151驱动外杆143相对于内杆133的延伸方向往复运动。在一些实施例中，第二螺纹段152的长度例如可以为10mm～30mm、10mm～20mm、或20mm～30mm等。第一螺纹孔1511的长度例如可以为5mm～25mm、5mm～15mm、或15mm～25mm等。In the cage holding instrument provided by the present application, as shown in Figure 1, theinner rod 133 is provided with a second threadedsegment 152; the driving part is provided with a first threadedhole 1511 matching the second threadedsegment 152 . Through the cooperation between the first threadedhole 1511 and the second threadedsection 152 , the second driving part 151 can be rotated so that the second driving part 151 can drive theouter rod 143 to reciprocate relative to the extending direction of theinner rod 133 . In some embodiments, the length of thesecond thread segment 152 may be, for example, 10mm-30mm, 10mm-20mm, or 20mm-30mm. The length of the first threadedhole 1511 may be, for example, 5mm-25mm, 5mm-15mm, or 15mm-25mm.

本申请所提供的融合器把持器械中，所述夹持组件131被设置为适于在突出夹持头141的状态下张开，在缩进夹持头141状态下合拢。具体的，夹持组件131在非受力下张开，受力下夹持。在一实施例中，夹持头141通常尺寸自与外杆143连接的一端朝向远离外杆143一端逐渐变大，形成扩口结构。夹持头141包括两个挤压面，两个挤压面延伸形成的夹角即为夹持头141的夹角。夹持组件131包括两个夹持臂，两个夹持臂之间的夹角即为夹持组件131的夹角。In the cage holding instrument provided in the present application, the clampingassembly 131 is configured to be suitable for opening when the clampinghead 141 is protruding, and for closing when the clampinghead 141 is retracted. Specifically, the clampingassembly 131 is opened under no force, and clamped under force. In one embodiment, the size of the clampinghead 141 generally increases gradually from the end connected to theouter rod 143 toward the end away from theouter rod 143 , forming a flaring structure. The clampinghead 141 includes two extrusion surfaces, and the angle formed by the extension of the two extrusion surfaces is the angle of the clampinghead 141 . The clampingassembly 131 includes two clamping arms, and the angle between the two clamping arms is the angle of the clampingassembly 131 .

本申请所提供的融合器把持器械中，所述第二驱动部151的内径小于所述外杆143的外径。在一些实施例中，所述外杆143的外径例如可以为4mm～10mm、4mm～6mm、6mm～8mm、或8mm～10mm等。所述第二驱动部151的内径可以为3mm～8mm、3mm～5mm、或5mm～8mm等。In the cage holding instrument provided in the present application, the inner diameter of the second driving part 151 is smaller than the outer diameter of theouter rod 143 . In some embodiments, the outer diameter of theouter rod 143 may be, for example, 4mm-10mm, 4mm-6mm, 6mm-8mm, or 8mm-10mm. The inner diameter of the second driving part 151 may be 3mm-8mm, 3mm-5mm, or 5mm-8mm.

本申请所提供的融合器把持器械中，所述外杆143的内径与内杆133的外径相配合，具体的，外杆143的内径略大于内杆133的外径。所述内杆133的内径与芯轴11的外径相配合，具体的，内杆133的内径略大于芯轴11的外径。外杆143的内径可以为3mm～9mm、3mm～6mm、或6mm～9mm等。内杆133的外径可以为3mm～9mm、3mm～6mm、或6mm～9mm等。芯轴11的外径可以为2mm～5mm、2mm～3mm、3mm～4mm、或4mm～5mm等。In the cage holding instrument provided in the present application, the inner diameter of theouter rod 143 matches the outer diameter of theinner rod 133 , specifically, the inner diameter of theouter rod 143 is slightly larger than the outer diameter of theinner rod 133 . The inner diameter of theinner rod 133 matches the outer diameter of themandrel 11 , specifically, the inner diameter of theinner rod 133 is slightly larger than the outer diameter of themandrel 11 . The inner diameter of theouter rod 143 may be 3mm-9mm, 3mm-6mm, or 6mm-9mm. The outer diameter of theinner rod 133 may be 3mm-9mm, 3mm-6mm, or 6mm-9mm. The outer diameter of themandrel 11 may be 2mm-5mm, 2mm-3mm, 3mm-4mm, or 4mm-5mm.

本申请所提供的融合器把持器械中，如图8，还包括沿外杆143轴向对称分布的第一传动部181和第二传动部182，所述第三柔性部142和第三驱动组件16经第一传动部181和第二传动部182连接。如图7，第三柔性部142和/或外杆143上设有与第一传动部181相配合的第一传动部穿过孔191。第一传动部181依次通过各个第一传动部穿过孔191与第三驱动组件16连接。第三柔性部142和/或外杆143上还设有与第二传动部182相配合的第二传动部通过孔192，第二传动部182依次通过各个第二传动部穿过孔192与第三驱动组件16连接。The cage holding instrument provided in the present application, as shown in FIG. 8 , also includes afirst transmission part 181 and asecond transmission part 182 distributed axially symmetrically along theouter rod 143, and the thirdflexible part 142 and thethird drive assembly 16 is connected through thefirst transmission part 181 and thesecond transmission part 182. As shown in FIG. 7 , the thirdflexible part 142 and/or theouter rod 143 is provided with a first transmissionpart passing hole 191 matched with thefirst transmission part 181 . Thefirst transmission part 181 is sequentially connected to thethird drive assembly 16 through each first transmissionpart passing hole 191 . The thirdflexible part 142 and/or theouter rod 143 are also provided with a second transmission part throughhole 192 matched with thesecond transmission part 182, and thesecond transmission part 182 passes through each second transmission part through thehole 192 and the first transmission part in turn. Threedrive assemblies 16 are connected.

本申请所提供的融合器把持器械中，如图3～5，所述第三驱动组件16包括圆盘161和与圆盘161中心铰接的第三驱动部162，如图1或5，所述圆盘161上分别设有相对圆盘中心中心对称的第一滑槽1631和第二滑槽1632，所述第三驱动部162上设有可沿第一滑槽1631滑动的第一滑块1641以及可沿第二滑槽1632滑动的第二滑块1642；如图8，所述第一滑块1641与所述第一传动部181连接；所述第二滑块1642与所述第二传动部182连接；所述第一传动部181和第二传动部182位于外杆中的部分的运动轨迹相反。第三驱动部162可以通过驱动第一传动部181和第二传动部182反向运动，进而控制第三柔性部142的弯曲，并带动第一柔性部111、第二柔性部132随着第三柔性部142一同弯曲。In the fusion device holding instrument provided in the present application, as shown in Figures 3 to 5, thethird drive assembly 16 includes adisc 161 and athird drive part 162 hinged to the center of thedisc 161, as shown in Figure 1 or 5, the Thedisc 161 is respectively provided with a first slidingslot 1631 and a second slidingslot 1632 which are symmetrical to the center of the disc, and thethird driving part 162 is provided with a first slidingblock 1641 which can slide along the first slidingslot 1631 And thesecond slider 1642 that can slide along thesecond chute 1632; as shown in Figure 8, thefirst slider 1641 is connected with thefirst transmission part 181; thesecond slider 1642 is connected with thesecond transmission part 182; the movement trajectories of the parts of thefirst transmission part 181 and thesecond transmission part 182 located in the outer rod are opposite. Thethird driving part 162 can control the bending of the thirdflexible part 142 by driving thefirst transmission part 181 and thesecond transmission part 182 to move in opposite directions, and drive the firstflexible part 111 and the secondflexible part 132 to follow the thirdflexible part 111 and the secondflexible part 132. Theflexible portion 142 bends together.

在一些实施例中，如图8，所述第一滑块1641上设有第一卡接孔1651，所述第一卡接孔1651内设有第一传动固位件1661，所述第一传动部181与第一传动固位件1661连接、且通过第一卡接孔1651卡接；如图5，所述圆盘161上还设有第三滑槽1671；所述第一传动部181可随第一传动固位件1661沿第三滑槽1671滑动。In some embodiments, as shown in FIG. 8 , the first slidingblock 1641 is provided with afirst locking hole 1651 , and afirst transmission retainer 1661 is provided in thefirst locking hole 1651 . Thetransmission part 181 is connected with thefirst transmission retainer 1661 and snapped through thefirst clamping hole 1651; as shown in Figure 5, thedisc 161 is also provided with athird chute 1671; thefirst transmission part 181 It can slide along with thefirst transmission retainer 1661 along thethird slide groove 1671 .

在一些实施例中，如图8，所述第二滑块1642上设有第二卡接孔1652，所述第二卡接孔1652内设有第二传动固位件1662，所述第二传动部182与第二传动固位件1662连接、且通过第二卡接孔1652卡接；如图5，所述圆盘161上还设有第四滑槽1672，所述第二传动部182可随第二传动固位件1662沿第四滑槽1672滑动。In some embodiments, as shown in FIG. 8 , the second slidingblock 1642 is provided with asecond locking hole 1652 , and asecond transmission retainer 1662 is arranged in thesecond locking hole 1652 , and the second Thetransmission part 182 is connected with thesecond transmission retainer 1662 and snapped through thesecond clamping hole 1652; as shown in Figure 5, thedisc 161 is also provided with afourth slide groove 1672, thesecond transmission part 182 It can slide along thefourth slide groove 1672 along with thesecond transmission retainer 1662 .

在一些实施例中，第一传动部181和第二传动部182例如可以是沿外杆143的轴向方向对称分布的第一导丝和第二导丝。第一导丝和第二导丝的一端分别对称固定在第一柔性部111靠近夹持头141的端部，然后第一传动部181例如第一导丝通过第三柔性部142和外杆143上的第一传动部穿过孔191，与另一端的第一传动固位件1661连接。第二传动部182例如导丝通过第三柔性部142和外杆143上的第二传动部穿过孔192，与另一端的第二传动固位件1662连接。第一传动固位件1661例如可以是第一钢球。第一钢球通过第一卡接孔1651卡接在第三驱动部162的第一滑块1641上。第二传动固位件1662例如可以是第二钢球。第二钢球通过第二卡接孔1652卡接在第三驱动部162的第二滑块1642上。第三驱动部162例如可以是操作手柄，例如推动操作手柄朝向远离夹持头的方向运动，所述第一滑块1641可以沿着第一滑槽1631顺时针滑动，同时所述第一卡接孔1651推动第一钢球在第三滑槽1671上顺时针滑动，所述的第一钢球固定在所述的第一导丝上，第一钢球滑动时，拉扯第一导丝朝向远离夹持头的方向运动。同时所述第二滑块1642可以沿着第二滑槽1632顺时针滑动，同时所述第二卡接孔1652推动第二钢球在第四滑槽1672上顺时针滑动，所述的第二钢球固定在所述的第二导丝上，第二钢球滑动时，第二导丝朝向夹持头的方向运动，即第一导丝和第二导丝位于外杆中的运动方向相反，从而可以通过第一导丝和第二导丝控制第三柔性部142的弯曲作动，并带动第一柔性部111、第二柔性部132随着第三柔性部142一同弯曲。In some embodiments, thefirst transmission part 181 and thesecond transmission part 182 may be, for example, first guide wires and second guide wires distributed symmetrically along the axial direction of theouter rod 143 . One end of the first guide wire and the second guide wire are symmetrically fixed on the end of the firstflexible part 111 near the clampinghead 141 respectively, and then thefirst transmission part 181 such as the first guide wire passes through the thirdflexible part 142 and theouter rod 143 The first transmission part on the top passes through thehole 191 and is connected with thefirst transmission retainer 1661 on the other end. Thesecond transmission part 182 , such as a guide wire, passes through the thirdflexible part 142 and the second transmissionpart passing hole 192 on theouter rod 143 , and is connected to thesecond transmission retainer 1662 at the other end. Thefirst transmission retainer 1661 may be, for example, a first steel ball. The first steel ball is engaged with the first slidingblock 1641 of thethird driving part 162 through the firstengaging hole 1651 . Thesecond transmission retainer 1662 may be, for example, a second steel ball. The second steel ball is engaged on the second slidingblock 1642 of thethird driving part 162 through the secondengaging hole 1652 . Thethird driving part 162 can be, for example, an operating handle. For example, pushing the operating handle to move away from the clamping head, the first slidingblock 1641 can slide clockwise along thefirst chute 1631, and the first engaging Thehole 1651 pushes the first steel ball to slide clockwise on thethird chute 1671. The first steel ball is fixed on the first guide wire. When the first steel ball slides, it pulls the first guide wire away from the Directional movement of the clamping head. At the same time, the second slidingblock 1642 can slide clockwise along thesecond chute 1632 , and at the same time, thesecond engagement hole 1652 pushes the second steel ball to slide clockwise on thefourth chute 1672 . The steel ball is fixed on the second guide wire, and when the second steel ball slides, the second guide wire moves toward the clamping head, that is, the first guide wire and the second guide wire move in opposite directions in the outer rod , so that the bending action of the thirdflexible part 142 can be controlled by the first guide wire and the second guide wire, and the firstflexible part 111 and the secondflexible part 132 can be driven to bend together with the thirdflexible part 142 .

优选的，第一滑槽1631、第二滑槽1632、第三滑槽1671、第四滑槽1672都是圆弧形滑槽，且均与圆盘161同心。第一滑槽1631可以包括两个第一子滑槽，第一滑块1641卡设在两个第一子滑槽中间，第一滑块1641可以沿着两个第一子滑槽滑动。同样，第二滑槽1632也可以包括两个第二子滑槽，第二滑块1642卡设在两个第二子滑槽中间，第二滑块1642可以沿着第二子滑槽滑动。更优选的，第三滑槽1671设于两个第一子滑槽中间，与两个第一子滑槽间隔设置，且延伸方向与两个第一子滑槽一致。第四滑槽1672设于两个第二子滑槽中间，与两个第二子滑槽间隔设置，且延伸方向与两个第二子滑槽一致。Preferably, thefirst chute 1631 , thesecond chute 1632 , thethird chute 1671 , and thefourth chute 1672 are all arc-shaped chutes, and are all concentric with thedisc 161 . Thefirst chute 1631 may include two first sub-slots, thefirst slider 1641 is clamped between the two first sub-slots, and thefirst slider 1641 can slide along the two first sub-slots. Similarly, thesecond chute 1632 may also include two second sub-slots, thesecond slider 1642 is clamped between the two second sub-slots, and thesecond slider 1642 can slide along the second sub-slots. More preferably, thethird chute 1671 is arranged in the middle of the two first sub-slots, spaced apart from the two first sub-slots, and extends in the same direction as the two first sub-slots. Thefourth chute 1672 is located between the two second sub-chutes, spaced apart from the two second sub-chutes, and extends in the same direction as the two second sub-chutes.

本申请所提供的融合器把持器械中，所述的第一卡接孔1651内径大于第一导丝外径，第二卡接孔1652内径大于第二导丝外径，第一卡接孔1651内径小于第一钢球球径，第二卡接孔1652内径小于第二钢球球径。第一卡接孔1651和第二卡接孔1652的内径例如可以是0.5mm～2mm。第一导丝和第二导丝的外径可以为0.5mm～2mm。第一钢球和第二钢球的直径可以为0.8mm～2.4mm。In the cage holding instrument provided in this application, the inner diameter of the first snap-fit hole 1651 is larger than the outer diameter of the first guide wire, the inner diameter of the second snap-fit hole 1652 is larger than the outer diameter of the second guide wire, and the first snap-fit hole 1651 The inner diameter is smaller than the diameter of the first steel ball, and the inner diameter of the secondengaging hole 1652 is smaller than the diameter of the second steel ball. The inner diameters of thefirst locking hole 1651 and thesecond locking hole 1652 may be, for example, 0.5 mm˜2 mm. The outer diameters of the first guide wire and the second guide wire may be 0.5mm˜2mm. The diameters of the first steel ball and the second steel ball may be 0.8mm˜2.4mm.

第一传动部穿过孔191与第三滑槽1671远离夹持头141的一端对接，构成所述第一导丝安装及滑动的连续路径。第二传动部穿过孔192与第四滑槽1672远离夹持头141的一端对接，构成所述第二导丝安装及滑动的连续路径。所述的第一钢球在第三滑槽1671滑动的距离即为第一导丝拉扯滑动的长度，同时第一钢球在第三滑槽1671滑动的距离为操作手柄绕圆盘161旋转的角度与第三滑槽1671半径的乘积。所述的第二钢球在第四滑槽1672滑动的距离即为第二导丝拉扯滑动的长度，同时第二钢球在第四滑槽1672滑动的距离为操作手柄绕圆盘161旋转的角度与第四滑槽1672半径的乘积。The first transmission part passes through thehole 191 and connects with the end of the third slidinggroove 1671 away from the clampinghead 141 to form a continuous path for installing and sliding the first guide wire. The second transmission part passes through thehole 192 and connects with the end of the fourth slidinggroove 1672 away from the clampinghead 141 to form a continuous path for installing and sliding the second guide wire. The distance that the first steel ball slides in thethird chute 1671 is the length that the first guide wire pulls and slides, and the distance that the first steel ball slides in thethird chute 1671 is the time that the operating handle rotates around thedisc 161 The product of the angle and thethird chute 1671 radius. The distance that the second steel ball slides in thefourth chute 1672 is the length that the second guide wire pulls and slides, and the distance that the second steel ball slides in thefourth chute 1672 is the time that the operating handle rotates around thedisc 161 The product of the angle and the radius of thefourth chute 1672 .

本申请所提供的融合器把持器械中，如图6，所述圆盘161上设有角度刻度标识168，用于标识第三柔性部142弯曲角度。In the cage holding instrument provided in the present application, as shown in FIG. 6 , thedisc 161 is provided with an angle scale marking 168 for marking the bending angle of the thirdflexible part 142 .

本申请所提供的融合器把持器械中，如图7，所述的第三柔性部142由3—8个圆柱薄片通过弹片连接组成，其中弹片长度方向与一对导丝所在平面垂直。从而使得弯曲稳定可靠，弯曲后的外杆143轴线所在面法线始终平行两导丝所在面法线。第三柔性部的长度例如可以是5mm～15mm。In the cage holding instrument provided in the present application, as shown in FIG. 7 , the thirdflexible part 142 is composed of 3-8 cylindrical thin pieces connected by elastic sheets, wherein the length direction of the elastic sheets is perpendicular to the plane where a pair of guide wires are located. Therefore, the bending is stable and reliable, and the normal line of the plane where the axis of theouter rod 143 is bent is always parallel to the normal line of the plane where the two guide wires are. The length of the third flexible portion may be, for example, 5mm˜15mm.

在一些实施例中，第二柔性部132的长度例如可以是8mm～20mm。第一柔性部111的长度例如可以是10mm～25mm。In some embodiments, the length of the secondflexible portion 132 may be, for example, 8mm˜20mm. The length of the firstflexible portion 111 may be, for example, 10 mm˜25 mm.

如图9所示，本申请另一方面提供一种植入器械组件，包括本申请第一方面所述的融合器把持器械11和与所述融合器把持器械11相配合的融合器2，所述融合器2包括融合器本体21，所述融合器本体21上设有与夹持组件131配合的卡接槽22以及与芯轴11配合的第二螺纹孔23。针对椎间融合手术，把持融合器2以宽度方向通过终板外缘的间隙，并能在椎间稳定旋转，实现融合器2达到理想植入位置，提高术后恢复效果。本发明针对TLIF手术，融合器把持器械1可用于完成融合器的稳定植入，并能调整融合器在锥体之间角度，实现融合器达到理想植入位置，提高术后恢复效果。As shown in FIG. 9 , another aspect of the present application provides an implant instrument assembly, including the fusiondevice holding device 11 described in the first aspect of the application and thefusion device 2 matched with the fusiondevice holding device 11 . Thefusion device 2 includes afusion device body 21 , and thefusion device body 21 is provided with a lockinggroove 22 for matching with the clampingassembly 131 and a second threadedhole 23 for matching with themandrel 11 . For intervertebral fusion surgery, hold thefusion device 2 through the gap at the outer edge of the endplate in the width direction, and can rotate stably between the vertebrae, so that thefusion device 2 can reach an ideal implantation position and improve the postoperative recovery effect. The present invention is aimed at TLIF surgery, and the fusiondevice holding instrument 1 can be used to complete the stable implantation of the fusion device, and can adjust the angle of the fusion device between the cones, so as to realize the ideal implantation position of the fusion device and improve the postoperative recovery effect.

本申请所提供的植入器械组件中，第二螺纹孔23的孔径例如可以为2mm～5mm、2mm～3mm、3mm～4mm、或4mm～5mm等。In the implant device assembly provided in the present application, the diameter of the second threadedhole 23 may be, for example, 2mm-5mm, 2mm-3mm, 3mm-4mm, or 4mm-5mm.

本申请所提供的植入器械组件中，使用时，首先通过旋转第二驱动组件15推动外杆143朝向夹持组件131运动，使得夹持头141挤压夹持组件131向内收缩，夹持组件131与融合器的卡接槽22对接并形成夹持；然后旋转第一驱动组件12将芯轴11的第一螺纹段112拧入所述的融合器的第二螺纹孔23中。再后将融合器置入目标椎间，通过第三驱动组件16，推动操作手柄，所述第一滑块1641可以沿着第一滑槽1631滑动，同时所述第一卡接孔1651推动第一传动固位件1661在第三滑槽1671上滑动，所述的第一传动部181固定在所述第一传动固位件1661上，第一传动固位件1661滑动时，拉扯第一传动部181运动，所述第二滑块1642可以沿着第二滑槽1632滑动，同时所述第二卡接孔1652推动第二传动固位件1662在第四滑槽1672上滑动，所述的第二传动部182固定在所述第二传动固位件1662上，第二传动固位件1662滑动时，第二传动部182与第一传动部181反向运动，例如第一传动部181朝向远离夹持头的方向运动时，第二传动部182朝向夹持头方向运动，从而可以通过第一传动部181和第二传动部182控制第三柔性部142的弯曲作动，并带动第一柔性部111、第二柔性部132随着第三柔性部142一同弯曲，实现融合器放置角度的调整，从而使融合器达理想的植入位置。退出时，首先反向旋转第一驱动组件12使得芯轴11的第二螺纹段152退出所述的融合器的第二螺纹孔23，然后反向旋转第二驱动组件15，抓臂1312松开，释放融合器，最后通过第三驱动组件16使融合器把持器的第一柔性部111、第二柔性部132、第三柔性部142伸直，退出患处椎间。In the implant instrument assembly provided by the present application, when in use, firstly, theouter rod 143 is pushed toward the clampingassembly 131 by rotating thesecond drive assembly 15, so that the clampinghead 141 presses the clampingassembly 131 to shrink inwardly, and clamps Thecomponent 131 is docked with the lockinggroove 22 of the fusion cage and forms a clamp; then thefirst driving component 12 is rotated to screw the first threadedsection 112 of themandrel 11 into the second threadedhole 23 of the fusion cage. Then put the cage into the target intervertebral space, push the operating handle through thethird driving assembly 16, the first slidingblock 1641 can slide along the first slidinggroove 1631, and at the same time, the firstengaging hole 1651 pushes the first locking hole 1651A transmission retainer 1661 slides on thethird chute 1671, thefirst transmission part 181 is fixed on thefirst transmission retainer 1661, when thefirst transmission retainer 1661 slides, the first transmission is pulled.part 181 moves, the second slidingblock 1642 can slide along the second slidinggroove 1632, and at the same time, thesecond locking hole 1652 pushes thesecond transmission retainer 1662 to slide on the fourth slidinggroove 1672. Thesecond transmission part 182 is fixed on thesecond transmission retainer 1662. When thesecond transmission retainer 1662 slides, thesecond transmission part 182 and thefirst transmission part 181 move in the opposite direction, for example, thefirst transmission part 181 faces When moving away from the direction of the clamping head, thesecond transmission part 182 moves toward the direction of the clamping head, so that the bending action of the thirdflexible part 142 can be controlled by thefirst transmission part 181 and thesecond transmission part 182, and thefirst transmission part 182 can be driven. Theflexible part 111 and the secondflexible part 132 are bent together with the thirdflexible part 142 to realize the adjustment of the placement angle of the fusion device, so that the fusion device can reach an ideal implantation position. When withdrawing, firstly rotate the first drivingassembly 12 reversely so that the second threadedsegment 152 of themandrel 11 exits the second threadedhole 23 of the cage, and then reversely rotate thesecond driving assembly 15 to release thegrasping arm 1312 , release the fusion cage, and finally the firstflexible part 111 , the secondflexible part 132 , and the thirdflexible part 142 of the fusion cage holder are straightened through thethird drive assembly 16 , and withdraw from the intervertebral area of the affected area.

综上，本发明的实施例所提供的融合器把持器械，通过体外第三驱动组件16调整椎间融合器角度，可使得融合器达到理想植入位置，融合器与锥体匹配更好，增加融合器的撑开效果，提高患者生理弯曲恢复效果。通过夹持和螺纹连接两种方式固定放置融合器，无需过度拧紧螺纹造成滑丝的风险，同时防止使用时螺纹松动，减少融合器植入椎间后无法摆正的风险，尤其对一些宽度小于高度的融合器，由于锥体终板为凹面，两终板中间间隙大，外缘间隙小，医生通过竖向置入融合器于椎间后，再旋转90°放横的情况，单独螺纹连接，由于椎间无视野，无法有效确定融合器在椎间的旋转状态，且旋转90°可能发生螺纹的滑丝及松动，本发明的实施例抓臂1312限制了融合器相对融合器把持器的轴向转动，可明确融合器在椎间的状态，并且能有效防止滑丝或松动，具有把持稳定，安全有效等优点。To sum up, the fusion cage holding instrument provided by the embodiment of the present invention can adjust the angle of the intervertebral fusion cage through thethird driving assembly 16 outside the body, so that the fusion cage can reach an ideal implantation position, and the fusion cage and the cone can be better matched, increasing The expansion effect of the fusion device can improve the recovery effect of the patient's physiological bending. Clamping and threaded connection are used to fix and place the fusion cage, without over-tightening the thread to cause the risk of slippage, and at the same time prevent the thread from loosening during use, reducing the risk of the fusion cage being unable to be straightened after being implanted in the intervertebral space, especially for some with a width smaller than Due to the concave surface of the cone endplate, the middle gap between the two endplates is large and the outer edge gap is small. The doctor puts the fusion cage vertically in the intervertebral space, and then rotates it 90° to place it horizontally. , because there is no field of view between the vertebrae, the rotation state of the fusion device in the intervertebral area cannot be effectively determined, and thread slippage and loosening may occur when the rotation is 90°. Axial rotation can clarify the state of the fusion cage in the intervertebral area, and can effectively prevent slippage or loosening of the fusion cage. It has the advantages of stable holding, safety and effectiveness.

综上，本申请有效克服了现有技术中的种种缺点而具高度产业利用价值。To sum up, the present application effectively overcomes various shortcomings in the prior art and has high industrial application value.

上述实施例仅例示性说明本申请的原理及其功效，而非用于限制本申请。任何熟悉此技术的人士皆可在不违背本申请的精神及范畴下，对上述实施例进行修饰或改变。因此，举凡所属技术领域中具有通常知识者在未脱离本申请所揭示的精神与技术思想下所完成的一切等效修饰或改变，仍应由本申请的权利要求所涵盖。The above-mentioned embodiments are only illustrative to illustrate the principles and effects of the present application, but are not intended to limit the present application. Any person familiar with the technology can modify or change the above-mentioned embodiments without departing from the spirit and scope of the present application. Therefore, all equivalent modifications or changes made by those skilled in the art without departing from the spirit and technical ideas disclosed in the application shall still be covered by the claims of the application.

Claims (10)

Translated fromChinese

1.一种融合器把持器械，其特征在于，包括邻接的芯轴(11)和第一驱动组件(12)；所述第一驱动组件(12)可驱动芯轴(11)沿其轴向方向转动；所述芯轴(11)包括第一柔性部(111)；1. A fusion device holding instrument is characterized in that it comprises an adjacent mandrel (11) and a first drive assembly (12); the first drive assembly (12) can drive the mandrel (11) along its axial direction direction rotation; the mandrel (11) includes a first flexible portion (111);还包括依次邻接的夹持组件(131)、第二柔性部(132)和内杆(133)；所述内杆(133)套设于所述芯轴(11)；It also includes sequentially adjacent clamping components (131), second flexible parts (132) and inner rods (133); the inner rods (133) are sheathed on the mandrel (11);还包括依次邻接的夹持头(141)、第三柔性部(142)、外杆(143)和第二驱动组件(15)；It also includes a clamping head (141), a third flexible part (142), an outer rod (143) and a second drive assembly (15) adjacent in sequence;所述夹持组件(131)设于夹持头(141)内；所述外杆(143)套设于所述内杆(133)；所述第二驱动组件(15)可驱动外杆(143)相对于内杆(133)的延伸方向往复运动，以使所述夹持组件(131)突出或缩进所述夹持头(141)，所述夹持组件(131)被设置为适于在突出夹持头(141)的状态下张开，在缩进夹持头(141)的状态下合拢；The clamping assembly (131) is arranged in the clamping head (141); the outer rod (143) is sleeved on the inner rod (133); the second drive assembly (15) can drive the outer rod ( 143) reciprocating relative to the extension direction of the inner rod (133), so that the clamping assembly (131) protrudes or retracts from the clamping head (141), and the clamping assembly (131) is configured to fit Open under the state of the protruding clamping head (141), and close under the state of retracting the clamping head (141);所述第一柔性部(111)、第二柔性部(132)和第三柔性部(142)相配合；还包括用于驱动第三柔性部(142)并带动第一柔性部(111)和第二柔性部(132)弯曲的第三驱动组件(16)。The first flexible part (111), the second flexible part (132) and the third flexible part (142) are matched; it also includes a function for driving the third flexible part (142) and driving the first flexible part (111) and the third flexible part (142). The second flexible part (132) bends the third drive assembly (16).2.如权利要求1所述的融合器把持器械，其特征在于，所述芯轴(11)远离第一驱动组件(12)的一端设有第一螺纹段(112)；2. The cage holding instrument according to claim 1, characterized in that, the end of the mandrel (11) away from the first drive assembly (12) is provided with a first thread segment (112);和/或，所述夹持组件(131)包括两个相对设置的夹持臂；各所述夹持臂分别包括邻接的过渡臂(1311)和抓臂(1312)，各所述过渡臂(1311)分别与所述第二柔性部(132)连接；And/or, the clamping assembly (131) includes two opposite clamping arms; each of the clamping arms includes an adjacent transition arm (1311) and a gripping arm (1312), and each of the transition arms ( 1311) respectively connecting with the second flexible part (132);和/或，所述融合器把持器械还包括与内杆(133)连接的手持部(17)；所述手持部(17)上设有芯轴通过孔(171)。And/or, the fusion device holding instrument further includes a handle portion (17) connected to the inner rod (133); the handle portion (17) is provided with a mandrel passing hole (171).3.如权利要求1所述的融合器把持器械，其特征在于，所述第二驱动组件(15)包括套设于内杆(133)的第二驱动部(151)，所述第二驱动部(151)与所述外杆(143)连接。3. The fusion cage holding instrument according to claim 1, characterized in that, the second drive assembly (15) includes a second drive part (151) sleeved on the inner rod (133), and the second drive A portion (151) is connected to said outer rod (143).4.如权利要求3所述的融合器把持器械，其特征在于，所述内杆(133)上设有第二螺纹段(152)；所述第二驱动部(151)上设有与第二螺纹段(152)相配合的第一螺纹孔(1511)；和/或，所述第二驱动部(151)的内径小于所述外杆(143)的外径。4. The cage holding instrument according to claim 3, characterized in that, the inner rod (133) is provided with a second thread segment (152); the second driving part (151) is provided with a The first threaded hole (1511) where the two threaded segments (152) fit together; and/or, the inner diameter of the second driving part (151) is smaller than the outer diameter of the outer rod (143).5.如权利要求1所述的融合器把持器械，其特征在于，还包括沿外杆(143)轴向对称分布的第一传动部(181)和第二传动部(182)，所述第三柔性部(142)和第三驱动组件(16)经第一传动部(181)和第二传动部(182)连接。5. The cage holding instrument according to claim 1, further comprising a first transmission part (181) and a second transmission part (182) distributed axially symmetrically along the outer rod (143), the first transmission part (182) The three flexible parts (142) are connected with the third driving assembly (16) through the first transmission part (181) and the second transmission part (182).6.如权利要求5所述的融合器把持器械，其特征在于，所述第三驱动组件(16)包括圆盘(161)和与圆盘(161)中心铰接的第三驱动部(162)，所述圆盘(161)上分别设有相对圆盘中心中心对称的第一滑槽(1631)和第二滑槽(1632)，所述第三驱动部(162)上设有可沿第一滑槽(1631)滑动的第一滑块(1641)以及可沿第二滑槽(1632)滑动的第二滑块(1642)；所述第一滑块(1641)与所述第一传动部(181)连接；所述第二滑块(1642)与所述第二传动部(182)连接。6. The cage holding instrument according to claim 5, characterized in that, the third drive assembly (16) comprises a disc (161) and a third drive part (162) hinged to the center of the disc (161) , the disc (161) is respectively provided with a first chute (1631) and a second chute (1632) symmetrical to the center of the disc, and the third drive part (162) is provided with a A first slider (1641) that slides in a chute (1631) and a second slider (1642) that can slide along a second chute (1632); the first slider (1641) and the first transmission part (181); the second slider (1642) is connected with the second transmission part (182).7.如权利要求6所述的融合器把持器械，其特征在于，所述第一滑块(1641)上设有第一卡接孔(1651)，所述第一卡接孔(1651)内设有第一传动固位件(1661)，所述第一传动部(181)与第一传动固位件(1661)连接、且通过第一卡接孔(1651)卡接；所述圆盘(161)上还设有第三滑槽(1671)；所述第一传动部(181)可随第一传动固位件(1661)沿第三滑槽(1671)滑动；7. The cage holding instrument according to claim 6, characterized in that, the first sliding block (1641) is provided with a first locking hole (1651), and the first locking hole (1651) A first transmission retainer (1661) is provided, the first transmission part (181) is connected to the first transmission retainer (1661), and is clamped through the first clamping hole (1651); the disc (161) is also provided with a third chute (1671); the first transmission part (181) can slide along the third chute (1671) along with the first transmission retainer (1661);和/或，所述第二滑块(1642)上设有第二卡接孔(1652)，所述第二卡接孔(1652)内设有第二传动固位件(1662)，所述第二传动部(182)与第二传动固位件(1662)连接、且通过第二卡接孔(1652)卡接；所述圆盘(161)上还设有第四滑槽(1672)，所述第二传动部(182)可随第二传动固位件(1662)沿第四滑槽(1672)滑动。And/or, the second slider (1642) is provided with a second locking hole (1652), and the second locking hole (1652) is provided with a second transmission retainer (1662), the The second transmission part (182) is connected with the second transmission retainer (1662), and is clamped through the second clamping hole (1652); the disc (161) is also provided with a fourth chute (1672) , the second transmission part (182) can slide along the fourth sliding groove (1672) along with the second transmission retainer (1662).8.如权利要求6所述的融合器把持器械，其特征在于，所述圆盘(161)上设有角度刻度标识(168)。8. The cage holding instrument according to claim 6, characterized in that, the disc (161) is provided with an angle scale mark (168).9.如权利要求1所述的融合器把持器械，其特征在于，第三柔性部(142)和/或外杆(143)上分别设有第一传动部穿过孔(191)和第二传动部穿过孔(192)；9. The cage holding instrument according to claim 1, characterized in that, the third flexible part (142) and/or the outer rod (143) are respectively provided with a first transmission part passing hole (191) and a second transmission part passing hole (191). The transmission part passes through the hole (192);10.一种植入器械组件，其特征在于，包括如权利要求1～9任一项权利要求所述的融合器把持器械(1)和与所述融合器把持器械(1)相配合的融合器(2)，所述融合器(2)包括融合器本体(21)，所述融合器本体(21)上设有与夹持组件(131)配合的卡接槽(22)以及与芯轴(11)配合的第二螺纹孔(23)。10. An implant instrument assembly, characterized in that it comprises the fusion vessel holding instrument (1) according to any one of claims 1 to 9 and the fusion vessel matched with the fusion vessel holding instrument (1) (2), the fusion device (2) includes a fusion device body (21), and the fusion device body (21) is provided with a snap-in groove (22) that cooperates with the clamping assembly (131) and a mandrel ( 11) A second threaded hole (23) for matching.

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