技术领域Technical Field
本发明属于医疗设备技术领域，具体涉及一种脊柱脱位复位装置。The invention belongs to the technical field of medical equipment, and in particular relates to a spinal dislocation reduction device.
背景技术Background technique
脊柱骨折（脱位）作为常见创伤性疾病，以胸腰椎骨折最为常见，除了少数稳定性好的轻微骨折外，大多数都需要进行手术治疗，达到脊髓神经减压、恢复脊柱正常序列以及稳定脊柱的目的，以促进患者康复及提高生活质量。Spinal fracture (dislocation) is a common traumatic disease, with thoracic and lumbar fractures being the most common. Except for a few minor fractures with good stability, most of them require surgical treatment to decompress the spinal cord nerves, restore the normal sequence of the spine, and stabilize the spine, so as to promote patient recovery and improve the quality of life.
一般对于移位不明显或易复位的骨折，往往通过后路椎弓根螺钉联合钛棒手术方式便能够快速达到手术目的；但是，对于严重骨折脱位的脊柱骨折，目前常规治疗方式存在以下缺点：Generally, for fractures that are not obviously displaced or easily repositioned, the surgical purpose can be quickly achieved through posterior pedicle screw combined with titanium rod surgery; however, for spinal fractures with severe fractures and dislocations, the current conventional treatment methods have the following disadvantages:
1、骨折脱位严重，骨折端移位明显，有时甚至伴有骨折端卡压，常规器械复位不方便施力，无法施加较大牵引力来矫正脊柱，骨折端复位困难，难以达到功能复位；1. The fracture dislocation is serious, the fracture ends are obviously displaced, and sometimes even accompanied by compression of the fracture ends. Conventional instruments are not convenient for applying force to reduce the fracture ends, and it is impossible to apply a large traction force to correct the spine. It is difficult to reduce the fracture ends and achieve functional reduction;
2、脊柱骨折严重时，往往伴有脊髓神经压迫损伤，手术过程中应尽量保护脊髓神经，以免二次损伤，而术中常规器械在复位过程中无法控制复位力度，脊髓神经由于复位力量的变化较大，容易产生震荡损伤，加重脊髓损伤的风险；2. Severe spinal fractures are often accompanied by compression and injury of the spinal nerves. During surgery, the spinal nerves should be protected as much as possible to avoid secondary injury. Conventional instruments cannot control the reduction force during the reduction process. The spinal nerves are prone to concussion injury due to the large changes in reduction force, which increases the risk of spinal cord injury.
3、严重骨折脱位复位困难，延长了手术时间，可能造成患者失血增多，增加手术风险。因此，发明一种便于施加较大牵引力的脊柱骨折脱位复位装置，是本领域技术人员亟待解决的技术问题。3. Severe fracture dislocations are difficult to reduce, which prolongs the operation time, may cause increased blood loss in patients, and increase the risk of surgery. Therefore, inventing a spinal fracture dislocation reduction device that is convenient for applying a large traction force is a technical problem that needs to be solved urgently by those skilled in the art.
发明内容Summary of the invention
为了解决现有技术存在的上述问题，本发明提供一种脊柱脱位复位装置，以解决现有技术中常规器械在复位时不方便施力，无法施加较大牵引力来矫正脊柱，导致骨折端复位困难，难以达到功能复位的技术问题。In order to solve the above problems existing in the prior art, the present invention provides a spinal dislocation reduction device to solve the technical problem that conventional instruments in the prior art are inconvenient to apply force during reduction and cannot apply a large traction force to correct the spine, resulting in difficulty in reducing the fracture end and difficulty in achieving functional reduction.
本发明通过以下技术方案具体实现：The present invention is specifically implemented through the following technical solutions:
一种脊柱脱位复位装置，包括中枢锁扣以及两组固定卡爪；A spinal dislocation reduction device comprises a central locking buckle and two sets of fixing claws;
所述中枢锁扣上设置有固定杆，所述固定杆远离所述中枢锁扣的一端设置有钛棒A，所述中枢锁扣的内部设置有驱动组件，所述驱动组件的操作端延伸至所述中枢锁扣的外部；The central locking buckle is provided with a fixing rod, and a titanium rod A is provided at one end of the fixing rod away from the central locking buckle. A driving assembly is provided inside the central locking buckle, and an operating end of the driving assembly extends to the outside of the central locking buckle;
所述固定卡爪为“L”字形结构，两组所述固定卡爪分别位于所述中枢锁扣的两个相对侧，所述固定卡爪的短边的端部设置有钛棒B，所述固定卡爪的长边滑动设置在所述中枢锁扣中并与所述驱动组件传动连接，两组所述固定卡爪与所述中枢锁扣连接形成“m”字形结构；通过操作所述驱动组件能够控制两组所述固定卡爪的短边同步的向远离或者靠近所述固定杆的方向移动。The fixed claw is an "L"-shaped structure, and the two groups of the fixed claws are respectively located on two opposite sides of the central lock. A titanium rod B is provided at the end of the short side of the fixed claw. The long side of the fixed claw is slidably set in the central lock and is transmission-connected to the driving assembly. The two groups of fixed claws are connected to the central lock to form an "m"-shaped structure; by operating the driving assembly, the short sides of the two groups of fixed claws can be controlled to move synchronously away from or close to the fixed rod.
为了更好的实现本发明，在上述结构中作进一步的优化，所述固定卡爪包括爪体和滑动杆；In order to better implement the present invention, further optimization is made in the above structure, wherein the fixed claw includes a claw body and a sliding rod;
所述爪体的长度小于所述滑动杆的长度，所述爪体的固定端与所述滑动杆的固定端连接形成“L”字形结构。The length of the claw body is smaller than the length of the sliding rod, and the fixed end of the claw body is connected to the fixed end of the sliding rod to form an "L"-shaped structure.
为了更好的实现本发明，在上述结构中作进一步的优化，所述滑动杆的固定端设置有穿孔和两组限位块A；In order to better implement the present invention, further optimization is made in the above structure, and the fixed end of the sliding rod is provided with a through hole and two sets of limit blocks A;
两组所述限位块A位于所述滑动杆的下端面，两组所述限位块A的间隙与所述爪体的宽度相匹配，所述穿孔位于两组所述限位块A之间，所述穿孔背离所述限位块A的一面转动设置有旋转螺母A；The two groups of limit blocks A are located on the lower end surface of the sliding rod, the gap between the two groups of limit blocks A matches the width of the claw body, the through hole is located between the two groups of limit blocks A, and a rotating nut A is rotatably provided on a side of the through hole away from the limit block A;
所述爪体的固定端设置有螺杆A，所述爪体滑动设置在两组所述限位块A之间，所述螺杆A穿过所述穿孔与所述旋转螺母A螺纹连接。A screw rod A is disposed at the fixed end of the claw body. The claw body is slidably disposed between two groups of the limit blocks A. The screw rod A passes through the through hole and is threadedly connected to the rotating nut A.
为了更好的实现本发明，在上述结构中作进一步的优化，所述穿孔为圆形通孔，所述穿孔的内侧壁设置有限位槽，所述限位槽环绕所述穿孔的圆周方向设置；In order to better realize the present invention, further optimization is made in the above structure, the through hole is a circular through hole, and the inner side wall of the through hole is provided with a limiting groove, and the limiting groove is arranged around the circumferential direction of the through hole;
所述旋转螺母A的外侧壁设置有与所述限位槽匹配的限位凸起，所述限位凸起环绕所述旋转螺母A的周向设置，所述旋转螺母A通过所述限位凸起与所述限位槽的配合转动设置在所述穿孔处。The outer side wall of the rotating nut A is provided with a limiting protrusion matching the limiting groove. The limiting protrusion is arranged circumferentially around the rotating nut A. The rotating nut A is arranged at the through hole through the matching rotation of the limiting protrusion and the limiting groove.
为了更好的实现本发明，在上述结构中作进一步的优化，所述中枢锁扣的下端面设置有通孔和两组限位块B；In order to better realize the present invention, the above structure is further optimized, and the lower end surface of the central lock buckle is provided with a through hole and two sets of limit blocks B;
两组所述限位块B的间隙与所述固定杆的宽度相匹配，所述通孔位于两组所述限位块B之间，所述通孔贯穿至所述中枢锁扣的顶部，所述中枢锁扣的外侧顶部设置有旋转螺母B；The gap between the two groups of limit blocks B matches the width of the fixing rod, the through hole is located between the two groups of limit blocks B, and the through hole penetrates to the top of the central locking buckle, and a rotating nut B is provided on the outer top of the central locking buckle;
所述固定杆的固定端设置有螺杆B，所述固定杆滑动设置在两组所述限位块B之间，所述螺杆B穿过所述通孔与所述旋转螺母B螺纹连接。A screw rod B is disposed at the fixed end of the fixing rod. The fixing rod is slidably disposed between the two groups of limit blocks B. The screw rod B passes through the through hole and is threadedly connected with the rotating nut B.
为了更好的实现本发明，在上述结构中作进一步的优化，所述驱动组件包括驱动齿轮；In order to better implement the present invention, further optimization is made in the above structure, wherein the driving assembly includes a driving gear;
所述驱动齿轮转动设置在所述中枢锁扣内，且所述驱动齿轮的转动轴线与所述固定卡爪的短边平行；The driving gear is rotatably disposed in the central locking buckle, and the rotation axis of the driving gear is parallel to the short side of the fixed claw;
所述固定卡爪的长边的一侧设置有与所述驱动齿轮匹配的卡齿A，两组所述固定卡爪的长边分别位于所述驱动齿轮的两侧。A tooth A matching the driving gear is provided on one side of the long side of the fixed claw, and the long sides of the two groups of fixed claws are respectively located on both sides of the driving gear.
为了更好的实现本发明，在上述结构中作进一步的优化，所述驱动组件还包括调节螺母；In order to better implement the present invention, further optimization is made in the above structure, wherein the driving assembly further includes an adjusting nut;
所述驱动齿轮的端面设置有转动部，所述转动部延伸至所述中枢锁扣的外侧顶部，所述调节螺母上设置有与所述转动部匹配的卡槽，所述调节螺母通过所述卡槽与所述转动部的配合套设在所述驱动齿轮上。The end surface of the driving gear is provided with a rotating part, and the rotating part extends to the outer top of the central locking buckle. The adjusting nut is provided with a slot matching the rotating part, and the adjusting nut is sleeved on the driving gear through the slot and the rotating part.
为了更好的实现本发明，在上述结构中作进一步的优化，所述转动部的截面形状为正方形，所述卡槽的截面形状与所述转动部的截面形状相匹配，所述调节螺母的外侧壁为正六边形。In order to better implement the present invention, further optimization is made in the above structure, the cross-sectional shape of the rotating part is a square, the cross-sectional shape of the slot matches the cross-sectional shape of the rotating part, and the outer side wall of the adjusting nut is a regular hexagon.
为了更好的实现本发明，在上述结构中作进一步的优化，所述固定卡爪的长边背离所述驱动齿轮的一面设置有卡齿B，所述中枢锁扣对应所述卡齿B的侧边设置有限位卡扣，所述限位卡扣能够限制所固定卡爪的短边向靠近所述固定杆的方向移动。In order to better realize the present invention, further optimization is made in the above structure, a tooth B is provided on the long side of the fixed claw facing away from the driving gear, and a limiting buckle is provided on the side of the central lock corresponding to the tooth B, and the limiting buckle can limit the short side of the fixed claw from moving toward the direction close to the fixed rod.
为了更好的实现本发明，在上述结构中作进一步的优化，所述限位卡扣的中部铰接在所述中枢锁扣上，所述限位卡扣的铰接处设置有限位弹簧，所述限位弹簧的两端分别抵设在所述限位卡扣以及所述中枢锁扣上，使得所述限位卡扣的抵接端始终卡设在所述卡齿B中；In order to better implement the present invention, the above structure is further optimized, the middle part of the limit buckle is hinged on the central lock buckle, a limit spring is provided at the hinge of the limit buckle, and the two ends of the limit spring are respectively abutted on the limit buckle and the central lock buckle, so that the abutting end of the limit buckle is always clamped in the clamping tooth B;
所述卡齿B远离所述固定卡爪的短边的一面为垂直面，所述固定卡爪的长边的轴线垂直于所述垂直面；所述卡齿B靠近所述固定卡爪的短边的一面为斜面。The side of the tooth B away from the short side of the fixed claw is a vertical surface, and the axis of the long side of the fixed claw is perpendicular to the vertical surface; the side of the tooth B close to the short side of the fixed claw is an inclined surface.
综上所述，本发明提供的脊柱脱位复位装置至少具有以下技术效果：In summary, the spinal dislocation reduction device provided by the present invention has at least the following technical effects:
该脊柱脱位复位装置中的两组固定卡爪上的钛棒B能够固定在骨折处椎体上放置的椎弓根螺钉上，并将固定杆上的钛棒A固定在两组固定卡爪之间椎体上放置的椎弓根螺钉上，利用驱动组件驱动两组固定卡爪同步动作，便可以轻松的牵引骨折处进行复位，从而使骨折椎体的复位更加的简单，并简化手术流程、缩短手术时间。The titanium rods B on the two sets of fixing claws in the spinal dislocation reduction device can be fixed on the pedicle screws placed on the vertebral body at the fracture site, and the titanium rod A on the fixing rod can be fixed on the pedicle screws placed on the vertebral body between the two sets of fixing claws. By using a driving component to drive the two sets of fixing claws to move synchronously, the fracture site can be easily pulled for reduction, thereby making the reduction of the fractured vertebrae simpler, simplifying the surgical process and shortening the operation time.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
为了更清楚地说明本发明实施例或现有技术中的技术方案，下面将对实施例或现有技术描述中所需要使用的附图作简单地介绍，显而易见地，下面描述中的附图仅仅是本发明的一些实施例，对于本领域普通技术人员来讲，在不付出创造性劳动的前提下，还可以根据这些附图获得其他的附图。In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings required for use in the embodiments or the description of the prior art will be briefly introduced below. Obviously, the drawings described below are only some embodiments of the present invention. For ordinary technicians in this field, other drawings can be obtained based on these drawings without paying creative work.
图1是实施例1中记载的一种脊柱脱位复位装置的结构示意图；FIG1 is a schematic structural diagram of a spinal dislocation reduction device described in Example 1;
图2是本发明1种脊柱脱位复位装置内部的结构示意图；FIG2 is a schematic diagram of the internal structure of a spinal dislocation reduction device according to the present invention;
图3是实施例1中记载的一种脊柱脱位复位装置中驱动齿轮与调节螺母的结构示意图；3 is a schematic structural diagram of a driving gear and an adjusting nut in a spinal dislocation reduction device described in Example 1;
图4是实施例1中记载的一种脊柱脱位复位装置中固定卡爪的结构示意图；FIG4 is a schematic structural diagram of a fixed claw in a spinal dislocation reduction device described in Example 1;
图5是实施例2中记载的一种脊柱脱位复位装置的结构示意图；FIG5 is a schematic structural diagram of a spinal dislocation reduction device described in Example 2;
图6是实施例2中记载的一种脊柱脱位复位装置的侧视图；FIG6 is a side view of a spinal dislocation reduction device described in Example 2;
图7是实施例2中记载的一种脊柱脱位复位装置中的中枢锁扣纵向截面的剖视图。FIG. 7 is a cross-sectional view of a longitudinal section of a central locking buckle in a spinal dislocation reduction device described in Example 2. FIG.
附图标记：Reference numerals:
1、中枢锁扣；11、固定杆；111、钛棒A；12、驱动组件；121、驱动齿轮；1211、转动部；122、调节螺母；1221、卡槽；13、限位卡扣；14、通孔；15、限位块B；16、旋转螺母B；17、螺杆B；1. Central locking buckle; 11. Fixed rod; 111. Titanium rod A; 12. Driving assembly; 121. Driving gear; 1211. Rotating part; 122. Adjusting nut; 1221. Slot; 13. Limiting buckle; 14. Through hole; 15. Limiting block B; 16. Rotating nut B; 17. Screw B;
2、固定卡爪；21、爪体；211、螺杆A；22、滑动杆；221、限位块A；222、穿孔；2221、限位槽；223、旋转螺母A；2231、限位凸起；224、卡齿A；225、卡齿B；23、钛棒B。2. Fixed claw; 21. Claw body; 211. Screw A; 22. Sliding rod; 221. Limit block A; 222. Perforation; 2221. Limit groove; 223. Rotating nut A; 2231. Limit protrusion; 224. Tooth A; 225. Tooth B; 23. Titanium rod B.
具体实施方式Detailed ways
为使本发明的目的、技术方案和优点更加清楚，下面将对本发明的技术方案进行详细的描述。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的前提下所得到的所有其它实施方式，都属于本发明所保护的范围。To make the purpose, technical solution and advantages of the present invention clearer, the technical solution of the present invention will be described in detail below. Obviously, the described embodiments are only part of the embodiments of the present invention, rather than all the embodiments. Based on the embodiments of the present invention, all other implementation methods obtained by ordinary technicians in this field without creative work belong to the scope of protection of the present invention.
在本发明的描述中，需要说明的是，除非另有说明，“多个”的含义是两个或两个以上；术语“上”、“下”、“左”、“右”、“内”、“外”、“前端”、“后端”、“头部”、“尾部”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发明和简化描述，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发明的限制。此外，术语“第一”、“第二”、“第三”等仅用于描述目的，而不能理解为指示或暗示相对重要性。In the description of the present invention, it should be noted that, unless otherwise specified, "multiple" means two or more than two; the terms "upper", "lower", "left", "right", "inner", "outer", "front end", "rear end", "head", "tail" and the like indicate the orientation or positional relationship based on the orientation or positional relationship shown in the drawings, which is only for the convenience of describing the present invention and simplifying the description, and does not indicate or imply that the device or element referred to must have a specific orientation, be constructed and operated in a specific orientation, and therefore cannot be understood as limiting the present invention. In addition, the terms "first", "second", "third" and the like are used for descriptive purposes only and cannot be understood as indicating or implying relative importance.
在本发明的描述中，还需要说明的是，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。对于本领域的普通技术人员而言，可视具体情况理解上述术语在本发明中的具体含义。In the description of the present invention, it is also necessary to explain that, unless otherwise clearly specified and limited, the terms "installed", "connected", and "connected" should be understood in a broad sense, for example, it can be a fixed connection, a detachable connection, or an integral connection; it can be a mechanical connection or an electrical connection; it can be a direct connection or an indirect connection through an intermediate medium. For ordinary technicians in this field, the specific meanings of the above terms in the present invention can be understood according to the specific circumstances.
实施例1Example 1
如图1至图4所示：As shown in Figures 1 to 4:
一种脊柱脱位复位装置，其包括中枢锁扣1以及两组固定卡爪2，参见图1；其中，A spinal dislocation reduction device comprises a central locking buckle 1 and two sets of fixing claws 2, see FIG1 ; wherein:
中枢锁扣1上设置有固定杆11，固定杆11远离中枢锁扣1的一端设置有钛棒A111，中枢锁扣1的内部设置有驱动组件12，驱动组件12的操作端延伸至中枢锁扣1的外部；A fixing rod 11 is provided on the central locking buckle 1, and a titanium rod A111 is provided at one end of the fixing rod 11 away from the central locking buckle 1. A driving assembly 12 is provided inside the central locking buckle 1, and an operating end of the driving assembly 12 extends to the outside of the central locking buckle 1;
固定卡爪2为“L”字形结构，两组固定卡爪2分别位于中枢锁扣1的两个相对侧，固定卡爪2的短边的端部设置有钛棒B23，固定卡爪2的长边滑动设置在中枢锁扣1中并与驱动组件12传动连接，两组固定卡爪2与中枢锁扣1连接形成“m”字形结构；通过操作驱动组件12的操作端便能够控制两组固定卡爪2的短边同步的向远离或者靠近固定杆11的方向移动。The fixed claws 2 are of an "L"-shaped structure. The two groups of fixed claws 2 are respectively located on two opposite sides of the central lock buckle 1. A titanium rod B23 is provided at the end of the short side of the fixed claws 2. The long side of the fixed claws 2 is slidably arranged in the central lock buckle 1 and is transmission-connected to the driving assembly 12. The two groups of fixed claws 2 are connected to the central lock buckle 1 to form an "m"-shaped structure. By operating the operating end of the driving assembly 12, the short sides of the two groups of fixed claws 2 can be controlled to move synchronously in a direction away from or close to the fixed rod 11.
在对患者进行脊柱复位时，医护人员可以先在患者需要矫正的脊柱上放置椎弓根螺钉，然后将该脊柱脱位复位装置中的两组固定卡爪2上的钛棒B23分别与骨折（脱位）的两个脊柱上的椎弓根螺钉连接固定，并将固定杆11上的钛棒A111与两组固定卡爪2之间的椎体上的椎弓根螺钉连接固定；When performing spinal reduction on a patient, the medical staff can first place pedicle screws on the spine that needs to be corrected, and then connect and fix the titanium rods B23 on the two sets of fixing jaws 2 in the spinal dislocation reduction device to the pedicle screws on the two fractured (dislocated) spines respectively, and connect and fix the titanium rod A111 on the fixing rod 11 to the pedicle screws on the vertebral body between the two sets of fixing jaws 2;
然后，通过控制驱动组件12的操作端便可以驱动两组固定卡爪2的短边同步的向远离或者靠近固定杆11的方向移动，以便于轻松的牵引骨折的脊柱进行复位。Then, by controlling the operating end of the driving assembly 12, the short sides of the two groups of fixing claws 2 can be driven to move synchronously in a direction away from or close to the fixing rod 11, so as to easily pull the fractured spine for reduction.
驱动组件12的设置使得骨折的脊柱在复位时施力更加的轻松，从而使手术过程更加的简单轻松，并缩短手术时间。The arrangement of the drive assembly 12 makes it easier to apply force when resetting the fractured spine, thereby making the surgical procedure simpler and easier and shortening the surgical time.
本实施例中，上述的驱动组件12包括驱动齿轮121，参见图2；其中，In this embodiment, the driving assembly 12 includes a driving gear 121, see FIG. 2 ; wherein,
驱动齿轮121转动设置在中枢锁扣1内，且驱动齿轮121的转动轴线与固定卡爪2的短边平行；The driving gear 121 is rotatably disposed in the central lock buckle 1, and the rotation axis of the driving gear 121 is parallel to the short side of the fixed claw 2;
固定卡爪2的长边的一侧设置有与驱动齿轮121匹配的卡齿A224，两组固定卡爪2的长边分别位于驱动齿轮121的两侧；One side of the long side of the fixed claw 2 is provided with a tooth A224 matching the driving gear 121, and the long sides of the two groups of fixed claws 2 are respectively located on both sides of the driving gear 121;
在对患者骨折的脊柱进行复位的过程中，医护人员可以通过工具（扳手、手钳等）转动驱动齿轮121，以更好的向骨折的脊柱施力，以轻松的牵引骨折的脊柱，完成脊柱的复位；During the process of resetting the fractured spine of the patient, the medical staff can use tools (wrench, pliers, etc.) to rotate the driving gear 121 to better apply force to the fractured spine, so as to easily pull the fractured spine and complete the resetting of the spine;
同时，驱动齿轮121与卡齿A224的配合能够精确的控制骨折脊柱的位移量，以避免出现因位移量过大而对患者的脊柱造成震荡损伤或者是加重脊髓损伤的情况，从而使手术过程更加的安全。At the same time, the cooperation between the driving gear 121 and the latch A224 can accurately control the displacement of the fractured spine to avoid concussion injury to the patient's spine or aggravation of spinal cord injury due to excessive displacement, thereby making the operation safer.
优选的，上述的驱动组件12还包括调节螺母122，参见图3；其中，Preferably, the driving assembly 12 further includes an adjusting nut 122, see FIG. 3 ; wherein,
驱动齿轮121的端面设置有转动部1211，转动部1211延伸至中枢锁扣1的外侧顶部，调节螺母122上设置有与转动部1211匹配的卡槽1221，调节螺母122通过卡槽1221与转动部1211的配合套设在驱动齿轮121上；The end surface of the driving gear 121 is provided with a rotating portion 1211, and the rotating portion 1211 extends to the outer top of the central locking buckle 1. The adjusting nut 122 is provided with a slot 1221 matching the rotating portion 1211, and the adjusting nut 122 is sleeved on the driving gear 121 through the matching of the slot 1221 and the rotating portion 1211;
医护人员可以利用工具扳动调节螺母122来驱动上述的驱动齿轮121转动，以更好的向骨折的脊柱上施力，完成脊柱的复位。Medical personnel can use tools to turn the adjusting nut 122 to drive the driving gear 121 to rotate, so as to better apply force to the fractured spine and complete the reduction of the spine.
更优选的，上述的转动部1211的截面形状为正方形，卡槽1221的截面形状与转动部1211的截面形状相匹配，避免在转动驱动齿轮121的过程中，驱动齿轮121与调节螺母122产生相对位移的情况发生，以进一步提高该脊柱脱位复位装置在使用时的安全性；More preferably, the cross-sectional shape of the rotating portion 1211 is a square, and the cross-sectional shape of the slot 1221 matches the cross-sectional shape of the rotating portion 1211, so as to avoid the relative displacement between the driving gear 121 and the adjusting nut 122 during the rotation of the driving gear 121, so as to further improve the safety of the spinal dislocation reduction device during use;
上述的调节螺母122的外侧壁为正六边形，以更好的适配市面上现有的扳手等工具。The outer side wall of the adjusting nut 122 is a regular hexagon so as to better fit the existing tools such as wrenches on the market.
优化的，上述的固定卡爪2的长边背离驱动齿轮121的一面设置有卡齿B225，再次参见图2，中枢锁扣1对应卡齿B225的侧边设置有限位卡扣13；Optimally, a side of the long side of the fixed claw 2 facing away from the driving gear 121 is provided with a latch tooth B225. Referring again to FIG. 2 , a side of the central lock buckle 1 corresponding to the latch tooth B225 is provided with a limit latch 13;
在使用过程中，限位卡扣13能够限制所固定卡爪2的短边向靠近固定杆11的方向移动，避免医护人员放开调节螺母122时，两个固定卡爪2在骨折的脊柱拖拽下回到初始位置（骨折时的位置）处，导致患者出现二次伤害的情况发生。During use, the limit buckle 13 can limit the short side of the fixed claw 2 from moving towards the fixing rod 11, preventing the two fixing claws 2 from being dragged back to the initial position (the position at the time of fracture) by the fractured spine when the medical staff releases the adjusting nut 122, causing secondary injury to the patient.
当然，在医护人员需要将骨折的脊柱向中部拖拽时，可以按压限位卡扣13远离固定卡爪2的一端，使限位卡扣13与卡齿B225分离，此时，医护人员再转动驱动齿轮121，便可以轻松的将两组固定卡爪2向中部收拢，以实现将骨折的脊柱向中部拖拽的效果。Of course, when medical staff need to drag the fractured spine toward the middle, they can press the limit buckle 13 away from one end of the fixed claw 2 to separate the limit buckle 13 from the tooth B225. At this time, the medical staff can easily turn the driving gear 121 to bring the two sets of fixed claws 2 toward the middle to achieve the effect of dragging the fractured spine toward the middle.
优化的，上述的限位卡扣13的中部铰接在中枢锁扣1上，限位卡扣13的铰接处设置有限位弹簧，限位弹簧的两端分别抵设在限位卡扣13以及中枢锁扣1上，使得限位卡扣13的抵接端始终卡设在卡齿B225中；Optimally, the middle part of the above-mentioned limit buckle 13 is hinged on the central lock buckle 1, and a limit spring is arranged at the hinge of the limit buckle 13, and the two ends of the limit spring are respectively abutted on the limit buckle 13 and the central lock buckle 1, so that the abutting end of the limit buckle 13 is always clamped in the clamping tooth B225;
卡齿B225远离固定卡爪2的短边的一面为垂直面，固定卡爪2的长边的轴线垂直于垂直面；卡齿B225靠近固定卡爪2的短边的一面为斜面；The side of the tooth B225 away from the short side of the fixed claw 2 is a vertical surface, and the axis of the long side of the fixed claw 2 is perpendicular to the vertical surface; the side of the tooth B225 close to the short side of the fixed claw 2 is an inclined surface;
限位卡扣13的卡设端在限位弹簧的作用下始终抵设在卡齿B225的垂直面上；The clamping end of the limit buckle 13 is always against the vertical surface of the clamping tooth B225 under the action of the limit spring;
当医护人员利用驱动组件12增加两个固定卡爪2的短边的距离（将骨折的脊柱向远离固定杆11的方向牵拉）时，限位卡扣13的卡设端能够沿着卡齿B225的斜面滑动，直至限位卡扣13的卡设端移动至该卡齿B225的斜面与垂直面的交汇处，此时，医护人员再次转动驱动组件12，也即两组固定卡爪2的短边再次向远离固定杆11的方向移动，限位卡扣13的卡设端便会在限位弹簧的作用下移动至该卡齿的垂直面的位置处，也即相邻两个卡齿B225之间的位置处；When the medical staff uses the driving assembly 12 to increase the distance between the short sides of the two fixing claws 2 (to pull the fractured spine away from the fixing rod 11), the clamping end of the limiting buckle 13 can slide along the inclined surface of the clamping tooth B225 until the clamping end of the limiting buckle 13 moves to the intersection of the inclined surface of the clamping tooth B225 and the vertical surface. At this time, the medical staff rotates the driving assembly 12 again, that is, the short sides of the two groups of fixing claws 2 move away from the fixing rod 11 again, and the clamping end of the limiting buckle 13 will move to the position of the vertical surface of the clamping tooth under the action of the limiting spring, that is, the position between two adjacent clamping teeth B225.
若此时医护人员不再转动驱动组件12，限位卡扣13的卡设端便能够抵设该卡齿B225的垂直面，以避免两组固定卡爪2的短边向靠近固定杆11的方向移动，而导致两个固定卡爪2在骨折的脊柱拖拽下回到初始位置（骨折时的位置）处，使得患者出现二次伤害的情况发生。If the medical staff no longer rotates the drive assembly 12 at this time, the locking end of the limit buckle 13 will be able to abut against the vertical surface of the locking tooth B225 to prevent the short sides of the two sets of fixing claws 2 from moving toward the fixing rod 11, causing the two fixing claws 2 to return to the initial position (the position at the time of fracture) under the dragging of the fractured spine, causing secondary injury to the patient.
需要说明的是，上述的限位卡扣13与卡齿B225的配合仅仅是为了对固定卡爪2进行单向限位，以提高该脊柱脱位复位装置的安全性；It should be noted that the cooperation between the above-mentioned limit buckle 13 and the latch tooth B225 is only for unidirectional limit of the fixed claw 2 to improve the safety of the spinal dislocation reduction device;
上述的限位弹簧为扭簧。The above-mentioned limit spring is a torsion spring.
优化的，上述的固定卡爪2包括爪体21和滑动杆22，参见图1和图4；其中，Optimally, the above-mentioned fixed claw 2 includes a claw body 21 and a sliding rod 22, see Figures 1 and 4; wherein,
爪体21的长度小于滑动杆22的长度，爪体21的固定端与滑动杆22的固定端连接形成“L”字形结构，也即，上述的固定卡爪2的长边为滑动杆22，固定卡爪2的短边为爪体21。The length of the claw body 21 is smaller than that of the sliding rod 22 , and the fixed end of the claw body 21 is connected to the fixed end of the sliding rod 22 to form an "L"-shaped structure, that is, the long side of the above-mentioned fixed claw 2 is the sliding rod 22 , and the short side of the fixed claw 2 is the claw body 21 .
优化的，上述的滑动杆22的固定端设置有穿孔222和两组限位块A221；Optimally, the fixed end of the sliding rod 22 is provided with a through hole 222 and two sets of limit blocks A221;
爪体21为矩形块状结构；The claw body 21 is a rectangular block structure;
两组限位块A221位于滑动杆22的下端面，两个限位块A221沿滑动杆22的长度方向排列设置，且两组限位块A221的间隙与爪体21的宽度相匹配，穿孔222位于两组限位块A221之间，穿孔222背离限位块A221的一面转动设置有旋转螺母A223；Two groups of limit blocks A221 are located on the lower end surface of the sliding rod 22. The two limit blocks A221 are arranged along the length direction of the sliding rod 22, and the gap between the two groups of limit blocks A221 matches the width of the claw body 21. The through hole 222 is located between the two groups of limit blocks A221. A rotating nut A223 is rotatably arranged on one side of the through hole 222 away from the limit block A221.
上述的爪体21的固定端设置有螺杆A211，爪体21滑动设置在两组限位块A221之间，螺杆A211穿过穿孔222与旋转螺母A223螺纹连接；The fixed end of the above-mentioned claw body 21 is provided with a screw rod A211, and the claw body 21 is slidably arranged between the two sets of limit blocks A221, and the screw rod A211 passes through the through hole 222 and is threadedly connected with the rotating nut A223;
当患者的脊柱骨折伴有前后（前胸后背方向）错位时，医护人员可以利用驱动组件12驱动两组固定卡爪2动作，实现对骨折脊柱的牵引/拖拽，然后再通过拧动旋转螺母A223来调整爪体21与滑动杆22之间的距离，利用爪体21拉动或推动错位的脊柱，以实现对脊柱前后错位的矫正。When the patient's spinal fracture is accompanied by anterior-posterior (front chest and back back direction) dislocation, medical staff can use the driving component 12 to drive the two sets of fixed claws 2 to achieve traction/dragging of the fractured spine, and then adjust the distance between the claw body 21 and the sliding rod 22 by turning the rotating nut A223, and use the claw body 21 to pull or push the dislocated spine to achieve correction of the anterior-posterior dislocation of the spine.
当然，爪体21与滑动杆22之间的间距可调也是为了匹配患者的脊柱，因为，脊柱并非是笔直的柱状结构，其具有一定的弯曲弧度，患者的骨折处也不一定在同一平面的直线上；Of course, the adjustable distance between the claw body 21 and the sliding rod 22 is also to match the patient's spine, because the spine is not a straight columnar structure, it has a certain curvature, and the patient's fracture is not necessarily on the same plane;
所以，通过调整爪体21与滑动杆22之间的间距可以使该脊柱脱位复位装置更好的适配患者的脊柱，以完成脊柱复位工作。Therefore, by adjusting the distance between the claw body 21 and the sliding rod 22, the spinal dislocation reduction device can be better adapted to the patient's spine to complete the spinal reduction work.
需要说明的是，上述的限位块A221能够限制爪体21的动作方向（仅能向靠近/远离滑动杆22的方向移动），不会绕着螺杆A211的轴线转动，以使该脊柱脱位复位装置在使用时更加的安全、方便。It should be noted that the above-mentioned limit block A221 can limit the movement direction of the claw body 21 (can only move towards/away from the sliding rod 22) and will not rotate around the axis of the screw A211, so that the spinal dislocation reduction device is safer and more convenient when used.
优化的，上述的穿孔222为圆形通孔，穿孔222的内侧壁设置有限位槽2221，限位槽2221环绕穿孔222的圆周方向设置；Optimally, the above-mentioned through hole 222 is a circular through hole, and the inner side wall of the through hole 222 is provided with a limiting groove 2221, and the limiting groove 2221 is arranged around the circumferential direction of the through hole 222;
旋转螺母A223的外侧壁设置有与限位槽2221匹配的限位凸起2231，限位凸起2231环绕旋转螺母A223的旋转中心设置，旋转螺母A223通过限位凸起2231与限位槽2221的配合转动设置在穿孔222处，以避免旋转螺母A223沿螺杆A211的轴线方向移动，使得旋转螺母A223在转动时能够驱动爪体21向靠近/远离滑动杆22的方向移动，从而实现脊柱前后错位的矫正。The outer wall of the rotating nut A223 is provided with a limiting protrusion 2231 matching the limiting groove 2221. The limiting protrusion 2231 is arranged around the rotation center of the rotating nut A223. The rotating nut A223 is arranged at the through hole 222 through the coordinated rotation of the limiting protrusion 2231 and the limiting groove 2221 to prevent the rotating nut A223 from moving along the axial direction of the screw A211, so that the rotating nut A223 can drive the claw body 21 to move toward/away from the sliding rod 22 when rotating, thereby realizing the correction of the anterior-posterior misalignment of the spine.
实施例2Example 2
如图2、图5至图7所示：As shown in Figure 2, Figure 5 to Figure 7:
作为本发明的另一种实施方案，上述的中枢锁扣1的下端面设置有通孔14和两组限位块B15，参见图5至图7；As another embodiment of the present invention, the lower end surface of the central locking buckle 1 is provided with a through hole 14 and two sets of limit blocks B15, see FIGS. 5 to 7 ;
固定杆11为矩形块状结构；The fixing rod 11 is a rectangular block structure;
两组限位块B15的间隙与固定杆11的宽度相匹配，通孔14位于两组限位块B15之间，通孔14贯穿至中枢锁扣1的外侧顶部，中枢锁扣1的顶部设置有旋转螺母B16；The gap between the two sets of limit blocks B15 matches the width of the fixing rod 11. The through hole 14 is located between the two sets of limit blocks B15. The through hole 14 penetrates to the outer top of the central locking buckle 1. A rotating nut B16 is provided on the top of the central locking buckle 1.
固定杆11的固定端设置有螺杆B17，固定杆11滑动设置在两组限位块B15之间，螺杆B17穿过通孔14与旋转螺母B16螺纹连接；A screw rod B17 is provided at the fixed end of the fixed rod 11. The fixed rod 11 is slidably disposed between the two sets of limit blocks B15. The screw rod B17 passes through the through hole 14 and is threadedly connected to the rotating nut B16.
当患者的脊柱骨折伴有前后（前胸后背方向）错位时，医护人员可以拧动旋转螺母B16来调整固定杆11与中枢锁扣1之间的距离，利用固定杆11拉动或推动错位的脊柱，以实现对脊柱前后错位的矫正。When the patient's spinal fracture is accompanied by anterior-posterior (front chest and back back) dislocation, medical staff can turn the rotating nut B16 to adjust the distance between the fixing rod 11 and the central lock buckle 1, and use the fixing rod 11 to pull or push the dislocated spine to correct the anterior-posterior dislocation of the spine.
当然，固定杆11与中枢锁扣1之间的间距可调也是为了匹配患者的脊柱，因为，脊柱并非是笔直的柱状结构，其具有一定的弯曲弧度，患者的骨折处也不一定在同一平面的直线上；Of course, the adjustable distance between the fixing rod 11 and the central locking buckle 1 is also to match the patient's spine, because the spine is not a straight columnar structure, it has a certain curvature, and the patient's fracture is not necessarily on the same plane;
所以，通过固定杆11与中枢锁扣1之间的间距可以使该脊柱脱位复位装置更好的适配患者的脊柱，以完成脊柱复位工作。Therefore, the distance between the fixing rod 11 and the central locking buckle 1 can make the spinal dislocation reduction device better adapt to the patient's spine to complete the spinal reduction work.
需要说明的是，上述的限位块B15能够限制固定杆11的动作方向（仅能向靠近/远离中枢锁扣1的方向移动），不会绕着螺杆B17的轴线转动，以使该脊柱脱位复位装置在使用时更加的安全、方便。It should be noted that the above-mentioned limit block B15 can limit the movement direction of the fixing rod 11 (it can only move towards/away from the central locking buckle 1) and will not rotate around the axis of the screw B17, so that the spinal dislocation reduction device is safer and more convenient when used.
优化的，上述的通孔14为圆形通孔，在驱动组件12上设置有便于螺杆B17穿过的贯穿孔，参见图7，驱动组件12的顶部设置有截面形状为圆形的沉槽，沉槽的侧壁上设置有限位卡槽，限位卡槽环绕沉槽的圆周方向设置；Optimally, the through hole 14 is a circular through hole, and a through hole is provided on the driving assembly 12 for the screw B17 to pass through. Referring to FIG. 7 , a sink with a circular cross-section is provided on the top of the driving assembly 12, and a limit groove is provided on the side wall of the sink, and the limit groove is provided around the circumferential direction of the sink;
旋转螺母B16的外侧壁设置有与限位卡槽匹配的卡块，卡块环绕旋转螺母B16的旋转中心设置，旋转螺母B16通过卡块与限位卡槽（与实施例一中的限位凸起2231与限位槽2221结构相同）的配合转动设置在沉槽处，以避免旋转螺母B16沿螺杆B17的轴线方向移动，使得旋转螺母B16在转动时能够驱动固定杆11向靠近/远离中枢锁扣1的方向移动，从而实现脊柱前后错位的矫正。The outer wall of the rotating nut B16 is provided with a block matching the limiting slot, and the block is arranged around the rotation center of the rotating nut B16. The rotating nut B16 is arranged in the recessed groove through the coordinated rotation of the block and the limiting slot (the same structure as the limiting protrusion 2231 and the limiting slot 2221 in Example 1) to prevent the rotating nut B16 from moving along the axial direction of the screw rod B17, so that the rotating nut B16 can drive the fixing rod 11 to move in the direction close to/away from the central lock buckle 1 when rotating, thereby realizing the correction of the anterior-posterior misalignment of the spine.
需要说明的是，上述的旋转螺母B16与驱动组件12为活动配合，也即旋转驱动组件12时，旋转螺母B16不会随着驱动组件12一同动作；而在旋转旋转螺母B16时，驱动组件12不会随着驱动组件12一同动作，以使该脊柱脱位复位装置的使用更加的安全、方便。It should be noted that the above-mentioned rotating nut B16 and the driving component 12 are movably matched, that is, when the driving component 12 is rotated, the rotating nut B16 will not move together with the driving component 12; and when the rotating nut B16 is rotated, the driving component 12 will not move together with the driving component 12, so as to make the use of the spinal dislocation reduction device safer and more convenient.
本实施例中，固定卡爪2为固定结构，其爪体21与滑动杆22为固定连接，爪体21与滑动杆22之间的间距无法进行调节；此外，本实施例中的其他结构与实施例一中记载的脊柱脱位复位装置的结构完全相同，此处便不再重复赘述，具体可以参考实施例一中的内容。In this embodiment, the fixed claw 2 is a fixed structure, and its claw body 21 and the sliding rod 22 are fixedly connected, and the distance between the claw body 21 and the sliding rod 22 cannot be adjusted; in addition, the other structures in this embodiment are exactly the same as the structure of the spinal dislocation reduction device recorded in Example 1, and will not be repeated here. For details, please refer to the contents of Example 1.
以上所述，仅为本发明的具体实施方式，但本发明的保护范围并不局限于此，任何熟悉本技术领域的技术人员在本发明揭露的技术范围内，可轻易想到变化或替换，都应涵盖在本发明的保护范围之内。因此，本发明的保护范围应以所述权利要求的保护范围为准。The above is only a specific embodiment of the present invention, but the protection scope of the present invention is not limited thereto. Any person skilled in the art who is familiar with the technical field can easily think of changes or substitutions within the technical scope disclosed by the present invention, which should be included in the protection scope of the present invention. Therefore, the protection scope of the present invention should be based on the protection scope of the claims.
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202410451942.5ACN118044870B (en) | 2024-04-16 | 2024-04-16 | Spinal column dislocation resetting device |
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202410451942.5ACN118044870B (en) | 2024-04-16 | 2024-04-16 | Spinal column dislocation resetting device |
| Publication Number | Publication Date |
|---|---|
| CN118044870Atrue CN118044870A (en) | 2024-05-17 |
| CN118044870B CN118044870B (en) | 2024-06-28 |
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202410451942.5AActiveCN118044870B (en) | 2024-04-16 | 2024-04-16 | Spinal column dislocation resetting device |
| Country | Link |
|---|---|
| CN (1) | CN118044870B (en) |
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| PB01 | Publication | ||
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| SE01 | Entry into force of request for substantive examination | ||
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