3877results about "Internal osteosythesis" patented technology

The embodiment of the invention is suitable for the technical field of computer-aided medical treatment and image processing, and provides an automatic planning device and equipment for a pedicle screw and a computer program product. Extracting vertebral body outer layer point cloud data of a to-be-planned single vertebral body from the spine image data; the prediction model is used for processing the centrum outer layer point cloud data and outputting prediction coordinates, and the prediction coordinates comprise entry point coordinates and exit point coordinates; and the planning unit is used for planning the placement position of the pedicle screw based on the entry point coordinate and the exit point coordinate. By adopting the device, the planned position of the pedicle screw can be quickly and accurately predicted by using the deep learning model based on the point cloud data of the outer layer of the vertebral body, the data volume needing to be processed in the planning process is reduced, and the planning efficiency is improved.

The invention discloses a thoracoscope minimally invasive cardiac surgery navigation system based on multi-modal image fusion, and the system comprises the steps: constructing a 5D heart digital twin containing an anatomical structure, a soft tissue boundary, metabolic activity and electrophysiological information through fusing preoperative CT, MRI, PET and intraoperative ultrasonic images; real-time dynamic registration is realized by using an electrocardio gating driven biomechanical model; superposing the multi-color coding navigation information to the visual field of the thoracoscope through a wavelength selection type spectroscope; a dynamic risk scoring model is constructed based on the distance, the speed and the tissue vulnerability, and three-level grading intervention is triggered; a miniature force feedback actuator is integrated to realize closed-loop control; and pre-operation virtual drilling and post-operation federal learning optimization are supported. The system remarkably improves the surgical precision and safety, and is suitable for high-difficulty heart minimally invasive surgeries such as mitral valve repair and atrial fibrillation ablation.

The present application relates to a kind of snare cutting knives for endoscope, including proximal handle, tube body assembly, cutting assembly and limiting component;Proximal handle is equipped with limiting sliding slot;The proximal end of tube body assembly is connected with proximal handle, and the distal end of tube body assembly is equipped with insulating protection tube;Cutting assembly includes cutting ring and cutting head, and cutting head is set to the distal end of cutting ring;Limiting component includes sliding part and limiting control wire, sliding part is slidably arranged in limiting sliding slot, and the proximal end of limiting control wire is fixedly connected with sliding part, and sliding part is used to drive limiting control wire axial movement;When limiting control wire moves to the distal end of insulating protection tube, cutting head and insulating protection tube abut each other and are fixed;When limiting control wire exits insulating protection tube, cutting head can continue to move relative to insulating protection tube.

An apparatus, system, and method may be used to replace a natural or artificial articular surface of a joint, and to repair a bone that is associated with the joint. In some embodiments, the apparatus, system, and method may include a joint replacement prosthesis with a prosthetic articular surface, a support structure securable to the bone, and a first attachment interface. The system may also include a bone plate with a bone engagement surface securable to the bone on either side of a fracture formed in the bone, or a damaged area of the bone. The bone plate may include a second attachment interface that is attachable to the first attachment interface of the joint replacement prosthesis in order to couple the bone plate to the joint replacement prosthesis.

The invention discloses a rod end pedicle screw connector and a spine stabilizing device, and the connector comprises a first maintaining part which is provided with a cylindrical cavity, a main accommodating groove and an extrusion cavity; the second retaining part is arranged in the columnar cavity and is fixed with the rod-shaped part; the main gland is screwed with the upper cavity wall of the columnar cavity; a first sub-gland for pressing the second holding member; the wrapping part is arranged in the extrusion cavity and used for clamping the ball head of the screw; a force transmission part is arranged between the wrapping part and the main gland and used for transmitting pressure applied by the main gland to the wrapping part. An elastic component is arranged in the columnar cavity and is provided with a first combining end and a second combining end, and the two combining ends are allowed to be close to or far away from each other and the first combining end is allowed to swing in any direction relative to the second combining end through elastic deformation; the first combination end is fixedly connected to the second holding part, and the second combination end is fixedly connected to the first holding part or the force transmission part.

A system for correcting a lateral curvature of a spine that can include a plurality of screws configured to be implanted in a plurality of vertebrae, and a plurality of extensions configured to be removably coupled with the plurality of screws. Some embodiments of the plurality of extensions can be curved, bent, angled, and / or offset along at least a portion thereof and can be removably coupled with a screw head of each of the plurality of screws. The system can include a connecting element or rod that is configured to be coupled with the plurality of screw heads. Some embodiments of the system can be configured such that the rod can be guided along the plurality of extensions from the proximal toward the distal end portions of the extensions and into engagement with the plurality of screws to cause the plurality of vertebrae to move laterally.

An example apparatus is provided for the approximation of two bones. The apparatus can include a nail configured to be disposed within a first bone (e.g., the fibula). The nail can include a proximal end, a distal end, and a rigid body. The apparatus can further include one or more first threads disposed along the proximal end of the nail, and one or more second threads disposed along the distal end of the nail. The first thread(s) can be axially spaced from the second thread(s).

The invention discloses a titanium alloy wire woven belt, a processing technology and application of the titanium alloy wire woven belt, the titanium alloy wire woven belt comprises a plurality of mutually woven titanium alloy wires, the titanium alloy wires are woven to form a circular woven belt with a quasi-circular cross section, or the titanium alloy wires are woven to form a flat woven belt with a flat cross section, and the titanium alloy wires are woven to form the titanium alloy wire woven belt. And the diameter of the titanium alloy wire is controlled between 0.05 mm and 0.20 mm. The invention has the following advantages and effects: the scheme utilizes a new mechanical structure, and has the effects that the circular woven belt or the flat woven belt can be selected according to the actual fracture site, and the woven belt has higher mechanical property and is not easy to break.

The negative pressure suction sheath comprises a sheath tube, a negative pressure connector and an expander, the negative pressure connector comprises a main channel cavity and a negative pressure suction channel cavity located on one side of the main channel cavity, the near end of the sheath tube is connected with the far end of the main channel cavity, and the expander is inserted from the near end of the main channel cavity and extends out of the far end of the sheath tube. The main channel cavity is detachably connected with the main channel cavity; a side channel opening is formed in one side of the main channel cavity, and the negative pressure suction channel cavity communicates with the side channel opening. The cavity wall of the main channel cavity is further provided with a pressure adjusting opening, the pressure adjusting opening corresponds to the side channel opening or is located at the end, away from the sheathing canal, of the side channel opening, the negative pressure in the sheathing canal can be adjusted by adjusting the opening size of the pressure adjusting opening, and therefore an operator does not need to leave to adjust the negative pressure device to adjust the suction force in the sheathing canal. The negative pressure in the sheathing canal can be adjusted only by adjusting the size of the pressure adjusting opening in the handheld negative pressure connector.

The embodiments of the present specification provide a clip device. The clip device comprises a sheath, a clip arm and a receiving tube, the receiving tube is releasably connected with the sheath, the clip arm comprises at least two clamping parts, the proximal ends of the at least two clamping parts are movably arranged in the receiving tube, the clip arm is opened when the clip arm moves distally relative to the receiving tube, the clip arm is closed when the clip arm moves proximally relative to the receiving tube, and the receiving tube is further used for locking the clip arm.

The utility model discloses a hand-operated wrench assembly, a hand-operated knife return device and an electric anastomat, the hand-operated wrench assembly comprises a hand-operated wrench handle, a hand-operated wrench shaft sleeve and a hand-operated wrench rotating shaft, and the hand-operated knife return device comprises a hand-operated wrench assembly, a knife return gear shaft, a knife return transmission gear, a motor gear and a rack. The tool retracting gear shaft and the tool retracting transmission gear can be driven to move upwards by rotating the manual wrench assembly, the tool retracting transmission gear is separated from the motor gear, the rack can be driven to retract through the tool retracting transmission gear by continuously rotating the manual wrench assembly, manual tool retracting is achieved, and the electric anastomat comprises a manual tool returning device. By means of the mode, when the electric gear is rotated upwards through the lower half section of the wrench assembly, the middle section of the wrench is kept static, the tool retracting transmission gear can be easily pulled out, the wrench is further used as a torsion input tool after being pulled out, manual tool retracting is achieved, operation difficulty and failure risks are reduced, large torque is generated with small force, and the tool retracting transmission gear can be pulled out easily. And rapid manual tool retracting is achieved.

This disclosure relates to surgical fixation systems and methods. The surgical fixation systems of this disclosure may include various combinations of fixation devices, soft suture constructs, and / or adjustable loops and are configured for use in various knotless surgical methods, including but not limited to, syndesmosis, AC joint, UCL, bunion, anterior cruciate ligament (ACL), and posterior cruciate ligament (PCL) surgical methods.

The invention discloses a shapeable surgical instrument with a locking device, relates to the technical field of medical instruments, and is particularly suitable for single-port endoscopic surgery. The device comprises an outer rod assembly, an inner rod assembly and a handle assembly, the outer rod can be shaped into any continuous space curve by hands and keep the shape, and the problems that a traditional straight rod instrument cannot reach a narrow operation area, and a pre-bending instrument cannot be shaped secondarily are solved. The inner rod is a flexible force transmission element, the far end is connected with the tong head assembly, and the near end is connected with the handle assembly through a detachable locking device. The locking device drives a radial movable block (a sphere or a cylinder) to clamp the inner rod through an axial movable block, so that quick disassembly and assembly are realized; and the tong head can be synchronously driven to rotate (through the rotating wheel) and open and close (through the rear handle) in cooperation with the handle assembly. According to the design, the instrument is divided into three independent parts, namely the handle, the outer rod and the inner rod, an inner hole of the outer rod is thoroughly exposed, the problem that postoperative cleaning and sterilization are not thorough is solved, and the infection risk is reduced.

The invention discloses a three-section thighbone retrograde intramedullary nail, relates to the field of medical instruments, and provides a detachable and assembled three-section thighbone retrograde intramedullary nail aiming at the problems that an existing thighbone medial condyle retrograde intramedullary nail is poor in adaptability and insufficient in fixing strength. A main nail body of the intramedullary nail is composed of a head section, a middle section and a tail section, original spiral nested structures are adopted at the joints of the sections, and the three sections are tightly connected to form the complete and high-strength intramedullary nail by matching with the hollow interior design and penetrating a titanium cable into a medullary cavity for tightening and automatically rotating and matching the head section and the middle section of the main nail body. And medullary cavity structures and fracture types of different patients can be accurately matched. Compared with a traditional intramedullary nail, the intramedullary nail has the advantages that mounting convenience and structural stability are remarkably improved, intraoperative adjustment time can be shortened, the risk of injury to a medullary cavity of a patient is reduced, and an innovative solution is provided for personalized treatment of distal femur fractures.

The invention relates to the technical field of bone implants for minimally invasive surgery, and particularly discloses an implant for percutaneous minimally invasive thoracolumbar vertebral fracture, which comprises a vertebral body forming body, the vertebral body forming body comprises a vertebral body forming body head and a plurality of blade parts arranged at the rear end of the vertebral body forming body head in a surrounding manner, the vertebral body forming body head is provided with a needle guide hole penetrating along the axial direction, and the needle guide hole is communicated with the blade parts; a containing cavity is defined by the blade parts; the front end of the threaded guide rod and the head of the cone forming body are integrally formed, the needle guide hole penetrates through the threaded guide rod in the axial direction, and the rear end of the threaded guide rod extends out of the containing cavity; the pedicle screw is provided with a threaded hole penetrating in the axial direction, the threaded hole is in threaded connection with the threaded guide rod, the pedicle screw comprises a screw head and a threaded part arranged at the rear end of the screw head, and the screw head is arranged in the containing cavity and expands the blade part. According to the implant for the percutaneous minimally invasive thoracolumbar vertebral fracture, surgical wounds are reduced, the vertebral restoration effect is good, the stability of a vertebral formed body is guaranteed, and the surgical time can be saved.

The utility model discloses a 3D printing porous pedicle screw which comprises a screw body part and a screw cap part, the screw body part comprises a cortical bone thread area close to one end of the screw cap part and a cancellous bone thread area far away from one end of the screw cap part, and a porous structure area is arranged at one end, not connected with the screw cap part, of the screw body part. The porous structure area comprises an inner core column extending in the axial direction of the nail body part, at least one reinforcing beam and a porous structure, the reinforcing beams extend outwards from the periphery of the inner core column, and the porous structure is annularly distributed on the outer periphery of the inner core column. The porous structure can efficiently induce bone tissue to grow in, the screw and a vertebral body are connected into a whole, stress is effectively dispersed, the stability of the screw is improved, the porous structure is arranged on the vertebral body at the front end of the screw, screw breakage caused by stress concentration of the screw in a vertebral pedicle area can be avoided, meanwhile, the stability of the screw can be better improved through the reinforcing beam, and the service life of the screw is prolonged. The possibility of fracture of a porous area of the screw is reduced, generalization performance is better, and the use experience feeling is improved.

The invention relates to an endoscope anastomat with a percussion protection mechanism, a main body is the endoscope anastomat, the far end of the endoscope anastomat is provided with a fixed part and a rotating part, and the rotating part is pivoted with the fixed part; a cutting knife group is also arranged in the endoscope anastomat; the rotating part is a nail propping seat and the fixed part is a nail bin seat, or the rotating part is a nail bin seat and the fixed part is a nail propping seat; a nail bin assembly detachably connected with the nail bin base is arranged on the nail bin base. A nail pushing block which slides forwards and backwards is arranged in the nail bin assembly; the nail pushing block is provided with a limiting part, and when the nail pushing block is located at the initial position, the limiting part extends out of the near end of the nail bin assembly. And a pushing piece is arranged between the rotating part and the fixed part, and the pushing piece always keeps pushing force for pushing towards the direction of the limiting part at the initial position. The nail bin protection device has the beneficial effects that a protection mechanism for an empty nail bin assembly or a protection mechanism for a used nail bin assembly is realized, and potential safety hazards caused by misoperation in actual operation of an operator are solved.

A device for spinal correction includes a stabilizer assembly including a hinge including a first rod-bearing leaf; a second rod-bearing leaf rotatably coupled to the first rod-bearing leaf to provide coronal or sagittal freedom of movement, or both, of the stabilizer assembly; a locking mechanism to lock the first and second rod-bearing leaves at a desired angle; a first stabilizing rod coupled to the first rod-bearing leaf; a second stabilizing rod coupled to the second rod-bearing leaf; and a plurality of monoaxial or polyaxial links, wherein each monoaxial or polyaxial link is movably coupled to the first or second stabilizing rod and is movably couplable to a first spinal rod or a second spinal rod fixed to the spine; wherein the stabilizer assembly is couplable to the first or second spinal rod to stabilize the spine to prevent compression, distraction, or translation of the spinal cord during a spinal correction.

The invention relates to the technical field of medical instruments, discloses a surgical instrument, and particularly relates to a shapeable surgical instrument suitable for single-port endoscopic surgery, which comprises an inner rod assembly, an outer rod assembly and a handle assembly. The outer rod assembly is made of annealed metal (such as pure copper or copper alloy), can be shaped by hands and is kept in a bent form; the inner rod is a nickel-titanium alloy multifilament or a stranded rope, and low-resistance rotation in a bending state is achieved. The handle rotating wheel drives the inner rod to rotate and is matched with the axial push-pull of the rear handle, so that the 360-degree real-time angle adjustment and opening and closing actions of the working part (forceps piece / scissors) are controlled by a single hand, and the forceps piece / scissors do not need to be taken out of a body. The problems that a traditional straight rod instrument cannot reach a narrow area, a pre-bending instrument cannot be adjusted in an operation, and an existing shaping instrument needs in-vitro angle adjustment of two hands are solved, the operation efficiency is improved, and the cleaning and sterilizing time is shortened.

This invention relates to a treatment device suitable for combined operative procedure of vertebroplasty and pediculoplasty. A treatment device includes a cylindrical driver capable of driving a screw into bone, an inner sleeve capable of being inserted into the driver, and a guide pin capable of being inserted into the inner sleeve, and is configured as follows. The screw includes on an outer wall (outer circumference) a thread that can tap into bone or cement, and a through hole that allows the inner sleeve to pass from a head to a tip. The driver can fit onto the head of the screw and when moved along the central axis and be joined to the screw, so as to transmit torque about the central axis to the screw. The inner sleeve includes a notch which protrudes, when the inner sleeve is inserted from the distal end of the driver in a state in which the screw and the driver are joined together, protrudes more proximally than a tip of the screw, preventing removal of the screw.

A bone reattachment system includes an intramedullary implant that includes a longitudinal axis that extends between a first end and a second end thereof, and a stem body that defines at least the second end and is configured to be received within an intramedullary canal of a long bone. The system also includes a clamping assembly for clamping a first bone segment to a second bone segment and includes a mount, a clamp, and an end effector. The mount is connectable to the first end of the intramedullary implant. The clamp has a first end connected to the mount and a second end moveable relative to the first end. The end effector is connected to and extends from the second end of the clamp such that movement of the second end of the clamp relative to the first end moves the end effector in a direction transverse to the longitudinal axis of the intramedullary implant.

Disclosed are reducer instrument locking mechanisms. They can be located near a center pivot joint of the reducer, thereby eliminating a ratchet at the reducer proximal end. The locking mechanisms can include a pawl or latch that travels with one handle from an open position to a closed position. The pawl can fall into a groove formed in an opposing handle such that handles of the reducer can be locked relative to one another, at least with regard to movement of the handles away from one another. When falling into the groove, the pawl can create an auditory and / or tactile indication that a sufficient amount of rod reduction has been achieved to allow for set screw insertion. After set screw insertion, the reducer locking mechanisms can be released to clear it of the groove and allow the reducer to return to its open position.

The present invention relates generally to implants and tools for the fixation or fusion of joints or bone segments. These tools include tissue dilators and protectors. Other tools include broaches used to shape bores in bone. The tools can also include a system for removing an implant from bone. Implants can include assemblies of one or more implant structures that make possible the achievement of diverse interventions involving the fusion and / or stabilization of lumbar and sacral vertebra in a non-invasive manner, with minimal incision, and without the necessitating the removing the intervertebral disc. Implants for fusing both sacroiliac joints of a patient include a long implant that extends across both sacroiliac joints.

Bone plates for engaging bone members are described herein. The bone plates can receive one or more screws to secure the bone plates to an underlying bone member. The one or more screws can be inserted into bone plate holes that can be considered locking or non-locking. The bone plates described herein can have particular combinations of locking and / or non-locking holes. Additional bone plate holes can be used to accept sutures, K-wire, or other instrumentation.

The invention discloses a minimally invasive surgical instrument, and belongs to the technical field of medical instruments, the minimally invasive surgical instrument comprises a tail end tool, an operating part, a power transmission part and a connecting part, the connecting part comprises a linear part connected with the tail end tool, a bending part connected with the operating part and a spherical pair mechanism used for connecting the linear part and the bending part; the inner side of the spherical pair mechanism is provided with an inner path for smooth transition of a jaw wire, the spherical pair mechanism is provided with a rotary limiting shaft and a locking assembly, the rotary limiting shaft is configured to enable the bent part to do pitching rotation action relative to the linear part, the locking assembly comprises a locking unit and a control unit, and the locking unit is configured to provide locking force for the spherical pair mechanism. The control unit is a locking wire for connecting the locking unit and the locking operation part, and the locking operation part is reversely interlocked with the spherical pair mechanism. By adjusting the angle between the linear part and the bent part, the wrist of a doctor is located at a comfortable moving position, so that the flexibility of the wrist in the operation process is improved, and the fatigue feeling of the doctor is reduced.

The invention discloses a titanium-magnesium intramedullary nail and a designing and manufacturing method thereof, and the designing and manufacturing method comprises the steps that multiple working modes of the titanium-magnesium intramedullary nail are defined according to use requirements, a mode specification table is generated, and the mode specification table comprises main structure parameters, simulated bone trabecula structure parameters and a magnesium alloy filling scheme corresponding to each working mode; based on the mode specification table, optimization design of parameter mapping is conducted, a customized parameter combination of the titanium-magnesium intramedullary nail is determined, and the customized parameter combination comprises pore distribution and magnesium alloy gradient degradation configuration; a 3D digital model of the titanium-magnesium intramedullary nail is generated through modeling of the mode specification table, a titanium-magnesium intramedullary nail prototype is manufactured through a low-temperature 3D printing process, and magnesium alloy filling and micropore channel integration are completed through customized parameter combination in the period; the process of designing, optimizing, forming and compositing is achieved; according to the method, a mode specification table and parameterization mapping serve as links, the titanium-magnesium intramedullary nail integrated design and manufacturing process is constructed, and therefore multi-mode parameter customization is achieved while the manufacturing stability is guaranteed.

A steerable arm for use in an endoscopic surgical procedure. The steerable arm is cut from a nitinol tube to provide flexibility and elasticity by a structure formed by cutting the tube. Typically, the cut tube includes a helical coil whose annuluses contact at one lateral side of the tube and the tube bends to separate the annuluses at the other lateral side. The material from which the tube is made is capable of maintaining memory for bending. This provides bias for restoring the tube to a bent state whenever the force causing the tube to bend is removed.

Connector assemblies for connecting a robotic arm with a medical end effector are disclosed. An example apparatus for connecting a robotic arm with a medical end effector may include a connector housing. An actuation mechanism may be disposed within the connector housing. The actuation mechanism may include a plurality of linkage members and a gear assembly coupled to the linkage members. Each of the plurality of linkage members may be configured to shift between a locked configuration and an unlocked configuration. At least one of the plurality of linkage members may include a first linkage member having an end region. A roller member may be disposed adjacent to the end region of the first linkage member. An actuator may be coupled to the actuation mechanism.

The invention discloses an improved wedging cage within the sacroiliac (SI) joint and fixation screw(s). The wedging cage is adapted to be positioned between the sacrum and the lilac bone (e.g., the sacroiliac joint), and the wedging cage is effective to receive one or more fixation or axial screws to fasten the wedging cage and secure the wedging cage to the adjacent pelvic bones to provide a combination effect of fusion and / or fixation. Accordingly, the improved fixation screw assemblies promote flexibility and adaptability due to the adjustable head being movable to a locked and unlocked position relative to the screw body when implanted onto a substrate.

The utility model provides an endoscope clamping type arc-shaped needle puncture device, which is characterized in that a clamping control piece controls a matching space of a locking piece to be tightened, so that the locking piece is fixedly connected with an arc-shaped suture needle; the rotating control piece controls the connecting piece to rotate relative to the mounting frame from the initial position, and the connecting piece drives the arc-shaped suture needle to rotate relative to the shell so that the arc-shaped suture needle can penetrate through the mucosal tissue of the human body. After the connecting piece moves to the final position, reverse operation is carried out to enable the connecting piece to return to the initial position, and the operation is repeated for multiple times so that the arc-shaped suture needle can repeatedly rotate by 360 degrees to suture the mucosal tissue of the human body; due to the fact that the locking piece can be fixed to any position of the arc-shaped suture needle, the arc-shaped suture needle can be driven to rotate by any angle, the precision requirement for matching between the locking piece and the arc-shaped suture needle is lowered, and when the arc-shaped suture needle punctures a hard human mucosa tissue and is blocked or the rotating stroke is not enough, the arc-shaped suture needle can be driven to rotate by any angle. The locking piece can timely adjust the fixed position point so as to provide enough puncture force and rotation stroke for the arc-shaped suture needle.