Surgical instrument for treating cervical spine fracture dislocation and operating bed

A technology of fracture dislocation and surgical instruments, which is applied in the field of surgical instruments and operating tables for the treatment of cervical fracture and dislocation, can solve the problems of delayed operation timing, influence of shape and structure on the reset effect, and large trauma of posterior surgery, so as to improve the traction of cervical spine. The probability of reduction, the reduction of secondary spinal cord damage, and the effect of time to relieve spinal cord compression

Inactive Publication Date: 2016-11-09
漯河医学高等专科学校第一附属医院
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

The disadvantages of posterior surgery or combined posterior and anterior surgery are: the lower cervical dislocation takes a long time for reduction and decompression, which is not conducive to the recovery of spinal cord nerve function. Therefore, most scholars advocate that the operation should be performed as soon as possible after the injury to reduce the time for reduction and release of spinal cord compression.
At the same time, the large traction of the skull before the operation, and the operation after the dislocation is reset will delay the timing of the operation, and in the absence of anesthesia, the traction weight is heavy, the patient suffers a lot, and the neck muscles cannot be relaxed, resulting in a low success rate of reduction and long traction time. Longer, and without electrophysiological monitoring, there is a possibility of aggravating the spinal cord injury; in addition, during the traction process, the patient's head and neck should be bent forward 20°~30° from the neutral position, and the commonly used head traction mechanism The angle cannot be adjuste...

Method used

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  • Surgical instrument for treating cervical spine fracture dislocation and operating bed
  • Surgical instrument for treating cervical spine fracture dislocation and operating bed
  • Surgical instrument for treating cervical spine fracture dislocation and operating bed

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0053] Such as Figure 1 to Figure 3 As shown, a surgical instrument for cervical fracture and dislocation includes a head traction mechanism, a somatosensory evoked potential monitor (not shown in the figure), a scalpel (not shown in the figure), a spreading structure, a prying structure, and a gun-shaped rongeur 1 , curette 2 and fixed structure, the prying structure is a blunt wide head periosteal stripper, the fixed structure is a zero-profile intervertebral fusion device, and the distracting structure includes an automatic distractor for opening the adjacent lesioned vertebral body in the anterior cervical spine 3 and the expansion nail 4 fixed on the adjacent diseased vertebral body;

[0054] Such as Figure 4 As shown, the head traction mechanism includes a headband 5, the height of the headband 5 is lower than the height of the patient's head, and an elastic band 6 is used to fasten and fix it between the headband and the forehead of the patient's head during use.

...

Embodiment 2

[0059] The structure of this embodiment is basically the same as that of Embodiment 1, the difference is: as Figure 9 to Figure 11 As shown, the head traction mechanism includes a head engaging structure, a tension structure and a tension counter. The head engagement structure includes a headband for preventing the human head from moving left and right and a traction bow 12 for pulling the human head. The hoop includes a middle plate 13 and splints 14 hinged on the left and right side ends of the middle plate. The middle plate 13 is an arc-shaped plate. The front end of the middle plate 13 is provided with a baffle plate 15. A slide block 16 matched with the slide rail 34 is provided, and the two ends of the slide block 16 protrude from both sides of the middle plate 13 and are connected with the tension counter 19 through the pull cord 18 , and the other end of the tension counter is connected with the tension structure 20 .

Embodiment 3

[0061] Such as Figure 12 and Figure 13 An operating bed for fracture and dislocation of the cervical spine, comprising the head traction mechanism of Embodiment 2 and a bed body 21, the rear end of the middle plate 13 is hinged to the bed body 21, the front end of the middle plate 13 is hinged to the baffle plate 15, and the bed body 21 is provided with a strip Shaped hole 22, baffle plate two ends are respectively hinged adjusting rod 23, and two-way threaded screw rod 24 is set in elongated hole 22, and one end of adjusting rod 23 away from baffle plate 15 is fixedly connected nut 26, and nut 26 and two-way threaded screw rod 24 phases In cooperation, the baffle plate 15 is provided with a receiving groove for accommodating the two-way threaded screw rod 24 .

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PUM

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Abstract

The invention discloses a surgical instrument for treating cervical spine fracture dislocation. The surgical instrument comprises a distracting structure, a prying structure, a head traction mechanism, a lanciform bone rongeur, a curet, a fixing structure and a somatosensory evoked potential monitor. The distracting structure comprises an automatic distracter for opening adjacent vertebral bodies of anterior cervical spine and distracting pins fixed to the adjacent vertebral bodies. Through the synergistic effect of the distracting structure, the prying structure, the fixing structure and the somatosensory evoked potential monitor, an effect of quick restoration and pressure reduction is achieved; patients are effectively monitored in the traction, distraction and operation process, and medical accidents are prevented.

Description

technical field [0001] The invention belongs to the technical field of medical instruments, in particular to an operating instrument and an operating bed for treating cervical vertebra fracture and dislocation. Background technique [0002] With the rapid development of modern means of transportation, cervical fractures and dislocations are increasing year by year. Since cervical fracture and dislocation is the most common type of spinal cord injury, there are many researches at home and abroad. There are currently three treatment devices and methods for cervical dislocation: [0003] 1. The first step: use the traditional head traction mechanism for large-weight traction before the operation; the second step, if the reduction is successful, use the spreader and the fixed plate to perform anterior cervical surgery; if the traction reduction fails, use the prying structure Posterior prying facet reduction surgery or combined posterior and anterior surgery were performed. T...

Claims

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Application Information

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IPC IPC(8): A61B17/56A61B17/88A61G13/00A61G13/10
CPCA61B17/56A61B17/88A61B17/885A61B2017/564A61G13/00A61G13/10
Inventor 李玉伟严晓云赵磊王海蛟周鹏崔巍李程
Owner 漯河医学高等专科学校第一附属医院
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