A thoracolumbar vertebral puncture injection device for preventing bone cement back-seepage

By setting up a protective mechanism and a rotary locking mechanism in the bone cement injection device, the problem of bone cement leakage is solved, effective protection of the direction of the spinal canal is achieved, and the spinal cord and nerves are protected. The device has a simple structure, convenient use and low cost.

CN119908826BActive Publication Date: 2025-08-19FIRST HOSPITAL AFFILIATED TO GENERAL HOSPITAL OF PLA
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Patent Information

Application Number
CN202411905209.2
Authority / Receiving Office
CN · China
Patent Type
Patents(China)
Current Assignee / Owner
Filing Date
2024-12-23
Publication Date
2025-08-19
Estimated Expiration
2044-12-23

AI Technical Summary

Technical Problem

When the existing bone cement injection device is used to treat osteoporotic compression fractures in the thoracic lumbar segment, it cannot effectively prevent the bone cement from leaking into the spinal canal, resulting in the risk of spinal cord and nerve damage.

Method used

A thoracic and lumbar vertebral puncture injection device is designed to prevent bone cement from leaking back into the spinal canal by setting up a protective mechanism and a rotating locking mechanism to prevent bone cement from leaking into the spinal canal direction, and the protective mechanism is fixed after the injection is completed to ensure that it remains in an unfolded state.

Benefits of technology

It effectively prevents bone cement from leaking into the spinal canal, protects the spinal cord and nerves, has a simple structure, is convenient and fast to use, and is low in cost, and is suitable for promotion.

✦ Generated by Eureka AI based on patent content.

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Abstract

The present invention provides a thoracolumbar vertebral puncture injection device for preventing the backward leakage of bone cement, belonging to the technical field of bone cement puncture injection devices. It comprises a thoracolumbar vertebral body, a puncture needle body is provided on both sides of the thoracolumbar vertebral body, a puncture tube is provided on the side of the puncture needle body close to the thoracolumbar vertebral body, a first channel is provided in the puncture needle body, and a separator is fixedly connected to the inner wall of the first channel; a protective mechanism, the protective mechanism is used to prevent the backward leakage of bone cement to the thoracolumbar vertebral body during injection. By setting up a protective mechanism, the present invention can not only inject bone cement at the compression fracture of the thoracolumbar vertebra, but also protect the direction of the spinal canal to prevent the backward leakage of bone cement to damage the spinal cord and nerves, and cooperate with the use of a rotating locking mechanism to fix and lock the opened protective mechanism, so that the protective mechanism can be continuously maintained in the expanded state for protective use.
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Description

Technical Field

[0001] The present invention relates to the technical field of bone cement puncture injection devices, in particular to a thoracic and lumbar vertebral body puncture injection device capable of preventing bone cement from leaking back. Background Art

[0002] Thoracolumbar osteoporotic compression fractures are a common bone disease, particularly in the elderly and postmenopausal women. They typically occur due to decreased bone density, mass, and strength, leading to fractures with minimal or no external force. Clinically, they present with chest / low back pain, with or without lower extremity neurological symptoms. Clinically, thoracic and lumbar osteoporotic compression fractures require bone cement injections to strengthen the vertebral body.

[0003] However, when using bone cement injection to treat osteoporotic vertebral compression fractures, there is a risk of bone cement leakage. During the bone cement injection process, the most dangerous leakage direction is leakage into the posterior spinal canal. This is because the spinal canal contains important structures such as the spinal cord and nerve roots. Once bone cement leaks into the spinal canal, it may cause compression, thermal damage and toxic effects on the spinal cord and nerve roots, leading to severe neurological damage, paraplegia, and even a toxic reaction to bone cement, which is life-threatening. In order to prevent this dangerous leakage, the integrity of the four walls of the vertebral body, especially the integrity of the posterior wall of the vertebral body, should be carefully evaluated during surgery, because an incomplete posterior wall of the vertebral body will increase the risk of bone cement leakage into the spinal canal, and most of the existing related surgical instruments cannot avoid bone cement leakage to the posterior when injecting bone cement into the incomplete posterior wall of the vertebral body. Therefore, the present application provides a thoracolumbar vertebral puncture injection device that prevents bone cement from leaking backwards to meet the needs. Summary of the Invention

[0004] The technical problem to be solved by the present invention is to provide a thoracolumbar vertebral puncture injection device that prevents the back leakage of bone cement. By setting up a protective mechanism, not only can the protective mechanism further protect the thoracolumbar vertebrae close to the spinal canal to prevent bone cement leakage from damaging the patient's spinal cord and nerves, but also the protective mechanism can be fixed and locked after being opened in conjunction with the use of a rotating locking mechanism, so that the protective mechanism can be continuously maintained in the expanded state for protective use. The above setting can solve the problem of leakage of the thoracolumbar vertebrae close to the spinal canal.

[0005] In order to solve the above technical problems, the present invention provides the following technical solutions:

[0006] A thoracolumbar vertebral puncture injection device for preventing bone cement from leaking backwards comprises a thoracolumbar vertebral body, a puncture needle body is provided on both sides of the thoracolumbar vertebral body, a puncture tube is provided on the side of the puncture needle body close to the thoracolumbar vertebral body, a first channel is provided in the puncture needle body, and a separator is fixedly connected to the inner wall of the first channel; a protective mechanism is used to prevent bone cement from leaking backwards to the thoracolumbar vertebral body during injection, and the protective mechanism is connected to the puncture needle body; a rotation locking mechanism is used to limit and fix the structure within the protective mechanism, and the rotation locking mechanism is connected to the puncture needle body.

[0007] Optionally, the protective mechanism includes a support tube installed in the puncture needle body, and the four support tubes are respectively arranged on both sides of the thoracolumbar vertebral body, wherein the one end of the two support tubes close to the top of the puncture needle body is fixedly connected to an end plate, and a second channel is provided in the support tube, and a second opening is provided on the side of the puncture needle body close to the thoracolumbar vertebral body, and a connecting tube is provided in the second channel, and the four connecting tubes are respectively arranged in four support tubes, and the ends of the two connecting tubes on one side are fixedly connected to the first connecting block, and the ends of the two connecting tubes on the other side are fixedly connected to the second connecting block adapted to the shape of the first connecting block, a thin sheet is installed between the two support tubes on the same side, and a third weakened portion is provided on the side of the support tube close to the thoracolumbar vertebral body.

[0008] Optionally, the second channel and the connecting pipe are both made of steel, the inner diameter of the second channel is equal to the inner diameter of the connecting pipe, the separator is an arc-shaped elastic structure, and the separator is made of plastic.

[0009] Optionally, a second guide portion is provided on a side of the second connecting block close to the first connecting block, lightweight grooves are equidistantly provided in an annular shape on the second connecting block, and the second connecting block is made of plastic material.

[0010] Optionally, a second limiting portion is provided on the second connecting block, a second weakened portion is provided on the second connecting block, and a movable groove is provided on a side of the support tube close to the thoracic and lumbar vertebral body.

[0011] Optionally, the rotation locking mechanism includes a threaded groove, in which a threaded block matching the shape of the threaded groove is installed, and the threaded block is provided with a wire drawing. A limiting plate is fixedly connected to the two support tubes near the top of the puncture needle body, and a first opening is provided on the side of the limiting plate away from the support tube. The separating plate is rotatably connected to a first gear via a rotating shaft, and one side of the two support tubes near the top of the puncture needle body is rotatably connected to a second gear via a rotating shaft.

[0012] Optionally, a fixing block is fixedly connected to the threaded block, the outer wall edge of the fixing block is arc-shaped, the outer wall of the fixing block is provided with anti-slip grooves, and the outer wall of the threaded block is rough.

[0013] Optionally, a first guide portion is provided on a side of the separator close to the second opening, and a first limiting portion is provided on a side of the separator close to the second opening.

[0014] Optionally, a first weakened portion is provided on the side of the separator close to the second opening, a first recess is provided on the side of the separator close to the second opening, and a torsion spring body is provided on the side of the wire drawing close to the rotating shaft in the first gear close to the separator.

[0015] Optionally, a shaft groove matching the shape of the rotating shaft on the second gear is formed on the side of the separator close to the second gear, and the width of the cavity formed by the side of the separator close to the support tube and the inner wall of the first channel is the same as the outer diameter of the support tube.

[0016] Compared with the prior art, the present invention has at least the following beneficial effects:

[0017] In the above scheme, by setting up a protective mechanism, not only can the protective mechanism further protect the thoracic and lumbar vertebrae close to the spinal canal to prevent bone cement leakage from damaging the patient's nerves, but the protective mechanism can also be fixed and locked in conjunction with the use of a rotating locking mechanism to keep the protective mechanism in the expanded state for continuous protection. After use, the various mechanisms can be folded and quickly removed through the first channel. The coordinated use of the structures makes the minimally invasive surgery of bone cement injection better in protection, effectively preventing the problem of disordered flow and spinal cord burns after bone cement injection, thereby ensuring the safety of the patient. In addition, the device has a simple structure, is easy and quick to use, has good practicality, and has a low production cost, making it easy to promote and use.

[0018] By arranging a support tube and a connecting tube in the protective mechanism, not only can the connecting tube be used to extend the support tube, making it easier for the thin slice to be unfolded and used, but the connecting tube also strengthens the support tube during the process of the support tube passing through the first channel and the thoracolumbar vertebral body. The setting of the connecting tube makes the overall strength of the support tube better. The support tube and the connecting tube can drive the thin slice to pass through the first channel and move quickly to the required position for use. After the support tubes arranged in pairs in opposite directions are connected together, the support tube and the connecting tube will deform and unfold, driving the thin slice to unfold, so that the thin slice forms a protective surface on the side close to the vertebral canal, effectively preventing bone cement injection, and the structure is simple, and the coordinated use of the structures effectively increases the practicality of the protective mechanism.

[0019] By providing a first connecting block and a second connecting block in the protective mechanism, not only can the two connecting pipes arranged opposite to each other be firmly connected together and not separated when subjected to supporting tension, but also when the first connecting block and the second connecting block are connected and fixed, the guidance of the second guide part on the second connecting block can make the first connecting block slide into the second connecting block more quickly along the inclined surface of the second guide part, and the lightweight groove provided makes the deformation ability of the second connecting block, which has the deformation ability itself, better, and the second weakened part provided is used to make the second connecting block more easily deformed at this location, and the second limiting part is used to play a good limiting role on the first connecting block. The coordinated use of the structures enables the first connecting block to be further quickly and stably installed in the second connecting block, and the structure is simple, which makes the use effect of the protective mechanism better.

[0020] By providing a threaded block and a fixed block in the rotation locking mechanism, not only can the threaded block and the fixed block be used to limit the installation position of the support tube, but the support tube can be more accurately connected, fixed and installed according to the preset position. After the support tube is installed to the specified position and when the threaded block is rotated to the required position, the fixed block and the limiting piece are staggered, which not only limits the position of the support tube, but also quickly limits the expansion angle of the support tube without the need for an additional locking structure. The coordinated use of these structures effectively increases the practicality of the device.

[0021] By arranging a wire drawing, a first gear and a second gear in the rotation locking mechanism, not only can the wire drawing wrapped on the threaded block be tightened to pull the first gear, but since the side of the wire drawing close to the thoracic and lumbar vertebral body is fixed to the outer wall of the first gear close to the bottom, when the wire drawing is pulled, the first gear is subjected to a force toward the end plate and upward, thereby causing the first gear to rotate clockwise, and the gear action is used to cause the second gear engaged with the first gear to rotate counterclockwise, thereby causing the top support tube to deform and bend upward, thereby causing the thin sheet folded between the two adjacent support tubes to be unfolded for use, and the structure is simple, and the coordinated use of the structures further makes the use effect of the rotation locking mechanism better.

[0022] To sum up, the device, in conjunction with the use of the various components therein, can not only achieve rapid and comprehensive protection of the rear near the spinal canal, but also has convenient protection operation and good protection. During the protection operation, the protection mechanism is stably deployed and will not be automatically retracted. After the bone cement injection is completed, the relevant components of the protection mechanism are removed from the first channel. In addition, the device has a simple structure, is easy and quick to use, has good practicality, low production cost, and is easy to promote and use. BRIEF DESCRIPTION OF THE DRAWINGS

[0023] The accompanying drawings, which are incorporated herein and constitute a part of the specification, illustrate embodiments of the invention and, together with the description, further serve to explain the principles of the invention and to enable one skilled in the art to make and use the invention.

[0024] Figure 1 Schematic diagram of the three-dimensional structure of the thoracic and lumbar vertebral puncture injection device to prevent the back leakage of bone cement;

[0025] Figure 2 for Figure 1 A in the middle is an enlarged structural diagram;

[0026] Figure 3 for Figure 2 The enlarged structural diagram at B in the middle;

[0027] Figure 4 A schematic diagram of the three-dimensional cross-sectional structure of a thoracic and lumbar vertebral puncture and injection device for preventing back leakage of bone cement;

[0028] Figure 5 for Figure 4 The enlarged structural diagram at C in the middle;

[0029] Figure 6 This is a schematic diagram of the three-dimensional structure of the puncture needle body and the support tube;

[0030] Figure 7 for Figure 6 The enlarged structural diagram at D in the middle;

[0031] Figure 8 It is a schematic diagram of the three-dimensional cross-sectional structure of the puncture needle body and the support tube;

[0032] Figure 9 for Figure 8 The enlarged structural diagram at E in the middle;

[0033] Figure 10 for Figure 9 The enlarged structural diagram at F in the middle;

[0034] Figure 11 This is a schematic diagram of the matching structure of the puncture needle body and the support tube;

[0035] Figure 12 Schematic diagram of the matching structure of the connecting pipe and the supporting pipe;

[0036] Figure 13 for Figure 12 Enlarged structural diagram at G in the middle.

[0037] Reference numerals:

[0038] 1. Thoracolumbar vertebral body; 2. Puncture needle body; 3. First channel; 4. Separator; 5. Support tube; 6. End piece; 7. Threaded groove; 8. Threaded block; 9. Fixing block; 10. Wire drawing; 11. Limiting piece; 12. First opening; 13. Second opening; 14. First guide part; 15. First limiting part; 16. First recess; 17. First weakening part; 18. First gear; 19. Second gear; 20. Second channel; 21. Connecting tube; 22. First connecting block; 23. Second connecting block; 24. Second guide part; 25. Lightweight slot; 26. Second limiting part; 27. Second weakening part; 28. Movable slot; 29. Thin sheet; 30. Third weakening part; 31. Torsion spring body.

[0039] As shown in the figure, in order to clearly implement the structure of the embodiment of the present invention, specific structures and devices are marked in the figure, but this is only for illustrative purposes and is not intended to limit the present invention to the specific structure, device and environment. According to specific needs, ordinary technicians in this field can adjust or modify these devices and environments. DETAILED DESCRIPTION

[0040] The following describes in detail a thoracolumbar vertebral puncture and injection device for preventing bone cement backfiltration provided by the present invention, in conjunction with the accompanying drawings and specific embodiments. It is also noted that, to provide a more detailed description, the following embodiments are optimal and preferred embodiments, and those skilled in the art may also adopt other alternatives for implementing certain known technologies. Furthermore, the accompanying drawings are intended only to provide a more detailed description of the embodiments and are not intended to limit the present invention.

[0041] It should be noted that references in the specification to "one embodiment," "an embodiment," "an exemplary embodiment," "some embodiments," etc. indicate that the described embodiments may include specific features, structures, or characteristics, but not necessarily every embodiment includes such specific features, structures, or characteristics. In addition, when specific features, structures, or characteristics are described in conjunction with an embodiment, it is within the knowledge of persons skilled in the relevant art to implement such features, structures, or characteristics in conjunction with other embodiments, regardless of whether such features, structures, or characteristics are explicitly described.

[0042] In general, terms can be understood, at least in part, from their use in context. For example, depending at least in part on the context, the term "one or more" as used herein can be used to describe any feature, structure, or characteristic in the singular sense, or can be used to describe a combination of features, structures, or characteristics in the plural sense. Additionally, the term "based on" can be understood as not necessarily intended to convey an exclusive set of factors, but can instead, depending at least in part on the context, allow for the presence of other factors that are not necessarily explicitly described.

[0043] It will be understood that the meanings of “on,” “over,” and “above” in the present invention should be interpreted in the broadest manner, so that “on” means not only “directly on” something but also includes the meaning of being “on” something with intervening features or layers, and “on” or “above” means not only “on” or “above” something but also includes the meaning of being “on” or “above” something with no intervening features or layers.

[0044] Additionally, spatially relative terms such as "below," "beneath," "lower," "above," and "upper" may be used herein for descriptive convenience to describe the relationship of one element or feature to another element or features, as illustrated in the accompanying drawings. Spatially relative terms are intended to encompass different orientations of the device in use or operation in addition to the orientation depicted in the accompanying drawings. The device may be oriented in other ways, and the spatially relative descriptors used herein should be similarly interpreted accordingly.

[0045] like Figure 1 and Figure 2 As shown, an embodiment of the present invention provides a thoracolumbar vertebral puncture injection device for preventing the back leakage of bone cement, comprising a thoracolumbar vertebral body 1, a puncture needle body 2 is provided on both sides of the thoracolumbar vertebral body 1, the side of the puncture needle body 2 close to the thoracolumbar vertebral body 1 is a puncture tube, a first channel 3 is opened in the puncture needle body 2, and a separator 4 is fixedly connected to the inner wall of the first channel 3; a protective mechanism, the protective mechanism is used to prevent the back leakage of bone cement to the thoracolumbar vertebral body 1 during injection, and the protective mechanism is connected to the puncture needle body 2; a rotating locking mechanism, the rotating locking mechanism is used to limit and fix the structure in the protective mechanism, the rotating locking mechanism is connected to the puncture needle body 2, the separator 4 is arc-shaped, and the separator 4 divides the first channel 3 into two cavity channels of different sizes, the larger one The channel is used for injecting bone cement, and the smaller cavity channel is used to set up a protective mechanism. Under the premise of the original anti-leakage operation, this device can further protect the thoracic and lumbar vertebrae close to the spinal canal by using the protective mechanism to prevent bone cement leakage from damaging the patient's nerves. The opened protective mechanism is fixed and locked in conjunction with the use of the rotating locking mechanism, so that the protective mechanism can be continuously maintained in the expanded state for protective use. After use, the various mechanisms can be folded and quickly removed through the first channel 3. The coordinated use of the structures makes the minimally invasive surgery of bone cement injection better protective and ensures the safety of the patient. The details are described below. In addition, the structure of this device is simple, quick and easy to use, and the practicality of the device is good, the production cost is low, and it is easy to promote and use.

[0046] like Figures 5 to 13As shown, the protective mechanism includes a support tube 5 installed in the puncture needle body 2, and the support tube 5 is four and is respectively arranged on both sides of the thoracolumbar vertebral body 1, wherein the ends of the two support tubes 5 near the top of the puncture needle body 2 are fixedly connected with the end piece 6, and a second channel 20 is provided in the support tube 5, and a second opening 13 is provided on the side of the puncture needle body 2 near the thoracolumbar vertebral body 1, and a connecting tube 21 is provided in the second channel 20. The connecting tubes 21 are four and are respectively arranged in the four support tubes 5, wherein the ends of the two connecting tubes 21 on one side are fixedly connected with the first connecting block 22, and the ends of the two connecting tubes 21 on the other side are fixedly connected with the second connecting block 23 which is adapted to the shape of the first connecting block 22, and the two support tubes 5 on the same side are fixedly connected with the second connecting block 23 which is adapted to the shape of the first connecting block 22. A thin sheet 29 is installed between the support tubes 5, and a third weakened portion 30 is provided on the side of the support tube 5 close to the thoracolumbar vertebral body 1. Two support tubes 5 close to each other are a group, and one of the support tubes 5 in a group is provided with a magnetic block on the side close to the thoracolumbar vertebral body 1, and an iron sheet is provided at the same position. The two support tubes 5 in a group are fixedly connected on one side close to the end piece 6, so that a group of support tubes 5 can move together in the thoracolumbar vertebral body 1 in one direction. The first connecting block 22 is spherical, and a limiting block is provided on the side of the connecting tube 21 away from the thoracolumbar vertebral body 1. The connecting tube 21 does not separate from the second channel 20 during the movement. The outer diameter of the second connecting block 23 is the same as the inner diameter of the second channel 20, and the second channel 20 is connected to the second The outward deformation limit of the connecting block 23 allows the second connecting block 23 to more stably limit the first connecting block 22 in the cavity formed therein. In this structure, the support tube 5 passes through the first channel 3 and out of the second opening 13, and then gently presses or knocks the end piece 6 to allow the support tube 5 to continue to be inserted into the first channel 3. The initial state of the support tube 5 is set to be an arc shape. The support tube 5 has a certain deformation ability. When the support tube 5 is inserted into the first channel 3, it is limited by the separator 4 and the first channel 3. The support tube 5 slides in the first channel 3 close to a straight line. After the support tube 5 passes through the second opening 13, it is no longer limited by the position of the first channel 3 and the separator 4, and the support tube 5 rebounds to its original curvature, thereby making After passing through the second opening 13, the support tube 5 extends toward the direction of the vertebral canal, and the two groups of oppositely arranged support tubes 5 are pushed toward the center position of the thoracolumbar vertebral body 1 respectively until the first connecting block 22 is locked in the second connecting block 23, so that the two oppositely arranged support tubes 5 are connected together. Then, with the use of the rotation locking mechanism, one of the top support tubes 5 in the two groups of support tubes 5 is rotated respectively, so that the two support tubes 5 are bent toward the top of the thoracolumbar vertebral body 1. The setting of the third weakened portion 30 makes it easier for the support tube 5 to deform near the third weakened portion 30. The specific use of the rotation locking mechanism is described in detail below. During the deployment process, the connecting tube 21 in the two support tubes 5 slides in the second channel 20 under the influence of the supporting tension.The first connecting block 22 and the second connecting block 23 firmly connect the two connecting tubes 21 at the top so that they will not separate when subjected to tension. The deformation of the two supporting tubes 5 and the connecting tube 21 at the top drives the thin sheet 29 to expand, so that the thin sheet 29 forms a protective surface on the side close to the spinal canal, effectively preventing the problem of leakage into the spinal canal during bone cement injection. In addition, the structure is simple, and the coordination between the structures makes the device more practical.

[0047] like Figures 11 to 13 As shown, the support tube 5 and the connecting tube 21 are both made of steel, the inner diameter of the second channel 20 is equal to the inner diameter of the connecting tube 21, the separator 4 is an arc-shaped elastic structure, the separator 4 is made of plastic material, the second connecting block 23 is provided with a second guide portion 24 on the side close to the first connecting block 22, and the second connecting block 23 is provided with a lightweight groove 25 at equal intervals in an annular manner. The second connecting block 23 is made of plastic material, and a second limiting portion 26 is provided on the second connecting block 23. The second connecting block 23 is provided with a second weakened portion 27. A movable groove 28 is provided on the side of the support tube 5 close to the thoracic and lumbar vertebral body 1, and the top and bottom edges of the thin sheet 29 are respectively fixed on the two adjacent connecting tubes 21 and inserted into the movable groove 28. This structure utilizes the certain hardness of steel material and can produce a certain deformation under the action of external force, so that the support tube 5 and the connecting tube 21 can stably move and deform in the required direction when in use, thereby achieving the effect of facilitating the operation and use of the device, and separating The sheet 4 is made of plastic material, which not only has a good limiting effect on the support tube 5, but also is affected by the deformation trend of the support tube 5. The support tube 5 can produce a certain deformation along its arc-shaped protrusion with the support tube 5, so that the separating sheet 4 has a better limiting effect on the support tube 5. When the first connecting block 22 and the second connecting block 23 arranged at the ends of the two connecting tubes 21 are connected, the first connecting block 22 can slide into the second connecting block 23 more quickly along the inclined surface of the second guide portion 24 by means of the guidance of the second guide portion 24, and the lightweight groove 25 provided makes the deformation ability of the second connecting block 23, which has the ability to deform itself, better. The second weakened portion 27 provided is used to make the second connecting block 23 more easily deformable at this location, and the second limiting portion 26 plays a good limiting role on the first connecting block 22. The coordinated use of the structures enables the first connecting block 22 to be further quickly and stably installed in the second connecting block 23, and the structure is simple, which makes the use effect of the protective mechanism better.

[0048] like Figures 1 to 10As shown, the rotation locking mechanism includes a thread groove 7, a thread block 8 that is adapted to the shape of the thread groove 7 is installed in the thread groove 7, a wire drawing 10 is provided on the thread block 8, and a limiting piece 11 is fixedly connected to the two support tubes 5 near the top of the puncture needle body 2. A first opening 12 is provided on the side of the limiting piece 11 away from the support tube 5. A first gear 18 is rotatably connected to the separator 4 through a rotating shaft. One side of the two support tubes 5 near the top of the puncture needle body 2 is rotatably connected to the second gear 19 through a rotating shaft. A torsion spring is provided on the side of the wire drawing 10 near the first gear 18 and the rotating shaft near the separator 4. Body 31, this structure is through after the above-mentioned protective mechanism is installed to the required position, the limiting piece 11 just passes through the fixing block 9 from the first opening 12 and is clamped on the threaded block 8, and the threaded block 8 and the fixing block 9 are used to further limit the installation position of the support tube 5, so that the support tube 5 can be connected, fixed and installed more accurately according to the preset position. After the support tube 5 is installed to the specified position, the second gear 19 is just engaged with the first gear 18 installed on the separator 4, and the first gear 18 and the second gear 19 are used in conjunction with each other to further position the support tube 5 close to the thoracic and lumbar vertebrae. One side of the body body 1 is limited, and then the thread block 8 is turned by hand, so that the thread block 8 is rotated in the thread groove 7 by the action of the thread, and the friction force generated by the limiting plate 11 on the thread block 8 is used to slowly rotate the thread block 8, thereby tightening the wire drawing 10 wrapped around the thread block 8, thereby pulling the first gear 18. Since the side of the wire drawing 10 close to the thoracic and lumbar vertebral body 1 is fixed to the outer wall of the first gear 18 close to the bottom, when the wire drawing 10 is pulled, the first gear 18 is subjected to a force toward the end plate 6 and upward, thereby causing the first gear 18 to rotate clockwise, and the gear action is used to make the first gear 18 rotate clockwise. The second gear 19 engaged with the first gear 18 rotates counterclockwise, and the torsion spring body 31 in the second gear 19 is deformed, so that the top support tube 5 is deformed and bent upward, thereby allowing the thin sheet 29 folded between the two adjacent support tubes 5 to be unfolded and used. When the threaded block 8 is rotated to the required position, the fixed block 9 and the limiting piece 11 are staggered, which not only limits the position of the support tube 5, but also quickly limits the unfolding angle of the support tube 5 without the need for an additional locking structure. The coordinated use of these structures effectively increases the practicality of the device, and the structure is simple, and it is convenient and quick to use.

[0049] like Figures 3 to 10As shown, the threaded block 8 is fixedly connected to a fixing block 9, the outer wall edge of the fixing block 9 is arc-shaped, and the outer wall of the fixing block 9 is provided with anti-slip grooves, the outer wall of the threaded block 8 is rough, and the side of the separator 4 close to the second opening 13 is provided with a first guide portion 14, the side of the separator 4 close to the second opening 13 is provided with a first limiting portion 15, the side of the separator 4 close to the second opening 13 is provided with a first weakened portion 17, the side of the separator 4 close to the second opening 13 is provided with a first recess 16, and the side of the separator 4 close to the second gear 19 is provided with a shaft groove adapted to the shape of the rotating shaft on the second gear 19 The width of the cavity formed by the side of the separator 4 close to the support tube 5 and the inner wall of the first channel 3 is the same as the outer diameter of the support tube 5. The fixing blocks 9 are two outer walls of the two sides of the threaded block 8 respectively arranged opposite to each other. This structure makes the rotation of the threaded block 8 easier by utilizing the setting of the fixing blocks 9, and utilizes the guidance of the first guide portion 14 to make the support tube 5 more accurately aligned with the second opening 13 when it penetrates the first channel 3 close to the side of the thoracic and lumbar vertebral body 1. The first limiting portion 15 is used to simply limit the support tube 5 so that the support tube 5 can be more stably pressed. Following the prescribed route, the first recess 16 and the first weakened portion 17 are used to make the second gear 19 move to be aligned with the first gear 18. The first recess 16 at the position of the separator 4 is more likely to deform, thereby allowing the second gear 19 to pass through the first gear 18 smoothly. After passing through the first gear 18, the first recess 16 rebounds to its initial state, causing the second gear 19 to move toward the separator 4. Then, the support tube 5 is gently swung, so that the first gear 18 and the second gear 19 are meshed together. The separator 4 is provided with a rotating shaft on the side close to the second gear 19. The shaft groove with matching shape allows the second gear 19 to maintain flexible rotation after meshing with the first gear 18, so that the corresponding top support tube 5 can be deformed and expanded upward when the second gear 19 rotates. The width of the cavity formed by the side of the separator 4 close to the support tube 5 and the inner wall of the first channel 3 is the same as the outer diameter of the support tube 5, so that the support tube 5 will not rotate when moving in the separator 4, thereby ensuring that the angle of the support tube 5 passing through the second opening 13 can be in a predetermined direction. The structure is simple, and the coordinated use of the structures further makes the use of the rotation locking mechanism better.

[0050] The workflow of the technical solution of the present invention is as follows:

[0051] During use, first puncture and fix the puncture needle body 2 on the thoracic and lumbar vertebral body 1, and then pass the support tube 5 through the first channel 3. The separator 4 and the inner wall of the first channel 3 limit the trajectory of the support tube 5. The separator 4 is made of plastic material, which not only has a good limiting effect on the support tube 5, but also is affected by the deformation trend of the support tube 5. The support tube 5 can produce a certain deformation along its arc-shaped convex portion with the support tube 5, so that the separator 4 has a better limiting effect on the support tube 5.

[0052] By utilizing the guidance of the first guide portion 14, the support tube 5 is more accurately aligned with the second opening 13 when it passes through the first channel 3 close to the side of the thoracic and lumbar vertebral body 1. The first limiting portion 15 is used to simply limit the support tube 5 so that the support tube 5 can move more stably along the prescribed route, pass through the first channel 3 and then pass out from the second opening 13. During the movement of the support tube 5 in the first channel 3, the second gear 19 is driven to move. By utilizing the setting of the first recess 16 and the first weakened portion 17 on the separator 4, when the second gear 19 moves to be aligned with the first gear 18, the first recess 16 of the separator 4 is deformed, so that the second gear 19 passes through the first gear 18 smoothly. After passing through the first gear 18, the first recess 16 rebounds to its initial state, causing the second gear 19 to move toward the separator 4, and then gently swings the support tube 5 to engage the first gear 18 and the second gear 19.

[0053] The side of the separator 4 close to the second gear 19 is provided with an axis groove that is adapted to the shape of the rotating shaft on the second gear 19, so that the second gear 19 can maintain flexible rotation after meshing with the first gear 18, so that when the second gear 19 rotates, the corresponding top support tube 5 can be deformed and expanded upward. The width of the cavity formed by the side of the separator 4 close to the support tube 5 and the inner wall of the first channel 3 is the same as the outer diameter of the support tube 5, so that the support tube 5 will not rotate when moving in the separator 4, thereby ensuring that the angle of the support tube 5 passing through the second opening 13 can be in a predetermined direction, and then gently press or knock on the end piece 6 to allow the support tube 5 to continue to be inserted into the thoracic and lumbar vertebral body 1.

[0054] Since the initial state of the support tube 5 is set to be an arc shape, the support tube 5 has a certain deformation ability. When the support tube 5 is inserted into the first channel 3, it is limited by the separator 4 and the first channel 3, and the support tube 5 slides in the first channel 3 close to a straight line. When the support tube 5 passes through the second opening 13, it is no longer limited by the position of the first channel 3 and the separator 4. The support tube 5 rebounds to its original arc, so that the support tube 5 extends toward the direction of the vertebral canal after passing through the second opening 13. The two groups of oppositely arranged support tubes 5 are pushed toward the center position of the thoracic and lumbar vertebral body 1 respectively. When the second connecting blocks 13 are set oppositely, When 23 and the first connecting block 22 are close to each other, the first connecting block 22 can slide into the second connecting block 23 more quickly along the inclined surface of the second guide portion 24 by means of the guidance of the second guide portion 24, and the lightweight groove 25 provided makes the second connecting block 23, which has the ability to deform itself, have better deformation ability, and the second weakened portion 27 provided is used to make the second connecting block 23 more likely to deform at this location, and the second limiting portion 26 is used to play a good limiting role on the first connecting block 22, so that the first connecting block 22 is stuck in the second connecting block 23, so that the two supporting tubes 5 arranged opposite to each other are connected together.

[0055] Then, manually rotate the fixing block 9 to drive the threaded block 8 to rotate, so that the threaded block 8 is rotated in the thread groove 7 by the action of the thread, and the friction force generated by the limit plate 11 on the threaded block 8 is used to slowly rotate the threaded block 8, thereby tightening the wire drawing 10 wound on the threaded block 8, thereby pulling the first gear 18. Since the side of the wire drawing 10 close to the thoracic and lumbar vertebral body 1 is fixed to the outer wall of the side close to the bottom of the first gear 18, when the wire drawing 10 is pulled, the first gear 18 is subjected to a force toward the end plate 6 and upward, thereby causing the first gear 18 to rotate clockwise, using The gear action causes the second gear 19 meshing with the first gear 18 to rotate counterclockwise, and the torsion spring body 31 in the second gear 19 is deformed, thereby causing the top support tube 5 to deform and bend upward. In the process of the support tube 5 being forced to bend upward, the connecting tube 21 in the two top support tubes 5 slides in the second channel 20 under the influence of the supporting tension. The first connecting block 22 and the second connecting block 23 firmly connect the two top connecting tubes 21 together so that they will not separate when subjected to supporting tension. The connecting tube 21 never separates from the second channel 20 during movement.

[0056] The outer diameter of the second connecting block 23 is the same as the inner diameter of the second channel 20. The second channel 20 limits the outward deformation of the second connecting block 23, so that the second connecting block 23 can more stably confine the first connecting block 22 in the cavity formed therein. The deformation and expansion of the two top support tubes 5 and the connecting tube 21 drive the thin film 29 to expand rapidly. The two oppositely expanded thin films 29 are tightly fitted together under the influence of tension. The height of the thin film 29 is slightly smaller than the thickness of a thoracic and lumbar vertebral body 1, so that the thin film 29 forms a protective surface on the side close to the spinal canal, effectively preventing the problem of leakage to the side of the spinal canal during bone cement injection.

[0057] When the threaded block 8 is rotated to the desired position, the fixing block 9 and the limiting piece 11 are staggered, which not only limits the position of the support tube 5, but also quickly limits the expansion angle of the support tube 5 without the need for an additional locking structure. Then, bone cement is injected into another channel formed by the first channel 3 and the separator 4. During the injection of bone cement, frequent fluoroscopic monitoring is performed to ensure the correct distribution of bone cement and timely detection of leakage.

[0058] At the same time, the timing of bone cement injection is usually selected when the bone cement is drawn into wire, that is, when the bone cement is in the shape of toothpaste. At this time, the bone cement has both stability and certain fluidity, which can reduce the risk of leakage. At the same time, when injecting bone cement, it is necessary to inject and retreat at the same time to try to make the bone cement evenly diffuse in the vertebral body. If bone cement is found to leak outside the vertebral body, the injection must be stopped immediately. After the injection is completed, when the bone cement is basically shaped, the threaded block 8 is rotated again to relax the wire drawing 10. The torsion spring body 31 in the second gear 19 rebounds and pulls the wire drawing 10 back to the initial position. The first gear 18 and the second gear 19 rotate, and the support tube 5 rebounds to close the thin sheet 29. Then the support tube 5 is pulled to take out the support tube 5, the connecting tube 21 and the thin sheet 29. The structure of the device is simple and it is convenient and quick to use.

[0059] The present invention encompasses any alternatives, modifications, equivalents, and solutions that fall within the spirit and scope of the present invention. To provide a thorough understanding of the present invention, specific details are described in detail below in connection with the preferred embodiments of the present invention, but those skilled in the art will be able to fully understand the present invention without these detailed descriptions. Furthermore, to avoid unnecessary confusion regarding the essence of the present invention, well-known methods, processes, procedures, components, and circuits have not been described in detail.

[0060] The above is only a preferred embodiment of the present invention. It should be pointed out that for ordinary technicians in this technical field, several improvements and modifications can be made without departing from the principles of the present invention. These improvements and modifications should also be regarded as within the scope of protection of the present invention.

Claims

1. A thoracolumbar vertebral puncture and injection device for preventing bone cement back-seepage, characterized in that: The puncture needle body comprises a puncture needle body provided on both sides of the thoracolumbar vertebral body, the side of the puncture needle body close to the thoracolumbar vertebral body being a puncture channel, a first channel being provided in the puncture needle body, and a separator being fixedly connected to the inner wall of the first channel; A protective mechanism, the protective mechanism is used to prevent bone cement from extravasating toward the rear of the thoracic and lumbar vertebral body during injection, and the protective mechanism is connected to the puncture needle body; A rotation locking mechanism, the rotation locking mechanism is used to limit and fix the structure in the protection mechanism, and the rotation locking mechanism is connected to the puncture needle body; The protective mechanism includes a support tube installed in the puncture needle body, and the support tubes are four and respectively arranged on both sides of the thoracolumbar vertebral body, wherein the ends of the two support tubes close to the top of the puncture needle body are fixedly connected with end plates, and a second channel is provided in the support tube, and a second opening is provided on the side of the puncture needle body close to the thoracolumbar vertebral body, and a connecting tube is provided in the second channel. The connecting tubes are four and respectively arranged in four support tubes, and the ends of the two connecting tubes on one side are fixedly connected with a first connecting block, and the ends of the two connecting tubes on the other side are fixedly connected with a second connecting block adapted to the shape of the first connecting block, a thin sheet is installed between the two support tubes on the same side, and a third weakened portion is provided on the side of the support tube close to the thoracolumbar vertebral body.

2. The thoracic and lumbar vertebral puncture and injection device for preventing back leakage of bone cement according to claim 1, characterized in that: The second channel and the connecting pipe are both made of steel. The inner diameter of the second channel is equal to the inner diameter of the connecting pipe. The separator is an arc-shaped elastic structure and is made of plastic.

3. The thoracic and lumbar vertebral puncture and injection device for preventing back leakage of bone cement according to claim 1, characterized in that: A second guide portion is provided on a side of the second connecting block close to the first connecting block. Lightweight grooves are equidistantly arranged in an annular shape on the second connecting block. The second connecting block is made of plastic material.

4. The thoracic and lumbar vertebral body puncture and injection device for preventing back leakage of bone cement according to claim 1, characterized in that: A second limiting portion is provided on the second connecting block, a second weakened portion is provided on the second connecting block, and a movable groove is provided on one side of the support tube close to the thoracic and lumbar vertebral body.

5. The thoracic and lumbar vertebral body puncture and injection device for preventing back leakage of bone cement according to claim 1, characterized in that: The rotation locking mechanism includes a threaded groove, in which a threaded block adapted to the shape of the threaded groove is installed, and a wire drawing is provided on the threaded block. A limiting plate is fixedly connected to the two support tubes near the top of the puncture needle body, and a first opening is provided on the side of the limiting plate away from the support tube. The separating plate is rotatably connected to the first gear via a rotating shaft, and one side of the two support tubes near the top of the puncture needle body is rotatably connected to the second gear via a rotating shaft.

6. The thoracic and lumbar vertebral body puncture and injection device for preventing back leakage of bone cement according to claim 5, characterized in that: A fixing block is fixedly connected to the threaded block. The outer wall edge of the fixing block is arc-shaped, and the outer wall of the fixing block is provided with anti-slip grooves. The outer wall of the threaded block is rough.

7. The thoracic and lumbar vertebral body puncture and injection device for preventing back leakage of bone cement according to claim 5, characterized in that: A first guide portion is provided on a side of the separator close to the second opening, and a first limiting portion is provided on a side of the separator close to the second opening.

8. The thoracic and lumbar vertebral body puncture and injection device for preventing back leakage of bone cement according to claim 5, characterized in that: The separator is provided with a first weakened portion on one side close to the second opening, a first recess is provided on one side close to the second opening, and a torsion spring body is provided on one side of the wire drawing close to the rotating shaft in the first gear close to the separator.

9. The thoracic and lumbar vertebral body puncture and injection device for preventing back leakage of bone cement according to claim 5, characterized in that: The side of the separator close to the second gear is provided with an axis groove adapted to the shape of the rotating shaft on the second gear. The width of the cavity formed by the side of the separator close to the support tube and the inner wall of the first channel is the same as the outer diameter of the support tube.

Citation Information

Patent Citations

  • Devices for multipoint emplacement in a body part and methods of use of such devices

    US20080243249A1