94 results about "Vertebral pedicle" patented technology

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.

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.

The invention provides an X-ray-based scoliosis 3D intelligent automatic diagnosis system, which is characterized in that a spine area bounding frame coordinate, a hip bone bounding frame coordinate and a vertebral pedicle bounding frame coordinate are extracted from spine coronal image data, and the first 17 results are extracted to be matched with the number and spatial distribution of typical vertebral bodies of a human body; the method comprises the following steps: obtaining a spine region sub-graph, a hip bone region sub-graph and a vertebral pedicle region sub-graph, converting the sub-graphs into tensors to obtain a bounding box, four angular point coordinates and corresponding confidence of each vertebral body, storing the bounding box, the four angular point coordinates and the corresponding confidence as a structured record, performing Cobb angle calculation according to the structured record, and converting the structured record into an anatomical segment identifier; cutting is conducted according to the spine area, the hip bone area and the vertebral pedicle area subgraph, segmented vertebral pedicles and hip bones are obtained, the major curvature type, the pelvis height and the rotation direction are judged according to anatomical segment identifiers, and the patient age is determined according to the midpoints of the upper edges and the lower edges of the vertebral bodies, the arrangement angle of the adjacent vertebral bodies, spine major curvature core parameters and the age of the patient. And outputting a scoliosis 3D intelligent automatic diagnosis result.

This invention discloses a guide plate device for spinal osteotomy and correction. Each first support member is fixed to the first guide plate body for connection with screws. The first guide plate body has a first window for locating the spinal laminectomy area. A rib resection groove is formed at the edge of the first window to determine the rib resection area. There are two rib resection grooves, arranged opposite each other on both sides of the first window. Each second support member is fixed to the second guide plate body for connection with screws. The second guide plate body has a second window for locating the pedicle osteotomy guide plate's resection area. There are two second windows, arranged opposite each other. The spinal laminectomy guide plate and the pedicle osteotomy guide plate share a single screw assembly. This invention avoids errors in judging the resection area based on human experience, and also avoids hand-holding the guide plate and guide plate position deviation during surgery.

This invention pertains to spinal pedicle screws, specifically locking spinal pedicle screws, including perforated pedicle screws and cortical bone screws that work with them. The proximal end of the self-locking master screw is thickened. A through-hole is provided in the thickened section of the pedicle screw, and the cortical bone screw is driven into the through-hole and fixed to the upper and lower cortical bone layers of the pedicle to form a triangular fixation. After the pedicle screw is implanted, both ends of the through-hole of the pedicle screw are located inside the pedicle. A hole is drilled from the posterolateral aspect of the pedicle using a special aiming device, passing forward and upward through the oblique hole of the pedicle screw, and then through the anterior and superior cortical bone of the pedicle. After measuring the length, a suitable cortical bone screw is selected, screwed in, and locked, fixing the posterolateral cortical bone, the pedicle screw, and the anterior and superior cortical bone of the pedicle. The screw is positioned in a safe area of ​​the superior cortical bone of the pedicle. The cortical bone screw is fixed to the upper and lower cortical bone of the pedicle by passing through the oblique hole, thus locking the position of the pedicle screw.

Pedicle bone anchor implants, assemblies, and methods thereof. The implant may include an expandable anchor having a body with expandable sections separated by one or more expansion joints, a plurality of expandable teeth, or an expandable head. The expandable anchor has a collapsed configuration and an expanded configuration, thereby creating a press-fit in adjacent bone.

The invention discloses an intelligent preparation and precise implantation method for a pedicle screw path based on attitude perception. The method comprises the following steps: generating an attitude monitoring module representing real-time attitude angle data of a surgical instrument; the adaptive fixing mechanism is connected with the posture monitoring module and enables the measuring reference axis of the posture monitoring module to be consistent with the working direction of the instrument; when it is judged that the real-time posture angle is matched with the ideal nail path angle, a prompt signal is generated and output, an expensive robot platform is not needed, and real-time monitoring and intelligent prompt of the angle in the operation can be achieved by adapting the micro posture monitoring module to a common abrasive drill and other instruments; the robot-level implantation precision can be achieved by doctors in traditional manual operation, the three industrial pain points of insufficient judgment precision depending on experience, high cost and complex operation of a robot navigation system and radiation risk caused by repeated perspective in an operation in the prior art are effectively solved, and the operation safety and universality are remarkably improved with extremely low cost.

The application provides a kind of based on deep learning pedicle screw channel planning method and device, the method comprises: extraction procedure, extract the pedicle CT image in the spine CT image to be extracted;Layering procedure, the pedicle CT image is sliced and layered along the pedicle cross section, confirm the pedicle boundary, and obtain a plurality of pedicle two-dimensional images in turn;Planning procedure, the center point of the pedicle two-dimensional image is obtained in turn, the center point is fitted, and the pedicle screw channel is obtained.The pedicle screw channel planning method and device based on deep learning provided in the embodiment of the application, by sequentially executing extraction, slicing, layering and confirming the boundary to the spine CT image, the pedicle two-dimensional image is obtained, the center point of the two-dimensional image is obtained in turn and the obtained center point is fitted to obtain the final pedicle screw channel, the rapid acquisition of the pedicle screw channel is realized, and the operation efficiency is improved.

A retractor blade assembly having a retractor blade having a track extending long on a face of the retractor blade, a screw entry at a bottom of the retractor blade comprising a window through which a bone screw is insertable, and a screw gate which engages the track on the retractor blade. Once the bone screw is placed through the screw entry, the screw gate lowers until the screw gate blocks the window.

A device for augmenting a vertebra. The device includes an expandable implant and a pedicle anchor. The pedicle anchor includes at least one anchoring element movably coupled to an anchor body. An actuator is movable within the anchor body to deploy the anchoring element into engagement with a vertebral pedicle. The anchoring element may be deployed in a same plane as a tissue support ski of the expandable implant. The actuator may be a rod including a knuckle or a cam. The tissue support ski may be recessed from an outer profile of the device. Struts of the expandable implant may be angled towards the tissue support ski in an insertion configuration. The device may be oval-shaped and provide means for rotating the expandable implant relative to the pedicle anchor, and for blocking the expandable implant in a predetermined orientation. Methods of deploying the device are also disclosed.

The utility model relates to medical instrument technical field, concretely relates to a lumbar screw device for osteoporosis, including fixed mainboard, still including fixing device, fixing device includes cone screw, pasting board, transverse process screw, stabilizer and hinged component, and the cone screw is with fixed mainboard screw thread cooperation, and pasting board is through hinged component and fixed mainboard swing joint, and stabilizer fixed mounting is on pasting board, and is located pasting board far from fixed mainboard's one side, and transverse process screw screw thread penetrates stabilizer, and through the cone screw and hit into cone, make fixed mainboard fixed on cone, and through the cooperation of transverse process screw and stabilizer, make pasting board fixed on pedicle, realize the auxiliary fixation of fixed mainboard, to this end complete the fixation to fractured lumbar vertebra, because reduced the use of screw, and then in guarantee fixed effect's simultaneously, reduced the destruction to lumbar vertebra.

A pedicle-lengthening implant may comprise an outer screw body configured to be inserted through a pedicle of a vertebra. The outer body has an upper portion and a lower portion. An inner bolt is disposed within the outer screw body, defining a longitudinal axis and configured to interact with each of the upper and the lower portions. Rotation of the inner bolt about the longitudinal axis causes the upper and lower portions of the outer screw body to separate axially along the longitudinal axis. The outer body may comprise external threads configured to engage bone of the pedicle. The inner bolt includes a threaded rod that engages first internal threads of the upper portion and internal threads of the lower portion at an inner bore of the outer screw body. The first internal threads of the upper portion and internal threads of the lower portion may have opposite thread directions.

A transpedicular spinal treatment system may include a transpedicular access port having an aperture positioned proximally to the distal end of the transpedicular access port. The transpedicular access port may be configured to enter a vertebra through the pedicle bone. A flexible member may be configured to translate along the lengthwise axis of the transpedicular access port. The aperture may allow the flexible member to extend from the aperture in a direction at least partially oblique to the lengthwise axis of the transpedicular access port. The flexible member may have an opening proximal to the distal end of the flexible member.

A method and system for performing bone fusion and / or securing one or more bones, such as adjacent vertebra, are disclosed. The screws include a threaded tip connected to a main shaft and a threaded outer sleeve that rotates relative to the outer shaft until locked down. Independent rotation of the threaded outer sleeve relative to the threaded distal tip allows compression or distraction to modify the gap between the vertebral bodies. The screws are passed from the inferior to superior vertebra or superior to inferior, for example, through a trans-pedicular route to avoid neurological compromise. At the same time, the path of screw insertion is oriented to reach superior or inferior vertebra. An intervertebral cage of the system is configured for lateral expansion from a nearly straight configuration to form a large footprint in the disc space. The screws and cage may be combined for improved fixation with minimal invasiveness.

This invention discloses a pedicle screw mounting mechanism, including a pedicle screw mounter; the top of the pedicle screw mounter is provided with a limiting mechanism for restricting the displacement of the guide pin; the limiting mechanism includes an installation sleeve coaxially fixed to the top of the pedicle screw mounter; the installation sleeve is internally threaded with a guide post whose top protrudes from the installation sleeve; the guide post has a through hole in its middle for the guide pin to pass through; the top of the guide post is also provided with a locking component for locking the guide pin. This invention incorporates a limiting mechanism to lock the guide pin during surgery, thereby avoiding the risk of the guide pin piercing the abdominal cavity while moving with the pedicle screw, alleviating the surgeon's concerns and making the surgery safer and faster.

A pedicle replacement device is designed to both replace the pedicle through osseointegration and protect the nerves and surrounding tissue from injury by pedicle screws or other surgical devices and instruments. The implant is configured to shield a fixture, reduce nerve root irritation, and diminish loosening of the fixture, when the fixture is implanted into the void of a target site. The implant includes features for stabilizing and securing the implant within the void at the target site. For example, in one embodiment, the implant includes counterclockwise threads that stabilize the implant against rotational and extractive forces that could disturb the implant.

The invention relates to the technical field of medical instruments, in particular to a surgical reciprocating swing saw which comprises a cutter assembly, a reciprocating conversion assembly, a position adjusting assembly, a supporting assembly and a connector assembly, and the cutter assembly is used for conducting reciprocating swing saw cutting on bone tissue and comprises a cutter head and a cutter handle; the reciprocating conversion assembly is used for driving the cutter assembly to do reciprocating swing and is connected with the cutter assembly; the position adjusting assembly is used for adjusting to achieve conversion between the hidden state and the cutting state of the tool bit, and the tool assembly is rotationally sleeved with the position adjusting assembly. The reciprocating conversion assembly is sleeved with the supporting assembly, and one end of the supporting assembly is inserted into the position adjusting assembly. The position adjusting assembly is provided with a reference plate, the supporting assembly is provided with a tool bit position marking block, and the position of the tool bit is determined based on the relative position between the reference plate and the tool bit position marking block. According to the reciprocating swing saw for the operation, the vertebral pedicle can be effectively and rapidly cut off, and the vertebral pedicle can be cut off according to the required cutting depth.

Pedicle-based intradiscal fixation devices, systems, instruments, and methods thereof. The implant or a portion thereof may be composed of a shape-memory material, which has a curved shape-memory orientation and a temporarily straight orientation. The implant may be configured to be inserted into a pedicle of an inferior vertebra, through the vertebral body of the inferior vertebra, and into the vertebral body of the superior vertebra to thereby stabilize the inferior and superior vertebrae.

This application discloses a pedicle puncture system and a guiding method for pedicle puncture. The pedicle puncture system includes a pedicle puncture robot and a control unit (30) for controlling the pedicle puncture robot. The pedicle puncture robot includes a robot body (10) and an X-ray detection device. The X-ray detection device includes an X-ray projection section (20) and an X-ray receiving section (40). At least one of the X-ray projection section (20) and the X-ray receiving section (40) is disposed on the robot body (10). The control unit is configured to control the puncture operation of the robot body (10) based on the detection result of the X-ray detection device. This application can detect the position of the puncture instrument in real time by projecting X-rays, thereby controlling the puncture process through the robot body according to the detection result, ensuring accurate and smooth puncture.

The present application discloses a pedicle cement screw, which comprises a screw body and a connecting arm in axial communication, the connecting arm is used for connecting with a surgical instrument, the screw body comprises a threaded connecting part and a head, at least one overflow hole is arranged on the front end side wall of the threaded connecting part, and the connecting arm and the head are connected in a detachable mode. The pedicle cement screw of the present application is inserted into the interior of a vertebral body, and the front end is connected with a bone cement mass injected in a Kummell cavity, the head is abutted against the rear edge of a pedicle, and plays a limiting role, so as to ensure that the bone cement mass and the pedicle cement screw cannot be displaced, and further ensure the stability. Meanwhile, the connecting arm and the head are connected in a detachable mode, after the operation is completed, the connecting arm is integrally detached, and will not cause stimulation to the surrounding soft tissues, and avoids symptoms such as pain and foreign body sensation caused to the patient.

The present invention is a treatment instrument comprising: an inner fixation instrument that is inserted into a vertebral body from a pedicle; and an outer tube, wherein the treatment instrument is configured as follows. The inner fixation instrument has: a head part having a first connection part connectable to the outer tube; and a shaft extending from the head part to a proximal end, wherein the shaft is provided with a tapping screw thread which is tapped and screwed into a bone hole formed in the pedicle. The outer tube has a second connection part connectable to the first connection part of the inner fixation instrument, wherein a connection state between the second connection part and the first connection part is maintained with respect to rotation in a direction opposite to a direction in which the inner fixation instrument is screwed by the tapping screw thread. As a result, it is possible to provide a treatment instrument with which the inner fixation instrument embedded in the body during vertebroplasty can be easily removed even if it becomes necessary to remove the inner fixation instrument in the future. In addition, in vertebroplasty, it is possible to stabilize a procedure for filling bone cement into the vertebral body from the pedicle and inserting the inner fixation instrument thereinto.

A therapeutic device is configured so as to be provided with a bone cement molding tool and a bone cement fixing tool, which are inserted into an internal fixation tool that supports bone cement filled in the vertebral body from the pedicle of the vertebral body and performs internal fixation. The internal fixture has a through-hole in the central axis direction from the head to the tip, and can be inserted into and removed from the bone cement along the central axis thereof. After the bone cement is screwed into the internal fixation tool, the bone cement is inserted into the internal fixation tool through the through hole to form a hole having a predetermined shape. The bone cement fixture has a distal end portion inserted into the formed hole, and the distal end portion is inserted into the hole through the through hole of the internal fixture, thereby suppressing rotation of the bone cement and / or movement in the extraction direction.

A modular spinal fixation screw capable of rapid linear engagement of a bone screw and a rod member. The fixation. screw is coupled to a connector formed from a clamp and a collet. The col let incorporates the use of a T- shaped living hinge which facilitates both attachment of the connector to a bone screw and lessens the resistance of the collet for locking to the bone screw and rod member.The collet further includes scallops that facilitates the insertion of the spherical end of the bone screw into the collet. The clamp can be moved from a first unlocked position used for installation to a locked position securing the rod member to a pedicle bone. The clamp compresses the collet which holds the hold rod member to the bone screws in a pre-selected position by linear movement of the clamp.

The utility model discloses a distraction type pedicle screw which comprises a root screw and a screw cap, the screw cap is fixedly connected to one end of the root screw, two supporting plates are rotatably connected to the root screw, an adjusting rod is connected to the bottom of the screw cap in a penetrating mode, and the end, extending into the root screw, of the adjusting rod is fixedly connected with a threaded pipe. The pedicle screw has the advantages that firstly, the pedicle screw is fixed on a vertebral arch, then the adjusting rod is rotated, due to the fact that the trapezoidal wedge block is matched with the adjusting rod through the threaded pipe in a threaded mode, the trapezoidal wedge block is supported between the two supporting plates in a limited mode, the pedicle screw is fixed on the pedicle screw, and the pedicle screw is fixed on the pedicle screw. The adjusting rod can drive the trapezoidal wedge block to push the supporting plate for opening, the root screw can be better fixed in the vertebral arch, then the arranged pressing seat can be rotationally fixed in the screw cap, the screw cap can be extruded and reinforced, meanwhile, the multiple screw caps can be conveniently connected in series and fixed, the structure is reasonable, and the firmness can be improved.

The application provides a spine screw placement preoperative planning quality control method, an electronic device and a computer storage medium. By constructing boundary models of key risk objects such as pedicle cortex, spinal canal, intervertebral foramen and superior articular facet joint surface, combining preoperative screw placement planning data to calculate quantitative indicators such as minimum safety distance, predicted breaking amount and breaking direction, and inputting structured feature vectors and local image features of the planning channel into a risk assessment model to output risk assessment results, the safety hazards of screw placement can be accurately identified for complex cases such as pedicle morphology variation, degeneration or deformity. At the same time, the deficiencies of the existing planning system, such as the lack of quantitative quality control and grading early warning mechanism, can be made up. High-risk planning schemes can be prompted in time, and objective basis for path correction can be provided, so as to improve the accuracy, safety and standardization of spine screw placement preoperative planning.

This application provides a method, apparatus, medium, and device for real-time planning of screw implantation parameters. The method includes: acquiring medical images of the patient's pedicle region in real time using a three-dimensional C-arm system; inputting the medical images into a trained machine learning model; and, based on the machine learning model, planning the optimal path and optimal parameters for screw implantation in real time according to the medical images. By acquiring medical images of the patient's pedicle region in real time using a three-dimensional C-arm system, the optimal path and optimal parameters for screw implantation in pedicle screw implantation surgery can be planned in real time. This ensures accurate planning of the optimal screw implantation path and optimal parameters throughout the entire screw implantation process, improves the accuracy of screw implantation parameter planning, and avoids errors caused by displacement or other reasons.

Pedicle-based intradiscal fixation devices, systems, instruments, and methods thereof. An implant for stabilizing an inferior vertebra and a superior vertebra may include a first member and a second member moveably connected to the first member. The implant may have a first, initial insertion orientation and a second, final implantation orientation different from the first, initial insertion orientation. The first member may be configured to be inserted through a pedicle of the inferior vertebra and the second member may be configured to engage bone of the superior vertebra in the second, final implantation orientation.

A two-piece suspension pedicle anchor and its system and component-set is disclosed. The two-piece suspension pedicle anchor comprises a proximal piece and a distal piece that can rotate relatively. An external thread is arranged on the outer surface of the proximal piece, and a transverse through hole for an artificial ligament to pass through is arranged at the distal piece. As the two-piece suspension pedicle anchor is rotated and gradually locked into the bone, only the proximal piece is rotated, and the distal piece with the artificial ligament is pushed down but not rotated; in addition, the artificial ligament will be brought into the bone along with the distal piece and sandwiched between the outer surface of the proximal piece and the bone, that is, the artificial ligament will be sandwiched and fixed between the anchor-bone interface without wrapping around the outer surface of the proximal piece.

The application provides a design method and use method of a pedicle screw guide plate, and belongs to the field of medical instruments, and comprises the following steps: extracting the cross-sectional profile of a target vertebra based on image scanning to obtain the long-axis vertex position and end-axis vertex position of the target vertebra; establishing a two-dimensional coordinate system through the long axis and the short axis of the target vertebra, fitting a standard ellipse equation according to the long-axis vertex and the short-axis vertex of the target vertebra; designing a guide plate base according to the bone surface between the two focal points of the standard ellipse equation; and performing parameterized modeling on the guide hole at the focal point position to obtain a guide plate; the guide hole is used for mounting a pedicle screw, and the technical scheme of the application realizes a significant breakthrough in terms of surgical precision, safety, efficiency, cost control and the like through accurate positioning and personalized guide plate design by mathematical modeling.

The application discloses a kind of vertebral arch root fixator joint lamina clip isthmus crack repair device, belong to lumbar vertebra internal fixation instrument technical field, this vertebral arch root fixator joint lamina clip isthmus crack repair device, including the fixed mechanism of screw connection between vertebral body and vertebral arch root, one end of the fixed mechanism is equipped with connecting mechanism;One end of the fixed mechanism is equipped with locking mechanism, in combination state, the fixed mechanism and connecting mechanism are locked by locking mechanism, the other end of the connecting mechanism is fixedly connected with clamping mechanism.The fixed mechanism, clamping mechanism and connecting mechanism can be designed in the application, the vertebral arch screw can be quickly placed between vertebral body and vertebral arch root, the lamina clip is clamped with lamina, by connecting mechanism is mutually tensioned, and it is applicable to different positions of isthmus crack, can exert force according to the crack of vertebral body degree of closure, prevent secondary injury of lamina caused by excessive force.