WO2022011673A1 - Bone holding forceps having steel wire guide - Google Patents

Bone holding forceps having steel wire guide Download PDF

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Publication number
WO2022011673A1
WO2022011673A1 PCT/CN2020/102640 CN2020102640W WO2022011673A1 WO 2022011673 A1 WO2022011673 A1 WO 2022011673A1 CN 2020102640 W CN2020102640 W CN 2020102640W WO 2022011673 A1 WO2022011673 A1 WO 2022011673A1
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WO
WIPO (PCT)
Prior art keywords
clamping part
holding forceps
rod
bone holding
steel wire
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Ceased
Application number
PCT/CN2020/102640
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French (fr)
Chinese (zh)
Inventor
施晓健
陈晔
宋俊杰
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Haimen People's Hospital
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Haimen People's Hospital
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Filing date
Publication date
Application filed by Haimen People's Hospital filed Critical Haimen People's Hospital
Priority to PCT/CN2020/102640 priority Critical patent/WO2022011673A1/en
Publication of WO2022011673A1 publication Critical patent/WO2022011673A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/28Surgical forceps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor

Definitions

  • the invention relates to a bone holding forceps for fixing a femur, and belongs to the technical field of medical devices.
  • Fractures are one of the most common diseases in orthopedics. In open reduction and fixation of fractures, the two broken ends of the fracture are often clamped with a forceps and other instruments for reduction, and then fixed with internal fixation materials.
  • wire threading is performed after removing the rongeur, and the process of threading the wire is generally performed manually without auxiliary tools.
  • the fracture reduction effect may be lost during this operation, requiring re-reduction; on the other hand, due to the lack of auxiliary tools, the insertion of the wire is not fast enough, which prolongs the operation time and brings pain to the patient.
  • the purpose of the present invention is to overcome the above-mentioned defects in the background technology, and to provide a bone holding forceps guided by a wire, which is beneficial to the threading of the wire rope during the operation and shortens the operation time.
  • a rongeur guided by a wire characterized in that the rongeur includes a fixed rod and a movable rod, and the front end of the fixed rod has a hook-shaped a first clamping part, the front end of the movable rod has a second clamping part facing the first clamping part, the first clamping part and the second clamping part are in a closed state for clamping the femur Hold and fix; the back side of the front end of the fixing rod is fixed with a hollow tube for threading the steel wire.
  • a hollow tube for threading a steel wire is arranged on the back of the front end of the fixing rod.
  • the doctor can thread the steel wire before taking out the bone holding forceps, and the previous two operation steps ( The femur is fixed with the femur and the wire rope is wound around) and completed in one step, which simplifies the operation process, shortens the operation time and reduces the pain of the patient.
  • Figure 1 is a schematic diagram of the structure of the inner casing.
  • a wire-guided bone holding forceps includes a fixed rod 1 and a movable rod 2 slidably arranged on the inner side of the fixed rod 1 .
  • the fixed rod 1 is provided with a chute
  • the movable rod 2 is provided with a slider matched with the chute.
  • a screw 3 is threadedly connected to the tail of the fixed rod 1 , and the head of the screw 3 is rotatably connected to the tail of the movable rod 2 .
  • a handle 31 is fixed at the tail of the screw 3 . The screw 3 is rotated by the handle 31 to make the movable rod 2 move forward or retreat.
  • the front end of the fixing rod 2 has a hook-shaped first clamping portion 11 .
  • the front end of the movable rod 2 has a second clamping portion 21 facing the first clamping portion 11 .
  • the first clamping part 11 and the second clamping part 12 are in a closed state for clamping and fixing the femur.
  • the first clamping portion 11 and the second clamping portion 21 have serrated structures, which are intended to prevent slippage and to clamp the femur more stably.
  • the back side of the front end of the fixing rod 2 is fixed with a hollow tube 12 for passing the wire.
  • the hollow tube 12 is arc-shaped, and fits with the back of the hook head of the fixing rod 2, which is conducive to the threading of the steel wire.
  • the hole diameter of the hollow tube 12 is 3 mm.
  • the steel wire is passed through the hollow tube 12 . Hold the head end of the steel wire, then take out the bone holding forceps, the tail end of the steel wire slides out of the hollow tube, and then use the wire forceps to tighten the two ends of the steel wire together to complete the binding and fixation of the femur.
  • the side surface of the hollow tube 12 close to the head of the fixing rod 1 is provided with a notch through which the steel wire can slide out.
  • the steel wire can be slipped out from the hollow tube 12 when the rongeur is fixed, and the femur is now bundled and fixed with the wire, and then the rongeur is removed to prevent the loss of the reduction effect of the fracture.

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Ophthalmology & Optometry (AREA)
  • Surgical Instruments (AREA)

Abstract

Bone holding forceps having a steel wire guide. The bone holding forceps comprise a fixing rod (1) and a movable rod (2). The front end of the fixing rod (1) has a first clamping part (11) having a hook; the front end of the movable rod (2) has a second clamping part (21) facing the first clamping part (11); the first clamping part (11) and the second clamping part (21) are encircled to clamp and fix a thigh bone; a hollow tube (12) where a steel wire may penetrate through is fixed on the back side of the front end of the fixing rod (1). The hollow tube (12) where a steel wire may penetrate through is provided on the back of the front end of the fixing rod (1), and in virtue of the hollow tube (12), a doctor can complete penetrating of the steel wire before the bone holding forceps are taken out, so that two operation steps before (fixing the thigh bone by the bone holding forceps and winding a steel wire rope) can be completed in one step, an operation process is simplified, the operation time is shortened, and the pain of patients is alleviated.

Description

一种带钢丝引导的持骨钳A kind of bone holding forceps with wire guide 技术领域technical field

本发明涉及一种对股骨进行固定的持骨钳,属于医疗器械技术领域。The invention relates to a bone holding forceps for fixing a femur, and belongs to the technical field of medical devices.

背景技术Background technique

骨折是骨科最常见的疾病之一。在骨折切开复位固定手术中,经常用持骨钳等器械夹持骨折两断端进行复位,然后用内固定材料进行固定,对于股骨骨折则往往需要使用钢丝再进行捆扎固定。Fractures are one of the most common diseases in orthopedics. In open reduction and fixation of fractures, the two broken ends of the fracture are often clamped with a forceps and other instruments for reduction, and then fixed with internal fixation materials.

目前手术中,穿钢丝在取出持骨钳后进行,穿钢丝的过程一般全手动操作,没有辅助工具。一方面,该操作过程中可能出现骨折复位效果丢失,需要重新复位;另一方面,由于没有辅助工具,穿设钢丝不够快捷,延长了手术时间并且给病人带来痛苦。In the current operation, wire threading is performed after removing the rongeur, and the process of threading the wire is generally performed manually without auxiliary tools. On the one hand, the fracture reduction effect may be lost during this operation, requiring re-reduction; on the other hand, due to the lack of auxiliary tools, the insertion of the wire is not fast enough, which prolongs the operation time and brings pain to the patient.

技术问题technical problem

本发明的目的在于克服上述背景技术中的缺陷,提供一种带钢丝引导的持骨钳,有利于手术中钢丝绳的穿设,缩短了手术时间。The purpose of the present invention is to overcome the above-mentioned defects in the background technology, and to provide a bone holding forceps guided by a wire, which is beneficial to the threading of the wire rope during the operation and shortens the operation time.

技术解决方案technical solutions

为实现上述目的,本发明提供如下技术方案:一种带钢丝引导的持骨钳,其特征在于所述持骨钳包括:固定杆和活动杆,所述固定杆的前端具有一呈钩状的第一夹持部,所述活动杆的前端具有朝向所述第一夹持部的第二夹持部,所述第一夹持部和第二夹持部呈合围状态用于对股骨进行夹持固定;所述固定杆前端的背侧固定有用于穿设钢丝的中空管。In order to achieve the above purpose, the present invention provides the following technical solution: a rongeur guided by a wire, characterized in that the rongeur includes a fixed rod and a movable rod, and the front end of the fixed rod has a hook-shaped a first clamping part, the front end of the movable rod has a second clamping part facing the first clamping part, the first clamping part and the second clamping part are in a closed state for clamping the femur Hold and fix; the back side of the front end of the fixing rod is fixed with a hollow tube for threading the steel wire.

有益效果beneficial effect

本发明在固定杆前端的背部设置有用于穿设钢丝的中空管,借助该中空管,使得医生能够在取出持骨钳之前便可进行钢丝的穿设,将以往的两个手术步骤(持骨钳固定股骨和绕设钢丝绳)和在一个步骤中完成,简化了手术过程,缩短了手术时间,减少病人的痛苦。In the present invention, a hollow tube for threading a steel wire is arranged on the back of the front end of the fixing rod. With the help of the hollow tube, the doctor can thread the steel wire before taking out the bone holding forceps, and the previous two operation steps ( The femur is fixed with the femur and the wire rope is wound around) and completed in one step, which simplifies the operation process, shortens the operation time and reduces the pain of the patient.

附图说明Description of drawings

图1为内套管结构示意图。Figure 1 is a schematic diagram of the structure of the inner casing.

图中标号示意如下:1-固定杆;11-第一夹持部;12-中空管;2-活动杆;21-第二夹持部;22-滑块;3-螺杆;31-旋柄。The symbols in the figure are as follows: 1-fixed rod; 11-first clamping part; 12-hollow tube; 2-movable rod; 21-second clamping part; 22-slider; 3-screw; 31-spin handle.

本发明的最佳实施方式BEST MODE FOR CARRYING OUT THE INVENTION

下面结合附图和具体实施例对本发明做进一步说明。The present invention will be further described below with reference to the accompanying drawings and specific embodiments.

如图1所示,为本实施例一种带钢丝引导的持骨钳,包括:固定杆1和滑动设置于固定杆1的内侧的活动杆2。本实施例中,固定杆1设置有滑槽,活动杆2设置有与该滑槽配合的滑块。固定杆1的尾部螺纹连接一螺杆3,螺杆3的头部与活动杆2的尾部转动连接。螺杆3的尾部固定有旋柄31。通过旋柄31转动螺杆3,使活动杆2向前移动或退回。As shown in FIG. 1 , a wire-guided bone holding forceps according to the present embodiment includes a fixed rod 1 and a movable rod 2 slidably arranged on the inner side of the fixed rod 1 . In this embodiment, the fixed rod 1 is provided with a chute, and the movable rod 2 is provided with a slider matched with the chute. A screw 3 is threadedly connected to the tail of the fixed rod 1 , and the head of the screw 3 is rotatably connected to the tail of the movable rod 2 . A handle 31 is fixed at the tail of the screw 3 . The screw 3 is rotated by the handle 31 to make the movable rod 2 move forward or retreat.

固定杆2的前端具有一呈钩状的第一夹持部11。活动杆2的前端具有朝向第一夹持部11的第二夹持部21。第一夹持部11和第二夹持部12呈合围状态用于对股骨进行夹持固定。如图1所示,第一夹持部11和第二夹持部21具有锯齿结构,其目的在于防止打滑,可以更稳固地夹持股骨。The front end of the fixing rod 2 has a hook-shaped first clamping portion 11 . The front end of the movable rod 2 has a second clamping portion 21 facing the first clamping portion 11 . The first clamping part 11 and the second clamping part 12 are in a closed state for clamping and fixing the femur. As shown in FIG. 1 , the first clamping portion 11 and the second clamping portion 21 have serrated structures, which are intended to prevent slippage and to clamp the femur more stably.

固定杆2前端的背侧固定有用于穿设钢丝的中空管12。中空管12呈弧形,与固定杆2的勾头背部贴合,有利于钢丝穿设。本例中,中空管12的孔径为3mm。The back side of the front end of the fixing rod 2 is fixed with a hollow tube 12 for passing the wire. The hollow tube 12 is arc-shaped, and fits with the back of the hook head of the fixing rod 2, which is conducive to the threading of the steel wire. In this example, the hole diameter of the hollow tube 12 is 3 mm.

手术时,利用持骨钳对股骨进行复位固定后,将钢丝穿过中空管12。拿住钢丝的头端,然后取出持骨钳,钢丝的尾端从中空管滑出,组后利用钢丝钳将钢丝两端拧紧在一起,进而完成对股骨的捆绑固定。During the operation, after the femur is reduced and fixed with bone tongs, the steel wire is passed through the hollow tube 12 . Hold the head end of the steel wire, then take out the bone holding forceps, the tail end of the steel wire slides out of the hollow tube, and then use the wire forceps to tighten the two ends of the steel wire together to complete the binding and fixation of the femur.

作为一种优选方案,中空管12靠近固定杆1头部的侧面设置有可供钢丝滑出的豁口。这样可以在持骨钳固定状态时,将钢丝从中空管12滑出,现对股骨进行钢丝捆绑固定,然后再撤走持骨钳,防止骨折复位效果丢失。As a preferred solution, the side surface of the hollow tube 12 close to the head of the fixing rod 1 is provided with a notch through which the steel wire can slide out. In this way, the steel wire can be slipped out from the hollow tube 12 when the rongeur is fixed, and the femur is now bundled and fixed with the wire, and then the rongeur is removed to prevent the loss of the reduction effect of the fracture.

除上述实施例外,本发明还可以有其他实施方式。凡采用等同替换或等效变换形成的技术方案,均落在本发明要求的保护范围。In addition to the above-described embodiments, the present invention may also have other embodiments. All technical solutions formed by equivalent replacement or equivalent transformation fall within the protection scope of the present invention.

Claims (6)

一种带钢丝引导的持骨钳,其特征在于,所述持骨钳包括:固定杆(1)和活动杆(2),所述固定杆(2)的前端具有一呈钩状的第一夹持部(11),所述活动杆(2)的前端具有朝向所述第一夹持部(11)的第二夹持部(21),所述第一夹持部(11)和第二夹持部(21)呈合围状态用于对股骨进行夹持固定;所述固定杆(2)前端的背侧固定有用于穿设钢丝的中空管(12)。A bone holding rongeur guided by a wire, characterized in that the bone holding forceps comprises: a fixed rod (1) and a movable rod (2), and the front end of the fixed rod (2) has a hook-shaped first A clamping part (11), the front end of the movable rod (2) has a second clamping part (21) facing the first clamping part (11), the first clamping part (11) and the first clamping part (11) The two clamping parts (21) are in a closed state and are used for clamping and fixing the femur; a hollow tube (12) for threading a steel wire is fixed on the back side of the front end of the fixing rod (2). 根据权利要求1所述的带钢丝引导的持骨钳,其特征在于:所述活动杆(2)滑动设置于固定杆(1)的内侧。The bone holding forceps with wire guide according to claim 1, characterized in that: the movable rod (2) is slidably arranged on the inner side of the fixed rod (1). 根据权利要求2所述的带钢丝引导的持骨钳,其特征在于:所述固定杆(1)设置有滑槽,活动杆(2)设置有与该滑槽配合的滑块(22)。The bone holding forceps with wire guide according to claim 2, characterized in that: the fixed rod (1) is provided with a chute, and the movable rod (2) is provided with a slider (22) matched with the chute. 根据权利要求3所述的带钢丝引导的持骨钳,其特征在于:所述固定杆(1)的尾部螺纹连接一螺杆(3),所述螺杆(3)的头部与活动杆(2)的尾部转动连接。The bone holding forceps with wire guide according to claim 3, characterized in that: the tail of the fixed rod (1) is threadedly connected with a screw (3), and the head of the screw (3) is connected to the movable rod (2). ) at the end of the rotating connection. 根据权利要求1所述的带钢丝引导的持骨钳,其特征在于:所述螺杆(3)的尾部固定有旋柄(31)。The bone holding forceps with wire guide according to claim 1, characterized in that: a rotating handle (31) is fixed at the tail of the screw rod (3). 根据权利要求1所述的带钢丝引导的持骨钳,其特征在于:所述中空管(12)靠近固定杆(1)头部的侧面设置有供钢丝滑出的豁口。The bone holding forceps guided by a wire according to claim 1, characterized in that: the side surface of the hollow tube (12) close to the head of the fixing rod (1) is provided with a notch for the wire to slide out.
PCT/CN2020/102640 2020-07-17 2020-07-17 Bone holding forceps having steel wire guide Ceased WO2022011673A1 (en)

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PCT/CN2020/102640 WO2022011673A1 (en) 2020-07-17 2020-07-17 Bone holding forceps having steel wire guide

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Application Number Priority Date Filing Date Title
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN117503313A (en) * 2023-12-04 2024-02-06 季丰琨 Orthopedic reduction forceps

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8080045B2 (en) * 2008-04-08 2011-12-20 Wotton Iii Harold M Bone clamp
CN203802551U (en) * 2014-04-09 2014-09-03 江苏澳格姆生物科技有限公司 Detachable gun-type fracture repositor
CN203915040U (en) * 2014-03-13 2014-11-05 苏州大学附属第二医院 Fracture cerclage pincerse
CN204890143U (en) * 2015-08-20 2015-12-23 李西成 Bone surgery pincers that lead
JP2019013485A (en) * 2017-07-07 2019-01-31 哲也 新井 Bone reduction forceps
CN209864000U (en) * 2018-11-09 2019-12-31 新疆医科大学第一附属医院 Bone fixer for orthopedics
CN209966505U (en) * 2019-02-28 2020-01-21 合肥市第二人民医院 Auxiliary clamp for fixing tension belt
CN210009120U (en) * 2019-05-15 2020-02-04 吉林大学第一医院 A medical threading forceps

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8080045B2 (en) * 2008-04-08 2011-12-20 Wotton Iii Harold M Bone clamp
CN203915040U (en) * 2014-03-13 2014-11-05 苏州大学附属第二医院 Fracture cerclage pincerse
CN203802551U (en) * 2014-04-09 2014-09-03 江苏澳格姆生物科技有限公司 Detachable gun-type fracture repositor
CN204890143U (en) * 2015-08-20 2015-12-23 李西成 Bone surgery pincers that lead
JP2019013485A (en) * 2017-07-07 2019-01-31 哲也 新井 Bone reduction forceps
CN209864000U (en) * 2018-11-09 2019-12-31 新疆医科大学第一附属医院 Bone fixer for orthopedics
CN209966505U (en) * 2019-02-28 2020-01-21 合肥市第二人民医院 Auxiliary clamp for fixing tension belt
CN210009120U (en) * 2019-05-15 2020-02-04 吉林大学第一医院 A medical threading forceps

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN117503313A (en) * 2023-12-04 2024-02-06 季丰琨 Orthopedic reduction forceps

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