CN111084644B - Suture-free labrum repairing rivet and labrum repairing method - Google Patents
Suture-free labrum repairing rivet and labrum repairing method Download PDFInfo
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- XEEYBQQBJWHFJM-UHFFFAOYSA-N Iron Chemical compound [Fe] XEEYBQQBJWHFJM-UHFFFAOYSA-N 0.000 claims description 18
- 229910052742 iron Inorganic materials 0.000 claims description 9
- 230000000149 penetrating effect Effects 0.000 claims description 2
- 241001653121 Glenoides Species 0.000 claims 1
- 230000035515 penetration Effects 0.000 claims 1
- 210000000988 bone and bone Anatomy 0.000 abstract description 5
- 210000002414 leg Anatomy 0.000 description 22
- 238000001356 surgical procedure Methods 0.000 description 5
- 238000010586 diagram Methods 0.000 description 3
- 230000000694 effects Effects 0.000 description 2
- 238000012966 insertion method Methods 0.000 description 2
- 210000004394 hip joint Anatomy 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 210000000323 shoulder joint Anatomy 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B17/0642—Surgical staples, i.e. penetrating the tissue for bones, e.g. for osteosynthesis or connecting tendon to bone
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0408—Rivets
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Abstract
Description
技术领域Technical field
本发明涉及医用设备技术领域,尤其涉及一种免缝合盂唇修补铆钉及盂唇修补方法。The present invention relates to the technical field of medical equipment, and in particular to a suture-free labrum repair rivet and a labrum repair method.
背景技术Background technique
人体的肩关节和髋关节都有盂唇,盂唇一旦发生损伤,就很难自愈。要借助铆钉缝合固定的方式来帮助其修复和愈合。而常规的铆钉通常需要通过打结的方式对盂唇进行固定,这对于刚接触这类手术的医师来说难度太高,因此我们需要设计一种操作简便的专用于修复盂唇的铆钉,在操作过程中尽可能简单的对盂唇进行修复。Both the shoulder and hip joints of the human body have labrums. Once the labrum is damaged, it is difficult to heal itself. Use rivets and sutures to help repair and heal. Conventional rivets usually need to be knotted to fix the labrum, which is too difficult for doctors who are new to this type of surgery. Therefore, we need to design an easy-to-operate rivet dedicated to repairing the labrum. Repair the labrum as easily as possible during the operation.
发明内容Contents of the invention
本发明的目的在于提出一种盂唇固定方式简单,从而大大降低盂唇修补难度的免缝合盂唇修补铆钉及盂唇修补方法。The purpose of the present invention is to propose a suture-free labrum repair rivet and a method for labrum repair that have a simple fixation method for the labrum and thereby greatly reduce the difficulty of labrum repair.
为达到上述目的,本发明提出一种免缝合盂唇修补铆钉,包括盂唇部、铆钉部和夹持器;In order to achieve the above object, the present invention proposes a suture-free labral repair rivet, which includes a labrum part, a rivet part and a holder;
其中,所述盂唇部包括固定部和穿刺部;所述穿刺部为针尖状;所述穿刺部的尾端设有两个相对且平行设置的支脚;所述固定部为一个长方体方块,所述固定部通过轴承架设于两个所述支脚之间;Wherein, the labrum part includes a fixing part and a puncture part; the puncture part is in the shape of a needle; the tail end of the puncture part is provided with two opposite and parallel legs; the fixing part is a rectangular parallelepiped block, so The fixed part is installed between the two legs through bearings;
所述固定部与所述铆钉部之间设有一根线缆;A cable is provided between the fixing part and the rivet part;
所述夹持器包括两个搭接脚,通过两个所述搭接脚分别搭接于两个所述支脚的外表面,实现所述夹持器夹持于所述穿刺部表面。The holder includes two overlapping legs. By overlapping the two overlapping legs on the outer surfaces of the two legs respectively, the holder is clamped on the surface of the puncture part.
优选的,所述铆钉部为一根空心铆钉;所述空心铆钉的内部的预设有贯穿所述铆钉上下端面的通孔。Preferably, the rivet part is a hollow rivet; a through hole is preset inside the hollow rivet and penetrates the upper and lower end surfaces of the rivet.
优选的,所述夹持器穿过所述通孔夹持住两个所述支脚。Preferably, the holder passes through the through hole to hold the two legs.
优选的,所述铆钉部的尾端可拆卸连接有一个铆钉抓持器。Preferably, a rivet gripper is detachably connected to the rear end of the rivet part.
优选的,所述夹持器为两根铁丝;两根所述铁丝的首端均为钩状结构的搭接脚;Preferably, the holder is two iron wires; the first ends of the two iron wires are overlapping legs with a hook-like structure;
两个所述支脚的外表面均设有C字型凹槽;两根所述铁丝通过将所述搭接脚搭接于所述C字型凹槽内,实现所述夹持器可拆卸夹持于所述穿刺部表面。The outer surfaces of the two legs are provided with C-shaped grooves; the two iron wires overlap the overlapping legs in the C-shaped grooves to realize the detachable clamping of the holder. Hold on the surface of the puncture part.
本发明还提出一种盂唇修补方法,包括以下步骤:The invention also proposes a method for repairing the labrum, which includes the following steps:
步骤1:收紧夹持器,保持穿刺部与固定部一直线设置;Step 1: Tighten the holder and keep the puncture part and the fixed part in a straight line;
步骤2:利用所述夹持器推进盂唇部,使得所述穿刺部穿过盂唇,并且所述固定部的尾端预留于盂唇内;Step 2: Use the holder to advance the labrum so that the puncture part passes through the labrum and the tail end of the fixing part is reserved within the labrum;
步骤3:放松所述夹持器,利用所述夹持器调节所述穿刺部与所述固定部呈垂直设置;Step 3: Loosen the holder, and use the holder to adjust the puncture part and the fixing part to be vertically arranged;
步骤4:取出所述夹持器;Step 4: Take out the holder;
步骤5:利用钻头在盂唇周围的骨头上钻孔;Step 5: Use a drill to drill holes in the bone around the labrum;
步骤6:将所述铆钉部固定于钻孔的孔洞内,利用线缆的牵引作用固定盂唇在指定位置。Step 6: Fix the rivet part in the drilled hole, and use the traction effect of the cable to fix the labrum at the designated position.
与现有技术相比,本发明的优势之处在于:通过本发明的盂唇修补铆钉对盂唇进行修补,无需进行传统的打结的方式,盂唇部在刺入盂唇后,通过夹持器简单的调节穿刺部和固定部的位置,即可很简便的实现对盂唇部的固定。再利用传统的置入方式将铆钉部置入盂唇对应的骨头内,即可实现盂唇与关节部位的定位,帮助盂唇进行修复和愈合;固定过程中无需传统的打结的方式,大大减低了固定难度,便于刚刚接触这类手术的医生上手,提高手术的成功率。Compared with the prior art, the advantage of the present invention is that the labrum is repaired by the labrum repair rivet of the present invention, without the need for traditional knotting. After the labrum is pierced into the labrum, it is clamped The holder can simply adjust the positions of the puncture part and the fixation part to easily fix the labrum. Then use the traditional insertion method to place the rivet part into the bone corresponding to the labrum, which can realize the positioning of the labrum and the joint part, helping the labrum to repair and heal; no traditional knotting method is needed during the fixation process, which greatly improves the stability of the labrum. The difficulty of fixation is reduced, making it easier for doctors who are new to this type of surgery to get started and improving the success rate of the surgery.
附图说明Description of drawings
图1中,a为本发明实施例中盂唇部穿刺状态主视图;b为本发明实施例中盂唇部固定状态主视图;In Figure 1, a is a front view of the labrum in a puncture state according to the embodiment of the present invention; b is a front view of the labrum in a fixed state according to the embodiment of the present invention;
图2中,a为本发明实施例中盂唇部穿刺状态侧视图;b为本发明实施例中盂唇部固定状态侧视图;In Figure 2, a is a side view of the labrum in a punctured state according to the embodiment of the present invention; b is a side view of the labrum in a fixed state according to the embodiment of the present invention;
图3为本发明实施例中免缝合盂唇修补铆钉的整体结构示意图;Figure 3 is a schematic diagram of the overall structure of a suture-free labral repair rivet in an embodiment of the present invention;
图4为本发明实施例中免缝合盂唇修补铆钉的工作流程示意图;Figure 4 is a schematic diagram of the work flow of suture-free labral repair rivets in an embodiment of the present invention;
图5为本发明实施例中免缝合盂唇修补铆钉将盂唇固定的流程示意图;Figure 5 is a schematic flow chart of fixing the labrum with suture-free labral repair rivets in an embodiment of the present invention;
图6为本发明实施例中夹持器与铆钉的可拆卸连接示意图。Figure 6 is a schematic diagram of the detachable connection between the clamp and the rivet in the embodiment of the present invention.
具体实施方式Detailed ways
为使本发明的目的、技术方案和优点更加清楚,下面将对本发明的技术方案作进一步地说明。In order to make the purpose, technical solutions and advantages of the present invention clearer, the technical solutions of the present invention will be further described below.
本发明提出一种免缝合盂唇修补铆钉,包括盂唇部、铆钉部3和夹持器5;The present invention proposes a suture-free labral repair rivet, which includes a labrum part, a rivet part 3 and a holder 5;
其中,如图1和图2所示,盂唇部包括固定部1和穿刺部2;穿刺部2为针尖状;穿刺部2的尾端设有两个相对且平行设置的支脚;固定部1为一个长方体方块,固定部1通过轴承架设于两个支脚之间;固定部1与铆钉部3之间设有一根线缆4;夹持器5包括两个搭接脚,通过两个搭接脚分别搭接于两个支脚的外表面,实现夹持器5夹持于穿刺部2表面。Among them, as shown in Figures 1 and 2, the labrum includes a fixed part 1 and a puncture part 2; the puncture part 2 is needle-shaped; the tail end of the puncture part 2 is provided with two opposite and parallel legs; the fixed part 1 It is a rectangular parallelepiped block, and the fixed part 1 is set up between the two legs through bearings; a cable 4 is provided between the fixed part 1 and the rivet part 3; the holder 5 includes two overlapping legs, which are connected through two overlapping legs. The legs are respectively overlapped with the outer surfaces of the two legs, so that the holder 5 is clamped on the surface of the puncture part 2 .
在本实施例中,通过本发明的盂唇修补铆钉对盂唇进行修补,无需进行传统的打结的方式,盂唇部在刺入盂唇后,通过夹持器5简单的调节穿刺部2和固定部1的位置,即可很简便的实现对盂唇部的固定;再利用传统的置入方式将铆钉部3置入盂唇对应的骨头内,即可实现盂唇与关节部位的定位,帮助盂唇进行修复和愈合;固定过程中无需传统的打结的方式,大大减低了固定难度,便于刚刚接触这类手术的医生上手,提高手术的成功率。In this embodiment, the labrum repair rivet of the present invention is used to repair the labrum without the need for traditional knotting. After the labrum is pierced into the labrum, the puncture part 2 is simply adjusted by the holder 5 and the position of the fixing part 1, the fixation of the labrum can be easily achieved; and then the rivet part 3 is inserted into the bone corresponding to the labrum using the traditional insertion method, so that the positioning of the labrum and the joint part can be achieved , to help the labrum repair and heal; there is no need for traditional knotting during the fixation process, which greatly reduces the difficulty of fixation, making it easier for doctors who are new to this type of surgery to get started and improve the success rate of the surgery.
在本实施例中,如图3所示,铆钉部3为一根空心铆钉;空心铆钉的内部的预设有贯穿铆钉上下端面的通孔,夹持器5穿过通孔夹持住两个支脚,便于在手术过程中合理的布置夹持器5与铆钉部3的位置,同时也便于固定结束后,夹持器5的取出。In this embodiment, as shown in Figure 3, the rivet part 3 is a hollow rivet; the interior of the hollow rivet is preset with a through hole penetrating the upper and lower end surfaces of the rivet, and the holder 5 passes through the through hole to hold two The legs facilitate the reasonable arrangement of the positions of the holder 5 and the rivet part 3 during the operation, and also facilitate the removal of the holder 5 after the fixation is completed.
在本实施例中,铆钉部3的尾端可拆卸连接有一个铆钉抓持器6。In this embodiment, a rivet gripper 6 is detachably connected to the rear end of the rivet portion 3 .
在本实施例中,如图6所示,夹持器5为两根铁丝;两根铁丝的首端均为钩状结构的搭接脚;两个支脚的外表面均设有C字型凹槽;两根铁丝通过将搭接脚搭接于C字型凹槽内,实现夹持器5可拆卸夹持于穿刺部2表面;C字型凹槽的设计,便于夹持器5的取出以及调整固定部1与穿刺部2之间的相对位置关系。In this embodiment, as shown in Figure 6, the holder 5 is made of two iron wires; the first ends of the two iron wires are overlapping legs with a hook-like structure; the outer surfaces of the two legs are provided with C-shaped recesses. groove; the two iron wires overlap the overlapping legs in the C-shaped groove, so that the holder 5 can be detachably clamped on the surface of the puncture part 2; the design of the C-shaped groove facilitates the removal of the holder 5 and adjusting the relative positional relationship between the fixing part 1 and the puncture part 2.
为便于本领域技术人员的了解以及实施,本发明还提出一种盂唇修补方法,如图4和图5所示,包括以下步骤:In order to facilitate the understanding and implementation of those skilled in the art, the present invention also proposes a labral repair method, as shown in Figures 4 and 5, including the following steps:
步骤1:如图4中的a所示,收紧夹持器5,将夹持器5的两个夹角夹持住穿刺部2的两个支脚外表面,从而使得两个支脚夹住中间的固定部1,保持穿刺部2与固定部1一直线设置;Step 1: As shown in a in Figure 4, tighten the clamp 5 and clamp the outer surfaces of the two legs of the puncture part 2 at the two angles of the clamp 5, so that the two legs are sandwiched in the middle The fixing part 1 keeps the puncture part 2 and the fixing part 1 arranged in a straight line;
步骤2:如图5中的a所示,利用夹持器5推进盂唇部,使得穿刺部2穿过盂唇,并且固定部1的尾端预留于盂唇内;Step 2: As shown in a in Figure 5, use the holder 5 to advance the labrum so that the puncture part 2 passes through the labrum, and the tail end of the fixed part 1 is reserved in the labrum;
步骤3:如图4中的b放松夹持器5,利用夹持器5调节穿刺部2与固定部1呈垂直设置;其中,调节方式为:如图6所示,利用支脚外表面C字型凹槽的设计,在穿刺部2刺入盂唇后,松开夹持器5,使得固定部1和穿部位的位置实现可调,同时继续推进夹持器5,利用C字型凹槽的特殊结构设计再配合与体内组织间的摩擦,在推进过程中实现穿刺部2的换向,使得穿刺部2与固定部1之间实现90度位置的固定。Step 3: Loosen the holder 5 as shown in b in Figure 4, and use the holder 5 to adjust the puncture part 2 and the fixed part 1 to be vertically arranged; the adjustment method is: as shown in Figure 6, use the C-shaped outer surface of the leg The design of the C-shaped groove allows the holder 5 to be released after the puncture part 2 penetrates the labrum, so that the positions of the fixed part 1 and the puncture part can be adjusted. At the same time, the holder 5 continues to be pushed forward to use the C-shaped groove. The special structural design cooperates with the friction between the body tissue and the body to realize the reversal of the puncture part 2 during the advancement process, so that the puncture part 2 and the fixing part 1 can be fixed at a 90-degree position.
步骤4:如图4中的c和图5中的b所示,取出夹持器5;夹持器5的取出方式为:当穿刺部2与固定部1之间实现90度位置固定后,C字型凹槽的缺口正好处于夹持器5的前进方向,此时,继续推进夹持器5,使得夹持器5的夹角从C字型凹槽内划出,然后将夹持器5从铆钉部3的通孔内拔出。Step 4: As shown in c in Figure 4 and b in Figure 5, take out the holder 5; the way to take out the holder 5 is: after the 90-degree position is fixed between the puncture part 2 and the fixing part 1, The notch of the C-shaped groove is just in the forward direction of the holder 5. At this time, continue to advance the holder 5 so that the angle of the holder 5 is drawn out of the C-shaped groove, and then move the holder 5 5. Pull it out from the through hole of the rivet part 3.
步骤5:如图4中的d所示,利用钻头在盂唇周围的骨头上钻孔;Step 5: As shown in d in Figure 4, use a drill to drill holes in the bone around the labrum;
步骤6:如图4中的e、图5中的c和图5中的d所示,将铆钉部3固定于钻孔的孔洞内,利用线缆4的牵引作用固定盂唇在指定位置,取下铆钉抓持器6。Step 6: As shown in e in Figure 4, c in Figure 5, and d in Figure 5, fix the rivet part 3 in the drilled hole, and use the traction effect of the cable 4 to fix the labrum at the designated position. Remove rivet holder 6.
需要指出的是,术者可以利用多根修补铆钉对一个盂唇进行修补,从而保证盂唇固定的牢固。It should be pointed out that the surgeon can use multiple repair rivets to repair one labrum to ensure that the labrum is firmly fixed.
上述仅为本发明的优选实施例而已,并不对本发明起到任何限制作用。任何所属技术领域的技术人员,在不脱离本发明的技术方案的范围内,对本发明揭露的技术方案和技术内容做任何形式的等同替换或修改等变动,均属未脱离本发明的技术方案的内容,仍属于本发明的保护范围之内。The above are only preferred embodiments of the present invention and do not limit the present invention in any way. Any person skilled in the technical field who makes any form of equivalent substitution or modification to the technical solutions and technical contents disclosed in the present invention shall not deviate from the technical solutions of the present invention. The contents still fall within the protection scope of the present invention.
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| CN107303189A (en) * | 2016-04-20 | 2017-10-31 | 美多斯国际有限公司 | Meniscal repair devices, systems and methods |
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| CN211381545U (en) * | 2019-11-01 | 2020-09-01 | 上海市第六人民医院 | A suture-free labral repair rivet |
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