1. Field of the Invention
The present invention relates to a device for bone plate. In particular, the present invention is an assisted positioning device for bone plate which can reduce the size of patient's incision and shorten healing time after surgery.
2. Prior Art
When having a traffic accident or falling down, human skins and bones are often hit by impact force directly. If it's minor, people would only have flesh wounds, but if it's serious, people would have a break in bones which is known as “bone fracture”. Besides wearing the traditional plasters cast or splints, the most common way to deal with the fracture is to use bone screw and bone plate to fix it through surgery. But the surgical equipment is too heavy, expensive, and complicated to operate. It not only wastes the medical sources but also raises the risk because of the long surgery time.
Therefore, it's meaningful to think how to reduce the incision size during bone fracture surgery, shorten the healing time and have precisely positioning capabilities.
One aspect of the present invention is to provide an assisted positioning device for bone plate which can reduce the size of incision, shorten healing time and have precisely positioning capabilities.
In order to achieve this aim, the present invention includes an assisted positioning device for bone plate comprising:
According to one embodiment of the present invention, said first positioning slot further includes a central slot and at least one spacing hole, and said first positioning component further includes at least one positioning convex which can be inserted respectively into corresponding spacing holes of the first positioning slot.
According to one embodiment of the present invention, said second positioning slot further includes a central slot and at least one spacing hole, and said second positioning component further includes at least one positioning convex which can be inserted respectively into corresponding spacing holes of the second positioning slot.
According to one embodiment of the present invention, the interior surfaces of said first and second positioning slot all configure screw threads, and the exterior surfaces of one end portion of the first positioning slot which can be combined with said first positioning component configure screw threads and the exterior surfaces of said first end portion of the second positioning component configure screw threads.
The present invention relates to an assisted positioning device for bone plate comprising a bone plate and two positioning component sets. To operate it with X-rays, the design of the bone plate will let the bone plate be positioned with bone accurately without larger incisions as before.
As shown in
In another embodiment of present invention, the collocation of the first positioning component and the first positioning slot could be another form, and please refer to
The relative position of the first positioning pin 74 and bone 61 are confirmed when we insert the first positioning pin 74 into the bone 61. Then we separate the first positioning component 70 from the first positioning slot 51. We can move the bone plate 50 when the first positioning pin 74 is moved out of the first through slot 71. As the result of the size of gap 515 of the first positioning slot 51 on bone plate 50 is designed to be bigger than the first positioning pin 74, when we move the bone plate 50, the first positioning pin 74, whose position is already confirmed can pass through the gap 515 and the first positioning pin 74 is separated from the bone plate 50. After the first positioning pin 74 is separated from the bone plate 50, paramedics can cut a incision 62 on patient's arm 60 and insert the bone plate 50 into the arm 60 through this incision 62. Because of the first positioning pin 74 being inserted into the bone 61, when we insert the bone plate 50 into the arm 60, we should move the bone plate 50 until the first positioning pin 74 pass through the gap 515 and the first positioning pin 74 is inserted into the first positioning slot 51 again. Then we use the x-rays to confirm whether the position of the bone plate 50 and the first positioning pin 74 are correct or not. After that we can announce one end portion of the bone plate 50 and bone 61 are accurately positioned preliminary.
After we finish positioning one end portion of the bone plate 50 and bone 61, it will need to position the other end portion of the bone plate 50 and bone 61. The relative position of bone plate 50 and bone 61 won't be changed when two end portions of the bone plate are all positioned completely. We need to notice that the distance between first positioning pin 74 and central point of incision 62 is the same as the length of bone plate 50. Then we will make it more convenient to position one end portion of bone plate 50 and bone 61. After confirming the positioning spot, a second positioning component 80 will be combined with a second positioning slot 52 as a integration. A second positioning component 80 comprises a first end portion 81, a second end portion 82 and a second through slot 83 in central site for connecting the first 81 and second 82 end portions, which allows a second positioning pin (Kirschner pin) 84 inside the second through slot 83 to move. And when the first end portion 81 is combined with the second positioning slot 52, it can let the second positioning pin 84 penetrate the second through slot 83 and the second positioning slot 52. The size of second end portion 82 of the second positioning component 80 is smaller than the second positioning slot 52. Because of the exterior surface of first end portion 81 of second positioning component 80 and the interior surface of second positioning slot 52 all configure screw threads, when them are combined as a integration, the structure is stable that it won't loose easily when hit by external force.(The second positioning component 80 and the second positioning slot 52 can each have the same structure as said the first positioning component 70 and the first positioning slot 51. As the combination structure type of the first spacing hole 512 and the first positioning convex 72, according to present invention there is no limit whether the second positioning component 80 needs the same structure or not.) When the second positioning component 80 is combined with the second positioning slot 52 as a integration, we can let the second positioning pin (Kirschner pin) 84 pass through the second through slot 83 of the second positioning component 80 and the second positioning slot 52, and then the second positioning pin 84 is inserted into the bone 61 by rotating to finish positioning the bone plate 50 and the two sides of bone 61.
When we finish positioning two sides of bone plate 50 and bone 61, we can do next step of surgery by using another bone plate 50′(The size and appearance is totally the same as bone plate 50). Because of the size of second end portion 82 of the second positioning component 80 is smaller than the second positioning slot 52, we can easily insert the second end portion 82 of the second positioning component 80 into the second positioning slot(not shown in Fig.) of the bone plate 50′. And the first positioning slot(not shown in Fig.) of the bone plate 50′ also can be inserted into the first positioning pin 74 through its gap(not shown in Fig.), and then we can combine the first positioning component 70 with the first positioning slot(not shown in Fig.) of the bone plate 50′ for avoiding the movement of bone plate 50′. At this time, the bone plate 50 is combined with bone 61 inside patient's arm 60, and the bone plate 50′ is combined with patient's arm 60, and the bone plate 50′ is on the top of patient's arm 60. Viewing from top to down, bone plate 50 and 50′ will be a superposition from up and down, and both the first positioning slot, the second positioning slot and each positioning slots will be overlapped to each other.
After the first and second positioning slots, and each positioning grooves of bone plate 50 and 50′ are overlapping, we can decide which positioning grooves(not shown in Fig.) need to be used according to the position of each positioning grooves of bone plate 50′. When the positioning grooves(not shown in Fig.) which we want to use is confirmed, we can mark some symbols 90 in patient's arm 60 skin corresponding to the positioning grooves(not shown in Fig.) which is used on bone plate 50′, and then we separate one end portion of bone plate 50′ from the first positioning component 70 and the first positioning pin 74, and separate the other end portion from the second positioning component 80. At this time, there are some symbols 90 left on patient's arm 60 skin. Paramedics can cut the patient's arm 60 skin according to those symbols 90, making a small incision until showing the corresponding positioning grooves 53 of bone plate 50. After that, paramedics can combine some bone screws 100 with each corresponding positioning grooves 53 through those small incisions which are corresponding to each symbols 90, and the bone screws pass through each positioning grooves 53 and are inserted into bone 61. It can combine the bone plate 50 with bone 61 strongly by the bone screws 100 to assemble the fractured bone 61. The interior surfaces of each positioning grooves 53 configure screw threads for increasing the stability of bone screws 100 whose exterior surface configure screw threads. After each bone screws 100 are combined with the corresponding positioning grooves 53 as a integration, paramedics can separate the second positioning component 80 and the first positioning pin 74 from bone plate 50 or bone 61 through the second positioning slot 52 and the first positioning slot 51 respectively, and then stitch the incision 62 and those small incisions to finish the fractured bone surgery.
Using this assisted positioning device for bone plate of present invention in fractured bone surgery can reduce the size of the patient's incisions, and avoid damaging the soft tissue and muscle and shorten healing time after surgery. Because the size of incisions becomes small, the bone fracture surgery will be more acceptable by the patients, and it has two advantages, more beautiful and less painful. Furthermore, the whole bone fracture surgery time will be reduced because the simplification of an assisted positioning device for bone plate of present invention which makes the paramedics do surgery more easily and decrease the surgical expenses, and it can let the medical sources to be use in more important places.
While the foregoing description discloses the preferred embodiments of the present invention in particular detail, it must be understood that numerous modifications, substitutions and changes can be undertaken without departing from the true spirit and scope of the present invention as defined by the ensuing claims. The invention is therefore not limited to specific preferred embodiments as described, but is only limited as defined by the following claims.
Number | Date | Country | Kind |
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099113021 | Apr 2010 | TW | national |