阅读说明：本技术 一种带仓多枚带线钉植入系统 (Multi-wire-nail implantation system with bin ) 是由 高战团 温明哲 付中国 崔毅 庄秀丽 候一雪 于 2019-11-19 设计创作，主要内容包括：本发明公开了一种带仓多枚带线钉植入系统,包括打孔器、推送器和仓式钉枪,所述仓式钉枪包括枪管,其尾部设置有钉仓,其头部设置有定位尖,所述钉仓内设置有多个带线钉,其通过缝线依次连接,所述枪管内设置有钉通道和打孔通道,所述钉通道和/或所述打孔通道的直径范围是1.5-15mm。上述带仓多枚带线钉植入系统将多枚带线钉设置于同一钉枪上,从而方便将多枚带线钉依次植入骨折部位,可以连续钻取钉道和植入带线钉,不需要依次穿缝线,不需要在皮肤上开多个孔,因此可以降低手术难度,降低手术成本,提高手术效率。(The invention discloses a multi-string-nail implanting system with a bin, which comprises a puncher, a pusher and a bin type nail gun, wherein the bin type nail gun comprises a barrel, the tail part of the bin type nail gun is provided with a nail bin, the head part of the bin type nail gun is provided with a positioning tip, a plurality of string-nail nails are arranged in the nail bin and are sequentially connected through stitches, a nail channel and a punching channel are arranged in the barrel, and the diameter range of the nail channel and/or the punching channel is 1.5-15 mm. Above-mentioned many pieces of band wire nails in area storehouse system of implanting sets up many pieces of band wire nails on same nail rifle to conveniently implant many pieces of band wire nails in proper order the fracture position, can bore in succession and get the nail way and implant the band wire nail, need not wear the suture in proper order, need not open a plurality of holes on skin, consequently can reduce the operation degree of difficulty, reduce the operation cost, improve operation efficiency.)

1. The multi-strip-line-nail implantation system with the bin is characterized by comprising a puncher, a pusher and a bin-type nail gun, wherein the bin-type nail gun comprises a barrel, a nail bin is arranged at the tail of the bin-type nail gun, a positioning tip is arranged at the head of the bin-type nail gun, a plurality of strip-line nails are arranged in the nail bin and are sequentially connected through stitches, a nail channel and a punching channel are arranged in the barrel, and the diameter range of the nail channel and/or the punching channel is 1.5-15 mm.

2. The pocketed multiple strip line tack implantation system of claim 1,

the nail channel and the punching channel are the same channel, a nail bin shaft is arranged at the tail part of the gun barrel, the nail bin is a circular bin which is sleeved outside the nail bin shaft, and each wired nail can enter the nail channel when the nail bin rotates around the nail bin shaft in the axial direction.

3. The pocketed multiple strip line tack implantation system of claim 1,

the nail passageway with the passageway that punches is the passageway that mutual independence set up, be provided with mobilizable baffle in the barrel, its outer end with the barrel tail is fixed to be met, the baffle will barrel internal partitioning does the nail passageway with the passageway punches, along with the removal of baffle the nail passageway with the inner aperture of the passageway of punching is variable.

4. The pocketed multiple strip line nail implantation system of claim 3,

the nail bin is fixedly connected with the gun barrel and communicated with the nail channel, the nails with the lines are arranged side by side in the nail bin, and a spring is arranged at the bottom of the nail bin.

5. The pocketed multiple strip line nail implantation system of claim 3,

the nail bin is connected with the gun barrel in a sliding mode and communicated with the nail channel, and all the nails with the threads can enter the nail channel along with the sliding of the nail bin.

6. The pocketed multiple strip line tack implantation system of claim 5,

the nail bin is a square bin and slides up and down along the direction vertical to the gun barrel.

7. The pocketed multiple strip line tack implantation system of claim 5,

the nail bin is a circular bin which is sleeved outside the punching channel, and the nail bin axially rotates around the punching channel.

8. The chambered multiple strip line pin implantation system of any of claims 1-7,

the pusher includes a pusher head and the pusher has a length greater than the barrel.

9. The pocketed multiple strip line tack implantation system of claim 8,

the puncher is a drill bit or a punching punch.

10. The pocketed multiple strip nail implantation system of claim 9,

and a handle is arranged on the outer side of the gun barrel.

Technical Field

The invention relates to the technical field of medical instruments, in particular to a multi-string-nail implantation system with a cabin.

Background

When a joint part of a human body is fractured, soft tissue injury is usually accompanied, and the fracture part is usually subjected to internal fixation in the treatment process and then the injured soft tissue is repaired.

At present, the tissue between bone and soft bone is generally fixed by using a threaded nail, the threaded nail is implanted into a nail channel, and a medical suture is extruded by the interference fit of the threaded nail and the nail channel, so that the stepless fixation is formed. The medical instruments used in cooperation are punch, inserter, suture grasping forceps and arthroscope, wherein the inserter has a suture anchor.

When the suture anchor is used, a first opening is firstly formed in the skin, a puncher is used for punching a nail path on the corresponding position of a bone, and an inserter is used for driving the suture anchor into the nail path with the help of an arthroscope; then, a second opening is formed in the skin at a second position, and a second nail path is formed in the corresponding position of the bone by using the puncher; and pulling out the suture from the second skin opening by using a wire grasping forceps with the help of the arthroscope, penetrating the suture into the hole of the second anchor, driving the second anchor with the wire into the second nail path by using an inserter with the help of the arthroscope, and tensioning the suture of the first anchor in the driving process. The operation process is more complicated and more instruments need to be used repeatedly, and a third anchor and a fourth anchor are implanted respectively.

Disclosure of Invention

The invention aims to provide a multi-wire nail implantation system with a cabin, which can continuously drill a nail path and implant a wire nail.

In order to achieve the purpose, the invention provides a multi-strip-line-nail implantation system with a bin, which comprises a puncher, a pusher and a bin type nail gun, wherein the bin type nail gun comprises a barrel, the tail part of the bin type nail gun is provided with a nail bin, the head part of the bin type nail gun is provided with a positioning tip, a plurality of strip-line nails are arranged in the nail bin and are sequentially connected through stitches, a nail channel and a punching channel are arranged in the barrel, and the diameter range of the nail channel and/or the punching channel is 1.5-15 mm.

Preferably, the nail channel and the punching channel are the same channel, a nail bin shaft is arranged at the tail of the gun barrel, the nail bin is a circular bin which is sleeved outside the nail bin shaft, and each threaded nail can enter the nail channel when the nail bin rotates around the nail bin shaft in the axial direction.

Preferably, the nail channel and the punching channel are mutually independent channels, a movable partition plate is arranged in the barrel, the outer end of the movable partition plate is fixedly connected with the tail of the barrel, the partition plate partitions the interior of the barrel into the nail channel and the punching channel, and the inner apertures of the nail channel and the punching channel are variable along with the movement of the partition plate.

Preferably, the nail bin is fixedly connected with the barrel and communicated with the nail channel, the nails with the threads are arranged in the nail bin side by side, and a spring is arranged at the bottom of the nail bin.

Preferably, the staple cartridge is slidably coupled to the barrel and in communication with the staple channel into which each of the threaded staples may enter as the staple cartridge is slid.

Preferably, the nail bin is a square bin and slides up and down along the direction perpendicular to the gun barrel.

Preferably, the nail bin is a circular bin which is sleeved outside the punching channel, and the nail bin axially rotates around the punching channel.

Preferably, the pusher includes a pusher head and the pusher has a length greater than the barrel.

Preferably, the puncher is a drill bit or a punching punch.

Preferably, a handle is provided on the outside of the barrel.

The invention provides a multiple-wire-strip-nail implantation system with a bin, which comprises a puncher, a pusher and a bin-type nail gun, wherein when fracture, ligament or tendon shedding or fracture occurs, free bones, ligaments or tendons are reset firstly, then the nail gun of the multiple-wire-strip-nail implantation system with the bin is sent to a part needing to be fixed through a cut, a positioning tip of a head of the nail gun is used for fixing the nail gun to avoid sliding, then a nail channel is drilled under the guidance of a punching channel by using a matched puncher, and after the drilling of the nail channel is finished, the pusher is operated to implant each wire strip nail into the nail channel through the nail channel.

The method comprises the steps of fixing a threaded nail and a suture by utilizing interference fit between the threaded nail and a nail channel, then pulling out a pusher, then horizontally moving the head of the nail gun to a second fixed position along a bone surface or a soft tissue surface, implanting a second threaded nail by the same operation, pulling the suture by using a hand during implantation, and tensioning the suture connected between the two threaded nails along with the fact that the threaded nail is implanted into the nail channel so as to realize fixation between a bone block and the bone block or between the soft tissue and the bone.

Wherein, the diameter range of the nail channel and/or the punching channel is 1.5-15mm, and the nail channel and/or the punching channel is suitable for punches and thrusters of different models.

Above-mentioned many pieces of band wire nails in area storehouse system of implanting sets up many pieces of band wire nails on same nail rifle to conveniently implant many pieces of band wire nails in proper order the fracture position, can bore in succession and get the nail way and implant the band wire nail, need not wear the suture in proper order, need not open a plurality of holes on skin, consequently can reduce the operation degree of difficulty, reduce the operation cost, improve operation efficiency.

Drawings

In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, it is obvious that the drawings in the following description are only embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to the provided drawings without creative efforts.

FIG. 1 is a front view of a magazine nailer in accordance with a first embodiment of the present invention;

FIG. 2 is a front view of a pusher in accordance with an embodiment of the present invention;

FIG. 3 is a front view of a magazine nailer in a second embodiment of the present invention;

FIG. 4 is a side view of FIG. 3;

FIG. 5 is a top view of FIG. 3;

FIG. 6 is a front view of a magazine nailer in a third embodiment of the present invention;

FIG. 7 is a side view of FIG. 6;

FIG. 8 is a front view of a magazine nailer in a fourth embodiment of the present invention;

fig. 9 is a side view of fig. 8.

The reference numerals in fig. 1 to 9 are as follows:

the nail gun comprises a nail gun barrel 1, a nail cabin 2, a gun barrel head 3, a gun barrel tail 4, a puncher channel 5, a nail channel 6, a partition plate 7, a positioning tip 8, a thread-carrying nail 9, a suture 10, a spring 11, a nail cabin shaft 13, a pusher body 21 and a pusher head 22.

Detailed Description

The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.

The core of the invention is to provide an implantation system with a plurality of strip-line nails and a bin, which can continuously drill a nail channel and implant the strip-line nails.

Referring to fig. 1-9, fig. 1 is a front view of a magazine type nail gun according to a first embodiment of the present invention; FIG. 2 is a front view of a pusher in accordance with an embodiment of the present invention; FIG. 3 is a front view of a magazine nailer in a second embodiment of the present invention; FIG. 4 is a side view of FIG. 3; FIG. 5 is a top view of FIG. 3; FIG. 6 is a front view of a magazine nailer in a third embodiment of the present invention; FIG. 7 is a side view of FIG. 6; FIG. 8 is a front view of a magazine nailer in a fourth embodiment of the present invention; fig. 9 is a side view of fig. 8.

In one embodiment, the present invention provides a multiple strip line nail implantation system with a magazine, comprising a hole puncher, a pusher, and a magazine nail gun. The puncher can be a drill bit or a punching punch, the punching punch is usually provided with a tip at one end and can be made of stainless steel or titanium alloy; the pusher generally comprises a pusher body 21 and a pusher head 22, the length of the pusher being greater than the barrel 1.

The bin type nail gun comprises a gun barrel 1 and a nail bin 2, wherein a nail channel 6 and a punching channel 5 are arranged in the gun barrel 1, the nail channel 6 is used for conveying a strip nail 9 through the strip nail 9, and particularly, the strip nail 9 is conveyed to the inner end from the outer end of the nail channel 6 by a pusher; the perforation channel 5 is used for passing through the perforator, and the two channels can be two different channels or the same channel. The diameter range of the nail channel 6 and/or the punching channel 5 is 1.5-15mm, and the nail channel and/or the punching channel are/is suitable for punches and thrusters of different models. The holes formed by the nail channel 6 and/or the punching channel 5 can be round holes, square holes or regular polygon holes, and the cross sections of the holes are optimally round holes, square holes or regular polygon holes for the purpose of convenient processing.

Nail storehouse 2 sets up in the afterbody of barrel 1, the position of barrel tail 4 promptly, can meet also can be for the slip meeting for fixed between its and the barrel 1, and the outer terminal surface of nail storehouse 2 can be located the coplanar with the outer terminal surface of barrel tail 4 in addition, and both outer ends keep level promptly, still can be located different planes, also sets up nail storehouse 2 apart from 4 certain distance within ranges of barrel tail.

The head of the gun barrel 1, namely the gun barrel head 3 is provided with a positioning tip 8, usually the positioning tip 8 is arranged on the inner end surface of the gun barrel head 3, and one, two or more positioning tips 8 can be arranged, and the positioning tips 8 are used for fixing the gun barrel 1 on a fracture part to avoid sliding in the using process. A handle which is convenient to grasp can be arranged on the outer side of the gun barrel 1 for convenient use.

The outer end or the inner end is relative, the end close to the wound is the inner end, and the opposite end is the outer end.

Be provided with a plurality of tape line nails 9 in the nail storehouse 2, it connects gradually through suture 10, specifically, nail storehouse 2 can be square storehouse also can be ring shape storehouse, and tape line nail 9 can set up side by side also can separate the setting.

The invention provides a multiple-wire-strip-nail implantation system with a bin, which comprises a puncher, a pusher and a bin-type nail gun, wherein when fracture, ligament or tendon shedding or fracture occurs, free bones, ligaments or tendons are reset firstly, then the nail gun of the multiple-wire-strip-nail implantation system with the bin is sent to a part needing to be fixed through a cut, a positioning tip of a head of the nail gun is used for fixing the nail gun to avoid sliding, then a nail channel is drilled under the guidance of a punching channel by using a matched puncher, and after the drilling of the nail channel is finished, the pusher is operated to implant each wire strip nail into the nail channel through the nail channel.

The method comprises the steps of fixing a threaded nail and a suture by utilizing interference fit between the threaded nail and a nail channel, then pulling out a pusher, then horizontally moving the head of the nail gun to a second fixed position along a bone surface or a soft tissue surface, implanting a second threaded nail by the same operation, pulling the suture by using a hand during implantation, and tensioning the suture connected between the two threaded nails along with the fact that the threaded nail is implanted into the nail channel so as to realize fixation between a bone block and the bone block or between the soft tissue and the bone.

Above-mentioned many pieces of band wire nails in area storehouse system of implanting sets up many pieces of band wire nails on same nail rifle to conveniently implant many pieces of band wire nails in proper order the fracture position, can bore in succession and get the nail way and implant the band wire nail, need not wear the suture in proper order, need not open a plurality of holes on skin, consequently can reduce the operation degree of difficulty, reduce the operation cost, improve operation efficiency.

In a specific embodiment, the nail channel 6 and the punching channel 5 are the same channel, as shown in fig. 8 and 9, the barrel 1 may be a cylindrical barrel, the nail bin shaft 13 is disposed at the tail 4 of the barrel and parallel to the barrel 1, and the nail bin 2 is a circular bin which is sleeved outside the nail bin shaft 13 and can rotate around the axial direction thereof. The nails 9 with threads in the nail bin 2 are respectively positioned in different nail holes, the nail holes are generally uniformly arranged around the circumference of the nail bin 2, and when the nail bin 2 axially rotates around the nail bin shaft 13, the nail holes can be coincided with the nail channel 6, so that the nails 9 with threads can enter the nail channel 6 under the action of the pusher.

It should be noted that the nail holes in the nail magazine 2 may be provided with the string-carrying nails 9 and may also be provided with a pusher and a puncher, and in addition, since the string-carrying nails 9 need to be punched before entering the nail passage 6, one of the nail holes needs to be left empty, that is, the number of the nail holes is one more than that of the string-carrying nails 9. According to specific conditions, the positions of the vacant nail holes can be fixed and set to be special channels of the puncher, all the nail holes can be set to be of the same specification, and one of the nail holes can be randomly selected to be vacant.

In a concrete implementation mode, nail passageway 6 and the passageway 5 that punches are the passageway that sets up for mutual independence, also two different passageways, are provided with mobilizable baffle 7 in barrel 1 usually, and baffle 7 is the barrel 1 internal partitioning for nail passageway 6 and the passageway 5 that punches, and barrel 1 is mostly the toper pipe this moment, and the interior outer pipe footpath of barrel tail 4 all is greater than the interior outer pipe footpath of barrel head 3, and corresponding operation incision also can reduce, reduces the injury to the patient from this.

The spacer 7 is typically a flexible sheet that can be moved to vary the size of the holes formed by the staple and punch channels. In particular, the outer end of the partition 7 may be fixedly connected to the barrel tail 4 and substantially located in the middle of the inner bore of the barrel tail 4, while the inner end is not connected to the barrel head 3, i.e. the AB section of the partition 7 is fixed and the BC section is movable, so that when the punch is inserted into the punching channel 5 or the pusher is inserted into the nail channel 6, the nail channel 6 and the inner bore of the punching channel 5 may be varied as the partition 7 is moved.

On the basis of the above embodiment, the connection modes of the nail bin 2 and the gun barrel 1 are two, one is fixedly connected, the other is movably connected, can be detachably connected, and particularly can be slidably connected. When the nail bin 2 is fixedly connected, the structure of the nail bin is simpler, and when the nail bin is movably connected, the nail 9 with the thread is more convenient to store. However, whatever the connection, the cartridge 2 communicates with the staple channel 6 so that the threaded staples 9 can enter the staple channel 6.

Specifically, when the nail bin 2 is fixedly connected with the barrel 1, as shown in fig. 1, the nail bin 2 is usually arranged on one side of the nail channel 6 and communicated with the nail channel, at the moment, the nail bin 2 can be of a square three-dimensional structure and is vertically arranged with the barrel 1, so that the nail with the line 9 can be conveniently arranged in the nail bin 2 side by side, and then the compression spring is arranged at the bottom of the nail bin 2, so that the nail with the line 9 can be automatically fed into the joint of the nail channel 6 and the nail bin. In this case, a special nail hole for placing the thread-carrying nail is not required, and the structure is the simplest.

Of course, the staple cartridge 2 may have a three-dimensional structure of other shapes as long as the string-containing staples 9 can enter the staple channels 6.

When the nail bin 2 is connected with the gun barrel 1 in a sliding mode, the nail bin 2 is still communicated with the nail channel 6, and the nails 9 with threads can enter the nail channel 6 along with the relative position movement of the nail bin 2 and the gun barrel 1. Specifically, the staple cartridge 2 may be configured as follows:

for example, as shown in fig. 3, 4 and 5, the nail magazine 2 is a square magazine, each of the nails 9 with threads in the nail magazine 2 is disposed in a corresponding nail hole, the nail magazine 2 slides up and down along a direction perpendicular to the barrel 1, and during the sliding of the nail magazine 2 along the barrel 1, one nail hole is disposed to coincide with the nail channel 6.

In addition, as shown in fig. 6 and 7, the nail bin 2 can be a circular bin, the nails 9 with threads in the nail bin 2 are all arranged in corresponding nail holes, the nail bin 2 is sleeved outside the punching channel 5 and can axially rotate around the punching channel 5, and in the sliding process of the nail bin 2, one nail hole can coincide with the nail channel 6.

The embodiments in the present description are described in a progressive manner, each embodiment focuses on differences from other embodiments, and the same and similar parts among the embodiments are referred to each other.

The present invention provides a multiple strip line staple implantation system with multiple strip lines. The principles and embodiments of the present invention are explained herein using specific examples, which are presented only to assist in understanding the method and its core concepts. It should be noted that, for those skilled in the art, it is possible to make various improvements and modifications to the present invention without departing from the principle of the present invention, and those improvements and modifications also fall within the scope of the claims of the present invention.