CN108814664B - Transparent tubular retractor for craniocerebral deep operation - Google Patents

Transparent tubular retractor for craniocerebral deep operation Download PDF

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Publication number
CN108814664B
CN108814664B CN201811040741.7A CN201811040741A CN108814664B CN 108814664 B CN108814664 B CN 108814664B CN 201811040741 A CN201811040741 A CN 201811040741A CN 108814664 B CN108814664 B CN 108814664B
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sheath
sheath tube
surgical
handle
sheath body
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CN108814664A (en
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胡荣
冯华
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First Affiliated Hospital of PLA Military Medical University
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First Affiliated Hospital of PLA Military Medical University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
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  • Surgical Instruments (AREA)

Abstract

The invention discloses a transparent tubular retractor for a craniocerebral deep operation, which comprises an operation sheath tube and an inner sheath tube matched with the operation sheath tube, wherein the front ends of the operation sheath tube and the inner sheath tube are provided with conical tips, and the sections of the operation sheath tube and the inner sheath tube are elliptical. The front end of the surgical sheath tube is in a unique conical design and is sharper, and when the sheath tube extends into the deep part of brain tissue, the conical design enables the sheath tube to gradually push open the brain tissue, so that the wound is small, and the intervention is more convenient; the operation sheath is an oval cylinder (compared with a cylindrical sheath), and the space and the angle in the long diameter direction are larger, so that double instruments can conveniently enter and exit simultaneously in the limited operation space in a tubular shape, the operation is convenient, the steering performance to the two ends in the long diameter direction is better, the tension on brain tissues is smaller, the operation space of medical personnel is enlarged, and the observation and the operation are facilitated; in addition, a grasping handle is designed at the tail end of the sheath tube, and the sheath tube can be more conveniently grasped through the sheath tube handle.

Description

Transparent tubular retractor for craniocerebral deep operation
Technical Field
The invention relates to the field of surgical instruments, in particular to a transparent tubular retractor for a craniocerebral deep operation.
Background
The craniocerebral operation under the neuroendoscopy is an important direction for the development of minimally invasive neurosurgery, and the core of the technology is to further reduce the trauma of the prior operation approach, enlarge the exposure of a focus and increase the chance of directly cutting off pathological changes.
Neuroendoscopy operations can be mainly divided into extra-sheath operations and intra-sheath operations. The external sheath operation is mainly a skull base operation by utilizing the natural physiological cavities of the human body. The typical extra-sheath surgery is nasal subcranial surgery, which can utilize the natural passage of the nasal cavity to provide a more spacious surgical exposure field and can also provide a larger operating angle, and can put a neuroendoscope deep into the operating area to closely observe the anatomical structure of the operating area, so that the past ' standing outdoors to see a house ' is changed into entering indoors to see a house '. Through the observation to anatomical structure's near for the tumour excision is safer and thorough, can obviously reduce the complication, can also reach a better cosmetic effect simultaneously, because need not use the rhinoscope to expand the nasal cavity, consequently the wound of this kind of operation is little, and the patient postoperative is more comfortable, and the postoperative resumes soon, is the genuine minimal access surgery.
The existing retractor for craniocerebral deep operation has the following defects: 1) the front end of the operation sheath tube is not sharp enough, the wound is large, and the intervention is inconvenient; 2) the operation sheath tube is inconvenient to operate, the steering performance is poor, the tension of skin tissues cannot meet the requirement, the operation space of medical personnel is small, and observation and operation are not facilitated; 3) the operation sheath is inconvenient to grasp, and the operation difficulty is high. Therefore, in view of the above situation, there is an urgent need to develop a transparent tubular retractor for deep craniocerebral surgery to overcome the shortcomings in the current practical application.
Disclosure of Invention
The invention aims to provide a transparent tubular retractor for craniocerebral deep operation, which aims to solve the problems in the background technology.
In order to achieve the purpose, the invention provides the following technical scheme:
the utility model provides a cranium brain deep operation is with transparent tubulose retractor, includes that operation sheath pipe and cooperation locate the intraductal interior sheath pipe of operation sheath, the front end of operation sheath pipe and interior sheath pipe sets up to the toper pointed end, and operation sheath pipe and interior sheath pipe cross-section all are oval shape.
As a further scheme of the invention: the surgical sheath tube and the inner sheath tube are made of plastics or metal, and the wall thickness of the surgical sheath tube and the wall thickness of the inner sheath tube are smaller than 1 mm.
As a further scheme of the invention: the outside cooperation of operation sheath pipe is provided with the protection sheath body, has seted up first through-hole and second through-hole on the protection sheath body respectively, still be provided with the instruction scale on the protection sheath body.
As a further scheme of the invention: the first through hole is circular, and the second through hole is the rectangle form that both ends arc is outstanding.
As a further scheme of the invention: the tail ends of the protection sheath body and the operation sheath tube are respectively provided with a protection sheath body auxiliary wing and an operation sheath tube auxiliary wing, the protection sheath body auxiliary wing and the operation sheath tube auxiliary wing are the same in shape and size, and the protection sheath body handle and the operation sheath tube handle are respectively installed on the outer sides of the protection sheath body auxiliary wing and the operation sheath tube auxiliary wing.
As a further scheme of the invention: the right side of protection sheath body handle still is provided with the screens board that can be to operation sheath pipe handle screens, still is provided with on the screens board to be used for carrying out the fixed ingot bolt of locking to operation sheath pipe handle.
As a further scheme of the invention: when operation sheath pipe handle and protection sheath body handle are hugged closely, protection sheath body auxiliary wing and operation sheath pipe auxiliary wing be zonulae occludens simultaneously, and the ingot bolt can be fixed to operation sheath pipe handle locking.
As a further scheme of the invention: the joint of the protective sheath body handle and the protective sheath body is also provided with a reinforcing rib.
Compared with the prior art, the invention has the beneficial effects that: the front end of the operation sheath tube is in a unique conical design and is sharper, and when the sheath tube extends into the deep part of brain tissue, the conical design enables the sheath tube to gradually push open the brain tissue, so that the wound is small, and the intervention is more convenient; the operation sheath is an oval cylinder (compared with a cylindrical sheath), and the space and the angle in the long diameter direction are larger, so that double instruments can conveniently enter and exit simultaneously in the limited operation space in a tubular shape, the operation is convenient, the steering performance to the two ends in the long diameter direction is better, the tension on brain tissues is smaller, the operation space of medical personnel is enlarged, and the observation and the operation are facilitated; in addition, a grasping handle is designed at the tail end of the sheath tube, and the sheath tube can be more conveniently grasped through the sheath tube handle.
Drawings
Fig. 1 is a schematic overall front view structure of the present invention.
Fig. 2 is an overall right-view structural diagram of the present invention.
Fig. 3 is a schematic structural view of the surgical sheath according to the present invention.
In the figure: 1-protective sheath body, 2-surgical sheath tube, 3-conical tip, 4-first through hole, 5-second through hole, 6-indication scale, 7-protective sheath body auxiliary wing, 8-surgical sheath tube auxiliary wing, 9-inner sheath tube, 10-reinforcing rib, 11-protective sheath body handle, 12-surgical sheath tube handle, 13-clamping plate and 14-shoe-shaped bolt.
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.
Example 1
Referring to fig. 1 to 3, in an embodiment of the present invention, a transparent tubular retractor for a craniocerebral deep operation includes an operation sheath 2 and an inner sheath 9 cooperatively disposed in the operation sheath 2, front ends of the operation sheath 2 and the inner sheath 9 are set to be tapered tips, and cross sections of the operation sheath 2 and the inner sheath 9 are elliptical.
In this embodiment, the surgical sheath 2 and the inner sheath 9 are made of plastic or metal, and the wall thickness of the surgical sheath 2 and the inner sheath 9 is smaller than 1 mm.
Example 2
Referring to fig. 1 to 3, the embodiment of the invention is different from embodiment 1 in that: the outside cooperation of operation sheath pipe 2 is provided with protection sheath body 1, has seted up first through-hole 4 and second through-hole 5 on the protection sheath body 1 respectively, and first through-hole 4 is circularly, and second through-hole 5 is the outstanding rectangle form of both ends arc, still be provided with on the protection sheath body 1 and instruct scale 6, through first through-hole 4, second through-hole 5 and the cooperation setting of instructing scale 6, conveniently instruct the position of operation sheath pipe 2.
Example 3
Referring to fig. 1 to 3, the embodiment of the invention is different from embodiment 2 in that: the tail ends of the protection sheath body 1 and the operation sheath tube 2 are respectively provided with a protection sheath body auxiliary wing 7 and an operation sheath tube auxiliary wing 8, the shape and the size of the protection sheath body auxiliary wing 7 are the same as those of the operation sheath tube auxiliary wing 8, the outer sides of the protection sheath body auxiliary wing 7 and the operation sheath tube auxiliary wing 8 are respectively provided with a protection sheath body handle 11 and an operation sheath tube handle 12, the joint of the protection sheath body handle 11 and the protection sheath body 1 is also provided with a reinforcing rib 10 for improving the structural strength thereof, the right side of the protection sheath body handle 11 is also provided with a clamping plate 13 capable of clamping the operation sheath tube handle 12, the clamping plate 13 is also provided with a Yuanbao bolt 14 for locking and fixing the operation sheath tube handle 12, when the operation sheath tube handle 12 is tightly attached to the protection sheath body handle 11, the protection sheath body auxiliary wing 7 and the operation sheath tube auxiliary wing 8 are simultaneously and tightly connected, and the shoe-shaped gold ingot bolt 14 can lock and fix the operation sheath pipe handle 12, and the stability of the operation sheath pipe 2 is improved.
The transparent tubular retractor for the craniocerebral deep operation has the following outstanding advantages:
1) the front ends of the operation sheath tube 2 and the inner sheath tube 9 are sharper, the wound is small, and the intervention is more convenient;
2) the operation sheath tube 2 and the inner sheath tube 9 are oval cylinders, so that the operation is convenient, the steering performance is better, the major-diameter angle is larger, the tension on skin tissues is larger, the operation space of medical personnel is enlarged, and the observation and the operation are facilitated;
3) the operation sheath tube 2 and the inner sheath tube 9 are made of thinner materials, and the materials can be plastic and metal;
4) the tail ends of the operation sheath tube 2 and the inner sheath tube 9 are also in an elliptical shape;
5) the sheath handle 12 is more convenient to grasp through the operation.
The above description is only an embodiment of the present invention, but the design concept of the present invention is not limited thereto, and any insubstantial modifications made by using the design concept should fall within the scope of infringing the present invention.
In the description of the present invention, it is to be understood that the terms "center", "longitudinal", "lateral", "length", "width", "thickness", "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", "clockwise", "counterclockwise", and the like, indicate orientations and positional relationships based on those shown in the drawings, and are used only for convenience of description and simplicity of description, and do not indicate or imply that the device or element being referred to must have a particular orientation, be constructed and operated in a particular orientation, and thus, should not be considered as limiting the present invention. Furthermore, the terms "first", "second" and "first" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance or implicitly indicating the number of technical features indicated. Thus, features defined as "first", "second", may explicitly or implicitly include one or more of the described features. In the description of the present invention, "a plurality" means two or more unless specifically defined otherwise.
In the description of the present invention, it should be noted that, unless otherwise explicitly specified or limited, the terms "mounted," "connected," and "connected" are to be construed broadly, e.g., as meaning either a fixed connection, a removable connection, or an integral connection; may be mechanically connected, may be electrically connected or may be in communication with each other; either directly or indirectly through intervening media, either internally or in any other relationship. The specific meanings of the above terms in the present invention can be understood by those skilled in the art according to specific situations.
In the present invention, unless otherwise expressly stated or limited, "above" or "below" a first feature means that the first and second features are in direct contact, or that the first and second features are not in direct contact but are in contact with each other via another feature therebetween. Also, the first feature being "on," "above" and "over" the second feature includes the first feature being directly on and obliquely above the second feature, or merely indicating that the first feature is at a higher level than the second feature. A first feature being "under," "below," and "beneath" a second feature includes the first feature being directly above and obliquely above the second feature, or simply meaning that the first feature is at a lesser level than the second feature. The following disclosure provides many different embodiments or examples for implementing different features of the invention. To simplify the disclosure of the present invention, the components and arrangements of specific examples are described below. Of course, they are merely examples and are not intended to limit the present invention. Furthermore, the present invention may repeat reference numerals and/or letters in the various examples, such repetition is for the purpose of simplicity and clarity and does not in itself dictate a relationship between the various embodiments and/or configurations discussed. In addition, the present invention provides examples of various specific processes and materials, but one of ordinary skill in the art may recognize applications of other processes and/or uses of other materials.

Claims (3)

1. A transparent tubular retractor for craniocerebral deep surgery comprises a surgical sheath (2) and an inner sheath (9) which is arranged in the surgical sheath (2) in a matching way, and is characterized in that the front ends of the surgical sheath (2) and the inner sheath (9) are arranged to be conical pointed ends (3), the cross sections of the surgical sheath (2) and the inner sheath (9) are elliptical, a protective sheath body (1) is arranged on the outer side of the surgical sheath (2) in a matching way, a first through hole (4) and a second through hole (5) are respectively arranged on the protective sheath body (1), an indication scale (6) is further arranged on the protective sheath body (1), a protective sheath body auxiliary wing (7) and a surgical sheath auxiliary wing (8) are respectively arranged at the tail ends of the protective sheath body (1) and the surgical sheath (2), the protective sheath body auxiliary wings (7) and the surgical sheath auxiliary wings (8) are the same in shape and size, the outer sides of the protective sheath body auxiliary wing (7) and the surgical sheath tube auxiliary wing (8) are respectively provided with a protective sheath body handle (11) and a surgical sheath tube handle (12), the right side of the protective sheath body handle (11) is also provided with a clamping plate (13) capable of clamping the surgical sheath tube handle (12), the clamping plate (13) is also provided with a shoe-shaped bolt (14) used for locking and fixing the surgical sheath tube handle (12), when the surgical sheath tube handle (12) is tightly attached to the protective sheath body handle (11), the protective sheath body auxiliary wing (7) and the surgical sheath tube auxiliary wing (8) are simultaneously tightly connected, and the shoe-shaped bolt (14) can lock and fix the surgical sheath tube handle (12);
the first through hole (4) is circular, and the second through hole (5) is rectangular with two arc-shaped protruding ends.
2. The transparent tubular retractor for the deep craniocerebral operation according to claim 1, wherein the surgical sheath (2) and the inner sheath (9) are made of plastics or metals, and the wall thickness of the surgical sheath (2) and the inner sheath (9) is less than 1 mm.
3. The transparent tubular retractor for the deep craniocerebral operation according to claim 1 is characterized in that a reinforcing rib (10) is further arranged at the joint of the protective sheath body handle (11) and the protective sheath body (1).
CN201811040741.7A 2018-09-07 2018-09-07 Transparent tubular retractor for craniocerebral deep operation Active CN108814664B (en)

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CN109350198A (en) * 2018-12-18 2019-02-19 李德余 It is minimally invasive to wear the hard channel lead device of cranium
CN111329537B (en) * 2020-02-28 2024-02-02 徐永革 Guiding device and guiding method for deep brain minimally invasive surgery
CN111437014A (en) * 2020-05-12 2020-07-24 重庆锦元熙医疗科技有限公司 Craniocerebral operation channel
CN114271879A (en) * 2021-12-24 2022-04-05 南昌华安众辉健康科技有限公司 Retractor fixator for brain tissue

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CN207804291U (en) * 2017-08-22 2018-09-04 武汉贝秀生物技术有限公司 A kind of traction fixator with positioning device

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