CN102342855B - Guide device for correcting pectus excavatum - Google Patents
Guide device for correcting pectus excavatum Download PDFInfo
- Publication number
- CN102342855B CN102342855B CN 201010244524 CN201010244524A CN102342855B CN 102342855 B CN102342855 B CN 102342855B CN 201010244524 CN201010244524 CN 201010244524 CN 201010244524 A CN201010244524 A CN 201010244524A CN 102342855 B CN102342855 B CN 102342855B
- Authority
- CN
- China
- Prior art keywords
- guide
- lamellar body
- guiding
- arc
- guide instrument
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8061—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
- A61B17/8076—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones for the ribs or the sternum
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Neurology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Ultra Sonic Daignosis Equipment (AREA)
Abstract
The invention relates to a guide device for correcting pectus excavatum. The guide device for correcting pectus excavatum comprises a guide machine and an ultrasonic probe arranged on the guide machine, wherein the guide machine is provided with a handle and a long-sheet-shaped guide sheet; the guide sheet is arranged and fixed on the handle and extends towards an outer arc curve; a perforation is formed in the tail end part of the guide sheet; and the ultrasonic probe is arranged and fixed on the tail end part of the guide sheet and transmits and receives an ultrasonic signal towards the tail end part extending direction of the guide sheet. According to the structural design that the ultrasonic probe is arranged and fixed at the front end of the guide machine, the guide device can greatly reduce the possibility of damage to blood vessels or heart caused by the guide machine and can relatively reduce surgical risk when the guide device is applied to the pectus excavatum correction surgery.
Description
Technical field
The present invention relates to a kind of guiding device, particularly a kind of guiding device for the rectification of thoracic cavity indent.
Background technology
The formal medical science name of thoracic cavity indent is called Pectus excavatum, the funnel chest that namely is commonly called as (funnel chest), because the excessive undesired hypertrophy of breastbone two lateral cartilageses, and cause breastbone to cave in, cause breastbone to reduce to the distance of vertebrae, its symptom can be not attractive in appearance from slight outward appearance, to serious cardiopulmonary compressing phenomenon.
Such as Fig. 1, Fig. 2, shown in Figure 3, at present the state-of-the-art technology for the treatment of thoracic cavity depression is Nuss procedure (receives krimer operation), it mainly is to be placed through in the thoracic cavity 200 by the depression adjusting rod (Nuss bar) 100 that has the rectification usefulness of predetermined arc sweep with, the breastbone 201 of depression is ejected forward, because its wound that causes is less, correct mode so become the thoracic cavity indent that the most generally adopts in the world.
But before in thoracic cavity 200, inserting this depression correction stick 100, can pass through smoothly the zone of 202 in breastbone 201 and heart for making depression correction stick 100, common first the guide instrument 101 of an arc bending shape is inserted in the thoracic cavity 200 from midaxillary line position, sufferer right side, and pass the zone of 202 in breastbone 201 and heart, and pass from midaxillary line zone, left side, tie up solid pull rope (not shown) in these guide instrument 101 terminal parts and 100 of this depression adjusting rods again.Then, this guide instrument 101 is pulled back out outside the thoracic cavity 200, order about this pull rope adjusting rod 100 drawings that will cave in gradually and pass the zone of 202 in breastbone 201 and heart, this depression correction stick 100 is arranged in this thoracic cavity 200, and can be reversed and breastbone 201 is ejected outward.
When but this guide instrument 101 places; because the breastbone of depression 201 can quite be close to heart 202 usually; or even compel to be butted on heart 202; so in operation process; usually can in right thoracic cavity, be used in conjunction with thoracic cavity endoscope 103; to watch this guide instrument 101 front positions, avoid inserting wound or scratch heart 202 and blood vessel.But because this thoracic cavity endoscope 103 can only be watched heart 202 right half sides, when so in case guide instrument 101 front ends move to 201 on heart 202 and breastbone regional, just can't judge that what tissue bumps what arrive to when this guide instrument 101 advances is, and because in operation process, carrying out computed tomography or shadowgraph, so can only rely on the clinical experience of surgeon, judge direction of advance and the angle of this guide instrument 101, so can scratch unavoidably blood vessel or stab the situation of heart.
Summary of the invention
The purpose of this invention is to provide a kind of for the rectification of thoracic cavity indent and the convenient guiding device that uses.
The present invention is used for the guiding device that the thoracic cavity indent is corrected, and comprises a guide instrument and a ultrasound scanner head that is installed on this guide instrument.This guide instrument has a lever and a guiding lamellar body that is mounted on the lengthy motion picture shape of this lever and the past curved extension of outer arc, and the terminal part of this guiding lamellar body is equipped with a perforation.This ultrasound scanner head is mounted on the terminal part of this guiding lamellar body, and can guide towards this bearing of trend emission and reception ultrasound signal of the terminal part of lamellar body.
Guiding device for the rectification of thoracic cavity indent of the present invention, this guiding lamellar body has the arc curved segment of this guiding lamellar body end of a vicinity, this arc curved segment defines and lays respectively at a biphase recessed side of arc and the protruding side of arc of tossing about of this guiding lamellar body, this ultrasound scanner head has a transmitting/receiving face that is positioned at the arc surfaced of the protruding side of this arc and local bearing of trend towards this guiding lamellar body end, and this ultrasound scanner head can be launched and reception ultrasound signal by the bearing of trend that this transmitting/receiving face the protruding side of this arc and this guiding lamellar body end.
Beneficial effect of the present invention is: by the structural design of fixing a ultrasound scanner head is installed in this guide instrument front end, so that this guiding device is when being used for thoracic cavity indent corrective procedure, can significantly reduce the probability that this guide instrument injures blood vessel or heart, so but relative reduce operation risk.
Description of drawings
Fig. 1 is the cross section schematic diagram of human body, the situation when guide instrument of signal explanation is inserted the position that moves between breastbone and heart;
Fig. 2 is the view of similar Fig. 1, illustrates that a depression correction stick is pulled situation about running through behind the thoracic cavity;
Fig. 3 is the view of similar Fig. 2, illustrates that the depression correction stick is reversed and situation when breastbone shored relatively outward;
Fig. 4 is the axonometric chart of an embodiment of chest of the present invention indent apparatus for correcting;
Fig. 5 is the cross section schematic diagram of human body, and when this embodiment of signal explanation was used for thoracic cavity indent corrective procedure, this ultrasound scanner head abutted against the situation at the position between breastbone and heart;
Fig. 6 is the view of similar Fig. 5, illustrates that guiding device passes the thoracic cavity, and the situation of a pull rope when being tied at guide instrument;
Fig. 7 is the partial schematic diagram that human body is faced upward the chest region when lying, and the situation when guiding device runs through the thoracic cavity is described.
The specific embodiment
The present invention is described in detail below in conjunction with drawings and Examples.
As shown in Figure 4, the present invention is used for the embodiment of the guiding device 3 of thoracic cavity indent corrective procedure, can be used for the guiding operation of depression adjusting rod 800 of the corrective procedure of thoracic cavity indent.
This guiding device 3 comprises guide instrument 31 and ultrasound scanner head 32 that is installed on these guide instrument 31 leading sections of a curved lengthy motion picture shape of arc.This guide instrument 31 has a lever 311 and the guiding lamellar body 312 from the lengthy motion picture shape of the lever 311 past curved extensions of outer arc, these guiding lamellar body 312 proximal end places are equipped with a perforation 313, and having the arc curved segment 314 of these guiding lamellar body 312 ends of a vicinity, this arc curved segment 314 defines the recessed side 315 of an arc and the protruding side 316 of arc that is positioned at 312 liang of opposition sides of this guiding lamellar body.
This ultrasound scanner head 32 is mounted on this guiding lamellar body 312 terminal parts, and be located at interval at this 313 front sides of boring a hole, and has one towards the protruding side 316 of this arc, and the part is towards the transmitting/receiving face 321 of the arc surfaced of these guiding lamellar body 312 terminal bearing of trends, and this ultrasound scanner head 32 can be by this transmitting/receiving face 321 towards protruding side 316 directions of this arc and guiding lamellar body 312 terminal bearing of trend send and receive ultrasound signals.
Such as Fig. 5, Fig. 6, shown in Figure 7, when this guiding device 3 is used for the surgical operation of thoracic cavity indent rectification, this ultrasound scanner head 32 can be connected in one in order to show the ultrasound imaging device (not shown) of ultrasound video by signal, when operation is carried out, can first these guiding device 3 front ends be inserted in the thoracic cavity 902 from the surgical openings 901 of oxter, sufferer 900 right side, and open this ultrasound scanner head 32, make this ultrasound scanner head 32 begin to send with sensing and receive the ultrasound signal, transmitting/receiving face 321 at this ultrasound scanner head 32 not yet bumps before any histoorgan, and the image that the ultrasound imaging device shows can be complete black shape.Cooperate endoscope 700 to use, with 904 position between this guide instrument 31 leading sections displacement sternal 903 and heart, the ultrasound scanner head 32 that namely will be installed on guide instrument 31 front ends is shifted to the space of 904 in breastbone 903 and heart, at this moment, this endoscope 700 can be subject to heart to be stopped, and unrenewable with auxiliary this guide instrument 31 of watching between the leading section position of 904 in breastbone 903 and heart.
When the transmitting/receiving face 321 of ultrasound scanner head 32 bump to heart 904 surfaces or heart 904 around blood vessel or other is when organizing (not shown), the transmitting/receiving face 321 of ultrasound scanner head 32 just can receive its emission and through heart 904, the ultrasound signal of blood vessel or tissue reflection, this moment, this ultrasound imaging device can correspondence demonstrate one about this heart 904, the ultrasound video of blood vessel or tissue, so surgeon can change by watching this ultrasound video, whether moving direction the place ahead of judging guide instrument 31 has blood vessel, or no meeting directly is inserted into heart 904, correspondence is adjusted the direction of advance of this guide instrument 31 whereby, to avoid blood vessel, heart 904 or other histoorgan, so can significantly reduce the incidence rate of scratching blood vessel or stabbing heart 904 and other histoorgan, relatively improve operation safety.
Zone when 904 in guiding device 3 leading section safety breastbones 903 and heart, and after passing outward the surgical openings 905 of oxter, left side, just the pull rope 801 that is fixed in described depression adjusting rod 800 1 ends can be run through this perforation 313, and be tied at this guide instrument 31 terminal parts.Then, just this guiding device 3 can be pulled back and shift out outside the sufferer thoracic cavity 902, and the drawing by this pull rope 801, the adjusting rod that will cave in gradually 800 drawings are by the zone of 904 in breastbone 903 and heart, and pass the surgical openings 901 of oxter, right side, at this moment, this guiding device 3 is just finished draw operations, then just can correct step.
During rectification, this pull rope 801 is separated this depression adjusting rod 800, and after this depression adjusting rod 800 of suitable adjustment, the depression adjusting rod 800 of 180 ° of upset arc bending shapes, this depression adjusting rod 800 is shored the breastbone 903 of depression relatively outward, and the adjusting rod that will cave in 800 passes external both ends on sufferer 900, just finishes corrective procedure.
Conclude above-mentioned, by the structural design of fixing a ultrasound scanner head 32 is installed in these guide instrument 31 front ends, so that guiding device of the present invention 3 is when being used for thoracic cavity indent corrective procedure, can wear when moving past 904 in breastbone 903 and heart regional in this guide instrument 31, assist to judge whether guide instrument 31 directions of advance have blood vessel by ultrasound video, stopping and the relative position of 904 in these guide instrument 31 front ends of auxiliary judgment and breastbone 903 and heart of cardia or other histoorgan, its accuracy can significantly be better than existing mode only according to personal experience's judgement, can significantly reduce the probability that this guide instrument 31 injures blood vessel or heart 904, but so relative reduce operation risk, quite convenient and practical, be a kind of operating theater instruments of benefiting thoracic cavity indent sufferer.
Claims (2)
1. one kind is used for the guiding device that the thoracic cavity indent is corrected, it is characterized in that, this guiding device comprises a guide instrument and a ultrasound scanner head that is installed on this guide instrument, this guide instrument has that a lever and one are mounted on this lever and the guiding lamellar body of the lengthy motion picture shape toward the curved extension of outer arc from this lever, the terminal part of this guiding lamellar body is equipped with a perforation, this ultrasound scanner head is mounted on the terminal part of this guiding lamellar body, and can guide towards this bearing of trend emission and reception ultrasound signal of the terminal part of lamellar body.
2. the guiding device of correcting for the thoracic cavity indent according to claim 1, it is characterized in that, this guiding lamellar body has the arc curved segment of this guiding lamellar body end of a vicinity, this arc curved segment defines and lays respectively at a biphase recessed side of arc and the protruding side of arc of tossing about of this guiding lamellar body, this ultrasound scanner head has a transmitting/receiving face that is positioned at the arc surfaced of the protruding side of this arc and local bearing of trend towards this guiding lamellar body end, and this ultrasound scanner head can be launched with the bearing of trend of this guiding lamellar body end and reception ultrasound signal by the direction that this transmitting/receiving face the protruding side of this arc.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 201010244524 CN102342855B (en) | 2010-07-29 | 2010-07-29 | Guide device for correcting pectus excavatum |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 201010244524 CN102342855B (en) | 2010-07-29 | 2010-07-29 | Guide device for correcting pectus excavatum |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN102342855A CN102342855A (en) | 2012-02-08 |
| CN102342855B true CN102342855B (en) | 2013-02-27 |
Family
ID=45542193
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN 201010244524 Expired - Fee Related CN102342855B (en) | 2010-07-29 | 2010-07-29 | Guide device for correcting pectus excavatum |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN102342855B (en) |
Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN112057155B (en) * | 2020-08-28 | 2022-02-18 | 中南大学湘雅医院 | Funnel chest orthopedic system |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6024759A (en) * | 1998-05-08 | 2000-02-15 | Walter Lorenz Surgical, Inc. | Method and apparatus for performing pectus excavatum repair |
| CN2855344Y (en) * | 2005-12-15 | 2007-01-10 | 北京有色金属研究总院 | Whole tools for chondrosternoplasty |
| CN201481536U (en) * | 2009-08-14 | 2010-05-26 | 上海交通大学医学院附属新华医院 | Steel plate for pectus excavatum corrective surgery |
Family Cites Families (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| KR100740193B1 (en) * | 2007-03-19 | 2007-07-16 | 박형주 | Introducer with dissection function for pectus excavatum repair operation |
-
2010
- 2010-07-29 CN CN 201010244524 patent/CN102342855B/en not_active Expired - Fee Related
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6024759A (en) * | 1998-05-08 | 2000-02-15 | Walter Lorenz Surgical, Inc. | Method and apparatus for performing pectus excavatum repair |
| CN2855344Y (en) * | 2005-12-15 | 2007-01-10 | 北京有色金属研究总院 | Whole tools for chondrosternoplasty |
| CN201481536U (en) * | 2009-08-14 | 2010-05-26 | 上海交通大学医学院附属新华医院 | Steel plate for pectus excavatum corrective surgery |
Also Published As
| Publication number | Publication date |
|---|---|
| CN102342855A (en) | 2012-02-08 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| US9693803B2 (en) | Puncture needle for endoscope and biopsy system | |
| US8708931B2 (en) | Treatment tool for biopsy and tissue collecting method | |
| CN106102545B (en) | Biopsy syste | |
| WO2011041724A3 (en) | Method and apparatus for viewing a body cavity | |
| CN106028954B (en) | Endoscope-use puncture needle | |
| US9433447B2 (en) | Instrumentation for spinal fixation using minimally invasive surgical techniques | |
| AU2007201561A1 (en) | Medical cannula and medical cannula system | |
| CN104306053A (en) | Direction-controllable puncture sheath | |
| JP6203456B2 (en) | Ultrasonic observation apparatus, operation method of ultrasonic observation apparatus, and operation program of ultrasonic observation apparatus | |
| CN102342855B (en) | Guide device for correcting pectus excavatum | |
| WO2016047202A1 (en) | Endoscope puncture needle | |
| CN204158465U (en) | Novel controlled to puncture sheath | |
| CN206777365U (en) | A kind of operation sewing needle pusher being used under laparoscope | |
| WO2016090629A1 (en) | Ultrasound probe having puncture guiding function | |
| US20170172567A1 (en) | Surgical Device | |
| CN209301251U (en) | Ultrasonically guided percutaneous puncture bone positioning device | |
| EP2361575B1 (en) | Introducer device for use in nuss procedure | |
| US12004738B2 (en) | Needle holder and method of using same | |
| CN204133511U (en) | Wicresoft's tractive rod | |
| CN208808574U (en) | A kind of preceding road hollow screw operation auxiliary Path Setup device of upper cervical spine | |
| CN202036260U (en) | Automatic stitching device for deep minimally invasive surgical cut | |
| CN206463016U (en) | Positioning of oval hole and guide wire conveying of hard bougie | |
| CN206026375U (en) | Medical ware that suspends in midair | |
| CN109223133A (en) | Ultrasonically guided percutaneous puncture bone positioning device | |
| CN210057101U (en) | Guide wire insertion auxiliary device for nerve interventional operation |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C06 | Publication | ||
| PB01 | Publication | ||
| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20130227 Termination date: 20160729 |