CN102579116B - Surgical operating instrument - Google Patents

Surgical operating instrument Download PDF

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Publication number
CN102579116B
CN102579116B CN201210005189.4A CN201210005189A CN102579116B CN 102579116 B CN102579116 B CN 102579116B CN 201210005189 A CN201210005189 A CN 201210005189A CN 102579116 B CN102579116 B CN 102579116B
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CN
China
Prior art keywords
surgical operating
operating instrument
handle portion
bonding part
post
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CN201210005189.4A
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Chinese (zh)
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CN102579116A (en
Inventor
兹比格纽·孔布沃斯基
克里斯特尔·帕罗特
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Z-医药有限公司及两合公司
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Priority to DE102011000058.5 priority Critical
Priority to DE102011000058 priority
Application filed by Z-医药有限公司及两合公司 filed Critical Z-医药有限公司及两合公司
Publication of CN102579116A publication Critical patent/CN102579116A/en
Application granted granted Critical
Publication of CN102579116B publication Critical patent/CN102579116B/en

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Abstract

A kind of surgical operating instrument (1.1,1.2), there is implant, handle portion (2.1,2.2) and cracking point (4,5,6,7), described cracking point connection implant and handle portion (2.1,2.2), implant should be bonding part (3.1,3.2).

Description

Surgical operating instrument

Technical field

The present invention relates to the surgical operating instrument of the feature of upperseat concept according to claim 1 and insert apparatus (Einbringinstrument) and the boring grab (Bohrschablone) for this surgical operating instrument for this surgical operating instrument.

Background technology

Nail or folder for connecting bone parts, such as, are used in according in the hand of Weil, Scarf, Austin, Chevron and Cheil and foot's surgical operation and a lot of other operations.Folder is used for fixing and/or oppresses bone parts and stay as a rule in the body.Sometimes these nails and/or folder are very little implants, and are difficult to due to its shape grasp.Only very time-consumingly can insert folder by the apparatus of inserting according to prior art and/or follow closely.When implanting nail and/or folder, another problem is, usually will hole in advance before inserting folder.The hole of pre-subdrilling is difficult to find after removing drill bit.Boring grab known in the state of the art, but boring grab can not be combined with nail.

Summary of the invention

The object of the invention is to: a kind of surgical operating instrument is provided, make to overcome above-mentioned shortcoming or above-mentioned shortcoming is at least minimized.In addition, boring grab should be realized and insert apparatus, to implant bonding part or nail better.

This object is realized by the feature of the characteristic of claim 1.

For the surgical operating instrument with implanting portion and handle portion, implanting portion is connected by cracking point with handle portion.Preferably, implant is bonding part.Bonding part is such as threaded fastener, anchor, cage structure, nail and/or folder.

In typical embodiment, surgical operating instrument comprises guiding tube.Preferably, the diameter of this guiding tube is less than or equal to 4mm.Particularly preferably, this guiding tube is infusion cannula.

Can consider that different forms is as bonding part at this.Terrifically, comprise all U profiles, C profile, half or 3/4ths or part circle contour in side view, and be called as the implant of folder or nail.

In typical embodiment, implant is nail.Nail is applicable to fixing bone parts and/or soft tissue and/or ligament and/or tendon.

Concept " nail (Staple) " is the professional conceptual for bonding part in German in medical skill.

It is also conceivable that, bonding part has multiple post such as 4,6,10 posts, these posts can be the one of network structure of star, honeycomb texture, arbitrary form, and be not only and flat can also have the shape being adapted to bone surface, and forming 1/4th, 1/2nd, 3/4ths or the arbitrary shell with post, these posts are placed in bone after being holed in advance in bone by integrated boring and stationary fixture.

Bonding part is very little, is difficult to hold and handle them.Handle portion is better held relative to bonding part, and the advantage therefore produced is, can be handled comfily, keep, receive, rotate and/or the mobile implant for inserting by handle portion.When implant or bonding part are implanted at least in part, when not using other instruments, handle portion can be separated with implant or bonding part at cracking point place.

Handle also can be made up of multiple part, such as, be two-part, be not wherein connected with bonding part and second in command's part of being connected with cracking point can fracture, this cracking point is to the handle portion that is connected with bonding part.

After the second in command's part that fractures, it forms the so-called removable boring grab of post for engaging wheel storehouse and/or fixing hole and/or guide surface and/or gathering sill, for the guide engagement part when being inserted in bone bonding part.

Particularly preferably, surgical operating instrument comprises multiple cracking point.Consequent advantage is, handle portion and bonding part can be interconnected well.Another advantage is, between cracking point, preferably provide space.Particularly preferably, these spaces be applicable to engage hereinafter describe insert apparatus.

Bonding part, namely nail can be made up of implantable, absorbable material.

On purpose, surgical operating instrument is single-piece, such as, be made up of titanium plate or metal dish.Preferably, manufacture method be cut, Wire EDM, punching, bending or cutting working method as milling, polishing, follow closely to be made up of implantable, absorbable material or plastics and be also fine.Consequent advantage is, cracking point can very accurately be made.This is important, to guarantee that cracking point breaks when the active force limited or moment of torsion.Another advantage of described manufacture method is, can have the surgical operating instrument of implant with relatively low cost manufacture.

In typical embodiment, bonding part or nail are made up of titanium silk.Consequent advantage is, can manufacture bonding part with low-down cost.

Particularly preferably, cracking point or multiple cracking point are arranged on the engagement portion in the following manner, are namely arranged in the depression of bonding part, and can rupture on impulse-free robustness ground, or burr is deeper than the surface of bonding part.Consequent advantage is, the possible burr of bonding part or cracking point can not cause damaged tissue, skin or bone.

In typical embodiment, bonding part has the first post.Preferably, this bonding part has the second post.Particularly preferably, this bonding part comprises brace, is applicable to connection first and second post.

It is also conceivable that, bonding part has multiple post such as 4,6,10 posts, these posts can be the one of network structure of star, honeycomb texture, arbitrary form, and be not only and flat can also have the shape being adapted to bone surface, and forming 1/4th, 1/2nd, 3/4ths or the arbitrary shell with post, these posts are placed into or are pressed in bone after being holed in advance in bone by integrated boring and stationary fixture.

In typical embodiment, the first post and second post of bonding part are parallel to each other.In the case, the angle of post and brace formation is between 120 ° to 15 °.The particularly preferred embodiment of bonding part is so-called 90 ° of bonding parts and so-called 26 ° of bonding parts.To 90 ° of bonding parts, brace and cylindricality angle in 90 °.For 26 ° of bonding parts, parallel post becomes 26 ° with brace.

In typical embodiment, the angle of the post formation of bonding part is between 60 ° and 220 °.Therefore, described post extends not parallelly.Namely described post is given prominence to mutually, or mutually towards extension.Consequent advantage is, single post can complete such as oppress, fix, the directed and/or task of guiding.

The post that also can pass through into ladder improves compressing, and provides which in a preferred embodiment.

In typical embodiment, post has depression, groove, breach, space, gap and/or elongated hole.Consequent advantage is, post can complete such as fixing or directed task.Another advantage is, by the preferred elastomeric effect of specific post shapes bonding part and produce compressing.Advantageously, by healing that described post shapes will be improved after bonding part and bone.

In typical embodiment, that the free end of post is configured to point and/or there is sword.Preferably, post has sawtooth and/or barb.Consequent advantage is, will insert bonding part more easily and will better and more safely grappling bonding part in bone.

On purpose, surgical operating instrument comprises impingement area.Preferably, this impingement area occurs on the engagement portion after handle portion breaks.Consequent advantage is, after handle portion breaks, bonding part can be placed in bone or tissue further by other the workpiece acted on impingement area.

In typical embodiment, bonding part comprises a structure.Preferably, this structure forms impingement area.Consequent advantage is, bonding part can be placed in bone or tissue by handle portion or after handle portion breaks further by other the workpiece acted on impingement area.

On purpose, handle portion comprises impingement area.Consequent advantage is, surgical operating instrument can be placed in bone or tissue preferably by another workpiece further by the impingement area on handle portion.

On purpose, the impingement area of handle portion is a structure.Consequent advantage is, handle portion and impingement area can be made for single-piece.

In typical embodiment, surgical operating instrument has hole.Preferably, handle portion has hole.Particularly preferably, surgical operating instrument has multiple hole.

Described hole is preferably used as the boring grab into the bar for joint element.Other selected hole can be introduced, for fixing bone and boring grab.

Consequent advantage is, by the hole in handle portion, handle portion can be positioned on the drilled metal silk of having inserted in health.Therefore, surgical operating instrument or bonding part can be located relative to drilled metal silk or the hole occurred.

In typical embodiment, nail, more precisely implant are configured to tubular or part is tubular, such as, be annular or polygonal profile.On purpose, implant is preferably made out of tubes or is made for preferred circle by solid-state material.Preferred manufacture method is laser or injection method, is also wherein possible in this all modification.

In typical embodiment, implant is particularly followed closely and is comprised point.Preferably, point is arranged between the post of nail.The advantage produced by described point is, also can additionally soft tissue, tendon or ligament be such as fixed on bone by it.

In typical embodiment, very little nail embodiment is made up of tube of material as described above of tubular or part.Described nail is preferably placed in health by means of the guiding tube or infusion cannula with the diameter being less than 4mm.The advantage that described nail has is, by means of " minimal incision * " method or can insert nail through skin by destination channel.Consequent advantage is, the method for connecting breach can be used in meniscus of knee joint fracture.This is faster and simpler than using the method for multiple anchor and silk thread.

In typical embodiment, implant, particularly nail comprise the side connecting plate (Lasche) with hole.Consequent advantage is, to guarantee outside whorl side that the safety of following closely is possible.

In typical embodiment, implant, particularly nail are included in as at least one pin of separator and/or the connecting plate with hole between post, and wherein said pin provides fixing angle correction or fixing spacing.

In typical embodiment, nail comprises space and/or hole.Preferably, apparatus can be inserted in described space and/or hole.Consequent advantage is, can more easily again remove after fully recovering or when checking.Preferably, described space or hole are used as cracking point, and user can be such as separated by side cutting knife targetedly.Advantage is, in order to the block removing this separation only needs to produce little passage, this does not affect the appearance and heals very soon.

In typical embodiment, boring grab comprises at least one opening, such as, have V-opening or the Z-opening of different angles.Preferably, boring grab is configured to saw cramp tool, has the side channel mouth for saw blade.Alternatively, surgical operating instrument has the saw cramp tool separated ruptured on handle, has at least one fixing hole and/or navigation auxiliary.

In typical embodiment, nail or implant comprise multiple post.Preferably, nail comprises plate, the plate for forcing particularly between post.Preferably, described plate has multiple hole.Especially, described hole is used for fixing with drilled metal silk and/or for screwing bone parts.This embodiment is relative to the advantage of plate and nail and/or screw fixing bone parts, needs less screw when inserting the nail with post, and realizes lasting compressing by post design, and this is almost impossible for plate.In addition, advantage is, can pilot nail quickly, and can again dismantle quickly.

In typical embodiment, the preferred corresponding bone surface of plate design.Consequent advantage is, can meet the different requirements in skeletal structure.Such as, plate is preferably configured to straight or close to straight plate according to service condition.

In typical embodiment, implant is configured to close to straight plate and extra bending and/or bending, can offset angle and radius, or is configured with the plate of ladder, is used in particular for offsetting highly different.

In typical embodiment, form at least one pin over the plates.Preferably, this pin is arranged between post.Consequent advantage is, pin provides fixing angle correction or fixing spacing.

In typical embodiment, surgical operating instrument comprises the pipe and/or saw cramp tool that can rupture.Preferably, this pipe and/or saw cramp tool comprise fixing hole and/or navigation auxiliary.

In typical embodiment, implant is anchor.Anchor preferably by circle solid-state material, tubule and with flat shape by all medical treatment allow material make.Usually, anchor has thread type on the outer surface or all kinds teeth portion, to make implant, more safely grappling is in bone.Bolt shape embodiment is also fine, and it stretches after inserting.Consequent advantage is, can insert anchor by simple mode and method.So far the problem of the fixing ligament of safety is always there is when inserting anchor, but the complexity of use apparatus belonging to also existing and the problem of operability.

In addition advantageously, the surgical operating instrument had as the anchor of inserting thing be single-piece and therefore can low cost manufacture.This especially when following situation for the advantage that disposable products are huge, namely when all operations can provide aseptic packaging, and do not need expensive apparatus suit, and when only needing very tiny apparatus suit.

In typical embodiment, anchor by justify, part solid-state material or tubule make.Preferably, anchor is configured to bolt shape/or is plane form.The material that all medical treatment allow is applicable to manufacture.

In typical embodiment, outer surface has screw thread and/or teeth portion.Consequent advantage is, can be fixed in bone by anchor more safely.

In typical embodiment, surgical operating instrument comprises the two anchors as implant.Consequent advantage is, then such as, band in device with the elastic force determined by pre-anxiety, and can be placed in two bone parts with the distance limited.Preferably, to this equally integrated fixing hole of other modification, tiltedly fixing hole, boring/saw cramp tool and guider equally as with all on anchor and/or bar.

In typical embodiment, anchor has the anchor post be made up of plastics or absorbable material.It is particularly preferred that anchor sprays formation brace.Consequent advantage is, can abandon extra suture material.

Preferably, each anchor post has separable extension rod.Consequent advantage is, multiple anchor can one stack after the other on another ground and/or one, hold together together, as in cartridge clip.This is favourable, because can be used in particular for " stitching " crack by the anchor from infusion cannula as cartridge clip.Also advantageously, expensive knot tying techniques need not be used.Whole operation can be completed with apparatus and implant.

In typical embodiment, implant is folder.For general surgery and folder Minimally Invasive Surgery being used to different sizes, to be bonded to blood vessel, intestinal and organ that blood flow is crossed.Hollow bar keeps apparatus this to be had to the diameter of at least 5mm to 12mm.

Usually, be placed in one by one on the position that organ should cut in multiple both sides that are clipped in.

Preferably, press from both sides with part circle, part angulation and other forms of material of allowing with all medical treatment manufactured.Preferably, folder comprises lock, and when two folder posts are pressed together, their brakings are in this lock.Preferably lock when reaching predetermined closing forces.Preferably, press from both sides and be made up of plastic material.

In typical embodiment, folder is made of titanium.Preferably, material behavior is chosen to, make to be clipped in be pressed together after keep shape.

Problem is, presss from both sides as very little parts.Take out from cartridge clip and remain on apparatus oral area until surgery location is very difficult, because do not have for the Conservation measures dropped out for the embodiment of titanium especially.

In typical embodiment, handle portion comprises engagement, is applicable to be connected with handle, and consequent advantage is, each user can connect preferred handle portion.

In typical embodiment, be formed on handle portion to handle single-piece.Consequent advantage is, can manufacture surgical operating instrument in a straightforward manner with method, and can as the unit of aseptic packaging.

In typical embodiment, folder comprises the first bar and the second bar.Preferably, described bar has the diameter being less than 5mm, particularly preferably has the diameter being less than 3.5mm.Consequent advantage is, multiple rod instrument can be inserted in umbilicus by little opening especially.

In the typical embodiment, bar is configured to ladder.Consequent advantage is, can not damaged tissue.

In typical embodiment, bar partly bending and/or Radius bends.Consequent advantage is, double-layered quilt is placed in separable prolongation place, and wherein extending can according to service condition elastic forming.

In typical embodiment, bar by elasticity and flexible material make.Consequent advantage is, user can bend arbitrarily before placing clamp, to reach surgery location better, and need not use new passage.

In typical embodiment, rod-shape is configured to, and the while of making it possible to, multiple folder, preferably to six press from both sides, and they are locked one by one and/or are placed.

In typical embodiment, engagement is not disposed in bar, but is arranged in bar outside.Consequent advantage is, can be configured to larger using being used for as the equipment mechanism of the folder of implant.

Preferably, multiple folder is interconnected.Preferably, press from both sides side direction to be interconnected on placing direction.Alternatively, folder layout one by one, and be interconnected, consequent advantage is, folder can easierly be contained in cartridge clip.

Preferably, press from both sides and be made up of material composite.Preferably, at least one material is absorbable.In typical embodiment, separable extension comprises the engagement for being contained in handle portion.

In typical embodiment, implant is cage structure.Such as in DE102011022076, disclose such cage structure.Preferably, cage structure is used for stable and interval rotary body.But importantly, these cage structures are specially adapted to following method for posting: " micro-openings " and pass through skin.To this, surgical operating instrument preferably includes guiding tube, particularly a guiding tube.Consequent advantage is, cage structure is installable under the angle determined, can be navigated particularly well and can by extends parallel.This cage structure embodiment also can be used in other medical field, and such as, hollow space for the Minimally Invasive Surgery method for vertebra breakage realizes, and is used in veterinary and non-medical field.

Preferably, cage structure comprises upper casing and lower casing.Particularly preferably, upper casing and lower casing are interconnected movably by adjusting device.Preferably, pin is used as adjusting device.Consequent advantage is, can simply be moved by pin and change the distance of upper casing to lower casing.

In typical embodiment, pin, main shaft, air cushion, gel mat or band are used as adjusting device.Consequent advantage is, cage structure can be used as Dynamic link library rotary body.

Handle portion is connected with the cage structure as implant by least one cracking point.

Preferably, at least lower casing and/or upper casing and/or such as pin structure become additionally to have at least one plate, and this at least one plate has at least one fixing hole, to reinforce rotary body.Preferably, the occlusion mutually of form fit ground, two plate sides, can receive higher active force.Alternatively, dowel plate of also can additionally screwing on, or also can with separable connecting integration.

In typical embodiment, the junction point place between implant and handle portion, preferably before handle portion breaks, implements other tasks, as inserted, navigating, manufacture and fixing cage structure.

In typical embodiment, cage structure partly comprises bearing-surface.Preferably, described bearing-surface is applicable to receive when disconnecting or clash into cage structure the pressure produced.

In typical embodiment, apparatus comprises engagement at one end, is applicable to connection and inserts apparatus.Consequent advantage is, can manufacture at low cost.

Alternatively, apparatus can be connected with handle in side.Preferably, handle and implant are made up of a kind of material.Preferably, cut, burn into cut or spray and be used as manufacture method.

After cage structure such as being inserted in intervertebral disc, this cage structure can be gone up in any direction by the connection for navigating and the pulling force applied thereon and be rotated with the angle determined.At this, with unshowned scale on handle, user can be made it possible to and controls and/or keep the angle of wishing to arrange.

In typical embodiment, apparatus comprises notch or otch.Consequent advantage is, user identification and/or perceive, and whether reaches desired position, angle and whether cage structure can stretch.

In typical embodiment, cracking point is designed to, and preferably connects after cage structure stretches when reaching the moment of torsion of the power of restriction or restriction and breaks and/or be separated.Preferably, first therefore handle portion is separated.

Preferably, pin structure becomes, and make not reach the position determined when cage structure stretches, the peak of pin is skipped.Consequent advantage is, cage structure moves to together again, and therefore can be removed better.

Preferably, cracking point is configured to, and makes the motion limited to remove separation process.Example for described motion can be rotary motion or rectilinear motion.In all cases, the instrument of such as chisel or pliers form can be used for a point cracking point.

Preferably, apparatus comprises the band being applicable to connect part to be separated.Consequent advantage is, can control the part be separated, to avoid damaging, damaging and/or loss tissue around.

In typical embodiment, apparatus is made of a variety of materials.Consequent advantage is, can be manufactured for its function by having all elements that the specific material of low cost makes.

In typical embodiment, apparatus comprises the bar being applicable to implement Navigational Movements.Preferably, bar can be connected with cage structure.Particularly preferably, described bar comprises shape memory alloy material, particularly Nitinol, or is configured to line, is applicable to be navigated cage structure by pulling motion.Particularly preferably, cage structure has hole or fixing point.Consequent advantage is, can in a straightforward manner with method static line or bar.

Separately protect for the devices call of inserting for inserting described surgical operating instrument.

Preferably, insert apparatus and comprise handle.Consequent advantage is, can well control and manipulate to insert apparatus for operating.

On purpose, insert apparatus and comprise gathering sill for having implant.Preferably, handle portion is directed in gathering sill.On purpose, bonding part also can be directed in gathering sill.Particularly preferably, gathering sill is applicable to guide handle portion, and is therefore applicable to guide engagement part.More preferably, insert apparatus and comprise two or more gathering sill.Consequent advantage is, can guided surgery operating theater instruments more safely by inserting apparatus.

In typical embodiment, insert apparatus and comprise impingement area.Consequent advantage is, surgical operating instrument can be inserted hard tissue as in bone by inserting apparatus.

On purpose, insert apparatus and comprise bearing-surface.Preferably, bearing-surface effectively can be connected with the impingement area of the impingement area of bonding part and/or handle portion.Consequent advantage is, be applied in insert impact on the impingement area of apparatus can more safely and guide ground and be particularly transferred on surgical operating instrument in correct angle, particularly on handle and/or bonding part.Consequent advantage is, avoids the handle portion when impact being applied on the impingement area of inserting apparatus to be separated with bonding part.

On purpose, supporting surface comprises gathering sill.Consequent advantage is, surgical operating instrument can more safely on the bearing-surface of inserting apparatus lean on and directed.

Separately protection is required for the boring grab for inserting described surgical operating instrument.

Preferably, boring grab comprises the fixture preferably with the handle being applicable to insert hole, and the bonding part of surgical operating instrument is placed in described hole.Consequent advantage is, simplifies for bonding part opening of holing in advance.

Another embodiment describes the boring grab for inserting surgical operating instrument.

In typical embodiment, boring grab comprises the fixture for fixing bone being applicable to insert hole.Preferably, drilled metal silk is inserted in the hole.Consequent advantage is, surgical operating instrument is by boring grab and relatively easily can navigate to the hole for inserting bonding part of having holed in advance by means of the drilled metal silk be placed in boring grab.More easily find the hole for bonding part thus.

In typical embodiment, boring grab comprises one or more and guides face and/or gathering sill into, with guided surgery operating theater instruments.Preferably, spigot surface is applicable to guide engagement part.Particularly preferably, spigot surface is applicable to guide handle portion when inserting bonding part.Consequent advantage is, can guide engagement part and by its with limit angle insert in tissue.

Accompanying drawing explanation

Hereinafter, Short Description the present invention with reference to the accompanying drawings, wherein in accompanying drawing:

Fig. 1 illustrates according to the front view with the surgical operating instrument of handle portion (Griffteil) and bonding part (Fuegenprofil) of the present invention;

Fig. 2 illustrates to the perspective view of the surgical operating instrument according to Fig. 1;

Fig. 3 illustrates according to the front view with another embodiment of the surgical operating instrument of handle portion and bonding part of the present invention;

Fig. 4 illustrates to the perspective view of the surgical operating instrument according to Fig. 3;

Fig. 5 illustrate have according to surgical operating instrument of the present invention according to front view of inserting apparatus of the present invention;

Fig. 6 illustrate without described surgical operating instrument according to perspective view of inserting apparatus of the present invention;

Fig. 7 illustrates the perspective view according to boring grab of the present invention (Bohrschablone);

Fig. 8 illustrates the front view according to boring grab of the present invention according to Fig. 7;

Fig. 9 to Figure 12 illustrates the amplification sectional view according to boring grab of the present invention according to Fig. 8;

Figure 13 illustrate band when surgical operating instrument is inserted in tissue with good grounds of the present invention insert apparatus and according to according to the present invention boring folder the perspective view according to surgical operating instrument of the present invention;

Figure 14 illustrates the explanatory view of the front view according to surgical operating instrument of the present invention of the nail (Staple) had as implant;

Figure 15 illustrate have as implant nail and there is the explanatory view of another embodiment according to surgical operating instrument of the present invention of infusion cannula;

Figure 16 illustrates the explanatory view of the top view of the surgical operating instrument according to Figure 15;

Figure 17 illustrates the explanatory view of the perspective view of the embodiment of the surgical operating instrument according to Figure 15 and Figure 16;

Figure 18 illustrates the explanatory view of the side view of another embodiment according to surgical operating instrument of the present invention of the nail with nail tip (Spikes) had as implant;

Figure 19 illustrates the explanatory view of the top view of the surgical operating instrument according to Figure 18;

Figure 20 illustrates the perspective view of the surgical operating instrument according to Figure 18 and Figure 19;

Figure 21 illustrates the explanatory view of the side view of another embodiment according to surgical operating instrument of the present invention, and wherein implant is for having the nail of four posts (Schenkel);

Figure 22 illustrates the explanatory view with the perspective view of the surgical operating instrument of the nail with four posts according to Figure 21;

Figure 23 illustrates the explanatory view of the side view of another embodiment according to surgical operating instrument of the present invention, and wherein this surgical operating instrument has and sells (seitlicherKeil) with the nail of nail-plate and the side had for RA;

Figure 24 illustrates the explanatory view of the perspective view of the surgical operating instrument according to Figure 23;

Figure 25 illustrates the explanatory view of the side view of another embodiment according to surgical operating instrument of the present invention, and wherein implant is anchor (Anker).

Figure 26 illustrates the explanatory view of the side view of another embodiment according to surgical operating instrument of the present invention, and wherein implant is folder (Klammer);

Figure 27 illustrates the amplification sectional view of the front area of the surgical operating instrument according to Figure 26;

Figure 28 illustrates the explanatory view of the top view of the front area of another embodiment of surgical operating instrument;

Figure 29 illustrates the explanatory view of the intercepting side view according to the extensile cage structure of the main shaft of prior art (SpindelexpandierbarCage);

Figure 30 illustrates the explanatory view of the intercepting side view according to the embodiment of the present invention of the surgical operating instrument of the cage structure had as implant;

Figure 31 illustrates the explanatory view with the top view according to surgical operating instrument of the present invention of the cage structure as implant according to Figure 30;

Figure 32 illustrates the explanatory view of the intercepting side view of another embodiment according to surgical operating instrument of the present invention of the cage structure had as implant;

Figure 33 illustrates the explanatory view of the intercepting side view of another embodiment according to surgical operating instrument of the present invention of the cage structure in the unstretched condition had as implant;

Figure 34 illustrates the explanatory view with the intercepting side view according to the embodiment of the present invention of the surgical operating instrument of the cage structure as implant according to Figure 33, and wherein cage structure in the expanded state;

Figure 35 illustrates the explanatory view of the intercepting side view according to another embodiment of the present invention of the surgical operating instrument of the cage structure had as implant;

Figure 36 illustrates the explanatory view of the intercepting side view of another embodiment according to surgical operating instrument of the present invention of the cage structure had as implant;

Figure 37 illustrates the explanatory view of the intercepting side view according to another embodiment of the present invention of the surgical operating instrument of the cage structure had as implant.

Detailed description of the invention

Fig. 1 and Fig. 2 discloses a kind of surgical operating instrument 1.1.This surgical operating instrument 1.1 comprises handle portion 2.1 and bonding part 3.1.This bonding part 3.1 comprises the first post 8 and the second post 9.This handle portion 2.1 is connected with bonding part 3.1 with secondary fissure solution point 5 by the first cracking point 4.

First post 8 of bonding part 3.1 is connected by brace (Steg) 10 with the second post 9.Post 9 and the brace 10 angulation α of bonding part 3.1.In the embodiment of Fig. 1 and Fig. 2, this angle [alpha] is 26 °.

The free end of post 8 and 9 has point 11 respectively.Described point is preferably polished.In addition, each of post 8 and 9 comprises multiple barb 12.

Bonding part 3.1 comprises bonding part impingement area 13.This bonding part impingement area 13 is positioned on the surface of brace 10 of bonding part 3.1.

Handle portion 2.1 comprises hand portion impingement area 14.This hand portion impingement area 14 is positioned on the upside of handle portion 2.1.In addition, handle portion 2.1 comprises two fixture holes 15 and 16.In addition, handle portion 2.1 comprises circular void 17 and rectangular apertures 18, and wherein rectangular apertures 18 is configured to, and cracking point 5 and 4 is structured between handle portion 2.1 and bonding part 3.1.

Surgical operating instrument 1.2 shown in Fig. 3 and Fig. 4 is configured to the surgical operating instrument 1.1 be substantially similar to shown in Fig. 1 and Fig. 2.Fundamental difference part is, bonding part 3.2 is configured to right angle, i.e. the brace 21 angulation β of the first post 19 of bonding part 3.2 and the second post 20 and bonding part 3.2, and this angle beta is 90 °.The every other part of surgical operating instrument 1.2 is configured to the parts being substantially similar to the surgical operating instrument 1.1 shown in Fig. 1 and Fig. 2, and therefore has identical reference marker.Should be understood that the handle portion 2.2 of surgical operating instrument 1.2 is different from handle portion 2.1 in following, namely handle portion 2.2 can be connected with the bonding part 3.2 of 90 °.

Fig. 5 disclose there is surgical operating instrument 1.1 insert apparatus 22 according to of the present invention.As shown in Figure 5 and Figure 6, this apparatus 22 of inserting according to the present invention comprises handle 23.This is inserted apparatus 22 and comprise impingement area 40 on the upside of handle 23.In addition, insert apparatus 22 and comprise the first gathering sill 24 and the second gathering sill 25 for handle portion 2.1 or 2.2.

As shown in Figure 6, insert apparatus 22 and be included in bearing-surface 26 on one end of bonding part.On the bonding part impingement area 13 that this bearing-surface 26 is applicable to abut in surgical operating instrument 2.1 or 2.2 or handle impingement area 14.In addition, the bearing-surface 26 of inserting apparatus 22 comprises gathering sill 27.This gathering sill 27 is applicable to the upside surrounding and guide handle portion 2.1 or 2.2.

Fig. 7 and Fig. 8 illustrates according to boring grab 28 of the present invention.This boring grab 28 comprises handle 29, to handle boring grab 28 better.Boring grab 28 comprises function element 30 at its first end place.Boring grab 28 comprises function element 31 at its second end place.Function element 30 and 31 has multiple fixture and induction element respectively.Functional unit 30 and functional unit 31 have the guide surface 33 or 34 for surgical operating instrument 1.1 or 1.2 respectively.

Functional unit 30 is given prominence to from the handle 29 of boring grab 28, and make when the surface 32 of boring grab 28 refers to the patient from treatment, functional unit 30 can contact the health of patient.When patient is pointed in the upside 32 of boring grab 28, can to contact or as fixture by using function unit 31.

Fig. 9 illustrates the amplification plan view of the functional unit 30 of boring grab 28.This functional unit 30 comprises multiple hole 35, and they are applicable to as fixture, to introduce the described bonding part of 90 °, namely surgical operating instrument 1.2.Compatibly, Figure 11 discloses the ground plan of the functional unit 30 with hole 36, and they are equally applicable to introduce surgical operating instrument 1.2.The surface of hole 35 and hole 36 and functional unit 30 is at a right angle.The hole 36 occurred in fig. 11 is conical, because they are arranged in the guide surface 33 of the inclination of functional unit 30.

Figure 10 illustrates the top view of functional unit 31, and this functional unit 31 is applicable to as the fixture for surgical operating instrument 1.1.Therefore, build hole 41, and with angle [alpha], preferably 26 °.Under the help of the functional unit 31 of boring grab 28, the hole of proper angle can be produced for the post 8 and 9 of the bonding part 3.1 of surgical operating instrument 1.1.

Function of the present invention is described hereinafter:

Surgical operating instrument 1.1 and 2.1 is implanted in an identical manner with method.Hereinafter, implantation surgical operating instrument 1.2 is only described in order to know.

For implanting bonding part 3.2, surgical operating instrument 1.2 is placed in inserts in apparatus 22.To this, the handle portion 2.2 of surgical operating instrument 1.2 is imported into inserts in the gathering sill 24 and 25 of apparatus 22.At this, bearing-surface 26 acts on the rectangular apertures 18 of handle portion 2.2, makes bearing-surface 26 in rectangular apertures 18 and the impingement area 13 of the bonding part 3.2 that reclines.For guiding better, handle portion 2.2 is arranged in the gathering sill 27 of inserting apparatus 22 with its handle portion impingement area 14.

Figure 13 illustrates the surgical operating instrument 1.2 being received in and inserting in apparatus 22, boring grab 28 and the first drilled metal silk 38 and the second drilled metal silk 39.Drilled metal silk 38 and 39 has been placed in bodily tissue, in preferred bone.

In order to can positioning surgical apparatus 1.2 well, boring grab 28 be directed on the first drilled metal silk 38 and the second drilled metal silk 39 with its opening 35.

Free hole 35.1 and 35.4 and drilled metal silk 38 and 39 hole be placed in wherein have multiple object.Other drilled metal silk can be used with fixing bone parts.In addition, hole 35.1 and 35.4, also at least in part as fixture, is used for the opening of the post 19 and 20 of bonding part 3.2 with preboring.For placing bonding part 3.2, drilled metal silk 38 and 39 can take out at least in part from tissue or bone.

For making bonding part 3.2 enter in bone, the impingement area 3.2 of inserting apparatus 22 can be knocked.When bonding part 3.2 enters to certain depth, bonding part 3.2 can be separated with handle portion 2.2 with 7 places at cracking point 6 by rotary motion and/or curvature movement.

In addition, there is bonding part 3.2 enters tissue or bone further probability by knocking bonding part impingement area 13.

Alternatively, this surgical operating instrument also can when other, directly enter tissue when not inserting apparatus in unshowned embodiment, preferably enter in bone.By handle portion, the relatively good manipulation in bonding part, makes to exist surgeon and holds this surgical operating instrument in handle portion office and bonding part inserted at least in part probability in tissue by knocking handle portion impingement area.Then, handle portion can be separated with bonding part at cracking point place by surgeon.Working as needs, by knocking hand portion impingement area, bonding part can be inserted in bone further.

Figure 14 illustrates the front end area of the surgical operating instrument 42 of the nail 43 had as implant.Nail 43 has pin 44.This pin 44 is applicable to RA.This nail 43 is connected with handle portion 47 with 46 by two cracking points 45.This handle portion has gap 48.This gap 48 is such as applicable to as saw cramp tool.

Figure 15,16 and 17 illustrates another embodiment according to apparatus 49 of the present invention.There is provided nail 50 as implant.This nail 50 has little size, is preferably less than 4mm.In addition, surgical operating instrument 49 comprises infusion cannula 51.The surgical operating instrument be made up of handle portion and nail 50 is directed at infusion cannula 51.Infusion cannula 51 has very sharp limit 53.Advantage is thus, and surgical operating instrument 49 is also applicable to cutting.According to Figure 15,16 and 17 the embodiment of surgical operating instrument 49 be specially adapted to the fractionlet being fixed such as bone by skin.By infusion cannula 51, nail 50 can when not being placed into organizing when major injury of surrounding.

Figure 18,19 and 20 illustrates another embodiment according to surgical operating instrument 54 of the present invention of the nail 55 had as implant.Nail 55 is made out of tubes.Nail 55 has three posts 56,57 and 58, as seen in Figure 19.Nail 55 or post 56,57 and 58 have barb 59.In addition, follow closely 55 and at an upper portion thereof there is point 60 in region.

Nail 55 is connected with handle portion 62 by multiple cracking point 61.Handle portion 62 is configured to tubular.Consequent advantage is, surgical operating instrument 54 can be made out of tubes.For dismissing away unnecessary parts, preferably use laser means.

Figure 21 and Figure 22 illustrates another embodiment of surgical operating instrument 63.This surgical operating instrument 63 comprises the nail 64 with four posts 65,66,67 and 68.In addition, follow closely 64 and comprise the plate 69 with fixing hole 70.Nail 64 is connected with handle portion 72 by multiple cracking point 71.This handle portion 72 has gap 73, and this gap 73 can be used as saw cramp tool.Hole 74 to 76 in handle portion 72 is used as boring grab.

Fig. 3 and Figure 24 illustrates another embodiment of surgical operating instrument 77.This surgical operating instrument 77 comprises the nail 78 as implant and the support plate 79 as handle portion.This support plate 79 is connected with nail 78 by brace 80.This support plate 79 is arranged to γ angled with brace 80.This angle γ is preferably between 90 ° to 120 °.

Brace 80 and the angled δ of plate for forcing 81 following closely 78.This brace 80 is connected with plate for forcing 81 by cracking point 169.This angle δ is preferably between 90 ° to 170 °.This nail 78 comprises plate for forcing 81.This plate for forcing 81 has the side pin 82 for RA.

In addition, follow closely 78 and comprise post 83 in each bight of plate for forcing 81.Be similar to aforesaid embodiment, plate for forcing 81 comprises opening 166 and gap 167, is used as boring grab.

According to the embodiment of the present invention functional as follows of Figure 14 to Figure 23:

Nail 43,50,55,64 or 78 is located by means of handle portion 47,52,62,72 or 79, and is then placed in tissue, preferably bone tissue.When nail 43,50,55,64 or 78 is correctly located, handle portion 47,52,62,72 or 79 is separated with nail 43,50,55,64 or 78 by cracking point 45,46,61,71,169.

Figure 25 illustrates that another is according to surgical operating instrument 84 of the present invention.This surgical operating instrument 84 comprises anchor 85 as implant and handle portion 86.This anchor 85 is connected with handle portion 86 by cracking point 87.In the embodiment shown, cracking point 87 is configured to annular.The functional aforementioned embodiments being similar to surgical operating instrument.

Other, in unshowned embodiment, surgical operating instrument 84 in guiding tube, special directed in infusion cannula.

Figure 26 illustrates another embodiment of surgical operating instrument 93.

Figure 27 illustrates the amplification sectional view of the front area of surgical operating instrument 93.Wherein provide multiple folder 94,95,96,97 and 98 as implant.Folder 94 is connected by a cracking point or by two cracking points 99 with folder 95.Folder 95 is connected with folder 96 in a similar fashion.Folder 98 is connected with handle portion 101 by cracking point 100.Handle portion 101 is directed in infusion cannula 102 with multiple folder 94 to 98.This handle portion 101 can be connected with the instrument handle be not shown specifically by engagement.Substantially, handle portion 101 can be formed as single-piece respectively on instrument handle.

For the embodiment shown in Figure 27, folder 94,95,96,97 and 98 can with the mode of cartridge clip being removed one by one.

Figure 28 illustrates the amplification plan view of the front area of surgical operating instrument 88.Folder 89 is connected with handle portion 91 by cracking point 90.This handle portion 91 and cracking point 90 directed in infusion cannula.Handle portion 91 can be connected with the instrument handle be not shown specifically by engagement.Substantially, handle portion 91 can be formed as single-piece on instrument handle.

Figure 29 illustrates the cage structure 103 as implant according to prior art.This cage structure 103 comprises upper casing 104 and lower casing 105.Cage structure 103 is stretched by the junction point 106 of the main shaft for not being shown specifically.Pin 107 is shifted with main shaft by operation junction point 106.Pin 107 is adjusted to and cage structure 103 is stretched thus.Upper casing 104 with lower casing 105 except pin 107 is also connected by flexible-belt 108.

Figure 30 and Figure 31 illustrate have as implant cage structure 110 according to surgical operating instrument of the present invention.This cage structure 110 comprises upper casing 111 and lower casing 112.Upper casing 111 and lower casing 112 are at mutually opposing face place pin as flexuose in multiple formation and be interconnected by flexible-belt 113.Between that flexible-belt 113 is arranged in the wedge shape of upper casing 111 and lower casing 112, mutually opposing inner side.Preferably, 113 are with to be made up of elastomeric material.

For connecting elastic webbing 113 and cage structure, this band is preferably made or is sprayed for single-piece.Alternatively, described band also can rivet or be bonded in cage structure.In addition, upper casing 111 and lower casing 112 are interconnected to single-piece by bend pipe.

Thus, upper casing 111 is connected by least one flexible-belt 113 with lower casing 112, and the advantage of generation is, the maintaining body of other costlinesses must do not used as joint or hinge.

In other unshowned embodiments, upper casing or lower casing also have at least one separable connection or have other separable connections.

Surgical operating instrument 109 comprises two bars 114 and 115 as handle portion.Bar 114 is connected with the upper casing 111 of cage structure 110 by cracking point 116.Bar 115 is connected with the upper casing 112 of cage structure 110 by cracking point 117.Upper boom 114 is divided into three bars 118,119 and 120 at this.These can meet different tasks and function according to width and stability, such as, navigate, control, stretch and/or engage.Single bar 118 to 120 is interconnected by flexible-belt 121.Avoid the injury tissue when bar or bar 114,115,118,119,120 rupture thus.

This surgical operating instrument functional as follows:

Cage structure 110 is correctly located by bar 114 and 115 and is kept.Then, the pulling force on bar 114 and 115 and/pressure make cage structure 110 stretch or make upper casing 111 and lower casing 112 interval.Cage structure 110 alignment and align upper casing 111 and lower casing 112 is further made by bar 118 to 120.When cage structure 110 correct in place time, bar 114 is separated with cage structure 110 with 117 places at cracking point 116 with 115.

Figure 32 illustrate surgical operating instrument 122 according to another embodiment of the present invention.This surgical operating instrument 122 comprises the cage structure 123 as implant and three bars 124,125 and 126 as handle portion.This cage structure 123 comprises the pin chain (Keilkette) 129 as Connection Element.In addition, this pin chain 129 is connected with upper casing 128 by flexible-belt 172 with lower casing 132 by flexible-belt 171.Bar 124 is connected with the upper casing 128 of cage structure 123 by cracking point 127.Bar 125 is connected with pin chain 129 by cracking point 130.Bar 126 is connected with the lower casing 132 of cage structure 123 by cracking point 131.

This surgical operating instrument functional as follows:

Cage structure 123 is correctly located by bar 124 and 126 and is kept.Then, the pulling force on bar 125 makes cage structure 110 stretch or makes upper casing 128 and lower casing 132 interval.When cage structure 123 correct in place time, bar 124 to 126 is separated with cage structure 123 with 131 places at cracking point 127,130.

Figure 33 and 34 illustrates another embodiment of surgical operating instrument 133.This surgical operating instrument 133 comprises the cage structure 134 as implant and the pull bar as handle portion or push rod 135.This pull bar/push rod 135 is connected with the upper casing 137 of cage structure 134 by cracking point 136.This pull bar/push rod 135 is connected with the lower casing 139 of cage structure 134 by cracking point 138.The upper casing 137 of cage structure 134 and lower casing 139 are directly interconnected by the first brace 140 and the second brace 141.Consequent advantage is, cage structure 134 can be configured to single-piece.Brace 140 and 141 passes through the stretching, extension of pulling force and/or pressure for cage structure 134, and wherein brace orientation also can be in one direction.Pull bar/push rod 13 is for directed cage structure.

In other unshowned embodiments, the apparatus of other separation also can be used for directed cage structure.

Figure 35 illustrates another embodiment of surgical operating instrument 142.This surgical operating instrument 142 comprises the cage structure 143 as implant and three bars 144,145 and 146 as handle portion.The upper casing 147 of cage structure 143 is connected with middle brace 149 by flexible-belt 148.Similarly, lower casing 150 is connected with middle brace 149 by flexible-belt 148.Cage structure 143 is located by bar 144 to 146.By applying pressure and/or pressure with bar 145 to middle brace 149, upper casing 147 and lower casing 150 stretch mutually.When cage structure 143 has correct opening size and correctly locates, bar 144,145 is separated with cage structure 143 with 153 places at corresponding cracking point 151,152 with 146.

Figure 36 illustrates another embodiment of surgical operating instrument 154.This surgical operating instrument 154 comprises the cage structure 155 as implant.Cage structure 155 comprises the gusset plate 156 of integration.In the present embodiment, cage structure 155 is adjusted by pin chain 157.

This surgical operating instrument 154 comprises the bar 158 as handle portion, and this bar 158 is connected with pin chain 157 by cracking point 159.

In other unshowned embodiments, all so far described cage structure forms can be combined with gusset plate.

Figure 37 discloses another embodiment of surgical operating instrument 160.This surgical operating instrument 160 comprises the cage structure 161 with the nail 162 of integration as implant.This nail 162 comprises nail-plate 163 and two nail posts 164 and 165.Handle portion 168 is built in the mode being similar to above-mentioned embodiment.

Reference numerals list:

1 Surgical operating instrument 54 Surgical operating instrument 109 Surgical operating instrument 2 Handle portion 55 Nail 110 Cage structure 3 Bonding part 56 Post 111 Upper casing 4 Cracking point 57 Post 112 Lower casing 5 Cracking point 58 Post 113 Flexible-belt 6 Cracking point 59 Barb 114 Handle portion, bar 7 Cracking point 60 Point 115 Bar 8 Post 61 Cracking point 116 Cracking point 9 Post 62 Handle portion 117 Cracking point 10 Brace 63 Surgical operating instrument 118-120 Bar 11 Point 64 Nail 121 Flexible-belt 12 Barb 65 Post 122 Surgical operating instrument 13 Bonding part impingement area 66 Post 123 Cage structure 14 Handle portion impingement area 67 Post 124-126 Three bars 15 Fixture hole 68 Post 127 Cracking point 16 Fixture hole 69 Plate 128 Upper casing 17 Circular void 70 Fixing hole 129 Pin chain 18 Rectangular apertures 71 Cracking point 130 Cracking point 19 Post 72 Handle portion 131 Cracking point 20 Post 73 Gap 132 Lower casing 21 Brace 74 Hole 133 Surgical operating instrument 22 Insert apparatus 75 Hole 134 Cage structure 23 Handle 76 Hole 135 Pull bar or push rod 24 Gathering sill 77 Surgical operating instrument 136 Cracking point 25 Gathering sill 78 Nail 137 Upper casing 26 Bearing-surface 79 Support plate 138 Cracking point 27 Gathering sill 80 Brace 139 Lower casing 28 Boring grab 81 Plate for forcing 140 First brace 29 Handle 82 Pin 141 Second brace 30 Functional unit 83 Post 142 Surgical operating instrument

31 Functional unit 84 Surgical operating instrument 143 Cage structure 32 Surface γ Angle 144-146 Three bars 33 Guide surface δ Angle 147 Upper casing 34 Guide surface 85 Anchor 148 Flexible-belt 35 Hole 86 Handle portion 149 Middle brace 36 Hole 87 Cracking point 150 Lower casing 37 Corresponding contact surface 88 Surgical operating instrument 151-153 Cracking point 38 Drilled metal silk 89 Folder 154 Surgical operating instrument 39 Drilled metal silk 90 Cracking point 155 Cage structure 40 Impingement area 91 Handle portion 156 Gusset plate 41 Hole 92 Infusion cannula 157 Pin chain 42 Surgical operating instrument 93 Surgical operating instrument 158 Bar 43 Nail 94-98 Folder 159 Cracking point 44 Pin 99 Cracking point 160 Surgical operating instrument 45 Cracking point 100 Cracking point 161 Cage structure 46 Cracking point 101 Handle portion 162 Nail 47 Handle portion 102 Infusion cannula 163 Nail-plate 48 Gap 103 Cage structure 164-165 Nail post 49 Surgical operating instrument 104 Upper casing 166 Opening 50 Nail 105 Lower casing 167 Hole 51 Infusion cannula 106 Junction point 168 Handle portion 52 Handle portion 107 Pin 169 Cracking point 53 Limit 108 Flexible-belt

Claims (8)

1. a surgical operating instrument, it has implant, handle portion (2.1,2.2) and cracking point (4,5,6,7), described cracking point connection implant and handle portion (2.1,2.2), wherein,
Described implant is bonding part (3.1,3.2);
Described bonding part (3.1,3.2) has the first post (8) and the second post (9);
Described handle portion (2.1,2.2) is connected with bonding part (3.1,3.2) with the second predetermined cracking point (5,7) by the first predetermined cracking point (4,6);
First post (8,19) of described bonding part (3.1) and the second post (9,20) are linked together by brace (10,21) and the free end of described post (8,9,19,20) has point (11) respectively, and this point (11) is polished;
Described handle portion (2.1,2.2) comprises rectangular apertures (18), wherein this rectangular apertures (18) is configured so that described predetermined cracking point (4,5,6,7) is structured between described handle portion (2.1,2.2) and described bonding part (3.1,3.2)
It is characterized in that,
Each post (8,9) comprises multiple barb (12), and described handle portion (2.1,2.2) comprises two fixture holes (15,16) and circular void (17).
2. surgical operating instrument according to claim 1, is characterized in that, described surgical operating instrument comprises guiding tube (51,92,102).
3. surgical operating instrument according to claim 2, is characterized in that, described guiding tube (51,92,102) is configured to infusion cannula.
4. the surgical operating instrument according to any one of claim 1-3, is characterized in that, described implant is nail (43,50,55,64,78).
5. the surgical operating instrument according to any one of claim 1-3, it is characterized in that impingement area (13), wherein said impingement area (13) appears at bonding part (3.1,3.2) place after handle portion (2.1,2.2) disconnects.
6. surgical operating instrument according to claim 5, it is characterized in that the structure at described bonding part (3.1,3.2) place, wherein this structure is configured to impingement area (13).
7. surgical operating instrument according to claim 5, is characterized in that, described handle portion (2.1,2.2) has impingement area (14).
8. surgical operating instrument according to claim 7, is characterized in that, the impingement area (14) of described handle portion (2.1,2.2) is a structure.
CN201210005189.4A 2011-01-07 2012-01-09 Surgical operating instrument CN102579116B (en)

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EP2564792A1 (en) * 2011-09-02 2013-03-06 Episurf Medical AB Modular surgical kit for cartilage repair
JP6483136B2 (en) * 2013-12-23 2019-03-13 エシコン エルエルシー Surgical staples and methods for making the same

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DE19859952A1 (en) * 1998-08-11 2000-02-17 S & T Marketing Ag Neuhausen Micro-surgical clamps are produced from a flat strip of metal remaining attached within a recess in the strip
WO2003030746A1 (en) * 2001-10-05 2003-04-17 Boston Scientific Limited Through the scope endoscopic hemostatic clipping device
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US6723099B1 (en) * 2001-11-08 2004-04-20 Biomet, Inc. Three sided tack for bone fixation
EP1552794A2 (en) * 1996-08-12 2005-07-13 Ethicon Endo-Surgery Apparatus for marking tissue
WO2006074414A2 (en) * 2005-01-08 2006-07-13 Alphaspine, Inc. Modular disc device
EP1882451A2 (en) * 2006-07-25 2008-01-30 Olympus Medical Systems Corp. Clip apparatus for ligaturing living tissue
EP2106754B1 (en) * 2008-04-02 2010-09-01 Tornier Compression staple
WO2010127390A1 (en) * 2009-05-04 2010-11-11 Monash University Orthopaedic device for the treatment of spinal disc degeneration disease

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2731610A1 (en) * 1995-03-16 1996-09-20 Amp Dev Anchor component for implantation in bone surface cavity
EP1552794A2 (en) * 1996-08-12 2005-07-13 Ethicon Endo-Surgery Apparatus for marking tissue
DE19859952A1 (en) * 1998-08-11 2000-02-17 S & T Marketing Ag Neuhausen Micro-surgical clamps are produced from a flat strip of metal remaining attached within a recess in the strip
WO2003030746A1 (en) * 2001-10-05 2003-04-17 Boston Scientific Limited Through the scope endoscopic hemostatic clipping device
US6723099B1 (en) * 2001-11-08 2004-04-20 Biomet, Inc. Three sided tack for bone fixation
WO2004004578A1 (en) * 2002-07-03 2004-01-15 Christy Cummins Surgical stapling device
WO2006074414A2 (en) * 2005-01-08 2006-07-13 Alphaspine, Inc. Modular disc device
EP1882451A2 (en) * 2006-07-25 2008-01-30 Olympus Medical Systems Corp. Clip apparatus for ligaturing living tissue
EP2106754B1 (en) * 2008-04-02 2010-09-01 Tornier Compression staple
WO2010127390A1 (en) * 2009-05-04 2010-11-11 Monash University Orthopaedic device for the treatment of spinal disc degeneration disease

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