CN102935004A - Disposable retractor for brain operation - Google Patents

Disposable retractor for brain operation Download PDF

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Publication number
CN102935004A
CN102935004A CN2012105301400A CN201210530140A CN102935004A CN 102935004 A CN102935004 A CN 102935004A CN 2012105301400 A CN2012105301400 A CN 2012105301400A CN 201210530140 A CN201210530140 A CN 201210530140A CN 102935004 A CN102935004 A CN 102935004A
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China
Prior art keywords
mentioned
tube
expands
traction
leading
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CN2012105301400A
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Chinese (zh)
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CN102935004B (en
Inventor
葛建伟
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Suzhou Xipu Biotechnology Co Ltd
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Suzhou Xipu Biotechnology Co Ltd
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Abstract

The invention discloses a disposable retractor for brain operation, comprising a traction-expansion device with a sleeve structure, a guide device, and a connecting lock for connecting the traction-expansion device with the guide device to form a whole, wherein the traction-expansion device has an operating end and an exposed end, the inner wall surface and the outer wall surface of the sleeve structure of the traction-expansion device respectively shrink gradually from the operating end to the exposed end, and two or more than two handles are formed at the operating end of the traction-expansion device; and the guide device has a mounting end corresponding to the operating end of the traction-expansion device to realize installation and a wedge-shaped traction end extending out from the exposed end of the traction-expansion device and capable of sealing the exposed end, and the mounting end has a mounting structure used for fixing the connecting lock. According to the invention, deep operation position can be accurately exposed, at least two operation channels for surgical operation instrument to enter fine tissues are provided, and the design of the traction-expansion device is beneficial to light source hood focusing and binocular vision.

Description

The disposable operation retractor of requiring mental skill that makes
Technical field
The present invention relates to a kind of retractor, be specifically related to a kind of disposable operation retractor of requiring mental skill that makes.
Background technology
Sensu lato retractor refers to when carrying out surgical operation by contacting with person tissue in order to obtain a class medical apparatus and instruments of surgical field of view and operative space.Along with the development of medical skill, the kind of retractor and function are also come to enrich.
But, for the human body delicate tissues, such as brain tissue etc., the retractor had now is difficult to operation good support is provided.In operation such as the neurosurgery such as tumor, intracerebral hematoma, intracranial endoscopic surgery under tumor of ventricle, ventricular hemorrhage, brain cortex, with regard to being difficult to, by existing conductor, cerebroma and the cerebrovascular malformation of center, brain deep are performed the operation.
Summary of the invention
For solving the deficiencies in the prior art, the object of the present invention is to provide a kind of handled easily and can reduce the retractor that the human body delicate tissues is caused to damage.
In order to realize above-mentioned target, the present invention adopts following technical scheme:
The disposable operation retractor of requiring mental skill that makes, is characterized in that, comprising: have leading of tube-in-tube structure and expand device, for being arranged on, above-mentionedly lead the conductor that expands the device tube-in-tube structure, for connecting above-mentioned leading, expand device and make them become as a whole connection lock with conductor; The above-mentioned expansion device that leads is formed with operating side and bared end, and above-mentioned internal face and outside wall surface of leading the tube-in-tube structure that expands device shunk to bared end gradually by the aforesaid operations end, and the above-mentioned operating side of expanding device of leading is formed with two and the plural handle of holding; Above-mentioned conductor is formed with above-mentioned leading and expands that the device operating side is corresponding realizes the installation end installed and for from above-mentioned leading, expanding the traction end that the device bared end stretches out and above-mentioned bared end can be sealed, above-mentioned installation end is formed with for the mounting structure of above-mentioned connection lock is installed, and above-mentioned traction end is formed with open-ended.
The aforesaid disposable operation retractor of requiring mental skill that makes, is characterized in that, the above-mentioned expansion device that leads is made by transparent material.
The aforesaid disposable operation retractor of requiring mental skill that makes, is characterized in that, the above-mentioned tube-in-tube structure that expands device of leading is provided with scale of depth.
The aforesaid disposable operation retractor of requiring mental skill that makes, is characterized in that, the above-mentioned number of holding handle is 2 and is symmetrical arranged.
The aforesaid disposable operation retractor of requiring mental skill that makes, is characterized in that, the above-mentioned petioliform of holding becomes to be useful on fixing projection and gap slot.
The aforesaid disposable operation retractor of requiring mental skill that makes, is characterized in that, the above-mentioned internal face that leads the tube-in-tube structure that expands device is formed with unlimited arc groove at the aforesaid operations end.
The aforesaid disposable operation retractor of requiring mental skill that makes, is characterized in that, above-mentioned arc groove is with above-mentioned to hold the handle number identical, above-mentioned hold handle from above-mentioned arc groove place to extending to form perpendicular to the above-mentioned axis direction that expands the device tube-in-tube structure that leads.
The described disposable operation retractor of requiring mental skill that makes of preceding paragraph, it is characterized in that, above-mentioned mounting structure is formed with the inserting groove for above-mentioned connection lock plug-in mounting, the above-mentioned plug-in mounting groove one end sealing other end opens wide, one end of above-mentioned connection lock is formed with buckle structure, the other end is formed with push button, and the end plug-in mounting that above-mentioned connection lock is provided with buckle structure forms and is slidably connected to above-mentioned inserting groove and with it.
The aforesaid disposable operation retractor of requiring mental skill that makes, it is characterized in that, above-mentioned mounting structure withstands respectively them and makes above-mentioned buckle structure block the above-mentioned elastic component that expands device that leads with being connected between lock to be provided with, above-mentioned inserting groove and be connected to lock and all be formed with for withstanding the confined planes of above-mentioned elastic component.
Before the described disposable operation retractor of requiring mental skill that makes, it is characterized in that the outside wall surface of the above-mentioned internal face that leads the tube-in-tube structure that expands device and outside wall surface and the conductor curved surface that the concentration ellipse curve of big or small gradual change forms of all serving as reasons.
Usefulness of the present invention is:
1, can accurately expose the deep operation position, provide at least plural surgical operating instrument to enter the operation path of delicate tissues inside, lead being designed with of expansion device and be beneficial to the focusing of light source head-shield and binocular vision.
2, lead the configuration design of expanding device and conductor and alleviate to greatest extent the normal cerebral tissue's damage caused because of tractive, thereby reduce or avoid a series of complication that cause because of brain tissue impairment.
3, connection lock of the present invention design, simple to operate effective when transparent and design scale of depth makes operation, obviously improve operation efficiency, shorten operating time.
The accompanying drawing explanation
Fig. 1 is the main TV structure schematic diagram after disposable preferred embodiment of operation retractor that makes to require mental skill of the present invention assembles;
Fig. 2 is the plan structure schematic diagram of middle conductor embodiment illustrated in fig. 1;
Fig. 3 is the backsight structural representation of middle conductor embodiment illustrated in fig. 1;
Fig. 4 leads the plan structure schematic diagram that expands device in embodiment illustrated in fig. 1;
Fig. 5 leads the backsight structural representation that expands device in embodiment illustrated in fig. 1;
Fig. 6 is the structural representation of middle connection lock embodiment illustrated in fig. 1;
Fig. 7 is plan structure schematic diagram embodiment illustrated in fig. 1;
Fig. 8 is the sectional structure schematic diagram at middle mounting structure embodiment illustrated in fig. 1 place.
The implication of Reference numeral in figure:
1, lead the expansion device, 2, conductor, 3, connect lock, 4, hold handle, 5, open-ended, 6, projection, 7, gap slot, 8, arc groove, 9, mounting structure, 10, buckle structure, 11, push button, 12, elastic component.
The specific embodiment
Below in conjunction with the drawings and specific embodiments, the present invention is done to concrete introduction.
Shown in Fig. 8, the disposable operation retractor that makes to require mental skill of the present invention mainly comprises: lead and expand device 1, conductor 2 and be connected lock 3.
Wherein, lead expand device 1 conductor 2 mainly is installed when guiding and when operation, form operating theater instruments can by and mobile passage, therefore lead expansion device 1 and have a tube-in-tube structure, this tube-in-tube structure forms operation path for holding conductor 2 to be installed and to be invaded to organize.
Just lead and expand device 1 generally speaking, lead expansion device 1 and be formed with respectively operating side and bared end at the two ends of tube-in-tube structure, people's hand operated is convenient in operating side formation and other fixing devices are easy to fixing structure, and bared end is mainly used in coordinating the traction end of the conductor 2 exposed from this end to invade tissue, and removing the rear aligning lesions position of conductor 2.Therefore, in order to reduce the resistance of invading tissue and to reduce as far as possible the wound area, leading internal face and the outside wall surface of the tube-in-tube structure that expands device 1 shrinks to bared end gradually by operating side, wherein the design of the convergent of the internal face of tube-in-tube structure provides a space of being convenient to the operating theater instruments activity mainly for realizing, and the design of the convergent of outside wall surface is mainly in order to reduce the intrusion resistance.About leading the wall thickness expanded between device 1 tube-in-tube structure internal face and outside wall surface, can be both uniformity, also can adopt other design, this can be determined according to specific circumstances, and as a kind of preferred, wall thickness can be by operating side to bared end attenuation gradually.
Leading for the ease of the operation of hands the integral body that expands device 1 and conductor 2 compositions is invaded tissue, lead the operating side of expanding device 1 and be formed with two and the plural handle 4 of holding, hold handle 4 and can offer the enough contacts area of brothers, as a kind of preferred version, the number of holding handle 4 is 2 and is symmetrical arranged; Holding handle 4 is formed with for fixing projection 6 and gap slot 7.Projection 6 can realize in the fixing situation of time generation sidesway of snakelike retractor, in order to carry out the spacing sidesway that prevents in multiple directions as far as possible, the concrete form of projection 6 can be the burr with certain pattern, such as semicircle burr and the formed combination burr of both sides straight line burr.
Leading expansion device 1 at the larger activity space of operating side acquisition in order to make operating theater instruments, do not enlarge again to lead and expand the volume that device 1 is invaded tissue simultaneously, as a kind of preferred version, at the internal face that leads the tube-in-tube structure that expands device 1, be formed with outwardly open arc groove 8 in operating side.Further, the curved surface of arc groove 8 can be the part of a spheroid.Further, arc groove 8 is with to hold handle 4 numbers identical, hold handle 4 from above-mentioned arc groove 8 places to extending to form perpendicular to leading the axis direction that expands device 1 tube-in-tube structure.
Through our experiment, if finding to lead the convergent trend of the convergent design of expanding device 1 and conductor 2, we only from a direction, are shunk, when intrusion is organized, it is large that tissue is subject to a direction extruding degree, easily cause damage, and can not get desirable operation path, the outside wall surface of therefore as a kind of preferred version, leading the tube-in-tube structure that expands device 1 curved surface that the concentration ellipse curve of big or small gradual change forms of serving as reasons on the basis of convergent.On this basis, shown in Fig. 4, if hold the number of handle 4, be 2, hold the two ends that handle 4 and arc groove 8 can be formed at the elliptic curve major axis for two, and hold handle 4 and extend along the direction that is parallel to major axis, whole leading expanded the minor axis symmetry of device 1 about elliptic curve.
In addition, for convenient, observe, lead expansion device 1 and made and be provided with scale of depth by transparent material on tube-in-tube structure, such benefit is self-evident.
The main effect of conductor 2 is, forms the part of invading tissue, and exits by self after entering into assigned address, makes the tissue that leads expansion device 1 bared end avoid being extruded accumulation.Because the whole status requirement inserted of retractor is than darker several millimeters of the position of focus, the situation that can avoid tissue to be extruded like this.
With regard to it generally speaking conductor 2, is formed with and leads corresponding installation end and the traction end for from leading expansion device 1 bared end, stretching out and bared end can be sealed installed realized in expansion device 1 operating side.Traction end is formed with open-ended 5.
Conductor 2 is because it need to invade tissue, so it has the profile of approximate wedge shape, open tissue for squeezing, it should be noted that, the outside wall surface of guide 2, at first it need to meet can be arranged on to lead and expands in device 1 tube-in-tube structure, secondly need to meet the outside wall surface of leading the conductor 2 that expands device 1 bared end place can with lead the internal face close contact that expands device 1, making to lead the bared end that expands device 1 is closed, with before reaching not yet reach assigned address after invading tissue, tissue is unlikely to enter from the section of exposing that to lead in expansion device 1 tube-in-tube structure be operating walk way.
As a kind of preferred version, and lead that to expand device 1 similar, the outside wall surface of conductor 2 curved surface that the concentration ellipse curve of big or small gradual change forms of serving as reasons.
Connect to be used for and expand device 1 and conductor 2 and connect into as a wholely leading, for achieving this end, the installation end of conductor 2 is formed with the mounting structure 9 for fixed connection lock 3.
Particularly, mounting structure 9 is formed with inserting groove, this inserting groove one end sealing other end opens wide, connect lock 3 and can insert this inserting groove from a uncovered end, and can in this inserting groove, slide, an end that connects lock 3 insertions is provided with buckle structure 10, is positioned at a uncovered end and is formed with push button 11, and the inserting groove that need to illustrate should make buckle structure 10 expose and make it and lead gap slot 7 chuckings that expand device 1.
In order to realize self-locking, mounting structure 9 is provided with between 3 and withstands respectively them and buckle structure 10 is blocked lead the elastic component 12 that expands gap slot 7 on device 1 with being connected lock, inserting groove and be connected and lock 3 and all be formed with for withstanding the confined planes of elastic component 12.Elastic component 12 particularly can be selected helical spring, it should be noted that, inserting groove should be enclosed in elastic component 12 in cell body as far as possible.
Be arranged on and lead while expanding on device 1 at conductor 2, suitably promote push button 11, make to connect lock 3 compressing elastic components 12, now buckle structure 10 can dodge open lead expand device 1 hold handle 4, after aligning installs, unclamp push button 11, under the effect of elastic component 12, connecting lock 3 replys, buckle structure 10 just in time blocks the gap slot 7 of holding on handle 4, realizes that locking makes them form an integral body, after completing traction, promote push button 11 and get final product unlocked, exit to lead and expand device 1.
It should be noted that, gap slot has two kinds, and a kind of being used for locks, and a kind of is to coordinate for spacing for the downward projection with mounting structure 9 formation.
Conductor 2 expands device 1 for being arranged on to lead, connecting lock 3 makes them form an integral body, after they form a complete integral body, the healthcare givers who is performed the operation can progressively go deep into operative incision by this integral body, according to using neuronavigation system before operation, the technological means such as 3-dimensional image (MRI) or CTA image enter corresponding position according to the definite surgical approach of relation of focus under cortex and cortex and blood vessel, then fixedly lead and expand device 1 with snakelike retractor commonly used, unclamping connection lock 3 removes conductor 2, formed the operating walk way of operation, even need to adjust again position, only conductor 2 need to be put into again to lead and be expanded device 1, can start to reorientate.
Need explanation the time, in view of the operation hygienic requirements, the present invention can be used as disposable surgical instrument, the analog structure that can reuse that certainly is subject to the present invention's enlightenment also should fall into protection scope of the present invention.
Above demonstration and described ultimate principle of the present invention, principal character and advantage.The technical staff of the industry should understand, and above-described embodiment does not limit the present invention in any form, and all employings are equal to replaces or technical scheme that the mode of equivalent transformation obtains, all drops in protection scope of the present invention.

Claims (10)

1. the disposable operation retractor of requiring mental skill that makes, is characterized in that, comprising: have leading of tube-in-tube structure and expand device, for being arranged on, above-mentionedly lead the conductor that expands the device tube-in-tube structure, for connecting above-mentioned leading, expand device and make them become as a whole connection lock with conductor; The above-mentioned expansion device that leads is formed with operating side and bared end, and above-mentioned internal face and outside wall surface of leading the tube-in-tube structure that expands device shunk to bared end gradually by the aforesaid operations end, and the above-mentioned operating side of expanding device of leading is formed with two and the plural handle of holding; Above-mentioned conductor is formed with above-mentioned leading and expands that the device operating side is corresponding realizes the installation end installed and for from above-mentioned leading, expanding the traction end that the device bared end stretches out and above-mentioned bared end can be sealed, above-mentioned installation end is formed with for the mounting structure of above-mentioned connection lock is installed, and above-mentioned traction end is formed with open-ended.
2. the disposable operation retractor of requiring mental skill that makes according to claim 1, is characterized in that, the above-mentioned expansion device that leads is made by transparent material.
3. the disposable operation retractor of requiring mental skill that makes according to claim 1, is characterized in that, the above-mentioned tube-in-tube structure that expands device of leading is provided with scale of depth.
4. the disposable operation retractor of requiring mental skill that makes according to claim 1, is characterized in that, the above-mentioned number of holding handle is 2 and is symmetrical arranged.
5. the disposable operation retractor of requiring mental skill that makes according to claim 4, is characterized in that, the above-mentioned petioliform of holding becomes to be useful on fixing projection and gap slot.
6. the disposable operation retractor of requiring mental skill that makes according to claim 1, is characterized in that, the above-mentioned internal face that leads the tube-in-tube structure that expands device is formed with unlimited arc groove at the aforesaid operations end.
7. the disposable operation retractor of requiring mental skill that makes according to claim 6, is characterized in that, above-mentioned arc groove is with above-mentioned to hold the handle number identical, above-mentioned hold handle from above-mentioned arc groove place to extending to form perpendicular to the above-mentioned axis direction that expands the device tube-in-tube structure that leads.
8. according to the described disposable operation retractor of requiring mental skill that makes of claim 1 to 7 any one, it is characterized in that, above-mentioned mounting structure is formed with the inserting groove for above-mentioned connection lock plug-in mounting, the above-mentioned plug-in mounting groove one end sealing other end opens wide, one end of above-mentioned connection lock is formed with buckle structure, the other end is formed with push button, and the end plug-in mounting that above-mentioned connection lock is provided with buckle structure forms and is slidably connected to above-mentioned inserting groove and with it.
9. the disposable operation retractor of requiring mental skill that makes according to claim 8, it is characterized in that, above-mentioned mounting structure withstands respectively them and makes above-mentioned buckle structure block the above-mentioned elastic component that expands device that leads with being connected between lock to be provided with, above-mentioned inserting groove and be connected to lock and all be formed with for withstanding the confined planes of above-mentioned elastic component.
10. according to the described disposable operation retractor of requiring mental skill that makes of claim 1 to 7 any one, it is characterized in that the outside wall surface of the above-mentioned internal face that leads the tube-in-tube structure that expands device and outside wall surface and the conductor curved surface that the concentration ellipse curve of big or small gradual change forms of all serving as reasons.
CN201210530140.0A 2012-12-11 2012-12-11 Single use brain operation retractor Active CN102935004B (en)

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Application Number Priority Date Filing Date Title
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CN102935004B CN102935004B (en) 2016-03-30

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108814664A (en) * 2018-09-07 2018-11-16 中国人民解放军陆军军医大学第附属医院 A kind of cranium brain deep operation clear tubular retractor

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108814664A (en) * 2018-09-07 2018-11-16 中国人民解放军陆军军医大学第附属医院 A kind of cranium brain deep operation clear tubular retractor

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