CN104161552B - Disposable percutaneous puncture spinal canal expanding and forming set - Google Patents

Disposable percutaneous puncture spinal canal expanding and forming set Download PDF

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Publication number
CN104161552B
CN104161552B CN201410406041.0A CN201410406041A CN104161552B CN 104161552 B CN104161552 B CN 104161552B CN 201410406041 A CN201410406041 A CN 201410406041A CN 104161552 B CN104161552 B CN 104161552B
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China
Prior art keywords
percutaneous puncture
seat
disposable percutaneous
disposable
guide
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CN201410406041.0A
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CN104161552A (en
Inventor
籍宏
崔怀宇
秦艮壮
罗健
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Individual
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B17/295Forceps for use in minimally invasive surgery combined with cutting implements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws

Abstract

The invention discloses a disposable percutaneous puncture spinal canal expanding and forming set which comprises a fixator, a work channel, a puncture outfit, soft tissue forceps and bone tissue forceps. The fixator comprises a supporting seat and a guide piece. The work channel is composed of a channel tube and a fixed seat. The puncture outfit comprises a handle, a main rod and a self-tapping screw which are sequentially connected. The soft tissue forceps comprise a gun body which is provided with a gun bolt, a straight tube and a push rod seat. A wound pruning device is arranged in the straight tube, and a push rod is arranged in the wound pruning device. The push tube is connected with the push rod seat, and the wound pruning device is connected with the forcep gun bolt. The bone tissue forceps comprise a tail bed, a sliding cap is arranged on the top of the tail bed, a guide tube is arranged at the front end of the sliding cap, and a shearing device is arranged in the guide tube. The shearing device is connected with a second gun bolt, and the second gun bolt is connected with the tail bed. The disposable percutaneous puncture spinal canal expanding and forming set is ingenious in mechanical structure, convenient to operate, small in wound in the using process, little in breeding, capable of not damaging the stability of a spine, beneficial to recovery of a postoperative patient, and capable of relieving the pain of the patient.

Description

Disposable percutaneous puncture Canal expansive laminoplasty suit
Technical field
The present invention relates to a kind of medical apparatus and instruments, be specifically related to a kind of disposable percutaneous puncture canalis spinalis Expand forming package packing.
Background technology
Straitness of lumbar vertebrae, refers to that a variety of causes causes each radial line of canalis spinalis to shorten, and compressing is hard Membrane vesicle, spinal cord or nerve root, thus cause a class disease of corresponding delayed ischemic neurological deficits.
The treatment of traditional lumbar spinal stenosis is mainly realized by surgical operation, passes through Scalpel cuts skin, each layer tissue, arrives vertebra bony structure, then uses operating scissors The instrument such as cutter, operating forceps is stung except structures, i.e. soft tissue such as some hyperosteogenys, vertebral plate, articular processes And osseous tissue, expand canalis spinalis, intraspinal tube tissue is realized decompression, inserts internal fixation device. Such operation wound is big, and amount of bleeding is many, and operating time is long, is unfavorable for the health of postoperative patient Multiple.
Summary of the invention
It is an object of the invention to the problem above overcoming prior art to exist, it is provided that Yi Zhongyi Secondary property percutaneous puncture Canal expansive laminoplasty is set with, and frame for movement of the present invention is ingenious, easy to operate, During use, wound is little, go out insufficiency of blood, beneficially the recovery of postoperative patient, reduces the misery of patient.
For realizing above-mentioned technical purpose, reaching above-mentioned technique effect, the present invention is by following skill Art scheme realizes:
A kind of disposable percutaneous puncture Canal expansive laminoplasty suit, leads to including holder, work Road, perforator, soft tissue pincers and bony tissue forceps;
Wherein said holder includes supporting seat and guide;It is provided with on described holder Opening, described open center is provided with ball-type groove, and described ball-type groove is internally provided with guide, Described guide prolongs and is provided centrally with pilot hole;
Wherein said service aisle includes being made up of channel and fixing seat;
Wherein said perforator includes being sequentially connected with by handle, mobile jib and self-tapping screw forming;
Wherein said soft tissue pincers include gun body, and described gun body is provided with rifle bolt, straight tube And ram seat, it is provided with clip device in described straight tube, in described clip, is provided with ejector sleeve, institute Stating ejector sleeve to be connected with ram seat, described clip device is connected with rifle bolt;
Wherein said bony tissue forceps includes tailstock, and described tailstock top is provided with slides cap, Described cap front end of sliding is provided with guide pipe, and described guide pipe is internally provided with clipper, institute Stating clipper to be connected with rifle bolt two, described rifle bolt two is connected with tailstock.
Further, described service aisle is also connected with limiter.
Further, described handle one middle side part is provided with groove, is provided with in described groove Rotating seat, described rotating seat one end is provided with projection, described projection and passage base inwall spiral shell Stricture of vagina connects, and described passage base is connected with groove top by fixing seat, described passage base, Mobile jib and self-tapping screw are sequentially connected with.
Further, described clip device is made up of upper grip and lower chuck, and described lower chuck is tied Structure is spoon shape.
Further, described clipper front end is set to hook-shaped, and described hook-shaped angle Scope is 90 degree to 135 degree.
Further, it is additionally provided with clipper active tunnel in described guide pipe.
Further, described guide side is provided with open slot, described open slot and guiding Hole connects.
Further, described straight tube is provided with scale strip with the end of guide pipe.
The invention has the beneficial effects as follows:
The present invention uses service aisle to enter human body operation, and wound is little, and through trouble Portion is beneficial to operation;The setting clamped by bony tissue forceps and soft tissue, can be safely through passage Sting except soft tissues such as patient part's osseous tissue and ligaments, and the design of pliers makes to remove stinging The important feature such as the nerve of surrounding will not be caused damage during tissue, tissue is destroyed little, It is beneficial to later stage recovery.And in view of the structure of soft tissue, so use cutting of spoon shape structure Mouthpart, by the way of taking, can effective clamp soft tissue, when osseous tissue is implemented operation, Then use hook-shaped clipper, can the structure such as clamp hyperosteogeny, vertebral plate the most effectively.
Described above is only the general introduction of technical solution of the present invention, in order to better understand this The technological means of invention, and can be practiced according to the content of description, below with the present invention Preferred embodiment and coordinate accompanying drawing describe in detail as after.The detailed description of the invention of the present invention by Following example and accompanying drawing thereof are shown in detail in.
Accompanying drawing explanation
Accompanying drawing described herein is used for providing a further understanding of the present invention, constitutes this Shen A part please, the schematic description and description of the present invention is used for explaining the present invention, and Do not constitute inappropriate limitation of the present invention.In the accompanying drawings:
Fig. 1 is the overall structure schematic diagram of holder of the present invention;
Fig. 2 is the overall structure schematic diagram of perforator of the present invention;
Fig. 3 is the overall structure schematic diagram of service aisle of the present invention;
Fig. 4 is the overall structure schematic diagram of soft tissue of the present invention pincers;
The overall structure schematic diagram of Tu5Shi bony tissue forceps of the present invention;
Fig. 6 is the overall structure schematic diagram of limiter of the present invention;
Fig. 7 is the vertical view structure schematic diagram of guide of the present invention.
Detailed description of the invention
Below with reference to the accompanying drawings and in conjunction with the embodiments, the present invention is described in detail.
Referring to figs. 1 through shown in Fig. 7, a kind of disposable percutaneous puncture Canal expansive laminoplasty is set with, Including holder 1, service aisle 3, perforator 2, soft tissue pincers 4 and bony tissue forceps 5;
Wherein holder includes supporting seat 101 and guide 102;Opening it is provided with on holder, Described open center is provided with ball-type groove, and ball-type groove is internally provided with guide, and guide prolongs Being provided centrally with pilot hole, guide side is provided with open slot, and open slot is with pilot hole even Connect;
Wherein service aisle includes being made up of channel 301 and fixing seat 302, and service aisle is also Being connected with limiter, channel outer wall is additionally provided with scale strip, wherein limiter 6 is by interior spiral shell The knob 601 of stricture of vagina and externally threaded sleeve 602 connect composition, and sleeve one end is additionally provided with scale;
Wherein perforator includes being sequentially connected with by handle 201, mobile jib 202 and self-tapping screw 203 Composition, handle one middle side part is provided with groove, is provided with rotating seat 204, rotating seat in groove One end is provided with projection, and projection is connected with passage base 205 inner thread, and passage base leads to Crossing fixing seat 206 to be connected with groove top, passage base, mobile jib and self-tapping screw connect successively Connect;
Wherein soft tissue pincers include gun body 401, and gun body is provided with rifle bolt 402, straight tube 403 With ram seat 404, it is provided with clip device 406 in straight tube, in clip device, is provided with ejector sleeve 405, Ejector sleeve is connected with ram seat, and clip device is connected with rifle bolt, and clip device is by upper grip and lower chuck Composition, lower chuck structure is spoon shape;
Wherein bony tissue forceps includes that tailstock 501, tailstock top are provided with and slides cap 502, slides Cap front end is provided with guide pipe 503, and guide pipe is internally provided with clipper 504, clipper with Rifle bolt 2 505 connects, and rifle bolt two is connected with tailstock, and clipper front end is set to hook-shaped, and And hook-shaped angular range is 90 degree to 135 degree, it is additionally provided with clipper in guide pipe movable Passage 506.
The end of straight tube and guide pipe is provided with scale strip, convenient observation operational depth.
The operation principle of the present embodiment is as follows:
During use, all instruments all should be aseptic, first determines the patient body-surface position of percutaneous puncture, After medical science sterilization, service aisle is connected with perforator, is positioned over the position needing to puncture, Then press under being exerted a force by puncture handle, skin histology is punctured, hold due to power and be difficult to Controlling, so being also provided with rotating seat on perforator, rotating rotating seat, rotating seat drives Passage base moves, and realizes fine setting by screw thread, realizes paracentesis depth accurately.Puncture knot Touch service aisle after bundle, the position punctured can be put into, then holder is led to Cross opening and open slot, holder is stuck on channel, thus can guarantee that service aisle The problem that position is all around moved, is then fixed on limiter on channel, with fixing Device and fixing seat mutually abut, and so ensure the depth limit of service aisle.
Fixing step can implement operation technique after finishing, and bony tissue forceps is goed deep into affected part vertebral plate Position, carries out clip, pinching rifle bolt two to osseous tissue, and clipper is shunk back, and returns clipper In active tunnel, clipper closes, and gripping osseous tissue can complete.Due to Bone density Height, hard, the capacity limit of bony tissue forceps, sometimes cannot be by disposable for affected part osseous tissue All cut, and for the precision performed the operation, so would generally piecemeal grip, Patient will not be caused secondary injury by guarantee, so the guide pipe diameter of the present invention is more than shearing Device active tunnel, the osseous tissue of such fritter is permissible after shearing retraction by hook-shaped clipper Within filling in the space of guide pipe and clipper active tunnel, it is not necessary to extract bony tissue forceps's operation, Convenient and practical.And clipper is set to hook-shaped, after clip, energy of retraction forms a towing force, Ensure that osseous tissue can push in guide pipe smoothly, it is ensured that the time of clamp osseous tissue.Use After end, it is clamping owing to sliding cap with tailstock, so easily taking off, by the side slided Formula, takes off the guide pipe sliding cap and front end fixing, so from clipper sliding channel The osseous tissue before filling in guide pipe and clipper active tunnel in operation i.e. can be taken off, operation Convenient.
After stinging except part vertebral plate, it is possible to use soft tissue pincers are stung except tissues such as the ligamenta flava thickened, During use, rifle bolt of holding with a firm grip, (clip device normality is for opening for the clip device Guan Bi arranged inside State), prevent its hetero-organization enter cut mouthparts, cause danger, be also convenient for after Guan Bi into Entering by service aisle, after arriving soft tissue position, unclamp rifle bolt, clip device returns to normal Opening, then with the ligamenta flava thickened of mode clamp affected part of occlusion, then pinching is held with a firm grip rifle Bolt, clip device bounces back, and enters straight tube.Pressure ram seat, locks clip device, will not be from directly Pipe moves, after exiting passage, unclamps rifle bolt, promote ram seat, ligamenta flava in clip device Being ejected by ejector sleeve Deng soft tissue, rifle bolt of holding with a firm grip the most again, clip device bounces back, and enters straight tube, Can iterate through service aisle repeatedly to enter in the patient, ligamenta flava that clamp thickens etc. is soft Tissue.Due to penetration damage to be reduced, service aisle internal diameter is little, so the clip device opened Can be only formed and be closed in straight tube, structure the more soft tissue of clamp of energy of spoon shape, keep away Exempt to tear dural sac, injured nerve, operate safer, more convenient.
Aforesaid operations is repeated, it is possible to achieve the Wicresoft to different parts at different disease sites Decompression, canalis spinalis expands, and patients symptomatic improves.
One of the present invention disposable percutaneous puncture Canal expansive laminoplasty is set with, and has good Good market prospect, by the way of Wicresoft, will be down to minimum to the operation wound of patient, And operating safety, the operating time shortens, it is not necessary to general anesthesia, decreases patient's Hemorrhage, operating time, recovers have good help to patient's later stage.
The foregoing is only the preferred embodiments of the present invention, be not limited to the present invention, For a person skilled in the art, the present invention can have various modifications and variations.All Within the spirit and principles in the present invention, any modification, equivalent substitution and improvement etc. made, Should be included within the scope of the present invention.

Claims (9)

1. a disposable percutaneous puncture Canal expansive laminoplasty suit, it is characterised in that: include Holder, service aisle, perforator, soft tissue pincers and bony tissue forceps;
Wherein said holder includes supporting seat and guide;It is provided with on described holder Opening, described open center is provided with ball-type groove, and described ball-type groove is internally provided with guide, Described guide is along being provided centrally with pilot hole;
Wherein said service aisle includes being made up of channel and fixing seat;
Wherein said perforator includes being sequentially connected with by handle, mobile jib and self-tapping screw forming;
Wherein said soft tissue pincers include gun body, and described gun body is provided with rifle bolt, straight tube And ram seat, it is provided with clip device in described straight tube, in described clip, is provided with ejector sleeve, institute Stating ejector sleeve to be connected with ram seat, described clip device is connected with rifle bolt;
Wherein said bony tissue forceps includes tailstock, and described tailstock top is provided with slides cap, Described cap front end of sliding is provided with guide pipe, and described guide pipe is internally provided with clipper, institute Stating clipper to be connected with rifle bolt two, described rifle bolt two is connected with tailstock.
One the most according to claim 1 disposable percutaneous puncture Canal expansive laminoplasty set Dress, it is characterised in that: described service aisle is also connected with limiter.
One the most according to claim 1 disposable percutaneous puncture Canal expansive laminoplasty set Dress, it is characterised in that: described handle one middle side part is provided with groove, arranges in described groove Rotating seat, described rotating seat one end is had to be provided with projection, described projection and passage base inwall Threaded, described passage base is connected with groove top by fixing seat, described channel Seat, mobile jib and self-tapping screw are sequentially connected with.
One the most according to claim 1 disposable percutaneous puncture Canal expansive laminoplasty set Dress, it is characterised in that: described clip device is made up of upper grip and lower chuck, described lower chuck Structure is spoon shape.
One the most according to claim 1 disposable percutaneous puncture Canal expansive laminoplasty set Dress, it is characterised in that: described clipper front end is set to hook-shaped, and described hook-shaped angle Degree scope is 90 degree to 135 degree.
One the most according to claim 1 disposable percutaneous puncture Canal expansive laminoplasty set Dress, it is characterised in that: it is additionally provided with clipper active tunnel in described guide pipe.
One the most according to claim 1 disposable percutaneous puncture Canal expansive laminoplasty set Dress, it is characterised in that: described guide side is provided with open slot, described open slot with lead Connect to hole.
One the most according to claim 1 disposable percutaneous puncture Canal expansive laminoplasty set Dress, it is characterised in that: described straight tube is provided with scale strip with the end of guide pipe.
One the most according to claim 1 disposable percutaneous puncture Canal expansive laminoplasty set Dress, it is characterised in that: it is additionally provided with scale strip on described channel outer wall.
CN201410406041.0A 2014-08-18 2014-08-18 Disposable percutaneous puncture spinal canal expanding and forming set Active CN104161552B (en)

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Application Number Priority Date Filing Date Title
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CN104161552B true CN104161552B (en) 2017-01-11

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US20220313415A1 (en) * 2019-06-24 2022-10-06 Ooro Medical Ltd Device system and method for blunt tissue dissection and stress urinary incontinence treatment

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201422911Y (en) * 2009-05-12 2010-03-17 德阳市人民医院 Operation support sleeve and puncture guiding needle which can be used in combination
CN202078377U (en) * 2011-03-23 2011-12-21 曾岩 Secure gun-type bone rongeur
WO2013179222A1 (en) * 2012-05-28 2013-12-05 Nlt Spine Ltd Surgical impaling member
CN204033390U (en) * 2014-08-18 2014-12-24 籍宏 Disposable percutaneous puncture Canal expansive laminoplasty suit

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201422911Y (en) * 2009-05-12 2010-03-17 德阳市人民医院 Operation support sleeve and puncture guiding needle which can be used in combination
CN202078377U (en) * 2011-03-23 2011-12-21 曾岩 Secure gun-type bone rongeur
WO2013179222A1 (en) * 2012-05-28 2013-12-05 Nlt Spine Ltd Surgical impaling member
CN204033390U (en) * 2014-08-18 2014-12-24 籍宏 Disposable percutaneous puncture Canal expansive laminoplasty suit

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