CN104825201A - Improved percutaneous full-endoscopic minimally-invasive intervertebral disk operation fiber ring stitching instrument - Google Patents
Improved percutaneous full-endoscopic minimally-invasive intervertebral disk operation fiber ring stitching instrument Download PDFInfo
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- CN104825201A CN104825201A CN201510290311.0A CN201510290311A CN104825201A CN 104825201 A CN104825201 A CN 104825201A CN 201510290311 A CN201510290311 A CN 201510290311A CN 104825201 A CN104825201 A CN 104825201A
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- Prior art keywords
- fiber ring
- full
- stitching instrument
- fibrous ring
- stiching instrument
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0491—Sewing machines for surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06004—Means for attaching suture to needle
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06066—Needles, e.g. needle tip configurations
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
- A61B2017/0461—Means for attaching and blocking the suture in the suture anchor with features cooperating with special features on the suture, e.g. protrusions on the suture
- A61B2017/0462—One way system, i.e. also tensioning the suture
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06004—Means for attaching suture to needle
- A61B2017/06042—Means for attaching suture to needle located close to needle tip
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06066—Needles, e.g. needle tip configurations
- A61B2017/0608—J-shaped
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B2017/564—Methods for bone or joint treatment
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Rheumatology (AREA)
- Surgical Instruments (AREA)
Abstract
The invention belongs to an improved operation instrument and relates to an improved percutaneous full-endoscopic minimally-invasive intervertebral disk operation fiber ring stitching instrument. The improved percutaneous full-endoscopic minimally-invasive intervertebral disk operation fiber ring stitching instrument comprises a needle rod (1), a needle tip (2) and a seton groove (3). The needle tip (2) is bent into a hook shape. The cross section of the seton groove (3) can be in an inverted-T shape with the upper end open or a flat oval shape with the upper end open or of an isosceles trapezoid structure with the upper end open. The improved percutaneous full-endoscopic minimally-invasive intervertebral disk operation fiber ring stitching instrument can achieve the technical effect that the two free ends of an absorbable suture are knotted out of a working channel when used, and a knot pushing device is used for fixing a knot and pushing the knot to a fiber ring; due to the special structure, in cooperation with the stitching direction of the suture, it is guaranteed that the knotted knot can be located in the fiber ring. The improved percutaneous full-endoscopic minimally-invasive intervertebral disk operation fiber ring stitching instrument can be manufactured into a special cervical vertebra stitching instrument, a special thoracic vertebra stitching instrument and a lumbar vertebra stitching instrument for different sizes.
Description
Technical field
The invention belongs to the improvement to operating theater instruments, the full Microendoscopic percutaneous intervertebral disc operation fibrous ring be especially applied in minimally invasive spinal surgery field of surgery is sewed up.
Background technology
According to national health department's statistics, China intervertebral disk hernia patient is always in rising trend for many years, and is expanded to person between twenty and fifty by person in middle and old age with surprising rapidity year by year.This sick modal reason is that intervertebral disc each several part is as vertebral pulp, fibrous ring and cartilaginous lamina, especially vertebral pulp, after having degenerative change in various degree, under the effect of external force factor, the Anular disruption of intervertebral disc, nucleus pulposus protrudes from rear or intraspinal tube from part of breaking, and causes adjacent nerve roots to be stimulated or oppresses, thus generation pain, a series of clinical symptoms such as numb limbs and tense tendons, pain.Intervertebral disc lacks blood circulation gradually after growing up, and repair ability is poor.On the basis of above-mentioned factor effect, certain can cause intervertebral disc bear the risk factor that pressure raises suddenly, the poor vertebral pulp of elasticity namely may being made through becoming not too tough and tensile fibrous ring, causing Nucleus pulposus.Traditional operation method is excise outstanding vertebral pulp and free fibrous annulus tissue, and to remove the compressing of nerve root, but the drawback of this kind of operation method is that body surface otch is large.Under percutaneous endoscopic, intervertebral disc marrow nuclear excising art (Percutaneous endoscopic lumbar discectomy) is one of Minimally Invasive Surgery for the treatment of prolapse of lumbar intervertebral disc at present, postoperative pain alleviates compared with conventional open intervertebral disc marrow nuclear excising art (Open discectomy), otch is little, go out insufficiency of blood, the advantages such as post-operative hospital stay is short, curative effect is close with open surgery.But no matter be open surgery or Minimally Invasive Surgery, Postoperative recurrent rate is higher is all one of limitation of resection of nucleus pulposus, having scholar to add up even can up to 15%.Have scholar to prove by experiment, the repairing of the postoperative fibrous ring of resection of nucleus pulposus contributes to reducing again outstanding relapse rate.The one of the main reasons of PELD post-operative complication is that the mechanical integrity of failed fibers ring is not repaired, but so far, go back neither one effectively and safety repair failed fibers ring method or equipment at full Microendoscopic.
Summary of the invention
The technical problem solved
The full Microendoscopic minimal invasion intervertebral disc operation fibrous ring stiching instrument of the application of the invention, smoothly under the full endoscope micro-wound narrow surgical visual field and working place, directly can sew up Anular incision outside fibrous ring.
Technical scheme
A full Microendoscopic minimal invasion intervertebral disc operation fibrous ring stiching instrument for improvement, comprise shank 1 and needle point 2, be bent into hook-type at described needle point 2, described needle point 2 front end is provided with the hanging wire groove 3 hooking operation line.
This hanging wire groove 3 concrete can be " convex " word shape of upper end open for cross section, or cross section is the flat ellipse shape of a upper end open, can cross section be also the isosceles trapezoidal structure of a upper end open.
Further, be the difference of cervical vertebra, thoracic vertebra or lumbar vertebra according to surgical object, the transverse width of described hook-type has 1.5mm, 2.0mm, 2.5mm tri-kinds of specifications.
Beneficial effect
Effective fibrous ring having sewed up incision in operation, para-position is accurate, the technical problem that after solving full Microendoscopic intervertebral disc Minimally Invasive Surgery, fibrous ring is sewed up smoothly, decrease because para-position is forbidden to have postoperative complication that is neural near impact and blood vessel, adopt the stiching instrument of the improvement of the present invention's design simultaneously, there is mechanical strength higher, and toe-in can be imbedded fibrous ring inside, make the advantage that fibrous ring surface is more smooth.
Accompanying drawing explanation
Fig. 1 is a kind of intervertebral disc Minimally Invasive Surgery stiching instrument of three kinds of different sizes, and from left to right distinguish corresponding cervical operation stiching instrument a, thoracic vertebra surgical suture device b and lumbar surgery stiching instrument c, the cross section of hanging wire groove 3 is " convex " word shape of upper end open
Fig. 2 is operation chart, and 6 is service aisle, and 4 is absorbable thread, after hanging wire groove 3, stiching instrument of the present invention is placed in the service aisle 6 of tubulose, now can see damaged fibrous ring 5 at Microendoscopic
The fibrous ring of Fig. 3 by stiching instrument of the present invention along direction from inside to outside through breakage, catches absorbable thread 4 with clamping device 7 elongated under mirror, and is departed from hanging wire groove (service aisle does not draw, as follows)
The free-end of the line exited is made a call to a mobilizable slip-knot by Fig. 4, the fibrous ring opposite side inserting needle simultaneously by stiching instrument along direction from inside to outside in breakage
Slip-knot hangs on hanging wire groove by Fig. 5
Stiching instrument exits along service aisle by Fig. 6 together with line
Fig. 7 is by the line knotting of two outside service aisle
Toe-in is fixedly embedded in fibrous ring inside by Fig. 8 knotting propeller
Detailed description of the invention
This description, for cervical operation stiching instrument, describes structure of the present invention and detailed directions in detail.
Embodiment 1
As shown in Figure 1, stiching instrument a, adopts the stainless steel material of high strength, wherein 1 is shank, and 2 is needle point, and 3 is hanging wire groove, this hanging wire groove shape of cross section is " convex " font of upper end open, for reaching the technique effect mated with cervical vertebra, the transverse width of hook-type is designed to 1.5mm.In full Minimal Invasive Endoscopic operation process, as shown in Figure 2, first service aisle 6 is set up, after vertebral pulp is disposed, absorbable thread is hung on hanging wire groove 3, then stiching instrument is entered service aisle 6 together with two lines, by endoscope to determine that it arrives the breakage of fibrous ring 5, apply the benefit of absorbable thread herein for taking out stitches, tissue antigen rejection is low, ensures the length long enough of line simultaneously.As shown in Figure 3, needle point is done from inside to outside through the stitching action of damaged fibrous ring side, needle point exposes with two lines together by hanging wire casing structure from fibrous ring, needle point and two lines are below certain about at Microendoscopic, use elongated clamping device 7 to clamp wherein single line, this line is taken out from hanging wire groove.Then as shown in Figure 4, along the region that service aisle will be convenient to operation outside this root tape to service aisle, its free-end is made a call to one can be movable slip-knot.Now, wireless in the hanging wire groove of stiching instrument, then the needle point of stiching instrument another sidewall from aforesaid fibrous ring breakage is from inside to outside passed, ensure hanging wire groove exposed fiber ring surface.As shown in Figure 5, re-use elongated clamping device 7, will hang on hanging wire groove after service aisle be sent into by that slip-knot above, and exit elongated clamping device.As shown in Figure 6, stiching instrument needle point is oppositely exited along inserting needle direction with line from fibrous ring, continue to be withdrawn into along service aisle the region be convenient to operation outside service aisle, the hanging wire groove of toe-in from stiching instrument is taken out.As shown in Figure 7, now two free-ends of absorbable thread have been exposed to outside service aisle, but be each passed through the relative two side of fibrous ring, outer by two of line free-end knottings at service aisle, fibrous ring is pushed to after being fixed by toe-in with knotting propeller again, due to special construction of the present invention, coordinate the suture direction with line, ensure that the knot after knotting can be positioned at the inside of fibrous ring.
Embodiment 2
Substance is with embodiment 1, and difference is that hanging wire groove shape of cross section is the flat ellipse of upper end open, guarantees that surgical thread can hang over the needle point of stiching instrument smoothly.
Embodiment 3
Substance is with embodiment 1, and difference is that hanging wire groove shape of cross section is the isosceles trapezoid of upper end open, guarantees that surgical thread can hang over the needle point of stiching instrument smoothly.
Conclusion: adopt full Microendoscopic minimal invasion intervertebral disc operation fibrous ring stiching instrument of the present invention, damaged fibrous ring is sewed up when can be conveniently implemented in intervertebral disc Minimally Invasive Surgery, fibrous ring is sewed up tightr, skin and muscular tissue is cut on a large scale without during routine operation, simultaneously due to involutory closely, particularly toe-in can imbed fibrous ring inside, thus decrease the postoperative complication because of neural near involutory bad impact and blood vessel.
Although embodiments of the invention are cervical vertebra, for thoracic vertebra and lumbar vertebra, compared with cervical vertebra, just cone is relative with the volume of fibrous ring increases, therefore the corresponding expansion of hook-type lateral separation of stiching instrument front end, be respectively 2.0mm or 2.5mm (see Fig. 1), its structure is similar to cervical vertebra stiching instrument with usage.
More than detailed description of the invention more of the present invention; but the present invention is also not only confined to aforesaid way; all to the simple of the technology of the present invention feature or equivalents; such as constituent material is become other metals from rustless steel, hanging wire groove shape of cross section is designed to the bathtub construction that any other can realize tangling surgical thread function; also or by crotch-shaped become semicircle, triangle, rhombus etc. from hook-type, all will fall within protection scope of the present invention.
Claims (7)
1. the full Microendoscopic minimal invasion intervertebral disc operation fibrous ring stiching instrument improved, comprise shank (1) and needle point (2), described needle point (2) is bent into hook-type, and described needle point (2) front end is provided with the hanging wire groove (3) hooking operation line.
2. the fibrous ring stiching instrument of a kind of improvement as claimed in claim 1, it is characterized in that described hanging wire groove (3) for cross section be " convex " word shape structure of upper end open.
3. the fibrous ring stiching instrument of a kind of improvement as claimed in claim 1, it is characterized in that described hanging wire groove (3) for cross section be the flat ellipse shape structure of a upper end open.
4. the fibrous ring stiching instrument of a kind of improvement as claimed in claim 1, it is characterized in that described hanging wire groove (3) for cross section be the isosceles trapezoidal structure of a upper end open.
5. any one the fibrous ring stiching instrument improved as described in claim 2-4, is characterized in that the width of described hook-type is 1.5mm.
6. any one the fibrous ring stiching instrument improved as described in claim 2-4, is characterized in that the width of described hook-type is 2.0mm.
7. any one the fibrous ring stiching instrument improved as described in claim 2-4, is characterized in that the width of described hook-type is 2.5mm.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510290311.0A CN104825201A (en) | 2015-05-31 | 2015-05-31 | Improved percutaneous full-endoscopic minimally-invasive intervertebral disk operation fiber ring stitching instrument |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510290311.0A CN104825201A (en) | 2015-05-31 | 2015-05-31 | Improved percutaneous full-endoscopic minimally-invasive intervertebral disk operation fiber ring stitching instrument |
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| CN104825201A true CN104825201A (en) | 2015-08-12 |
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| CN201510290311.0A Pending CN104825201A (en) | 2015-05-31 | 2015-05-31 | Improved percutaneous full-endoscopic minimally-invasive intervertebral disk operation fiber ring stitching instrument |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107440755A (en) * | 2017-09-01 | 2017-12-08 | 江苏省中医药研究院 | A kind of full Microendoscopic minimal invasion intervertebral disc operation fibrous ring closer |
| CN109938789A (en) * | 2019-02-01 | 2019-06-28 | 汕头大学 | A kind of pushing device of minimally invasive abdominal operation equipment |
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| CN2361232Y (en) * | 1998-12-24 | 2000-02-02 | 赵国富 | Thread-drawing needle for visical neck suspension |
| US6099538A (en) * | 1999-02-02 | 2000-08-08 | T.A.G. Medical Products | Set of surgical tools and surgical method for connecting soft bone parts to one another or to connective tissue |
| US20040220613A1 (en) * | 2001-12-20 | 2004-11-04 | Peter Petros | Surgical instrument |
| CN201719291U (en) * | 2010-05-27 | 2011-01-26 | 徐生源 | Bent suturing device |
| CN201759614U (en) * | 2010-06-09 | 2011-03-16 | 韩德民 | Special needle for vocal cord operation |
| CN102018542A (en) * | 2009-09-14 | 2011-04-20 | 田明国 | Puncture type multifunctional poking rod used under laparoscope |
| CN202637015U (en) * | 2012-06-15 | 2013-01-02 | 周洪友 | Abdominal wall penetration sewing needle |
| CN104605974A (en) * | 2015-01-23 | 2015-05-13 | 南京医科大学第一附属医院 | Operation device for suturing annulus fibrosus after discectomy |
| CN204683684U (en) * | 2015-05-31 | 2015-10-07 | 江苏省中医药研究院 | A kind of full Microendoscopic minimal invasion intervertebral disc operation fibrous ring stiching instrument of improvement |
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2015
- 2015-05-31 CN CN201510290311.0A patent/CN104825201A/en active Pending
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| US5468251A (en) * | 1993-10-12 | 1995-11-21 | Advanced Surgical, Inc. | Surgical suturing device |
| CN2361232Y (en) * | 1998-12-24 | 2000-02-02 | 赵国富 | Thread-drawing needle for visical neck suspension |
| US6099538A (en) * | 1999-02-02 | 2000-08-08 | T.A.G. Medical Products | Set of surgical tools and surgical method for connecting soft bone parts to one another or to connective tissue |
| US20040220613A1 (en) * | 2001-12-20 | 2004-11-04 | Peter Petros | Surgical instrument |
| CN102018542A (en) * | 2009-09-14 | 2011-04-20 | 田明国 | Puncture type multifunctional poking rod used under laparoscope |
| CN201719291U (en) * | 2010-05-27 | 2011-01-26 | 徐生源 | Bent suturing device |
| CN201759614U (en) * | 2010-06-09 | 2011-03-16 | 韩德民 | Special needle for vocal cord operation |
| CN202637015U (en) * | 2012-06-15 | 2013-01-02 | 周洪友 | Abdominal wall penetration sewing needle |
| CN104605974A (en) * | 2015-01-23 | 2015-05-13 | 南京医科大学第一附属医院 | Operation device for suturing annulus fibrosus after discectomy |
| CN204683684U (en) * | 2015-05-31 | 2015-10-07 | 江苏省中医药研究院 | A kind of full Microendoscopic minimal invasion intervertebral disc operation fibrous ring stiching instrument of improvement |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107440755A (en) * | 2017-09-01 | 2017-12-08 | 江苏省中医药研究院 | A kind of full Microendoscopic minimal invasion intervertebral disc operation fibrous ring closer |
| CN109938789A (en) * | 2019-02-01 | 2019-06-28 | 汕头大学 | A kind of pushing device of minimally invasive abdominal operation equipment |
| CN109938789B (en) * | 2019-02-01 | 2024-03-26 | 汕头大学 | Nail pushing device of minimally invasive abdominal cavity surgical equipment |
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Application publication date: 20150812 |