CN105411519B - A kind of movable foramen intervertebrale lens system - Google Patents
A kind of movable foramen intervertebrale lens system Download PDFInfo
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- CN105411519B CN105411519B CN201510961706.9A CN201510961706A CN105411519B CN 105411519 B CN105411519 B CN 105411519B CN 201510961706 A CN201510961706 A CN 201510961706A CN 105411519 B CN105411519 B CN 105411519B
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- China
- Prior art keywords
- sleeve pipe
- service aisle
- ring set
- shaped universal
- set body
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/313—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
- A61B1/317—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes for bones or joints, e.g. osteoscopes, arthroscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00131—Accessories for endoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/012—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/04—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/06—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B2017/564—Methods for bone or joint treatment
Abstract
The present invention relates to a kind of movable foramen intervertebrale lens system, its structure includes service aisle and accessory system；The service aisle includes sleeve pipe and T-shaped universal knob, and described sleeve pipe is instrument channel, so that operating theater instruments passes through wherein；The T-shaped universal knob is arranged on the outer wall of described sleeve pipe；The accessory system includes carrier guide rod and the ring set body being socketed on the carrier guide rod outer wall, annular notches are provided with the ring set body, the center section of the annular notches and the axial line of the ring set body are perpendicular, and the head of a nail body of the T-shaped universal knob is fastened in the annular notches；The carrier guide rod is provided with axially extending bore, for integrated as the light-source system of foramen intervertebrale lens component, imaging system, flushing system, water adding system and water system.The T-shaped universal knob matches with the annular notches on the ring set body, and each function to rotation between service aisle and accessory system can be achieved.The present invention is simple in construction, and the operation facility of maximum is provided for Minimally Invasive Surgery.
Description
Technical field
The present invention relates to a kind of orthopedic medical device, specifically a kind of movable foramen intervertebrale lens system.
Background technology
The protrasion of the lumbar intervertebral disci is spinal surgery common disease and frequently-occurring disease, and prominent disc tissue stimulates, pressuring nerve
Root can cause lumbocrural pain, numb symptom, the severe patient such as powerless to generally require operative treatment.Although conventional therapy treatment compared with
To be thorough, but the problems such as operation wound is big, bleeding is more, post-operative recovery is slow, leaves long-term chronic pain in the back be present.With minimally invasive spine
The development of surgical technic, foramen intervertebrale lens technology are arisen at the historic moment.By its wound is small, safe, few intercurrent disease, curative for effect etc.
Remarkable advantage, in recent years field of spinal surgery at home and abroad be widely used and develop.
Because the intraspinal tube of backbone lacks the natural cavity structure as chest, abdominal cavity or articular cavity, while intraspinal tube god
Intravascular is gathered, and it is difficult to implement endoscopic surgery in spine regions.Need what is solved in the early stage of backbone scope development
Subject matter is how the target area for being placed to intraspinal tube of its safety and precise, therefore the pioneers of early stage change
The mirror such as traditional chest and abdomen hysteroscope and arthroscope, tool separation mode of operation, by the imaging system of scope, light source, irrigation system and
Operating system is incorporated into diameter 7mm metal tube intracavitary, becomes one, this greatly simplifies it when inserting
Difficulty, the operation for being passed to narrow intervertebral foramen progress intraspinal tube are possibly realized, also Just because of this, modern foramen intervertebrale lens skill
Art obtained considerable degree of development at nearly 20 years, such as Yess technologies of the various surgical technics based on this integrated form scope,
Tessey technologies, Tutten technologies etc., its purpose is all that intervertebral foramen scope is effectively placed to safely into intraspinal tube, visual
Mirror downward view under cut off prominent nucleus pulposus, and the success all achieved.
However, this integrated design of early stage, while operation is simplified, also result in the drawbacks of its is intrinsic.It is main
It is embodied in：（1）Service aisle and light source, imaging, wash by water, pour water, water system together as one, there can only be job every time
Apparatus works into target area, and no image of Buddha chest, laparoscope or arthroscope can have more than one piece apparatus in different directions simultaneously like that
Cooperating.（2）Service aisle position is fixed, and operation direction is single, and operating theater instruments is limited by service aisle, it is impossible to arbitrarily
Tilt or swing, the decompression operation of small range can only be carried out in one direction.（3）Imaging system position is fixed, visual field limitation,
To change operation then the visual field also changes therewith in direction, this will result in practical operation " it is visible to can't reach, get at
It is just invisible " embarrassing phenomenon.Problems above, it can't be caused too when carrying out simple disc herniation Nuclectomy
It is big difficult, but as the development of surgical technic under mirror, foramen intervertebrale lens technology are progressively applied to sequestered disc, calcium
Change type the disc herniation even surgical intervention of spinal canal stenosis, under these complicated pathology environment, it is desirable to apparatus under mirror
There are larger range of deflecting and working range, real effective decompression operation could be realized, this point is exactly current integrated ridge
Post scope is difficult to.Just because of this, " mirror tool separate type " backbone scope should turn into the development of following backbone scope
The separation of direction, imaging system and work system, the free degree and scope of activities that two systems will be made to have given play to maximum, and
It is not mutual restriction and limitation.Lean on attachment structure ingenious in design simultaneously, and can realizes " divide without from " of two systems, is entering
The entirety relative as one is inserted during road, has not been asking for what difficulty for current vertebral column minimally invasive surgeon
Topic.Imaging, lavation, light source can be incorporated within 2-3mm pipeline by the technological level of modern scope, and such one
Individual diameter is as big as possible and possesses the service aisle of suitable mobility and will fundamentally change the work of conventional spinal scope
Pattern and bring huge social and economic benefit.
The content of the invention
It is an object of the invention to provide a kind of movable foramen intervertebrale lens system, to solve traditional foramen intervertebrale lens system operatio
Difficulty, appear the insufficient and halfway problem of decompression.
The object of the present invention is achieved like this：A kind of movable foramen intervertebrale lens system, including service aisle and auxiliary system
System；
The service aisle includes sleeve pipe and T-shaped universal knob, and the axial channel of insertion is provided with described sleeve pipe, as
Instrument channel, so that operating theater instruments passes through wherein；The T-shaped universal knob is arranged on the outer wall of described sleeve pipe, and described T-shaped ten thousand
The axial line of nail rod body and described sleeve pipe to knob is perpendicular；
The accessory system includes carrier guide rod and the ring set body being socketed on the carrier guide rod outer wall, in the ring set
The annular notches that inner chamber is big, collar extension is small, the center section of the annular notches and the axial line phase of the ring set body are provided with body
Vertically, the head of a nail body of the T-shaped universal knob is fastened in the annular notches；The carrier guide rod is provided with axially extending bore, uses
In integrated as the light-source system of foramen intervertebrale lens component, imaging system, flushing system, water adding system and water system.It is described T-shaped
Universal knob matches with the annular notches on the ring set body, can be achieved each to rotation between service aisle and accessory system
Function.
The service aisle is made using high-quality 2Crl3Ni2 stainless steels with the accessory system and is molded, and passes through chromium plating
Deng strict surface treatment, try hard to keep and denaturation, phenomenon of getting rusty are occurred without in the adverse circumstances such as HTHP, corrosion, and with good
Histocompatbility.
The movable foramen intervertebrale lens system of the present invention be current spinal surgery clinic there is an urgent need to a kind of device, device tool
There are following characteristics：(1) it is movable foramen intervertebrale lens device, service aisle can be with operating theater instruments movement or swing, and instrumentation is not
Limited by service aisle, arbitrarily can tilt or swing；（2）, can court respectively together with service aisle is no longer secured to accessory system
Different directions operate, and do not interfere with each other；（3）The imaging system being loaded with accessory system, adjustment position and angle, operation it can regard at any time
Open country also changes therewith, and the anatomical structure in art area can be shown in different angle, appears clear, abundant, and then be patient's lesions position
The thorough decompression of the nerve root at place creates favorable conditions.The present invention is simple in construction, and the operation of maximum is provided just for Minimally Invasive Surgery
Profit.
Brief description of the drawings
Fig. 1 is the structural representation of the present invention.
Fig. 2 is the partial sectional view of the present invention.
In figure：1st, service aisle, 2, sleeve pipe, 3, T-shaped universal knob, 4, axial channel, 5, carrier guide rod, 6, auxiliary system
System, 7, ring set body, 8, annular notches.
Embodiment
As shown in Figure 1 and Figure 2, the movable foramen intervertebrale lens system of the present invention includes 6 two groups of service aisle 1 and accessory system
Into part.
Service aisle 1 includes sleeve pipe 2 and T-shaped universal knob 3, and sleeve pipe 2 is straight-through pipe body, and axial channel 4 therein is
Instrument channel, to make operating theater instruments pass through wherein in surgical procedure, it is operated into art area.It is T-shaped universal
Knob 3 is fixed on the outer wall of sleeve pipe 2 by welding or other usual manners, and T-shaped universal knob 3 is spike body, its nail rod body
It is perpendicular with the axial line of sleeve pipe 2.
Accessory system 6 includes carrier guide rod 5 and ring set body 7, and the profile of ring set body 7 is jujube caryogram small in ends, middle part is big,
There is axial core bore at middle part, is socketed on the outer wall of carrier guide rod 5, and the mid diameter maximum on ring set body 7 is provided with a ring
Shape notch 8, the inner chambers of annular notches 8 is big, collar extension is small, and the center section of annular notches 8 and the axial line of ring set body 7 are perpendicular.T
The head of a nail body of the universal knob 3 of type is fastened in annular notches 8.Carrier guide rod 5 is cylinder straight tube body, is provided with axially extending bore, internal
The light-source system as foramen intervertebrale lens component, imaging system, flushing system, water adding system and water system can be integrated.It is T-shaped universal
Knob 3 is engaged with the annular notches 8 on ring set body 7, service aisle 1 is connected with each other with accessory system 6, turns into two juxtapositions
Connector, meanwhile, sleeve pipe 2 in service aisle 1 is done radially 360 ° of rotations around accessory system 6, or be in auxiliary
360 ° of axial rotations are done on the side of system 6, make to realize each work(to rotation between service aisle 1 and accessory system 6 so as to reach
Energy.
The movable foramen intervertebrale lens system of the present invention can realize the random mobile and inclination between service aisle and imaging system,
The visual field is movable, and opereating specification is big, appears abundant, gets a clear view, and the canalis spinalis and nerve root passage of patient are easily detected in art, thorough
Bottom extracts patient's body nerve root and causes pressure tissue, grasps the operation of the minimally-invasive treatment protrasion of the lumbar intervertebral disci, lumbar spinal stenosis etc.
Make more easy and effective.
The patient with the protrusion of the intervertebral disc, lumbar spinal stenosis is carried out using the movable foramen intervertebrale lens system of the present invention
Foramen intervertebrale lens operation specific operation process be：
（1）Patient is made to lie on one's side, suffering limb is in upper, padded waist, true in patient body-surface using being positioned under the C-arm of X-ray machine
Determine inserting needle route, and do body surface marking.
（2）Routine disinfection drape, after local anaesthesia success, according to body surface marking, puncture needle is inserted extremely under C-arm guiding
Correct position, need in puncture process adjustment to puncture direction and position if causing patient's lower limb radiated pain, extract puncture needle
Nook closing member, needle guard of the seal wire along puncture needle is inserted into precalculated position, extracts needle guard, Iohexol and methylene are injected into interverbebral disc
Indigo plant dyeing, in order to observe the form of disc herniation thing and excision.
（3）The otch of about 1cm sizes is cut at the seal wire puncture of patient body-surface, lead rod and sleeve pipe are implanted into step by step along seal wire
Soft tissue is expanded, and shaping step by step is carried out to intervertebral foramen using trepan and is expanded.
（4）It is after expanding intervertebral foramen step by step, service aisle, accessory system is parallel along lead rod implantation intervertebral foramen correct position.
According to the difference for causing pressure object location, the direction of service aisle and accessory system is adjusted, then by service aisle with different nucleus pulposus
Pincers pincers take the prominent nucleus pulposus being denatured, and Microscopic observation nerve root is loosened situation, it was observed that dural sac and nerve root occur it is autonomous
It is that nerve root is loosened thoroughly during beating.
（6）After the nucleus pulposus for thoroughly extracing denaturation, the disposable radio frequency cutter heads of U.S. elezma are inserted, energy is transferred to 24
Joule, normal nucleus pulposus is persistently burnt, is allowed to back to receive atrophy, after shaping, the fibrous ring of rupture is closed, thoroughly releases canalis spinalis
Interior high pressure.
（7）After observing the no active bleeding of operative region, working column, skin suture are taken out, operation terminates.
Claims (2)
1. a kind of movable foramen intervertebrale lens system, it is characterized in that, including service aisle and accessory system；
The service aisle includes sleeve pipe and T-shaped universal knob, the axial channel of insertion is provided with described sleeve pipe, as apparatus
Passage, so that operating theater instruments passes through wherein；The T-shaped universal knob is arranged on the outer wall of described sleeve pipe, the T-shaped Universal rotary
The nail rod body of button and the axial line of described sleeve pipe are perpendicular；
The accessory system includes carrier guide rod and the ring set body being socketed on the carrier guide rod outer wall, on the ring set body
The annular notches that inner chamber is big, collar extension is small are provided with, the center section of the annular notches and the axial line of the ring set body are perpendicular,
The head of a nail body of the T-shaped universal knob is fastened in the annular notches；The T-shaped universal knob and the ring on ring set body
Shape notch is engaged, and the service aisle is connected with each other with the accessory system, is turned into two juxtaposed connectors, make work
Described sleeve pipe in passage can do radially 360 ° of rotations, while can also be done beside the accessory system around the accessory system
Axially 360 ° of rotations；The carrier guide rod is provided with axially extending bore, for integrating the light-source system as foramen intervertebrale lens component, imaging
System, flushing system, water adding system and water system.
2. movable foramen intervertebrale lens system according to claim 1, it is characterized in that, the service aisle and the auxiliary system
System makes shaping, chrome-faced processing using 2Crl3Ni2 stainless steels.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510961706.9A CN105411519B (en) | 2015-12-21 | 2015-12-21 | A kind of movable foramen intervertebrale lens system |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510961706.9A CN105411519B (en) | 2015-12-21 | 2015-12-21 | A kind of movable foramen intervertebrale lens system |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN105411519A CN105411519A (en) | 2016-03-23 |
| CN105411519B true CN105411519B (en) | 2017-11-14 |
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| CN201510961706.9A Active CN105411519B (en) | 2015-12-21 | 2015-12-21 | A kind of movable foramen intervertebrale lens system |
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Families Citing this family (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2018006388A1 (en) * | 2016-07-08 | 2018-01-11 | 深圳市先赞科技有限公司 | Dual-function endoscope |
| CN106236187A (en) * | 2016-08-31 | 2016-12-21 | 蒋毅 | The service pipe of intervertebral foramina and prosthetic device |
| CN108309395A (en) * | 2018-02-02 | 2018-07-24 | 贺石生 | A kind of device for foramen intervertebrale lens operation |
| CN109091199B (en) * | 2018-08-29 | 2024-04-16 | 贺石生 | Surgical instrument guide, intervertebral foramen abrasive drill and intervertebral foramen forming surgical device |
| CN109512476B (en) * | 2018-12-19 | 2020-08-28 | 四川大学华西医院 | Intraoperative traction device for early cancers of digestive tract |
Family Cites Families (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2004337311A (en) * | 2003-05-14 | 2004-12-02 | Olympus Corp | Endoscope system |
| JP4302602B2 (en) * | 2004-09-24 | 2009-07-29 | オリンパス株式会社 | Endoscopic treatment tool, endoscopic treatment system, and support adapter |
| US8747304B2 (en) * | 2006-10-31 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Attachment apparatus for an endoscope |
| PT103654B (en) * | 2007-02-07 | 2009-04-30 | Fernando Antonio Cepeda Costa | ILLUMINATING APPARATUS FOR SURGICAL INSTRUMENTS |
| CN201094617Y (en) * | 2007-06-19 | 2008-08-06 | 傅一山 | Lumbar anterior approach micro-wound percutaneous interbody fusion operation auxiliary casing tube component |
| US8157727B2 (en) * | 2007-07-16 | 2012-04-17 | Ethicon Endo-Surgery, Inc. | Surgical methods and devices with movement assistance |
| JP2009072213A (en) * | 2007-09-18 | 2009-04-09 | Hoya Corp | Endoscope light source unit and endoscope system |
| CN201365910Y (en) * | 2009-03-20 | 2009-12-23 | 北京积水潭医院 | Fossa tendon guider for surgical total arthroscope reconstruction surgery |
| CN202313266U (en) * | 2011-09-24 | 2012-07-11 | 马学勤 | Intervertebral foramen mirror |
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Effective date of registration: 20190425 Address after: 050000 599 Qinling Mountains Avenue, Shijiazhuang high tech Zone, Hebei Patentee after: Hebei Rui Rui Medical Instrument Co., Ltd. Address before: 050000 Minimally Invasive Spinal Surgery, Third Hospital of Hebei Medical University, No. 139 Ziqiang Road, Shijiazhuang City, Hebei Province Patentee before: Zhang Wei |
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