CN105411519B - A kind of movable foramen intervertebrale lens system - Google Patents

A kind of movable foramen intervertebrale lens system Download PDF

Info

Publication number
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
Authority
CN
China
Prior art keywords
system
sleeve pipe
ring set
service aisle
shaped universal
Prior art date
Application number
CN201510961706.9A
Other languages
Chinese (zh)
Other versions
CN105411519A (en
Inventor
张为
王亚朋
申勇
丁文元
Original Assignee
张为
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 张为 filed Critical 张为
Priority to CN201510961706.9A priority Critical patent/CN105411519B/en
Publication of CN105411519A publication Critical patent/CN105411519A/en
Application granted granted Critical
Publication of CN105411519B publication Critical patent/CN105411519B/en

Links

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

A kind of movable foramen intervertebrale lens system

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.
CN201510961706.9A 2015-12-21 2015-12-21 A kind of movable foramen intervertebrale lens system CN105411519B (en)

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

Family

ID=55490412

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201510961706.9A CN105411519B (en) 2015-12-21 2015-12-21 A kind of movable foramen intervertebrale lens system

Country Status (1)

Country Link
CN (1) CN105411519B (en)

Families Citing this family (3)

* Cited by examiner, † Cited by third party
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
CN109512476A (en) * 2018-12-19 2019-03-26 四川大学华西医院 Pulling device in a kind of art of early gastrointestinal carcinoma disease

Family Cites Families (9)

* Cited by examiner, † Cited by third party
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

Also Published As

Publication number Publication date
CN105411519A (en) 2016-03-23

Similar Documents

Publication Publication Date Title
Yeung et al. Minimally invasive techniques for the management of lumbar disc herniation
JP4072591B2 (en) Spine surgery device
JP4277136B2 (en) Intervertebral diagnostic and treatment equipment
EP1257217B1 (en) Apparatus for performing therapeutic procedures in the spine
JP4299125B2 (en) Interbody spine stabilization method and apparatus
JP5179682B1 (en) System and method for guiding an instrument through bone
US6733496B2 (en) Intervertebral disc device employing flexible probe
US9474536B2 (en) Apparatus and methods for removing vertebral bone and disc tissue
EP1471840B1 (en) Diskectomy instrument
US6969392B2 (en) Multiportal device and method for percutaneous surgery
US6726685B2 (en) Intervertebral disc device employing looped probe
US6638276B2 (en) Intervertebral disc device employing prebent sheath
CN102256554B (en) Retractor cannula system for entering and watching backbone
US6875219B2 (en) Bone access system
ES2228165T3 (en) Hollow needle, curved, superelastic, for medical use.
US7094200B2 (en) Visualizing ablation system
US20020173796A1 (en) Method and apparatus for spinal augmentation
EP2699143B1 (en) Apparatus for performing retro peritoneal dissection
US20070213734A1 (en) Tissue modification barrier devices and methods
US8366748B2 (en) Apparatus and method of spinal implant and fusion
EP1340467B1 (en) A cavity retaining tool for general surgery
JP5770087B2 (en) system and method for cable-based debridement
US8597299B2 (en) Instrumentation and method for providing surgical access to a spine
US9033992B2 (en) Methods and apparatus for joint distraction
US20100056862A1 (en) Access needle for natural orifice translumenal endoscopic surgery

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
GR01 Patent grant
GR01 Patent grant
TR01 Transfer of patent right
TR01 Transfer of patent right

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