CN105748111A - Rib fretsaw locator for thoracoscope - Google Patents
Rib fretsaw locator for thoracoscope Download PDFInfo
- Publication number
- CN105748111A CN105748111A CN201610134229.3A CN201610134229A CN105748111A CN 105748111 A CN105748111 A CN 105748111A CN 201610134229 A CN201610134229 A CN 201610134229A CN 105748111 A CN105748111 A CN 105748111A
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- CN
- China
- Prior art keywords
- rib
- fretsaw
- scroll saw
- location arm
- positioning pipe
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- Legal status (The legal status 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 status listed.)
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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
- A61B17/00234—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
- A61B17/14—Surgical saws ; Accessories therefor
- A61B17/15—Guides therefor
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Dentistry (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a rib fretsaw locator for thoracoscope. A locating pipe is formed by two locating branch pipes having completely same structure and size, the two locating branch pipes are arranged together side by side closely, and a fretsaw passes through the center hole in each locating branch pipe; the locating branch pipes are hard pipes, and are formed by straight pipe sections and arc pipe sections, the front end of each straight pipe section is smoothly connected with the rear end of the respective arc pipe section, and bent directions of the two locating branch pipes are consistent; and the handle structure is arranged at the rear part of the straight pipe section of each locating branch pipe. The fretsaw can run through the rib fretsaw locator, and the fretsaw can be separated from a wound incision and great vessels in lungs and chest, so that the incision and great vessels in lungs and chest can be radically prevented from being injured by a rough and sharp fretsaw; and the front end of the arc pipe sections can be closely contacted with the surface of a rib to be cut off, so that the fretsaw can be accurately located, severe shaking of the fretsaw can be avoided when a rib is cut off, smooth operation and cutting accuracy of an operation can be guaranteed, and side injury can be avoided.
Description
Technical field
The invention belongs to medical instruments field, particularly relate to a kind of thoracoscope rib scroll saw localizer.
Background technology
In medical practice, it is frequently run onto that some ribs are optimum or the patient of malignant tumor, is at this moment accomplished by removing the rib of pathological changes.At present, domestic popular way is: first cut skin and the muscle of chest, expose rib rear cutout except the rib of pathological changes, the defect of this rib minimizing technology essentially consists in be needed to cut off the normal skin of pathological changes rib surface and muscle, so that the wound of operation is big, later stage rehabilitation is slow, skin stays longer cicatrix impact attractive in appearance, even cause long-term muscle dysfunction, cause head movement inconvenience.
The thoracoscopic surgery techniques progressively grown up in recent years, is implemented the operation technique of intrathoracic pathological changes, is not cut off thoracic wall muscle, do not strut rib, so that operation wound is decreased obviously while high-quality completes operation by Small incision thoracotomy or hole.Be widely used at present Lung Cancer Cases After Resection and Resection Esophagus Carcinoma etc. intrathoracic various pathological changes.But owing to lacking effective thoracoscope rib reseclion apparatus so that difficulty is carried out in the operation of thoracoscope rib reseclion.At present, abroad also having the technology excising rib when thoracoscope, specific embodiment has following three kinds: 1, adopting rib nippers under thoracoscope, rib nippers is similar to shears, and this excision mode has the drawback that rib nippers is expensive, and rib otch is irregular；2, under thoracoscope, employing lengthens dental drill, and utilizes lengthening dental drill to bore the disconnected rib losing normal function, and this excision mode has the drawback that not only lengthening dental drill is expensive, and it is bad fixing to lengthen dental drill, easily slides；3, adopting scroll saw under thoracoscope, this mode is at the direct otch of rib surface, around rib after scroll saw is imported, then outside human body sawed-off rib；The defect of above-mentioned saw blade cutting mode mainly has: a, at present importing scroll saw in thoracic cavity, owing to rib is curved, scroll saw easily slides on rib, the problem of bad location often occurs, thus cause cannot the rib that excises of precise ablation needs, thus causing excision extension improper；B, due to scroll saw rough surface, sharp, moving back and forth in thoracic cavity and when amputating rib, easily damage otch, lung and intrathoracic big blood vessel, thus causing not right Accessory injury, causing even death.
Summary of the invention
The technical problem to be solved is in that to provide a kind of thoracoscope rib scroll saw localizer, is intended to be accurately located at by scroll saw by localizer need place of incision, and is separated with otch, lung and intrathoracic big blood vessel by scroll saw.
Technical scheme is as follows: a kind of thoracoscope rib scroll saw localizer, it is characterized in that: this localizer is made up of positioning pipe (1) and grip structure (2), wherein positioning pipe (1) is made up of two root architectures and size identical location arm (1a), this two positioning support tube side-by-sides and being closely packed together, and the centre bore of location arm (1a) is for for scroll saw traverse；Described location arm (1a) is hard tube, and be made up of straight length (1a-1) and arc pipeline section (1a-2), wherein the front end of straight length (1a-1) and arc pipeline section (1a-2) rear end are smoothly connected, and the bending direction of two location arm (1a) is consistent；
Described grip structure (2) is located at straight length (1a-1) rear portion of location arm (1a), and this grip structure is for holding for operator.
When using the operation of the invention process rib reseclion, first at the little otch cutting 2 centimeters away from the position needing excision rib, and import scroll saw (3) from this little incision, secondly around rib in thoracic cavity, then with scroll saw guide hook (4), the two ends of scroll saw are penetrated in two location arm (1a), and pull out from arm (1a) rear end, location, rear end of location arm (1a), and will position in arc pipeline section (1a-2) and the anterior thoracic cavity inserting patient from little incision of straight length (1a-1) of arm (1a)；The front end of arc pipeline section (1a-2) is in close contact with the rib surface needing excision thereafter, and last operation person is at the external moving-wire saw of pulling back of human body, thus excising the rib needing excision.
Adopt above technical scheme, the present invention can supply scroll saw traverse, thus scroll saw can be kept apart with damage otch, lung and intrathoracic big blood vessel, such that it is able to fundamentally prevent coarse, sharp scroll saw from damaging otch, lung and intrathoracic big blood vessel, thus avoiding not right Accessory injury；Simultaneously, the arc pipeline section front end of the present invention can with the rib surface close contact needing excision, thus accurately scroll saw being positioned, and then when avoiding excising rib, scroll saw acutely rocks, thus can guarantee that being smoothed out and excising precision of operation, it is to avoid produce Accessory injury.Simultaneously, the front end of the present invention is arc pipeline section, and it has the function of cut-through thing, thus can select little incision site neatly, such that it is able to avoid directly at the surface skin place otch needing excision rib, this function is particularly useful for the patient of thoracic tuberculosis, radiotherapy.Although it addition, present invention simple in construction, but efficiently solving the defect of prior art, kill two birds with one stone, and simultaneously because simple in construction also makes with low cost, it is easy to promote the use.
Important optimization scheme as the present invention, described grip structure (2) is made up of two handle rings (2a), the two handle ring is positioned at the rear portion of described straight length (1a-1), and the two handle ring (2a) come described positioning pipe (1) both sides, and two handle rings (2a) are positioned in approximately the same plane, this plane is vertical with the plane at two described location arm (1a) places.
Adopt above structure, operator can hold grip structure (2) easily, securely, thus holding the present invention, the front end of arc pipeline section (1a-2) and rib thus can be effectively allowed to be closely contacted and be accurately positioned, thus ensureing that what rib reseclion performed the operation is smoothed out.
As important optimization design, all there is arc-shaped edges in front aperture and the rear aperture of described location arm (1a) centre bore.
Adopt above structural design, thus can effectively alleviate the abrasion of scroll saw and location arm (1a) inner hole wall, this is helpful for the service life extending scroll saw and the present invention, and also can pull scroll saw smooth and easy, effortlessly back and forth, thus ensureing that what rib reseclion performed the operation is smoothed out, kill two birds with one stone.
In the present case, width (the D)≤1.2cm of described positioning pipe (1), and thickness (the C)≤0.5cm of positioning pipe (1).
Adopt above structural design, width (the D)≤1.2cm of positioning pipe (1), and thickness (the C)≤0.5cm of positioning pipe (1), so can not only ensure structural strength, and positioning pipe (1) can be allowed to be smoothly through rib space, preventing positioning pipe (1) to be urged to intercostal nerves, thus alleviating the misery of patient, and ensureing that what rib reseclion performed the operation is smoothed out.The modular design of the two parameter has been paid creative work by applicant, and achieves good technique effect.
As preferably, central angle (α) corresponding to described arc pipeline section (1a-2) is 10 °-60 °, and can more preferably 20 °, 30 °, 40 ° or 50 °, and the size of arc pipeline section (1a-2) can guarantee that barriers such as effectively walking around intrathoracic scapula or spinal column.
Beneficial effect: the present invention can supply scroll saw traverse, thus scroll saw can be kept apart with damage otch, lung and intrathoracic big blood vessel, such that it is able to fundamentally prevent coarse, sharp scroll saw from damaging otch, lung and intrathoracic big blood vessel, thus avoiding not right Accessory injury；Simultaneously, the arc pipeline section front end of the present invention can with the rib surface close contact needing excision, thus accurately scroll saw being positioned, and then when avoiding excising rib, scroll saw acutely rocks, thus can guarantee that being smoothed out and excising precision of operation, it is to avoid produce Accessory injury；Although it addition, present invention simple in construction, but efficiently solving the defect of prior art, kill two birds with one stone, and simultaneously because simple in construction also makes with low cost, it is easy to promote the use, there is longer service life and use value.
Accompanying drawing explanation
Fig. 1 is the axonometric chart of the present invention；
Fig. 2 is the front view of the present invention；
Fig. 3 is the A direction view of Fig. 2；
Fig. 4 is the use schematic diagram of the present invention.
Detailed description of the invention
Below in conjunction with drawings and Examples, the invention will be further described:
Such as Fig. 1--shown in 4, a kind of thoracoscope rib scroll saw localizer, this localizer is made up of positioning pipe 1 and grip structure 2, positioning pipe 1 and grip structure 2 are made by rustless steel or medical plastic, wherein positioning pipe 1 is made up of the identical location arm 1a of two root architectures and size, this two positioning support tube side-by-sides and being closely packed together.The centre bore of location arm 1a is for supplying scroll saw 3 traverse, and the aperture of location arm 1a centre bore is slightly larger than the external diameter of scroll saw 3.Location arm 1a is hard tube, and is made up of straight length 1a-1 and arc pipeline section 1a-2, and wherein the front end of straight length 1a-1 and arc pipeline section 1a-2 rear end are smoothly connected, and the bending direction of two location arm 1a is consistent, and two location arm 1a are in approximately the same plane.All there is arc-shaped edges in front aperture and the rear aperture of location arm 1a centre bore.Width D≤the 1.2cm of positioning pipe 1, and can more preferably 1.1cm, 1cm or 0.9cm.And the thickness C≤0.5cm of positioning pipe 1, and can more preferably 0.4 or 0.3cm.Central angle alpha corresponding to arc pipeline section 1a-2 is 10 °-60 °.
Such as Fig. 1--shown in 4, grip structure 2 is located at the straight length 1a-1 rear portion of location arm 1a, and this grip structure is for holding for operator, and can play the effect of restriction positioning pipe 1 degree of depth inserted into the patient.In the present case, grip structure 2 is made up of two handle ring 2a, and the two handle ring is positioned at the rear portion of straight length 1a-1, and the two handle ring 2a come positioning pipe 1 both sides, and two handle ring 2a are positioned in approximately the same plane, this plane is vertical with the plane that two position arm 1a place.
The foregoing is only presently preferred embodiments of the present invention, not with the present invention for restriction, all any amendment, equivalent replacement and improvement etc. made within the spirit and principles in the present invention, should be included within protection scope of the present invention.
Claims (5)
1. a thoracoscope rib scroll saw localizer, it is characterized in that: this localizer is made up of positioning pipe (1) and grip structure (2), wherein positioning pipe (1) is made up of two root architectures and size identical location arm (1a), this two positioning support tube side-by-sides and being closely packed together, and the centre bore of location arm (1a) is for for scroll saw traverse；Described location arm (1a) is hard tube, and be made up of straight length (1a-1) and arc pipeline section (1a-2), wherein the front end of straight length (1a-1) and arc pipeline section (1a-2) rear end are smoothly connected, and the bending direction of two location arm (1a) is consistent；
Described grip structure (2) is located at straight length (1a-1) rear portion of location arm (1a), and this grip structure is for holding for operator.
2. thoracoscope rib scroll saw localizer according to claim 1, it is characterized in that: described grip structure (2) is made up of two handle rings (2a), the two handle ring is positioned at the rear portion of described straight length (1a-1), and the two handle ring (2a) come described positioning pipe (1) both sides, and two handle rings (2a) are positioned in approximately the same plane, this plane is vertical with the plane at two described location arm (1a) places.
3. thoracoscope rib scroll saw localizer according to claim 1, it is characterised in that: all there is arc-shaped edges in front aperture and the rear aperture of described location arm (1a) centre bore.
4. thoracoscope rib scroll saw localizer according to claim 1, it is characterised in that: width (the D)≤1.2cm of described positioning pipe (1), and thickness (the C)≤0.5cm of positioning pipe (1).
5. thoracoscope rib scroll saw localizer according to claim 1, it is characterised in that: the central angle (α) corresponding to described arc pipeline section (1a-2) is 10 °-60 °.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610134229.3A CN105748111A (en) | 2016-03-09 | 2016-03-09 | Rib fretsaw locator for thoracoscope |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610134229.3A CN105748111A (en) | 2016-03-09 | 2016-03-09 | Rib fretsaw locator for thoracoscope |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN105748111A true CN105748111A (en) | 2016-07-13 |
Family
ID=56332896
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610134229.3A Pending CN105748111A (en) | 2016-03-09 | 2016-03-09 | Rib fretsaw locator for thoracoscope |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN105748111A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106137309A (en) * | 2016-08-08 | 2016-11-23 | 李锋 | A kind of scroll saw guide entirely cutting art for tumor of spine |
Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| SU1722475A1 (en) * | 1990-04-16 | 1992-03-30 | Военно-Медицинская Краснознаменная Академия Им.С.М.Кирова | Guide of a wire saw for osteotomy of tubular bones |
| CN202168855U (en) * | 2011-07-26 | 2012-03-21 | 苏志勇 | Intrathoracic serpiginous sleeve wire leading device under thoracoscope |
| CN202173458U (en) * | 2011-07-27 | 2012-03-28 | 苏志勇 | Thoracoscopic multi-angle rib broken end bolt and nut tractive device |
| CN202235496U (en) * | 2011-07-24 | 2012-05-30 | 苏志勇 | Thoracoscopic rib broken end lifting and cutting retractor |
| US20130041373A1 (en) * | 2011-05-13 | 2013-02-14 | Michael D. Laufer | Methods and devices for excision of tissue |
| US20140336685A1 (en) * | 2006-12-29 | 2014-11-13 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Steerable ablation device |
| CN104161559A (en) * | 2013-05-20 | 2014-11-26 | 襄阳市中心医院 | Orthopedic wire saw sheath |
| CN204708927U (en) * | 2015-05-22 | 2015-10-21 | 林健泽 | A kind of Improvement type spinal lamina scroll saw protective sleeve |
-
2016
- 2016-03-09 CN CN201610134229.3A patent/CN105748111A/en active Pending
Patent Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| SU1722475A1 (en) * | 1990-04-16 | 1992-03-30 | Военно-Медицинская Краснознаменная Академия Им.С.М.Кирова | Guide of a wire saw for osteotomy of tubular bones |
| US20140336685A1 (en) * | 2006-12-29 | 2014-11-13 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Steerable ablation device |
| US20130041373A1 (en) * | 2011-05-13 | 2013-02-14 | Michael D. Laufer | Methods and devices for excision of tissue |
| CN202235496U (en) * | 2011-07-24 | 2012-05-30 | 苏志勇 | Thoracoscopic rib broken end lifting and cutting retractor |
| CN202168855U (en) * | 2011-07-26 | 2012-03-21 | 苏志勇 | Intrathoracic serpiginous sleeve wire leading device under thoracoscope |
| CN202173458U (en) * | 2011-07-27 | 2012-03-28 | 苏志勇 | Thoracoscopic multi-angle rib broken end bolt and nut tractive device |
| CN104161559A (en) * | 2013-05-20 | 2014-11-26 | 襄阳市中心医院 | Orthopedic wire saw sheath |
| CN204708927U (en) * | 2015-05-22 | 2015-10-21 | 林健泽 | A kind of Improvement type spinal lamina scroll saw protective sleeve |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106137309A (en) * | 2016-08-08 | 2016-11-23 | 李锋 | A kind of scroll saw guide entirely cutting art for tumor of spine |
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| C06 | Publication | ||
| PB01 | Publication | ||
| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| RJ01 | Rejection of invention patent application after publication | ||
| RJ01 | Rejection of invention patent application after publication |
Application publication date: 20160713 |