CN105877821A - A multifunctional telescopic cutting scalpel for the discoid meniscus operation under a knee arthroscope - Google Patents

A multifunctional telescopic cutting scalpel for the discoid meniscus operation under a knee arthroscope Download PDF

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Publication number
CN105877821A
CN105877821A CN201410475676.6A CN201410475676A CN105877821A CN 105877821 A CN105877821 A CN 105877821A CN 201410475676 A CN201410475676 A CN 201410475676A CN 105877821 A CN105877821 A CN 105877821A
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China
Prior art keywords
blade
sheath
button
scale
grades
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Pending
Application number
CN201410475676.6A
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Chinese (zh)
Inventor
周琦
祝云利
赵辉
吴海山
祝均
吴宇黎
钱齐荣
符培亮
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Individual
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Individual
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Priority to CN201410475676.6A priority Critical patent/CN105877821A/en
Publication of CN105877821A publication Critical patent/CN105877821A/en
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Abstract

The invention provides a multifunctional telescopic cutting scalpel for the discoid meniscus operation under a knee arthroscope. The multifunctional telescopic cutting scalpel comprises a main sheath, an auxiliary sheath, a blade and a blade moving mechanism. The main sheath is provided with threaded holes, a button moving groove, a scaleplate scale, locking grooves and inclined lines. The auxiliary sheath is provided with threaded holes, a scaleplate scale and inclined lines. The blade is provided with a blade scale and a blade installing hole. The blade moving mechanism comprises a blade installing groove, an elastic steel sheet, a button, a locking pin and a blade holder. When reaching a tear portion from an inlet of the arthroscope, the cutting scalpel can effectively prevent damage to normal tissue such as peripheral vessels and nerves, thigh bone cartilage, tibial plateau cartilage and anterior and posterior cruciate ligaments; the multifunctional telescopic cutting scalpel can be used for measuring a fracture wound accurately, thereby guaranteeing accurate cutting and maintaining and protecting normal meniscus tissue to the greatest extent; the cutting scalpel is simple and convenient to operate, and the inclined lines can increase friction force to prevent the scalpel from falling off from hands; the locking device can prevent tissue damage caused by fault in gear change, thereby improving safety.

Description

The Multifunction expanding cutter of plate-like meniscal procedure under knee arthroscope
Technical field
The present invention relates to the Multifunction expanding cutter of operation, the especially Multifunction expanding cutter of plate-like meniscal procedure under knee arthroscope.
Background technology
Outside knee joint, plate-like rupture of meniscus is the most common, for the patient of outside plate-like rupture of meniscus, doctor usually under arthroscope with operation Cutter directly cuts, then enters to tear at meniscus from arthroscopic portal, cut meniscal during extremely easily damage normal condyle of femur cartilage, Tibial plateau cartilage and the tissue such as blood vessel around and nerve.General surgery blade lengths is fixed, and is difficult to adapt to meniscus different parts thickness different Feature;The cartilage of people is non-renewable, knee joint important blood vessels neurotrosis, can bring great misery, even threat to life to patient.In order to Protection normal structure, the improvement to traditional operation cutter and meniscus cutter defect is urgently carried out.
Summary of the invention
For solving an above existing difficult problem, protection normal articular cartilage, ligamentaum cruciatum and periarticular nervus vasculairs, the invention discloses under knee arthroscope The Multifunction expanding cutter of discoid meniscus operation, including operator sheath, secondary sheath, blade and cutting mechanism, wherein operator sheath is provided with screw Hole, button activity groove, scale label, lock groove and twill;Secondary sheath is provided with screw hole, scale label and twill;Blade is provided with blade and carves Degree and blade mounting holes;Cutting mechanism includes blade installation slot, elastic steel sheet, button, lock pin and tool rest.
Described operator sheath and secondary sheath are long Baltimore groove, and four angles are respectively equipped with screw hole, with the concave surface form to concave surface, are put by cutting mechanism Between operator sheath and secondary sheath, four groups of screw holes on sheath corner that employing primary screw will coincide respectively are fixed up, and form Guan Bi sheath;Cutter Sheet realizes assembly or disassembly by blade mounting holes with the blade installation slot on tool rest.
At button activity trough rim along being provided with 7 lock grooves, totally 6 gears (not including 0 grade), button is that an elastic steel sheet supports.Press the button When making to press under elastic steel sheet, button together with tool rest can in sheath Stable sliding;When elastic steel sheet loses ambient pressure, then elastic steel sheet returns rapidly Bullet, when now promoting button and lock pin to streak lock groove, lock pin is compressed by himself elastic force and is locked in lock groove by elastic steel sheet, now cutter Seat can not slide, blade not flexible;When elastic steel sheet is pressed down, when lock pin departs from lock groove, button then blade is promoted again may be used together with tool rest Stable sliding in sheath.Wherein, elastic steel sheet is connected on tool rest, and button can slide along button activity groove together with elastic steel sheet;Tool rest is in Guan Bi Sheath in fit tightly can be with Stable sliding.
With time in obtuse head entrance joint, sharp cutter is hidden in handle of a knife, is marked with the scale of 0-30mm at obtuse head, in units of 1mm, and can To carry out measuring under arthroscope in art, as the degree of depth and the distance of rupture of meniscus mouth distance capsular ligament of rupture of meniscus can be measured, both avoid damaging Hinder normal structure, achieve again the function measured under mirror.
When arriving meniscus position to be cut, according to recording the cut degree of depth, promote the button at handle of a knife position, be divided into 1,2,3,4,5,6 altogether Six shelves, often promote shelves, and cutting blade stretches out increase 5mm, and i.e. 1 grade blade stretches out 5mm, and 2 grades of blades stretch out 10mm, and 3 grades of blades stretch out 15mm, 4 grades of blades stretch out 20mm, and 5 grades of blades stretch out 25mm, and 6 grades of blades stretch out 30mm so that cutting blade stretches out the longest from handle of a knife Degree, is carved with the scale in units of 1mm on the cutting blade stretched out simultaneously, in order to confirm to cut the meniscal degree of depth every time.
Button often stretches out one grade, can be pulled locking gear level by button.Including 0 grade, every time must by button again during conversion gear Press locking of upspringing again, to prevent from automatically deviating from blade, and damage tissue.At handle of a knife grip portions, the twill arranging 2cm grips to increase doctor Frictional force during handle of a knife.
Beneficial effect: cutter of the present invention, when being arrived tear position by arthroscopic portal, can be prevented effectively from damage periphery nervus vasculairs, femur Cartilage, tibial plateau cartilage and the front and back normal structure such as ligamentaum cruciatum;Can carry out the position of breach accurately measuring under mirror, be pre-designed cutting Scope and mode, thus accurately cut, preserve and protect the normal meniscus tissue to greatest extent;Avoid medical personnel's incised injury in operation; Easy and simple to handle, twill increases frictional force, to avoid scalpel to come off from hand;Locking device, it is to avoid different transforming gears are slipped up and damaged tissue, Improve security.
Accompanying drawing explanation
Fig. 1 is operator sheath structure chart;
Fig. 2 is secondary sheath structure chart:
Fig. 3 is blade structure figure;
Fig. 4 is cutting mechanism figure;
Fig. 5 is different gear design sketch;
Fig. 6 is lockup state figure;
Fig. 7 is active state figure.
Wherein, 1, screw hole, 2, button activity groove, 3, scale label, 4, lock groove, 5, twill, 6, blade scale, 7, blade peace Dress hole, 8, blade installation slot, 9, elastic steel sheet, 10, button, 11, lock pin, 12, tool rest.
Detailed description of the invention
In conjunction with accompanying drawing, the present invention is described in further details.
As it can be seen, the Multifunction expanding cutter of plate-like meniscal procedure under knee arthroscope, including operator sheath, secondary sheath, blade and row cutter machine Structure, wherein operator sheath is provided with screw hole (1), button activity groove (2), scale label (3), lock groove (4) and twill (5);Secondary sheath It is provided with screw hole (1), scale label (3) and twill (5): blade is provided with blade scale (6) and blade mounting holes (7);Cutting mechanism Including blade installation slot (8), elastic steel sheet (9), button (10), lock pin (11) and tool rest (12).
Described operator sheath and secondary sheath are long Baltimore groove, and four angles are respectively equipped with screw hole (1), with the concave surface form to concave surface, by row cutter machine Setting up between operator sheath and secondary sheath, four groups of screw holes (1) on sheath corner that employing primary screw will coincide respectively are fixed up, and formation is closed Close sheath;Blade realizes assembly or disassembly by blade mounting holes (7) with the blade installation slot (8) on tool rest.
Be provided with 7 lock grooves (4), totally 6 gears (not including 0 grade) at button activity groove (2) edge, button (10) is an elastic steel sheet (9) support.Press the button (10) time elastic steel sheet (9) is pressed down, button (10) together with tool rest (12) can in sheath Stable sliding; When elastic steel sheet (9) loses ambient pressure, then elastic steel sheet (9) resilience rapidly, now promotes button (10) and lock pin (11) to streak lock Only during groove (4), lock pin (11) is compressed and is locked in lock groove (4) by himself elastic force by elastic steel sheet (9), now tool rest (12) Can not slide, blade not flexible;When elastic steel sheet (9) is pressed down, when lock pin (11) departs from lock groove (9), promote button (10) Then blade together with tool rest (12) again can in sheath Stable sliding.Wherein, elastic steel sheet (9) is connected on tool rest (12), button (10) Can slide along button activity groove (2) together with elastic steel sheet (9);Tool rest (12) fits tightly in the sheath of Guan Bi can be with Stable sliding.
With time in obtuse head entrance joint, sharp cutter is hidden in handle of a knife.The scale of 0-30mm it is marked with at obtuse head, in units of 1mm, can To carry out measuring under arthroscope in art, as the degree of depth and the distance of rupture of meniscus mouth distance capsular ligament of rupture of meniscus can be measured, both avoid damaging Hinder normal structure, achieve again the function measured under mirror.
When arriving meniscus position to be cut, according to recording the cut degree of depth, promote the button (10) at handle of a knife position, as it is shown in figure 5, be divided into 1, 2,3,4,5,6 totally six shelves, often promote shelves, and cutting blade stretches out increase 5mm, and i.e. 1 grade blade stretches out 5mm, and 2 grades of blades stretch out 10mm, 3 grades of blades stretch out 15mm, and 4 grades of blades stretch out 20mm, and 5 grades of blades stretch out 25mm, and 6 grades of blades stretch out 30mm so that cutting blade is from handle of a knife Stretch out suitable length, on the cutting blade stretched out, be carved with the scale in units of 1mm simultaneously, in order to confirm to cut the meniscal degree of depth every time.
Button (10) often stretches out one grade, can be by its twisting by locking gear level.Including 0 grade, every time must be by button during conversion gear (10) again press locking of upspringing again, to prevent from automatically deviating from blade, and damage tissue.At handle of a knife grip portions, the twill (5) of 2cm is set Frictional force during handle of a knife is gripped with increase doctor.

Claims (6)

1. the Multifunction expanding cutter of plate-like meniscal procedure under knee arthroscope, it is characterised in that the sheath that includes operating, secondary sheath, blade and Cutting mechanism;
Wherein operator sheath is provided with screw hole (1), button activity groove (2), scale label (3), lock groove (4) and twill (5);Secondary sheath It is provided with screw hole (1), scale label (3) and twill (5);Blade is provided with blade scale (6) and blade mounting holes (7);Cutting mechanism Including blade installation slot (8), elastic steel sheet (9), button (10), lock pin (11) and tool rest (12).
Described operator sheath and secondary sheath are long Baltimore groove, and four angles are respectively equipped with screw hole (1), with the concave surface form to concave surface, by row cutter machine Setting up between operator sheath and secondary sheath, four groups of screw holes (1) on sheath corner that employing primary screw will coincide respectively are fixed up, and formation is closed Close sheath;Blade realizes assembly or disassembly by blade mounting holes (7) with the blade installation slot (8) on tool rest.
2. according to claim 1, it is characterised in that described button activity groove (2) edge is provided with 7 lock grooves (4), and totally 6 gears are (no Including 0 grade), often promote shelves, cutting blade stretches out increase 5mm, and i.e. 1 grade blade stretches out 5mm, and 2 grades of blades stretch out 10mm, 3 grades of blades Stretching out 15mm, 4 grades of blades stretch out 20mm, and 5 grades of blades stretch out 25mm, and 6 grades of blades stretch out 30mm.
3. according to claim 1, its special sheet is, described button (10) is that an elastic steel sheet (9) supports, and presses the button (10) and makes bullet When property steel disc (9) is pressed down, button (10) together with tool rest (12) can in sheath Stable sliding.
4. according to claim 1, it is characterised in that be carved with the scale in units of 1mm on described blade, at most can measure 30mm.
5. according to claim 1, it is characterised in that described tool rest (12) fits tightly in the sheath of Guan Bi can be with Stable sliding.
6., according to claim 1, it is characterised in that described twill (5) a length of 2cm, it is arranged on handle of a knife grip portions.
CN201410475676.6A 2014-09-18 2014-09-18 A multifunctional telescopic cutting scalpel for the discoid meniscus operation under a knee arthroscope Pending CN105877821A (en)

Priority Applications (1)

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CN201410475676.6A CN105877821A (en) 2014-09-18 2014-09-18 A multifunctional telescopic cutting scalpel for the discoid meniscus operation under a knee arthroscope

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201410475676.6A CN105877821A (en) 2014-09-18 2014-09-18 A multifunctional telescopic cutting scalpel for the discoid meniscus operation under a knee arthroscope

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CN105877821A true CN105877821A (en) 2016-08-24

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107595372A (en) * 2017-07-22 2018-01-19 中南大学湘雅三医院 Hysteroscope cryoprobe cutter device
CN108354650A (en) * 2018-04-25 2018-08-03 中国医学科学院北京协和医院 A kind of posterior cruciate ligament of knee protective device

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5344424A (en) * 1993-03-12 1994-09-06 Roberts Philip L Selectively retractable, disposable surgical knife
US5868771A (en) * 1997-07-25 1999-02-09 Pabban Development, Inc. Scalpel blade cover
CN201328861Y (en) * 2009-01-02 2009-10-21 宋成 An operation knife blade with calibration
CN202654191U (en) * 2012-01-18 2013-01-09 扬州三明医疗器械有限公司 Scalpel
CN203280453U (en) * 2013-05-20 2013-11-13 孟凡光 Osteotome
CN203576596U (en) * 2013-11-30 2014-05-07 孙晓亮 Multifunctional scalpel for general surgery medical treatment
EP2732780A1 (en) * 2012-11-16 2014-05-21 Paramount Surgimed Ltd. Retractable universal safety scalpel
CN204274600U (en) * 2014-09-18 2015-04-22 周琦 The Multifunction expanding cutter of plate-like meniscal procedure under knee arthroscope

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5344424A (en) * 1993-03-12 1994-09-06 Roberts Philip L Selectively retractable, disposable surgical knife
US5868771A (en) * 1997-07-25 1999-02-09 Pabban Development, Inc. Scalpel blade cover
CN201328861Y (en) * 2009-01-02 2009-10-21 宋成 An operation knife blade with calibration
CN202654191U (en) * 2012-01-18 2013-01-09 扬州三明医疗器械有限公司 Scalpel
EP2732780A1 (en) * 2012-11-16 2014-05-21 Paramount Surgimed Ltd. Retractable universal safety scalpel
CN203280453U (en) * 2013-05-20 2013-11-13 孟凡光 Osteotome
CN203576596U (en) * 2013-11-30 2014-05-07 孙晓亮 Multifunctional scalpel for general surgery medical treatment
CN204274600U (en) * 2014-09-18 2015-04-22 周琦 The Multifunction expanding cutter of plate-like meniscal procedure under knee arthroscope

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107595372A (en) * 2017-07-22 2018-01-19 中南大学湘雅三医院 Hysteroscope cryoprobe cutter device
CN108354650A (en) * 2018-04-25 2018-08-03 中国医学科学院北京协和医院 A kind of posterior cruciate ligament of knee protective device
CN108354650B (en) * 2018-04-25 2020-08-11 中国医学科学院北京协和医院 Posterior cruciate ligament protection device

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Application publication date: 20160824