CN106037888A - Guiding-type cutting knife assembly and guiding device thereof - Google Patents
Guiding-type cutting knife assembly and guiding device thereof Download PDFInfo
- Publication number
- CN106037888A CN106037888A CN201610604965.0A CN201610604965A CN106037888A CN 106037888 A CN106037888 A CN 106037888A CN 201610604965 A CN201610604965 A CN 201610604965A CN 106037888 A CN106037888 A CN 106037888A
- Authority
- CN
- China
- Prior art keywords
- blade
- guiding
- guidance part
- conductor
- cutter
- Prior art date
- 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.)
- Pending
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3209—Incision instruments
- A61B17/3211—Surgical scalpels, knives; Accessories therefor
- A61B17/3213—Surgical scalpels, knives; Accessories therefor with detachable blades
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
- A61B17/320036—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes adapted for use within the carpal tunnel
-
- 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
- A61B17/32—Surgical cutting instruments
- A61B2017/320052—Guides for cutting instruments
Landscapes
- 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)
- Orthopedic Medicine & Surgery (AREA)
- Surgical Instruments (AREA)
Abstract
The invention relates to a guiding-type cutting knife assembly and a guiding device thereof. The guiding device comprises a guiding part, and a blade rail is formed in the guiding part and extends to the tail end of the guiding part. The guiding-type cutting knife assembly comprises the guiding device and a cutting knife, and the sliding side of the cutting knife is connected with the blade rail of the guiding device in a sliding mode. The guiding device has the multiple functions such as probing, positioning, guiding, opening, protecting and measuring; according to the accurate positioning function, accurate guiding function and safe protection effect of the guiding device, subsidiary injuries of the flexor tendon structure, digital nerve and vessel structure and the like are reduced or avoided, the scale measuring function of the guiding device is used, and the accurate and scientific judgment criteria is provided for whether an A1 tackle during operation is completely released or not so that the post-operation disease-condition recurrence rate can be reduced.
Description
Technical field
The present invention relates to micro-wound surgical operation apparatus, particularly to a kind of guided cutter assembly and conductor thereof.
Background technology
Flexor digitorum muscle of hand tendon de Quervain's disease is orthopaedics commonly encountered diseases, and the factor such as cause of disease system repetitive stain injury or cold stimulation is led
Cause flexor digitorum muscle of hand tendon slidinjg board A 1 hypertrophy, plumpness, and then make flexor digitorum muscle of hand tendon thecostegnosis, oppress tendon and cause tendon water
Swollen, hinder tendon to slide, suffer from and refer to that normal pain is uncomfortable, severe patient may occur in which locked joint.
At present, in clinical medicine works, Wicresoft's loosening therapy of flexor digitorum muscle of hand tendon de Quervain's disease is applied increasingly
Extensively.Comparing traditional open surgery, Minimally Invasive Surgery has the advantages such as operative incision is little, treatment cycle is short, state of an illness recovery is fast.
The modus operandi of minimally-invasive treatment is various, and the core operating theater instruments related to is the most of a great variety, wherein more the including of clinical practice
Small needle knife, self-control billhook, improvement Kirschner wire, syringe needle, self-control push away cutter etc..
But, existing less invasive techniques has a disadvantage in that 1. can not look at straight down due to Minimally Invasive Surgery and confirm, for tendon
It is complete, thorough whether sheath A1 coaster loosens, and can only depend in the subjective sensation of operator and art patient's finger movement
The inspection situation of function, lacks objective and accurate judging basis, causes some patients disease relapse；2. direction of feed and cutting side
Formula is incorrect, easily causes flexor tendon injury, fracture, adhesion and refers to the damage etc. of nerve and blood vessel；3. carry out under " blind depending on "
Operation technique, requires higher to clinical experience, operation sensation and the topography mastery of knowledge degree of operator, and surgical device
The custom of the selection gist patient of tool, feed point and cutting mode and have nothing in common with each other, subjective, lack objective unified behaviour
Make treatment standard, cause surgical technic to be unfavorable for popularizing；4. blade is that the flat edge cutter of flat type often can only lean on doctor past
Pulling back realization cutting, and pull back and need upwards to lift, dynamics is grasped and with great difficulty other positions is not caused damage.
Summary of the invention
The technical problem to be solved in the present invention is: in order to overcome the operating theater instruments of existing tenosynovitis Minimally Invasive Surgery to operator
Clinical experience, operation sensation and topography mastery of knowledge degree require higher deficiency, the present invention provides a kind of guiding
Type cutter assembly and conductor thereof.
The technical solution adopted for the present invention to solve the technical problems is: a kind of conductor, including guidance part, and described guiding
Portion is the bending shape of rounding off, and described guidance part offers a blade track, and described blade track extends to guidance part
End, and the distal portion of guidance part has an inclined-plane, described inclined-plane and described blade track are positioned at the same side of guidance part, and institute
Stating inclined-plane makes the thickness of guidance part be gradually reduced to the direction of its end.
Described blade track matches with the bending shape of guidance part.
The guidance part outer surface of described blade track both sides has scale.
Also include that Handheld Division, described Handheld Division are connected with the front end of guidance part.
A kind of guided cutter assembly, including described conductor and cutter, described cutter includes blade, described blade one
Side is blade, and side relative with blade on blade is slip side, described slip side and the blade slide of described conductor
Connect.
When described slip side and blade rail contact, the blade of described cutter completely or partially externally protrudes out in blade track.
The slip side of described blade is curved.
The blade of described blade is the arc of recessed arc or epirelief.Flat edge cutter by an existing flat shape
Developing and become the cutter of two kinds of blades, convex surface line curved blade can push away forward realization cutting, and concave surface line curved blade can be to
Post-tensioning realizes cutting, and toward self-assembling formation cutting during post-tensioning, it is not necessary to upwards lifting, dynamics is easily mastered.
The invention has the beneficial effects as follows, the guided cutter assembly of the present invention and conductor thereof:
1., compared with traditional open incision of tendon sheath, apply the guided cutter assembly of the present invention and the micro-of conductor thereof
Wound lysis has the advantages such as otch is little, wound is light, treatment cycle is short, state of an illness recovery is fast, and operation technique is more rapid, easy, hands
Art doctor can complete alone in outpatient service, and medical expense is the lowest simultaneously, and patient is more easily accepted by.
2. push away the operating theater instruments such as cutter with conventional small needle knife, self-control billhook, improvement Kirschner wire, syringe needle, self-control
Comparing, the guided cutter assembly of the present invention is made up of conductor and cutter detachable, that install, and conductor possesses to be detected, calmly
Position, guide, strut, protect, the multi-functional such as measurement, its design is more for the shortcoming and defect of existing less invasive techniques, by leading
Lead device positions accurately, guide function and the protective effect of safety, flexor tendon is reduced or avoided, refers to the structures such as neural blood vessel
Accessory injury, and utilize its scale to measure function, whether A1 coaster in art is loosened provide completely accurately, the judge mark of science
Standard, to reduce postoperative disease relapse rate.
Accompanying drawing explanation
The present invention is further described with embodiment below in conjunction with the accompanying drawings.
Fig. 1 is the structural representation of the conductor optimum embodiment of the present invention.
Fig. 2 is the structural representation of the cutter embodiment 1 of the present invention.
Fig. 3 is the structural representation of the cutter embodiment 2 of the present invention.
In figure 10, guidance part, 11, blade track, 12, inclined-plane, 13, scale, 20, Handheld Division, 30, blade, 31, blade,
32, slip side.
Detailed description of the invention
In conjunction with the accompanying drawings, the present invention is further detailed explanation.These accompanying drawings are the schematic diagram of simplification, only with
The basic structure of the illustration explanation present invention, therefore it only shows the composition relevant with the present invention.
As it is shown in figure 1, a kind of conductor, including guidance part 10 and Handheld Division 20, described guidance part 10 is rounding off
Bending shape, described guidance part 10 offers a blade track 11, and described blade track 11 extends to the end of guidance part 10, institute
Stating blade track 11 to match with the bending shape of guidance part 10, blade track 11 is arc.Described blade track 11 both sides
Guidance part 10 outer surface has scale 13.
The distal portion of guidance part 10 has inclined-plane 12, and described inclined-plane 12 is positioned at guidance part 10 with described blade track 11
The same side, and described inclined-plane 12 makes the thickness of guidance part 10 be gradually reduced to the direction of its end.Described Handheld Division 20 and guiding
The front end in portion 10 connects.
As shown in Figure 2 and Figure 3, the cutter of the present invention, including blade 30, described blade 30 side is blade 31, on blade 30
The side relative with blade 31 is slip side 32, and described slip side 32 is curved.Fig. 2, Fig. 3 are respectively the blade 31 of blade 30
Recessed arc and the structural representation of the cutter of the arc of epirelief, blade 31 is that the cutter of recessed arc can be as choosing type
Cutter, blade 31 is that the cutter of the arc of epirelief can be as push type cutter.
A kind of guided cutter assembly, including described conductor and cutter, described cutter includes blade 30, described blade
30 sides are blade 31, and side relative with blade 31 on blade 30 is slip side 32, described slip side 32 and described conductor
Blade track 11 be slidably connected.When described slip side 32 contacts with blade track 11, the blade of described cutter 31 is all or portion
Divide and externally protrude out in blade track 11.The slip side 32 of described blade 30 is curved, as shown in Figure 2 and Figure 3, and the blade of described blade 30
31 is the arc of recessed arc or epirelief.
In the present invention, cutter is detachable relative to conductor, installation, and patient uses conductor to insert stndon sheath swelling position,
Being confirmed whether to be between tendon and stndon sheath, compare and directly use blade to insert, conductor will not produce the cutting of mistake.Cause
This, conductor possess detect, position, guide, strut, protect, the multi-functional such as measurement, and conductor is provided with blade track
11, in order to install and to import cutter blade 30, complete the cutting to stndon sheath A1 coaster, loosen.
In operative process, it is first determined suffer from the body surface location point referring to A1 coaster near-end, as feed point, will lead
Guidance part 10 end of lead device is inserted through otch, utilizes its inspection functionality, positions A1 coaster near-end, by the guidance part 10 of conductor
End inserts A1 coaster bottom side, is designed the flexor tendon tissue point of A1 coaster with bottom side by the inclined-plane 12 of guidance part 10 end
From, strut, after blade track 11 on conductor cutter blade 30 is installed, and it is near that blade 30 is accurately directed to A1 coaster
End, carries out cutting, loosening.Owing to A1 coaster is fully strutted so that cutting process is more convenient, conductor can be by simultaneously
The flexor tendon of cutter and bottom side, the important feature such as finger neural blood vessel of both sides intercept completely, thus efficiently avoid because of cutting
Direction is inaccurate and causes tendon, nerve, the isostructural Accessory injury of blood vessel.Complete the cutting to A1 coaster proximal part, pine
Xie Hou, conductor end continues to stretch into A1 coaster far-end, strut, stretches into, struts and cut, loosens alternately, until will
A1 coaster is loosened completely.
The guidance part outer surface of blade track 11 both sides of conductor is provided with scale 13, it is possible to accurately measure conductor and
The length that cutter is inserted, owing to the A1 coaster width of each finger is respectively present fixed value scope, is contrasted by numerical value, just can be blind
Whether loosen completely depending on lower accurate judgement A1 coaster.
With the above-mentioned desirable embodiment according to the present invention for enlightenment, by above-mentioned description, relevant staff is complete
Entirely can carry out various change and amendment in the range of without departing from this invention technological thought.The technology of this invention
The content that property scope is not limited in description, it is necessary to determine its technical scope according to right.
Claims (8)
1. a conductor, it is characterised in that: include that guidance part (10), described guidance part (10) they are the bending shape of rounding off,
Offering a blade track (11) on described guidance part (10), described blade track (11) extends to the end of guidance part (10),
And the distal portion of guidance part (10) has inclined-plane (12), described inclined-plane (12) and described blade track (11) are positioned at guidance part
(10) the same side, and described inclined-plane (12) make the thickness of guidance part (10) be gradually reduced to the direction of its end.
2. conductor as claimed in claim 1, it is characterised in that: described blade track (11) and the bending shape of guidance part (10)
Shape matches.
3. conductor as claimed in claim 1, it is characterised in that: guidance part (10) appearance of described blade track (11) both sides
Mask has scale (13).
4. conductor as claimed in claim 1, it is characterised in that: also include Handheld Division (20), described Handheld Division (20) with lead
The front end drawing portion (10) connects.
5. a guided cutter assembly, it is characterised in that: include the conductor as according to any one of claim 1-4 and cut
Cutter, described cutter includes that blade (30), described blade (30) side are blade (31), and blade (30) is upper relative with blade (31)
Side is slip side (32), and described slip side (32) is slidably connected with the blade track (11) of described conductor.
6. guided cutter assembly as claimed in claim 5, it is characterised in that: described slip side (32) and blade track (11)
During contact, the blade (31) of described cutter completely or partially externally protrudes out in blade track (11).
7. guided cutter assembly as claimed in claim 5, it is characterised in that: the slip side (32) of described blade (30) is in arc
Shape.
8. the guided cutter assembly as according to any one of claim 5-7, it is characterised in that: the blade of described blade (30)
(31) it is the arc of recessed arc or epirelief.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610604965.0A CN106037888A (en) | 2016-07-28 | 2016-07-28 | Guiding-type cutting knife assembly and guiding device thereof |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610604965.0A CN106037888A (en) | 2016-07-28 | 2016-07-28 | Guiding-type cutting knife assembly and guiding device thereof |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN106037888A true CN106037888A (en) | 2016-10-26 |
Family
ID=57196470
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610604965.0A Pending CN106037888A (en) | 2016-07-28 | 2016-07-28 | Guiding-type cutting knife assembly and guiding device thereof |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN106037888A (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2018076957A1 (en) * | 2016-10-31 | 2018-05-03 | 高雄医学大学 | Guide for surgical purpose |
| WO2022175296A1 (en) | 2021-02-19 | 2022-08-25 | Centre Hospitalier Universitaire Vaudois (Chuv) | Surgical system for minimally invasive treatment of a trigger finger |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5325883A (en) * | 1991-11-04 | 1994-07-05 | Orr Terrence R | Device and method for carpal tunnel release |
| CN202365865U (en) * | 2011-12-14 | 2012-08-08 | 王丽 | Multipurpose needle knife |
| TW201318595A (en) * | 2011-11-04 | 2013-05-16 | Univ Nat Cheng Kung | A release kit for digital pulley |
| US20160113671A1 (en) * | 2014-10-27 | 2016-04-28 | J. Lee Berger | Grooved director with instrument guide |
| CN206198011U (en) * | 2016-07-28 | 2017-05-31 | 创生医疗器械（中国）有限公司 | Guided cutter component and its guide |
-
2016
- 2016-07-28 CN CN201610604965.0A patent/CN106037888A/en active Pending
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5325883A (en) * | 1991-11-04 | 1994-07-05 | Orr Terrence R | Device and method for carpal tunnel release |
| TW201318595A (en) * | 2011-11-04 | 2013-05-16 | Univ Nat Cheng Kung | A release kit for digital pulley |
| CN202365865U (en) * | 2011-12-14 | 2012-08-08 | 王丽 | Multipurpose needle knife |
| US20160113671A1 (en) * | 2014-10-27 | 2016-04-28 | J. Lee Berger | Grooved director with instrument guide |
| CN206198011U (en) * | 2016-07-28 | 2017-05-31 | 创生医疗器械（中国）有限公司 | Guided cutter component and its guide |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2018076957A1 (en) * | 2016-10-31 | 2018-05-03 | 高雄医学大学 | Guide for surgical purpose |
| WO2022175296A1 (en) | 2021-02-19 | 2022-08-25 | Centre Hospitalier Universitaire Vaudois (Chuv) | Surgical system for minimally invasive treatment of a trigger finger |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| US6019774A (en) | Carpal tunnel release apparatus and method | |
| US9782192B2 (en) | Surgical set of instruments for precision cutting | |
| US7780690B2 (en) | Instruments and method for minimally invasive carpal tunnel release | |
| US8523892B2 (en) | Instruments and methods for minimally invasive carpal tunnel release | |
| Lee et al. | Endoscopic carpal tunnel release: a cadaveric study | |
| US5507800A (en) | Carpal tunnel tome and carpal tunnel release surgery | |
| US20090048620A1 (en) | Apparatus and methods for carpal tunnel release | |
| EP2398408B1 (en) | Probe for carpal tunnel release tool or tissue dissection | |
| JP2012125550A (en) | Percutaneous entry system and method | |
| US20040054378A1 (en) | Set of surgical instruments for carpal tunnel surgery | |
| CN106037888A (en) | Guiding-type cutting knife assembly and guiding device thereof | |
| WO1997010761A1 (en) | Peritenon incision knife | |
| CN206434389U (en) | Guided cutter | |
| CN206198011U (en) | Guided cutter component and its guide | |
| CN103565508A (en) | Orthopedic guide reset pincers | |
| CN209789955U (en) | Osteotomy tool | |
| CN210843336U (en) | Transverse carpal ligament incision knife is exclusively used in | |
| Jimenez et al. | Endoscopic carpal tunnel release | |
| RU2473316C1 (en) | S.n.hunafin's scalpel-probe | |
| CN211704769U (en) | Surgical knife | |
| CN205072971U (en) | Area is sewed up opening of hole and is closed scalpel | |
| CN212853588U (en) | Hallux valgus minimally invasive scalpel | |
| TWI474800B (en) | A release kit for digital pulley | |
| CN212326508U (en) | Coracoid clavicle closing and punching sighting device | |
| CN215688110U (en) | Novel scale needle knife |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C06 | Publication | ||
| PB01 | Publication | ||
| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| WD01 | Invention patent application deemed withdrawn after publication |
Application publication date: 20161026 |
|
| WD01 | Invention patent application deemed withdrawn after publication |