CN106344088A - Minimally-invasive retractor for soft tissues in posterior vertebral canal operation - Google Patents
Minimally-invasive retractor for soft tissues in posterior vertebral canal operation Download PDFInfo
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- CN106344088A CN106344088A CN201610959283.1A CN201610959283A CN106344088A CN 106344088 A CN106344088 A CN 106344088A CN 201610959283 A CN201610959283 A CN 201610959283A CN 106344088 A CN106344088 A CN 106344088A
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- invasive retractor
- way
- escape
- minimally invasive
- soft tissue
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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
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
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Abstract
The invention discloses a minimally-invasive retractor for soft tissues in posterior vertebral canal operation. The minimally-invasive retractor comprises two connecting arms, wherein the working ends of the connecting arms are respectively provided with a retraction piece, the two ends of the retraction pieces in the horizontal direction are bent inwards, and a plurality of outwards-bending limiting teeth are formed at the bottom parts of the retraction pieces; the two retraction pieces are different in height, and a blood guiding groove is formed on the side wall of the lower retraction piece and is internally provided with a suction tube; and the connecting arms are provided with axis adjusting devices for adjusting the distance between the retraction pieces. The minimally-invasive retractor disclosed by the invention has the advantages that for a patient, when the minimally-invasive retractor is used for the posterior vertebral canal operation, the incision of the skin is small, the bleeding is less, the pain of the patient in and after operation is greatly relieved, the small incision can be heeled by cosmetology (skin and flesh suture), the application of hemostatic materials can be reduced, and the medical resources are saved; and for medical staff, the operation time is shortened, so that on one hand, the pressure of the medical staff in operation is reduced, and on the other hand, the artificial errors caused by excessive complexity in the process of operation are avoided.
Description
Technical field
The present invention relates to a kind of medical operation device and in particular to a kind of way of escape canalis spinalis operation the minimally invasive retractor of soft tissue.
Background technology
Cervical posterior approach is mainly posterior cervical enlargement of cervical canal, plainly it is simply that by the vertebral plate after spinal cord and tough
Band from top to bottom, opens from one or both sides, expands the space at spinal cord rear, the compressing coming from behind dissolves by itself, and is derived from
Although the compressing in front also exists, spinal cord can be hidden backward.Chinese patent cn 2075506u discloses a kind of Lumbar Vertebral Canal handss
Art displaying unit, it is made up of distraction plate and opening frame, and its distraction plate is half arc shape, for ease of supporting the use with opening frame,
The root of distraction plate handle has the grab matching with opening frame, and opening frame by support body, slide plate, power pawl and struts bar and constitutes, frame
The overall structure that body is connected into by two baffle plates, backplate and the balance plate with grab.During use, only need to the grab of distraction plate and
The backplate with opening frame for the handle hook and the buckle phase card of balance plate.Before distraction plate on operation starts, be first by two power
Pawl is drawn close to middle slip so as to be attached to the both sides strutting plate body, both can avoid opening bar impact sight line, can guarantee that support again
The force of opening lever focuses on distraction plate.This display device for lumbar vertebra operation is it is not necessary to multiple medical personnel operate to expose simultaneously
Operative site, its own Stability Analysis of Structures, balance in power, flexible operation, easy to use, improve procedure efficiency, avoid possibility
The generation of situations such as additionally misery that sufferer is caused.
But, there is problems in that the muscle ligament at 1, cervical vertebra rear is by extensive injuries, postoperative rehabilitation is difficult for posterior approach；
Because muscle is contacted with cervical vertebra rear structure with ligament being tightly fastened firmly, the muscle ligament at rear just can play fixing maintenance neck
Vertebral body position, the effect of tractive moving cervical vertebra, if vertebral plate to be appeared, are necessary for naturally filling between muscle and ligament and sclerotin
Divide to connect and separate.2nd, being related to fixation posterior approach more and be fused to multiple sections, cervical vertebra moving is affected larger, after operation in patients all
There is Wry Neck sense.3rd, the principle of cervical posterior approach is, in-migration after spinal cord is hidden the compressing in front, but in spinal cord backward
In moving process, neck 5 nerve root can be subject to tractive, and some patientss arise that the injury symptoms of neck 5 nerve root, such as shoulder pain
Bitterly.It is generally speaking, traditional that through the decompression of posterior lumbar pipe and fusion, to vertebra, other soft tissue causes different degrees of damage,
Traditional operation opereating specification is big, and the tendon stop position of multifidi is extensively peeled off, and needs several medical cares in operation process
Personnel operate simultaneously, for operative site is exposed, both waste of manpower and inconvenient operation, and easily cause irreversible
Damage, bring unnecessary extra misery to patient.
In order to mitigate misery and postoperative recovery during sufferer operation, a lot of operations at present all adopt Minimally Invasive Surgery, ridge
Also occur in that a kind of cervical vertebra Minimally Invasive Surgery (as schwannosis, simple spinal cord, amputation etc.) in post operation, often do not need to cut
Larger skin incision, such operative incision is little, go out insufficiency of blood, and operating time is short, and wound is relatively small, recovers and healing time contracting
Short, but traditional operative site exposes apparatus and cannot be applied to this Minimally Invasive Surgery, significantly limit minimally invasive spine surgical
Development.
Content of the invention
Expose apparatus etc. in order to solve the above-mentioned operative site not being specially adapted for existing posterior cervical Minimally Invasive Surgery
Problem, the minimally invasive retractor of soft tissue the invention provides a kind of way of escape canalis spinalis is performed the operation, concrete scheme is as follows:
A kind of way of escape canalis spinalis operation minimally invasive retractor of soft tissue, including two hinged linking arms, described connection
The two ends of arm are shaped to working end and handle end respectively, and the working end of described two linking arms is equipped with and struts piece, described strut
To strutting the relative direction bending of piece, the described bottom strutting piece forms some limiting tooths, described at the two ends of piece horizontal direction
Limiting tooth outward bending；Described two height strutting piece are unequal, and described highly little strutting forms on the side wall of piece to be led
Blood groove, described leading is provided with suction catheter in blood groove, the end of described suction catheter is connected with suction pump；Described linking arm is provided with axle center
Adjusting means, described axle center adjusting means be used for adjusting described in strut the distance between piece.
Further, the described corresponding position attracting pipe port of blood groove of leading offers grafting set, is provided with described grafting set
Suction aspirator tip.
Further, it is provided with interior tube core in described suction pump, said inner tube core is externally provided with three-way valve, right on said inner tube core
The position answering three-way valve is provided with two openings, the curved distribution of described two opening.
Further, described axle center adjusting means include nearly working end molding on linking arm axle position raised and some two
End forms the adjustment bar of axis hole.
Further, the distance of described axle position protrusion distance linking arm pin joint is 1.5-2cm, described some adjustment bars
Length 3-15cm.
Further, the length of described some adjustment bars is respectively 3cm, 6cm, 9cm, 12cm and 15cm.
Further, described suction aspirator tip is hollow tubular structures, and the working end of described suction aspirator tip is shaped to inclined-plane sword
Structure.
Further, described suction aspirator tip is hollow tubular structures, and the working end of described suction aspirator tip is shaped to hook-shaped knot
Structure.
Further, described suction aspirator tip is hollow tubular structures, and the working end of described suction aspirator tip is shaped to conically shaped
Shape structure.
The beneficial effects of the present invention is: a kind of way of escape canalis spinalis operation minimally invasive retractor of soft tissue proposed by the present invention, profit
During the way of escape canalis spinalis operation being carried out with it for patient, the incision length of skin is by the 5- of traditional cervical posterior approach
10cm is reduced to 2-4cm, and amount of bleeding is reduced to 10-20ml by the 50-100ml of traditional operation, goes out insufficiency of blood, and otch is little, greatly
Alleviate during sufferer operation and postoperative misery, and reduce patient's cost, little otch can do beauty treatment healing, and (skin and flesh stitches
Close), it is possible to reduce hemostatic material is applied, and saves medical resource；For medical personnel, operating time shortens 30%-
40%, complicated operation is 2-4 hour, and simple operation is 1-2 hour, on the one hand reduces pressure during medical personnel's operation, one
Aspect avoids and leads to the generation of human error due to operation process excessively complexity.
Brief description
Fig. 1. the structural front view of the present invention,
Fig. 2. the structure left view of the present invention,
Fig. 3. the structure top view of the present invention,
Fig. 4. the present invention leads blood slot structure schematic diagram,
Fig. 5. the suction aspirator tip structural representation of the embodiment of the present invention 1,
Fig. 6. the linking arm structural representation of this big name embodiment 2,
Fig. 7. the suction aspirator tip structural representation of the embodiment of the present invention 2,
Fig. 8. the suction aspirator tip structural representation of the embodiment of the present invention 3.
Figure number and title: 1, linking arm, 11, cavity, 2, strut piece, 3, axle position raised, 4, grafting set, 5, lead blood
Groove, 6, suction aspirator tip.
Specific embodiment
For describing technology contents, structural features, institute's reached purpose and effect of the present invention in detail, hereby enumerate embodiment below
And coordinate accompanying drawing to be explained in detail.
In describing the invention it is to be understood that term " " center ", " longitudinal ", " horizontal ", "front", "rear",
The orientation of instruction such as "left", "right", " vertical ", " level ", " top ", " bottom ", " interior ", " outward " or position relationship are based on accompanying drawing institute
The orientation showing or position relationship, are for only for ease of the description present invention and simplify description, rather than the dress of instruction or hint indication
Put or element must have specific orientation, with specific azimuth configuration and operation, therefore it is not intended that protecting to the present invention
The restriction of scope.
Embodiment 1
Refer to shown in Fig. 1-5, the present invention provides a kind of way of escape canalis spinalis operation minimally invasive retractor of soft tissue, cuts with scissors including two
The linking arm 1 being connected together, the two ends of linking arm 1 are shaped to working end and handle end respectively, and the working end of two linking arms 1 is equal
It is provided with and struts piece 2, the two ends strutting piece 2 horizontal direction all bend inwards, the bottom strutting piece 2 forms some limiting tooths, limit
Position tooth outward bending, prevents retractor from moving in art or slips it is ensured that its stability；Two height strutting piece are unequal,
Form on the highly less side wall strutting piece and lead blood groove 5, lead and in blood groove 5, be provided with suction catheter, the end of suction catheter is connected with
Suction pump, is easy to the work of suction pump in operation process；Linking arm 1 is provided with axle center adjusting means, and axle center adjusting means is used for
The distance between piece is strutted described in adjustment.
Lead the corresponding position attracting pipe port of blood groove 5 and offer grafting set 4, be provided with suction aspirator tip 6 in grafting set 4, attract
Device head 6 is hollow tubular structures, and the working end of suction aspirator tip 6 is shaped to inclined-plane sword structure, convenient medical care people in operation process
Member changes suction aspirator tip according to practical situation.It is provided with interior tube core, interior tube core is externally provided with three-way valve in suction pump, corresponding on interior tube core
The position of three-way valve is provided with two openings, the curved distribution of two openings.
Axle center adjusting means includes the axle position raised 3 of nearly working end molding on linking arm 1 and five two ends form axle
The adjustment bar in hole, axle position projection 3 is 1.5-2cm apart from the distance of linking arm pin joint, the length respectively 3cm of adjustment bar,
6cm, 9cm, 12cm and 15cm.When needing to lock the angle between linking arm 1, will be convex for the axis hole be aligned axle position at adjustment bar two ends
Play 3 and snap in the locking completing angle, selected according to actual operation situation the adjustment bar of different length different to complete linking arm 1
The locking of angle.
Embodiment 2
Refer to shown in Fig. 6, embodiment 2 is with the difference of embodiment 1: two height strutting piece are unequal, highly
Form on the less side wall strutting piece and lead blood groove 5, connect the less linking arm strutting piece of this height and be shaped to sky for inside
The tubular structure in chamber 11, is led blood groove 5 and is connected with the cavity 11 of this linking arm, and cavity 11 is located at the position of two linking arm pin joints
For arcuate structure, the end of this linking arm 1 is connected with suction pump.
Embodiment 3
Refer to shown in Fig. 7, embodiment 3 is with the difference of embodiment 1: suction aspirator tip is hollow tubular structures, described
The working end of suction aspirator tip is shaped to hook formation.
Embodiment 4
Refer to shown in Fig. 8, embodiment 4 is with the difference of embodiment 1: suction aspirator tip is hollow tubular structures, described
The working end of suction aspirator tip is shaped to taper tubular structure.
In sum, only the preferred embodiments of the invention, does not limit protection scope of the present invention with this, all according to the present invention
Equivalence changes and modification that the scope of the claims and description are made, are all within the scope of patent of the present invention covers.
Claims (9)
1. a kind of way of escape canalis spinalis operation minimally invasive retractor of soft tissue, including two hinged linking arms 1, described linking arm
(1) two ends be shaped to working end and handle end respectively it is characterised in that: the working end of described two linking arms (1) is equipped with
Strut piece (2), the described two ends strutting piece (2) horizontal direction bend toward strutting the relative direction bending of piece, the described piece (2) that struts
Radius is not more than 2cm, and the described bottom strutting piece (2) forms some limiting tooths, described limiting tooth outward bending；Described two
The height strutting piece (2) is unequal, and described highly little strutting forms on the side wall of piece leads blood groove (5), described leads blood groove (5)
Inside it is provided with suction catheter, the end of described suction catheter is connected with suction pump；Described linking arm (1) is provided with axle center adjusting means, institute
State axle center adjusting means be used for adjusting described in strut the distance between piece (2).
2. a kind of way of escape canalis spinalis operation minimally invasive retractor of soft tissue according to claim 1 it is characterised in that: described lead blood
The corresponding position attracting pipe port of groove (5) is provided with grafting set (4), is provided with suction aspirator tip (6) in described grafting set (4).
3. a kind of way of escape canalis spinalis operation minimally invasive retractor of soft tissue according to claim 1 it is characterised in that: described attraction
It is provided with interior tube core, said inner tube core is externally provided with three-way valve, on said inner tube core, the position of corresponding three-way valve is provided with two and opens in device
Mouthful, the curved distribution of described two opening.
4. a kind of way of escape canalis spinalis operation minimally invasive retractor of soft tissue according to claim 1 it is characterised in that: described axle center
Adjusting means includes axle position projection (3) of nearly working end molding on linking arm 1 and some two ends form the adjustment bar of axis hole.
5. a kind of way of escape canalis spinalis operation minimally invasive retractor of soft tissue according to claim 4 it is characterised in that: described axle position
Raised (3) are 1.5-2cm apart from the distance of linking arm pin joint, length 3-15cm of described some adjustment bars.
6. a kind of way of escape canalis spinalis operation minimally invasive retractor of soft tissue according to claim 5 it is characterised in that: described regulation
The quantity of bar is five, and the length of described adjustment bar is respectively 3cm, 6cm, 9cm, 12cm and 15cm.
7. a kind of way of escape canalis spinalis operation minimally invasive retractor of soft tissue according to claim 1 it is characterised in that: described attraction
Device head (6) is hollow tubular structures, and the working end of described suction aspirator tip (6) is shaped to inclined-plane sword structure.
8. a kind of way of escape canalis spinalis operation minimally invasive retractor of soft tissue according to claim 1 it is characterised in that: described attraction
Device head (6) is hollow tubular structures, and the working end of described suction aspirator tip (6) is shaped to hook formation.
9. a kind of way of escape canalis spinalis operation minimally invasive retractor of soft tissue according to claim 1 it is characterised in that: described attraction
Device head (6) is hollow tubular structures, and the working end of described suction aspirator tip (6) is shaped to taper tubular structure.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610959283.1A CN106344088B (en) | 2016-11-03 | 2016-11-03 | A kind of way of escape canalis spinalis operation minimally invasive retractor of soft tissue |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610959283.1A CN106344088B (en) | 2016-11-03 | 2016-11-03 | A kind of way of escape canalis spinalis operation minimally invasive retractor of soft tissue |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN106344088A true CN106344088A (en) | 2017-01-25 |
| CN106344088B CN106344088B (en) | 2019-11-29 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201610959283.1A Active CN106344088B (en) | 2016-11-03 | 2016-11-03 | A kind of way of escape canalis spinalis operation minimally invasive retractor of soft tissue |
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Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108742922A (en) * | 2018-04-10 | 2018-11-06 | 中国人民解放军总医院 | A kind of tissue retraction device used when operation on oral cavity |
| CN110236609A (en) * | 2018-03-09 | 2019-09-17 | 四川大学华西医院 | Anterior cervical vertebrae uncovertebral joint appears the system of strutting |
| CN110393574A (en) * | 2019-09-08 | 2019-11-01 | 成都市第二人民医院 | Hook-shaped nerve dissector with Timely Aid cutting function |
| CN113598846A (en) * | 2021-08-02 | 2021-11-05 | 杭州知橙生物科技有限公司 | Laparoscope incision expander |
| CN114533154A (en) * | 2022-02-23 | 2022-05-27 | 郑州市骨科医院 | Be used for MIS-TLIF lumbar vertebrae way of escape struts ware |
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| US20110152627A1 (en) * | 2009-12-18 | 2011-06-23 | Tony Tannoury | Neural Tissue Retraction and Preservation Device |
| CN203828983U (en) * | 2013-12-06 | 2014-09-17 | 中国人民解放军南京军区南京总医院 | Semi-vertebral-plate wire retractor capable of being locked |
| CN204502062U (en) * | 2015-02-02 | 2015-07-29 | 俞晶 | Suction pump combined complete |
| CN204708905U (en) * | 2015-06-03 | 2015-10-21 | 宁波珈禾整形专科医院有限公司 | Nose pillar retractor |
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| US20110152627A1 (en) * | 2009-12-18 | 2011-06-23 | Tony Tannoury | Neural Tissue Retraction and Preservation Device |
| CN203828983U (en) * | 2013-12-06 | 2014-09-17 | 中国人民解放军南京军区南京总医院 | Semi-vertebral-plate wire retractor capable of being locked |
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Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110236609A (en) * | 2018-03-09 | 2019-09-17 | 四川大学华西医院 | Anterior cervical vertebrae uncovertebral joint appears the system of strutting |
| CN108742922A (en) * | 2018-04-10 | 2018-11-06 | 中国人民解放军总医院 | A kind of tissue retraction device used when operation on oral cavity |
| CN108742922B (en) * | 2018-04-10 | 2023-04-28 | 中国人民解放军总医院 | Tissue retractor used in oral surgery |
| CN110393574A (en) * | 2019-09-08 | 2019-11-01 | 成都市第二人民医院 | Hook-shaped nerve dissector with Timely Aid cutting function |
| CN110393574B (en) * | 2019-09-08 | 2024-05-03 | 成都市第二人民医院 | Hooked nerve stripper with timely auxiliary cutting function |
| CN113598846A (en) * | 2021-08-02 | 2021-11-05 | 杭州知橙生物科技有限公司 | Laparoscope incision expander |
| CN114533154A (en) * | 2022-02-23 | 2022-05-27 | 郑州市骨科医院 | Be used for MIS-TLIF lumbar vertebrae way of escape struts ware |
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| Publication number | Publication date |
|---|---|
| CN106344088B (en) | 2019-11-29 |
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