CN108309395B - Device for intervertebral foramen mirror operation - Google Patents
Device for intervertebral foramen mirror operation Download PDFInfo
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- CN108309395B CN108309395B CN201810107432.0A CN201810107432A CN108309395B CN 108309395 B CN108309395 B CN 108309395B CN 201810107432 A CN201810107432 A CN 201810107432A CN 108309395 B CN108309395 B CN 108309395B
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- 238000000926 separation method Methods 0.000 claims description 19
- 238000009434 installation Methods 0.000 claims description 9
- 239000011324 bead Substances 0.000 claims description 5
- 229910000831 Steel Inorganic materials 0.000 claims description 3
- 239000010959 steel Substances 0.000 claims description 3
- 210000000988 bone and bone Anatomy 0.000 abstract description 11
- 230000002093 peripheral effect Effects 0.000 abstract description 6
- 210000001519 tissue Anatomy 0.000 description 15
- 238000000034 method Methods 0.000 description 13
- 230000008569 process Effects 0.000 description 12
- 238000002674 endoscopic surgery Methods 0.000 description 8
- 238000004519 manufacturing process Methods 0.000 description 4
- 238000003466 welding Methods 0.000 description 4
- 206010061876 Obstruction Diseases 0.000 description 2
- 230000015572 biosynthetic process Effects 0.000 description 2
- 238000007493 shaping process Methods 0.000 description 2
- 230000007704 transition Effects 0.000 description 2
- 208000003618 Intervertebral Disc Displacement Diseases 0.000 description 1
- 206010050296 Intervertebral disc protrusion Diseases 0.000 description 1
- 230000004888 barrier function Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000002594 fluoroscopy Methods 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
- 230000002035 prolonged effect Effects 0.000 description 1
- 230000008439 repair process Effects 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
Classifications
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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
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1659—Surgical rasps, files, planes, or scrapers
-
- 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
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1671—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the spine
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
-
- 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
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00261—Discectomy
-
- 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
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/0034—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means adapted to be inserted through a working channel of an endoscope
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B2017/564—Methods for bone or joint treatment
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Medical Informatics (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- General Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Dentistry (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Vascular Medicine (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
Abstract
The invention relates to a device for an intervertebral foramen mirror operation, which comprises a main working channel (1) and an auxiliary working channel (2) which are connected side by side, wherein an intervertebral foramen mirror (3) is arranged in the main working channel (1), and an intervertebral foramen forming instrument (4) is arranged in the auxiliary working channel (2). Compared with the prior art, the invention can grind off bones and remove obstacles to finish forming the intervertebral foramen under the direct vision of the intervertebral foramen mirror, thereby reducing the operation time and ensuring safer operation, and on the other hand, the independent auxiliary working channel (2) can easily treat peripheral obstacles, so that the forming and the operation of the intervertebral foramen mirror are simpler, more convenient and flexible.
Description
Technical Field
The invention relates to the field of medical instruments, in particular to a device for intervertebral foramen mirror operation.
Background
The minimally invasive technique of the spine of the intervertebral foramen mirror represents a brand new concept of minimally invasive spine surgery. Intervertebral disc herniation, foramen formation and annulus repair of all segments from cervical vertebrae to lumbo 5 sacrum 1 can be developed. The satisfactory curative effect of the operation can reach 75-90 percent. Because of its many advantages, the world spinal minimally invasive surgery field has now recognized the dominant role of the foramen mirror in this field.
Smooth establishment of the working channel of the foramen mirror is the key to successful operation, and foramen forming is the most key step for establishing the channel. The formation of the intervertebral foramen is to grind off a part of the articular process and remove peripheral obstacles, expand the space of the intervertebral foramen to allow the working channel to enter and reach the position of the protruding nucleus pulposus. The conventional process of forming the articular process is that the bone is not ground and the obstacle is removed under the direct view of an endoscope, but the position of grinding the bone and the obstacle is repeatedly confirmed by x-ray fluoroscopy, so that the nerve is prevented from being injured. Thus, the X-rays are repeatedly seen through, and the X-rays of doctors and patients are exposed too much, so that the operation time is greatly prolonged.
Disclosure of Invention
The object of the present invention is to overcome the above-mentioned drawbacks of the prior art by providing a device for use in an endoscopic surgery.
The aim of the invention can be achieved by the following technical scheme:
The utility model provides a device for foramen mirror operation, this working channel is including main working channel and the vice working channel of connecting side by side, main working channel in install foramen mirror, vice working channel install foramen forming instrument, this device can utilize foramen forming instrument to accomplish foramen forming operation under foramen mirror's direct vision, including grinding the bone under foramen mirror instruction, clear up peripheral barrier etc. has changed traditional repeated perspective x-ray mode, reduces doctor and patient's x-ray exposure, reduces operation time.
Preferably, the central axes of the primary working channel 1 and the secondary working channel 2 are parallel or at an angle to each other.
Preferably, the main working channel and the auxiliary working channel are integrally formed, and the integrally formed structure is convenient to manufacture.
Preferably, the main working channel and the auxiliary working channel are movably connected through a separation connecting structure, the main working channel and the auxiliary working channel are arranged to be separated and are movably connected through the separation connecting structure, and the intervertebral foramen forming instrument and the intervertebral foramen mirror with different diameters can be freely configured.
Preferably, the separation connection structure comprises a mounting groove arranged on the main working channel and a mounting plate arranged on the auxiliary working channel, wherein the mounting plate is embedded into the mounting groove for movably connecting, and the separation connection structure is simple in mechanical structure and convenient to detach.
Preferably, the separation connection structure include the wedge guide rail of setting on vice working channel, wedge guide rail inner profile and main working channel surface agree with, main working channel tip be equipped with the handle, the handle on be equipped with the direction mounting groove, vice working channel on wedge guide rail and main working channel surface agree with the installation and wedge guide rail one end imbeds the direction mounting groove carry out fixed mounting, this kind of separation simple structure only need set up wedge guide rail on vice working channel and dispose on the handle the direction mounting groove can, convenient manufacture, and facilitate the use.
Preferably, the separation connection structure comprises an end guide pipe, the end of the end guide pipe is provided with a mounting head, the mounting head is provided with a locking nut, the end of the main working channel is provided with a handle, the handle is provided with a guide pipe mounting hole, the end guide pipe penetrates through the guide mounting hole, and the auxiliary working channel penetrates through the end guide pipe and is locked through the locking nut on the mounting head.
Preferably, the guide tube mounting hole is a kidney-shaped hole, and a limiting collision bead for positioning and mounting the end guide tube is arranged in the guide tube mounting hole.
Preferably, the main working channel and the auxiliary working channel are hollow steel sleeves.
Preferably, the end faces of the main working channel and the auxiliary working channel, which are inserted into one end of the human tissue, are of inclined structures, the inclination angles of the main working channel and the auxiliary working channel are consistent and smoothly transited, the whole device forms a smooth inclined plane, and the smooth inclined plane is arranged to facilitate the whole device to enter the human tissue until reaching the bone position when the intervertebral foramen mirror working channel is opened, so that the damage to the human tissue in the process of the device entering the human tissue is reduced.
Compared with the prior art, the invention has the following advantages:
(1) The invention is provided with a main working channel and an auxiliary working channel, wherein the main working channel is used for monitoring the whole operation process, the auxiliary working channel is used for installing an intervertebral foramen forming instrument, the intervertebral foramen forming instrument comprises a grinding drill and an obstacle removing instrument, and two separated working channels are arranged:
On one hand, the bone is ground under the direct vision of the foramen mirror, and the obstacle is removed to finish the foramen forming, so that the traditional repeated X-ray perspective mode is changed, the X-ray exposure of doctors and patients is reduced, the operation time is shortened, and meanwhile, the operation is safer;
On the other hand, the arrangement of the independent auxiliary working channel can easily treat peripheral obstacles, so that the forming and the operation of the intervertebral foramen mirror are simpler and more flexible;
(2) The connecting mode of the main working channel and the auxiliary working channel comprises an integrated forming mode and a separation connecting mode, the integrated forming structure is convenient to manufacture, the separation connecting mode can be freely configured according to intervertebral foramen forming instruments and intervertebral foramen mirrors with different diameters, the application is wide, and the separation connecting mode can be automatically selected according to actual requirements;
(3) The smooth inclined surface structure at one end of the device for the intervertebral foramen mirror operation is convenient for the whole device to enter human tissues until the bone position when the intervertebral foramen mirror working channel is opened, and reduces the damage to the human tissues in the process of entering the human tissues.
Drawings
FIG. 1 is a schematic view showing the overall structure of an apparatus for an endoscopic surgery for intervertebral foramen according to example 1;
FIG. 2 is a schematic view showing the overall structure of the device for the foramen mirror operation of example 2;
FIG. 3 is a schematic overall structure of the main working channel in embodiment 2;
FIG. 4 is a schematic view showing the overall structure of the secondary working channel in example 2;
FIG. 5 is a schematic view showing the overall structure of an apparatus for an endoscopic surgery for intervertebral foramen according to embodiment 3;
FIG. 6 is a schematic overall structure of an apparatus for an endoscopic surgery of an intervertebral foramen according to example 4;
FIG. 7 is a schematic view showing the overall structure of the device for the foramen mirror operation of example 5;
FIG. 8 is a schematic view showing the overall structure of the device for the foramen mirror operation of example 6;
FIG. 9 is a schematic overall structure of an apparatus for an endoscopic surgery of an intervertebral foramen according to example 7;
FIG. 10 is a schematic view showing the overall structure of an apparatus for an endoscopic surgery for intervertebral foramen according to example 8;
FIG. 11 is a schematic overall structure of a device for an endoscopic surgery of an intervertebral foramen according to example 9;
FIG. 12 is a schematic view showing the assembly of the main working channel and the handle in example 9;
Fig. 13 is a schematic structural view of a secondary working channel in embodiment 9;
FIG. 14 is a schematic overall structure of an apparatus for an endoscopic surgery of an intervertebral foramen according to embodiment 10;
FIG. 15 is a schematic view showing the assembly of the main working channel and the handle of embodiment 10;
Fig. 16 is a schematic structural view of a separation connection structure of embodiment 10;
Fig. 17 is an enlarged view of the main working channel and the sub working channel of embodiment 10 assembled at the handle.
In the figure, 1 is a main working channel, 2 is a secondary working channel, 3 is an intervertebral foramen mirror, 4 is an intervertebral foramen forming device, 5 is a handle, 11 is a mounting groove, 21 is a mounting sheet, 12 is a guiding mounting groove, 22 is a wedge-shaped guide rail, 31 is an end guide pipe, 32 is a mounting head, 33 is a locking nut, 34 is a guide pipe mounting hole, and 35 is a limiting collision bead.
Detailed Description
The invention will now be described in detail with reference to the drawings and specific examples. Note that the following description of the embodiments is merely an example, and the present invention is not intended to be limited to the applications and uses thereof, and is not intended to be limited to the following embodiments.
Example 1
As shown in fig. 1, a device for an intervertebral foramen mirror operation comprises a main working channel 1 and a secondary working channel 2 which are connected side by side, wherein the central axes of the main working channel 1 and the secondary working channel 2 are parallel to each other, an intervertebral foramen mirror 3 is arranged in the main working channel 1, and an intervertebral foramen forming instrument 4 is arranged in the secondary working channel 2. The intervertebral foramen mirror 3 is arranged in a clearance with the main working channel 1, and the intervertebral foramen forming device 4 is arranged in a clearance with the auxiliary working channel 2, so that the grinding drill 3 and the endoscope 4 can rotate conveniently in the operation process. The intervertebral foramen forming device 4 comprises a grinding drill and an obstacle removing device, and is provided with two separated working channels: on one hand, the bone is ground under the direct vision of the foramen mirror 3, and the obstacle is removed to finish the foramen forming, so that the traditional repeated X-ray perspective mode is changed, the X-ray exposure of doctors and patients is reduced, the operation time is shortened, and meanwhile, the operation is safer; on the other hand, the provision of a separate secondary working channel 2 allows for easy handling of peripheral obstructions, thereby making the shaping and manipulation of the foraminal mirror easier and more flexible.
The main working channel 1 and the auxiliary working channel 2 are integrally formed, in actual manufacturing, only two through holes are formed in one cylindrical barrel, in the embodiment, the diameter of the through hole of the main working channel 1 is 3mm, and the diameter of the through hole of the auxiliary working channel 2 is 7mm. The main working channel 1 and the auxiliary working channel 2 are steel hollow sleeves. The end faces of the main working channel 1 and the auxiliary working channel 2, which are inserted into one end of human tissue, are of inclined structures, the inclination angles of the main working channel 1 and the auxiliary working channel 2 are consistent and are in smooth transition, and the whole device forms a smooth inclined surface. The smooth inclined surface is arranged so that the whole device can conveniently enter human tissues until the bone position when the intervertebral foramen mirror working channel is opened, and the damage to the human tissues in the process of entering the human tissues by the device is reduced.
In this embodiment, the outer side of the main working channel 1 is provided with a handle 5 protruding outwards, which is convenient for fixing the whole device from moving in the operation process.
Example 2
As shown in fig. 2 to 4, a device for an foramen mirror operation includes a main working channel 1 and a sub working channel 2 connected side by side, the central axes of the main working channel 1 and the sub working channel 2 are parallel to each other, an foramen mirror 3 is installed in the main working channel 1, and an foramen forming instrument 4 is installed in the sub working channel 2. The intervertebral foramen mirror 3 is arranged in a clearance with the main working channel 1, and the intervertebral foramen forming device 4 is arranged in a clearance with the auxiliary working channel 2, so that the grinding drill 3 and the endoscope 4 can rotate conveniently in the operation process. The intervertebral foramen forming device 4 comprises a grinding drill and an obstacle removing device, and is provided with two separated working channels: on one hand, the bone is ground under the direct vision of the foramen mirror 3, and the obstacle is removed to finish the foramen forming, so that the traditional repeated X-ray perspective mode is changed, the X-ray exposure of doctors and patients is reduced, the operation time is shortened, and meanwhile, the operation is safer; on the other hand, the provision of a separate secondary working channel 2 allows for easy handling of peripheral obstructions, thereby making the shaping and manipulation of the foraminal mirror easier and more flexible.
In this embodiment, the main working channel 1 and the auxiliary working channel 2 are movably connected through a separate connection structure. The separation and connection structure comprises a mounting groove 11 arranged on the main working channel 1 and a mounting sheet 21 arranged on the auxiliary working channel 2, wherein the mounting sheet 21 is embedded into the mounting groove 11 to be movably connected. In this embodiment, the mounting groove 11 is configured as a rectangular groove, the mounting piece 21 is a strip piece matched with the rectangular groove, and the mounting piece 21 slides into the mounting groove 11 to complete the mounting. In this embodiment, the main working channel 1 and the auxiliary working channel 2 are set to be separated, and when in use, the main working channel 1 and the auxiliary working channel 2 are connected through a separation connection structure, and the separation connection mode can be freely configured according to the intervertebral foramen mirror 3 and the intervertebral foramen forming instrument 4 with different diameters, so that the device is wide in application, reliable in assembly formula of the separation connection structure and convenient to assemble and disassemble.
The end faces of the main working channel 1 and the auxiliary working channel 2, which are inserted into one end of human tissue, are of inclined structures, the inclination angles of the main working channel 1 and the auxiliary working channel 2 are consistent and are in smooth transition, and the whole device forms a smooth inclined surface. The smooth inclined surface is arranged so that the whole device can conveniently enter human tissues until the bone position when the intervertebral foramen mirror working channel is opened, and the damage to the human tissues in the process of entering the human tissues by the device is reduced.
In this embodiment, the outer side of the main working channel 1 is provided with a handle 5 protruding outwards, which is convenient for fixing the whole device from moving in the operation process.
Example 3
As shown in fig. 5, this embodiment provides a device for an intervertebral foramen mirror operation, in which the handle 5 is provided outside the secondary working channel 2 and protrudes outward, and the rest is the same as that of embodiment 2.
Example 4
As shown in fig. 6, this embodiment provides a device for an intervertebral foramen mirror operation, in this embodiment, a main working channel 1 and a secondary working channel 2 are integrally formed by 2 hollow sleeves, the hollow parts of the 2 hollow sleeves are mutually communicated to form an 8 shape, and the rest is the same as that of embodiment 1.
Example 5
As shown in fig. 7, this embodiment provides a device for an intervertebral foramen mirror operation, in this embodiment, a main working channel 1 and a secondary working channel 2 are integrally formed by welding two hollow sleeves, and the outer walls of the working channel 1 and the secondary working channel 2 are close to contact with each other, and the rest is the same as embodiment 1.
Example 6
As shown in fig. 8, this embodiment provides a device for an intervertebral foramen mirror operation, in this embodiment, a main working channel 1 and a secondary working channel 2 are integrally formed by welding two hollow sleeves, and a welding strip at a welding forming position of the main working channel 1 and the secondary working channel 2 has a certain thickness, so that the working channel 1 and the secondary working channel 2 are provided with a certain distance, and the rest is the same as that of embodiment 5.
Example 7
As shown in fig. 9, the present embodiment provides a device for an intervertebral foramen mirror operation, in which a main working channel 1 and a sub working channel 2 are movably connected by a separate connection structure. The section of the mounting groove 11 of the separation connection structure is triangular, the section of the corresponding mounting piece 21 is triangular matched with the mounting groove 11, and the mounting piece 21 is embedded into the mounting groove 11 to finish the mounting.
Example 8
As shown in fig. 10, this embodiment provides a device for an intervertebral foramen mirror operation, which is different from embodiment 1 in that the central axes of the main working channel 1 and the auxiliary working channel 2 are provided with a certain angle, the main working channel 1 and the auxiliary working channel 2 are integrally formed, one ends of the main working channel 1 and the auxiliary working channel 2 are provided with integrally formed handles 5, in this embodiment, the handles 5 are in a diamond-like structure, two through holes are formed on the handles and are communicated with the main working channel 1 and the auxiliary working channel 2, and the rest are the same as embodiment 1.
Example 9
As shown in fig. 11 to 13, this embodiment provides a device for an intervertebral foramen mirror operation, similar to embodiment 8, in which the central axes of the main working channel 1 and the auxiliary working channel 2 are provided with a certain angle, and the difference is that the main working channel 1 and the auxiliary working channel 2 are movably connected by a separate connection structure in this embodiment, unlike embodiment 8. The separation connection structure comprises a wedge-shaped guide rail 22 arranged on the auxiliary working channel 2, the inner contour of the wedge-shaped guide rail 22 is matched with the outer surface of the main working channel 1, a handle 5 is arranged at the end part of the main working channel 1, a guide mounting groove 12 is formed in the handle 5, the wedge-shaped guide rail 22 on the auxiliary working channel 2 is matched with the outer surface of the main working channel 1, and one end of the wedge-shaped guide rail 22 is embedded into the guide mounting groove 12 for fixed mounting. In this embodiment, the wedge-shaped guide rail 22 is provided with a certain inclination, so that a certain angle is formed between the secondary working channel 2 and the central axis of the primary working channel 1 after the secondary working channel 2 is installed in place, and the angle is set to 10 ° in this embodiment, and can be set according to actual needs. The remainder was the same as in example 8.
Example 10
As shown in fig. 14 to 17, the present embodiment provides a device for an intervertebral foramen mirror operation, which is different from embodiment 9 in that the separate connection structure in this embodiment includes an end guide tube 31, a mounting head 32 is provided at the end of the end guide tube 31, a lock nut 33 is provided on the mounting head 32, a handle 5 is provided at the end of the main working channel 1, a guide tube mounting hole 34 is provided on the handle 5, the end guide tube 31 passes through the guide mounting hole 34, and the sub working channel 2 passes through the end guide tube 31 and is locked by the lock nut 33 on the mounting head 32. The guide tube mounting hole 34 is a kidney-shaped hole, and a limit collision bead 35 for positioning and mounting the end guide tube 31 is arranged in the guide tube mounting hole 34. During installation, the end guide tube 31 is installed in the guide tube installation hole 34 of the handle, the auxiliary working channel 2 is inserted into the end guide tube 31, the auxiliary working channel 2 is locked by the locking nut 33 arranged on the installation head 32 after the auxiliary working channel 2 is in place, the auxiliary working channel 2 and the end guide tube 31 are adjusted to the release position together, and the limit collision bead 35 is positioned and fixed.
The above embodiments are merely examples, and do not limit the scope of the present invention. These embodiments may be implemented in various other ways, and various omissions, substitutions, and changes may be made without departing from the scope of the technical idea of the present invention.
Claims (4)
1. The device for the intervertebral foramen mirror operation is characterized in that the working channel comprises a main working channel (1) and an auxiliary working channel (2) which are connected side by side, an intervertebral foramen mirror (3) is arranged in the main working channel (1), and an intervertebral foramen forming instrument (4) is arranged in the auxiliary working channel (2);
the main working channel (1) and the auxiliary working channel (2) are movably connected through a separation connecting structure;
The separating and connecting structure comprises a wedge-shaped guide rail (22) arranged on the auxiliary working channel (2), wherein the inner contour of the wedge-shaped guide rail (22) is matched with the outer surface of the main working channel (1), a handle (5) is arranged at the end part of the main working channel (1), a guide mounting groove (12) is arranged on the handle (5), the wedge-shaped guide rail (22) on the auxiliary working channel (2) is matched with the outer surface of the main working channel (1), and one end of the wedge-shaped guide rail (22) is embedded into the guide mounting groove (12) for fixed mounting;
the separation connecting structure comprises an end guide pipe (31), an installation head (32) is arranged at the end of the end guide pipe (31), a locking nut (33) is arranged on the installation head (32), a handle (5) is arranged at the end of the main working channel (1), a guide pipe installation hole (34) is arranged on the handle (5), the end guide pipe (31) penetrates through the guide installation hole (34), and the auxiliary working channel (2) penetrates through the end guide pipe (31) and is locked through the locking nut (33) on the installation head (32);
the guide tube mounting hole (34) is a kidney-shaped hole, and a limit collision bead (35) for positioning and mounting the end guide tube (31) is arranged in the guide tube mounting hole (34).
2. Device for use in an intervertebral foramen mirror operation according to claim 1, in which the central axes of the primary working channel (1) and the secondary working channel (2) are parallel or at an angle to each other.
3. A device for use in an intervertebral foramen mirror operation according to claim 1, wherein the primary working channel (1) and the secondary working channel (2) are hollow sleeves of steel.
4. The device for the foramen mirror operation according to claim 1, wherein the end surfaces of the main working channel (1) and the auxiliary working channel (2) inserted into one end of the human tissue are inclined structures, and the inclination angles of the main working channel (1) and the auxiliary working channel (2) are consistent and smoothly transited, and the whole device forms a smooth inclined surface.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810107432.0A CN108309395B (en) | 2018-02-02 | 2018-02-02 | Device for intervertebral foramen mirror operation |
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| Application Number | Priority Date | Filing Date | Title |
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| CN201810107432.0A CN108309395B (en) | 2018-02-02 | 2018-02-02 | Device for intervertebral foramen mirror operation |
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| CN108309395A CN108309395A (en) | 2018-07-24 |
| CN108309395B true CN108309395B (en) | 2024-06-07 |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109091199B (en) * | 2018-08-29 | 2024-04-16 | 贺石生 | Surgical instrument guide, intervertebral foramen abrasive drill and intervertebral foramen forming surgical device |
| CN209236232U (en) * | 2018-09-05 | 2019-08-13 | 山东冠龙医疗用品有限公司 | A kind of multiple channel operation casing |
| CN209236110U (en) * | 2018-11-01 | 2019-08-13 | 山东冠龙医疗用品有限公司 | A kind of minimally invasive device of multichannel of changeable photography signal |
| CN209236111U (en) * | 2018-11-01 | 2019-08-13 | 山东冠龙医疗用品有限公司 | A kind of minimally invasive channel endoscope of multichannel |
| CN110477970A (en) * | 2019-08-08 | 2019-11-22 | 上海市第十人民医院 | A kind of operating walk way device for vertebral column minimally invasive scope |
| CN111110289A (en) * | 2020-02-26 | 2020-05-08 | 陈鸣 | Operation channel used in lumbar fusion under intervertebral foramen mirror |
| CN112120744A (en) * | 2020-09-28 | 2020-12-25 | 上海市第十人民医院 | Double-channel working sleeve |
Citations (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6514260B1 (en) * | 2000-03-15 | 2003-02-04 | Sdgi Holdings, Inc. | Methods and instruments for laparoscopic spinal surgery |
| CN202313266U (en) * | 2011-09-24 | 2012-07-11 | 马学勤 | Intervertebral foramen mirror |
| CN104013379A (en) * | 2014-05-29 | 2014-09-03 | 中山大学附属第三医院 | Three-dimensional foramen intervertebral lens |
| CN104545781A (en) * | 2015-01-27 | 2015-04-29 | 吴雨 | Intervertebral foramen mirror |
| CN204839604U (en) * | 2015-08-25 | 2015-12-09 | 雷青 | Intervertebral foramen mirror sleeve |
| CN105411519A (en) * | 2015-12-21 | 2016-03-23 | 张为 | Movable transforaminal endoscope system |
| CN205215376U (en) * | 2015-12-14 | 2016-05-11 | 杨晋才 | Articular process of wicresoft excision guiding orientation ware and articular process of guiding orientation wicresoft excision apparatus subassembly |
| CN105559894A (en) * | 2015-12-14 | 2016-05-11 | 杨晋才 | Minimally invasive facetectomy guiding and positioning device and minimally invasive facetectomy guiding and positioning instrument assembly |
| KR20160090462A (en) * | 2015-01-21 | 2016-08-01 | (의료)길의료재단 | Endoscopic instrument comprising connectors and a cap connected thereto |
| CN205831755U (en) * | 2016-01-22 | 2016-12-28 | 姚蔼晟 | Many instrument channel spinal endoscopes |
| CN208677506U (en) * | 2018-02-02 | 2019-04-02 | 贺石生 | A kind of device for foramen intervertebrale lens operation |
-
2018
- 2018-02-02 CN CN201810107432.0A patent/CN108309395B/en active Active
Patent Citations (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6514260B1 (en) * | 2000-03-15 | 2003-02-04 | Sdgi Holdings, Inc. | Methods and instruments for laparoscopic spinal surgery |
| CN202313266U (en) * | 2011-09-24 | 2012-07-11 | 马学勤 | Intervertebral foramen mirror |
| CN104013379A (en) * | 2014-05-29 | 2014-09-03 | 中山大学附属第三医院 | Three-dimensional foramen intervertebral lens |
| KR20160090462A (en) * | 2015-01-21 | 2016-08-01 | (의료)길의료재단 | Endoscopic instrument comprising connectors and a cap connected thereto |
| CN104545781A (en) * | 2015-01-27 | 2015-04-29 | 吴雨 | Intervertebral foramen mirror |
| CN204839604U (en) * | 2015-08-25 | 2015-12-09 | 雷青 | Intervertebral foramen mirror sleeve |
| CN205215376U (en) * | 2015-12-14 | 2016-05-11 | 杨晋才 | Articular process of wicresoft excision guiding orientation ware and articular process of guiding orientation wicresoft excision apparatus subassembly |
| CN105559894A (en) * | 2015-12-14 | 2016-05-11 | 杨晋才 | Minimally invasive facetectomy guiding and positioning device and minimally invasive facetectomy guiding and positioning instrument assembly |
| CN105411519A (en) * | 2015-12-21 | 2016-03-23 | 张为 | Movable transforaminal endoscope system |
| CN205831755U (en) * | 2016-01-22 | 2016-12-28 | 姚蔼晟 | Many instrument channel spinal endoscopes |
| CN208677506U (en) * | 2018-02-02 | 2019-04-02 | 贺石生 | A kind of device for foramen intervertebrale lens operation |
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| CN108309395A (en) | 2018-07-24 |
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