CN108969028B - Bridge crossing device for long neck instrument in shoulder arthroscopy operation - Google Patents
Bridge crossing device for long neck instrument in shoulder arthroscopy operation Download PDFInfo
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- CN108969028B CN108969028B CN201710403677.3A CN201710403677A CN108969028B CN 108969028 B CN108969028 B CN 108969028B CN 201710403677 A CN201710403677 A CN 201710403677A CN 108969028 B CN108969028 B CN 108969028B
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- sleeve
- arc
- supporting plate
- shaped supporting
- long neck
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- 210000000988 bone and bone Anatomy 0.000 claims abstract description 13
- 230000007547 defect Effects 0.000 claims abstract description 11
- 210000000323 shoulder joint Anatomy 0.000 claims abstract description 7
- 238000001356 surgical procedure Methods 0.000 claims description 9
- 210000003205 muscle Anatomy 0.000 description 7
- 238000000034 method Methods 0.000 description 6
- 208000002847 Surgical Wound Diseases 0.000 description 5
- 210000005036 nerve Anatomy 0.000 description 4
- 241001653121 Glenoides Species 0.000 description 3
- 206010052428 Wound Diseases 0.000 description 3
- 208000027418 Wounds and injury Diseases 0.000 description 3
- 210000004204 blood vessel Anatomy 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 238000002955 isolation Methods 0.000 description 1
- 230000000306 recurrent effect Effects 0.000 description 1
- 238000009987 spinning Methods 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
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- 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)
- Surgical Instruments (AREA)
Abstract
The invention discloses a bridge crossing device for a long neck instrument for shoulder arthroscopy operation, which comprises a sleeve, a sliding structure and a handle, wherein the sliding structure is arranged on the outer side wall of the sleeve along the axial direction of the sleeve, and the handle is arranged at the tail end of the sleeve. When the invention is used, the handle is held by hand to insert the sleeve into the operation incision, and the long neck instrument slides into the operation incision along the sliding structure until reaching the bone defect area of the shoulder joint; the instrument has the advantages of simple structure, easy operation, no need of putting long-neck instruments in experience, high operation efficiency, small operation wound and great popularization and use value.
Description
Technical Field
The invention belongs to the technical field of medical appliances, and particularly relates to a bridge crossing device for a long neck appliance for shoulder arthroscopy operation.
Background
Glenoid bone defect bone occlusion repair (Latarjet repair) is the most common surgical procedure for anterior shoulder instability, but the risk of recurrent dislocation is high for patients with severe bone defects at the anterior shoulder edge. Coracoid displacement Latarjet surgery provides a solution for such patients and gives good results, especially for young patients, however in such surgery it is often necessary to isolate the subscapular muscle, but because of the surface and surrounding of the subscapular muscle many important nerves and blood vessels, experience and operating requirements for the operating physician at the time of isolation; however, even a senior physician needs to take great care to isolate the subscapular muscle, and a little carelessness is required to damage the important vascular nerve.
In the process of performing latarjet surgery, the coracoid process under interception needs to be fixed in a bone defect area of a shoulder glenoid, and then bone blocks pass through the subscapular muscles from front to be placed at the correct position of the glenoid, but the positioning process is very difficult and complicated according to the prior art, the subscapular muscles in front need to be positioned by using an exchange rod from back, then the exchange rod is withdrawn, and then an expanding instrument is placed empirically, so that two access channels are inconsistent, the process is slow, nerve vessels are damaged easily, the final surgical effect is affected, and even the life safety of a patient is endangered.
Disclosure of Invention
In view of the above, the main purpose of the invention is to provide a bridge crossing device for a long neck instrument for shoulder arthroscopy operation, which solves the problems of complex and slow operation process, easy damage to nerve vessels and low operation efficiency in the prior art.
In order to achieve the above purpose, the technical scheme of the invention is realized as follows: the bridge crossing device for the long neck instrument for the shoulder arthroscopy operation comprises a sleeve, a sliding structure and a handle, wherein the sliding structure is arranged on the outer side wall of the sleeve along the axial direction of the sleeve, and the handle is arranged at the tail end of the sleeve; the handle is held by hand, the sleeve is inserted into the operation incision, and the long neck instrument slides into the operation incision along the sliding structure until reaching the bone defect area of the shoulder joint.
Preferably, the sliding structure is a through groove, and the through groove is arranged on the outer side wall of the sleeve along the axial direction of the sleeve.
Preferably, the sliding structure is a notch, and the notch is arranged on the side wall of the sleeve in an extending manner along the axial direction of the sleeve.
Preferably, the front end of the sleeve is provided with a taper.
Preferably, the handle is provided with at least one through hole.
Preferably, the long neck instrument is an expander, the through groove is connected with the expander in a matched mode, the expander comprises a first arc-shaped supporting plate, a second arc-shaped supporting plate, a connecting rotating mechanism and a convex strip, the first arc-shaped supporting plate is connected with the second arc-shaped supporting plate through the connecting rotating mechanism, the convex strip is arranged at one end, close to the connecting rotating mechanism, of the first arc-shaped supporting plate or one end, close to the connecting rotating mechanism, of the second arc-shaped supporting plate, and the through groove is matched with the convex strip.
Preferably, the connecting and rotating mechanism comprises a sleeve and a rotating rod, the sleeve is sleeved on the rotating rod, a hollow for exposing the rotating rod is arranged on the sleeve, the first arc-shaped supporting plate is fixed on the outer side wall of the sleeve, which is close to the hollow, and the second arc-shaped supporting plate is fixed on the rotating rod corresponding to the hollow.
Preferably, the connecting and rotating mechanism comprises a sleeve and a rotating rod, the sleeve is sleeved on the rotating rod, a hollow for exposing the rotating rod is arranged on the sleeve, the first arc-shaped supporting plate is fixed on the rotating rod corresponding to the hollow, and the second arc-shaped supporting plate is fixed on the outer side wall of the sleeve, which is close to the hollow.
Preferably, the rotary device further comprises a first rotary piece and a second rotary piece, wherein the first rotary piece is arranged on the outer side wall of the tail end of the sleeve, and the second rotary piece is arranged on the side wall of the tail end of the rotary rod.
Preferably, the length of the swivel is greater than the length of the sleeve.
Preferably, the handle and the sleeve are L-shaped.
Preferably, the front end of the sleeve is provided with a taper.
Compared with the prior art, when the invention is used, the sleeve is inserted into the operation incision by the hand-held handle, and then the long-neck instrument (the expander) slides into the operation incision along the sliding structure so as to finish the transportation of the long-neck instrument to the bone defect area of the shoulder joint; the instrument has the advantages of simple structure, easy operation, no need of putting long-neck instruments in experience, high operation efficiency, small operation wound and great popularization and use value.
Drawings
FIG. 1 is a schematic view of a first embodiment of a bridge applicator for a long neck instrument for shoulder arthroscopic surgery according to the present invention;
FIG. 2 is a cross-sectional view of example 1;
FIG. 3 is a schematic view of a small width gap in a second embodiment of a bridge applicator for a long neck instrument for shoulder arthroscopic surgery according to the present invention;
FIG. 4 is a cross-sectional view of FIG. 3;
FIG. 5 is a schematic view of a standard width gap in a second embodiment of a bridge applicator for a long neck instrument for shoulder arthroscopic surgery according to the present invention;
FIG. 6 is a cross-sectional view of FIG. 5;
FIG. 7 is a schematic view of a wide gap in a second embodiment of a bridge applicator for a long neck instrument for shoulder arthroscopic surgery according to the present invention;
fig. 8 is a cross-sectional view of fig. 7.
Fig. 9 is a schematic structural view of the dilator.
Description of the embodiments
The present invention will be described in further detail with reference to the drawings and examples, in order to make the objects, technical solutions and advantages of the present invention more apparent. It should be understood that the specific embodiments described herein are for purposes of illustration only and are not intended to limit the scope of the invention.
The invention provides a bridge crossing device for a long neck instrument for shoulder arthroscopy operation, which comprises a sleeve 1, a sliding structure 2 and a handle 3, wherein the sliding structure 2 is arranged on the outer side wall of the sleeve 1 along the axial direction of the sleeve 1, and the handle 3 is arranged at the tail end of the sleeve 1; when in use, the handle 3 is held by hand, the sleeve 1 is inserted into the operation incision, and the long neck instrument is slid into the operation incision along the sliding structure 2 until reaching the bone defect area of the shoulder joint; the instrument has the advantages of simple structure, easy operation, no need of putting long-neck instruments in experience, high operation efficiency, small operation wound and great popularization and use value.
Further, the sliding structure 2 is a through groove 21, and the through groove 21 is arranged on the outer side wall of the sleeve 1 along the axial direction of the sleeve 1; when the sliding structure 2 is the through slot 21, only the long-neck apparatus provided with the convex strips or the convex blocks (not shown in the figure) matched with the through slot 21 can be conveyed, and the whole structure of the long-neck apparatus can be completely sleeved outside the sleeve 1 or inside the sleeve 1.
Further, as shown in fig. 3-8, the sliding structure 2 is a notch 22, and the notch 22 is arranged on the side wall of the sleeve 1 along the axial direction of the sleeve 1 in an extending manner; the width of the notch 22 can be made in different sizes depending on the shape of the end of the cervical instrument, such as a small width notch, a standard width notch, and a large width notch.
Further, the handle 3 is provided with at least one through hole 31; the handle 3 and the sleeve 1 are L-shaped; this facilitates the operator's handling and manipulation.
Further, the front end of the sleeve 1 is provided with a taper; this arrangement facilitates insertion of the sleeve 1 into the surgical incision.
Further, as shown in fig. 9, the long-neck instrument is a dilator 4, the through groove 21 is connected with the dilator 4 in a matching way, the dilator 4 comprises a first arc-shaped supporting plate 41, a second arc-shaped supporting plate 42, a connecting rotating mechanism 43 and a convex strip 44, the first arc-shaped supporting plate 41 is connected with the second arc-shaped supporting plate 42 through the connecting rotating mechanism 43, the convex strip 44 is arranged at one end of the first arc-shaped supporting plate 41 close to the connecting rotating mechanism 43 or one end of the second arc-shaped supporting plate 42 close to the connecting rotating mechanism 43, and the through groove 21 is matched with the convex strip 44.
Further, the ribs 44 can also slide in the notches 22.
Further, the connecting rotating mechanism 43 comprises a sleeve 431 and a rotating rod 432, the sleeve 431 is sleeved on the rotating rod 432, a hollow for exposing the rotating rod 432 is arranged on the sleeve 431, the first arc-shaped supporting plate 41 is fixed on the outer side wall of the sleeve 431, which is close to the hollow, and the second arc-shaped supporting plate 42 is fixed on the rotating rod 432 corresponding to the hollow.
Further, the connection rotating mechanism 43 includes a sleeve 431 and a rotating rod 432, the sleeve 431 is sleeved on the rotating rod 432, a hollow for exposing the rotating rod 432 is provided on the sleeve 431, the first arc-shaped supporting plate 41 is fixed on the rotating rod 433 corresponding to the hollow, and the second arc-shaped supporting plate 42 is fixed on the outer side wall of the sleeve 431 close to the hollow.
Further, it further includes a first rotary plate 4311 and a second rotary plate 4321, wherein the first rotary plate 4311 is disposed on the outer sidewall of the end of the sleeve 431, and the second rotary plate 4321 is disposed on the sidewall of the end of the rotary rod 432; through setting up first rotary piece 4311 on the terminal lateral wall of sleeve 431 and setting up second rotary piece 4321 on the terminal lateral wall of dwang 432, the doctor of being convenient for is rotatory when propping up the subscapularis, and the operation progress is fast like this, has also reduced patient's pain simultaneously.
Further, the length of the spinning beam 432 is greater than the length of the sleeve 431; this arrangement facilitates rotation of the rotating shaft 432 by the operator.
As shown in fig. 1, 2, 3, 4 and 9, the use procedure of the first embodiment of the present invention is as follows: 1) Inserting an exchange rod (additionally arranged, not shown) into the surgical incision and positioning the subscapular muscle; 2) Sleeving the sleeve 1 outside the exchange rod and pushing the sleeve 1 into the surgical incision; 3) The ribs 44 provided on the dilator 4 are engaged with the through grooves 21 or the notches 22 (the bridge-passing device shown in fig. 3 can be used when the width of the notch 22 is matched with the thickness of the ribs 44) and slide along the through grooves 21 or the notches 22 into the incision, so that the dilator 4 is sent to the position of the shoulder bone defect area.
As shown in fig. 3-8, the second embodiment of the present invention is used as follows: 1) Inserting an exchange rod (additionally arranged, not shown) into the surgical incision and positioning the subscapular muscle; 2) Sleeving the sleeve 1 outside the exchange rod and pushing the sleeve 1 into the surgical incision; 3) The exchange rod is pulled out, a long-neck instrument (not shown in the figures) is taken and placed in the sleeve 1, and the long-neck instrument is sent to the bone defect area of the shoulder joint along the direction of the notch 22 (when the long-neck instrument is not provided with the convex strip 21, a bridge crossing device shown in fig. 5 and 7 can be used).
Compared with the prior art, when the invention is used, the sleeve 1 is inserted into the operation incision by the hand-held handle, and then the long-neck instrument slides into the operation incision along the sliding structure 2 so as to finish the transportation of the long-neck instrument to the bone defect area of the shoulder joint; the instrument has the advantages of simple structure, easy operation, no need of putting long-neck instruments in experience, high operation efficiency, small operation wound and great popularization and use value.
The foregoing description is only of the preferred embodiments of the present invention, and is not intended to limit the scope of the present invention.
Claims (7)
1. The bridge crossing device for the long neck instrument for the shoulder arthroscopy operation is characterized by comprising a sleeve, a sliding structure and a handle, wherein the sliding structure is arranged on the outer side wall of the sleeve along the axial direction of the sleeve, and the handle is arranged at the tail end of the sleeve; holding the handle to insert the sleeve into the operation incision, and sliding the long neck instrument into the operation incision along the sliding structure until reaching the bone defect area of the shoulder joint;
the sliding structure is a through groove or a notch;
the long neck instrument is an expander, and the through groove is connected with the expander in a matched manner; the expander comprises a first arc-shaped supporting plate, a second arc-shaped supporting plate, a connecting rotating mechanism and a convex strip, wherein the first arc-shaped supporting plate is connected with the second arc-shaped supporting plate through the connecting rotating mechanism, the convex strip is arranged at one end of the first arc-shaped supporting plate, which is close to the connecting rotating mechanism, or one end of the second arc-shaped supporting plate, which is close to the connecting rotating mechanism, and the through groove or the notch is matched with the convex strip;
the connecting and rotating mechanism comprises a sleeve part and a rotating rod, wherein the sleeve part is sleeved on the rotating rod, and the sleeve part is provided with a hollow for exposing the rotating rod; the first arc-shaped supporting plate is fixed on the outer side wall of the sleeve part, which is close to the hollow, and the second arc-shaped supporting plate is fixed on a rotating rod corresponding to the hollow, or the first arc-shaped supporting plate is fixed on the rotating rod corresponding to the hollow, and the second arc-shaped supporting plate is fixed on the outer side wall of the sleeve part, which is close to the hollow;
the handle and the sleeve are L-shaped.
2. The bridge applicator for a long neck instrument for shoulder arthroscopic surgery according to claim 1, wherein the through groove is provided on an outer sidewall of the sleeve in an axial direction of the sleeve.
3. A bridge applicator for a shoulder arthroscopic long neck instrument according to claim 1 wherein said notch extends in the axial direction of the sleeve on the side wall of the sleeve.
4. A bridge applicator for a shoulder arthroscopic long neck instrument according to claim 3 and wherein said sleeve is provided with a taper at its forward end.
5. The bridge applicator for a shoulder arthroscopic long neck instrument of claim 4 wherein said handle is provided with at least one through hole.
6. The bridge applicator for a shoulder arthroscopic surgical long neck instrument of claim 1 further comprising a first rotating tab disposed on the outer sidewall of the sleeve end and a second rotating tab disposed on the sidewall of the swivel post end.
7. The bridge applicator for a shoulder arthroscopic long neck instrument of claim 6 wherein the length of the swivel is greater than the length of the sleeve.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710403677.3A CN108969028B (en) | 2017-06-01 | 2017-06-01 | Bridge crossing device for long neck instrument in shoulder arthroscopy operation |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710403677.3A CN108969028B (en) | 2017-06-01 | 2017-06-01 | Bridge crossing device for long neck instrument in shoulder arthroscopy operation |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN108969028A CN108969028A (en) | 2018-12-11 |
| CN108969028B true CN108969028B (en) | 2023-12-05 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710403677.3A Active CN108969028B (en) | 2017-06-01 | 2017-06-01 | Bridge crossing device for long neck instrument in shoulder arthroscopy operation |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN108969028B (en) |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5810776A (en) * | 1996-02-13 | 1998-09-22 | Imagyn Medical, Inc. | Method and apparatus for performing laparoscopy |
| CN204218948U (en) * | 2011-08-31 | 2015-03-25 | 兰克斯股份有限公司 | A kind of surgical retractors |
| CN205988321U (en) * | 2016-05-27 | 2017-03-01 | 深圳市第二人民医院 | Lower pair of loop fixed locator of dislocation of shoulder arthroscope |
| CN106580422A (en) * | 2016-12-28 | 2017-04-26 | 付中国 | Bone fixator guide instrument |
| CN207768438U (en) * | 2017-06-01 | 2018-08-28 | 崔家鸣 | A kind of semilune long-neck instrument feeder for complicated arthrocsopic surgery |
Family Cites Families (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8556924B2 (en) * | 2009-12-30 | 2013-10-15 | Chang Gung Medical Foundation, Linkou Branch | Natural orifice translumenal endoscopic surgery (NOTES) device |
-
2017
- 2017-06-01 CN CN201710403677.3A patent/CN108969028B/en active Active
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5810776A (en) * | 1996-02-13 | 1998-09-22 | Imagyn Medical, Inc. | Method and apparatus for performing laparoscopy |
| CN204218948U (en) * | 2011-08-31 | 2015-03-25 | 兰克斯股份有限公司 | A kind of surgical retractors |
| CN205988321U (en) * | 2016-05-27 | 2017-03-01 | 深圳市第二人民医院 | Lower pair of loop fixed locator of dislocation of shoulder arthroscope |
| CN106580422A (en) * | 2016-12-28 | 2017-04-26 | 付中国 | Bone fixator guide instrument |
| CN207768438U (en) * | 2017-06-01 | 2018-08-28 | 崔家鸣 | A kind of semilune long-neck instrument feeder for complicated arthrocsopic surgery |
Also Published As
| Publication number | Publication date |
|---|---|
| CN108969028A (en) | 2018-12-11 |
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| CB03 | Change of inventor or designer information |
Inventor after: Cui Jiaming Inventor after: Zhu Weimin Inventor after: Lu Wei Inventor after: Wang Daping Inventor after: Xiong Jianyi Inventor after: Chen Kang Inventor after: Li Ying Inventor before: Zhu Weimin Inventor before: Cui Jiaming Inventor before: Lu Wei Inventor before: Wang Daping Inventor before: Xiong Jianyi Inventor before: Chen Kang Inventor before: Li Ying |
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