CN109091199B - Surgical instrument guide, intervertebral foramen abrasive drill and intervertebral foramen forming surgical device - Google Patents
Surgical instrument guide, intervertebral foramen abrasive drill and intervertebral foramen forming surgical device Download PDFInfo
- Publication number
- CN109091199B CN109091199B CN201810993808.2A CN201810993808A CN109091199B CN 109091199 B CN109091199 B CN 109091199B CN 201810993808 A CN201810993808 A CN 201810993808A CN 109091199 B CN109091199 B CN 109091199B
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- Prior art keywords
- intervertebral foramen
- drill
- guide
- instrument
- guide body
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- 238000000227 grinding Methods 0.000 claims abstract description 39
- 238000007493 shaping process Methods 0.000 claims description 4
- 210000000988 bone and bone Anatomy 0.000 abstract description 10
- 238000005553 drilling Methods 0.000 description 16
- 230000000694 effects Effects 0.000 description 5
- 238000000034 method Methods 0.000 description 4
- 230000015572 biosynthetic process Effects 0.000 description 3
- 238000003780 insertion Methods 0.000 description 3
- 230000037431 insertion Effects 0.000 description 3
- 238000001356 surgical procedure Methods 0.000 description 2
- 208000003618 Intervertebral Disc Displacement Diseases 0.000 description 1
- 206010050296 Intervertebral disc protrusion Diseases 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000002594 fluoroscopy Methods 0.000 description 1
- 238000003801 milling Methods 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 239000011148 porous material Substances 0.000 description 1
- 230000002035 prolonged effect Effects 0.000 description 1
- 238000006467 substitution reaction Methods 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
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1728—Guides or aligning means for drills, mills, pins or wires for holes for bone plates or plate screws
-
- 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
- A61B17/1604—Chisels; Rongeurs; Punches; Stamps
-
- 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
- A61B17/1655—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for tapping
-
- 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
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
- A61B17/1757—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the spine
Abstract
The invention relates to a surgical instrument guide, an intervertebral foramen abrasive drill and an intervertebral foramen forming surgical device, wherein the surgical instrument guide comprises an instrument channel and a guide body for guiding a surgical instrument, the guide body is movably arranged in the instrument channel, the instrument channel and the guide body are both of hollow cylindrical structures, the diameter of the guide body is smaller than that of the instrument channel, and the surgical instrument extends into the guide body and is movably arranged. The intervertebral foramen abrasive drill comprises a surgical instrument guide, wherein the surgical instrument is an abrasive drill body. The intervertebral foramen forming operation device comprises an intervertebral foramen grinding drill and an intervertebral foramen mirror, the intervertebral foramen mirror and the intervertebral foramen grinding drill are connected side by side. The surgical instrument guide device can realize effective guide of surgical instruments, the intervertebral foramen grinding drill position based on the surgical instrument guide device is accurate in control, the working range is enlarged, the intervertebral foramen forming surgical device can grind bones under direct vision of an intervertebral foramen mirror to finish large-scale intervertebral foramen forming, and the surgical operation is safer.
Description
Technical Field
The invention relates to the field of medical instruments, in particular to a surgical instrument guide, an intervertebral foramen abrasive drill and an intervertebral foramen forming surgical device.
Background
The minimally invasive technology of the intervertebral foramen mirror spine represents a brand new concept of minimally invasive spine surgery, and can develop the herniated disc, the foramen forming and the annulus repair of all segments from cervical vertebra to lumbo 5 sacrum 1. 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 milling and drilling channel of the intervertebral foramen mirror is the key to successful operation, and intervertebral foramen forming is the most key step for establishing the channel. The inter-foraminal formation is to grind off a part of the articular process by using an inter-foraminal mirror grinding drill, clear away peripheral obstacles, enlarge inter-foraminal space and allow a grinding drill channel to enter so as to reach the position of the protruding nucleus pulposus. The existing intervertebral foramen forming process has the following problems:
1. the position of the intervertebral foramen mirror grinding drill is difficult to control in the bone grinding process, offset is easy to occur, and meanwhile, the working range of the intervertebral pore diameter grinding drill is smaller, and is generally within the diameter range of an intervertebral foramen mirror grinding drill channel;
2. the intervertebral foramen forming can not grind out bones and remove obstacles under the direct view of an endoscope, but depends on x-ray fluoroscopy, and the positions of grinding, drilling and grinding out the bones and the obstacles are repeatedly confirmed so as to prevent nerves 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 invention aims to overcome the defects of the prior art and provide a surgical instrument guide, an intervertebral foramen abrasive drill and an intervertebral foramen forming surgical device.
The aim of the invention can be achieved by the following technical scheme:
the surgical instrument guide comprises an instrument channel and a guide body for guiding the surgical instrument, wherein the guide body is movably arranged in the instrument channel, the instrument channel and the guide body are of hollow cylindrical structures, the diameter of the guide body is smaller than that of the instrument channel, and the surgical instrument stretches into the guide body and is movably arranged.
The guide body is arranged in the instrument channel in parallel, in particular: the central axis of the guider body is parallel to the central axis of the instrument channel.
The guide body is obliquely arranged in the instrument channel, in particular: the central axis of the guider body forms a certain included angle with the central axis of the instrument channel.
The intervertebral foramen abrasive drill comprises the surgical instrument guide, wherein the surgical instrument is an abrasive drill body, the abrasive drill body stretches into the guide body and is movably arranged, and a drill bit of the abrasive drill body is exposed out of the head of the guide body.
The drill handle of the grinding drill body is biased to one side of the guide body and is tightly attached to the inner wall of the guide body.
The maximum diameter of the drill handle of the grinding drill body is smaller than the diameter of the guide body by 0.8-1.2 mm.
The device comprises the intervertebral foramen grinding drill, and also comprises an intervertebral foramen mirror, wherein the intervertebral foramen mirror comprises an intervertebral foramen mirror channel and an intervertebral foramen mirror body, the intervertebral foramen mirror and the intervertebral foramen grinding drill are connected side by side, and the intervertebral foramen mirror body is arranged in the intervertebral foramen mirror channel.
Compared with the prior art, the invention has the following advantages:
(1) The surgical instrument guide device is provided with the hollow guide device body, and the surgical instrument is movably arranged in the guide device body, so that the guide device body guides the surgical instrument, and the position of the surgical instrument can be accurately controlled in the surgical process, and the surgical instrument is not easy to deviate;
(2) When the guide body is biased towards the side wall of the instrument channel (the central axis of the guide body is not coincident with the central axis of the instrument channel), an eccentric guide is formed, and the drill bit of the abrasive drill body has a small-angle rotation movement range because the diameter of the drill bit is larger than that of the drill handle, so when the guide body is clung to the inner side wall of the instrument channel, the drill handle of the abrasive drill body is clung to the inner wall of the guide body, the working range of the drill bit of the abrasive drill body is larger than the diameter of the instrument channel, and the working range of the abrasive drill of the intervertebral hole is effectively enlarged;
(3) When the guide body is obliquely arranged in the instrument channel, the working track of the drill bit of the grinding drill body is conical along with the increase of the depth of the grinding drill body inserted into the guide body, and the working range of the drill bit of the grinding drill body is increased along with the increase of the insertion depth, so that the working range of the intervertebral foramen grinding drill is further effectively enlarged;
(4) The intervertebral foramen grinding drill and the intervertebral foramen mirror are arranged side by side, so that bones can be ground off under the direct vision of the intervertebral foramen mirror to finish the intervertebral foramen forming, meanwhile, the large-range bone grinding is realized on the basis, 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.
Drawings
FIG. 1 is a schematic view of the structure of an intervertebral foramen abrasive drill of example 1;
FIG. 2 is a cross-sectional view of the end of the intervertebral disc pilot drill of example 1;
FIG. 3 is a schematic view showing the structure of an intervertebral foramen formation surgical device of example 1;
FIG. 4 is a schematic view of the structure of the intervertebral foramen abrasive drill of example 2;
FIG. 5 is a cross-sectional view of the end of the pilot drill of example 2;
FIG. 6 is a cross-sectional view of the hand-held end of the intervertebral foramen abrasive drill of example 2;
fig. 7 is a schematic view showing the structure of an intervertebral foramen formation surgery device according to example 2.
In the figure, 1 is an instrument channel, 2 is a guide body, 3 is a grinding drill body, 4 is an intervertebral foramen mirror channel, and 5 is an intervertebral foramen mirror body.
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
The utility model provides a surgical instrument director, this director includes instrument passageway 1 and is used for the director body 2 of surgical instrument direction, and director body 2 activity sets up in instrument passageway 1, and instrument passageway 1 and director body 2 are hollow cylindrical structure, and director body 2 diameter is less than instrument passageway 1 diameter, and the surgical instrument stretches into director body 2 and the activity sets up. The guide body 2 is arranged in parallel in the instrument channel 1, in particular: the central axis of the guider body 2 is parallel to the central axis of the instrument channel 1. Through the setting of director body 2, can carry out accurate direction location to the position of surgical instruments, make things convenient for going on of operation.
As shown in fig. 1, an intervertebral foramen abrasive drill includes the surgical instrument guide, wherein the surgical instrument is an abrasive drill body 3, the abrasive drill body 3 extends into the guide body 2 and is movably arranged, and a drill bit of the abrasive drill body 3 is exposed out of the head of the guide body 2. The abrasive drill body 3 is biased to one side of the guide body 2 and is arranged close to the inner wall of the guide body 2. The maximum diameter of the drill shank of the grinding drill body 3 is smaller than the diameter of the guide body 2 by 0.8-1.2 mm, and the maximum diameter of the drill shank of the grinding drill body 3 is smaller than the diameter of the guide body 2 by 1mm in the embodiment.
The guide body 2 in the intervertebral foramen abrasive drilling can move within the diameter range of the instrument channel 1, wherein the instrument channel 1 is an abrasive drilling channel. When the guide body 2 is biased to the side wall of the instrument channel 1 (the central axis of the guide body 2 is not coincident with the central axis of the instrument jaw), an eccentric guide is formed, and because the diameter of the drill bit of the abrasive drill body 3 is larger than the rotation movement range of the drill handle and the drill bit has a small angle, when the guide body 2 is clung to the inner side wall of the instrument channel 1, the drill handle of the abrasive drill body 3 is clung to the inner wall of the guide body 2, the working range of the drill bit of the abrasive drill body 3 is larger than the conducting diameter of the instrument, and the working range of the intervertebral foramen abrasive drill is effectively enlarged;
as shown in fig. 2, when the guide body 2 is tightly attached to the inner side wall of the instrument channel 1 and the drill shank of the abrasive drill body 3 is tightly attached to the inner side wall of the guide body 2, the working range of the drill bit of the abrasive drill body 3 is shown as a broken line part in fig. 2, and in fig. 2, the reference numeral 3 shows the drill shank of the abrasive drill body 3. The guide body 2 is arranged, on one hand, the position of the drill bit of the abrasive drilling body 3 can be accurately controlled, the deviation is not easy to occur, and meanwhile, the working range of the drill bit of the abrasive drilling body 3 is further enlarged, so that the operation is convenient.
As shown in fig. 3, an intervertebral foramen forming operation device comprises the above-mentioned intervertebral foramen grinding drill, the device also comprises an intervertebral foramen mirror, the intervertebral foramen mirror comprises an intervertebral foramen mirror channel 4 and an intervertebral foramen mirror body 5, the intervertebral foramen mirror and the intervertebral foramen grinding drill are connected side by side, and the intervertebral foramen mirror body 5 is installed in the intervertebral foramen mirror channel 4. The intervertebral foramen grinding drill and the intervertebral foramen mirror are arranged side by side, so that bone can be ground off under direct vision of the intervertebral foramen mirror to finish intervertebral foramen forming, the traditional repeated X-ray perspective mode is changed, X-ray exposure of doctors and patients is reduced, operation time is shortened, operation is safer, and meanwhile, the bone can be ground off in a large range due to the arrangement of the surgical instrument guide device, so that the intervertebral foramen grinding drill is more convenient to use.
Example 2
The utility model provides a surgical instrument director, this director includes instrument passageway 1 and is used for the director body 2 of surgical instrument direction, and director body 2 activity sets up in instrument passageway 1, and instrument passageway 1 and director body 2 are hollow cylindrical structure, and director body 2 diameter is less than instrument passageway 1 diameter, and the surgical instrument stretches into director body 2 and the activity sets up. The guide body 2 is arranged obliquely in the instrument channel 1, in particular: the central axis of the guider body 2 forms a certain included angle with the central axis of the instrument channel 1. Through the setting of director body 2, can carry out accurate direction location to the position of surgical instruments, make things convenient for going on of operation.
As shown in fig. 4, an intervertebral foramen abrasive drill includes the surgical instrument guide, wherein the surgical instrument is an abrasive drill body 3, the abrasive drill body 3 extends into the guide body 2 and is movably arranged, and a drill bit of the abrasive drill body 3 is exposed out of the head of the guide body 2. The abrasive drill body 3 is biased to one side of the guide body 2 and is arranged close to the inner wall of the guide body 2. The maximum diameter of the drill shank of the grinding drill body 3 is smaller than the diameter of the guide body 2 by 0.8-1.2 mm, and the maximum diameter of the drill shank of the grinding drill body 3 is smaller than the diameter of the guide body 2 by 1mm in the embodiment.
The guide body 2 is arranged obliquely in the instrument channel 1, in particular: the central axis of the guider body 2 forms a certain included angle with the central axis of the instrument channel 1. The working locus of the drill bit of the abrasive drill body 3 is a cone shape as the depth of insertion of the abrasive drill body 3 into the guide body 2 increases, and the working range of the drill bit of the abrasive drill body 3 increases as the depth of insertion increases. In this embodiment, the working range of the drill bit of the abrasive drilling body 3 is shown in the broken line part in fig. 5, the drill bit of the abrasive drilling body 3 is shown by reference numeral 3, actually, the diameter of the drill bit of the abrasive drilling body 3 can be configured at will, when in use, the abrasive drilling body 3 is inserted into the instrument channel 1, then the guide body 2 is sleeved outside the abrasive drilling body 3 by taking the hand-held end of the abrasive drilling body 3 as an inlet, at this time, the drill bit of the abrasive drilling body 3 is exposed out of the guide body 2, and the exposed length of the drill bit of the abrasive drilling body 3 can be adjusted as required. Fig. 6 is a cross-sectional view of the hand-held end of the intervertebral foramen abrasive drill, and fig. 6, numeral 3, shows the drill shank of the abrasive drill body 3. The guide body 2 is arranged, on one hand, the position of the drill bit of the abrasive drilling body 3 can be accurately controlled, the deviation is not easy to occur, and meanwhile, the working range of the drill bit of the abrasive drilling body 3 is further enlarged, so that the operation is convenient.
As shown in fig. 7, an intervertebral foramen forming operation device comprises the above-mentioned intervertebral foramen grinding drill, the device also comprises an intervertebral foramen mirror, the intervertebral foramen mirror comprises an intervertebral foramen mirror channel 4 and an intervertebral foramen mirror body 5, the intervertebral foramen mirror and the intervertebral foramen grinding drill are connected side by side, and the intervertebral foramen mirror body 5 is installed in the intervertebral foramen mirror channel 4. The same as embodiment 1, the foramen mirror operation device of this embodiment can grind off the bone under foramen mirror direct vision and accomplish foramen shaping, has changed traditional repeated perspective x-ray mode, reduces doctor and patient's x-ray exposure, reduces operation time, and operation is safer simultaneously, owing to the setting of surgical instrument director, can grind off the bone on a large scale, more facilitate the use.
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 is characterized by comprising an intervertebral foramen grinding drill, the device also comprises an intervertebral foramen mirror, the intervertebral foramen grinding drill comprises a surgical instrument guide, the surgical instrument guide comprises an instrument channel (1) and a guide body (2) for guiding the surgical instrument, the guide body (2) is movably arranged in the instrument channel (1), the instrument channel (1) and the guide body (2) are of hollow cylindrical structures, the diameter of the guide body (2) is smaller than that of the instrument channel (1), and the surgical instrument stretches into the guide body (2) and is movably arranged;
the surgical instrument is a grinding drill body (3), the grinding drill body (3) stretches into the guide body (2) and is movably arranged, and a drill bit of the grinding drill body (3) is exposed out of the head of the guide body (2);
the maximum diameter of the drill handle of the grinding drill body (3) is smaller than the diameter of the guide body (2) by 0.8-1.2 mm;
the intervertebral foramen mirror comprises an intervertebral foramen mirror channel (4) and an intervertebral foramen mirror body (5), the intervertebral foramen mirror and an intervertebral foramen grinding drill are connected side by side, and the intervertebral foramen mirror body (5) is arranged in the intervertebral foramen mirror channel (4).
2. An intervertebral foramen shaping surgical device according to claim 1, characterized in that the guide bodies (2) are arranged in parallel in the instrument channel (1), in particular: the central axis of the guider body (2) is parallel to the central axis of the instrument channel (1).
3. An intervertebral foramen shaping surgical device according to claim 1, characterized in that the guide body (2) is arranged obliquely in the instrument channel (1), in particular: the central axis of the guider body (2) forms a certain included angle with the central axis of the instrument channel (1).
4. An intervertebral foramen shaping surgical device according to claim 1, characterized in that the drill shank of the abrasive drill body (3) is biased to one side of the guide body (2) and arranged against the inner wall of the guide body (2).
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201810993808.2A CN109091199B (en) | 2018-08-29 | 2018-08-29 | Surgical instrument guide, intervertebral foramen abrasive drill and intervertebral foramen forming surgical device |
Applications Claiming Priority (1)
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CN201810993808.2A CN109091199B (en) | 2018-08-29 | 2018-08-29 | Surgical instrument guide, intervertebral foramen abrasive drill and intervertebral foramen forming surgical device |
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CN109091199A CN109091199A (en) | 2018-12-28 |
CN109091199B true CN109091199B (en) | 2024-04-16 |
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CN201810993808.2A Active CN109091199B (en) | 2018-08-29 | 2018-08-29 | Surgical instrument guide, intervertebral foramen abrasive drill and intervertebral foramen forming surgical device |
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CN108309395A (en) * | 2018-02-02 | 2018-07-24 | 贺石生 | A kind of device for foramen intervertebrale lens operation |
CN209253033U (en) * | 2018-08-29 | 2019-08-16 | 贺石生 | A kind of surgical instrument guider, intervertebral foramen abrasive drilling and intervertebral hole forming operation device |
Family Cites Families (1)
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US20020198533A1 (en) * | 2001-04-17 | 2002-12-26 | Fred Geisler | Multipositional intervertebral instrument guide |
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WO2016177271A1 (en) * | 2015-05-07 | 2016-11-10 | 苏州博习医疗科技有限公司 | Minimally invasive surgery instrument for treating spinal canal stenosis |
CN204863365U (en) * | 2015-08-18 | 2015-12-16 | 张为 | Apparatus that can accurate positioning on articular process |
CN105193474A (en) * | 2015-08-18 | 2015-12-30 | 张为 | Articular process directional bone cutting trephine |
CN105411519A (en) * | 2015-12-21 | 2016-03-23 | 张为 | Movable transforaminal endoscope system |
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