CN109745123A - Guide sleeves and surgical instruments - Google Patents

Guide sleeves and surgical instruments Download PDF

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Publication number
CN109745123A
CN109745123A CN201910210341.4A CN201910210341A CN109745123A CN 109745123 A CN109745123 A CN 109745123A CN 201910210341 A CN201910210341 A CN 201910210341A CN 109745123 A CN109745123 A CN 109745123A
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hole
plane
scalpel
guide sleeve
blade
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CN201910210341.4A
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CN109745123B (en
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申广林
郭春雪
徐锦
郭娜
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Suzhou Casting Robot Co Ltd
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Suzhou Casting Robot Co Ltd
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Abstract

本发明涉及一种导向套筒及手术器械,由于所述导向套筒包括主体部以及设置在所述主体部近端的限位部,所述限位部限定第三平面,所述主体部远端限定第四平面,所述第三平面的中心具有第三通孔,所述第四平面的中心具有第四通孔,所述第三通孔和所述第四通孔配置成允许手术刀从中通过并且限定手术刀的插入路径。这样,手术刀能够按照导向套筒限定的路径插入患者的皮肤,不会因为医生的手的抖动导致刀口定位产生偏差。

The present invention relates to a guide sleeve and a surgical instrument. Since the guide sleeve includes a main body portion and a limit portion disposed at the proximal end of the main body portion, the limit portion defines a third plane, and the main body portion is far away from the main body portion. The ends define a fourth plane with a third through hole in the center, the fourth plane with a fourth through hole in the center, the third through hole and the fourth through hole configured to allow a scalpel Therethrough and defines the insertion path of the scalpel. In this way, the scalpel can be inserted into the skin of the patient according to the path defined by the guide sleeve, and the positioning of the knife edge will not be deviated due to the shaking of the doctor's hand.

Description

Pilot sleeve and surgical instrument
Technical field
The present invention relates to a kind of surgical instruments, more particularly to a kind of pilot sleeve and surgical instrument.
Background technique
Medical operating mode is increasingly towards the lesser Minimally Invasive Surgery development of wound in recent years, such as in pedicle screw Ligamentopexis, the implant surgery of vertebra bone nail, vertebroplasty, interverbebral disc/hole videoendoscopic surgery and pelvis, four limbs etc. other orthopaedics hands Art.The advantages of Minimally Invasive Surgery includes the small healing of wound is fast, infection chance and blood loss are less etc..However, also because wound is smaller, It is required that puncture, location of operation are more accurate in operation.
The edge of a knife positioning of existing Minimally Invasive Surgery, knife edge length, edge of a knife depth are substantially all will be by doctor's facing by many years Bed experience guarantees.In surgical procedure, the hand of doctor is slightly shaken, and the positioning of the edge of a knife will generate deviation, equally, the length of the edge of a knife The depth of degree and the edge of a knife can also generate deviation.Therefore, it is necessary to possess more preferably surgical instrument, Lai Gaijin edge of a knife positioning method.
Summary of the invention
The purpose of the present invention is to provide a kind of pilot sleeve and surgical instrument, can prevent because the hand of doctor is trembled It is dynamic that edge of a knife positioning is made to generate deviation.
To achieve the above object, technical approach scheme of the invention is:
A kind of pilot sleeve, the pilot sleeve include main part and the limiting section that the main part proximal end is arranged in, The limiting section limits third plane, and the main part distal end limits fourth plane, and the center of the third plane has third The center of through-hole, the fourth plane has fourth hole, and the third through-hole and the fourth hole are configured to allow for performing the operation Knife passes therethrough and limits the insertion path of scalpel.
Preferably, the third through-hole includes third interstitial hole and about the third interstitial hole symmetrically arranged two Three lateral orifices, the handle that the third interstitial hole is adapted to the scalpel pass therethrough, described in the two third lateral orifices adaptations The blade of scalpel passes therethrough.
Preferably, the fourth hole includes the 4th interstitial hole and about the 4th interstitial hole symmetrically arranged two the Four side hole, the handle that the 4th interstitial hole is adapted to the scalpel pass therethrough, described in the adaptation of two four side holes The blade of scalpel passes therethrough.
Preferably, the third plane and the fourth plane are parallel to each other, the center of the third interstitial hole with it is described The axis that the center of 4th interstitial hole determines is perpendicular to the third plane and the fourth plane.
Preferably, the main part is cylinder, and the limiting section is circle, and the diameter of the limiting section is greater than the master The diameter in body portion.
Preferably, the main part is hollow.
The present invention also provides a kind of surgical instruments, including pilot sleeve as described in the above technical scheme.
It preferably, further include operation pathway locator comprising the 5th plane being parallel to each other and the 6th plane, described Third ring-shaped article is arranged in five planes, and fourth annular part is arranged in the 6th plane, and the center of the third ring-shaped article has the 5th Through-hole, the center of the fourth annular part have the 6th through-hole, and the fifth hole and the 6th through-hole allow the guiding The main part of sleeve passes through and limits the limiting section of the pilot sleeve and passes through.
It preferably, further include scalpel, the scalpel is configured to allow for from the third through-hole of the guide sleeve and described Pass through in fourth hole.
Preferably, the scalpel includes handle, blade, and the handle has blade mounting portion, the proximal end of the blade It is assemblied in the blade mounting portion, first through hole is provided on the handle, the first through hole is configured to allow for described in restriction The assembly of the locating piece of blade insertion depth.
Beneficial benefit of the invention is, above-mentioned pilot sleeve and surgical instrument, since the pilot sleeve includes master Body portion and the limiting section that the main part proximal end is arranged in, the limiting section limit third plane, and the main part distal end limits Determine fourth plane, the center of the third plane has third through-hole, and the center of the fourth plane has fourth hole, described Third through-hole and the fourth hole are configured to allow for scalpel to pass therethrough and limit the insertion path of scalpel.In this way, Scalpel can will not lead to the edge of a knife because of the shake of the hand of doctor according to the skin for the path insertion patient that pilot sleeve limits Positioning generates deviation.
Detailed description of the invention
Fig. 1 is the schematic diagram of the scalpel of the embodiment of the present invention;
Fig. 2 is the schematic diagram of the handle of the scalpel of the embodiment of the present invention;
Fig. 3 is the schematic diagram of the handle of the operation knife assembly of the embodiment of the present invention;
Fig. 4 is the schematic diagram of the blade of the scalpel of the embodiment of the present invention;
Fig. 5 is the schematic diagram of the scalpel of further embodiment of this invention;
Fig. 6 is the schematic diagram of the handle of the scalpel of further embodiment of this invention;
Fig. 7 is the schematic diagram of the scalpel of further embodiment of this invention;
Fig. 8 is the another schematic diagram of the scalpel of further embodiment of this invention;
Fig. 9 is that the operation pathway locator of the embodiment of the present invention is assemblied in the schematic diagram of operation device end;
Figure 10 is the schematic diagram of the surgical instrument of the embodiment of the present invention;
Figure 11 is the schematic diagram of the operation pathway locator of the embodiment of the present invention;
Figure 12 is the B partial enlargement diagram of Figure 11;
Figure 13 is the another schematic diagram of the operation pathway locator of the embodiment of the present invention;
Figure 14 is the E partial enlargement diagram of Figure 13;
Figure 15 is the schematic diagram of the pilot sleeve of the embodiment of the present invention;
Figure 16 is the C partial enlargement diagram of Figure 15;
Figure 17 is the another schematic diagram of the pilot sleeve of the embodiment of the present invention;
Figure 18 is the D partial enlargement diagram of Figure 17;
Figure 19 is the another schematic diagram of the surgical instrument of the embodiment of the present invention;
Figure 20 is the another schematic diagram of the surgical instrument of the embodiment of the present invention;
Figure 21 is the Section A-A schematic diagram of Figure 20.
Specific embodiment
The specific embodiment of the invention is described with reference to the accompanying drawing.
For the convenience described, in the description and claims of this application, by various instruments such as scalpel, Close to one end referred to as distal end of patient and separate doctor when pilot sleeve etc. uses during surgery, the opposite separate trouble with distal end Person and be known as proximal end close to one end of doctor.
Embodiment one
As shown in Figure 1, it is a kind of scalpel 1.The scalpel 1 includes handle 11, blade 12.
As shown in Fig. 2, the handle 11 has blade mounting portion 111, the proximal end of the blade 12 is assemblied in the blade Mounting portion 111.
In conjunction with shown in Fig. 2, Fig. 3, first through hole 113 is additionally provided on the handle 11, the first through hole 113 is configured to Allow to limit the assembly of the locating piece 13 of 12 insertion depth of blade.
In conjunction with shown in Fig. 2, Fig. 4, the blade 12 has the second through-hole 121, and the blade mounting portion 111 has and institute The pin 112 of the second through-hole 121 adaptation is stated, the first through hole 113 is set on the pin 112.
As shown in Fig. 2, the pin 112 generally strip, and formed along the longitudinal direction of the handle 11.Described second The quantity of through-hole 113 is multiple, for example, can be 2,3,4,5 etc., particular number can be according to actual needs It determines.These described second through-holes 113 are successively arranged along the longitudinal direction of the pin 112.
Further, these described second through-holes 113 are successively equidistantly arranged along the longitudinal direction of the pin 112.
Wherein, second through-hole 113 can be square hole.Under the design of invention, second through-hole 113 be can also be Other shapes, such as shown in Fig. 5, Fig. 6, second through-hole 113 can also be circular hole.For another example, second through-hole 113 can also be It is tri-angle-holed etc..
As shown in figure 4, the distal end two sides of the blade 12 are respectively equipped with a straight, intilted blade, described in two Blade is symmetrical about 12 longitudinal midline of blade, and the two blade intersections form point of a knife.
In addition, although it is not shown in the drawings, still the pin 112 and 12 one of both of the blade are logical close to described second Hole 113 is provided with scale.In the case where the pin 112 or the blade 12 have scale, doctor can control knife during surgery Piece 12 enters subcutaneous depth, facilitates the surgical procedure of doctor.
As shown in Figure 7, Figure 8, the blade 12 is connect with 111 screw of blade mounting portion.Specifically, the blade peace Dress portion 111 also has the first screw hole, and 12 proximal end of blade has the second screw hole being adapted to first screw hole, institute It states blade 12 and is connect with the blade mounting portion 111 by first screw hole and the second screw hole screw.
Embodiment two
As shown in figure 3, it is a kind of operation knife assembly.The operation knife assembly includes the operation in embodiment one Knife 1.In addition, the operation knife assembly further includes locating piece 13, the locating piece 13 is configured to allow for across the first through hole 113。
Wherein, the locating piece 13 can be rod-shaped.Outside it, under the design of invention, second through-hole 113 can be with It is other shapes, for example, the locating piece 13 can also be sheet etc..
Embodiment three
As shown in Figure 9, Figure 10, according to an embodiment of the present application, a kind of operation pathway locator 2 is provided, hand is assemblied in The end of art device 23.The operation device 23 can be positioning device, the operating robot etc. of auxiliary Minimally Invasive Surgery.
As shown in Figure 10, the locator 2 includes the first plane 21 and the second plane 22 being parallel to each other, and described first is flat Face 21 is arranged the first ring-shaped article 211, and second plane 22 is arranged the second ring-shaped article 221, in first ring-shaped article 211 The heart has first through hole 212, and the center of second ring-shaped article 221 has the second through-hole 222, the first through hole 212 and institute The second through-hole 222 is stated to be configured to allow for scalpel 1 to pass therethrough and limit the insertion path of scalpel 1.
As shown in Figure 11, Figure 12, the first through hole 212 includes the first interstitial hole 2121 and about among described first 2121 symmetrically arranged two first side hole 2122 of hole.First interstitial hole 2121 be adapted to the handle 11 of the scalpel 1 from In pass through, the blade 12 that the two first side holes 2122 are adapted to the scalpel 1 passes therethrough.
As shown in figs. 13 and 14, second through-hole 222 includes the second interstitial hole 2221 and about among described second Symmetrically arranged two second side lateral opening 2222 in hole 2221.Second interstitial hole 2221 be adapted to the handle 11 of the scalpel 1 from In pass through, the blade 12 of two described second side lateral opening 2222 adaptation scalpels 1 passes therethrough.
Preferably, the axis that the center of first interstitial hole 2121 and the center of second interstitial hole 2221 determine hangs down Directly in first plane 21 and second plane 22.
Example IV
It as shown in Figure 10, is a kind of surgical instrument, including operation pathway locator 2 described in embodiment three.It is described Surgical instrument further includes scalpel 1 described in embodiment one, the scalpel 1 can be from operation pathway locator 2 described in First through hole 212 and second through-hole 222 pass through.
In addition, the surgical instrument further includes locating piece 13, the locating piece 13 is configured to allow for logical across described first Hole 113.
Wherein, the locating piece 13 can be rod-shaped.Outside it, under the design of invention, second through-hole 113 can be with It is other shapes, for example, the locating piece 13 can also be sheet etc..
Embodiment five
As shown in Figure 15, Figure 17, according to an embodiment of the present application, a kind of pilot sleeve 3 is provided.The pilot sleeve 3 wraps It includes main part 33 and the limiting section 34 of 33 proximal end of main part is set.The limiting section 34 limits third plane 31, institute It states main part 33 and distally limits fourth plane 32, the center of the third plane 31 has third through-hole 311, the fourth plane 32 center has a fourth hole 321, the third through-hole 311 and the fourth hole 321 be configured to allow for scalpel 1 from In pass through and limit the insertion path of scalpel 1.
Wherein, the main part 33 is preferably cylindrical, and the limiting section 34 is preferably circular, the limiting section 34 it is straight Diameter is greater than the diameter of the main part 33.Certainly, under present inventive concept, the main part 33, the limiting section 34 can be with For other shapes, exemplarily only, the main part 33 is cuboid, and the limiting section 34 is square.
As shown in figure 16, the third through-hole 311 is including third interstitial hole 3111 and about the third interstitial hole 3111 symmetrically arranged two thirds lateral orifices 3112, the third interstitial hole 3111 are adapted to the handle 11 of the scalpel 1 therefrom Pass through, the blade 12 that the two third lateral orifices 3112 are adapted to the scalpel 1 passes therethrough.
As shown in figure 18, the fourth hole 321 is including the 4th interstitial hole 3211 and about the 4th interstitial hole 3211 symmetrically arranged two four side holes 3212, the 4th interstitial hole 3211 are adapted to the handle 11 of the scalpel 1 therefrom Pass through, the blade 12 that two four side holes 3212 are adapted to the scalpel 1 passes therethrough.
Wherein, the third plane 31 and the fourth plane 32 are parallel to each other, the center of the third interstitial hole 3111 The axis determined with the center of the 4th interstitial hole 3211 is perpendicular to the third plane 31 and the fourth plane 32.
Embodiment six
As shown in Figure 19, Figure 20, Figure 21, according to an embodiment of the present application, a kind of surgical instrument is provided.The surgical instrument Including pilot sleeve 3 described in embodiment five.
The surgical instrument further includes operation pathway locator 4.The operation pathway locator 4 includes the to be parallel to each other Third ring-shaped article 411, the 6th plane 42 setting the 4th is arranged in five planes 41 and the 6th plane 42, the 5th plane 41 The center of ring-shaped article 421, the third ring-shaped article 411 has fifth hole 412, and the center of the fourth annular part 421 has 6th through-hole 422, the fifth hole 412 and the 6th through-hole 422 allow the main part 33 of the pilot sleeve 3 by simultaneously And the limiting section 34 of the limitation pilot sleeve 3 passes through.
In addition, the surgical instrument further includes the operation pathway locator 2 in embodiment three, the scalpel in embodiment one 1。
As shown in figure 21, it is preferable that the main part 33 of the pilot sleeve 3 is hollow.
These are only the preferred embodiment of the present invention, is not intended to restrict the invention, for those skilled in the art For member, the invention may be variously modified and varied.All within the spirits and principles of the present invention, it is made it is any modification, Equivalent replacement, improvement etc., should all be included in the protection scope of the present invention.

Claims (10)

1.一种导向套筒,所述导向套筒包括主体部以及设置在所述主体部近端的限位部,其特征在于,所述限位部限定第三平面,所述主体部远端限定第四平面,所述第三平面的中心具有第三通孔,所述第四平面的中心具有第四通孔,所述第三通孔和所述第四通孔配置成允许手术刀从中通过并且限定手术刀的插入路径。1. A guide sleeve, the guide sleeve comprising a main body portion and a limit portion disposed at the proximal end of the main body portion, wherein the limit portion defines a third plane, and the distal end of the main body portion A fourth plane is defined, the third plane has a third through hole in the center, the fourth plane has a fourth through hole in the center, the third through hole and the fourth through hole are configured to allow a scalpel therethrough Therethrough and defines the insertion path of the scalpel. 2.根据权利要求1所述的导向套筒,其特征在于,所述第三通孔包括第三中间孔以及关于所述第三中间孔对称设置的两第三侧边孔,所述第三中间孔适配所述手术刀的手柄从中通过,两所述第三侧边孔适配所述手术刀的刀片从中通过。2 . The guide sleeve according to claim 1 , wherein the third through hole comprises a third middle hole and two third side holes symmetrically arranged with respect to the third middle hole, and the third The middle hole is adapted to pass through the handle of the scalpel, and the two third side holes are adapted to pass through the blade of the scalpel. 3.根据权利要求2所述的导向套筒,其特征在于,所述第四通孔包括第四中间孔以及关于所述第四中间孔对称设置的两第四侧边孔,所述第四中间孔适配所述手术刀的手柄从中通过,两所述第四侧边孔适配所述手术刀的刀片从中通过。3 . The guide sleeve according to claim 2 , wherein the fourth through hole comprises a fourth middle hole and two fourth side holes symmetrically arranged with respect to the fourth middle hole, and the fourth The middle hole is adapted to pass through the handle of the scalpel, and the two fourth side holes are adapted to pass through the blade of the scalpel. 4.根据权利要求3所述的导向套筒,其特征在于,所述第三平面和所述第四平面相互平行,所述第三中间孔的中心与所述第四中间孔的中心确定的轴线垂直于所述第三平面和所述第四平面。4 . The guide sleeve according to claim 3 , wherein the third plane and the fourth plane are parallel to each other, and the center of the third intermediate hole is determined by the center of the fourth intermediate hole. 5 . The axis is perpendicular to the third plane and the fourth plane. 5.根据权利要求4所述的导向套筒,其特征在于,所述主体部为圆柱形,所述限位部为圆形,所述限位部的直径大于所述主体部的直径。5 . The guide sleeve according to claim 4 , wherein the main body portion is cylindrical, the limiting portion is circular, and the diameter of the limiting portion is larger than the diameter of the main body portion. 6 . 6.根据权利要求1-5任一项所述的导向套筒,其特征在于,所述主体部为空心。6 . The guide sleeve according to claim 1 , wherein the main body portion is hollow. 7 . 7.一种手术器械,其特征在于,包括权利要求1-6任一项所述的导向套筒。7. A surgical instrument, characterized in that it comprises the guide sleeve according to any one of claims 1-6. 8.根据权利要求7所述的手术器械,其特征在于,还包括手术路径定位器,其包括相互平行的第五平面和第六平面,所述第五平面设置第三环状件,所述第六平面设置第四环状件,所述第三环状件的中心具有第五通孔,所述第四环状件的中心具有第六通孔,所述第五通孔和所述第六通孔允许所述导向套筒的主体部通过并且限制所述导向套筒的限位部通过。8. The surgical instrument according to claim 7, further comprising a surgical path positioner comprising a fifth plane and a sixth plane parallel to each other, the fifth plane is provided with a third annular member, the The sixth plane is provided with a fourth annular member, the center of the third annular member has a fifth through hole, the center of the fourth annular member has a sixth through hole, the fifth through hole and the The six through holes allow the main body part of the guide sleeve to pass through and restrict the limit part of the guide sleeve from passing through. 9.根据权利要求7所述的手术器械,其特征在于,还包括手术刀,所述手术刀配置成允许从所述导向套的第三通孔和所述第四通孔中通过。9. The surgical instrument of claim 7, further comprising a scalpel configured to allow passage through the third and fourth through holes of the guide sleeve. 10.根据权利要求9所述的手术器械,其特征在于,所述手术刀包括手柄、刀片,所述手柄具有刀片安装部,所述刀片的近端装配于所述刀片安装部,所述手柄上设置有第一通孔,所述第一通孔配置成允许限定所述刀片插入深度的定位件的装配。10. The surgical instrument according to claim 9, wherein the scalpel comprises a handle and a blade, the handle has a blade mounting portion, the proximal end of the blade is assembled to the blade mounting portion, and the handle A first through hole is provided thereon, the first through hole being configured to allow assembly of a retainer that defines the insertion depth of the blade.
CN201910210341.4A 2018-07-27 2019-03-19 Guide sleeve and surgical instrument Active CN109745123B (en)

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CN201910210341.4A Active CN109745123B (en) 2018-07-27 2019-03-19 Guide sleeve and surgical instrument
CN201910216341.5A Active CN109806013B (en) 2018-07-27 2019-03-21 Surgical path locator and surgical instruments
CN201920361283.0U Withdrawn - After Issue CN210019699U (en) 2018-07-27 2019-03-21 Surgical Path Locator and Surgical Instruments
CN201920363039.8U Active CN210383988U (en) 2018-07-27 2019-03-21 Scalpel and scalpel assembly
CN201910210519.5A Pending CN109820571A (en) 2018-07-27 2019-03-21 Scalpels and Scalpel Components

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CN201920361283.0U Withdrawn - After Issue CN210019699U (en) 2018-07-27 2019-03-21 Surgical Path Locator and Surgical Instruments
CN201920363039.8U Active CN210383988U (en) 2018-07-27 2019-03-21 Scalpel and scalpel assembly
CN201910210519.5A Pending CN109820571A (en) 2018-07-27 2019-03-21 Scalpels and Scalpel Components

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CN109820571A (en) 2019-05-31
CN210383988U (en) 2020-04-24
CN109806013A (en) 2019-05-28
CN109806013B (en) 2024-06-25
CN209916231U (en) 2020-01-10
CN210019699U (en) 2020-02-07

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