CN110464432A - A kind of surgical instrument being used cooperatively with arthroscope - Google Patents

A kind of surgical instrument being used cooperatively with arthroscope Download PDF

Info

Publication number
CN110464432A
CN110464432A CN201910845395.8A CN201910845395A CN110464432A CN 110464432 A CN110464432 A CN 110464432A CN 201910845395 A CN201910845395 A CN 201910845395A CN 110464432 A CN110464432 A CN 110464432A
Authority
CN
China
Prior art keywords
casing
epitheca
used cooperatively
surgical instrument
arthroscope
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201910845395.8A
Other languages
Chinese (zh)
Inventor
宋关阳
冯华
张辉
田伟
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Beijing Jishuitan Hospital
Original Assignee
Beijing Jishuitan Hospital
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Beijing Jishuitan Hospital filed Critical Beijing Jishuitan Hospital
Priority to CN201910845395.8A priority Critical patent/CN110464432A/en
Publication of CN110464432A publication Critical patent/CN110464432A/en
Pending legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3468Trocars; Puncturing needles for implanting or removing devices, e.g. prostheses, implants, seeds, wires
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3478Endoscopic needles, e.g. for infusion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/0034Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B2017/3419Sealing means between cannula and body

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Pathology (AREA)
  • Endoscopes (AREA)

Abstract

The invention discloses a kind of surgical instruments being used cooperatively with arthroscope, the epitheca cylinder of set core bar and plastic material provided with casing, with cone head;The epitheca cylinder is sleeved between casing both ends, the compression folding region for changing epitheca tube length degree is equipped in epitheca cylinder right part, casing right end is equipped with the boss shoulder for stopping epitheca cylinder right end, and the set core bar is located inside pipe casing and cone head is reached to the outside of casing right part.Its advantageous effects is: not only solving the problem of joint perfusion liquid exosmoses to tissue space, casing bit can be secured firmly in articular cavity simultaneously, solve the problems, such as to cause cannula system to skid off because replacing arthroscopic instrument in art repeatedly.So that surgical procedure is convenient and simple, operating time is greatly saved, effectively reduces incidence of complications.

Description

A kind of surgical instrument being used cooperatively with arthroscope
Technical field
The present invention relates to the field of medical instrument technology, especially a kind of surgical instrument being used cooperatively with arthroscope.
Background technique
In recent years, arthrocsopic surgery is widely used in orthopaedics and medicine in field of sports medicine.Current clinically used pass It saves mirror and controls articular cavity internal capillary angiorrbagia by saline infusions, satisfied mirror downward view is obtained with this.Lasting It is a relatively closed space that saline infusions, which require articular cavity, this is in simple single channel or binary channels arthrocsopic surgery In be typically easy to realize.However, complicated arthrocsopic surgery generally requires to establish multiple arthroscope channels, and seen in operation It examines and needs frequent transitions between channel and operating walk way, saline infusions liquid extravasation at this time, which becomes, restricts what operation was gone on smoothly " speed limit link ".
Theoretically, saline infusions liquid extravasation will lead to following problem: perfusion pressure reduces in 1. articular cavities, hair Thin angiorrbagia increases, and mirror downward view is fuzzy;2. joint cavity volume declines, operating space reduces;3. the tissue other than articular cavity Gap swelling increases the incidence of postoperative osteofascial compartment syndrome;4. epidermis notch and joint capsule notch because perfusion liquid exosmose to Tissue space and separate, arthroscope channel patency decline;5. a large amount of joint perfusion liquid extravasations, contaminated operation platform are easy to cause Hospital-acquired infection.
To reduce the extravasation of saline infusions liquid, clinically capillary can be reduced by using the method for tourniquet and gone out Blood, but this method is only applicable to the arthrocsopic surgery of knee, ankle, elbow, wrist these distal limbs, and the time that tourniquet uses also needs It strictly to limit, typically not greater than 1.5 hours, otherwise be easy to cause the generation of postoperative limb ischemia complication.In addition, needle To hip, this kind of operation for not being available tourniquet of shoulder, hair clinically is reduced usually using the method for controlled hypotension in general anesthesia patients Thin Vascular permeability pressure, but this method will cause the decline of patient's cranium brain blood pressure, so also there is stringent limitation to the operating time.
To solve the above problems, it is dedicated to need to develop a kind of arthrocsopic surgery easy to use, that structure is simple, safe and practical Mating instrument, this is that one of completing for task is currently badly in need of in this field.
Summary of the invention
Technical problem to be solved by the invention is to provide a kind of surgical instruments being used cooperatively with arthroscope, can prevent Perfusion liquid exosmoses to external or tissue space in arthrocsopic surgery, has the patency for guaranteeing arthroscope channel, thoroughly eliminates and close The characteristics of perfusion liquid extravasation brings a negative impact surgical procedure in section videoendoscopic surgery.
In order to solve the above technical problems, the technical scheme adopted by the invention is that: a kind of hand being used cooperatively with arthroscope Art instrument, the epitheca cylinder of set core bar and plastic material including casing, with cone head;The epitheca cylinder is sleeved on casing both ends Between, the compression folding region for changing epitheca tube length degree is equipped in epitheca cylinder right part, casing right end, which is equipped with, stops epitheca cylinder right end Boss shoulder, the set core bar are located inside pipe casing and cone head are reached to the outside of casing right part.
The surgical instrument that a kind of above-mentioned and arthroscope is used cooperatively, the compression folding region are to be evenly arranged on epitheca cylinder right part Multiple transverse directions on circumferential surface are cracked, and make place's compression generation folded deformation that laterally cracks by the thrust on the left of epitheca cylinder to the right.
The surgical instrument that a kind of above-mentioned and arthroscope is used cooperatively further includes regulation handle and branched pipe, the epitheca Cylinder left end is equipped with regulation handle, and the regulation handle left end is equipped with curve end face, and described sleeve pipe left part is additionally provided with branched pipe, described Curve end face and branched pipe periphery face contact are additionally provided with the annular convex platform docked with set core bar in casing left part.
The surgical instrument that a kind of above-mentioned and arthroscope is used cooperatively, further includes spacing collar, and the spacing collar is plastics material The taper type of matter is simultaneously equipped with centre bore, and spacing collar is sleeved on regulation handle and compresses on the casing between folding region.
The surgical instrument that a kind of above-mentioned and arthroscope is used cooperatively, equipped with being connected with inside pipe casing on the branched pipe Valve, valve is equipped with connecting band with casing connection.
The surgical instrument that a kind of above-mentioned and arthroscope is used cooperatively, set core bar left end are equipped with clamping end and limitation The pedestal plectane of casing connection depth is equipped with trigone T tail between clamping end and pedestal plectane.
A kind of surgical instrument being used cooperatively with arthroscope provided by the invention, provided with casing, the set with cone head The epitheca cylinder of core bar and plastic material;The epitheca cylinder is sleeved between casing both ends, is equipped in epitheca cylinder right part and is changed epitheca The compression folding region of tube length degree, casing right end are equipped with the boss shoulder for stopping epitheca cylinder right end, and the set core bar is located inside pipe casing And cone head is reached to the outside of casing right part.Its advantageous effects is: being pierced into using cone head by scalpel edge Joint capsule enters in articular cavity, pushes regulation handle in epitheca cylinder left end, makes place's compression generation folded deformation that laterally cracks, is located at Skin histology between compression folding region and spacing collar is compacted, and is not only solved joint perfusion liquid and is exosmosed asking to tissue space The present apparatus can be secured firmly in articular cavity by topic simultaneously, and solve causes to cover piping because replacing arthroscopic instrument in art repeatedly The problem of system skids off.So that surgical procedure is convenient and simple, operating time is greatly saved, effectively reduces postoperative complications Rate.
Detailed description of the invention
Fig. 1 is the structural diagram of the present invention;
Fig. 2 is cannula structure schematic diagram of the invention;
Fig. 3 is epitheca barrel structure schematic diagram of the invention;
Fig. 4 is spacing collar structural schematic diagram of the invention;
Fig. 5 is set core bar structure schematic diagram of the invention;
Fig. 6 is that the epitheca cylinder in the present invention equipped with spacing collar is sleeved on the structural schematic diagram on casing;
Fig. 7 is the structural representation for pushing regulation handle that lateral place's compression of cracking is made to generate folded deformation in the present invention to the right Figure;
Fig. 8 is the status architecture schematic diagram that the present invention enters by scalpel edge or exit patient cortical tissue;
Fig. 9 is that the present invention pushes to the right regulation handle, and patient cortical tissue is made to be limited circle and compress what folding region compressed Structural schematic diagram.
Each part numbers in figure are as follows: trigone T tail 1, clamping end 2, pedestal plectane 3, branched pipe 4, valve 5, connecting band 6, epitheca cylinder 7, compression folding region 8, boss shoulder 9, cone head 10, lateral 11, folding impression 12, spacing collar 13, the adjusting handle of cracking Hand 14, curve end face 15, casing 16, set core bar 17, patient cortical tissue 18, scalpel edge 19, annular convex platform 20.
Specific embodiment
In order to make the object, technical scheme and advantages of the embodiment of the invention clearer, below in conjunction with the embodiment of the present invention In attached drawing, technical scheme in the embodiment of the invention is clearly and completely described, it is clear that described embodiment is A part of the embodiments of the present invention, instead of all the embodiments.Based on the embodiments of the present invention, ordinary skill people Member's every other embodiment obtained without making creative work, shall fall within the protection scope of the present invention.
As shown in figure 1-9, the working principle of the invention is introduced with reference to the accompanying drawing:
One, original state: (see Fig. 1) set core bar 17 is located in casing 16, the linear type item on pedestal plectane 3 and annular The linear type groove kissing being arranged in boss 20, which merges, completes seamless connection.Epitheca cylinder 7 is initially closed state, and valve 5 is same Sample is in and closes state.
Two, be placed in instrument of the present invention: (see Fig. 8, Fig. 9) cuts a scalpel edge first with scalpel on patient skin 19, then the instrument of the present invention of original state is pierced into subcutaneously by scalpel edge 19, and puncture joint capsule using cone head 10 Into in articular cavity.Secondly, determining position and the depth of instrument of the present invention under Arthroscopy.Regulation handle is pushed to the right 14, make the compression folding region 8 being located inside scalpel edge 19 in unfolded state, 7 length of epitheca cylinder shortens at this time, regulation handle 14 Curve end face 15 be kept in contact with branched pipe 4, stabilization withstand curve end face 15.Next, by spacing collar 13 along epitheca cylinder 7 to Right sliding prevents arthroscope until confirmation spacing collar 13 and the compression folding region 8 of unfolded state compress patient cortical tissue 18 Perfusion liquid exosmoses to external or tissue space in operation.Finally, set core bar 17 is extracted from casing 16,
Three, surgical procedure: in (see Fig. 7) operative process, other arthroscopic instruments can be arranged inside casing 16 Unidirectional opening and closing piston is directly entered articular cavity.When joint cavity pressure is excessive, partial joint perfusion can be discharged by valve 5 Liquid adjusts pressure.Meanwhile articular cavity inner seam lines, episome can smoothly take out through casing 16;Further, since instrument of the present invention Directly inside connection articular cavity and in vitro, external knot can be smoothly sent into articular cavity through 16 center of casing, effectively prevent closing Mirror channel circumference soft tissue incarceration effect caused by knot is saved, surgical operation step is enormously simplified, has saved operation Time.
Four, it extracts instrument of the present invention: after (see Fig. 8) operation, set core bar 17 is placed in again in casing 16 first, and Regulation handle 14 is moved towards Zola under Arthroscopy, the transverse direction of epitheca cylinder 7 is made to crack at 11 in closed state.Limit is moved to left simultaneously Position circle 13, unclamps the tissue space between joint capsule and skin, instrument of the present invention is slowly extracted external.Last skin suture, Complete operation.
According to the announcement and introduction of description above, those skilled in the art in the invention can also be to above embodiment Carry out change and modification appropriate.Therefore, the invention is not limited to the specific embodiments disclosed and described above, to this hair Bright some modifications and changes should also be as falling into the scope of the claims of the present invention.In addition, although in this specification It uses some specific terms, these terms are merely for convenience of description, does not limit the present invention in any way.

Claims (6)

1. a kind of surgical instrument being used cooperatively with arthroscope, it is characterised in that: including casing (16), with cone head (10) Cover the epitheca cylinder (7) of core bar (17) and plastic material;The epitheca cylinder (7) is sleeved between casing (16) both ends, in epitheca cylinder (7) right part is equipped with the compression folding region (8) for changing epitheca cylinder (7) length, and casing (16) right end, which is equipped with, stops epitheca cylinder (7) right end Boss shoulder (9), it is internal and cone head (10) is reached casing (16) right part that the set core bar (17) is located at casing (16) Outside.
2. a kind of surgical instrument being used cooperatively with arthroscope according to claim 1, it is characterised in that: the compression folding Folded area (8) are that the multiple transverse directions being evenly arranged on epitheca cylinder (7) right part circumferential surface are cracked (11), to the right by epitheca cylinder (7) left side The thrust compression at (11) that makes laterally to crack generates folded deformation.
3. a kind of surgical instrument being used cooperatively with arthroscope according to claim 2, it is characterised in that: further include adjusting Handle (14) and branched pipe (4), epitheca cylinder (7) left end are equipped with regulation handle (14), and regulation handle (14) left end is set Have curve end face (15), described sleeve pipe (16) left part is additionally provided with branched pipe (4), and the curve end face (15) and branched pipe (4) are outside All face contacts are additionally provided with the annular convex platform (20) docked with set core bar (17) in casing (16) left part.
4. a kind of surgical instrument being used cooperatively with arthroscope according to claim 3, it is characterised in that: further include limit It encloses (13), the spacing collar (13) is the taper type of plastic material and is equipped with centre bore, and spacing collar (13) is sleeved on regulation handle (14) on the casing (16) between compression folding region (8).
5. a kind of surgical instrument being used cooperatively with arthroscope according to claim 4, it is characterised in that: the branched pipe (4) valve (5) for being equipped on and being connected inside casing (16), valve (5) are equipped with the connecting band (6) connecting with casing (16).
6. a kind of surgical instrument being used cooperatively with arthroscope according to claim 5, it is characterised in that: the set core bar (17) left end is equipped with the pedestal plectane (3) of clamping end (2) and limiting boot (16) connection depth, at clamping end (2) and bottom Trigone T tail (1) is equipped between seat plectane (3).
CN201910845395.8A 2019-09-05 2019-09-05 A kind of surgical instrument being used cooperatively with arthroscope Pending CN110464432A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201910845395.8A CN110464432A (en) 2019-09-05 2019-09-05 A kind of surgical instrument being used cooperatively with arthroscope

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201910845395.8A CN110464432A (en) 2019-09-05 2019-09-05 A kind of surgical instrument being used cooperatively with arthroscope

Publications (1)

Publication Number Publication Date
CN110464432A true CN110464432A (en) 2019-11-19

Family

ID=68515134

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201910845395.8A Pending CN110464432A (en) 2019-09-05 2019-09-05 A kind of surgical instrument being used cooperatively with arthroscope

Country Status (1)

Country Link
CN (1) CN110464432A (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112587177A (en) * 2020-12-09 2021-04-02 北京世通瑞泰医疗器械有限公司 Temporomandibular arthroscope instrument matched with temporomandibular arthroscope for use

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050171470A1 (en) * 2004-01-29 2005-08-04 Cannuflow Incorporated Atraumatic arthroscopic instrument sheath
US20050203342A1 (en) * 2004-01-29 2005-09-15 Cannuflow Incorporated Atraumatic arthroscopic instrument sheath
CN201727547U (en) * 2010-06-30 2011-02-02 中国人民解放军第三军医大学第一附属医院 Arthroscope channel protective sheath catheter
CN103431835A (en) * 2013-08-09 2013-12-11 广州宝胆医疗器械科技有限公司 Arthroscope with inflation air bags
CN105962999A (en) * 2016-04-20 2016-09-28 中国人民解放军第四军医大学 Petal-shaped damping puncture apparatus for anterior mediastinum minimally invasive surgery and using method of puncture apparatus
CN211066917U (en) * 2019-09-05 2020-07-24 北京积水潭医院 Surgical instrument matched with arthroscope for use

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050171470A1 (en) * 2004-01-29 2005-08-04 Cannuflow Incorporated Atraumatic arthroscopic instrument sheath
US20050203342A1 (en) * 2004-01-29 2005-09-15 Cannuflow Incorporated Atraumatic arthroscopic instrument sheath
CN201727547U (en) * 2010-06-30 2011-02-02 中国人民解放军第三军医大学第一附属医院 Arthroscope channel protective sheath catheter
CN103431835A (en) * 2013-08-09 2013-12-11 广州宝胆医疗器械科技有限公司 Arthroscope with inflation air bags
CN105962999A (en) * 2016-04-20 2016-09-28 中国人民解放军第四军医大学 Petal-shaped damping puncture apparatus for anterior mediastinum minimally invasive surgery and using method of puncture apparatus
CN211066917U (en) * 2019-09-05 2020-07-24 北京积水潭医院 Surgical instrument matched with arthroscope for use

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112587177A (en) * 2020-12-09 2021-04-02 北京世通瑞泰医疗器械有限公司 Temporomandibular arthroscope instrument matched with temporomandibular arthroscope for use

Similar Documents

Publication Publication Date Title
US4738658A (en) Tapered hemostatic device for use in conjunction with a catheter for alleviating blood leakage and method for using same
US11950807B2 (en) Puncturing device and anchoring device
US6491670B1 (en) Miniaturized surgical instruments especially useful for the opthalmologic surgical procedures and methods of making the same
US4723948A (en) Catheter attachment system
CN104010679B (en) Without bruise intubate
Boo-Chai The complications of augmentation mammaplasty by silicone injection
US20060025867A1 (en) Lip implant, instrumentation and method for insertion
CN208892703U (en) A kind of trepan protective case and osteotomy device facilitating injection
CN103349577A (en) Percutaneous aorta bracket or aortic valve bracket system with far-end protection
KR101671612B1 (en) Perfusion device for organ harvest surgery
CN110464432A (en) A kind of surgical instrument being used cooperatively with arthroscope
CN109431589B (en) Integrated multifunctional vertebroplasty instrument
CN211066917U (en) Surgical instrument matched with arthroscope for use
KR101120404B1 (en) Apparatus for inserting prosthesis used in plastic operation
CN209450575U (en) A kind of vagina vasorum
US3017884A (en) Apparatus for injecting or infusing fluids into patients and method of making same
CN206473380U (en) Adjustable diacan and the indwelling casing tube supporting with it
CN106137345A (en) Remporomandibular joint mirror puncture instrument
EP2381989B1 (en) Corkscrew injection needle
CN218943609U (en) Distal end anchoring bone cement type prosthesis handle
KR102375907B1 (en) Insertion device for breast prosthesis
CN216854735U (en) Novel meniscus sewing system
CN217987671U (en) Neural scope channel device
CN213552074U (en) Blood blocking device for repairing proximal heart end damaged artery
CN113080956B (en) Blood sampling indwelling needle

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination