CN111035421B - Vertebral canal surgery retractor - Google Patents

Vertebral canal surgery retractor Download PDF

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Publication number
CN111035421B
CN111035421B CN201911363440.2A CN201911363440A CN111035421B CN 111035421 B CN111035421 B CN 111035421B CN 201911363440 A CN201911363440 A CN 201911363440A CN 111035421 B CN111035421 B CN 111035421B
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China
Prior art keywords
outer sleeve
arm
support
tube
locking
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CN201911363440.2A
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Chinese (zh)
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CN111035421A (en
Inventor
刘进
吴凌慧
苏畅
李衍文
程林贵
张培军
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Lishui City Peoples Hospital
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Lishui City Peoples Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/025Joint distractors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/025Joint distractors
    • A61B2017/0256Joint distractors for the spine

Abstract

The invention discloses a spinal canal surgery retracting device, which comprises an inner core, a retracting arm, a suction tube cap and a suction apparatus connector, wherein the retracting arm can be conveniently and rapidly combined and selected by doctors in the surgery process by arranging outer sleeves with various specifications, the retracting arm is provided with a snake-shaped arm, the retracting arm can naturally droop along with the physiological curvature of a human body in the surgery process to prevent the surgery operation from being influenced, then the snake-shaped arm is fixed by screwing a snake-shaped arm locking piece to keep the snake-shaped arm in a certain specific state so as to carry out the surgery operation with high stability requirement, the retracting arm can be rapidly fixed on a bracket on an operating table by screwing the bracket locking piece, one side of the suction apparatus connector close to the connector is connected with a suction apparatus connector interval adjusting switch through threads, and only the suction apparatus connector interval adjusting switch needs to be rotated inwards, the distance between the first expansion bracket and the second expansion bracket can be adjusted, and the method is simple and quick and is beneficial to popularization and promotion.

Description

Vertebral canal surgery retractor
Technical Field
The invention relates to the technical field of medical instruments, in particular to a spinal surgery retracting device.
Background
Retractors provide surgeons with access to surgical sites, such as during spinal surgery, for example discectomy, laminectomy, facetectomy (facectomy), interbody fusion, pedicle screw fixation, and similar procedures. Common spinal surgery is performed using an open procedure that results in a relatively large incision, the destruction or removal of important soft tissue, and a long recovery time for the patient. Minimally invasive techniques have become increasingly popular, particularly for spinal surgery, wherein surgical procedures are performed on a patient using relatively small incisions and surgical access, often resulting in smaller incisions or multiple relatively small incisions, less soft tissue retraction and resection, and shorter recovery times for the patient than open procedures. In some cases, minimally invasive procedures can achieve comparable or improved long-term surgical results compared to open procedures and can provide short-term advantages, including reduced post-operative pain, reduced post-operative use of anesthetics, reduced tissue destruction (thereby enabling reduced scar tissue and having potential advantages (when revision is needed)), reduced blood loss, reduced recovery time, shorter hospital stays, and smaller incisions with cosmetic requirements. However, a smaller incision reduces the surgeon's line of sight to directly view the surgical site because the patient's soft tissue often limits the surgeon's ability to view the surgical site.
However, the complex procedures and instruments used in some minimally invasive spinal surgeries often require removal and replacement of the different instruments by closing the cannula or sleeve, thereby fatiguing the surgeon and extending the time of the surgery and anesthesia of the patient. Moreover, when complex procedures and instruments are used, the complex procedures and instruments may cause surgical delays, particularly for newly trained or novice medical personnel and surgeons, and some of the existing spinal surgical retraction devices are inconvenient to secure to the bedside or the frame and may slip easily, so that it is necessary to design a new type of spinal surgical retraction device to solve these problems.
Disclosure of Invention
The invention mainly aims to provide a spinal surgery retracting device which can effectively solve the problems in the background technology.
In order to achieve the purpose, the invention adopts the technical scheme that:
a spinal canal operation retracting device comprises a first outer sleeve, a second outer sleeve, a third outer sleeve, a fourth outer sleeve, a fifth outer sleeve, a sixth outer sleeve, an inner core, a retracting arm, a suction tube cap and a suction device connector, wherein the first outer sleeve, the second outer sleeve, the third outer sleeve, the fourth outer sleeve, the fifth outer sleeve and the sixth outer sleeve are all embedded into an outer sleeve placing groove arranged on a box body, a plurality of water permeable holes are uniformly formed in the lower part of the outer sleeve placing groove at intervals, one side of the box body is hinged with an upper cover through a hinge, a mortise is fixedly arranged on the upper cover, a tenon matched with the mortise is fixedly arranged on the box body, a connecting piece is fixedly arranged in the middle position of the inner core, a mounting hole is formed in the connecting piece, a snake-shaped arm is fixedly arranged on the retracting arm, a fixing head is fixedly arranged at the end part of the snake-shaped arm, the fixed head is connected with a protective tube through a hand screw thread, the other end of the retraction arm is fixedly provided with a locking mechanism, the locking mechanism comprises a snakelike arm locking piece and a bracket locking piece, the snakelike arm locking piece is provided with a locking knob, the locking handle is arranged on the bracket locking piece, the suction tube is fixedly provided with a suction tube cap, the suction tube cap is hinged with a fixed rod through a rotating shaft, the suction tube is communicated with a capillary tube arranged on the suction tube cap, a protective tube is sleeved outside the capillary tube, a first expansion bracket and a second expansion bracket are arranged on the aspirator connecting head, the end parts of the first expansion bracket and the second expansion bracket are hinged together through a connecting piece, the first expansion bracket and the second expansion bracket are both fixedly provided with semicircular grooves, one side of the aspirator connector close to the connecting piece is connected with an aspirator connector interval adjusting switch through threads.
As a preferable technical solution of the present invention, the diameters of the pipe orifices of the first outer sleeve, the second outer sleeve, the third outer sleeve, the fourth outer sleeve, the fifth outer sleeve and the sixth outer sleeve are sequentially reduced.
As a preferable technical solution of the present invention, the first outer cannula, the second outer cannula, the third outer cannula, the fourth outer cannula, the fifth outer cannula, the sixth outer cannula, the inner core, the retracting arm, the protecting tube and the suction apparatus connector are all made of 316 medical stainless steel.
As a preferred technical solution of the present invention, the holder locking member is a U-shaped lock body, and a circular holder fixing groove is provided on the holder locking member.
As a preferable technical scheme of the invention, the locking handle is L-shaped.
As a preferred technical scheme of the invention, the outer surfaces of the tightening screw, the locking knob and the suction apparatus connector spacing adjusting switch are fixedly provided with anti-skid grains.
As a preferable technical scheme of the invention, the suction tube is a transparent plastic hose.
As a preferable technical solution of the present invention, an aspirator is connected to an end of the aspirator connecting head.
Compared with the prior art, the invention has the following beneficial effects: the invention can be conveniently combined and selected by doctors in the operation process by arranging the outer sleeves with various specifications, the whole set of instruments has light weight, flexibility and versatility, is convenient to operate in the operation process, can furthest expose the operation visual field, saves time and labor, is provided with the snake-shaped arm, can lead the retracting arm to naturally droop along with the physiological curvature of human body in the operation process, prevents the operation from being influenced, then fixes the snake-shaped arm in a certain specific state by screwing the snake-shaped arm locking piece so as to carry out the operation with high stability requirement, can quickly fix the retracting arm on the bracket on the operation table by screwing the bracket locking piece, one side of the suction apparatus connector close to the connector is connected with the suction apparatus connector interval adjusting switch by threads, and only needs to rotate the suction apparatus connector interval adjusting switch towards the inner side, the distance between the first expansion bracket and the second expansion bracket can be adjusted, and the method is simple and quick and is beneficial to popularization and promotion.
Drawings
Fig. 1 is a schematic structural view of a multi-specification outer sleeve of a spinal surgery retracting device according to the invention;
fig. 2 is a schematic structural view of an inner core of the spinal surgery retracting device;
fig. 3 is a schematic structural view of a retracting arm of a spinal surgery retracting device of the invention;
fig. 4 is a schematic structural view of a suction tube of the spinal surgery retracting device;
fig. 5 is a schematic structural view of a suction tube cap of the spinal surgery retracting device;
fig. 6 is a schematic structural view of a suction apparatus connector of the spinal surgery retracting device;
in the figure: 1. a first outer sleeve; 2. a second outer sleeve; 3. a third outer sleeve; 4. a fourth outer sleeve; 5. a fifth outer sleeve; 6. a sixth outer sleeve; 7. an outer sleeve placing groove; 8. water permeable holes; 9. a box body; 10. a hinge; 11. an upper cover; 12. mortises; 13. a tenon; 14. an inner core; 15. connecting sheets; 16. mounting holes; 17. a retracting arm; 18. a serpentine arm; 19. a fixed head; 20. screwing the screw by hand; 21. protecting the tube; 22. a suction tube; 23. a rotating shaft; 24. fixing the rod; 25. a suction cap; 26. a locking mechanism; 27. a serpentine arm lock; 28. a locking knob; 29. a bracket locking member; 30. locking the handle; 31. a capillary tube; 32. a suction apparatus connector; 33. a first expanded stent; 34. a second expanded stent; 35. a connecting member; 36. the aspirator connector interval adjustment switch.
Detailed Description
In order to make the technical means, the creation characteristics, the achievement purposes and the effects of the invention easy to understand, the invention is further described with the specific embodiments.
As shown in fig. 1-6, a spinal surgery retracting device comprises a first outer sleeve 1, a second outer sleeve 2, a third outer sleeve 3, a fourth outer sleeve 4, a fifth outer sleeve 5, a sixth outer sleeve 6, an inner core 14, a retracting arm 17, a suction tube 22, a suction tube cap 25 and a suction device connector 32, wherein the first outer sleeve 1, the second outer sleeve 2, the third outer sleeve 3, the fourth outer sleeve 4, the fifth outer sleeve 5 and the sixth outer sleeve 6 are all embedded in an outer sleeve placing groove 7 arranged on a box body 9, a plurality of water permeable holes 8 are uniformly arranged below the outer sleeve placing groove 7 at intervals, one side of the box body 9 is hinged with an upper cover 11 through a hinge 10, a mortise 12 is fixedly arranged on the upper cover 11, a tenon 13 matched with the mortise 12 is fixedly arranged on the box body 9, a connecting piece 15 is fixedly arranged at the middle position of the inner core 14, the mounting hole 16 has been seted up on the connection piece 15, the fixed snakelike arm 18 that sets up on the arm 17 that pulls off, the end fixing of snakelike arm 18 is provided with fixed head 19, there is protection tube 21 through hand tight screw 20 threaded connection on the fixed head 19, the fixed locking mechanical system 26 that is provided with of the other end of the arm 17 that pulls off, locking mechanical system 26 includes snakelike arm retaining member 27 and support retaining member 29, be provided with locking knob 28 on the snakelike arm retaining member 27, be provided with locking handle 30 on the support retaining member 29, it is provided with suction tube cap 25 to attract to fix on the pipe 22, it has dead lever 24 to articulate through pivot 23 on the suction tube cap 25, attract pipe 22 and set up the capillary 31 intercommunication on suction tube cap 25, the outside cover of capillary 31 is equipped with protection tube 21, be provided with first expansion support 33 and second expansion support 34 on the aspirator connector 32, the tip of first expansion support 33 and second expansion support 34 passes through connecting piece 35 articulated together, all be fixed on first expansion support 33 and the second expansion support 34 and be provided with semicircular groove 37, there is aspirator connector interval regulating switch 36 one side that aspirator connector 32 is close to connecting piece 35 through threaded connection.
In this embodiment, preferably, the diameters of the pipe orifices of the first outer sleeve 1, the second outer sleeve 2, the third outer sleeve 3, the fourth outer sleeve 4, the fifth outer sleeve 5 and the sixth outer sleeve 6 are sequentially reduced.
In this embodiment, it is preferable that the first outer cannula 1, the second outer cannula 2, the third outer cannula 3, the fourth outer cannula 4, the fifth outer cannula 5, the sixth outer cannula 6, the inner core 14, the retracting arm 17, the protection tube 21 and the suction apparatus connector 32 are all made of 316 medical stainless steel.
In this embodiment, it is preferable that the holder locking member 29 is a U-shaped locking body, and the holder locking member 29 is provided with a circular holder fixing groove.
In this embodiment, the locking handle 30 is preferably L-shaped.
In this embodiment, preferably, the outer surfaces of the fastening screw 20, the locking knob 28 and the suction apparatus connector spacing adjustment switch 36 are fixedly provided with anti-slip threads.
In this embodiment, the suction tube 22 is preferably a transparent plastic hose.
In this embodiment, preferably, an aspirator is connected to an end of the aspirator connecting head 32.
It should be noted that, when using the spinal surgery retracting device of the present invention, firstly, the whole components of the device are sterilized, then the retracting arm 17 is sleeved on the support on the operating table through the circular support fixing groove arranged on the support locking piece 29, then the locking handle 30 is rotated to make the support locking piece 29 tightly clamp the support, then the protecting tube 21 is sleeved on the suction tube cap 25, the fixing rod 24 is pulled inwards to clamp the protecting tube 21 to prevent the protecting tube 21 from slipping, then the bottom end of the retracting arm 17 is connected with the screw thread through the hand tightening screw 20, then different outer sleeves are selected according to the operation requirement in the actual surgery process, then the inner core 14 is sleeved in the outer sleeve, the connecting piece 15 fixedly arranged at the middle position of the inner core 14 is connected with the retracting arm 17, by rotating the distance adjusting switch 36 of the suction device connector inwards, the distance between the first stent 33 and the second stent 34 can be adjusted to connect the suction apparatus, the whole assembly is completed, the operation is started, the retracting arm 17 naturally sags along the physiological curvature of the human body during the operation to prevent the operation from being influenced, and then the serpentine arm 18 is fixed by screwing the serpentine arm locking piece 27 to keep the serpentine arm 18 in a certain specific state, so that the operation with high requirement on stability can be performed.
The invention can be conveniently combined and selected by doctors in the operation process by arranging the outer sleeves with various specifications, the whole set of instruments has light weight, flexibility and versatility, is convenient to operate in the operation process, can furthest expose the operation visual field, saves time and labor, is provided with the snake-shaped arm, can lead the retracting arm to naturally droop along with the physiological curvature of human body in the operation process, prevents the operation from being influenced, then fixes the snake-shaped arm in a certain specific state by screwing the snake-shaped arm locking piece so as to carry out the operation with high stability requirement, can quickly fix the retracting arm on the bracket on the operation table by screwing the bracket locking piece, one side of the suction apparatus connector close to the connector is connected with the suction apparatus connector interval adjusting switch by threads, and only needs to rotate the suction apparatus connector interval adjusting switch towards the inner side, the distance between the first expansion bracket and the second expansion bracket can be adjusted, and the method is simple and quick and is beneficial to popularization and promotion.
The foregoing shows and describes the general principles and broad features of the present invention and advantages thereof. It will be understood by those skilled in the art that the present invention is not limited to the embodiments described above, which are described in the specification and illustrated only to illustrate the principle of the present invention, but that various changes and modifications may be made therein without departing from the spirit and scope of the present invention, which fall within the scope of the invention as claimed. The scope of the invention is defined by the appended claims and equivalents thereof.

Claims (8)

1. The utility model provides a spinal canal operation retractor device, includes first outer tube (1), second outer tube (2), third outer tube (3), fourth outer tube (4), fifth outer tube (5), sixth outer tube (6), inner core (14), tractive arm (17), attracts pipe (22), attracts pipe cap (25) and aspirator connector (32), its characterized in that: the first outer sleeve (1), the second outer sleeve (2), the third outer sleeve (3), the fourth outer sleeve (4), the fifth outer sleeve (5) and the sixth outer sleeve (6) are all embedded into an outer sleeve placing groove (7) formed in a box body (9), a plurality of water permeable holes (8) are uniformly formed in the lower portion of the outer sleeve placing groove (7) at intervals, an upper cover (11) is hinged to one side of the box body (9) through hinges (10), a mortise (12) is fixedly arranged on the upper cover (11), tenons (13) matched with the mortise (12) are fixedly arranged on the box body (9), a connecting piece (15) is fixedly arranged at the middle position of the inner core (14), a mounting hole (16) is formed in the connecting piece (15), the inner core (14) is sleeved in the outer sleeve, and the connecting piece (15) fixedly arranged at the middle position of the inner core (14) is connected with a pulling arm (17), the utility model discloses an operating table, including pulling arm (17), fixed snakelike arm (18) that sets up on pulling arm (17), the end fixing of snakelike arm (18) is provided with fixed head (19), there are protection tube (21) through hand tight screw (20) threaded connection on fixed head (19), the fixed locking mechanical system (26) that is provided with of the other end of pulling arm (17), locking mechanical system (26) include snakelike arm retaining member (27) and support retaining member (29), be provided with locking knob (28) on snakelike arm retaining member (27), be provided with locking handle (30) on support retaining member (29), will pull arm (17) and establish on the support on through the circular support fixed slot cover that sets up on support retaining member (29), then rotate locking handle (30) for support retaining member (29) tightly centre gripping support, attract to fixedly be provided with on pipe (22) and attract pipe cap (25), attract pipe cap (25) to go up to articulate through pivot (23) has dead lever (24), attract pipe (22) and capillary (31) intercommunication of setting on attracting pipe cap (25), the outside cover of capillary (31) is equipped with protection tube (21), be provided with first expansion support (33) and second expansion support (34) on aspirator connector (32), the tip of first expansion support (33) and second expansion support (34) passes through connecting piece (35) articulated together, all fixed semicircular groove (37) that is provided with on first expansion support (33) and second expansion support (34), there is aspirator connector interval regulating switch (36) one side that aspirator connector (35) are close to in aspirator connector (32) through threaded connection, fixes snakelike arm (18) through snakelike arm locking piece (27) of screwing, the protective tube 21 is held in a specific state by a suction cap 25, and the protective tube 21 is prevented from slipping off.
2. A spinal surgical retraction device as claimed in claim 1, wherein: the diameters of the pipe orifices of the first outer sleeve (1), the second outer sleeve (2), the third outer sleeve (3), the fourth outer sleeve (4), the fifth outer sleeve (5) and the sixth outer sleeve (6) are reduced in sequence.
3. A spinal surgical retraction device as claimed in claim 1, wherein: the first outer sleeve (1), the second outer sleeve (2), the third outer sleeve (3), the fourth outer sleeve (4), the fifth outer sleeve (5), the sixth outer sleeve (6), the inner core (14), the retracting arm (17), the protection tube (21) and the suction apparatus connector (32) are all made of 316 medical stainless steel.
4. A spinal surgical retraction device as claimed in claim 1, wherein: the support locking piece (29) is a U-shaped lock body, and a circular support fixing groove is formed in the support locking piece (29).
5. A spinal surgical retraction device as claimed in claim 1, wherein: the locking handle (30) is L-shaped.
6. A spinal surgical retraction device as claimed in claim 1, wherein: the outer surfaces of the hand tightening screw (20), the locking knob (28) and the suction apparatus connector spacing adjusting switch (36) are fixedly provided with anti-slip threads.
7. A spinal surgical retraction device as claimed in claim 1, wherein: the suction tube (22) is a transparent plastic hose.
8. A spinal surgical retraction device as claimed in claim 1, wherein: the end part of the aspirator connecting head (32) is connected with an aspirator.
CN201911363440.2A 2019-12-26 2019-12-26 Vertebral canal surgery retractor Active CN111035421B (en)

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CN201911363440.2A CN111035421B (en) 2019-12-26 2019-12-26 Vertebral canal surgery retractor

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CN111035421B true CN111035421B (en) 2021-09-07

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2618566Y (en) * 2003-03-26 2004-06-02 天津市公安医院 Adjustable sleeve of intervertebral disc lens
WO2005011476A2 (en) * 2003-07-29 2005-02-10 Endoscopic Technologies, Inc. Tissue positioner
CN101828964A (en) * 2009-03-13 2010-09-15 复旦大学附属华山医院 Automatic traction device for neurosurgical operation
CN203400191U (en) * 2013-08-26 2014-01-22 北京中诺恒康生物科技有限公司 Vertebral column minimally-invasive expansible channel system made of medical high polymer materials
CN108236743A (en) * 2016-12-23 2018-07-03 首都医科大学附属北京世纪坛医院 Aspirator, nerve dissector and the nerve root retracto that cooperation piezosurgery osteotomy uses

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6447443B1 (en) * 2001-01-13 2002-09-10 Medtronic, Inc. Method for organ positioning and stabilization

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2618566Y (en) * 2003-03-26 2004-06-02 天津市公安医院 Adjustable sleeve of intervertebral disc lens
WO2005011476A2 (en) * 2003-07-29 2005-02-10 Endoscopic Technologies, Inc. Tissue positioner
CN101828964A (en) * 2009-03-13 2010-09-15 复旦大学附属华山医院 Automatic traction device for neurosurgical operation
CN203400191U (en) * 2013-08-26 2014-01-22 北京中诺恒康生物科技有限公司 Vertebral column minimally-invasive expansible channel system made of medical high polymer materials
CN108236743A (en) * 2016-12-23 2018-07-03 首都医科大学附属北京世纪坛医院 Aspirator, nerve dissector and the nerve root retracto that cooperation piezosurgery osteotomy uses

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